Thursday, May 3, 2012

Short But Sweet


Monday was my big day – hysteroscopy with possible removal of adhesions.  I’ve mentioned before how much I heart my ob/gyn, but I have to say it again.  We got to the hospital, were settled in our room and she came to visit.  She talked about what would happen, how things would hopefully go and what to expect.  She was going to run back to her office across the street to grab an IUD in case there was scarring.  She’d use this to keep things open and then we’d be on estrogen for about a month to help the healing. 

She came back with the IUD, just as my anesthesiologist was getting ready to do her thing.  I tried to ask her a question and just started crying, “I’m so scared it’s going to be bad.”  She sat down at the side of my bed and she looked like she was going to cry.  “I know I’m not supposed to say this, but I’m scared, too.  I really want this for you and I’m really emotionally invested in this.  That’s why I brought Dr. J to help.  I just want another pair of eyes and guidance.”  It was the first I’d heard that she was bringing a wing man and it didn’t make me feel worried or scared that she was scared, it made me feel relieved.  I think being a little scared can help us be great, can help us do well, can keep us focused and it also means she’s human.  I like that about her.  So we went in, all the while talking about a New Yorker article I’d read at work about how teachers and doctors can benefit from coaches.  Timely.  It also helped that Brett brought up the Checklist – how doctors have become more efficient and successful when using checklists.  Looks like I brought my own wingman!

In and out.  I was knocked out by 11 am and was starting to come to by noon - such a surreal feeling coming out of surgery.  And there was Dr. Johnson, “Everything went great, no scarring, we got in. I didn’t use the IUD.  I’m going to talk to Brett.” That was about all I remember, that and being overjoyed that things were okay. 

When I finally got to recovery, Brett filled me in on the details I never would have remembered before.  At first, they couldn’t get the hysteroscope inside.  She actually had to use a device they use to dilate tear ducts – TEAR DUCTS!– to get inside.   Afterwards I had a chance to really think about this.  If all goes well, eventually, something akin to a Thanksgiving turkey is going to need to squeeze through a space that currently can only be accessed by a device made to get inside a TEAR DUCT!  But we will deal with that when we get to it.  She dilated my cervix is and hopeful that it will continue to stay open.  But other than that, everything looks fine.

I’ll admit, that sweet joy lasted a day and most of it I was still high on anesthesia.   The next day, she called to tell me that she wondered if perhaps the light periods were the result of low ovarian reserve.  In my mind, this was the worst diagnosis.  And it might not be because of my age, but due to the chemotherapy 8 years ago.  She thinks it might be good for me to go back to the RE (reproductive endocrinologist) and have him run some tests to see. If it is this, it means that having a baby will be really tough, if not completely unlikely.  Depends on how bad the ovarian reserve is.  It's hard to think about really and there is a part of me that just doesn't even believe this could be the case.  I know that Western medicine has it's limits, and I'm certainly more than willing to continue to explore other options.  But first, I need to make sure that we've done everything we possibly can within our limits - both emotionally and financially.  I'm trying not to focus on that later bit.  I am not sure how we will pay for the RE if he thinks we need to do serious fertility treatments.  Guess we'll cross or not cross that bridge when we get there.  Unfortunately, insurance doesn't cover any of it.

In the meantime, I’ve purchased the book “The Infertility Cure,” have made an appointment to see a Chinese Medicine doctor, continuing with acupuncture and started back at yoga.  I vacillate between feeling utterly defeated, exhausted and disconnected from Brett because I’m so damn focused on myself and feeling overly optimistic, like I’ll be damned if I went through all that cancer ‘stuff’ and have ‘this’ (whatever this is) get in my way.   

Maybe they call that bipolar?  Hope not!  That’d just be one more thing to fixate on – great!

So… not sure where this leaves us.  I guess we will just continue on this path, doing what we can until we can’t go any longer.  In the meantime, I need to create some space away from the worrying and fixating.  Not sure how to do that just yet, but I’m working on it.

Oh, and did I mention we got baby chicks?  Three of them.   Hopefully they will bring us some good luck.