Friday, July 22, 2011

7w5d: All that and more

I lost my last baby at 7w6d. I know, I know, this pregnancy is different. And it is, but it's still impossible for me to forget about it. This whole week has sucked.

Also, I think I've told you guys I'm an idiot? I went off my SSRI after seeing the heartbeat. Mine was not the best choice for pregnancy, and I didn't want to be on any at all come the third trimester, so a brief chat with my RE ("it was infertility that made you depressed, and now you're pregnant") and they went in a drawer. I probably should have waited till Week 10.

I didn't anticipate every step of this week being haunted by the fact that, at this point in my last pregnancy, everywhere I went, I wondered: is this where I will miscarry?

And I'll be honest: my two biggest symptoms are puking and wanting to sleep 23 hours a day. It's hard to be cheerful when you're dog-tired and bent over the toilet much of the time. Again, if this actually meant I'd get a baby, I wouldn't hate it. But I was sick (though admittedly not this sick) in my miscarriage pregnancy, and so I just don't feel that reassurance. Instead of feeling pregnant, I feel more like I've got a weeks-long flu with a high probability of dead baby at the end.

The glass, she isn't even close to half full.

(You all hate me right now. That's ok. I hate myself too.)

So the appointment.

They were running behind. Very behind. I waited for an hour. I'm not lying, an actual solid hour. And I guess it was just my nurse, because they kept taking other women back. There was a woman--an obnoxiously loud belly-rubber. I mean, she was rubbing her damn belly so loudly I could hear her hands on her shirt from clear across the room. It wasn't a nice, soothing "rub...rub...rub..." It was more "I'll get this grease out of the pot no matter HOW hard and fast I must scrub!" "Rubrubrubrubrubrubrub". I hated her. She was taken back and then sent downstairs to deliver, so then I felt like a bitch. She was probably rubbing out her contractions or something else late-term that I know absolutely nothing about.

There was a mom with two little boys under five. She just sent them to the chairs while she chatted with the receptionist. The boys were not well-behaved. I actually really like toddlers and such, but man, these kids were naughty. I had awful thoughts about their mom, primarily along the lines of "she clearly doesn't care about the two she has, WTF is she doing having another?" I mean, she wasn't just checking in. She was chatting. They chatted till she got called back, and then she yelled (seriously!) at her boys to follow her.

I had to vomit, and they wouldn't let me use the restroom because "we'll need a sample". I snapped "it's not that", left the office, and used the restroom in the hall.

I came back and got called in.

One of those boys was laying on the floor in the hallway. Mom was nowhere to be seen. The nurse stepped over him and was like "I guess he likes the floor". I guess so.

I peed as instructed. They then weighed me. Then she took me to an exam room, and left.

She came back and took my blood pressure. At this point, I realized she was "the nurse" I would be seeing. She never told me her name. I felt too awkward to ask it.

She said, "We tested your urine, and you're pregnant."

I said, "I know. I'm here from my RE's. I've had two ultrasounds. It's twins. I wrote all this down? And I brought the pictures with me, if you'd like them."

She said, "Yeah, but sometimes people come in with symptoms, and that's it. And it turns out they're not pregnant."

Well, ok then. I gave her all my pictures, and stressed the ugly ones--the sinus bleed, the bleeding ovary, Itsy measuring behind with a slow heartbeat.

She was like, "Yeah, let's go over your history."

So we did. No, no, no, no, no. Look, we don't know any of my husband's history. Adoption. No, nothing. No seriously, nothing. On the form where you asked? I said it. I also said we did Counsyl, see that, right there? Under "any genetic testing"? So no, we would not like the CF screen. Quad testing? Isn't that useless with multiples? ("Well, it might not be twins, we don't truly know at this point.")

What am I afraid of? Loss. Loss. Loss. Look, lady, I don't give a fuck that your whole office shares a call for delivery. Really, I don't. I know some women are all attached to their doctors and only want someone they know delivering their baby. I am much less greedy. I just want a delivery. I want someone who knows what they're doing, but I just want a baby outside me. I don't care if it's magical, not at this point. Did I mention my previous miscarriage? A lot?

I'm a vegetarian and borderline anemic. Anything I should do? Want me to eat meat? I will. ("You can talk to the doctor about that. Have you scheduled your 12 week appointment?") Should I take extra vitamins, minerals, hippy water sprinkled with baby dust, anything? ("The doctor will let you know.")

And then..."any questions for me?"

"Yes. How are my babies? Do we still have two heartbeats?"

"Let me go talk to the doctor."

And she came back, and told me the doctor wants to see me next week, for an ultrasound. And then, "We have a table-side machine, but it has really bad resolution. So we'll see what we can see."

Can't we just hop downstairs, where L&D is, and use one of theirs? Or something??? I mean, you've got a week to set this up.

Also, on that day, the only day you can get me in, I have a quiz at 8 and an exam at 12:20. Your 10:30 appointment better be on time, or I will walk out and just never walk back.

9 comments:

Guinevere said...

OK, so I can answer one of your questions, and that is the "I am vegetarian and borderline anemic." one. The wife is an (ovo-lacto) vegetarian and she's always been borderline anemic, too. Pregnancy definitely depletes your iron stores in a major way, so if you're starting out at borderline you can expect it to get worse.

The wife's midwives recommended Floradix. It was a staple of my European hippie vegetarian childhood, and it turns out that it's also recommended as a very well-absorbed, nonconstipating (!) source of iron during pregnancy. It's fairly pricey (you can get it at any hippie-esque stores as well as Amazon) and it has a peculiar herbal flavor, which I find nice but I'm willing to bet that's full-on childhood association. But I'd give it a go.

Also, you can try to do most of your cooking in a cast iron skillet.

Don't have any advice on the SSRI front, just thinking good thoughts about how I hope making it past some of the milestones from last time will help ease your mind a bit and make it easier to cope.

As for your appointment - yeah, our OB and family doctor both can also run very very behind. Bring something fun to do. Early morning tends to be better.

I'm sorry the kids in the waiting room were poorly behaved. Having a toddler means I am SO LOATH TO JUDGE, but I try hard to keep the kid in line in waiting rooms because I know it can be so, so frustrating to be the infertile person watching that.

If the belly rubber was sent to delivery that might very well have been her contraction coping mechanism and if so, that is probably one of the LEAST annoying things one she could have been doing... As compared to, say, grunting, screaming, moaning, cursing, insisting that all spectators present count upwards for the contraction, etc. :)

Mel said...

Just an FYI. Theres plenty of OB's in the sea. And still plenty of time to switch docs if you are not happy there. Which I wouldn't be!

Jem said...

How can they have a crap U/S machine? How????!!! Don't they know who they are dealing with? Apparently not.

Oy, vey!

I think that we are "spoiled" by how well run RE offices are (spoiled? Ha!!!).

I think regular OB/GYN practices are oblivious and clueless.

Krista said...

What the heck?! What an odd little visit to the OB! And, their U/S machine is sucky?! That's so strange!! Hang in there....the week should fly by quickly before you get to see those heartbeats again!!!

TeamBabyCEO said...

I know you didn't ask for an opinion, but that OB's office visit sent up several red flags with the crappy nurse, "lack of" ultrasound that performs up to standards and the like. It's particularly annoying to me having previously been an OB nurse that she couldn't take the time to find a machine, a doppler, SOMETHING to allieviate your concerns given what you've been through.

As for the children in the waiting room, thank you. I frequently have identical thoughts to yours and have really felt bad about it, that is until said child shreiks in a way that sends chills down my spine or some other behavior that is less than well-behaved. I realize this attitude is probably cursing me to have the tasmanian devil version of a baby in the behavior department. The line about laying in the floor is particularly funny though.

Thining of you and Hope you feel better soon.

Sarah said...

I know this post was all serious and stuff about concerns that I don't blame you for having. But I just have to applaud you because it was really funny. Your sarcastic sense of humor is pretty damn fantastic :)
In other news, I kind of want to punch that nurse and her table-side machine in the face. I can't wait until you can see the babies heartbeats again!!! I know it will be such a relief to you. Hang in there!!

Summastarlet said...

Grrr @ the rude nurse. I'm sorry the visit wasn't what you hoped for. I hope that when you have the u/s you get to see your little ones again. xx

Chickenpig said...

I will say it again, because your OB office is REALLY bad, healthy twin pregnancies do not happen by accident. They take a team. a good OB or two, a nutritionist, and nurses who know what the hell they are doing.

You don't just want A living baby outside of you, you want TWO. And you do have the right to pick the doctor who will most likely deliver your babies. It is important because having ONE doctor that knows you and your babies best should be able to direct the others about your care. I saw all the docs in the practice, but it was my doctor that insured that I went on maternity leave at 26 weeks so I wouldn't deliver prematurely, AND went to bat for me so I got disability to pay for it.

Run, don't walk, out of there!

Broccoli, spinach, and nuts are good sources of iron. Nuts also have the added bonus of having folate, B vitamins, and protein. And no, they will NOT make your babies have nut allergies. A drink supplement like Boost or Ensure with your meals will fill in protein and iron gaps. If you do dairy and eggs, those are great sources of protein and calcium. (I lived on peanut butter sandwiches and milk shakes in the last weeks).
I am not a vegetarian, but when I was pregnant I couldn't stand the smell or texture of meat. Hang in there!

Tippy said...

omg, i can't imagine going through this at the OB's office after all that we know from the RE. i think it sounds very frustrating and hard and no one knows you as well as they did at your RE! grrrr! what a nightmare. i hope that eventually you will feel comfortable in your new OB home.