Showing posts with label methotrexate. Show all posts
Showing posts with label methotrexate. Show all posts

Thursday, November 11, 2010

STUPID PEOPLE.

















First let me say that I'm extra stressed right now with everything that is going on. Saying that, I am not nuts to think that the following happening of the past few days were the fault of stupid people. Enjoy. . . .

Tuesday, I went in for my BETA test with the unfortunate hope that is will become negative soon. The methotrexate has already had me bleedin' like crazy since Friday, so I was assuming it was working.
Wednesday, I never received a call from my RE.
I did receive a call from my old RE who I haven't been with since the end of July.
I found that to be odd, so I left a message with both since it was after hours.

Today, I recieved a phone call from the old RE's office. Apparently, the dynacare lab sent my results to THEM! So when I answer the phone the nurse says, "You're pregnant!"

"Uh, no. . . actually I'm not." I tried to explain.

My levels were 55.8 Blech. Pretty much the same from last Friday. I hope this stuff is working so we don't have to go down to IL for another shot of methotrexate.

After that, I heard from my RE who tried to explain the whole thing to me over again.

What a mess.


Dumb people, part 2.

Wednesday, I went in to the HR department of my job. I was curious why my last paycheck was 700 dollars LESS than the last one-- clearly.

I talked to her for a few minutes before we realized, that it was because of the days off I took. "Sick days." However, apparently our school district only gives us ONE DAY A MONTH.

Yeah.

So I wasn't getting paid for ANY of the days I took off in October--which were a lot since I had daily monitoring.

But it gets better.

Then she tells me since I was unpaid, I also had to PAY for my benefits those days as well.

WTF??!?!?!!?

I was not only getting jipped on pay, but I actually was PAYING TO BE GONE for days I had pre-approved with the principal.

SO RIDICULOUS I DON'T EVEN KNOW WHAT TO SAY.

So I begin to argue the stupidity of this with her, explaining that NO other district I have ever been in has this stupid kind of policy that no one told me about to begin with.

Then, she said it.

"Well, one day when you are pregnant, you'll be glad you have those days off."

Yep.

That's what she fucking said.

Unbelievable.

DH thinks I'm living in the seventh circle of Hell right now.

I think he's right.



Sunday, November 7, 2010

5w 4d. We made it to ultrasound. . . kinda.

Well here I am.

Sorry it has taken me so long to post. I have needed a few days to gather up the strength not only to face the day, but to write this long story as well.

Friday, November 5th, 2010.

DH and I left from home around 11am. I left work early and DH had the day off. We had a full tank of gas and were ready to face the day--hoping today was the day we would meet our little one(s) for the first time! The day was here! Ultrasound day!

Once at the RE's office (about noon), we went back into the Ultrasound room. I undressed on the lower half and waited. . . DH and I were ready to see what was happening in there once and for all.

Now keep in mind, I have had dark spotting for about a week. I know something is not quite normal, but the nurses keep saying things about how a lot of women bleed and spot, blah, blah, blah.

Once the RE finally came in, the u/s began. Dildo cam was moving around and apparently it was hard to see perfectly on the screen. I couldn't look.

It didn't take long before the RE became blunt with us. He said something like, "This isn't a normal pregnancy". . . and "Fluid is in the uterus..."

There was nothing to see. My uterus had nothing in it but unidentifiable fluid. Could be blood, could be from my hydrosalphinx, or it could be a mixture of both.

He looked towards the fallopian tubes and said he didn't see anything there either. But either way, no baby in the uterus been ectopic. Anytime you are pregnant and nothing is found in the ute--it's ectopic.

Again.

The RE said he wanted to get a better look on the ultrasound machine, but we'd have to wait 10-15 minutes. At that point I didn't care and said, "fine."

After RE left the room, I dressed again. I don;t think I said anything. What could either of us say at this point? It's happened to us again. This time, they can't even see an embryo! How are we even going to know what went wrong? If I'm pregnant, where is it?!?

I sat in the chair and waited. DH rested his head on my lap as we cried another time for our child we will never know. Another pointless cry that won't solve anything. It doesn't make us feel any better. Pretty much no one we know is aware of what we have been doing. Students and parents where I teach will still treat me like crap everyday, without considering all the doctor appointments I have been gone for.
There will be no taking it easy this time. No Summer break to cushion the fall of this. How am I supposed to live every day like this never happened?

Finally one of the nurses comes in to get us and take us to the other u/s machine.

Again, it's the same result. I didn't even ask for a print out of the u/s.

So what now.

RE couldn't tell us what happened. We won't even learn anything from this except that I make a great human pin-cushion.

What was next? Another round of methotrexate. But this time we had to go pick it up from the pharmacy clear across town.

What happened next was such a cluster-fuck that there is no point trying to explain it. As if the day hadn't been bad enough, when we finally got to the pharmacy as OSCO, I had to call my insurance because they had stopped covering me without telling me about it last time I tried to fill an Rx. SO I called and argued with them first. They said all should be fine. Then dumb girl behind the counter tried to ring up the Rx at full price. I told her I have insurance. Same thing. I called my insurance BACK. They said the drug had never been rung up. So I told her to figure her shit out. She went to the pharmacist, a very young girl.
After waiting for at least 5-10 minutes, she said it was recalled. METHOTREXATE WAS RECALLED. I told her, " I HAVE TO HAVE THIS DRUG. This is not negotiable. And WHY was your employee ready to sell this to me at full-price 5 minutes ago if it is recalled?"

UGH.

I told her to call my RE and see if there was anything else they could give me. She went back and called my RE's office. Then, came back to us, clearly agitated. Nothing. She claimed it was recalled everywhere, even in WI.

I had to drive all the way back to the RE. Once we pulled in to the parking lot, the nurse called and said they have it filled for us at Walgreens down the street. First of all, why didn't they send us to the closer pharmacy in the first place? Secondly, CLEARLY the first pharmacist has no clue how to do her job. Only certain batches of the drug are recalled, so yes, in WI we would have been able to get it filled just as we can a few miles down the road here.

We finally got it and came BACK to the RE's again. By this time, I have no more "happy face" to put on.

I get both shots of methotrexate and then have to give blood for my BETA. They also told me the one thing I wanted to do when I got home was not an option. No drinking until the beginning of December --LOOK OUT HANUKKAH! I'm bringing you in with a bang! I also can't have sex with my husband until well into December. That will make the longest drought of our entire relationship. Sept- December. Good God. Poor DH.

So how did we spend the evening, when we finally got home after 5?

We went to the buffet at the casino and payed bingo until 2am. Yep, that's right.

*******

So what now?

I'm not exactly sure.

I will most likely have my tubes burned from the uterus during a laparoscopy in December. They will not be totally removed, just out of the picture with baby making. My ovaries will still be operational for making eggs but the chance of having a "natural conception" will completely be gone forever.
It will however fix the hydrosalphinx issue--no way to ooze into my ute and in addition, I'll never have to worry about another tubal pregnancy again.

After that, I'll have to wait at least 6-8 weeks until we can try to make babies.

That means it will be the middle to end of February before we can try our first FET with 2 of our 4 frozen embryos. (I found out one of them is even a 6AA embryo-- I'm hoping that will be our golden child :)

It's going to be a long road until Spring. We must make it through the entire holiday season and almost all Winter without even being able to try again.

For now, non-decaffeinated coffee galore! I can do all the yoga I want--twist, twist, twist! I can run and swim! I can ride my bike--inside. I can go to work without having to take very damn week off. (Do you see that I'm trying to find the bright side?) At Christmas, I can get drunk with my whole stupid, obnoxious family.

::Sigh::

But I'd prefer to have a little reason why I can't.

***********

I will be going on hiatus until more news comes about.

BETA #4 from Friday had dropped to 54 before I even got the two methotrexate shots. Tuesday, I will go in after school for another test, results Wednesday.

I'll continue to post updates and things happen or appointments are made. One of these days I will be scheduling an appointment with the RE to see WTF happened and what we should do next. My hope is to have the lap surgery on Dec 22nd and spend Christmas repairing-- DAMN! That mean I can't get drunk that day. IF SUCKS!!!!!!


Thank you to all who have followed us on our journey thus far. Although there are many times we just want to give up, it's not that time yet. We have more things to try and frozen babies waiting for us in Illinois. We are discouraged, but not broken.


Thursday, July 29, 2010

Ectopic beta #1

Beta results from the ER last Saturday were 371.
I was hoping to at least drop a few points by today despite the fact that they said it may actually rise before it begins to drop.

Today I called my RE's office. Yesterdays beta was 375. It actually went up a few points.

Dammit.

The woman said not to worry until we see Saturdays results. Hoefully, by then it should go down. If not, then we may need to do another round of methotrexate or surgery that would be similar to a laproscopy, removing the pregancy from my tube or perhaps even part of the left tube itself.

Fun.

I go in for the beta Saturday at 8am. I hope to hear by 11 that morning.

Wednesday, July 28, 2010

Post e/p Beta #1



The first Beta after the ectopic pregnancy is scheduled for tomorrow.

The hope is my beta will eventually drop to zero (or less) from the methotrexate. Days 4 (tomorrow), 7 and the same for weeks following until it drops. Hopefully they will not have to give me another set of shots or do some other scary sounding thing. But that only needs to be if the numbers don't drop. So as much as I never thought it would be something I would wish for, I hope my numbers are at zero, very soon.

I have had no bleeding yet, but there is still abdominal cramping. I was prescribed some vicodin which helps a lot. But don't take two! I was trippin' out last night! Ha! A bit too much.

My DH and I are feeling like we cope better each day and are ready to get moving on. I am diving head first into all things IVF. Right now I am trying to decide if I want to change RE's or stay where I am for the time being. I cannot get in to see my current RE until August 19th, so it will be a long wait. God, I hope something good develops between now and then,

Monday, July 26, 2010

It's over.

Saturday, July, 24th, 2010.

It began as any other day.

In fact, this day I had no sign of cramping when I awoke around 9am. I ate my healthy breakfast, took my prenatal vitamins and left to go rummaging with my husband and cousins. It was a great time. Looking for kids books, toys, and clothes with them. We found some great deals--including a Grouchella doll. (Oscar's little sister--what a find!)

On the way home, I drove. I began to get slightly nauseous and the cramping began. It got progressively worse as I got closer to home. Once home, I went straight to the rest room.

Spotting. Not bright red, but dark. Alarming.

I called for my DH. I told him.

We laid in bed together wondering what to do. What did it mean???

I've heard talk of cramping and spotting being totally normal and plenty of women go on to deliver normal, healthy babies. But I did not have the same start as many women.

I called my RE. He was not in since it was the weekend, but the other RE was on call. He called me back and basically told me that it could be totally normal and to come see him at 9:30am tomorrow at his office. However, if it got worse, bleeding increased, or if the pain localized to one side, go to the ER.

I laid, sat, and stood around for over an hour. I couldn't sleep. I didn't know what was going on, what do I do?!?!

I finally realized that I could just sit around all day and night wondering--allowing the pain to get worse.

We headed to he ER. Once we got there, they took my vitals and asked a few questions. But I still had to wait.
The waiting room was FULL of weirdos. I mean, FULL. People complaining that they had been there forever, yada, yada, yada.

I was thirsty, but I couldn't drink ANYTHING. They wouldn't let me. I had nothing with me. Not even my magical iphone. My DH had to rub my back, but it was becoming too much. I needed to get in.
We became buddies with the nurse--by being nice--go figure. They took me back to draw an unbelievable amount of blood for testing. AT LEAST 7 of those bottles. Then, it was back out to wait.

DH asked if I could have some pain meds, it pushed us up on the wait. After about an hour, I was in. Room #15, awaiting some answers.

The nurse practitioner came in. She explained a few things and gave me a "wonderful" pelvic exam. She was looking to see if my cervix was open--implying that I was miscarrying. It was closed. Good news.

Then, she insisted that I had to put in a catheter. I HATE CATHETERS. Let me say that again-- I HATE CATHETERS. They needed to use it so they could fill my bladder with a fluid during the ultrasound (u/s) I was about to have. Bah!

I was wheeled up to radiology into a small room. DH stayed with me and held my hand as they filled my bladder with a clear, cold, fluid. WIERD feeling. This allowed her to see the embryo on the screen since my full-bladder would push up the uterus.

She was pressing really hard on my ute. WITH A FULL BLADDER! SUCKY!!! She says something like, "Oh, did you know you have an inverted uterus?" WHAT? Seriously. WTF does that mean??? "Did you ever have cysts?" WHAT????!!! Lady! I'm stressed enough!
It went on for what seemed like hours. She had to of taken at least 50-75 photos.
Then-- the worst came. She put the dildo cam in my lady part! YES! With the catheter still IN!!!
It was one of the most painful experiences of my life. It hurt the worst on the right side--I think because that's where the catheter was laying. I couldn't keep track of time. DH thinks it lasted at least 15-20 minutes. What are they seriously going to do with all of those photos???

They took me back to go 'ol room #15. I had two IV's put in. (One which they never used, the other only put one bag of saline fluid in--pointless).

We waited.

And waited.

Finally, the nurse practitioner came in. "It's ectopic." She says.

After that, I can't remember much else. DH asked if it was for sure. She said it was on my left side. Then, she left. She dropped a bomb on us and left.

All we could do was just cry. We held each other and cried. What else could we do?

A young OB came in with a med student. She looked fresh out of med school. They were in charge of my care for the rest of our time. It was now after 10pm. They explained that right now it sounded like we had a few options:
1. A laparoscopy.
2. A suction procedure--not my preference.
3. A pill, methotrexate.

They then called the RE on call to see what he thought was best based on my results. My BETA was only at a level of 300-something. Not what it should be for over 5 weeks. It told us that even if we didn't try to end the pregnancy, it might have dissolved on it's own. But the risk of my fallopian tube rupturing was far too great.

When they returned, the 12-year old doctor, and the tiny mute med student along her side, they explained that the RE thought the best solution was the methotrexate. It is a chemo drug used to stop cells from dividing. Hopefully then, the pregnancy would end over the next week or two, with a AF-like bleed. They would need to check my beta levels day 4 and 7 of each week until it came back down to zero.

We agreed.

We said goodbye to our little one we had only known for a few weeks, but would remember forever.

Two ladies came in wearing full body protectant aprons. Holding a hazard bag filled with two glowing syringes of yellow liquid. WHAT?!?!? I THOUGHT THIS WAS A PILL? Don't get me wrong, I'm fine with needle shots. I took plenty with all the IF craziness. It was just a sudden change I wasn't told of. And at that point I was NOT up for anymore sudden changes.

But I took both shots. In the rear. Trying to make light of it. Telling each nurse to enjoy the view. Yes, each nurse took a needle and both shots in my ass at the same time. LOL. Seriously, that was kinda funny.

We left the hospital a few minutes after midnight.

The feeling of emptiness, like we now had less than we came in with was overwhelming.

Went headed to Walgreens to pick up the medication I had been prescribed for pain. It was late, I was still in some pain. But we made it. Back home.

It felt strange. All the books we had bought, the pages printed from the internet, now, didn't matter.

SLEEP.




July, 25th, 2010.

I met with the RE on call.

To make this story much shorter, basically I might have PCOS still, I might have an issue with the left tube being blocked, I might have tubes that don't push the embryos down into my uterus, and we can't try again for at least a few months.

So WTF do I do now? Where is my bit of good news?

Our plan is to get through each day. Anxiously awaiting time to try again. But I'm not sure I could do another ectopic pregnancy. I know there is always a chance anytime you become pregnant. But we think our best shot will be to move on to IVF.

Hopefully Late September or October will bring us the beginning of the IVF cycle. But of course, we haven't talked to our RE about this. We need to read up more and decide if this is really the best plan for us.

In the meantime, we grieve the loss of our baby, look into IVF, gather our funds, and try to get on with a normal life.
This is NOT something we are ashamed of. But this is not something we wish to obsess over either. Once the bleeding begins, I will understand how final it is. The time to look forward is coming. We won't look back, and yet we won't forget.