Friday, April 19, 2019

Results are Chemical Pregnancy

We took a blood test on Wed and our HCG came back at 8.  This is extremely low.  It should have been above 20.  We took another today and it came back at 2.  This is officially classified as a non-viable, chemical pregnancy.  I'm stopping all meds and this journey is officially over.

We are of course devastated by the news. Tears haven't even begun to be shed.  It will take awhile to process, but when I started this blog and this journey, part of the reason was to be open and honest about how insane the roller coaster of emotions all of this can be.  How unfair it all can be.  How everything you do can be the right thing, follow all the protocols, the diets, the appointments, spend all the money and still have negative results.  Infertility is a cruel unfair world and sadly we have seen all this before.  I honestly tried my best and did all I could and still didn't get the results we wanted.

I am heartbroken for my son, who not only lost his twin, but now has lost any chance of having a sibling.  I will hold him closer tonight and am truly thankful for the blessing that he is.  As I am typing this, I'm thinking about what little chance we had to have him in the first place, how high risk our pregnancy was, how we had originally been told we were having a miscarriage, how we had a high chance of losing him when we lost his twin.  I always feel blessed to be his mom, to finally be pregnant and then to finally hold this precious baby boy.  We chose the name Duncan because it means warrior and boy did he fight to be with us.  And now he is lucky enough to have two more guardian angels join in looking over him.  I'm going to hold my little warrior just that much closer tonight and try and focus on what a blessing my guy is.

We will battle through this and come up for air eventually and figure out how to move on from something that has been a part of us for so long.  Thanks for all the love, kindness and support all of you have given us.

Much Love,
HEATHER


Wednesday, April 10, 2019

I'm PUPO

It's an infertility term.  It means Pregnant Until Proven Otherwise.  It's a weird state of limbo to be in.  Technically if I am pregnant, I would be 6 days pregnant because we transferred 5 day old embryos.  6 days pregnant doesn't mean really anything to my body, however the mind is a power thing.  Every breath almost makes me wonder if I'm pregnant.  Plus a few of the medications I'm on have similar pregnancy side effects.  And on top of that I have some slight cramping, but that's probably just due to the progesterone and the FET procedure itself.  It's still a funny spot to be in though.  Just constantly wondering.  Dealing and living through this so many times, it still never gets any easier.  The wait is always the hardest.
So what to do to pass the time?  Number one this to do is pray.  My Aunt wrote me a prayer and I've read that a few times.  I've also prayed on my own.  Now more than ever is a timenfor faith.
The next thing I do is talk to my babies.  I place my hand below my navel and welcome them home.  Promise to keep them healthy and well fed.  Promise to love them and grow a beautiful home for them.  Aside from that, there are lots of superstitions and good luck charms surrounding the infamous waiting period.  If anything,  it just makes me feel like I'm doing something and somewhat participating in the process.  I eat Brazil nuts daily.  Brazil nuts contain selenium, which is a mineral that helps to thicken the uterine wall, and a healthy lining aids in implantation.  I take selenium pills, but add eating brazil nuts after transfer.  I also eat pineapple.  Pineapple contains bromelain which has anti inflammatory properties that has a natural anti-inflammatory effect.  I eat warm things and drink tea and lay on my back or left side to increase circulation to the uterus and try and sit as little as possible.
Lastly I have some lucky charms.  First off, on our last trip I found a beautiful egg ornament in Hungary that came with a beautiful story about fertility.  It spoke to us immediately and we bought it and carried it with us everywhere,  continued taking it to every prenatal appointment and took Duncans newborn photos with it.  This whole trip I was looking for something to bring us luck and nothing spoke to me.  The day before our transfering, I was putting something in the diaper bag and found a small bag containing a necklace from Ryan's grandmother who recently passed away.  We were at her home recently and Ryan's mother let me choose what I wanted and I choose that.  I thought I had put it with the stemware I also brought back, but it was sealed away in a special pocket in the backpack.  As soon as I found it, Ryan said, "maybe that's our good luck charm".  Heck ya it is!  His grandmother was always so supportive and special and would send us these beautiful cards during all our previous cycles.  This is for sure her looking over us.  She is our guardian angel.  I put the necklace on and wore it to the transfer.  Duncan asked what it was and I told him it was Grandma Rita's and he said "I love you Grandma Rita".  And we do love her very much and feel so special to have her looking out for us.
Lastly I have another pair of lucky socks on.  Todays socks are lemurs.  Lemurs hold a special place in our hearts.  We have a memorial plaque for the baby we lost in front of the lemurs at the San Diego Zoo.  We chose lemurs for two reason.  Their name means angel and because they are vegetarians:)  I always say that Duncan has a very special angel looking out for him.  So when I saw the lemur socks I knew they would be perfect for implantation day.


Ryan and Duncan are enjoying a lovely afternoon in Prague and I'm relaxing in our room.

As always, Thanks for Reading!
HEATHER
x

Tuesday, April 9, 2019

FET recap

Yesterday was transfer day.  All went well.  Here are the details of the day.
We woke up and had breakfast in the hotel.  Them I went upstairs to the clinic for my blood draw.  I had 3 nurses attend based on what happened last time.  I'm happy to report that it only took one poke and in the forearm.  I was in and out in 10 min.  That was a huge relief.
We then continued our photo taking quest from the day before.  We visited Thomas Bata University, the college where our donor attended.  We found a very small book store that sold shirts and sweatshirts, but none in Duncan's size.  They did however sell a beach ball so we were able to purchase something. We then walked to a farmers market that we had found the last time we were here and took pictures there as well.  Duncan was happy to find a guy selling popcorn.  Lastly we walked over to the oldest house in town which we had also discovered the last time we were here.  The one thing we found this time, that we missed last time was the main square.  Obviously its very small.   We had walked on the street in front of it last time.  It had several shops,  cafes and coffee shops.  We wandered around there taking more pictures until it was time for my appointment.
Next up was our appointment with embryology and with Anna our coordinator. She is the English speaking contact we have and has been a huge help through the process both times.  I was so excited for Duncan to meet her.  Without exaggeration,  I bet I've exchanged at least 500 emails with her if not more.  She was our life line through all of this.  We brought her a gift as a thank you and it was so very sweet to have Duncan give it to her.  I asked if she would hold him so I could take a photo of them together and I got some really great ones.
We then got down to business.  OUR EMBRYOS SURVIVED THE THAW!!!! They both started hatching right before the time of transfer. 
I only have a dark and grainy photo.  I'm going to ask for a better one tomorrow and see if they took any other pictures.  But who cares, our little embryos awoke and started growing and that's the first huge step.  I also got my progesterone numbers back and they were 131.  No need to change any medication so just going to stay on our current protocol until I go for more blood work.
After our meeting, Duncan and Ryan had to go.  They wouldn't be allowed in for transfer and it was lunchtime anyways so they headed off. Anna gave Duncan a big kiss on the cheek and he said goodbye. I hugged and kissed both my guys and they left in search of a park and lunch.
They don't offer acupuncture here so I was unable to get treatment before or after transfer which is what I would do back home.  At the wellness center they did offer a head and shoulder massage.  I thought that would be a good idea before the transfer.  That was a big mistake.  There was nothing wrong with the massage, but I was just a ball of nerves and it made it so very hard to lay still.  It was almost torture more than relaxing.  Finally it was over and I could move around.
I went back to the room to get ready for transfer.  They ask that you wear just a shirt and then your robe and slippers.  I put on my dream big socks and headed to transfer.
They have a waiting room you sit in before transfer that is a room with a few beds.  I waited in that room for about 45 minutes.  There was one lady before me.  It was nice to have some extra time alone.  I sat down and listened to a few short guided meditations.  Then I did a bunch of squats and sit ups and then some yoga poses and finally some stretching.  This all really helped calm me down.
Finally it was my turn.  They escorted me into the operating room.  There were two nurses.  One doing the work and another one to translate what was going on in English.  Then the doctor came in and we went over what was going to happen.   Confirmed that we were transfering two and using Embryoglue.  Then the embryologist cane in and introduced herself.  That's when she informed me that they both had started to hatch and said she would show me on the monitor.  She left and went into the lab and shortly after, on the monitor were these two gorgeous embryos.  It brought tears to my eyes to see them.  I then laid back, feet up and the transfer began.  The only thing different this time from all the other times is the embryologist participated in transferring the embryos. The doctor set everything up and then she came back with the pipette containing our embryos.  She was the one to actual place them.  Then she left to confirm they were both gone and the pipette was empty, which it was.  She then said good luck, squeezed my hand and left.  The doctor also wished me well and left. Then the two nurses wheeled my gurney back into my room.  There was a small mishap where they took a corner too close and knocked a chunk of drywall off.  Both Ryan and Duncan think this is hilarious and laugh every time they pass it.  They then transferred me to my bed and instructed me to lay still for an hour.  It's a lot easier to do that in your own bed than in the uncomfortable bed with stirrups that usually happens.  So I laid back and watched the latest Kevin Hart standup.  It was the perfect mindless activity.  Shortly after I took a nap.  I laid in bed the rest of the afternoon and evening as I have now entered the bed rest position of all this.  The boys shared a burger for dinner and I again indulged in peanuts and a granola bar.  We all went to bed shortly after.  Now just hoping and praying for a successful implantation.  Stick babies stick!

Monday, April 8, 2019

Day 10 - FET Day

Today is the big day!  It's 4am here now and of course I can't sleep.  So much going on.
In a few short hours (around 10pm California time) the embryologist will wake our embryos from their deep sleep from the last 3 years.  Hopefully they had a great nap and are ready to go to work.  That's the first big obstacle,  surviving the thaw. 
Then at 11am our time (2am California time) we meet with the embryologist to find out their status.  We had 2 perfectly graded embryos going into the freeze and hopefully that's what we get out.
Then at 1pm our time (5am California time) I head into the operating room and transfer those embabies and welcome them home.  Then it's 1 hour in recovery trying to stay perfectly still and then after that it's the waiting game.
So today is the day.  Pray that our little ones find comfort and want to stick around for about the next 39 or so weeks.

Thanks for Reading,
HEATHER

Day 9 Tabor -> Zlin

Awoke to a beautiful morning in Tabor.  The weather was perfect, the sun was out and a great day for a walk.  Breakfast was included at our hotel and it was awesome.  Another place with pretty good gluten free bread too.  If you ever find yourself in the small town of Tabor, I recommend the Hotel Nautilus.  I wanted to shop and Duncan wanted to watch the construction guy drive a skid steer so we split up and I walked and Ryan and Duncan watched the crew working on the old church in town.  I found an adorable shop that I bought a Christmas ornament in as a souvenir from our trip.  Then I found a coffee shop that also sold art and books.  I bought two books for Duncan, one is a book in Czech about football and another in English about the Mole that's a popular toy here.  I also found a cool print to frame and put in his room and another painting for our bathroom. We squeezed as much as we could in and then had to leave and head to Zlin which was about 3 hours away.
One of the main things I wanted to accomplish on this trip was to make Duncan a scrapbook photo album so he could see for himself where he began.  I bought a nice camera before we left and made it a goal to take him around Zlin and take lots of pictures.  I got a good hour in today and will continue tomorrow.
Then it was time for my massage.  That wasn't an option the last time I was here so I was glad to take advantage this time.  Plus for a 90 min massage, it only costs $30!  While I got my massage, Ryan found a playground to take Duncan to.  Then they got food to go at the place we ate at last time because again it's literally the only vegetarian place in town.  It is good though so it worked. While I was waiting for the boys to being food back, I enjoyed a glass of wine on the patio.  It was so pretty out and nice and quiet. 
After dinner we went back to the hotel we stayed at the last time we were here called Pension Uno.  We had dessert in their restaurant and took lots more photos.  We talked about just how crazy it was to be back there.  The last time we were there we had no clue about if this crazy plan of ours would work and now we are here with a 2 year old.  Just crazy. 
Well off to bed as tomorrow is the big day. Lots and lots of appointments and things going on.  I'll update as soon as I can.

Thanks for Reading,
HEATHER
 

Day 7 & 8 - Cesky Krumlov -> Plzen -> Tabor

Day 7 and 8 were both travel days.  After a mellow night in Cesky Krumlov, we woke up and started our long day of sight seeing.  Ryan got him and Duncan some breakfast, I again ate a granola bar and we started our day.  In all the guide books I read, when discussing the Cesky Krumlov,  it said to just wander around and enjoy the town.  I decided to hire a local guide to take us on a private tour.  She had a kid and said she would tailor the tour for us.  We met her in front of our apartment and she took us around the quaint small little town.  Pointing put places for lunch, snacks and shopping. Trdenlik are these spiral fried dough snacks that are served out of small store fronts.  They are covered in cinnamon and sugar.  You can get plain or filled. I got Duncan one filled with bananas and whipped cream.  I'm letting him splurge and have eased up on my no sugar rule this trip.  I want him to indulge and really experience as much as he can and boy did he love this treat.
We made our way to the castle and stopped at a cool playground for Duncan along the way.  We didn't bother going on the castle tour, but did walk the grounds and let Duncan run through the gardens.  The gardens were so large that it takes 10 full time gardeners to maintain them.  It was a great place to let Duncan burn off some of that toddler energy.  We tried to have lunch, but there weren't any great options so we got in the car and headed to our next city which was Pilsen or Plzen if you are Czech.  The place that I had picked out for dinner was unexpectedly closed, but luckily there was a place just around the corner that had some options for everyone.  We ate dinner and then found some grass next to a pond.  Duncan enjoyed throwing rocks and dirt in the pond and we stayed there until the sun went down.
Day 8 started with a breakfast buffet in the hotel.  There were lots of choices for me to eat so I was happy.  We then made our way to Dino Park.  You have to pay to get in.  It's basically a large playground with big animatronic dinosaurs scattered about.  Admission was only $5 per adult and Duncan was free.  He was a bit scared of the dinosaurs at first because they roared,  but he soon warmed up to them.  There was a small zipline that he enjoyed, a sand pit for digging dinosaur bones and a few play structures.  They also had this water feature where you could pump water and have it spray a dinosaur.  He enjoyed that the best.  Lunch was at the Pilsner Urquell brewery.  Ryan enjoyed a dark ale and Duncan enjoyed the play area for kids.  We then walked the grounds, hit up the gift shop and then it was time to go.  We had a two hour drive ahead of us to Tabor. 
Tabor is this tiny, but full of life town.  Our hotel was perfect and in an amazing location over looking the towns main historic square.  We were treated with glasses of prosecco and a bag of popcorn.   That's my kind of welcome.  Again my research paid off and there was an indian food restaurant just across the square.  The waiter took a liking to Duncan and entertained him with a paper airplane and a paper boat that he made.  They also played with his roller at the table.  The food was so good.  I had a mushroom amd tofu dish and vegetable biryani.  Ryan had chicken korman and Duncan ate some of everything, but the vegetables in the biryani was his favorite.  We took a stroll after dinner and found a bunch of cute shops but it was late and all were closed.  We decided instead of waking and leaving in the morning that we would carve out time to do some shopping. 
Hands down Cesky Krumlov and Tabor were our absolute favorite cities on this trip we are already talking about coming back and staying longer next time. 
Tomorrow the vacation portion of the trip is over and we head to Zlin.

Thanks for Reading,
HEATHER

Friday, April 5, 2019

Day 6 - Krems an der Donau -> Cesky Krumlov

So the pills are starting to really hit my system and some side effects are kicking in now like nausea and light headedness,  but that's really all about the quantity that I'm taking more than anything.  My wrist is still really sore which is just making me really anxious knowing that I have to do another blood test in a few days.  Stomach is still sore.  And now I have the added fun of progesterone suppositories.  They give you cramps so that's fun.  Overall though I'm not getting any migraines and I'm very thankful for that.  That's usually the response my body takes to these meds so I'm really happy not to have to deal with that.
The vacation portion of the trip is going well.  Duncan hasn't slept through the night yet, but it's getting better every day.
Today we awoke in Krems and had breakfast at our hotel.  They had a gluten free roll and I was so happy to have it.  After breakfast we made out way to another winery.  Again it was appointment only so we had the whole place to ourselves.   They asked if we wanted to taste inside or outside and we chose outside so Duncan could play.  He brought his toy excavator and there was a small pile of dirt in the back area so that was enough to keep him entertained for the hour we were there.  We did the 12 wine tasting for €15, emptying most of it out because I don't like to drink before a transfer and because Ryan was driving.  It was still a lot of fun though tasting all these different wines. About half I had never had before. It was very special and high up on cool winery moments we have had. 
After that we drove through small town after small town.  They all follow the Danube and the views are gorgeous.  We eventually made our way to Melk to visit the famous Melk Abbey.  We toured as much as we could without going on the official tour because that would have been torture for Duncan.  So he just ran around and we saw what we could.  The boys had pizza for lunch and I had a well balanced lunch of an apple, peanuts and a granola bar from our car stash.  We then headed to the castle Scholls Schallaburg.  As soon as we entered the parking lot, Dyncan fell asleep.  We thought about going in, but decided to pass, let him nap and get to our next city sooner.
Our next stop was Cesky Krumlov.  We reached it about 5pm.  Here we rented a 2 bedroom apartment through Airbnb, which I had never used before.  We picked it because it had a washer and dryer and we would be able to do laundry halfway through the trip so we wouldn't have to pack as much.  Since Duncan uses me as a human napkin, it's nice to have a set of clean clothes again.  We played it mellow tonight.  I had researched and found an actual vegetarian restaurant in town.  Ryan agreed to get food to go and bring it back.  The restaurant owner bought Ryan a beer while he was waiting for his food so that put a big old smile on his face.  We did laundry, ate dinner, took long hot baths and played with kinetic sand until we all went to bed.  It was nice to take a break and just relax for a night.  Plus we have a full schedule tomorrow so enjoyed some relaxing time.


Thanks for Reading,
HEATHER

Day 5 Weiner Newstadt->Krems an der Donau

Day 5 was much better.  The additional progesterone pill isnt too bad and no real side effects.  I'm tolerating the addition iron pill as well.  It just makes for a lot of pills.  I would say I'm up to approximately 20 pills now.

  The only real side effect I'm feeling is with the addition of prednisone,  my appetite has increased.  Which again makes it tough in the land of sausages and pretzels.  My wrist is still very swollen and has a huge bruise.  And because it's on my wrist, I move it a lot so I feel it a lot.  The skin irritation where the reaction from the adhesive was has also gone away so the itchiness has also left.  The main thing I'm dealing with is the bruising from the shots.  I'm still icing it like normal,  but it doesnt seem to be working as well this time around.  I'll spare you any photos, but my stomach is now a collection of various sized and colored bruises.  Its makes for a very tender abdomin and slight discomfort when I'm sitting.  Lastly, for those that don't know, as the result of a car accident years ago, I suffer from nerve damage in my leg.  It usually is treated with an internal device that sends relectrical pulses from my nerves to my brain to stop the pain.  I had to turn that off and the pain is slowly starting to come back.  I dealt with this last time so it wasn't unexpected,  it's just not fun.
Emotionally I feeling better and in a better head space.  Thanks again for the outpouring of support.  It's always wonderful to know I have a great tribe looking out for us.
We are now in full vacation mode until we head back on the 8th.  I have a full itinerary to keep us busy.  We are basically driving along the north countryside of Austria and then making a circle and driving across the Czech Republic.
Today we hit the coolest amusement park in Austria.  It was called Family Park and it was just a perfect day.  Zero crowds and the weather was lovely.  Duncan was the perfect age to take here.  Almost everything he could ride as long as we accompanied him.  We spent the majority of the day there.
At Nigl winery
In the late afternoon we headed to the Austrian wine region of Wachau.  Here it is different than tasting at home. Every single winery is by appointment only.  I read an article in Travel & Leisure about where to taste and booked us a 4pm tasting at a winery called Nigl.  It was awesome. Really very different from wine tasting in California.  The wines were ok, but it was really the experience that was amazing.  After wine tasting we ended up in Krems an der Donau were we stayed at a lovely little hotel.  We went for a walk, did some window shopping and then found a restaurant that I had researched that had some vegan options.  Food was just ok, but I was glad to get a meal.  We got the food to go and ate it in the courtyard of our hotel which had just enough grass to keep Duncan occupied and burned off some energy before bed.  Tomorrow we are off to another city with hopefully just as much good times in store for us.

Thanks for Reading,
HEATHER

Wednesday, April 3, 2019

Day 4 Bruno->Weiner Newstadt

Well today was better than yesterday so we are headed in a good direction.  Duncan woke again at 1am, but was back to sleep by 2am.  Hopefully this is also swinging in the right direction.  As a family, we all slept a bit longer because we all needed it.  Yesterday was really tough on everyone. Oh and plus I forgot to mention it was Ryan's birthday.  Definitely not the most fun birthday.  We will have to have a redo to make up for that one at some point. 
Physically, I've been better.  After the whole ordeal yesterday, I have lots of bruises and my wrist and right arm have really big swollen areas.  That's a new fun side effect.  Ugh.  Plus one of the adhesives on a bandage caused a reaction (this is pretty common with me now) so I also basically want to scratch my skin off.  So that's super fun!  Another Ugh :(  I received an email from my coordinator stating that they received my test results and my progesterone is very low.  The doctor said that was ok and gave me a protocol that I will start tomorrow.  This includes 4 vaginal suppositories three times a day and 1 pill taken orally.  It's about as fun as it sounds.  The number of pills I'm taking is really starting to add up now.
Emotional I'm feeling a bit drained.  The weight of the situation is starting to really make it's way into my head space.  While I am so fortunate to have Duncan and feel so grateful, I would love to give him a sibling.  Especially because he comes from a donor, I feel like they would just have such a wonderful bond and story to share  And if this doesn't work,  I won't be able to.  I want him to know how hard I tried when someday he will read this.  Whether it works or not, I sure did try my hardest.  Somedays I feel stronger and braver than others.  I mean I did fly halfway around the world, deplete our entire savings at one point, all on a wing and a prayer that some Russian doctor in the Czech would somehow give me a child.  It's such a crazy idea and even crazier that it worked.  Other days I feel like I could just lay in bed and cry all day and feel sorry for myself.  Life just isn't fair sometimes and what we have been though in order to conceive is beyond ridiculous.  On top of that, I still grieve the loss of Duncan's twin on a pretty regular basis.  Opening myself up to getting pregnant again, also opens up all the fears of dealing with loss again.  I can describe my emotions as a roller coaster combination of them all.  I really do appreciate and feel all the love and support everyone of you back home are sending our way.  On the crappier days or worse feeling moments, its been helpful to remember how many of you are cheering us on.  And maybe in those less strong moment I can lean on others for strength and I thank you for that.
While traveling with our 2 year old has been difficult,  it has also been a very welcoming distraction.  Today was all about him.  I found this amazing place in Brno called the Brno Family Park.  It was an indoor play space that was literally the coolest thing ever.  It had trampolines,  giant inflatables, ball pits, air hockey, two story slides, giant blocks, obstacle courses, bumper cars, bumper boats and a whole upstairs play area just for kids under 4 that had it's own ball pit, play kitchen, 2 story life size doll house and a giant inflatable octopus.  When we first got there, he didn't even know where to go, he just ran from things to thing.  We were there about 4 hours and all of us laughed and had fun.  The best part was that it was about $5 a person.  If for some reason you ever find yourself in Brno with a kiddo in tow, go here!
We then made our way to Weiner Newstadt in Austria.  We found some grass for him to run in, went for a long walk around the neighborhood 0and then found a huge park on the way back.  It had about 5 different play structures.  He loved it.  We made our way back to the room and it was lights out around 9pm.  Fingers crossed he sleeps until morning.  The only real major bummer is this is the part of the trip where vegan/gluten free is non-existent so it was crackers and peanuts for lunch and two granola bars for dinner for me.  Same thing happened last time, so I was prepared,  but that still doesn't make it fun.  Signing off and hoping to get some sleep myself.  Love to you all and thanks again for all the love and support!

Thanks for Reading,
HEATHER

Tuesday, April 2, 2019

Day 3 Intralipids. Zlin->Brno

Day 3 is described as DIFFICULT and that is putting it mildly.  Poor Duncan is just all over the place with sleep and the time difference really hit him hard.  So Day 3 started at 1am when he woke up just upset.  He didn't calm down until 3am and didn't sleep until 5am.  Needless to say, we were all very tired and not in the best of moods.
We ate breakfast in the hotel and went back to the room to reorganize and pack up. I ran into another couple that spoke English and was there with their 3 year old.  Him and Duncan played for a bit while we chatted and shared our experiences.
Then at 11 it was time for my intralipid infusion IV treatment.   Intralipid is a sterile fat emulsion.  The active ingredient in Intralipid is soya oil. Soya oil consists of a mixture of mainly polyunsaturated fatty acids. It also contains egg lecithin as an emulsifier, which is isolated from egg yolk.  The theory is that it helps women who have had recurrent miscarriage, multiple failed IVF cycles or multiple failed IUI cycles. Intralipids deactivate natural killer cells in a woman’s body which may prevent embryos from implanting and growing properly in the uterus. We have done intralipids with two transfers, one at SDFC with our two normal PGS tested embryos that resulted in a BFN and then again here in Czech with my last pregnancy.   The science goes back and forth on it if it actually helps, but the good thing is it either helps or does nothing, but it doesnt have any negative risks, so we keep trying it. Ryan and Duncan escorted me back and then left to check out of the room and go play at a park downstairs.  
As I mentioned in a previous blog post, the state of my veins are not good.  After living with infertility for so long, and having so many blood tests done,  I have developed scar tissue in my veins.  About 3 times ago, the phlebotomist mentioned it would soon be an issue and the 2 times after that it was increasing harder to draw blood.  Well lucky me, it all culminated today and it became an issue. I was in a room, laying down on a cot and it started with 2 nurses.  I'll spare the awful details, but it concluded with 5 nurses, 1 doctor, 5 attempts in 4 different places and finally 1 IV in my wrist. This was very painful and on top of all that, took every single ounce of energy I had, not to pass out. What should have been a 45 min IV, now became a 2 hour IV because they had to use a smaller vein. 

Finally it was over and they came to remove the IV.  The nurse doing that part didn't speak any English.  She took out the IV and I'm guessing told me to put pressure on it in Czech,  which I didn't and next thing I knew she turned around so I thought she was done and I went sit up and blood just started flowing.  That just about did me in right then and there.  Luckily I was already in a bed so I just laid back down.  She turned back from her paperwork, saw what happened and cleaned me up and rebandaged me and said to wait in bed.  Another nurse came in that did speak English.  At first I thought she was there to see if I was OK.  But then she told me my next appointment was in another room.  I assumed this was for my blood results.  Well it wasn't, it was to take more blood.  See I thought they drew the blood before they hooked up the IV.  Remember I can't watch and they don't speak English this came as a shock.  After all I just went through, I now had to try and give blood.  At that moment, my weakness and fear crept in and I lost it and just started crying.  I asked it I could go back and lay down and do the blood draw back there.  The nurse then realized I was crying and called for back up.  Now a team of nurses were back with me.  4 to be exact.  1 kept saying sorry and the others only spoke Czech.  They decided to go back in through the wrist again and this pain was even worse than the last time, but at least it was very quick.  One nurse kept stroking my hair and another nurse held my hand. They were very sweet and really tried hard to comfort me.  I was just wrapped up in emotions and it all came out at that moment. Being so far from home, being alone it just got the best if me.  They sat me up and gave me a big group hug and tried to show me that it will all be ok even though they didn't know the words.  I will remember their kindness forever.  One of the nurses spotted Duncan outside and opened the window and told me to come over to see my boy. 
That stopped the tears and brought me back to some peace and strength.  Sometimes we just push through the tears and do what we have to do. Dealing with infertility isn't easy and some days are harder than others.  Mark this as a difficult day.
I then met with a doctor who added an additional progesterone pill to the mix.  So in two days I will start the transfer protocol.  The clinic has it's own pharmacy so I grabbed the pills and we headed out.  On a more exciting note, there was a TV behind the reception desk and they were playing Octo Hiity.  I am now officially obsessed with their music television.  It's amazing! 
We left Zlin and headed to Brno.  I had intended for us to visit a science center, but because everything took so long, we didn't have enough time.  So instead we went for a stroll around the city center.  There was a cute farmers market outside our hotel so we stopped and got fresh strawberries, tomatoes marinated in garlic and basil and caper berries. We snacked on those and walked for a bit.  The last time we were here I was on bedrest and never left the room so it was nice to finally see the city.  Before we left, I had found a Thai restaurant that had vegetarian and gluten free choices.  I had fried rice with veggies and Ryan had pad thai.  It was delicious.  On the way back to our room, we stumbled upon a stage with live music.  It was a rock band singing loud and in Czech.  Duncan loved it.  After each song, he said "more music". So we sat there and listened and slowly this metal band put my son to sleep. In his early days Metallica used to do the trick and I just love my little rocker dude and his love of music.  I took a slightly longer route home to window shop and try and discover a bit of the city.  Todays ordeal still weighed heavy on my mind so it was nice to just be casual and walk.  We landed back in the room and made for a quick good night.  
Thanks for Reading,
HEATHER

Monday, April 1, 2019

Day 2 Prague->Kutna Hora->Zlin

I'll jump to the best part of the day first.  In the afternoon we made it to the clinic and I met with a doctor and had an ultrasound check.  Because we used miles to travel, we had few options on which day we left and that meant we were traveling on a day that I needed to have my lining checked and checking it at home would have been too early to matter.  Last time I did that back in the States but this time I didn't have any checks until we got here.  I was a but nervous that they would find something to screw things up, but my check went wonderfully.

  • Lining measured 11.8.  This was wonderful news.  You want your lining to be a 7 or better.
  • No cysts.  If they find one, it could cancel the cycle because the cyst feeds off of the same hormones you need for the embryo to implant and grow.  My uterus is still squeaky clean!
  • No follicles are growing on either side.  That means the drugs are working and everything looks good for transfer.
  • They checked my c section scar and gave the ok to transfer 2.  Our doctor in the US also did that and said my scar looked great, but this was a final check here that they needed to do.
In the morning I will go for my infusion and blood draw to determine my next medication schedule.  This is all great stuff and made me feel so much better to cross this off the list and move forward.  Ok so now I can tell you all about the rest of our day, but wanted to share all that good stuff first.
After a rough go of it getting Duncan to go to sleep, once he was asleep, he slept like an angel.  Ryan went and got our rental car and I reorganized our things and got us all ready all while he slept.  We loaded up the car and headed to our first stop.  We decided on Kutna Hora to break up the long ride to Zlin. As soon as we made it onto the freeway, we found a radio station called Rock Zone and Motley Crue's new song The Dirt came on.  I take this as a very good sign. Kutna Hora is about an hour and a half outside of Prague.  It is a small city with quaint curvy cobblestone streets.  Duncan learned the hard way that he can't run on them like he does at home and feel and scraped his hand.  We went to St. Barbara's Church.  It was beautiful on the inside, but we were short on time and had to skip the full inside tour.  We had time for one thing there so we choose to go to a chocolate museum and chocolate shop.  She said the museum was the worlds smallest.  It was really just a room in the back of the store, but it was filled with artifacts and information.  She gave us a brief history of the company, which at one time made over 5, 000 types of candies and chocolates, but then enter Nazi's and WWII and they were taken over and ruined. Recently they reopened as a small batch company and does everything on a much smaller scale.  After the museum, of course we had to buy and sample chocolate.  Duncan has had chocolate in things before, but this was the first time he has ever had a chocolate bar.  At first taste, he declared "I like it, I like it"!  We bought dark chocolate with cacao nibs, plain milk chocolate, white chocolate with cocoa nibs and dark chocolate with ginger.  All were pulled from a bag and pieces were broken off and weighed.  It was a great experience.  Then we walked for a bit and then had to leave to head to Zlin.
Zlin was about a 3 hour car ride away.  We all piled in the car and choose to eat granola bars and other car snacks instead of a proper lunch.  Duncan lasted about 1 hour and then fell asleep for the rest of the ride and I joined him soon after.
Next stop, Zlin.  We arrived about 10 minutes before my appointment and Duncan was still asleep. Ryan stayed with him in the car and I went upstairs.  It is very surreal being back here.  Walking through those doors, it all came flooding back.  I was so nervous last time.  There was a wall with baby pictures on it and I remember praying that one day I would have a photo on that wall.  Now I'm returning and I have a 2 year old in tow with me outside.  Just a flood of all the feels as I walked inside.  On our last trip out here, we became obsessed with a TV channel called Octo Gold.  It was a Czech version of a music television channel, but everything was from the seventies and it was amazing.  The music, the clothes the make up, all fantastically amazing eye candy in a it's so bad it's great kind of way.  Well I walked in and they had on their TV in the waiting room, Octo Star and it was just as glorious.
This made me laugh and immediately made me relax and smile.  I sent Ryan a screenshot of it as he was stuck in the parking lot with our sleeping babe in the car.
After my appointment,  Duncan was still asleep, so we piled back in the car and drove to an old castle that is about 20 min outside of town called Hrad Malenovice.  He still was asleep when we got there so we each took turns walking around.  He woke up right as we were leaving so we got him out and let him run around a bit. Then we piled back in and headed to dinner.
At Hrad Malenovice with a view of Zlin behind me
I had researched and found a restaurant in town that had vegan and gluten free options.  It did not disappoint and for those that dont know, finding anything vegan in CZ is a herculean task so to find one in Zlin was amazing.  It wasn't all vegan, but had several choices for me.  I devoured my grilled tempeh Asian salad because I'm not sure when I'll have more food like this in the next week or so.  Ryan had a peanut chicken salad and what I absolutely loved was that the choices off the kids menu were grilled chicken or grilled salmon, not mac n cheese or friend chicken fingers.  It was actual good food, not crap, but just smaller portions.  Duncan was served a grilled piece of salmon, on potato puree and a spring salad. He ate every single bite.  We also decided to have some drinks. Ryan had a pint of Bernard beer.  I had a glass of house made mulled wine and I ordered Duncan a grapefruit lemonade which I could opt for no sugar added.  It was basically, dried grapefruit, lemon, mint, strawberries and sparkling water.  He was a fan.  We then found a small patch of grass and let him run around to burn some energy before heading back to the room.
In the morning we will have breakfast at the hotel and then I head to my next appointment.  Oh and we celebrate another trip around the sun for my husband.  What better way to say happy birthday than a trip to a fertility clinic in Zlin :)

Thanks for Reading,
HEATHER