family, parenthood, single mom by choice, SMC, trying to conceive, ttc

birthday card for my dad

So, it’s April 3 for at least another couple of hours on the west coast, and I’d like to honor my dear Dad on his birthday.

If you know my dad, you know that he wears his heart on his sleeve, tearing up with joy (or sadness) at the tiniest provocation–and this only gets more intense as he gets older. Years ago, he would raise a glass at the family dinner table to give a holiday toast and barely get a few words out before getting choked up. Now he just raises a glass and gets choked up wordlessly and we all laugh/cry and clink glasses and know what he was going to say: I’m so happy we’re all together.

I am starting with the tears because I’m sitting here teary as I consider all the things I could write.

My dad is someone who truly lives in the moment. He can get deeply happy about a cheddar cheese sandwich with kalamata olives and Miracle Whip. He will enthusiastically invite you to try one of his margaritas like they were just invented. He can’t wait to tell you about the YouTube videos he stumbled on, or the treasure he just found at the antique store for $30, or the crazy story he heard from some guy he met today at the tennis court. He treats everyone with deep interest and respect, whether at a dinner party or the grocery store. “How’s your day going?”

My dad has been wearing his collar up since before it was cool. Usually with a handkerchief tied around his neck. His sense of style is timeless.

Most important to me over the years is that my dad has always Been There for my sisters and me. I mean that literally and figuratively–he worked from home starting when I was in kindergarten, which meant that he was my Room Dad in school (likely inaugurating the title of Room Dad as this was in the 70s). Our parents were (and are) Around.

He took us on roadtrips to visit his parents in New England–his own father truly his opposite, an engineer who missed social cues, barked orders, and didn’t particularly express love. His mom, on the other hand, my sweet namesake, is where he got the goods.

These days, we do an incredibly good job of getting together despite being far apart, still giving each other the gift of Time. We talk on the phone. We Skype. We fly several times a year and pile into someone’s house.

Recently, my dad emailed me after reading a post to tell me how happy is that he’s my dad. And I just know that his dad didn’t tell him that, and many dads don’t tell their kids that, and my kid won’t ever hear that because he or she won’t even have a dad. And I feel so lucky that I’m his daughter. And excited that my kid will have a Grandpa Cha Cha.

There is no bigger supporter of the Solo Mama Project. My parents are tied for first place.

I remember my dad coming home from the hospital to bring me the news of the birth of each of my sisters. I remember sitting with him on the stairs while he wept with joy.

Thanks for keeping the joy flowing, Dad.

 

anxiety, fertility, IVF, ovulation, pregnancy, running, single mom by choice, SMC, trying to conceive, ttc, two week wait

the science

It’s a quiet Tuesday evening at home. The light is beginning to wane, and the fog is so thick that I can’t even see the hills. Big puffs of fog roll intermittently down my street. I’m getting used to this phase of not doing much… Just talked myself out of doing work tonight since it can all just simmer down and wait until tomorrow. I also decided not to start my taxes (again). We can’t be driven by the to-do list every hour of every day. Am I right?

Last night was IVF orientation class at UCSF. I got to meet my Patient Navigator, the woman I eventually need to talk to about the financials. Maria from the front desk was there and gave me a hug. The auditorium was full of around 80 people considering or beginning IVF treatment, all roughly my age, all likely having been through the ringer on this already. I walked in and took a seat in front so I wouldn’t be too tempted to peoplewatch and make up stories about what each couple was going through. A woman my age sat next to me–I eyed her wedding ring. Why wouldn’t her husband be here? I felt solidarity with her, and annoyed that he felt he had something better to do.

Dr. Cedars, who I believe had the longest wait when I first called UCSF, got us started with a PowerPoint slide of all the physicians on staff, including, yep, Dr. Tran. I gazed at his photo fondly. She went through all their background info and areas of research (they really seem like a bunch of pals), and then we covered the basics: pre-conception testing, various protocols, the retrieval process, the transfer process, success rates. I knew a lot of it already (it’s amazing how much medical knowledge you can retain when it’s about you), but it was good to hear it from start to finish. I learned that the uterus is actually “potential space” and when it’s empty it’s flat like a pancake with the sides touching. Also, the ovaries aren’t really hanging way out on the sides like a Georgia O’Keeffe painting; they are usually hanging next to the vagina, just millimeters away. Closer to the opening, making the retrieval process not as terribly invasive as one might initially think.

Dr. Cedars says she is more conservative than her younger colleagues who recommend that the only thing you should not do between transfer and pregnancy test is skydive. She no longer recommends bed rest but forbids anything bouncy (which actually brought tears to my eyes as I considered abstaining from running at such a stressful time). She doesn’t want the uterus to contract for any reason–the Valium for transfer day is a muscle relaxer to prevent cramping when the catheter is inserted. She also forbids fish oil (which I’m currently taking) and herbal treatments because they can supposedly cause your blood to not clot well. She said to stop the fish oil when starting stims.

Then we moved on to Dr. Rosen, the lab director, for a bunch of amazing photos and videos from the embryology lab. We got a virtual tour of the lab, with its super-pure air (pushed through 5 filtration systems), incubators with each shelf dedicated to one patient at a time, and these futuristic-looking machines were the operator sits holding a joystick in each hand–ostensibly to guide the needle into the egg and inject the sperm.

The ICSI needle is 1/10 the diameter of a human hair, and the egg is about the size of the period at the end of this sentence. (Probably smaller, actually.) This video game requires some serious precision. About 75% of their IVF patients do ICSI.

I was just reading about how they dehydrate the embryos so they don’t burst while frozen, and apply antifreeze (cryoprotectorant) so they don’t shrivel. It sounds so sad! Don’t tell my kid. Assisted hatching is something they do for women older than 38, since their eggs’ shells can be too hard. The methylprednisolone, whose purpose eluded me when my meds box arrived, is a steroid hormone with immunosuppressive potency, potentially helping the hatched embryo survive in the new environment of the uterus. For some reason not explained in my handout, it helps them implant better. (Did I sound like a med student until that last sentence?)

Suddenly, regular conception or even IUIs  seem practically irresponsible for how much they leave up to chance!

The last slide was a photo of a newborn with an extremely scrunched-up face, and the caption said, “A Healthy Singleton.” Which is the goal. And, honestly, all of the above science doesn’t necessarily feel all that connected to actual pregnancy and birth. I guess that’s why you get nine months.

It occurs to me just how action-packed this blog is going to get in the coming weeks. First, the baseline ultrasound. Then the play by play on stimming–watching for how many follies grow with ultrasounds every other day. I am already anxious about the successful injection of the HCG trigger 36 hours before retrieval–the timing has to be exact. Then: retrieval, the daily fertilization reports until Day 5, the two-week wait for the genetic test results, and then gearing up for the transfer cycle (I don’t even have that calendar yet).

We won’t know anything definitive for two months but MAN will we be busy. And by we I mean me.