Saturday, October 15, 2011

Drain 2 - OHSS

So on Friday I felt a little better waking up... less bloated, so less pain and less nausea. Matt & I went to the store in the AM. After a couple aisles I go wait for him in the car. Then at home I do some laundry to get caught up.

But it all catches up with ME. I should have just rested! I start to feel sick over lunch time... and by mid afternoon am ill again. Worse, a lot of fluid is gathering in my back so it's not even comfortable to lay down or sit. I have to be in the recliner with a pillow behind me...

Friday night is awful. I sleep in the recliner but am restless; then I wake up in so much pain that I'm throwing up for hours... :( :(

Early this morning we head to Rockville again. We are in no major rush b/c we know we'll have to wait 'til others are finished. I take a pillow with me for the chair & bed.  First we go to the 2nd floor to get bloodwork (they check CBC to make sure my organs are okay) and an ultrasound to check fluid levels. This time the fluid has gathered on my sides. They send us to the 4th floor. When I get there they immediately come back and give me my IV & Zofran for my nausea... just walking to the bathroom makes me seasick.

Luckily we only have to wait until 2:00 for my surgery. They take me back and drain 3.1 liters. Luckily, it's less!  Our beta today was 333! It more than doubled!!! 


Thursday, October 13, 2011

Silver Lining

I forgot to post that the silver lining in this was that my 2nd beta came back 162.5... more than double :)

Drain 1

I was discharged from the hospital at about 9:00. It is so hard to walk, it hurts in my back and holding my super bloated stomach up. We head straight to Rockville for fluid aspiration... we got there at 11:30. That ride was the WORST ride ever, I was so nauseous and so motion sick (and this is after they gave me Zofran for the ride!).

We had to wait basically the whole day to get taken back to the OR-- until all scheduled surgeries are cleared. It is 5:00 before I get taken back. They take me to the OR and since I am pregnant it's a little different... not as many drugs, like the first drug they give you that gives you "amnesia". I am awake more during the prep process of getting me hooked up to the various electrodes and monitors, blood pressure machine, etc. But then he put the mask on me and I was good to go... wake up in recovery.

They drained 3.8 liters from me!!! OHSS is no joke!

Wednesday, October 12, 2011

Last night was pretty awful. I only slept for two hours and then woke up sick as a dog. I wasn't peeing that much and I bloated out really badly-- worse than it's been before :(

I couldn't eat breakfast when I woke up. I am so nauseous and it also hurts to put anything into my stomach :(  I've been nauseous all day

2:00 pm - start having trouble breathing, feels like someone is sitting on my chest. Call my nurse & she says to go to the hospital. We decide to go to Anne Arundel Medical Center, where they might have a clue what they're dealing with.

3:45 - ER has a short wait before taking me back to triage. It is so uncomfortable to be reclined on those little stretcher beds! The ER physicians assistant has NO clue what I've got-- talks about doing x-rays and pelvic exams. Luckily Dr. K called ahead to explain my condition but this guy wants to talk with Dr. K and can't get a hold of him, so we wait around. Finally they decide to take back to the "real" ER area. I throw up immediately after having my blood drawn.

Evening -- more comfortable in bigger ER bed. Matt goes to get Wendy's for dinner (apparently with OHSS high protein high sodium foods are good). While he does that, I am taken to radiology to have an ultrasound done. The ride there is awful, like a thrill ride, I feel so sick. The ultrasound tech has no idea what I have and it HURTS so badly. When I get back Matt is there: I have one bite of fries and the burger before I want to throw up. I am so nauseous and can't eat a thing :(

The OB doc on call comes down to check on me and luckily he knows what he's talking about! Dr. Nance, I think. He gets me an IV (5 hours after getting there!), Zofran for nausea, Morphine for pain, and a foley catheter for... ugh you know.

I was admitted for the night and once they moved me to a real room, the "real" hospital bed was a dream compared to the others! So soft! And I could recline myself with the little buttons! I still couldn't really eat. I managed 4 crackers at midnight and some around 6 in the morning. I got to sleep about 6 hours throughout the night which was more than the previous two nights combined!!!

Tuesday, October 11, 2011

This morning I went into Shady Grove after having severe abdominal pain yesterday and bloating. I felt AWFUL. During 5th period I couldn't talk or walk, the pain was so bad. I couldn't lift my laptop because my abs were in so much pain!

They did an ultrasound and confirmed that I have OHSS. It is a horrible condition but it has wonderful connotations: it worsens with pregnancy!

12:00: Dr. Kipersztok calls to confirm that WE ARE PREGNANT! Our first beta, at 7dp5dt, was 62!!!!


Thank you Lord. Please keep this pregnancy (and me) safe.

Wednesday, October 5, 2011

Update from the lab!

Dr. K called me this morning to let me know that it definitely was not an embryo that they found in the catheter, so both embryos are 100% in my belly! :)

Also, he let me know that I have two embryos that are going to be frozen today!

Tuesday, October 4, 2011

Embryo Transfer - IVF #2

Today was a stressful drive to Shady Grove. The beltway was in knots, for no real apparent reason other than the fact that it was the beltway and the beltway is ridiculous. We were going no more than 20 mph the entire way from 50 to 270 :( I tried not to stress it too much... but of course did! :)

We had a 9:45 show up time for our 10:15 transfer, but got there right at 10:05. We went right back & our nurse, Nicole, was super nice! As soon as we got back there we were shocked to be greeted by Dr. K!  I was so glad we were there on his day at Rockville (I wasn't sure who we would have).

Before we go into the rooms, they make the husbands cover up their shoes with little booties (I had to take mine off, obviously). The transfer rooms have really nice relaxing ambient lighting. Laidback 101! We went in, got situated, then the doctor came in and talked about the embryos. We decided on transferring two. One is an AB blast, the other is a little behind, but still good. We might still have 3 or 4 left to freeze :)

The transfer process involves a few things: a full bladder (so they can see the uterus), the ultrasound wand pushed heavily against your abdomen, and a catheter through which the embryos are transferred. After we decided on 2 the embryologist came in to verify my info, and my selection to transfer two, then went to get our babies :) Dr. K printed off a picture from the ultrasound of the catheter so we can have "early" baby pictures!!! The transfer itself is a piece of cake, I really hardly felt anything but could see it on the ultrasound-- so awesome to see. Matt was standing next to me watching. Just as Dr. K put the catheter in Matt kissed my head!

Okay so after the transfer they take the catheter back and make sure no embryos got stuck in there. And that's where it got wonky. They found something, and we could hear them talking. Then Dr. K peeks into the lab to see what's up, and then ends up going into the lab to see what's going on. So it turns out there was something in the catheter, they didn't "think" it was the embryo, but it looked like it. Just in case it was the embryo, they wanted to put it in a petri dish to let it grow to see what it was. But if it doesn't develop, then we will know it wasn't an embryo. If it does, they'll just freeze it with the others. I was really taken aback and didn't know what to do but I will not stress it, just hope for the best!

We stopped at Burger King on the way home. When I got home I climbed in bed and started reading "The White Queen" by Phillippa Gregory. Now I'm sitting on the recliner blogging!


Dirty Dancing is on. Hopefully these estrogen sob-fest movies will make these little babies stick!!! :)

Saturday, October 1, 2011

Fertilization Reports for Cycle #2

Day 1 Fertilization Report - 9 eggs were mature & 7 fertilized normally
Day 2 Report: 6 embryos still doing well (1 6-cell, 1 4-cell, 4 2-cells). Scheduled for a day 3 transfer
Day 3 Report: 7 embryos! (3 8-cells, 1 7-cell, 1 5-cell, 2 4-cells). Transfer pushed back to a day 5!!!

Thursday, September 29, 2011

Egg retrieval for cycle #2

Today was my egg retrieval at Shady Grove for my second IVF. I was so eager to get in and get it over with :)  i woke up at 2:15 and was able to sneak in a granola bar before the cut off for eating (3:00am). i was feeling a little full but really not as full as last time  or nearly as uncomfortable. not a lot of twinges or pain or anything :)

i drove us to rockville because i hate traffic and like being "in charge" when we have to get somewhere by a certain time. we had an 8:30 arrival time, so left at 6:00 just in case we had another bay bridge snafu. luckily we had no major issues at all. the beltway was slow, though, so we got there at 8:10!!!

they took us right back when we got there and it was the same routine: change into gown and hair net, sign consents, meet the anesthesiologist, go over his consents. then my doctor for the retrieval came back-- a new doctor-- Dr. Esposito from Frederick. she was really nice! then Steve the anesthesiologist came back to get me set up. he is a psu fan (i learned about that from the SG facebook page) so we were talking psu football during the whole IV set up. I really don't mind the needles all that much at all and i actually like having fluids put in me, for some reason it's oddly relieving :)

matt goes and does his thing, i continue to wait & read a magazine, then it's go time! steve walks me back to the OR and i meet my nurses, get set up on the table, thank them for taking care of me and then steve says "we are" i say "penn state", he puts the nose mask on me and i am OUT. then i wake up in recovery, the nurse tells me i had 11 eggs, and next thing i know mattie is in the room with me! i was really woozy this time afterwards; i just wanted to sleep! my nurse told me that when i woke up i was telling steve what an awesome job he did, but i don't remember any of that!

we were home by 1:15 and i was in bed by 1:19. had a nice nap in the afternoon and now i am typing my blog for the day! luckily i have had very little pain all afternoon! hoping for a great fertilization report in the morning!!!

Tuesday, September 27, 2011

Trigger happy

Today I went in for monitoring: I trigger tonight at 10:00! So excited!!!

Sunday, September 25, 2011

GBMC office & Day 8 monitoring!

this morning mom and i drove down to GBMC in Towson. I was super excited to be able to have mom with me for my appointment! Sometimes i see women go in with their mothers for appointments and I am always jealous :) I want my mommy, too!

we were at my mom's house for my high school reunion this weekend, so we knew we'd have to make a plan for the monitoring appointments. at first i planned on going to rockville but mom thought that GBMC would be much closer, which it was. and what a beautiful campus GBMC is! it is absolutely beautiful! you turn off of Charles St into the entrance and you are in a wooded wonderland-- beautiful trees, landscaped walkways, so peaceful. i really loved it there. i would have liked to have explored it more!
for my monitoring a doctor came in with me, Dr. Katz, and was telling me a little more about the follicles, etc. he didn't think i'd need monitoring the next day and said everything was progressing nicely. i had 15 follicles on the right and 4 or 5 on the left. the left ovary is definitely really lazy!!!

on our way home from the appointment mommy and i stopped at target and got some clothes :) nothing like retail therapy!

the nurse called int he afternoon with my instructions. start ganirellix, increase menopur to 225 iu. My estrogen was 635 which is kind of high but I think it's okay because of my number of follicles :)

yayyyyy!


**i just read something that said e2 levels average about 200 per mature egg at retrieval.






Tuesday, September 20, 2011

IVF #2: First follicle count

Today was my first monitoring appointment on the stims. I had 11 follicles-- 7 on the right and 4 on the left. My estrogen level was 118.

My nurse Sarah called me and increased my Bravelle to 150 iu. So I am on two vials of Bravelle and two vials of Menopur. Easy enough :)

Just did my injection and I swore there was a little air bubble in there and it was driving me crazyyyyy!

Our Story So Far

I have been typing up my list of dates so that I can eventually make myself a treatment bracelet based upon all that went into this first baby. So, here are the dates:

Okay in order to preserve this for our posterity, and for future understanding of this road, in case we need to travel down this road again-- I fully believe I WILL get pregnant with a child and hope we'll go for a 2nd, and anticipate that in order to do so, we'll have to explore this option again-- here is a summary of our time at Shady Grove:
6/22 - Consult #1 with Dr. K
7/7 - 1st bloodwork & ultrasound
7/12 - Matt's semen analysis
7/14 - HSG in Rockville
7/23 - Followup with Dr. K. Decide to try IUI
8/2 - Bloodwork & ultrasound
8/10 - Bloodwork & ultrasound
*started Clomid, 50 mg/day days 3-7
8/19 - Bloodwork & Ultrasound (1 egg right, 2-3 left-- need to grow!)
8/21 - Bloodwork & Ultrasound (2 Left 19mm & 21 mm, 1 Right, small) Trigger?
-9:30 pm trigger Ovidrel (shot)
8/23 - IUI #1 @ 12:40 with Dr. Mottla
9/7 - Blood test (pregnancy) negative :(
9/13 - Day 3 bloodwork & ultrasound *start Clomid 50 mg/day
9/22 - Day 12 bloodwork & ultrasound (1 follicle on right at 19mm, 2 on L @ 13mm)
9/23 - Bloodwork/ultrasound (still only 1 follicle, others didn't grow!)
9/24 - Trigger shot ovidrel
9/26 - IUI#2 (1.5m pw)
10/14 - Dr. K suggests we move onto IVF
10/20ish - IVF consult, postpone IVF until after Africa trip
12/16/2010 - Start new cycle for IVf, decide to postpone after travel snafus
1/25/2011 - start new cycle, but have to postpone due to MSA
3/6 - start new cycle!
3/22 - Mock transfer
3/29 - Bloodwork & ultrasound
3/31 - MRI in Easton
4/2 - Dr. K calls to cancel cycle, tells me about the uterine septum & need for surgery :(
4/21 - Hysteroscopy in Rockville. Have to rest a natural cycle before starting again

6/16 - HSG to make sure everything is good & healed. it is! :)

6/25 - Pre IVF bloodwork & ultrasound -- good to start shots on Tuesday!
6/28- start stimming: 75u of Bravelle 75u of Menopur!
6/29: 2nd round of injections, same amounts!
6/30: 3rd day of injections, same amounts-- 8:30 each night :)
7/1: bloodwork and ultrasound-- 7 follicles, bloodwork all good. 4th day of injections, increased dosage to 1.5 vials of Menopur, same level of Bravelle.
7/2-5th day of injections
7/3: bloodwork & ultrasound-- 12 follicles, 6th day of injections, increased meds & started Ganirelix
7/4 - 7th day of injections
7/5 - bloodwork & ultrasound, injections
7/6 - bloodwork & ultrasound, injections
7/6 - Urgent Care for Cellulitis :(
7/7 - bloodwork & ultrasound - 9 follicles above 18mm! Ready to go!
- Trigger Shot 11:30 pm (HcG 10,000 units of pregnyl)
7/9 - Egg retrieval: 11 retrieved
7/10: 1st Fertilization Report: 9 mature, 8 fertilized!
7/15: Day 6 transfer-- transfer on perfect 5AA embryo!!! Hopeful
7/21: Positive hpt! (positive 7/21, 7/22, 7/23, 7/24, 7/25)
7/27: Beta: negative :(
8/? - Post IVF consult with Dr. K

9/14 - Pre-IVF Evaluation: bloodwork & u/s okay! (small cyst right ovary)
9/17 - Day 1 Stims: Start stimming! 75iu of Bravelle & 150iu of Menopur
9/20 - Day 4 Stims: Bloodwork/Ultrasound - 7 Right, 4 Left, E2 117 - raise Bravelle to 150 iu
9/22 - Day 6 Stims: Bloodwork/Ultrasound - 11 Right, 3 Left, E2? -raise Bravelle to 225 iu
9/24 - Day 8 Stims: Bloodwork/Ultrasound - 15 Right, 4 Left, E2 635, raise Menopur to 225iu
9/26 - Day 10 Stims: Bloodwork/Ultrasound - same follies, E2 1325, same meds
9/27 - Day 11 Stims: Bloodwork/Ultrasound - same follies, TRIGGER!          
        - Trigger: Novarel @ 10:00 pm (great job, Mattie!)
9/29 - Egg Retrieval: 11 eggs
9/30 - Day 1 Fertilization Report: 9 mature, 7 fertilized
10/ 1 - Back to Rockville for fluid aspiration (from lining)
         - Day 2 fert: 6 embryos (1 6 cell, 1 4 cell, 4 2-cells-- but 2 are multinucleated)






Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well-preserved body, but rather to skid in sideways, champagne in one hand,strawberries in the other, body thoroughly used up, totally worn out and screaming "WOO HOO - what a ride!

Saturday, September 17, 2011

i have decided that for this blog i will not worry about capitalization and punctuation. i have been wondering why i don't like to write as much in here, the thoughts come so easily but getting it out feels so disjointed. so i will stop worrying about caps on here and type as i think. if you don't like it, don't read it :)

tonight i will start the shots for this cycle. i am going to do bravelle and menopur-- 75iu of bravelle and 150iu of menopur. the menopur should stimulate more eggs this cycle. last time i had up to 8 follicles that were visible and had 9 mature eggs retrieved. anything over that will be icing on the cake this round! i am just hoping the cycle works out-- the cyst they found isn't a problem-- my eggs grow nicely and not too much or too little-- and that the ICSI works as well as it did last time.

i am also going to do measurements of my chest and tummy b/c last time i really got bloated. i want to track it for my own peace of mind (and so i don't convince myself it's all in my head!).