The factory is silent. Its assembly line stands motionless. Somewhere off in the darkness, a buzzer sounds. One by one, lights begin to flicker and illuminate on long-unmanned diagnostic panels, giving a sense of enormity and complexity and scale to the machinery. The low hum of power supplies warming up comes next, followed by the higher and louder whine of turbines and electric motors. A whistle sounds, and one by one, employees begin to file in and take their places at the controls. Purposed for a single task, whose time has now come, the factory slowly comes to life...

Tuesday, October 21, 2008

Baby 2.0 is Online!

Well, it seems Craig and I have the "How to Make a Baby" thing DOWN.

Now, we just have to do our best to keep the little bean in there and growing!

We had the first prenatal appointment today with a very nice doctor who I like just as much (so far) as "Dr. Good." He apparently read up on me BEFORE he came in the room which is definitely a plus! He asked me how I was feeling and I said good! And he asked if I was excited, and I said yes, but a little scared! And he said, sure, that's completely understandable because of what happened last time. But he reassured me they were going to take good care of me. He said they would do blood work today, so they tested the beta hCG and progesterone levels, and he said if everything looks okay they'll see me back in three weeks for an ultrasound!

I'm really hoping I don't freak out waiting for three weeks, but I'll try to remain calm...

I'm having a hard time right now feeling happy. It's like I can't let myself feel happy about the whole thing yet because if I do, and it comes crashing down on me again, I'm going to be in for some serious hurt. So I know it's just defensive skills kicking in, but I almost feel guilty about it. Like this new little one should have all the happiness and excitement that I exerted on the last one, but I just can't let myself feel that way yet. I still want to cry and let myself be scared, because it's probably healthy to let that all out, but I feel guilty regardless.

So right now I'm torn. I know we're still excited and it's just as thrilling as last time, but I can't be happy yet. Maybe once we get past the first ultrasound (which is going to be murder -- I don't know if I'll even be able to look) and maybe if we get farther than we did last time, I'll let myself feel happy then... I know the hardest part for most people is even *getting* pregnant but that doesn't seem to be our issue. And maybe there *are* lots of things they can do for me to help me keep the baby, but it's so sad that we had to go through what we did last time to get that sort of help.

Tuesday, August 26, 2008

Sad Panda!


This morning I cried for my panda.

First of all, I love pandas. Always have.

When Craig and I moved to the DC area for a couple of years, one of the first things we did was develop a keen interest in the pandas at the National Zoo, Mei Xiang(f) and Tian Tian(m). We watched when their baby, Tai Shan was born, got tickets to see him right away, went to the opening of their new habitat, and visited them as often as we could. We even found our own "panda viewing area" that not too many people know about.

Most people who know even a little about pandas know that it's very difficult for them to breed in captivity, and this couple was no exception. The females only go into estrus once a year during a period of about two to three days (and we think we have to wait a long time to try!) And Tian Tian...well, let's just say he hasn't got the moves.

So once a year the zookeepers try artificial insemination when the time is right, and keep their fingers crossed, and hope for the best. Tai Shan was born in 2005, but since then they have not been successful again.

The added challenge to the situation is that even if the zookeepers are successful, the panda cubs are so tiny in the womb, that they can't detect them on ultrasound. They pretty much just have to wait until it looks like Mama Panda has gone into labor and a baby shoots out! (That's not hyperbole -- see if you can track down Tai Shan's birth video!)

The other tricky part about pandas is that while their hormones are spiking, they will exhibit "mothering" behaviors whether or not they are pregnant. They call this time period a "pseudopregnancy" and either wait for it to pass in conjunction with a hormone fall, or again waiting for a baby panda to come into the world. Wanna-be-mama bears will create nests, cradle their toys and spend a lot of time making it look like they're getting ready for a baby.

Well, this year was no exception for Mei. Except coincidentally, my favorite panda girl and I got "pregnant" at around the same time. Her baby would of course have been born much sooner than mine, but somehow I still felt a closer kinship with her, another sense of heartwarming simpatico. We were going to be mommies! I started making my life ready, and she started building nests and paw licking and cradling her toys...

So of course you all know how my story ended, but today I found out that a few days ago the zoo staff confirmed that Mei wasn't going to have a cub this year either. The difference this time is that they really thought she *could have been* pregnant, but lost her fetus in early pregnancy. From the FONZ site:

Zoo staff confirmed today that Mei Xiang will not give birth to a cub this year. They believe that she experienced either a pseudopregnancy or the loss of a developing fetus. In a pseudopregnancy, an animal's hormonal changes and behaviors are identical to a pregnancy, but no conception occurred. Fetal loss during early pregnancy is a common occurrence in mammals, but the reasons for this phenomenon are poorly understood.

As you read in these updates, Zoo scientists, veterinarians, and keepers were closely watching Mei Xiang, assessing her hormone levels and behavior and conducting weekly ultrasounds in an attempt to determine if she was pregnant. Veterinarians noted small changes in Mei Xiang's uterus but they were unable to confirm the presence of a fetus. Giant panda fetuses are very small — a newborn cub is only five inches long. At other zoos, fetuses have been visible on ultrasound only in the last weeks before birth.

In mid-July Mei Xiang's urinary progesterone levels (a hormone associated with pregnancy) began to decline. In pregnant pandas, declining hormones and increased maternal behaviors signal an impending birth. This year, Mei Xiang's hormones declined as expected, but the decline lasted longer than normal and she continued to show maternal behavior even after her hormones reached baseline. The Zoo's scientists and veterinarians speculate that Mei Xiang may have experienced the loss of an early-stage fetus that failed to develop normally, and it was absorbed into the lining of the uterus. In the coming days, we expect Mei to return to "normal," both hormonally and behaviorally, experiencing an increase in appetite and activity level.


I know that my girl panda probably won't feel the same loss, the same *need* to 'return to "normal" both hormonally and behaviorally' as I did, but I feel it for her instead. She and her keepers won't get any answers "why" either. My poor panda.

(For the record, I cried for my panda again as I was writing this...)

Sunday, August 24, 2008

Our New Baby!


Now, I know you're thinking, "That was fast...What is she, a cat?"

Well, I'm not exactly, but you're close!

Meet Desmond:














He's a very beautiful lilac point Siamese boy, and he just turned 9 weeks old on Friday. Yes, Craig named him Desmond after his favorite character on "Lost." He's sweet and loving, and we can tell he's going to be a smart one because he's already learning "fetch" with Craig! (uh oh)

In just the last few days he's worked his tiny way into our hearts! We're so glad we brought him home to be a part of our little family!

Craig is obviously smitten!


I can't imagine what it would have been like to be pregnant AND trying to manage a kitten. Seems like a lot of work. So in a way, the timing of this has worked out so well.

Wednesday, August 13, 2008

Clean bill of health


I forgot to mention last week that I had my post-surgical follow up with Dr. Good. (That's not his real name; I just wanted to differentiate between him and the previous doctor.)

He checked me out and asked me a bunch of questions, and confirmed that we should be fine to start trying again as soon as I have a regular period. I was still spotting the day I saw him, but not again after, thankfully. So I'm back to "normal."

I told him that we wanted to start again right away, and THIS time I want to do whatever we can to keep an eye on things as soon as possible. And he said he knows how hard that 4-week wait is for people, but next time, when I get pregnant again, he said he will see on my chart what we went through this time and prescribe a more watchful course of action.

I got the feeling like he understands and sympathizes with my anxieties, unlike the feeling I got from the other doctor, who more or less made me feel like I was being dismissed. He told me about all the extra tests they can do, and how sometimes they make people wait through THREE miscarriages until they try the drastic stuff (crazy things like dye in the lining of the uterus to check thickness and growth) just because the cost of those kinds of tests makes them a "last resort." But he assured me we'd be on track to watch me more closely just after this *first* miscarriage.

He also said that they can do an ultrasound as early as 6 weeks after the first day of the last menstrual period, NOT 6 weeks after conception, which was surprising.

So I feel much better about the whole situation now, and when I came home I told Craig that Dr. Good will be our doctor from now on!

Now begins the long wait. In the mean time, I will be researching fertility monitors.

As an interesting side note, the doctor told us that while I'm waiting for a period, and my hormones are all coming down I could still ovulate, so condoms at a minimum are in order to make sure we don't get pregnant again before my body is ready.

Condoms now that I'm married is a ROFL concept to me... I wonder if I'd get some special Catholic dispensation for using them due to medical reasons. I mean, I can personally rationalize anything I want (like being on the pill to keep my periods from being too heavy to control most of my life) but...WWTPS? (What would the Pope say?)

ROFL

Tuesday, August 5, 2008

Down with OGTT


The Oral Glucose Tolerance Test

Overall, not a bad procedure, except for the getting up early, and all the needles.

I got to the lab bright and early at 8:15 am. They made sure I knew I was going to be there for the next two hours. I'd brought my laptop, my Nintendo DS, something to read...I was ready!

The lab tech stuck me with one of the big needles. They usually use the butterfly ones because my veins are impossible -- but she got it on the first try! I was impressed! She took 3 vials of blood and said she was going to do a quick check of my fasting glucose. (I hadn't eaten anything since the night before.)

She stuck her head back in and said she was going to call the doctor and find out if they still wanted to do the test based on the result she just got. The nurse said to go for it.

The lab tech asked me if I wanted some ice in my drink, and I figured if she was offering it, she knew better than I did that it would help, so I said okay.

Sure enough that drink was GHASTLY sweet. Imagine a styrofoam coffee cup of red Hawaiian Punch, with another half cup of sugar added just for good measure. On an empty stomach, first thing in the morning, it was a little tough to get it all down. The tech told me I had to drink it all in 10 minutes, but I did it in 5. She started the timer and I sat in the waiting room for the next hour.

There's a lot of characters that you see come through the lab when you have nothing better to do. I'm sure I violated more than one person's HIPAA rights by listening in. Lots of routine blood draws, some people had other doctors or labs to go see after they stopped there. One of the lab techs was having a miserable day, and I'm glad she wasn't the one I was working with. Not only did she twice almost not get someone to provide a urine specimen before they left, she also finished up on a lady before she realized she needed to draw three vials, not two! So she had to stick her again! Ugh!

Hour 1 went by and she called me in to draw blood from my other arm. I warned her that I had already had an IV in two places on that arm within the last week, so she might have to look around for which one she wanted to use. She picked the big blue vein and got it with the butterfly. Back to the waiting room for Hour 2.

I learned how those little vials work. They puncture your vein with a hollow needle that has another open end. The rubber cap of the collection vial is pierced by the back end of the needle. Each vial has a vacuum in it, and once the seal is broken the vacuum in the tube creates suction to draw the blood. Some vials have less vacuum in them, and those will draw less blood (the volume being determined by what the blood draw is going to test.) Each vial may also have some additive in it that mixes with the blood, depending on the lab that does the testing and what the test is for.

I had wireless internet access in the lab area, and that's where I wrote "Recovery, Part 3." (I'm a little behind at the moment! Sorry!)

Another hour went by and I sat back in the chair for the last draw. The lab tech went back to the first arm and tried the big needle again. This time it didn't work. I was pretty disappointed because she had done so well so far! She took out the butterfly for this arm and tried Big Blue. Except this time she hit a nerve! OWWWW! When she was finished, it hurt so much I couldn't even put much pressure on it to stop the bleeding. Consequently, I have a lovely bruise there now...

Before I left I asked the tech if she knew anything from what she had taken so far, and she said no, they have to send the vials out to the lab, but the results usually come back the next day. She said the only one they do there is the initial fasting blood glucose level. She said mine was 97. ("Normal" is about 80-100.)

The next day the doctors office called me at 7:45 AM. From what I remember about the conversation with the nurse, my results were NORMAL, and they would just see me in another 8 weeks for my TSH/T4/etc thyroid panel. So no metformin is necessary. I guess I'm ovulating on my own!

Lastly, I realized I had, in the last week, had my veins punctured 7 times. I feel like a pincushion and look like a junkie.

Small price to pay, in the end, we hope.

Thursday, July 31, 2008

Recovery, Part 3


We got to the hospital later Thursday morning, and were already impressed from the outside. It's a brand new facility, probably finished within the last year or so. I had been hoping to not have to see it firsthand for another 7 months or so, but at least now we know when we go back that it's an excellent facility.

Hospitals are usually well-signed, and this one was no exception. But, better yet, as soon as you walk in the main door, you see a reception desk 15 feet in front of you. We asked for outpatient services, and the volunteer pointed us in the right direction. There seemed to be a lot of senior volunteers working there. I guess checking people in makes for nice easy work, and something to do to pass the time if you're healthy and retired.

They have this amazing check-in and tracking system. They assign each patient a number. With that number, the person accompanying the patient can sit in the waiting room and watch a status on an overhead monitor for that patient. It shows when they are checked in, and when they're in surgery, when they're in recovery, and when they are allowed to have a visitor again a smiley face appears next to their number. Very people-friendly, cuts down on the questions for the staff, and gives the waiting person something to "do."

So we got checked in, and almost immediately they called us in to registration. The woman was friendly and courteous and professional, and when we told her what doctor was doing the procedure, she too said, "Oh, he is wwwwooonnnderful..."

Once back out to the waiting room, it wasn't but a minute before they called for me to go to the prep room. The volunteer led us back, but told Craig he had to wait there. After a shuffled exchange of things out of the tote bag and a kiss, I was off.

I got back to the prep area and the nurse rolled her eyes and said my husband could have come with me, so she picked up her phone right away and had them send him back. They took my blood pressure.

It's normally about 110/70. It was 145/85.

The nurse said, "Don't even worry about that number today. You're just nervous; it's totally normal. Don't even think about it."

She put me in a curtained area where (little did I know) I was going to spend the next hour and a half... By that time Craig had come back, and I met the nurse who was going to be taking care of me for the day, Cathy. She told me to get naked and put on the gown open to the back, and the little slipper socks with the grips on them, and have a lie down on the gurney. It always feels weird to get undressed in an only semi-private area (like a dressing room,) and more so to get completely undressed, but...Craig got a free show!

Cathy tried to start my IV in my hand. They are kind enough to give you a stick of lidocaine before they start, but she was unsuccessful in getting the bag to drip. So she had to get some more lidocaine and give it a try in my arm. That seemed to work fine, and the fluid began to drip quickly.

Cathy also gave me a purple strap bracelet, which she said identified me as a fall risk, and they give one to everyone who has anesthesia. Craig found this hilarious, as he knows what a fall risk I am every single day...

Begin medical history and list of questions, round one. Most of the questions revolve around how healthy you are and how you expect you may react to anesthesia.

More medical questions, round two. Family history, previous surgeries, etc etc ad infinitum. I understand, they're trying to be thorough. Cathy told me I would meet the anesthesiologist, and the doctor, and when she saw who was doing my surgery, she too just cooed over how nice he is! I made sure she knew about the fact that I was prescribed doxycycline, and she said we would be sure to bring it up with the doctor!

Time passed with a lot of waiting. More questions, more people to meet. Nurses, anesthesiologists. Everyone was professional, yet friendly and kind. I was really feeling good about having the procedure done at this point, all things considered.

The doctor was outside my curtain and behind a wall, and I saw Cathy tell him about the prescription, and she looked over and gave me a wink...

The doctor came in and talked to me and Craig, and I could immediately see why everyone liked him. He was relaxed, and respectfully sympathetic, and went through and explained everything to us that would be happening, and what we could expect after the procedure. I was calm, and ready after that. Cathy came in and gave me some Pepcid in my IV; she said it was to help with any nausea I might feel from the anesthesia.

Two more young and fresh-faced anesthesiologists came in, introduced themselves, and stood by my gurney, and I met my "transportation nurse." It was almost time to go. I felt like the center of attention, like I was the guest of honor at some bizarre party. Pretty much the whole experience showed me why some people develop things like hypochondria, or at the extreme, Muchausen's Syndrome. You just feel so important and cared for and like everything is going to be better when they're done seeing you...

One of the anesthesiologists told me he was going to put something in my IV to make me "not care", and sure enough about 10 seconds after he pushed the plunger, things got a little fuzzy.

I don't remember saying "see you later" to Craig. I sort of remember being wheeled through some doors into a hallway. I remember the room with the big surgical lights, which weren't turned on yet so I thought they looked strange. I kinda remember them giving me a breathing tube for my nose with the tiny tubes that hang out in your nostrils...but nothing else until the recovery room.

I have a slight recollection of waking up in recovery and being aware of the beeping of my monitors, and the tube in my nose, and that I was still very sleepy. At that point they told Craig to come back and see me, and next time I opened my eyes, he was there. I was still pretty groggy though as the nurse asked me how I felt, and took me off the monitors, and took off the oxygen. Craig told me the doctor had come to talk to him after the procedure, and he had some things to tell me later about the experience, and it was a good thing he didn't try to tell me then because I doubt I would have remembered it.

The doctor came in to check on me, and he smiled, and said everything had gone really well. But he said he had something kind of funny to tell me... (And Craig said something about it being one of the things he was going to tell me too.)

The doctor said that during the procedure, everything was going along fine, except then somehow in the middle of it I said to him, "I feel kind of crampy..." And he asked the anesthesiologist, "...Why is she talking?..." and they made sure I was back asleep soon. He said it was during a part of the procedure where, if I had been awake I probably would have been uncomfortable, it was just odd that I chose to tell him about it! I, of course, don't remember it at all.

Of course those who know me know that I talk and even laugh in my sleep. And those who went to college with me know that I used to have a BAD sleepwalking problem... So maybe those kinds of things are related!

The doctor gave me follow up instructions, and said he would see me for a checkup in 10-14 days. After a while I regained more consciousness, and decided I had to get up to pee. They told Craig he would have to come to the bathroom with me to make sure I didn't fall down in there. I was absolutely too dopey to be embarrassed at all at that point (and I really had to pee) so I complied with no trouble.

When I got out of the bed, I realized:

1. My butt was suddenly cold. I was still naked under that gown. Yike. Craig helped by retying my gown straps.

2. I had made a mess out of that sheet on the gurney. What was that yellow business? I guessed it was betadyne. (antiseptic used to prep for surgery, made of iodine solution)

3. Someone had haphazardly slapped a giant mattress-sized maxi pad in between my legs! I was like WTF?? before I realized that maybe I should try to leave it there on my way to the bathroom, just in case. I knew I wouldn't be taking any long steps anyhow...

I did what I needed to and came back. They told me I could get dressed at this point, and they could get ready for me to go home. I was very glad I wore sweatpants. They sent Craig out to get the car. And then they had me sit in the wheelchair so they could take me to the front door...

It was weird being the person in the wheelchair. I've seen lots of people in wheelchairs, and even wheeled other people before, but to BE that person was...strange. There was something self-conscious and unsettling about it. When we got to the front door, I saw Craig coming around with the car and... It's like that moment where someone greets you and you don't know if you're going in for a handshake or a hug, or a hug and a cheek kiss, or what. It was like I didn't know if I was supposed to keep sitting there, or if they wanted to help me, or could I get up and wait. Finally, Craig parked the car at the curb and I shuffled myself into it. We had a nice quiet ride home, where I settled into my bed and slept for the next 5 hours or so...(after I called mom and dad to say that I was okay!)

The last week has been rolling in a sine-wave-like cycle of good and bad, bleeding and not bleeding, cramping and not cramping, happy and depressed. Every time something scary-looking happened, I had been telling Craig about it until I realized it was freaking him out. I forgot that I've been dealing with my body doing bizarre things on a monthly basis since I was about twelve, but this level of intimacy was all new to him. And it worried him, whether or not I was worried. So I've stopped disclosing so much...

Friday morning I came downstairs to try to work a little, and I saw a beautiful bouquet of flowers on my desk:
They had come for me that morning from my bosses at work in a big box, but they weren't arranged when we received them. Craig had taken them all out and trimmed and arranged them in the vase and set them up on my desk so I would see them the first thing when I came down...

We also got flowers from Craig's mom and dad, and a lovely mass card from my parents. Our friends have all written very kind emails or called. This was exactly the support we were hoping for when we told everyone about the pregnancy so early. It's the people who truly love you and care for you who are there in your troubled times, not just the good ones.

Monday, July 28, 2008

Recovery, Part 2


Wednesday the 23rd was a tough day. We knew we had to get up early and be at the doctor's office by 8:00 am. I don't think Craig or I slept very much that night.

Lying in bed, I couldn't turn my brain off. I had a feeling in my heart that the first ultrasound told the truth, and that this second one was just going to be a formality.

But somewhere in the back of my noisy head, I wanted hope. I wanted to believe that maybe, just maybe, someone was wrong. We couldn't possibly be so unlucky. We were just so lucky to get as far as we had, so easily. This baby seemed so right, and couldn't have come at a better time, and we were so excited. Our family and friends were so thrilled and supportive. It wasn't fair. What had we done to deserve this? Something seemed so wrong, horribly wrong, about a miscarriage, like it was never meant to go this way. I had no sense of WHY this was happening to us (and still don't.) My heart ached, but somehow I eventually got a little sleep.

So the morning of the 24th, we were led into the exam room area by a different ultrasound tech. She was shorter than me, and quiet-mannered, and when we got to the room she had me sit on the table. She asked me if we wanted to know the sex of the baby today or not. After a somewhat stunned pause, I said, "I'm not sure that's going to be an issue today..." and I briefly explained what happened. (Why don't these people get briefed beforehand???) She said oh, and okay, and gave me the sheet so I could step into the restroom and get ready.

Sure enough, after she got the wand into position, there was our baby again. There was no change from last time. She pointed out the bump where the heart would be. But again this time, it was still. Craig squeezed my hand. Somehow it was so much less shocking this time, but it still really hurt. I asked her more questions about what we were seeing, because I couldn't help but be curious. She pointed out the head-end, and the foot end, and that there was an arm visible, and the heart bump. She tried turning on the colors and the Doppler sound monitor, but there was nothing but my own activity visible anywhere. She said she was so sorry for our loss. She asked if we wanted a picture, but I said, "No, thank you."

I know I will carry that picture in my head for the rest of my life, and that is enough for me.

(I realized later it was somewhat insensitive of me to not ask Craig if he wanted one, though I am always sure that he will respect whatever my wishes are in this situation. I did ask him after the tech had left the room, and if he had told me then that he had wanted one, I would have done it for him.)

The tech stepped out to let me get dressed and to give us a moment alone. Craig and I had decided in the intermediate week that if the results were the same I was going to go through with the D&C, and we agreed on this again.

On the one hand, I wanted my body to figure it all out on its own. It seemed more "natural" and like it would be better for me if my hormones just got themselves sorted out and made the miscarriage happen. But I had heard it could take weeks. And it also seemed a bit dangerous, and like it would be pretty painful.

And the absolute worst mental image for me, in the whole thought of the "natural, at-home miscarriage" process was this:
If my body went through with it in its own way, and I cramped and contracted and passed the baby out of my body at home, what was once our future baby would end up in the sewer. Ugh. Wrong. That didn't seem right at all, or dignified. And while I'm blissfully unaware of what happens to "medical waste" after they take things out of your body in a hospital, somehow that seemed more...right, and...respectful. Or something. It's so hard to think about a situation like this in purely logical terms. So I had told Craig that I wanted it to be when we say, and not like some awful surprise, and that I was ready to accept having the D&C done, now that I had lived a week with the bad news. And again, in his loving way, he said if that's what I wanted, he would support me fully.

The tech came back for us and led us down the hall to talk to the doctor. She told us again she was so sorry, and that she would pray for us. The way she said it was so hushed, and sincere, that it made me hurt for *her.* How hard it must be to do her job sometimes...

Craig and I waited in the exam room, and had a few more minutes to talk. We thought of a few questions for the doctor, and decided that if they could do the procedure the same day, we would go through with it. I hadn't eaten anything since early the night before, because I was thinking about the surgery, and I had only had a sip of water in the morning to take my thyroid meds.

And then at that point Craig and I made some small talk, because by then, after the last week's intensity, everything else had been talked about already.

The doctor came in and told us we could have the procedure done that day. She told us what doctor was on call at the hospital, and that we would love him because he is "so sweet." And again it seemed like she was on her way to float out the door.

I stopped her and asked some questions. Was it normal that, even though our baby only made it to 7 weeks, my body was still trying to hold onto it like that? She said yes. And in fact, for some women it can take 4 to 6 weeks before anything happens!

Then I told her of the plans Craig and I had discussed during the week. We are not going to let this stop us. We understand that for a first pregnancy, no one at the doctor's office watches you very closely because they don't expect anything to go wrong. But I told her now that I've had a miscarriage, we're going to seriously approach getting pregnant again quickly, and next time, I'm going to do whatever it takes to make it "stick." I'm not going to come in for a positive test and then just sit and WAIT for 4 weeks to see a doctor again! I about lost my mind the last time. I realize that there's not much they can do for you to make anything happen or not, but I want to be aware of it the whole time.

And the doctor sort of balked. She more or less asked me what I expected them to do next time. And I told her I didn't care if I had to come in twice a week for blood tests to check hCG and progesterone levels. I'd be willing to take supplements if necessary. I told her that our endocrinologist was already on board, and we're looking for the right OBGYN who's going to work with us, and I needed to know if she was that kind of doctor.

She then explained to us the more technical aspects of what they try to do to maintain pregnancy, and how it sometimes works and sometimes doesn't. And she let us know she was glad we might try metformin, (though it seemed like our problem wasn't likely ovulation!) And she told me in a pretty tactful way that if I wanted to get pregnant again I should also try to lose weight, which...yeah, I KNOW. Like she's the first doctor to have THAT idea. (Where's my eyeroll emoticon when I need it??)

We asked how long the procedure would take, and she said it was quick, like 10 minutes, but the prep time at the hospital could take a while. She said she didn't think they'd be able to do it before 11 am, but if we got to the hospital by 9:30, we should be okay.

She said she would get us scheduled at the hospital and come back with a couple of the prescriptions I would need after the D&C. And then on her way out the door she poked her head back in to say, "Sorry again for your loss." We didn't see her again after that, as the nurse came in instead.

The nurse gave us our "orders" for the hospital in an envelope, and handed us two prescriptions. The first was for some Motrin 800, for the cramping that I was going to experience later, and the second was for an antibiotic: doxycycline. Craig and I checked out, and got ready to go home. He was going to arrange to be out of work for a few hours, and I would tell my job to not expect me back for the rest of the day.

We needed to pack a few things, to keep Craig's mind occupied while he was waiting for me, and maybe a snack or two to keep his stomach busy too.

I also wanted to check out that prescription antibiotic. "Doxycycline" sounds a lot like "tetracycline", to which I have a pretty icky allergy. It gives me horrible stomach pains, and last time I took it I didn't find out if it did more than that because the pains were enough to get me to call the doctor, at which point they told me to stop taking it and gave me something else!

Sure enough, the internet told me they were from the same family, and that people who were sensitive to tetracycline shouldn't take doxycycline. My allergy is clearly listed on pretty much every piece of paper at the doctor's office because they ask about allergies *every time* I see them.

It was at that moment I decided we wouldn't be seeing that particular doctor ever again, if I had anything to say about it. (And if you know me, you know I absolutely will.)

Part 3 tomorrow...