Thursday, November 21, 2013

Pre Op, Pre Op My Baby

My surgery is officially 10 days away.

I had my pre op today, all things considered it went well.

Every other time we’ve gone the waiting room has been seriously empty.  Not this time, there were at least 4 other couples waiting and several that were slowly filtering out.  It’s hard not to people watch. My appointment was set for 2:50 pm, we sat in the room for just over a hour, I was able to read 2 people mags and play with every app on my phone in the midst of slyly glancing over to check out for lack of a better term “the competition”.   I can’t help wondering what other peoples issues are and at what stage of this whole process they are in.

To our left was a couple, looked like later 30’s, husband looked casual, wife looked totally annoyed. Her body language was terrible, she was turned completely away from him and had the most sour look.  Maybe they had bad news?  Maybe they’ve already been trying for years?
To our right a single woman, looked mid 20’s.  She was in and out pretty quick, I’d say she was there for blood work.

Directly behind us is an older couple.  They look like they came directly out of the 80’s, She a pastel floral dress with big shoulder pads, white Minnie mouse shoes, frizzy perm hair and He Mr. Rogers sweater vest cousin. We couldn’t tell if they were in their 50’s or just had aged terribly and were early 40’s?

On the counter where you sign in there is a candy jar and a sign that asks patients to please consider others at a sensitive time and please do not bring in children.

Right when I finish reading this sign, a woman walks in with a diaper bag.  She says “Is she back there, I have the baby.”  The receptionist gives her the ok, she opens the door and a man quickly whizzed by in a black blur with the stroller trying not to disturb anyone.

Time passes.  I notice that about 3 different couples, including Sour Puss, have come out with organza bags filled with a green blanket.  When we first came we were given a book, so I wondered if this was some kind of new give away.

The stroller couple comes out and I notice not one but two babies!  The stroller was front to back, not side by side.  I continue thinking about the sign, I wonder if it really disturbs people to see babies here.  I know it can be difficult with you want something so bad, but seeing those babies gave me a little (tangible) hope that this place is successful.

We were finally seen about 4 pm.
I had a physical complete with breast exam.  I don’t know why but this was totally awkward, probably because 1. I’ve never had a male doctor before and 2. I’ve never had Hubby go to ALL the Dr apts.  I wasn’t quite sure where to look, the ceiling seemed the safest.

Everything looks good.  He drew 4 marks on me, 1 in the belly button and 3 along my pelvic bone.  
We talked about blood loss (less than a table spoon) and how we refuse blood transfusions’.  It was a relief that he was familiar with Jehovah’s Witnesses and he said he practices all his surgeries bloodless.
He’s going to take pictures before and after, that’s a new one for a creepy scrapbook.  He plans to drain my tube, clip it and pull it out.  Worst case scenario would be that it’s attached to my bladder, intestines or another organ.  In that case he will detach it from the uterus and leave it in to not risk nicking anything else.  He won’t know until he’s in there but he feels very optimistic.  

Another contributing factor to this ongoing saga is male infertility.  Yea, that’s a thing.  Dr. Potter said we hit the infertility jackpot marrying each other.   So now we are 100% on track for IVF.
Hoping everything goes right, good healing and all to start a cycle in January.

Got a blood draw to check my thyroid levels and was given instructions for surgery day.

While we were checking out I asked my nurse about the green blankets.  She said once couples make it to the 10 week mark of pregnancy they have a little graduation, getting a blanket and are turned over to obstetrics.   I then told her about Sour Puss, come on lady you got a blanket, Smile!

I felt like the lady on Napoleon Dynamite that is giddy over Tupperware whispering “I want that”

I will get my green blanket.  Heck, I’ll take two.

Friday, November 1, 2013

Unexpected Results - Hydrosalpinx

This is what happens when your appointment is at 1:45 and you don't get seen until 3pm.
My feet were freezing! I left my socks in the car and thought for sure the second I sent Hubby to get them that the Dr would come in.  Should have got the socks!

He got a hot coffee, while I could not have fluid for 4 hrs.  This is the "do not instagram me" face.

The sonohysterogram was not as bad as the HSG. It was pretty awkward, I had to maneuver myself to sit on a trash bag!  This procedure also required a cath to insert saline in my uterus during a ultrasound to get a better look at the walls and make sure everything was in the right place.  I'm not gonna lie, the cath hurt, fell out and hurt again.  The saline felt cold and there was cramping but I survived.  When everything was done we looked at the images and he said everything looked good.

My ovaries are good, I have a great supply of eggs (apparently the chart I posted meant 14 total not per side) 20 plus follicles.  They are small but with stimulating drugs we should get some good ones.

He also said my hormones are in the right place so the metformin is working (yea!) my TSH is in the normal range at a 3 but under 2 is preferable for pregnancy so he's put me on thyroid meds to bring it down.

Then he talked about my HSG results.
This is what I have:
A hydrosalpinx is a blocked fallopian tube filled with clear fluid due to injury or infection.
The inflammation and healing process resulting from such infection destroys the delicate finger-like fimbria, which extend from the end of the fallopian tube to the ovary. When injured, fimbria become fused together, thus closing off the tubes. Fluid then collects in the fallopian tubes, making it impossible for them to function.
The blocked tube may become substantially distended giving the tube a characteristic sausage-like or retort-like shape. The condition usually affects both fallopian tubes, (even when only one tube is affected, there is usually some residual damage to the other).

He drew the tube while explaining all this to us and it looked exactly like my X-ray.
Apparently somewhere in the past 10 years I had a infection that inflamed my uterus. He could not tell me what exactly caused it and that sometimes it's asymptomatic.  My suspicion is this has to do with a burst cyst or something related to PCOS. 

He went on to tell me that he believes the fluid in the right side is now damaging the left side (accounting for the partial blockage) and that the tube will have to come out.  The fluid is toxic and will kill any embryos and continue to damage the left side.  So I have surgery set for December 2.  He will try to repair the left side when he removes the right.  If its beyond repair the left will come out too.

Laparoscopy. This is a surgical procedure using a laparoscope -- a thin, lighted instrument fitted with a tiny viewing camera. The laparoscope is inserted into the pelvic area via a tiny incision in the belly button, enabling the surgeon to directly see the fallopian tubes on a screen.

I'm a little freaked out about this, I've never been in the hospital, never broken a bone, never had stitches. It's been a week and I'm still wrapping my brain around all these pieces.