June 10, 2010

What a Difference a Day Makes

... or I guess I should say a few hours! 

After everything that happened yesterday, our doctor, Dr. "V" (Mark Vajaranant) asked that I come back this morning to take another measurement of my hCG hormones to see whether or not my body was terminating the pregnancy on its own, or whether I would have to have it surgically removed. My appointment was at 10, they took my blood right away. (Right off the bat, I was slightly nervous because my body temp was higher than normal, which is a sign of pregnancy). 

Then I waited. And waited, and waited, and waited. I didn't get any word until 1 in the afternoon - 3 hours after my blood was drawn and sent to the labs! Needless to say, it would have been helpful if I took a magazine (or 3). The longer it went, the more nervous I got! 

Finally, Dr. V came into the waiting room and asked me to follow him. He pushed on my stomach and did a quick little exam, and there was no pain! (Hallelujah!) So, he explained that my hormones shot up over night. Yesterday morning, my hCG hormone was measuring about 522, and this morning it was 792! Because of this, and the fact that I had stopped bleeding, the doctor decided to take a closer look at my ultrasound pictures from the day before.

The mass that was seen in my right fallopian tube, he now suspects is actually a corpus luteum cyst. This type of cyst is very commonly present during pregnancies as it releases progesterone and estrogen during pregnancy.The reason the doctor thought it was an embryo before was because there is fluid floating around the mass (which he thought was the sac). After closer inspection, he now thinks that the fluid around the mass is blood. It's common that these types of cysts bleed (which would also explain the bleeding I've been experiencing).
More information can be found about these types of cysts here: http://www.ovarian-cysts.com/articles/ovarian-cyst-types/corpus-luteum-cyst.php

After he explained all of this to me, the first question I had was "Am I still pregnant?" I am thrilled to say that we are STILL PREGNANT, still expecting, and still on track. We're not out of the woods yet, though. Because he's not 100% certain that it is a cyst, there's still a possibility that we are having an ectopic pregnancy. He explained that things could go one of three ways: 1.) I could still miscarry; 2.) It could be an ectopic pregnancy; 3.)It could go on to be a normal, healthy pregnancy! (Come on, God, #3!!!!!!!!!) Because of all the uncertainty, the bleeding, the low hormone levels, and our last pregnancy that resulted in a stillbirth, it's considered a high risk pregnancy. I will be spending a LOT more time in the next few months in the hospital, doctors' offices, and clinics. I have more blood work Monday along with another ultrasound. I then have a follow up appointment at a doctor's office on Wednesday. 

Dr. V said he was hoping that by Monday my hormone levels will be over 1,000 - and if that's the case, we should be able to see a definite embryo in my uterus on Monday! (How absolutely fantastic would that be?!) If they can locate the embryo, and it's without a doubt in my uterus, we do not have to worry about #2 (ectopic pregnancy)!!! It will still be a high risk pregnancy, but hopefully, that will change. It would be absolutely amazing and wonderful. 

So, to all our friends and family who have been keeping us in their thoughts and prayers, keep all that positiveness coming! It has paid off beyond our wildest dreams and we are eternally grateful. While we are not trying to get our hopes too high, we can't help but be thrilled! There's still hope, and that's a whole lot more than what we had yesterday. :)

Baby Lauer - Disregard what I wrote to you earlier today.You have given mommy and daddy quite a scare! I hope and pray that we will get to see you Monday and you will be where you're supposed to be, growing, happy, and healthy! You have no idea how much reassurance that would give us. I know that's a lot to put on you, especially since you're going through a ton of stuff developmentally this week, but just you keep fighting! We all love you to pieces.

Heart Break

It seems like it was over before it even began. 

At some point Monday afternoon, this weird thought popped into my head and I couldn't shake the feeling the rest of the day. When Steve got home, I told him that I didn't "feel pregnant." (Looking back, it must have been my body's way of bracing itself for the next few days). He suggested that maybe it was because we had come down from our "baby high," since we told our parents and a few close friends and hadn't been telling anyone else. I thought maybe he was right, and kept my hand on my stomach the rest of the day trying to feel something. Then, on a trip to the bathroom, I wiped and there it was, the sign the something was already going wrong, the thing I was somehow preparing for before I even knew - blood. I sat there and stared for a minute, and wiped again thinking maybe I was wrong. Unfortunately, my eyes weren't playing tricks on me - it was as plain as day. I remember a horrible feeling washing over me as I started to whisper no. I sat rocking myself repeating no, no, no, no, please no. Then the waterworks started and there was no calming down. I walked out to the living room to Steve and he jumped up as soon as he saw me. At first he wasn't sure if it was hormones, but after a few seconds he understood. I didn't say anything, I just bawled. I went limp in his arms after a minute and he carried me to the bed where I cried uncontrollably for the next 30 minutes.

Normally, I don't overreact. I don't usually expect the worst (knowing that a lot of women bleed during the first few weeks of their pregnancy). But call it woman's intuition, call it being in tune with your body, call it whatever you want, I just knew.

By Tuesday, the blood hadn't stopped. The longer it went, the worse the worry got. It wasn't a heavy flow, the blood wasn't even red, in fact, there was very little blood at all - but nonetheless, it continued. Then came the cramps. I spent the entire day curled up on the couch clutching my stomach from the pain. At one point, it the pain was so bad that I couldn't talk, couldn't move, I could barely breath. I was scared, alone, and I couldn't even use my phone to call for help. Thankfully, after praying silently, I drug myself to the bathroom and got violently sick and then started to feel better. I called my doctors office, for help and advice (where I was scheduled the next day for my first prenatal appointment). Unfortunately, after explaining the situation to one woman, she transferred me to - I'm guessing - a nurse. I had to leave a message and I explained everything, gave my phone number, and was very panicked. I waited for the phone to ring and nothing. They never called me back. 

I knew going into my appointment on Wednesday that it wouldn't be the experience I was anticipating the week before. My hopes were dashed and I was just scared. The waiting room was tiny and with all 4 chairs taken up by obviously pregnant women, I was forced to stand in a corner. It was hot, I was on the verge of tears the whole time, and I was still bleeding. Finally, the nurse called my name and I went into the examination room. She took my weight and blood pressure and was so cheerful and asked if this was my first prenatal appointment. After nodding my head and obviously looking upset, she asked what my symptoms were. I told her I was bleeding and the smile left her face. "Are you having a miscarriage?" I kind of laughed and said that I had no idea what was going on, and that's why I was here. (Seriously? Bad question, lady). She immediately got the midwife who came in instantly and started asking questions. She was very kind and gentle and explained her concerns with me. After a very painful pelvic exam, she left to talk to her attending. She came back and said that she called the emergency room at UIC Hospital and they're expecting me. She explained what she thought was going on and gave me directions. I didn't even get to finish filling out my paperwork. 

I left dazed and confused. I called Steve at work, and thankfully, he was able to leave. I drove and picked him up and he drove us to the emergency room. We were taken to the OB floor of the hospital and immediately, my blood was drawn and a few other little tests took place. Then, we started the waiting game. We didn't know a lot of what was going on, and so we just waited. For over an hour, nothing happened. I finally went out and asked a nurse if I was going to have an ultrasound soon (as we watched 5 women go into the ultrasound room who arrived after us). We waited another 30 minutes, and finally a midwife came and talked to us. 

She said that my blood work was inconclusive and that they probably won't have a definitive answer for us as to what's going on when we left the hospital. My pregnancy hormone level was extremely low. I explained how 2 weeks prior, it was high enough for two at home pregnancy tests to pick it up. She scribbled a few notes, looked over my family's health history, asked a few more questions and told us that we were next for the ultrasound. 

After more waiting, we went into the room and started the ultrasound. The midwife was there, there was a tech, the doctor, and Steve. They did an internal ultrasound and after searching for awhile, found a small mass in my right fallopian tube. The doctor then did another quite painful pelvic exam and said they wanted to keep me overnight. Because my hCG hormones were so low, and they found a mass, they said I have a tubal pregnancy. (An ectopic pregnancy is when the baby implants somewhere outside of your uterus, and a tubal pregnancy is when it implants inside your fallopian tubes. It is very dangerous and there's no way to transplant the fertilized egg into your uterus). 

So there it was. Amid a sterile, cold environment, I found out what my body was telling me. That I was not going to be a mother in February. Steve and I had another heart break to face. I couldn't cry, I refused to cry in front of doctors. They were explaining to us what was going on and I had tuned out. The realization hit me that not only was I not going to be a mother, I had a little time bomb in my body that if it went off, I would need major surgery, and could possibly lose my right tube and ovary. They left to allow Steve and I to talk things over. I just asked him, "So I can't have the baby?" He gently told me no and hugged me. I refused to cry but the damn tears started welling up and I did everything in my power to bite them back. He started telling me that the doctor wanted to keep me over night, in case the tube would rupture. He also said that because we live so close to the hospital, I could go home but needed to watch out for certain symptoms. I just wanted to go home. I didn't want to get into a hospital gown, hooked up to monitors and IVs, and lay in that cold, sterile room. I would go insane. I just wanted to go home. 

The midwife came back and was very sweet. She sat with us and asked more questions. She answered questions we didn't think to ask, she told us questions to ask the doctor, and she held our hands. She was very sad for us and very kind. She explained that if we go home, I had to come back the next morning for more blood work. If my hormone levels stay the same or lower, that means that my body is handling the situation 'naturally.' If it rises, that means my body is continuing with the pregnancy, and the doctors will have to terminate it with laparoscopic surgery. 

So this morning, I have an appointment to find out whether or not my body is aborting the embryo that I'm so in love with, or if I have to have surgery to terminate the pregnancy that I wanted so badly. Neither seems fair.

After going through our terrible loss of our daughter in January, I told Steve once we found out about this pregnancy, that it had to go right. It had to be okay. I couldn't handle another heart break. And yet, here we are, realizing that having a child will never be easy, wondering how many more times we will be pregnant before having a baby. I know I have to stay strong and be positive, and I will get there. But for now, I just feel sad and broken. 

Baby Lauer - even though I can't hold you, even though you're still a tiny little spec, please know that you were loved and will always be. Your father and I wanted you so badly and are torn up that we can't have you. Keep your big sister company in heaven. And please know that someday, daddy and I will meet you and hold you and we will continue to remember you and love you each and every day until then.

June 6, 2010

Letter to My Angel

Baby Lauer,

I'm practically counting down the hours until I go our first prenatal appointment - 2 days, 13 hours, and 40ish minutes. (I guess that means that I'm literally counting down the hours). There are a million reasons why I'm excited to go:
1. I get to talk about you more! :)
2. We found out about you very early, so we can make sure everything's going well with you developmentally.
3. I get to ask a million questions about the new things going on.
4. There's a VERY small chance that I might be able to see your heartbeat. (I'm torn here, b/c I know daddy would be really sad if he didn't get to see your little heart pumping away too). 
5. There's also another very small chance I might get to get my first glimpse of my future son or daughter!!! (Again, I know daddy would be upset if he didn't get to see you).
6. We'll find out your official due date! (So excited to hear when you might grace us with your presence!)
So by now, you know your dad's not going to be able to make it to the appointment. There are a few reasons for this. This was the earliest possible time they could get me in and since it's during the day, dad will be at work. Also, I know that it's going to be a long, grueling appointment because of your sister and I didn't think it was necessary for your dad to miss several hours of work. He drove me by the doctor's office this morning, so he would know where we'll be on Wednesday morning and I know where I'm going. He's a pretty sweet guy, your dad - we're pretty lucky. So please, little one, be on your best behavior Wednesday morning - we certainly don't want to miss the appointment or get sick on the doctor or anything.

Yesterday, you and I took an adventure up to Vernon Hills, Illinois to hang out with Emily! It was a fun day and she surprised me with some adorable pregnancy scrapbook stickers! (And as I'm sure you're already finding out in there, your mommy loves paper and scrapbooking and you. So anything that combines all 3 is heaven!!!) Auntie Em (as she likes to refer to herself) also took us for an amazing brunch to celebrate you! She's just the sweetest, isn't she? You liked lunch a lot, I promise. We got to preview where her gorgeous wedding will take place on July 23rd of 2011 - it's hard to believe that you'll be 5 months old by then! On the way home, there was a lot of heavy traffic and someone cut me off. To avoid the accident, I had to slam on my brakes and swerve - and the seat belt really dug into my tummy where you're living right now. I was so upset because I instantly started cramping up, but I prayed and the pain went away. You're doing just fine today and not giving mommy any troubles, so I'm hoping that all is well in there. 

Daddy is very much in love with you already. He keeps touching my tummy and he's been sleeping with his arms wrapped around your home. He's so excited to see you for the first time and hear your little heart beating away. We talk about you nonstop and he makes sure every morning that I'm taking my prenatal vitamins. (Your Grandma Royer keeps on me about feeding you constantly!) Dad and I have already discussed a few possible names for you - we're just so excited about you! He told me that I had to sing to you everyday and that he's never going to sing to you. (You'll learn this quickly about your parents, but mommy can sing pretty well and poor daddy can't carry a tune!) He wants to make sure that you have the best advantages in life. We went by a gorgeous college prep high school today and if we live in this area, we decided today that we'll send you there. 

I hope you can tell that you're the center of our world even though your little organs haven't developed yet and your heart hasn't started pumping. We talk about you all the time, think about you nonstop, and our love for you has continued growing since the moment we found out about our wonderful surprise. I know you've heard some talk about your angel sister, who would have almost been 2 months old by now. She was a very sick little baby and she came way too early. Since daddy and I have already done so much for you, I'd like to strike a deal with you. We will continue to take care of you the best we can for the rest of your life, if you promise to stay in there for 9 months and stay healthy. That would be wonderful.