Small Victories

Kevin's surgery results are in!  It has been a very long ten months in between these two tests.  A lot of waiting.  Waiting to get set up with a specialist, waiting for the consultation, scheduling the surgery and waiting some more, waiting four months after the surgery to see if it actually did anything, etc. etc.  The fertility clinic told me they were anxious to get the results in because they haven't really seen a case like this before and wanted to see if the surgery actually changed anything.  Yeah, imagine how I feel if my doctor is anxious! Haha.  I've put the results into a table so that they would be easier to read and understand:

Test	February 18, 2015	December 17, 2015 (16 weeks post-op)
DNA Fragmentation	32 (abnormal)	22 (borderline)
Oxidative Stress	4.6 (abnormal)	4.0 (borderline)
Decondensed DNA	8 (normal)	5 (normal)
Chance of live birth with natural conception	Poor	Reduced

My first reaction to the results was relief.  The surgery actually did SOMETHING at least.  It was soon followed with a bittersweet feeling of, "Ok, it improved, but not enough to be in the normal range, does this mean more waiting?  Is it good enough to try again, or is it still a big risk?  Will it get better?  What if it gets worse again?"  Kevin's reaction was more disappointed- obviously we were both hoping he would be totally healed and then it would be an easy decision.  But I can't complain, I am SO thankful to see a positive result come back for once.  And I know from my conversation with the Reproductive Urologist after the surgery that it can often continue to improve.  Healing takes time.

Our reproductive endocrinologist was actually very impressed with these results- it seemed they were better than what he anticipated.  His response was along the lines of, "The scientist in me would like to see if it got better in three more months, but these results are good enough that you can attempt pregnancy again if you're ready."  So our chances of not losing the next baby were better than they had been, but could get even better,  Tough choice- only because I've been feeling impatient.

In the end, even though we were really hopeful that we could try again right away, we decided to wait and retest because I want to give our next baby every chance.  If waiting three more months, and having Kevin continue the antioxidant therapy puts his next test in the normal range, it will be well worth it.  It takes longer than that to recover physically from a loss- I would rather just not go through all that again.  So the next tentative test date will be around March 17.  After that we'll probably try for a baby regardless of if the results are the same or if they have improved (because at that point the numbers will probably stay close to what they come back at.)  If we conceive again and lose the baby, it could be likely that my health issues are the larger contributor to our problems.  Our only option at that point would be IVF with ICSI where they let the embryos grow and test them for genetic viability before placing them in the uterus.  Even at that point, if they know the embryo is healthy, they are not sure I could carry.  If we lose a baby after the assistance of IVF with ICSI that's probably the end of the road for us as far as having more biological children.  That's as far as modern medicine can take us.  But that is a couple years out at least- if for not any other reason than the huge financial cost.

We've had lots of other changes at home recently.  I left my job at the hospital.  It was not an easy decision.  There was much wailing and gnashing of teeth and I pretty much had a full identity crisis.  I loved my job and I felt like it was helping me in so many ways.  However, with Kevin's new schedule this last year of his doctorate, I knew it was the right thing to do to stay home.  Not only would it be costing me money to work (between insurance and child care). but I don't know how I could put more responsibility on Kevin to also take care of Jack every evening.  He's working 12 hour days (for no pay), has three additional classes, and is studying for the national exams in less than a year to be a DPT.  I can't imagine asking him to also pick up Jack every night, make dinner, put him in bed, and try to spend any quality time with Jack.  I didn't want to have to farm my four-year-old out all over the place (because daycare isn't even open that late) for me to be able to go to work...to make no money.  I'm sure Jack will be happier at home.  Staying home is going ok so far.  There was a lot to work out financially and insurance-wise, but the Lord has provided.  I feel like an important anchor for the family, and I've been super busy still.  I'm just as exhausted as I was when working- so that's probably a good sign.  Jack has lots of activities including gymnastics preschool, music lessons, and swimming lessons.  I had to take him out of private school since I'm not working and couldn't afford it.  I'm still hoping that somehow I can get him into kindergarten in the fall- he is so ready and his teachers have agreed.  We've applied for a tuition grant for private school since he barely misses the age cutoff.  We meet the qualifications for the grant, but they choose by random drawing, so it's in God's hands now.  We'll find out between May and August this year if he got the grant.

Other changes at our house- we got a puppy!  He was nine weeks old when I brought him home.  I named him Mozart.  I've been begging God for a baby for so long; I'm happy with any type of baby at this point.  He is a ton of work and has way too much energy, is not house trained, and has to have an eye on him at all times- so, perfect. :)  He keeps me busy and productive.  Plus he thinks I'm his real mommy and actually wants me to carry him around most of the time.  He snuggles with me lots and just makes my days better.  I'm still trying to convince Kevin that he is worth liking.  

I'm sure some of my readers deal with anxiety, so I'm going to share a few things I learned from my counselor about panic attacks.  I told her that I was racked with guilt because church was getting more difficult for me to go to and the dread on Saturday night was causing predictable weekly panic attacks- like clockwork.  I was physically ill almost every Sunday morning, with either a migraine or stomach flu symptoms and I wondered if I was actually making myself sick as to have a valid excuse not to go.  Since the spiritual aspect of church is something positive in my life, I wanted to understand how I could enjoy that blessing without all the anxiety.

She told me that the biggest indicator predicting a panic attack is having had one at that location in the past.  Since my first ever panic attack was at church, and the several that followed were also, my body is already on high alert just thinking about being there.  We talked about how fight or flight hormones are amplified when you are scared of having an attack or embarrassed that you're having one.  Fight or flight is a natural response, but it's happening in an inappropriate situation.

My counselor explained that the best thing I can do for the panic attacks is to have a "so what" attitude about it, and just let it happen.  That people notice less than I think, so if I'm shaking or hyperventilating, just let it happen.  The calmer a person can be, the shorter the attack will be.  You feel out of control on the inside, but you aren't really out of control.  It's just a response.  It's nothing you haven't dealt with before.  It's going to happen- then it will be over.

She taught me that while it is important to be kind to yourself and do things that help you get through the pain of the day- you must draw the line at avoidance.  Avoidance is instantly rewarding, so your body will increase the anxiety felt each week in order to get that same result and gratification.  She said that our brains have more power than we know- and it's no surprise I find myself ill on Saturday nights- and that it has increased in severity over time.  By doing everything I can to help the anxiety EXCEPT avoiding it, I will eventually overcome it.  I told her I feel fake going to church with a smile when I feel crazy inside.  She said it's not fake- it's just battling that fight or flight feeling.  Going will also combat the guilt that compounds into depression, and more anxiety about the situation.  So I do the best I can, and I have tried to not avoid most situations that I know are difficult for me.  Is it easy? No. Absolutely not.  But I'm working on it because I believe she made some really good points.  She did tell me that it wasn't necessary for me to attend events like baby showers- but I should continue to find the strength to go to church. In moments of panic, I should focus on feeling my feet on the floor, hands on the steering wheel, etc. 

Even though I'm not an employee anymore, she said we could have one more visit in a month to see how things were going with me staying at home (and hopefully not retreating into my house all day every day).  She wanted me to find fulfillment in other things and find ways to meet all the needs that having a job was meeting.  My counselor also thought a dog would be great for me, so I'm sure she'll be happy to find out about Mozart :)

I also visited my doctor and we adjusted my medication a bit.  I have been on a new medication for sleep that also acts as an anti-depressant, and it is the best thing that ever happened to me.  I sleep so much better, and wake up with more energy and motivation to start the day.  Fortunately it's not an addicting sleep aid and it's not one that makes you hallucinate or forget things (ambien terrifies me...)  I've also had an "as needed" anxiety med.  I don't feel like it makes a huge difference in moments of panic, but I think it helps keep me moderate when I take it once or twice a day.  It doesn't make me sleepy or anything to take it- and it's not a benzo or anything addictive.  I'm hoping that I can manage with it so I don't need to switch to anything more dangerous or addictive.  I'm trying to use mind power instead ;)  Music is so powerful to soothe the soul- I'm so thankful that I discovered that power early in my life so I can use it now.

Jack has started to ask about babies frequently lately.  Questions like "When are you going to grow another baby?"  I thought when those questions started they would make me upset, but I actually find it sweet that he cares.  I just tell him that I don't know when it will happen.  I haven't shared any other details of the situation with him yet- there's no need for him to worry about things that are out of our control.  He told me the other day out of the blue, "When Daddy finishes school and we buy a house, we need to have a yellow elephant room."  I asked him why on earth we would need that.  He replied, "When you grow your next baby she will be a girl and I think she'll like elephants.  And we should paint it yellow because she'll like that color like you."  I really hope he has vision that I don't have.  I'd love for him to choose a nursery theme.

I was watching a movie where one of the characters was pregnant.  There was a scene in the movie where she was sleeping peacefully with her hand on her belly, and her husband was talking to their little one quietly as to not wake up his wife.  It was a very sweet moment.  Then the next scene showed her in the morning, walking then suddenly stopping, wincing, grabbing her belly in pain.  My heart started pounding right there in the theater because I felt it.  That pain.  That fear.  I remembered exactly how it felt- all of it.  Not a memory of the experience- I was experiencing the emotions all over again.  I almost forgot how much they hurt.  All the sudden I felt dizzy and felt the urge to be violently ill.  I felt Kevin's grip on my leg tighten and felt some comfort in knowing he knew what I was feeling.  As the character was in the doctor's office and had it confirmed that the baby was dead, I was frozen inside with fear.  I couldn't believe how hard those emotions hit again just by being reminded.  The positive pregnancy test and the optimism that you try to keep despite the reality that your chances are not good.  The short time where things are going right and you allow yourself to feel hope.  You try not to let worry put stress on your body.  Then the pain comes, you try to ignore it or explain it away, but the dread settles over you like a heavy blanket.  Then comes the devastating "there is no heartbeat" appointment. Then the grief and hopelessness washes over you.

Watching this movie, I felt all the emotions come back like a punch to the gut and realized I was beyond terrified to try again.  Kevin asked me after the movie if I was ok since there was a rough scene in it.  I thought about how the same character went on to have 2 healthy babies after the one loss and how that likely wouldn't be the case for me.  I looked at Kevin and said, "I can't do it again.  I just can't go through it again.  I can't lose a 7th baby in a row.  It's impossible and I'm terrified.  I can't do it."  I hope God knows me well enough to know that.  It's coming up on a year since my last loss and although our chances have improved I'm terrified to go through the ordeal again.  There is hope, but I am crippled by the fear that a few months in the future an 8th pregnancy will bring us a 7th loss instead of a 2nd child.

One night I had a particularly embarrassing breakdown in front of many family members as we were having a post-christmas party.  I was met with so much love and support.  So much empathy.  I was encircled with love and felt my heart burst with gratitude to God for such loving family members.  My brother, brother-in-law, and husband opted to give me a blessing.  In the blessing, I was told that although I couldn't understand why at this point, there were reasons for this trial.  I was also told that though the heartache was difficult, I would have "small victories" to keep us going and to have hope for blessings in the future. I pray that 2016 will continue to bring those small victories because I'm just not sure how much fight I have left in me.  

Fortunately I have seen those victories start to happen already.  I'm so happy with Kevin's post-op results.  I have such wonderful family and friends supporting me.  I've been blessed with knowledge from my counselor that I can use to combat my anxiety.  I have a wonderful loving puppy who keeps me busy during the day and out of dark places and despair.  And I have all of you- thanks you for your support and love.  I really would have lost my mind by now without it.  I hope this new year brings all of you miracles and happiness!