rivka: (for god's sake)
rivka ([personal profile] rivka) wrote2008-02-05 02:15 pm

Aftereffects.

Just talked to my midwife's assistant. I was a little confused about my discharge instructions from the hospital, which said to follow up with my midwife in two weeks. Originally she had told me that I'd be following up with a perinatologist (an OB who specializes in high-risk pregnancies) to monitor my hormones, because if this is trophoblastic disease it will be vitally important to know whether my pregnancy-hormone level goes all the way down to zero and stays there. (If it doesn't, it means that tumor cells implanted somewhere else and are continuing to grow.)

At the hospital, apparently, someone told Michael that my hormone levels were lower than they'd expect to see with trophoblastic disease, and that they were leaning more towards thinking it was a "blighted ovum" - a fertilized egg so chromosomally damaged that it was able to produce a placenta (and therefore pregnancy hormones and symptoms) but not an actual embryo. But that's not something they can actually diagnose until the path report comes back - which won't be for two full weeks, because (among other things, apparently) they have to do a chromosomal analysis.

So it turns out that we're going to be following a middle path. I don't need to go straight to a perinatologist, but I also can't just coast until my two-week follow-up at the midwife's. Instead my midwife will be ordering weekly hormone-level tests until we figure out what the hell this was all about. That seems reasonable to me. It's somewhat of a relief that they're not just slapping me onto the full trophoblastic protocol, and yet I also really really want to know what my hormone levels are doing.


I am in a lot more pain today, although it's nothing 800mg of ibuprofen can't handle. I now admit that yesterday I was being a macho, irrational, self-denying idiot. So today I didn't just stay home in the morning - I stayed home, resisted the urge to do "just a little" packing or cleaning, and laid on the couch for two and a half hours watching West Wing reruns. And I asked Michael to arrange his schedule so that he could drive me to and from work.


Emotionally I am coming along. I am sad but not completely prostrate with grief. However, I notice that I am banking a lot on being able to get pregnant again almost immediately, and I suspect that if that doesn't, or can't, happen then I will probably fall apart in a big way. And that might well be a problem.

If this is trophoblastic, standard medical advice is that we not even try to get pregnant for a year. Which would realistically mean that we'd wind up with kids who are five years apart or more, which... feels like a family with a big hole in the middle of it, where another kid should've been. Honestly, even a four-year gap seems like too much to me, except that that ship has clearly already sailed.

It's also the case that I'm almost 35. Even if we can start trying again right away - if it's a blighted ovum, for example - there's no guarantee that it wouldn't take a year or more for me to get pregnant. And I'm pretty sure that I wouldn't handle that well.

I think I will be able to cope with a baby deferred. I don't think I'll be able to cope with maybe-not-another-baby. Or a family with a big aching hole in the middle, instead of kids close enough to play together.


I also notice that I am channeling a lot more emotionally energy than I normally would to planning and organizing things for Alex. This seems reasonably healthy as long as I keep things under control practically and financially. But boy, have I ever been doing a lot of shopping for the perfect big-girl bed with the perfect accessories. And the best presents for her birthday, two months away. It's nice to be able to divert my energy towards the kid I actually have. It's nice to have a kid to divert my energy to.

[identity profile] ailsaek.livejournal.com 2008-02-05 07:02 pm (UTC)(link)
So today I didn't just stay home in the morning - I stayed home, resisted the urge to do "just a little" packing or cleaning, and laid on the couch for two and a half hours watching West Wing reruns. And I asked Michael to arrange his schedule so that he could drive me to and from work.

Oh good.

However, I notice that I am banking a lot on being able to get pregnant again almost immediately, and I suspect that if that doesn't, or can't, happen then I will probably fall apart in a big way. And that might well be a problem.

Ouch. Yes, it could. I hope it doesn't come to that.

It's nice to have a kid to divert my energy to.

Very, yes.

[identity profile] fairoriana.livejournal.com 2008-02-05 07:06 pm (UTC)(link)
However, I notice that I am banking a lot on being able to get pregnant again almost immediately, and I suspect that if that doesn't, or can't, happen then I will probably fall apart in a big way.

I really, really, really understand this. My periods feel like they've never been further apart or less welcome. But I have a ton of confidence in your resiliency and humor to get you through this.
eeyorerin: (small erin with lilacs)

[personal profile] eeyorerin 2008-02-05 07:12 pm (UTC)(link)
Oh gosh, I still remember my first big-girl bed, with bookshelves in it, and a space for a lamp and a clock, and rainbow sheets. What will Alex's be like?

[identity profile] rivka.livejournal.com 2008-02-05 07:35 pm (UTC)(link)
It will probably be this bedframe (http://www.ikea.com/us/en/catalog/products/S39827962), which expands from child-sized to twin-sized and which also happens to be absolutely adorable.

The as-yet-to-be-determined part is the bedding. Alex's favorite color is yellow, and they don't seem to be doing too much with yellow as a decorating color right now. I am torn between this bedding pattern (http://www.amazon.com/Olive-Kids-Flowerland-Twin-Comforter/dp/B000MF85RS) because it's yellow, and this bedding pattern (http://www.target.com/Olive-Kids-Mermaids-Bedding-Collection/dp/B000NWX8P4/qid=1202152940/ref=br_1_8/602-7383912-4530211?ie=UTF8&node=337183011&frombrowse=1&rh=&page=1) because she's had an enduring interest in mermaids. I think the mermaids are cuter, but is it wrong to deny her bedding that comes in her favorite color?

...You see why this critical issue is consuming so much of my attention. It's so much better than so many of the other things I could be thinking about.

[identity profile] minnaleigh.livejournal.com 2008-02-05 08:08 pm (UTC)(link)
When I was a kid, yellow was also my favourite colour! And when we moved into a new house, I wanted a yellow room so much! Not a bright yellow or anything that could be considered offensive but a nice, pale yellow. It would have been *so* pretty, like living in a room painted with sunshine. But my room was across the hall from the guest bathroom, which was painted blue with brown accents. My mother felt that the yellow I picked would not adequately match the bathroom so she painted my room the same blue as the bathroom. Thirty years later I am still horribly upset by this! My parents haven't even lived in that house since I was 16 but I remember, oh, do I ever remember!!!

I plan to paint my rooms in Edmonton pale yellow and you know that I'm going to show my parents the room when they visit and be all, "HA! It took me until I was 35 but WITH NO HELP FROM YOU I FINALLY have a YELLOW ROOM! And you can't stay in it! You're sleeping in the basement on a really uncomfortable bed in a room where nothing matches! HA HA HA HA HA HA!!!!"

I'm just saying.

[identity profile] rivka.livejournal.com 2008-02-05 08:54 pm (UTC)(link)
So you're saying that if I buy the mermaid bedding I'm setting myself up for a lifetime of resentment, plus being relegated to an uncomfortable bed when I am old?

Hmmm. So many decisions.

(Why did your bedroom have to match a bathroom that was across the hall and wasn't even yours?! And why couldn't they paint the bathroom yellow?!)

[identity profile] minnaleigh.livejournal.com 2008-02-05 09:21 pm (UTC)(link)
So you're saying that if I buy the mermaid bedding I'm setting myself up for a lifetime of resentment, plus being relegated to an uncomfortable bed when I am old?

Yes. Also, you should be aware that the resentment could take on other forms. She could, for example, turn to a life of cheering for the Yankees. Cheering for the "wrong" sports team was a major resentment outlet for my sister and she never went back to the "right" team. How good are those mermaids looking to you now ;-)

(Why did your bedroom have to match a bathroom that was across the hall and wasn't even yours?!

Because a guest walking down the hallway to the bathroom would be able to see into my room and therefore it was important that it complement the colours in the bathroom.

And why couldn't they paint the bathroom yellow?!)

Because the brown accents in the bathroom wouldn't go with the yellow I wanted. And the brown accents in the bathroom were there to match the brown carpet in the hall which matched the brown carpet in the living room and the living room carpet was brown because the furniture was brown and cream because my mother wanted to have a living room decorated in brown, cream, and pink.

[identity profile] jerusha.livejournal.com 2008-02-05 10:10 pm (UTC)(link)
Because the brown accents in the bathroom wouldn't go with the yellow I wanted. And the brown accents in the bathroom were there to match the brown carpet in the hall which matched the brown carpet in the living room and the living room carpet was brown because the furniture was brown and cream because my mother wanted to have a living room decorated in brown, cream, and pink.

*is dizzy*

[identity profile] ailsaek.livejournal.com 2008-02-05 10:51 pm (UTC)(link)
I can actually see myself reasoning like that (that is much the way I decorate), but if the Small Child wants yellow, it's not impossible to find a yellow that doesn't clash.

[identity profile] nex0s.livejournal.com 2008-02-05 08:13 pm (UTC)(link)
The yellow one is fantastic! Maybe a friend can whip up a mermaid doll of some kind, but I think the yellow bedspread is far more awesome!

I'm soooooo happy you have Alex in this time. She must be such a comfort for you :)

N.

[identity profile] wcg.livejournal.com 2008-02-05 08:16 pm (UTC)(link)
is it wrong to deny her bedding that comes in her favorite color?

I'm guessing she's going to need more than one set of sheets. Y'know?
ailbhe: (Default)

[personal profile] ailbhe 2008-02-08 06:32 pm (UTC)(link)
Linnea has all the same sheets - but three different pillowcase/duvet cover sets. That's one to wear, one to wash, and one for spilling a midnight drink on.

[identity profile] rivka.livejournal.com 2008-02-08 06:55 pm (UTC)(link)
I think we'll probably spring for one set of the fancy sheets and pillowcase that match the comforter, and then buy her a couple of sets of plain yellow or white sheets for backup.
kate_nepveu: sleeping cat carved in brown wood (Default)

[personal profile] kate_nepveu 2008-02-05 08:23 pm (UTC)(link)
Is she too young to "unwrap" the bed and then get told for an extra-special present, she can pick the bedding from those two? Or would that not be a good gift for her personality regardless of her age?

Glad to hear you stayed home today.

[identity profile] chargirlgenius.livejournal.com 2008-02-05 08:27 pm (UTC)(link)
These are very important issues, which should take up most of your brainpower. Perhaps she would like a Yellow Mermaid?

FWIW, I’ve been so far impressed with your seemingly infinite ability to cope. I desperately hope that you don’t need to anymore, but I have faith that you can.
eeyorerin: (small erin smiling)

[personal profile] eeyorerin 2008-02-05 08:33 pm (UTC)(link)
Oh, all of that is absolutely adorable. I do think the mermaids are cuter, but the yellow bedding is cute too. Maybe yellow sheets, if they would go with the mermaid bedding? I think I saw some yellow in there.

Yellow was my favorite color when I was little, too. My parents let me have lemon-yellow carpet when they put new carpeting in the bedrooms, and I was so thrilled.

Clearly further research is needed. :)

[identity profile] ratphooey.livejournal.com 2008-02-05 09:51 pm (UTC)(link)
I love the yellow bedding! It'll age better than the mermaids.

[identity profile] erbie.livejournal.com 2008-02-05 07:19 pm (UTC)(link)
We have a 4 yr, 9 month gap between our children. While I'd have liked to have less time in between, that's how it worked out, and now that we have the two of them, and the younger is 21 months, we see that they have a wonderful time together. They may not be close in age, but they completely adore each other and have a great time together. My mom and her sisters who are 4 and 11 years older than she are also extremely close and have been since day one as well.

I'm not discounting your feelings of wanting them closer; I completely understand. But if you do have a five year gap, it's not necessarily going to mean they're not close.

[identity profile] wild-irises.livejournal.com 2008-02-05 07:30 pm (UTC)(link)
My niece and nephew are just about exactly five years apart, and they adore each other. The long gap tends to minimize the sibling rivalry to some extent. (My brother and I are 3-1/2 years apart, and that was good too.)

[identity profile] erbie.livejournal.com 2008-02-05 07:32 pm (UTC)(link)
I've found that with my kids as well. We have almost no issues with sibling rivalry and I don't kid myself that it's because of my fabulous parenting. ;)

[identity profile] rivka.livejournal.com 2008-02-05 09:40 pm (UTC)(link)
I am also telling myself that, because we plan to homeschool, our kids won't be as tied to rigid ideas of age stratification.

My brother and I are three years apart, but because he had a late birthday and I skipped a grade he was just one grade ahead of me. I think we felt pretty close in age - we played together a lot - but if I imagine us as, say, a sixth-grader and a third-grader (instead of a sixth-grader and a fifth-grader) it seems like we'd be a lot further apart. The grade system makes a big difference.

[identity profile] erbie.livejournal.com 2008-02-05 10:38 pm (UTC)(link)
I think you're right that homeschooling is going to play a big part in not being as tied to age stratification. They will likely be interested in the same things

FWIW, my brother and I are 18 months apart and we were never all that close, especially growing up. Looking back, I see that my (single) mom didn't do very well in fostering a non-competitive and loving relationship between us. I think parenting and coaching the sibling relationship is far more important to good relationships than closeness in age.

And as I said before, my mom and her sister who is 11 years older than she is are extremely close. My aunt was pretty much out of the house by the time my mom was in school, but they remained very close and do to this day.

[identity profile] erbie.livejournal.com 2008-02-05 10:51 pm (UTC)(link)
Also, given what I've read of your parenting style, I think they will be fine, whatever the age difference. That Alex is an amazing kid and any future kids of yours will be as well.
ckd: two white candles on a dark background (candles)

[personal profile] ckd 2008-02-05 07:38 pm (UTC)(link)
I'm glad you're taking care of yourself and getting some rest. I'm also hoping for good news on the health/diagnosis side of things for you.

[identity profile] annafdd.livejournal.com 2008-02-05 07:49 pm (UTC)(link)
Rivka, you are clearly not in a fit state to predict your future emotional reactions. You're still processing grief. If you have to live with only a loving husband and a wonderful child, which is the worst case scenari, you'll still have to"cope" with a lot less than most people. You'll do fine — believe you me. Once you are over this phase, a more realistic assessment of your life will come back to it. Jut focus on getting over the present and don't fret too much about the future, which is something you can't do much about now anyway.

[identity profile] rivka.livejournal.com 2008-02-05 08:26 pm (UTC)(link)
Five days ago, I found out there was a disgusting bloody mess where I thought there was a baby. Four days ago I had emergency surgery. I'm still waiting to find out if I have cancer.

What I'm saying is: this is not a good time to tell me what I ought to feel, or to remind me that other people have it worse off than I do. You may be the rightest person who has ever been right, but that doesn't mean it's helpful to tell me that I'm wrong to feel the way I do.

[identity profile] annafdd.livejournal.com 2008-02-05 08:31 pm (UTC)(link)
I'm sorry, Rivka. You are right, I was out of line.

[identity profile] rivka.livejournal.com 2008-02-05 08:38 pm (UTC)(link)
Thanks.

[identity profile] kalmn.livejournal.com 2008-02-05 07:51 pm (UTC)(link)
it is a cast iron *bitch* not being able to do things on the schedule you'd planned on doing them on, she says, having just moved another housemate into the baby's room.

also, that's totally the cutest bed ever. i have a twin bed in the basement storage room, but it's in the famed french provincial ugly style. ew.

[identity profile] aloha-moira.livejournal.com 2008-02-05 08:02 pm (UTC)(link)
Glad you stayed home to take care of yourself.

I just wanted to chime in on the spacing issue... my sister and I are six years apart, which is kind of an interesting dynamic - growing up it was a little difficult to have such divergent interests (especially as I was entering teenagerhood and she still wanted to play with Barbies) but there were positives too - I'm a much better advice giver because I've had the benefit of lots of hindsight by the time she needs my advice. :) But mostly I wanted to say that I never, ever felt like we were missing a sibling between us. And we're very close now that we're a bit older.
Edited 2008-02-05 22:32 (UTC)

[identity profile] minnaleigh.livejournal.com 2008-02-05 08:12 pm (UTC)(link)
I'm glad you're resting and taking it easy! And that you're going to be able to get the blood tests to keep an eye on your hormone levels while waiting for the path results!

It makes total sense that you'd be banking on getting pregnant ASAP. I really hope that you can start trying soon and that things go well for you and you make Alex a big sister before too much time elapses.

[identity profile] shandra.livejournal.com 2008-02-05 08:13 pm (UTC)(link)
Hugs and support to you.

It is really hard to come face to face with how little control we have sometimes over reproducing or building a family. I'm 37 and when I was growing up the pill was well established, and the message definitely was that babies come when you CHOOSE to have them. It's really hard that sometimes it doesn't work that way, and it is totally okay to grieve that.

But I am hoping that the results come back blighted ovum and you can get on the horse as soon as you like.

[identity profile] meglimir.livejournal.com 2008-02-05 08:35 pm (UTC)(link)
*continues praying, very hard, for your health*
pameladean: (Default)

[personal profile] pameladean 2008-02-05 08:55 pm (UTC)(link)
Hoping for the best possible health news. And I'm glad you're at home. I couldn't believe you went to work yesterday. (There is more than a tinge of admiration in there, mind you.)

P.

[identity profile] papersky.livejournal.com 2008-02-05 09:20 pm (UTC)(link)
In my vast anecdotal experience of grown ups, I think five years is a good sibling gap, often better than four.

At the very least you're going to need to have a few months of normal periods in between to get your body running smoothly for starting again. I think they say at least three months after a miscarriage.

The bed is adorable, and such a good idea. She'll love it. Incidentally, we still have the duvet cover we bought for Z's big boy's bed when he was three, and we sometimes use it, and we even sometimes use it for visitors. So don't get anything you'd be too embarrassed by in fifteen years time -- if we're not at all embarrassed by Noah's Ark, then I'm sure you won't be embarrassed by mermaids...

[identity profile] rivka.livejournal.com 2008-02-05 09:36 pm (UTC)(link)
I remember the story of the Noah's Ark duvet cover!

We've been talking up the big-girl bed for a while now, because I wanted the issue to be totally separate from a new sibling in her mind. She's pretty excited.

The layout of the new house is just perfect for moving her to a bed. She'll be across the hall from us, rather than up a steep and inadequately-safe flight of stairs. And she'll have a bathroom just off her room, so she can take herself to the bathroom independently. The idea of taking her out of the crib in our current house was really, really scary.

[identity profile] ratphooey.livejournal.com 2008-02-05 09:47 pm (UTC)(link)
Good for you for staying home. The West Wing is better than chicken soup for curing what ails.

Whatever gap you end up with will be just fine. Sometimes a bigger gap leads to smoother sibling relations, even.

At 34, you're as old as I was when I had my FIRST child! You've got some time to sort this out.

[identity profile] erisian-fields.livejournal.com 2008-02-05 09:52 pm (UTC)(link)
I have that big gaping hole where kids should have been. My ex didn't want more than two children (that's not why he's the ex, but it was an issue for me). After [livejournal.com profile] bridgeweaver and I were together for about a year, I miscarried at least once, possibly twice before I got pregnant and it stuck. There are 12 years between Shannon and Colin. The gap is just one of those things. Yes, I would have loved to have had more kids to fill that gap (with enough money and a big enough house, I would have been happy with a dozen kids--yes, I'm crazy).

Closeness in age doesn't mean the kids will play well together or even get along at all. Jackie (17) and Shannon (14) have a lot of ups and downs in their relationship. They squabble a lot, but when it comes down to it, they stick up for and protect each other from the rest of the world. Colin (2 weeks younger than Alex) thinks Shannon is the best thing EVER and she's pretty fond of him, too. My siblings (20 months younger and 4.5 years younger than me) and I are far from close as adults and we used to fight constantly as children. My parents set up my siblings and I to fight and not get along. I'm working to make sure that I don't do the same thing with my own kids. Each of my kids think one of the other ones is the favorite, so I think I'm pretty close. :)

[identity profile] sciamanna.livejournal.com 2008-02-05 10:11 pm (UTC)(link)
I have one brother, who is 6 years younger than me. We always played together. We never had the big fights and fallings-out that I hear a lot of siblings closer in age have (and sometimes repair, sometimes not), and I think the age difference did play a part -- lack of direct competition, for example. While I was a teen-ager, my brother apparently was seriously hero-worshipping me (I was never a very girly girl, it has to be said) -- I didn't realise this at the time, but I learned it from later reports. We were always quite close until I moved to a different country, and even today (20 years later), we get along like a house on fire when we do meet.

I would not worry about a hole in the family. I can't say much for your other worries (except wish you all the best and hope with you that they come to nothing), but this one, you can put to rest.

(And hey, focusing on Alex sounds just like the best avoidance strategy I've heard of yet!)

[identity profile] txanne.livejournal.com 2008-02-05 10:18 pm (UTC)(link)
I'm glad you stayed home.

FWIW, my brother and I are 3 yrs apart, we fought until I left for college, then we were friends, now we're friendly. My best friend and her sister are 5 yrs apart, they didn't fight much, and now they're very close.

[identity profile] juthwara.livejournal.com 2008-02-06 01:53 am (UTC)(link)
I can relate to the worry over not being able to get pregnant again more than I can say.

I read the blog of a couple who had trophoblastic disease a couple years ago (and have since gone on to have a successful pregnancy), and their research led them to decide to start trying again after only three months of negative HCG tests. It's at http://additionproblems.blogspot.com. Most of the trophoblastic stuff is in the first couple months of the archives (March and April 2005), or I'm sure they would be willing to share what they know if you e-mail them.

Hang in there. It's not often you find yourself hoping for a blighted ovum, but my fingers are crossed for you.
redbird: closeup of me drinking tea, in a friend's kitchen (Default)

[personal profile] redbird 2008-02-06 01:56 am (UTC)(link)
Staying home and resting sounds like an excellent idea.

I'm not a parent, but from what I've seen, there are a lot of good spacings between siblings. I think my mother is closer to her younger sister (five years) than her older (20 months difference).

[identity profile] mjlayman.livejournal.com 2008-02-06 05:15 am (UTC)(link)
Resting when you feel bad is always a good idea.

My brother and I are 17 months apart and we've never been really close. We have very different personalities and as adults, well, I'm going to hell, you know.

[identity profile] tea-dragon.livejournal.com 2008-02-06 08:37 am (UTC)(link)
The mermaids are adorable- I can see why you like them! Why not just show Alex pictures of both and let her choose?

I'm thinking of you and hoping that the big aching hole will get a little smaller and less achy. I don't think it's supposed to go away completely, but I don't think it will be this bad forever.

[identity profile] toadnae.livejournal.com 2008-02-06 03:52 pm (UTC)(link)
As to the bedding question, I will quote Betsy (kalmn) "embrace the power of AND!" :) Because really, how could you choose between those?

In terms of sibling distance, as I look at those I know and at my own siblings, I think personality really has more to do with it that age difference. There's only a bit over 2 years between my brother and sister, but they weren't close until high school. Now, they're drifting apart as my sister becomes my mother but yet pickier.

[identity profile] zanawake.livejournal.com 2008-02-06 08:16 pm (UTC)(link)
*sending best wishes for healing, body and soul*

gaps

(Anonymous) 2008-02-08 10:21 am (UTC)(link)
I'm glad that the medicos haven't gone into panic mode. There re time s when 'more tests' is a good thing to hear.
My first three were 2 years and 3 months apart (twins after the first). I'm here to tell you that's too close. My next two came after a 10 year gap, with the youngest born when I was 42. My oldest is 15 years older than the youngest. I didn't plan it that way, but it's turned out beautifully. Older brothers and sisters give little ones different kinds of things and vice versa, and you can't predict which is better. In these days of small and short families, we forget that for much of recorded history, people had many brothers and sisters of all ages. If they all love each other that's enough. And from what I read, you and Michael model that very well. Choosing beds is good too

Emma