The Day of Surgery

 

It is common knowledge that teenagers have no sense of mortality. What I learned last week is that not all adults do either. I know that I will age. I know that I will not live forever. I thank God for my strong and imperfect thighs when I run past someone who is struggling to simply walk. I knew these things but I had not viscerally felt them until last week.

Our in vitro fertilization journey has been very different from the first journey when we had the tiny one. The drugs are different; the time line is a different. The medication made me sicker than I could have imagined. I sobbed uncontrollably from the hormones. I saw the needles being prepared and would sit, shake, and sob all the while knowing they were not that bad. My husband would apologize as he shoved 1 of 3 needles into my belly. I was awake most nights trying to breathe shallowly so I would not vomit. It was not like that last time….

Like last time, I produced a gazillion eggs. I am a hen. I was ridiculously proud of this. They cut short my injections and scheduled my surgery. I bought an US Magazine and looked forward to being in bed because, at my core, I am lazy. They retrieved 24 eggs during surgery. 16 were mature and I happily went to bed. I remembered the last recovery being palatable, so I forced my husband to take our tiny toddler to run at the park after his long and boring morning. They left and I read. I started to not feel great, so I went to get my anti nausea pills, which were no more than 15 feet away. I fell. I could not get up. Please Lord, do not let me vomit. The only thing worse than vomiting would be pooping my pants in public. Ok, let me vomit if it means never pooping my pants in public. I crawled back to bed and called Pat. It got worse.

I never know when it is appropriate to call the doctor so I waited. I could no longer stand up without dizziness and nausea, and pain started spreading all over my torso. I could not sit down, lay on my back, or on my right side. I knew it did not make any sense, but wondered if it was a heart attack. Ok, perhaps now it is ok to call the doctor. My doctor said I needed to come back to his office. I had to kneel in the back of the car because I could not sit and I said things that were not nice at all whenever my husband hit a bump in the road. Really.Not.Nice. The doctor sent me across the street to the hospital where we waited for 7 HOURS to be admitted. This entire time was spent on my left side. They were unable to do a cat scan because I could not lie on my back, even after 3 rounds of intravenous pain meds. I waited 6 more hours to be told that I had fluid and most likely blood in my abdomen from an ovary follicle that failed to clot during my egg retrieval surgery, and now I needed more surgery to fix it. They thought the surgery would take 15 minutes. It took 2 hours. My sweet, precious husband was in a full panic mode waiting to find out anything. He said he was so desperate he asked a maintenance worker if he could find out what was going on in surgery. They removed 2 liters of blood from my abdomen. I could finally rest on my back and sit. It was glorious until a few hours later I was too weak to move at all. I am not sure which situation scared me more. I needed to decide if I would accept a blood transfusion. The people in my life who know me deeply know I am terrified of this. I have irrational fears of diseases and am also a control freak. I had to let go and trust because otherwise I would not be leaving the hospital anytime soon. The beautiful view out my hospital room window of the foothills, bright blue skies, and wide lanes where I could walk and run convinced me just as much as my father’s voice over the phone to embrace the transfusion. I left the next day.

My husband asked me if I thought God was punishing us for being greedy and wanting another child. That probably saddened me the most of anything we had gone through during this procedure. I do not think we were being punished. I, too, lost faith briefly, but looking back, I think a small gift was being in that room with the beautiful view. That was a small nudge to remind me what waited for me outside those walls. Life. Running. Hiking. My family. More time to depend on my body while I am young. And just maybe in a year or so, another baby. Maybe. Hopefully.

How We Make Babies

My brothers and I fought, a lot, as small siblings. My mom had a friend who was a psychologist and she told her to simply remove herself as an option the next time we were fighting. She followed the professional suggestion and locked herself in her room while the 3 of us argued over something. Apparently we knocked on her door asking for a referee and she told us to work it out ourselves. As the story goes, we stopped arguing, she heard a chair being dragged across the room, a phone being picked up and dialed and then a self righteous voice speaking. This is what she heard. “Hello Operator? My name is Katie Goeschel. My dad works at the hospital and I need you to call him. My mom locked herself in her room and won’t come out.” Enter sprinting mother and CLICK.
The tiny one needs a sibling. He needs a confidant who doesn’t have to go to his own house at night or follow a different set of rules. He needs a last option when no one else is available to play. He needs someone to teach him how to deal with confrontation and to side with him when parents are being unreasonable in his child mind. He needs a best friend and a best enemy (at times.) I may have fought with my brothers, but I cannot imagine a better life without them in it. I may or may not have been convinced one of them was a serial killer while he was going through puberty, but I am entertained and proud of the man he became.
We cannot make our own child without the help of science. We committed emotionally a while back to try in vitro fertilization again, and finally pulled the financial trigger last week. I thought I would share with anyone pondering this way of baby making, and anyone else who is curious, what the process entails as we go along. To anyone who has been told to “just relax” or “go on vacation and it will happen,” this is for you. There is nothing visually sexy or spontaneous about this. Oddly, I find it very sexy to watch my husband prepare my subcutaneous injections, but perhaps this is just me.
We ordered over $4000 worth of medications from one of the few labs who are able to provide. Everything shown in the picture is the medication that covers only 1 cycle of treatment.

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Yes, it is that expensive, and yes it is mind blowing and kind of painful to stomach when most people just buy a good bottle of wine before making a baby, but it is worth it and I am grateful that there is an option that provides the lifelong joy of a child. They have to overnight the medications because some must be refrigerated. We met with our reproductive endocrinologist for an ultrasound to make sure I was physically sound to start the process this morning. Our doctor was very excited about my ovaries and I was absurdly peacocking around today because of it. It took about 30 minutes to review the medications and reteach us how to administer all of the medicine that will stimulate my ovaries into making LOTS of eggs. We have to inject the medication at the same time each day, and we chose 9:00 pm as our shot time because my husband thought he could be home by that time to administer the shots.

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I choose not to give myself the shots for 2 reasons: I feel very connected to my husband when he gives me the shots, and they burn and make me queasy, so it is best if he does them. As the medication kicks in and the days continue, I will bloat as the eggs push against my abdomen, run out of non-used injection spots and bruise because of it and possibly become somewhat emotionally irrational as I have excess hormones running wild in my body.  The emotional part did not happen last time, but I will no doubt blame any moodiness on it.  I think this is fair. We have 1 day down and about 11 more to go before I undergo surgery to retrieve the eggs in hope of creating beautiful little embryos. Maybe it will work and our tiny T will have his own brother or sister, but maybe it will not.

Happy baby

Our doctor feels good about our chance of success and gave us a 50/50 chance.  This is high in the world of ivf. It is not in our hands and we have accepted that whatever happens in this next year is ok. Our small boy is enough, but 1 more would make our cup overflow with joy.