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Archive for the ‘Twins’ Category

It has taken me about a week to revisit my blog – mostly because of the emotional issues I’m suffering from and because of my last entry where I specifically said I was waiting for the “other shoe to drop”.  And well, because it did.

Last Thursday, I was lying in bed watching the news and I thought I peed my pants.  I literally got out of bed laughing because I couldn’t believe I was doing that kind of stuff already.  I took my pants off and noticed it was more than just a dribble – and then I went into the bathroom and I was gushing fluid.  I knew right then and there that this wasn’t urine and that my water had broke.

I called down to Chris and told him we had to go to the hospital.  He came running upstairs and couldn’t believe his eyes.  I was hysterical but he grabbed me my phone so I could call the OB office and they told me to get to the hospital as soon as possible.  My husband was literally frozen with fear – he was walking in circles and trying to secure the house and the dogs and I just lost it, grabbed my keys, and got into my car with him chasing behind me.  I couldn’t wait one more second and just HAD to get to the hospital.  So, yes, I drove myself the 37 miles to South Shore Hospital all while on the phone with my mom, Grandy, and Julie.  I made it in 30 minutes.  My mom met me there and Chris soon followed.  When I pulled into the hospital, I saw what I thought was the valet guy and literally hopped out of my car and handed him my keys.  I didn’t care whether he was actually a valet or if I just gave my new car to some random guy in a red coat.  I walked as fast as I could with a towel between my legs and made it to the birthing center where my mom was waiting.  Note:  it was a valet and I still have my car.

They started me on monitors for both babies heartbeats and contractions and they did a test that confirmed it was, in fact, amniotic fluid.  I had suffered from preterm premature rupture of membrane (pPROM).  The OB came in and did an u/s which did little more than confirm both babies were still breech and she did a physical exam and found that my cervix was still closed.  I was apparently contracting, but didn’t feel them at all – I was 3-4 minutes apart when I came in!  I was immediately given a steroid shot (the first in a two shot series) and they started me on magnesium sulfate to stop the labor.  A neonatologist came in to talk with Chris and I and we were essentially told that at 25w3d gestation, the babies had a 50/50 chance of survival.  We were heartbroken.  But, the team of doctors (OBs, MFMs, etc…) were going to work as hard as possible to keep me pregnant for as long as they could.

I was then moved to a room in the birthing unit where I was monitored very closely.  I was given an u/s Friday morning that confirmed it was Baby Girl’s sac that had broken and it was a full rupture.  Her fluid level was considered “low”, but she wasn’t showing any signs of distress.  In addition to the magnesium, I was given two antibiotics to ward off infection and because I tested positive for group B strep earlier in my pregnancy.  That first night / morning  is a blur to me – I wasn’t allow to sit up at all, had to urinate in a bed pan, and was literally left to lie in bed and do nothing.  I was given three goals to try and make and they were:

– Goal #1:  second steroid shot (Saturday at 1:30am)

– Goal #2:  steroid series considered complete (Sunday at 1:30am)

– Goal #3:  26 weeks gestation (Monday)

I was moved to a new room in the birthing unit on Friday and I stayed there until Sunday morning.  Again, I was closely monitored and completed the magnesium and steroid series successfully where I stopped contractions and it looked like labor was held at bay for the time being. 

Sunday morning I was stable enough that they moved me to the maternity special care unit where I would stay until I delivered the babies.  We didn’t know if that would be a few days or a few weeks, but we were hoping for the latter.  I was allowed to finally get up, only to use the bathroom, and I could shower for 5 minutes a day.  It was a lot of freedom compared to how I was monitored at the birthing unit.  So many friends and family visited with me throughout the days I was in the hospital and on Monday night my mom came to watch the Bachelorette with me…the last show I would watch before becoming a mom.

Before my mom left the hospital for the night, at around 10:00pm, the amniotic fluid that was leaking turned pink.  The nurse came in and checked the babies and they sounded good and they hooked me up to the TOCO to check for contractions and there was nothing.  The nurse spoke with my OB and they said that it can happen where the fluid changes colors and it was considered “normal”.  At around 2:30am, I was having these lower abdominal pains – almost like I needed to have a bowel movement.  I got up to try and go a few times but nothing happened.  I finally called in the nurse and she checked the babies and both sounded good.  She put me on the TOCO and it wasn’t registering anything.  Then I was getting those lower ab pains more severely and I finally asked her to move the TOCO lower.  Well, I was registering large, sustained contractions and so she called my OB once again.  The OB came down to my room prior to her next c-section and did a “digital exam” to see if I was dilated and guess what?  She looked up at me and said, “I can say I feel two little feet”.  I about died.  I was approximately 6cm dilated and Baby Girl had essentially kicked her feet through my cervix!

It was then like a scene from a movie – while they were rounding people into my room, I called my husband and we both knew he’d never make it. They made one attempt at an IV in my room and my OB finally said something along the lines of “we don’t have time for this – she’s got to go NOW”. I was then flying through the hallways – I was so scared that I was physically trembling. I went right into the OR and there wasn’t even time to give me a spinal so I was put under general anesthesia and that’s the last I remember before waking up in excruciating pain in recovery.

On Tuesday, January 24, 2012 at 3:19am I gave birth to two beautiful preemies:

– Colton Christopher weighed 1lb, 13 oz and was 13 inches long

– Keltie Grace weighed 1lb, 9oz and was 13 inches long

That day remains a blur – I keep getting pieces of information from various doctors and people to try and put together their birth story.  Colton came out first because he apparently edged himself in front of his sister.  Both cried when they were pulled out and Colton’s APGAR scores were 7 and then 8.  I don’t have Keltie’s yet.

Both are in the NICU and we’ve had some ups and downs but they remain stable and are doing well for being 26 weekers.  Our lives are officially changed and dedicated to these two sweet beings.  I was discharged from the hospital on Saturday and that was probably one of the hardest days of my life.  Our new “normal” is visiting with them once or twice a day and me pumping every 3 hours – breast milk is considered “medicine” for preemies and it’s the one thing I can provide them that no one else can.  My c-section sucked – there’s no other way to put it.  I have 20 staples and I still don’t understand why people elect to have this done. 

So – that is the story of the other shoe dropping…or well, Keltie deciding to break her sac and then sticking her feet where they don’t belong.  I can’t even begin to explain the amount of love I feel for these two peanuts.  It actually overwhelms me at some points.  They’re absolutely beautiful and are fighting as hard as they can.  I’ve learned to appreciate the small things – things that “normal” parents likely take for granted such as seeing their faces for the first time, touching them for the first time, their first poop, their first 1ml of breast milk feeding, overcoming breathing issues, etc…  I could sit and stare at them in their isolettes all day.  And it’s amazing to see their personalities coming out so soon – she’s a firecracker and feisty and he’s sensitive and content to just rest. 

Even though I’ve gained two precious children, I do feel some sense of loss.  Loss of my fertility, loss of 12+ weeks of my pregnancy, loss of special moments like a maternity photo shoot (there is only one picture of me pregnant) and my baby shower which was postponed from this past Saturday.  But, I have to keep focus on what I’ve gained and continue to be strong for my beautiful peanuts.  I will be putting together a new blog to chronicle our NICU experience and our new children’s lives.  I plan to update this with PCOS / infertility related entries and thoughts, but it won’t be as frequent.  I will post a link to the new blog and would love to have all of you subscribe and follow along.  I appreciate all of the love and support you’ve provided throughout my infertility and pregnancy journey.

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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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Last week was a bit nutty with appointments and follow-ups.  But let’s get something off my chest (pun completely intended):

My boobs are now in the shape of torpedos.  I’ll admit to being large chested, especially for being a short girl, and I expected them to get bigger with pregnancy because DUH that’s what happens.  What I didn’t expect was for them to change shape – and to replicate that of a torpedo. 

I picture Chris as the Sailor

 
 
 
 
 
 
 
 
 
 
 
 
 
It’s really disturbing to look at so I’ve refrained from doing so.  It’s also making my bras fit awkwardly – you try and stuff a torpedo into a bra!  Anywho, that’s the latest body change that I wasn’t prepared for at this point – you’re welcome for the visual.
 
I put myself on modified bed rest last week – just to try and see if it would help at all.  I worked from my bed (being sick with a nasty, nasty cold helped make this decision) and only got up to get something to eat or pee.  Well, I’m not sure if it’s coincidental or not but the bleeding as of Saturday was almost non-existant and has continued that way ever since!  I’m not getting my hopes up because we all know how I am and why would something work in my favor…but of course I’m insane so the lack of bleeding has made me think “wait, is something wrong?”  We call that damned if you do, damned if you don’t
 
I went to my 16 week check-up on Friday and had the opportunity to discuss my father’s diagnosis of Factor V Leiden.  See, I knew he had this as it was diagnosed a few years ago but I COMPLETELY FORGOT.  So throughout this entire time during fertility treatment and then my pregnancy, I forgot to mention it to my doctors.  I looked through my fertility blood panel results to see if it was listed there as one of the tests, but I couldn’t find it.  Factor V Leiden is a blood clotting disorder and if I have it, it means injections daily throughout the rest of my pregnancy.  Lovely.  My OB ordered that test, along with a few others, and luckily I was able to get it done at the hospital since I was headed there for the second round of bloodwork for the first trimester screening (NT).  Before I headed to the hospital lab, we listened to their HBs, which were solid, and I requested a pelvic exam to check my cervix.  I’ve been so fearful that my body is going to fail these beautiful babies – I can’t get it out of my mind.  So, she did that and everything looked closed so I am good to go for another four weeks!
 
The bloodwork was kind of a pain in the ass – I walked all the way to the outpatient lab at the hospital only to be told that if I had this new order I had to walk ALL the way back to patient registration and register.  Oy.  So, I complied and the patient registration chick sat on a personal call for TWENTY MINUTES as I impatiently waited outside her door.  RIDICULOUS.  I was furious to say the least.  But, we got everything done and I headed back down to have EIGHT vials of blood taken.  Ugh.  We’ll know the results in about a week – hopefully the NT results are good odds and that I don’t have the Factor V Leiden or any of those other things she added.  *fingers crossed*
 
Other than that, I entered my 17th week yesterday and I’m feeling pretty good.  I am both excited and nervous for my anatomy scan next Tuesday.  I’m excited to find out just what is swimming around in there – but nervous they’ll find something wrong.  I can’t imagine there could be much more wrong since we started this journey – but here’s to keeping positive!  Chris can’t be here for the actual scan, so I’m having them write it down on a card and I’m going to bring it to a cupcake place near us and have them fill the cupcakes with the right color frostings!  He’ll be home that night (we hope), so we’ll cut into the frostings and see what we have!  I think that will be fun. 
 
Finally, let’s wrap up with a maternity clothes update:  petite lengths ARE NOT PETITE.  I had to bring the two pairs of jeans and a pair of regular length leggings to the tailors yesterday.  The petite lengths from both Motherhood and GAP were 2-3 inches too long.  Seriously?  I mean, what does petite mean to these people?  And I own petite length jeans from GAP and they’re just dandy.  Why longer for pregnant chicks?  So weird and extremely annoying.  Of course with the holiday, they couldn’t get me everything back by tomorrow so I begged and pleaded and I’ll have one pair of jeans back tomorrow and the rest next week.  At least I can wear more than yoga pants to Thanksgiving…
 
In the end, Happy Gobble Gobble Day!  I know what I’ll be giving thanks to this year!

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Well, my 13th week was pretty uneventful.  The bleeding was light and that made it two weeks of being light, so I assumed that things were getting better and maybe even going away.  My husband came home from his training in Orlando for the weekend, which was awesome, and said I have a belly.  That’s the one and only time he can get away with that comment!!!  We decided to go public with our pregnancy and so we let the parents tell people and we both posted on Facebook.  It was so heart warming to hear from so many people we haven’t heard from in a while, wishing us good luck and positive thoughts for the babies.  Before he left I got the doppler out and he got to hear the heartbeats again – he loves it!

Unfortunately, Saturday late evening into Sunday the heavy dark red and dark brown bleeding started again.  I was so upset.  Here I was thinking that maybe, just MAYBE, the bleed was going away and wham – heavy bleeding.  Total suckage.  I must admit, having the doppler saved me a trip to the ER because I kept checking in on the babies and hearing their heartbeats and knowing all was okay.  My husband hated leaving me like that but it is what it is.  Of course after he left it has slowed down and it now very light – so he thinks it’s him and I told him it probably was.  I’m such a mean wife! 😉

I turned 14 weeks on Monday and it’s amazing to think that in 20 weeks I’ll be close to having two kids (if not already there).  The All Knowing Julie, Chrissy, Heather, and my SIL Lindsay are already in communication about planning my shower.  I sent The All Knowing Julie a tentative list last night so she could get an idea of how many so they find space to hold everyone.  That made things a little real!!  Clearly I can’t register or anything until we know what we’re having, but with wedding and baby showers all the time, they have to start looking for places now.  I also started looking for baby furniture – we’re getting one crib from my cousin so I’m looking for another to match.  It’s getting so so real now – I just hope that everything continues to progress well and that the babies look good at my 18 week scan the week after Thanksgiving.

I called yesterday to try and change the date of the anatomy scan so my husband could be here but of course the hospital and MFM didn’t have any availability.  I was super bummed out about it, but I’ll just have them write it down on a card and we’ll open it together.  I have already been talking to Baby B about him / her cooperating for the anatomy scan…both babies best not give me any trouble that day as I’m DYING to know what they are!!!

I did record one of the baby’s heartbeats on the doppler and then uploaded it to YouTube – I am pretty sure it’s Baby A based on position.  Enjoy listening to one of my little ones!!

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NT scan…went.  So, Baby B was acting up and wouldn’t cooperate for the camera.  He / she was looking straight on so they couldn’t get the nasal bone measurement and she barely got the neck fold measurement.  Apparently with twins, you need both measurements on both babies or else they can’t be considered.  Baby A was lying in perfect position of course.  That Baby B will be my trouble, I just know it! I told Chris it was HIS baby that wouldn’t cooperate… 🙂  But, they did my blood draw and will do the other at 16 weeks and I’ll get results but they won’t be as definitive as they would with pairing with the measurements.  Oh well, what can you do?  In great news, both babies looked awesome!  Measuring right on target with solid HBs of 160 and 155.  Baby A we got an awesome picture of him / her waving and then going to suck his / her thumb and a shot of him / her sitting indian style (or wait – is it called criss cross apple sauce now?).  Baby B had the hiccups – it was funny!

They did see the bleed and it looks like it’s measuring smaller, so it may have shrunk!  She said it looked to be around 1cm now and both of them don’t feel it’s a huge risk at all.  How awesome was that to hear?!  She also said that they have perfect looking placentas and their placenta positioning is great – opposite sides of the uterus. They also commented that the separation membrane between the sacs looked excellent as well!  I go for my second blood draw at 16 weeks and then another u/s at 18 weeks.  Due to having twins, they will be monitoring me in addition to my OB.  I’m so thrilled by that!  I’ll continue my regular monthly OB appointments, but the MFM team at the hospital will be monitoring me via u/s on a regular basis (monthly, then weekly). 

I was SHOCKED at the level of care at the MFM center at the hospital.  I had low expectations as I guess I didn’t know what to expect – that and I didn’t even know about this extended care they offer me for carrying twins!  The genetics counselor was so awesome – I absolutely adored her!  I never met the MFM but apparently he was watching with the counselor.  All I could think of was Oz from the Wizard of Oz – “don’t look at the man behind the curtain”!  The u/s tech was a traveling one and she had the sweetest Texan accent and was so cute – I loved it!  The genetics counselor was seriously so jazzed up about how awesome my placentas were and how great the kids look – I left feeling amazing and all pepped up like it was my own cheerleading squad!  Guys, my placentas are AWESOME!!!  Haha, it was crazy.  My SIL was great to be there with me, too, so it was just a really wonderful experience.

The bleeding is still light, even after all the pushing with the u/s.  I’m hoping this is moving into our past.  I feel so much better after the visit…now to decide when we “go public” with the news…  Probably in the next week or so.

And, well, don’t you want pictures?!  Of course they’re only of Baby A since Baby B wasn’t cooperating so well.

Baby A Sucking His / Her Thumb

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Baby A Sitting Indian Style - little feet on the left!

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Baby A Waving Hi!

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I spent another 7 hours at the ER on Saturday due to bleeding.  The good news is that both babies measured on target, had solid heartbeats, and were moving all around in there.  You could even see the tiny bones in their spine – they looked like little halloween skeletons on the screen!  The bad news is – the bleed is still there and hasn’t been reabsorbed.  They called it a subplacental bleed this time and said it was focused on Baby A.

Yesterday, I had my monthly OB appointment and came prepared with my husband and a list of questions a mile long.  (You’ll love this one: when I got my OB card back that tracks everything my OB had left the sticky note in there that the nurse had written that said “Has lots of questions”…I might start getting a reputation at this practice!)  This was my meeting of the 3rd OB other than my main one and I absolutely LOVED her. She sat right down and allowed me to pepper her with my questions (and even my husband slid a few in there).  Basically, she didn’t have the actual prints of the u/s from Saturday but had the report and she thinks it’s the same bleed and not another one – but doesn’t know for sure. Apparently, perigestational bleeds / subplacental bleeds / and SCHs are essentially the same thing.  Who knew?  It is about 3cm at it’s longest length and it’s kind of an oblong shape (which makes me think it’s the same since that is how the original one was).  She repeated what I assumed and that there is absolutely nothing that can be done, nothing can be taken or stopped as far as medicines, vitamins, and supplements go, no amount of bed rest would help, and it’s a wait and see game.  I don’t like waiting and seeing – I just want it to stop already and for everything to be okay.  I’m not asking much, I don’t think.

Essentially, the placentas are generating new cells all the way through Week 14 (I’m currently 12w1d).  As the new cells generate, they dig into the uterine wall.  This is what can sometimes create these bleeds as they continue to dig and implant. She said that the bleeding should stop on or about Week 14 as that is when the cells stop generating and the placenta just increases in size at that point.  She said by Week 12, you’re miscarriage rate is less than 1% – without bleeding.  Since I was diagnosed with bleeding at Week 9, my miscarriage rate was at 50% (TOTALLY didn’t know that one…) but that with each week that goes by, it drops.  So I’m probably around the 40% mark now – but there’s no black and white formula for it.  That is a scary number that I don’t like – but what we’re holding onto is that both babies have been thriving so far and don’t appear to be affected by all the bleeding.  Our new target is 14 weeks – 2 weeks from yesterday. And with that, we likely will hold off announcing the pregnancy more broadly until then.  As I’ve said, it’s always an exciting thing to announce – but telling the story of a loss is much, much harder.  I’m being a little extra cautious about it – but I think I have to at this point.  Although, my intent to not buy maternity clothes yet may have to be waived as I’m running out of yoga pants…and none of my jeans fit.  I did the rubberband trick last night with a pair of jeans so I could go out to dinner.  Oy.  And to think I’ve actually LOST 2 lbs. since my first OB visit?!  Must be from stress as I’m eating and my pants DO NOT fit. 

In more positive news, we got to hear the heartbeats for the first time yesterday!!  That was totally awesome and I’m so glad my husband got to hear that before he leaves for his six weeks of training.  Baby B was the first one and you could hear him / her moving, too – not shocking as that baby never stops moving I’m convinced.  Baby A’s was a little slower – but we’ve already coined him / her with being lazy, so not surprising there. She also checked my cervix as the hospital indicated I did not have a mucus plug (something I thought was essential, but apparently it isn’t) and everything is sealed up nice and tight.

So – we are status quo right now.  No heavy lifting, complete “pelvic rest”, and just try and lie low.  If the red blood returns or the flow increases, I have to go back.  Last night, the flow was probably the heaviest it has been – but I just don’t think it makes sense to call today since I was just seen yesterday and I have my first trimester scan on Thursday, so I’ll get to see them again (with my lovely SIL who has agreed to come along!) and hopefully they’ll still be looking good.  If you read this and are the praying type, please keep the peanuts in your prayers.  We all need them right now!

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Remember yesterday when we were celebrating how awesome it was that I made it over a week without an incident?  Ya me too…fast forward to this morning when I woke up and was bleeding…again.  I called my OB’s office immediately and they got me in for an u/s and appointment at 1:30pm.  So, I did a little work to distract myself and headed into the office.

Well, I’m back – and I still have two babies growing strong!  Both were measuring right on target and had HBs of 173bpm and 171bpm.  Baby B was his / her normal active self – doing flips most of the time, moving all around.  I only got one picture since he / she was being a gymnast.  Baby A was in his / her normal lazy position lying on his / her belly.  Of course I said this out loud to the tech and all of a sudden Baby A starting jumping – literally jumping with its legs – and we both burst out laughing.  Guess he / she heard me! 😉  And the perigestational bleed – is still fucking there.  Doesn’t appear to have grown but it hasn’t absorbed either.  I’m on pelvic rest, still – she said no sex and I started snickering.  I don’t think she understood the humor but there hasn’t been any nookie since before my ER.  It is what it is!  The bleeding has already slowed down to more or less spotting – which continues to be a good sign.  We’ll look for it again at my NT scan on the 20th and hope it’s been absorbed by then (doubt it but we’ll see).  I feel better knowing my little peanuts are doing so well in there – that damn bleed better just do what it needs to do and then get the hell out and leave us alone!

Oh and before I close – you deserve new pics:

Baby A

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Baby B

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EDIT PS – I just looked at the Dashboard for my website and one of the most common search terms that has lead people to this blog is “is there PCOS in snails?”  Ummm, really?  LOL.

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