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Archive for the ‘test results’ Category

Ahhh  – I’ve neglected this so much!  With all the hustle and bustle of the holiday season, I just couldn’t find the time to squeeze in a proper update.  My apologies – hope you all had a fantastic holiday season and a great start to your new year! 

Let’s get acquainted, shall we? 

Results from Heart Monitoring

Due to the holidays, I had to track down the results of all my heart monitoring and of course my PCP was out, so it was a little complicated.  But, in the end, all of my labs and the results of the holter monitor came back clear!  So, it appears my little ticker is just working extra hard with the increased blood volume with the pregnancy.  I was very relieved to hear the good news – one less thing to worry about!

Back Pain

Well, the Wrestlemania belt was returned about 4 days after wearing it and not noticing much of a difference.  I wish the solution was as simple as wearing some ridiculous belt but, alas, that is not the case for me.  The pain is complex as it’s my upper back due to the large boobs that have somehow grown even BIGGER and it’s my lower back / sciatic [pain because of the nice sized belly I’ve acquired.  I’ve found that if I sit all day with my feet up, it lessens the pain but that’s pretty unrealistic to do all the time.  If I don’t do this, I end up hobbling around by the end of the day.  It’s no fun and my biggest complaint so far.  I have an OB appointment in less than a week so I’m going to see what is the next solution after the belt failure.  For now, I’m just trying to muscle through it – but it’s tough…

Heartburn

Holy hell – it’s non-stop.  I sleep with a bottle of Tums beside the bed and there is a roll in my purse at all times.  Considering all my organs are squished up, it doesn’t surprise me but it’s KILLER.  It doesn’t help that all I crave is spicy food…

22 Week MFM Ultrasound

The fun stuff!!  I had my 22 week u/s with the MFM on 12/27 and everything looked amazing!!  As soon as the tech put the probe on my belly we saw a penis!  Again, my little boy clearly is not shy and is obviously a boy!  She then went and found Baby A and although stubborn as usual, she was not being coy and she is absolutely a she!  We saw the labia and no penis!  That was about all she cooperated with as we couldn’t get a good profile picture…we did get one of her cute little feet, though!  And when they did the internal u/s to check my cervix length, all you could see was her kicking down there – brat!  He was being good – we got a great profile picture and the tech turned on the 3D and we got to see him!!!  I’ll admit, it’s a bit creepy and awesome all at the same time!

Both babies measured great – he’s 1lb, 2oz and she’s 15.9oz, which puts them right about at the 50th percentile.  They had good fluid levels, solid heartbeats, and my bleed has officially absorbed!!  YAHOOOO!!!  I go back in 4 weeks and we’ll tour the maternity ward and NICU then.  I was so overwhelmed with joy that they looked so awesome!  My mom came with me to the u/s and she loved every minute of it – it truly is so special to see them.

I asked my MFM about travel and he said I am good to go through the end of January.  I’m unsure if I’ll go out to Chicago for work or not, but that to me showed that I’m in really good shape and the babies are looking really excellent.  I also asked him about not feeling a whole lot of movement and he was very candid in saying that it’s completely normal and that women feel it differently and at different times and it’s all relative to the baby’s size, position, etc…  I’ve been feeling it a little bit more often now, but it was good to hear as I thought I should be feeling it a lot more.  I go back to the MFM in 4 weeks.

And finally, I’ll end with some awesome pictures of the peanuts!

Baby A (Girl) Profile

Baby B (Boy) Profile

Baby B (Boy) 3D Precious Face!

His gorgeous button nose is just the cutest thing I’ve EVER seen!

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Hope all of you had a wonderful Thanksgiving!!

I got a call from my OB the day before Thanksgiving and she had my Factor V Leiden and other blood clotting test results and – I tested NEGATIVE!!!  Holy shit, for the first time I actually DON’T have something!!!  I was so thrilled – it was like the huge victory (even though it was very, very minor). 

But let’s get to the good stuff shall we?

My husband was finishing up his training at his new airline and wasn’t due to fly in until late last night.  I had my anatomy scan u/s appointment yesterday and couldn’t change it, so I decided I’d have them keep everything a secret and we’d find out together when he got home.  The u/s went very well!  Here’s a quick run down:

– Both babies looked AWESOME!
– All vital organs and structures looked great.
– HBs were in the 140s and she turned the sound on so I could hear it – love that sound!
– Both have good amniotic fluid levels
– Placenta positions are excellent, no sign of previa
– They saw the infamous bleed, so it hasn’t gone away (but I’m still not bleeding since 17 weeks)
– They are 80% sure on Baby A’s gender / 100% sure on Baby B’s gender
– Baby A is breech and was facing my back / Baby B was head down and facing my front
– My genetic testing came back with a 1:10,000 odds, so I think we’re good there!
– They estimate each to weigh 0.5 lbs!

There was only one “issue” that is likely a non-issue. Baby B’s umbilical cord is a 2 valve (2V) vs. the normal 3 valve (3V).  This means that in the normal umbilical cord, there are two arteries and one vein.  So Baby B has one artery and one vein.  They will be watching to make sure he / she continues to grow at the same rate as Baby A. I met the MFM and she was great and said they see this a lot and it should be a non-issue, but something to monitor. I go back for my next u/s in 4 weeks!
I then figured since this is likely the ONLY and LAST time we’ll experience something like this, I should do something fun or special.  I ended up taking the secret envelope to a bakery and had them open it and fill two cupcakes with either pink or blue frosting (so I couldn’t tell).  Of course his flight was delayed, so he didn’t get in until 1:30am, but we ran right over and dove right into the cupcakes!  Here is what we found:

Baby A: 80% accurate it's a GIRL!

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Baby B: 100% accurate it's a BOY!

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We are completely over the moon about it!!!  Apparently Baby B wasn’t shy about showing his goods (note to self:  have early talk with him about this), but Baby A was a little bashful.  We’ll know for sure in 4 weeks at my next u/s.
 
It was so funny – right before we cut the first cupcake Chris said, “I really want a boy”.  That was the FIRST time he has ever made mention of a preference!  I was shocked – and so I cut into the first cupcake and saw the pink and went “oh shit” as he laughed out loud.  (I had a dream I was having two girls and I was hysterically crying – I guess I was really scared of that eh?)  I told him he had to cut the second one, and as soon as I saw the blue I screamed!!!  Then I immediately grabbed the cards because I didn’t know which was the for sure bet and which was a bit iffy. 

It was such an awesome experience – we were up until 3:00am just beaming with delight.  I have new u/s pics I’ll post this week as well!

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My OB’s office called yesterday and my urine from Monday came back positive for Group B Strep.

The good news is – there is no risk to the babies now and it’s treated with antibiotics so if I have regular strep or a sinus infection (I’ve been feeling like absolute crap since Tuesday), we’ll kill two birds with one stone.

The bad news is – I’ll be on IV antibiotics when I deliver to help mitigate risk to the babies.  There is no risk if I have a c-section and my water doesn’t break.  But, there is risk if I deliver vaginally (can you imagine delivering back to back babies – I sure as hell can’t!) or if I have a c-section after my water breaks.

Apparently, 20-25% of pregnant women have this but it’s usually detected during a routine check late in the third trimester.  Mine was caught almost on accident as my urine had some traces of blood in it on Monday.  My OB assumed it was likely because I’m still spotting, but sent it out for culture anyways.  I have no symptoms of the Group B Strep (there aren’t many, but it sometimes causes bladder infections) so maybe I’m just a carrier?

Just another red flag on my ever evolving high risk file… Oy.  So, I’m on antibiotics now (which reminds me, I have to take my next dose) and then we’ll see what the future holds.  Sometimes I feel like I’m a science experiment – and it will be a damn miracle if these babies make it out healthy…

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Clearly you guys know me by now and nothing can ever be fucking smooth sailing as far as this IF journey and pregnancy journey goes.  Remember the 8w2d u/s and how happy and giddy we all were?  Ya, well, fast forward to Sunday morning and we fell off of the Happy and Giddy Train and right into Holy Shit Am I About to Lose This Pregnancy-ville.

I woke up early in the morning on Sunday and I had mild to moderate bleeding.  I immediately called the OB’s office who paged the nurse on duty and she called me back quickly.  I explained the situation and she said that since there wasn’t cramping and it was mild to moderate, I should try and get some sleep and if it was still there or worse in the morning, to go to the ER.  Ya right – how could I sleep knowing there could be something wrong?  So, I got dressed (a.k.a put on a bra) and headed out to the ER and spent from 2:00am-11:00am there.

As luck would have it, the Doogie Houser, MD that was assigned to me was hot as hell.  Like, McSteamy hot.  And here he was looking at my vagina.  LOVELY.  The exam didn’t indicate “active” bleeding, but Doogie couldn’t say for sure it wasn’t something indicative of a problem or a miscarriage so I demanded an u/s.  And by “demanded” I mean I literally laid it all out on the line for him basically saying it has taken me two years to get here and I’m not leaving this goddamn hospital without an u/s.  So, he reconsidered (a.k.a. was scared of the crazy preggo) and said that if I waited until 8:00am when the u/s tech comes in, he would order it.  Since that was 3 hours away and I didn’t have anything better to do, I agreed.  See, Doogie – we can come to terms here.

So, I waited.  I dozed off a few times (oh because of course Chris was away at work and I went by myself) and was spooked awake each time a nurse came in to check my blood pressure.  No wonder it was high each time…  At around 8:15am, they came to wheel me down for the u/s.  The tech was super nice and even let me watch and see the babies.  Baby B even did a bit of a somersault while he / she was being measured.  I had to then wait over an hour for someone to read the results and give them to the new ER doc who was older and not nearly as handsome as Doogie. 

Come to find out, it’s a perigestational bleed – basically a bleed in the uterus between the gestational sacs. New ER doc said it should not negatively affect the babies and they looked good, measuring on target and their heartbeats were 175bpm.  It was very scary – I am happy that the bleeding has seemed to have stopped and the NP at my OB’s office met with me and Chris this afternoon and said it’s fairly common with pregnancies and all should be okay.  I’m just hoping we start to have some uneventful weeks ahead of us as I feel like I spend my life in doctor’s offices…  But, we’ve made it to 9 weeks.  They’re officially “fetuses” (or is it “feti?”) and they’re starting to look more and more like babies and less like gummy bears or shrimp.  As long as everything goes well (LORD WILLING!), I’ll see them again at my first trimester screening appointment on October 20th.  A little more than 3 weeks away…

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Much better news yesterday!!!  I went for the follow-up “viability” u/s and it was such a great experience!  The technician was awesome and you can watch everything that she did on a screen in front of you (unlike with Boston IVF where you couldn’t see what they were doing).  She explained everything, from checking each heart rate and doing the measurements.  She was absolutely amazing – it was great!  Their heart rates were 165bpm and 162bpm which is perfect.  They are now measuring a little ahead (and it appears a lot of growth has occurred since Friday!) as they are measuring at 8w3d and 8w4d now.  There was no issue with the yolk sac on either one and the technician said that now that we’re into the 8th week they are using the placenta more than the yolk sac so we are just fine.
 
I feel like a million bucks – OH OH and the best part!  While she was checking out Baby B something moved and I was like “wait, what was that?!” and she said, “it’s your lucky day – this is a bonus.  That wasn’t me – that was the baby moving!  They don’t usually move a lot at 8 weeks so that is a real treat you got to see that.”  He / she basically turned and faced the screen.  I about died – how unbelieveable!    She pointed out their little arm and leg buds – it’s just simply unreal. 
 
I got cleared to travel, which is good.  Just have to move around a lot on the plane and keep well hydrated.  I also was cleared to return to the gym to do cardio and pilates and yoga, so once I can muster the energy to renew my membership, we’ll be back at that.  I’m hoping next week. 
 
I’ll end my much happier note by including three pics – I swear I won’t send out u/s pics as our Christmas card but I do like to share these with everyone.  There is one of Baby A (lying on his/her belly), one of Baby B (sitting up), and one of both.

Baby A

 

 

 

 

 

 

Baby B

 

 

 

Still Twins!

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I’ve been severely neglecting the updates here and I sincerely apologize.  Last Friday’s u/s was not all that glamorous and between being worried about that and dealing with a busy life in general, it’s been brutal.  But, let’s share, shall we?

7w4d U/S with Dr. Zimon and Boston IVF & Potential Yolk Sac Issue

Both babies were measuring a bit behind at 7w1d, but I was told their heartbeats were in the 150s (come to find out after a call with Nurse Karen, only one baby’s heartrate was measured and it was 153 but it was noted the heartbeat did exist on the other baby and we did see both on the screen).  The babies looked like gummy bears!  The u/s technician noted that it appears one of the yolk sacs is a bit misshapen – specifically “possible irregular yolk sac”.  Dr. Zimon basically brushed everything off (the measurement and potential misshapen sac) and said that she thinks this was an overall great report.  She even graduated me to my OB.

Of course, I went home and discussed it with Dr. Google and it appears that misshapen yolk sacs are an omnious sign for the pregnancy and lead to miscarriage.  That lead immediately to tears and complete devastation and confusion around why my RE would be so dismissive of it when it could be a huge issue?  I called Nurse Karen and left her a sobbing message asking her to call me as I had additional questions.  She called around 5:00pm and had spoken with Dr. Zimon and essentially, they’re unsure of the clinical significance of the issue with the sac and what could happen to the baby.  Essentially, if there is a 5% chance of miscarriage for me right now – this baby would fall into the higher end of the range.  Nurse Karen didn’t know if it would or could negatively impact the other baby, so that was a question on the list for my OB.  Both babies did measure at 7w1d (and I was 7w4d), which is a good sign and she said that the measurements can sway 2-3 days either way. 

I called my OB and they squeezed me in for Monday (yesterday) with another OB in the practice, Dr. McNulty.  It was the longest weekend of my life.   I had a really tough time sleeping on Saturday night.  I just couldn’t shut my brain off.  I know there’s nothing that can be done to prevent a miscarriage, but it’s so hard to already have an issue this early. 

8 Week First OB Appointment and Follow-up U/S Scheduled

Yesterday was more like a first OB appointment with family history, urine sample, bloodwork, pap smear, exam, etc…  I did get to discuss the potential yolk sac issue with the OB and she’s going with the fact that my RE wasn’t really all that worried and the report being so vague that if there was something truly significant, it would have been noted.  All the report said was “possible irregular yolk sac” and they didn’t measure the heartrate on that baby (which was something that could have been useful for my OB to see – stupid u/s tech!).  My OB’s office wants to see it for themselves, so I’m going tomorrow (Wednesday) for an u/s and then meeting with my actual OB after to discuss the results.  And, in the end, there is nothing that can be done so it’s very much a waiting game.  I was comforted a bit by knowing that it shouldn’t affect the other baby if something does happen.  I can’t imagine losing both.
 
Hopefully tomorrow shows them both measuring closer to 8w2d and normal yolk sacs (whatever that means or looks like).  I swear, this is more stressful than the damn fertility treatments!  So, not a lot of answers but a little bit of comfort – and I just have to find peace in the process and that I have little control.  It will be nice to see them again on the screen and I hope it looks good.  After this I won’t have another u/s (unless there is an issue) until 12-13 weeks.

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You never know how strong you are…until being strong is the only choice you have. – Unknown

That quote hit home with me a few weeks ago and I’ve been reading it every day since I first saw it.  How true it is was shown last night when, on a whim, I decided to run upstairs and take a home pregnancy test (HPT).  Without Chris knowing, I took the test and almost immediately, I saw this:

I couldn’t believe my eyes!  I asked Chris to come upstairs and he replied with, “you have IMPECCABLE timing today – every time I’ve sat down, you’ve asked for me to get up.  What do you need?”  I told him that he probably should come upstairs and he grumbled something about wanting to eat his cupcake and came upstairs.  I showed him the test and he had a confused look on his face and asked, “Wait, what does THAT mean?  What does two lines mean?” and I told him I was pregnant.  His face was that of utter shock.  We both didn’t speak for a few minutes and all he could manage to say was, “I can’t hug you right now – I don’t know what to think.” 

We finally caught our breath (and / or realized WTF was going on) and decide to call our parents and his sister.  I also let Julie and a couple of friends know.  The rest of evening was a lot of “holy shit” and “OMG” and “let’s not get our hopes up too high”.  I had a hard time falling asleep – so many thoughts were swirling through my mind.

This morning was my beta at 8:00am and then I headed to the airport for a business trip to Chicago.  I called and left a message for Nurse Karen and asked if there was any way to call me with my results before 1:00pm, I’d appreciate it as I’m boarding the plane then and don’t want to miss the call.  At about 12:00pm I got a call from Kate, the other nurse in the office (where is Nurse Karen again?!) and she said “I’m calling you with great news – congratulations, you’re pregnant!”  I just smiled from ear to ear and waited for the number I wanted to hear – she said my beta was 311 and they typically look for betas to be 50-100 so I am really looking to be in good shape.  She asked about my trip and said that she did have to tell me that Dr. Zimon typically advises against early pregnancy air travel.  I told her there was nothing I could really do at this point considering I was sitting at the airport and she reassured me that the risk was very, very small but it is still there.  I asked if there was anything I could do to mitigate the risk and she said no.  That was hard to hear – I don’t want to do ANYTHING to jeopardize what is growing inside me.  We had to coordinate how to get me more Crinone (progesterone supplements), so a box is being shipped to my boss’ office to arrive here in the Chicago suburbs tomorrow (LOL – I am very blessed to have an amazing boss).  My P4 level wasn’t checked with the beta, so I’m going to call tomorrow morning to inquire about that as I wonder if the Crinone is necessary if I’m producing the progesterone on my own.  Don’t get me wrong – I’ll shove whatever is necessary in my vagina to keep this pregnancy viable, but I would have thought they’d check.  Also, as Julie indicated, the P4 can show whether there is a likelihood of twins. 

Oh yes, it is not lost on me that my beta is high and what that can *sometimes* mean.  I’ll take whatever I can get – as long as it’s healthy – be it one or two.  (I may be forced to sell one on the internet if there is more than two…just saying.)

I am cautiously optimistic at this point.  I know that we’re not even remotely at a point of sharing broadly or out of the big risk zone.  I’m trying to keep the perspective of what I thought was the unattainable…can be attained with a lot of strength and perseverance.

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