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OB appointment #2: 12 weeks, 1 day (detailed u/s description)

Posted May 12 2009 6:16pm
We had another meeting with Dr. Wonderful on Friday. To save you any suspense, all went well and things look normal. Now on to the tedious details!

I suspect the first part of every visit is going to be the same. We arrived on time, only to wait in a big-bellied waiting room for 30 minutes. Like last time, my mood spiraled down as I watched all the get-pregnant-easily people waddling around. I find my self defense is always to mentally trash on these other women. One woman looked like she was 19 and her boyfriend, husband, or younger brother looked like he was 12. Another woman reminded me of the guy in Beetle Juice who got his head shrunk in the afterlife's waiting room. It didn't matter what they were like really, I hated them all. No, I'm not bitter.

Eventually, we were called back, weighed and blood pressured. We were then taken to the OB's office to wait to speak with him. Since this was our official "new OB patient" appointment, we would talk about due dates and how I was feeling, what to eat/not eat, etc. (I was actually spared the later this time, thankfully - I had heard it twice before and knew all that long before I ever got pregnant the first time).

The interesting bit was when I went to pee in a cup while waiting for the doctor to arrive. I don't like this part very much. I don't know why, but it seems too . . . icky to pee in a cup and then leave my yellow goodness on a shelf along with others so a nurse can come by and stick a strip in it. The worst part was as I was leaving the one bathroom. There was an obviously pregnant lady waiting her turn. She gave me a big, "Phew!" and a look that said, "You know how we pregnant ladies are." As if we have this big thing in common. I wanted to shout at her, "We have nothing in common. You have no idea what it took for me to get here - huge amounts of grief, loss, money, marital challenges - and you could never, ever pretend to have a clue what this pregnancy is like for me." Actually, that is the clean version of what I was thinking.

We returned to Dr. Wonderful's office where Brad and I sat for another 30 minutes or so. He asked if I had any cramping or bleeding and if I was still feeling pregnant (no, no, and yes). Then we calculated the due date - perhaps he wanted to double check my math? He asked when implantation was and I said, "Well, retrieval was September 20th, but the transfer was the 26th." He then realized it was the retrieval date he wanted anyway and we, of course, determined that I my due date would be June 12th. As if I didn't know this date from the day we were scheduled for the trigger shot.

We then moved to the scan room. My OB really is a wonderful person and once again asked what level of care I wanted since he recalled I didn't want any ultrasounds with our first (low tech all the way for me). I told him (trying not to cry) that I no longer cared because now I realized there is nothing I nor anyone can do to save a baby. He said that choosing not to do meth, etc. does make an impact. "Ok," I conceded, "but a few ultrasounds now couldn't possibly have the impact IVF, ICSI and donor eggs have already had." He laughed and agreed that he was relatively low-impact.

So we did the scan. Right away we could see the baby move, but I insisted we look at the heartbeat. I didn't need to measure it, I just needed to see that flutter. Brad was unbelievably thrilled. Usually I am the pessimist, but I just have a feeling things are going to work out with this one. (Yes, I have been wrong before and I could still be wrong, but if it feels hopeful I won't talk myself out of it.) Brad, usually what I call a blind optimist was very nervous so seeing the baby move was like he was given a set of wings. We could see arms and legs moving this time. Dr. Wonderful pointed out the spine, rib cage, fingers and toes. At one point one of her feet was facing the u/s so we could see a perfect little footprint.

The conversation moved around the level of care that I wanted. He said in the future we can stick to a doppler, do scans sometimes or every time, etc. Dr. Wonderful added he wanted to do what he could to give me what I needed. I replied that I would like to avoid sitting in the waiting room. He said we can work something out - I could wait in the car and they could call me, or wait in his office or have the first appointment of the day. Brad and I like the last appointment of the day so we will do one of the first two in future appointments.

An already long post but we are not yet done with the post or the appointment!

We were then escorted to an exam room where I got naked and waited for another 30 minutes. I was due for my annual pap test so he did that. He also did a breast exam keeping in mind that I planned to breast feed. Dr. Wonderful joked that, "The baby would have to be stupid not to be able to latch on to those." In the spirit of infertility I also partly worried that he would jinx me and I would have a kid to messed up to latch on.

We then talked about the types of tests we would like to do. He pointed out that if we wouldn't do anything (as in terminate) with the information we would probably be better off not finding out. In the past, this was my opinion. I would accept and love and take care of any child we had. There is no way I would ever, ever terminate a pregnancy. Now that we have had a child that could have been severely disabled had he lived and had 40 plus embryos die, I find I am a bit more pragmatic. I hate to think of myself as someone who would terminate a life that could have some quality of life, but I also know that there is no way we could ever afford a sibling (at around $25,000 to $30,000 if we are lucky ) if we had to care for a special needs child. Well, we have some weeks to decide. We will see how it goes.

In the meantime I have scheduled my first appointment with my midwife. We will see her in less than two weeks.
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