Wednesday, May 16, 2012

The rest of the story

I hate to rush through the remainder of my hospital stay but I really need to catch up because I have a lot to say right now.

 
Anyway, I was admitted to the hospital on Sunday, 3/25/12, and had a drain tube inserted into my abdomen within an hour.  To say the insertion hurt doesn't even come close.  Yes, I was awake!  Over the next 12 hours the 800 mL bag had to be changed almost every hour.  The first night they drained 7.6 liters from my abdomen.  Yes, liters!  And later I heard from the nurse that the Radiologist was estimating that another 1.5 liters went all over the floor when I spewed like a geyser.  I was told more than once that I was definitely a Hall of Famer for not only 2012 but for all years they have been doing drains for OHSS.  You know what they say, if you're going to do be good at it!

While in the hospital I was on Heparin (blood thinner), Albumin (to help with the fluid retention, and IV fluids for the dehydration.  Someone from Houston Fertility Institute came by to check on me every morning and my RE called me many evenings just to see how I was feeling.  I was hoping to go home by Thursday but it was no go.  By Saturday, I was tired of having no privacy and my aching back was sincerely missing my Tempurpedic.  And finally on Monday, after 8 days, I was released from the hospital.

I must say that while I was there I had the most amazing nurses.  One was also a patient at HFI and had done 2 failed rounds of IVF and another nurse had been a gestational carrier for a family member.  I was really nice and reassuring that these women understood my situation.


The perks of being in the hospital:
  • room service
  • nothing else to do except relax
  • great care
 The cons of being in the hospital:
  • boredom
  • back ache
  • tiny, old, tube tv with 15 channels
  • no privacy
  • huge $$$ cost

Wednesday, April 25, 2012

BFP in the morning. :) Trip to the ER in the afternoon. :(

Wow, I have a lot of catching up to do.  So much has happened over the last month I don't even know where to start.  I guess I'll try the beginning.  :)

I tested at 10 dpER (I know, it was too early) and got a BFN.  I had promised myself I would wait until 14 dpER but I am not a patient person.  We decided I would POAS again on Sunday, March 25th at 12 dpER.  What time did I wake up needing to go to the bathroom?  Yep, 4:45 am.  That is how I operate.  Anywho, I went ahead and POAS and a 2nd line immediately came up.  As I sat there on the toilet this feeling of calm came over me.  I always envisioned that I would scream, bust out crying, something, anything!  Nope, I just sat there.  Not sure if seeing a 2nd line for the first time confused me or if it was the fact that it was 4:45 am.  I contemplated trying to go back to bed and not waking DH but there was just no way that was going to happen.  I woke him and told him the news.  It was such a great moment.  We laughed.  We cried.  We stayed up for about an hour talking about it and then went back to sleep.

We woke up around 8 am and I immediately knew something was off.  I really hadn't felt well for about a week.  I knew I had mild (maybe moderate) OHSS but was drinking an obscene amount of Gatorade, consuming extra protein, trying to rest with my feet up and at the same time get an adequate amount of exercise.  All in all, I thought I was managing.  Well, this morning I felt much worse and really dizzy like I might faint.  My DH was convinced that I just needed to eat breakfast (gotta love 'em).  We loaded up our dogs, stopped at the corner shop to get kolaches, and headed to the dog park.  It was a beautiful day and we wanted to be outside as much as possible.

I took a folding chair and just sat under a shade tree the entire time we were at the park.  The weather was cool but I kept finding myself sweating.  It only seemed to get progressively worse.  I finally told DH that I needed to go home.  Our house is about 20-25 minutes from the dog park as we had chosen to drive out to the 35 acre dog park in the burbs.  By the time we got home my hair was drenched with sweat (keep in mind I am not a sweaty person) and I was having trouble catching my breath.  Over the previous days I had a little bit of shortness of breath but nothing like this.  I logged onto my beloved private FB group and asked the wonderful ladies what they thought I should do.  Calm down?  Quit being dramatic?  Call my RE?  Overwhelmingly they all agreed I should call the RE.  I did and the receptionist (yes, they are open on Sunday) put me on hold to speak with the nurse.  She immediately came back and said the on-call Dr would contact me within 15 minutes and I didn't hear from him within that time to call back.  Somehow, in my head, I still didn't think it was a big deal and was almost embarrassed that I called in the first place.

Dr Williams (not my RE) called within 5 minutes.  He asked me a lot of questions about my symptoms.  He then very calmly told me to get in the car and go straight to the ER at Methodist Hospital - Willowbrook.  Willowbrook?  That's at least 30 minutes from my house?  I'm 10-15 minutes from The Texas Medical Center which is the largest medical center in the world.  Seriously?  Anyway, I'm a rule follower so I knew I was going to do what he said.  Did I immediately get in the car?  Nope!  I got in the shower because all I could think was that the medical staff would think I was dirty because I had been sweating profusely for the last hour.  Once in the shower, I lost it.  All I could think that was that after 2 years I was finally pregnant and here I was gasping for air.  Can't be good for the baby, right?  So let me tell you,  shortness of breath and uncontrollable crying are not a good combo.  I was trying to calm myself but was failing miserably.  I guess I just needed a minute.

We finally make our way to Methodist where the ER staff was expecting us.  It was crazy!  They were treating me like I was in cardiac arrest.  Long story short:  they put me on oxygen, ran b/w, took me for u/s, took a urine sample.  I think that covers it.  Anywho, my electrolytes were way off.  We actually heard the ER Dr in the hallway talking about me.  She said and I quote "This is not from IVF.  She is in organ failure and we need to immediately scan her organs".  My DH and I were freaking out.  We knew this was from IVF and definitely related to OHSS but I was terrified that it had progressed too far.  I have read that it can cause organ failure but I've certainly never heard of it happening.  Right then, Dr Williams walked in!  Thank God!  He was very nice and after reviewing all my tests agreed that I had severe OHSS and needed to be admitted to the hospital.

My stomach, by this point, was swollen to the point of looking at least 6 months pregnant.  Dr Williams argued with the ER Dr about whether they would drain the fluid.  He finally told her she had 2 options, she could have it drained that evening or it would to be done first thing the next morning.  Either way, it had to be done.  I do understand that ER Dr's know a little about a lot of medical dx but she had obviously never seen a patient with OHSS.  She basically turned all the decisions over to Dr Williams and he moved forward with admitting me and scheduled an on-call team to come in an install a drain in my abdomen.  I was told I would spend 1-2 nights in the hospital.  At this point, I just wanted to feel better.

To be continued...

Saturday, March 17, 2012

Suggestions for ladies going through IVF

I plan to keep adding to this list as I think of more things but here goes!

  • I wish I had 1 pair of maternity pants or skirt.  I know this seems silly but my stomach is so bloated and sore that I can't wear jeans.  I know it seems cart before the horse but my clothes are very uncomfortable right now.
  • Low-rise undies!  Must have!  I know it doesn't seem possible but the elastic on my underwear really bothers me.  I woke up this morning and had apparently folded mine into low-rise sometime in the middle of the night.  I wish it hadn't taking me this many days to think of it.
  • Make sure to be stocked up on food and lunch ideas if you will be home alone.  Going to the grocery is not adviseable.  I made this mistake and felt like I was going to faint or vomit in the middle of the store.  This was 2 dp ER.
  • Pretzel Crisps are a great snack and help with any nausea.
  • Prune juice!  Colace doesn't cut it.
  • Movies, books, and anything that will occupy you.

I  will add more later.

ER day!

So, my egg retrieval went very well!  We got 27 eggs which isn't bad for my old, crusty ovaries.  Of the 27, 23 fertilized.  That is a great number!  We are looking at a 5 day transfer on Sunday, March 18th.  I'm really excited and nervous to get the final fertility report on Sunday morning.

FX!

Sunday, March 11, 2012

What a roller coaster!

This past week has been crazy.  I had monitoring appointments on Monday, Wednesday, Friday, and Saturday.  On Wednesday my RE was concerned because I had "muchos, muchos follicles".  That was his words.  He was afraid we were looking at OHSS (Ovarian Hyper Stimulation Syndrome) which can be very painful and even land you in the hospital.  To avoid OHSS he suggested possibly doing a Lupron trigger (instead of Ovidrel) to avoid it.  The problem with Lupron is that it can interfere with implantation so if we did Lupron we would have to freeze all the embryos and do a FET later.  This didn't make me happy in the least.  I know the stats on a fresh cycle are a little higher than FET so I wanted that opportunity.  We just crossed our fingers and prayed for the best.

Fast forward to Saturday and our prayers were answered.  My estrogen came back at just over 3,000 and my lead follicle was 17 mm with most follicles at 16 mm.  My RE instructed me to stim one more night and trigger on Sunday. 

I'm so excited to finally be through with stims!  I trigger tonight at 9:15 pm and go in Tuesday morning, March 13th for my egg retrieval.  I'm nervous, excited, hopeful, terrified, scared, and so ready for this.