Sunday, September 30, 2018

2nd Attempt and Donor Egg Consideration

So, my first IVF cycle ended with a chemical pregnancy. While this of course wasn't the result we were hoping for, it was certainly progress and I feel happy for that. The scariest thing through all this has not been my miscarriages early on, but the recent year of not getting pregnant at all. Baby steps! 

When I spoke with Dr Garza he was very pleased with the first cycle and wants me to try again right away. I did a marathon run down to Mexico yesterday to get my new batch of meds - the drive began at 2:30 am and I got back at 3:45 pm. It was a real mad dash.  Anyway, Dr Garza gave me preparation meds to take for one full cycle and then, once my next cycle starts, I'll go back down to Mexico for supervised treatment. 

The only unfortunate aspect to all this was a realization that I will most probably miss my cousin's upcoming wedding at the end of October. It's an event I've been looking forward to for quite some time and I'm really sad to miss it. 

If this next cycle fails, we'll probably go the donor egg route. Using a donor egg would increase our chance of success to 50% each round. It also reduces the risk of chromosomal abnormalities that cause miscarriages or various syndromes such as Down Syndrome. 

At first the thought of using a donor egg was hard for me to process. But, as time goes by, and I learn more about it, I'm beginning to really welcome the idea. When I asked my OBGYN in Austin about it he was very supportive. I asked him if his patients bond with their donor egg babies and he responded with, "Is that what you're worried about? If you carry a baby for nine months, with him/her kicking inside you, that baby is yours 100%!" Also interesting is research showing that the mother's body genetically influences the baby she is carrying. They have been doing studies on this after noticing the strong physical resemblance between mother and donor egg babies. Neat! 

Anywho... While we're not quite there yet, I've been thinking about the donor selection. Dr Garza typically matches the mother to the donor by physical appearance. We have other priorities though with physical appearances being last on the list. Nevertheless, once our other priorities are met, and if possible, we're going to ask for a donor with black hair and creamy skin 😀. 

Before I end this post, I want to share a little of yesterday's trip with you. Driving at 2:30 am was nice. There was little traffic on the road and so I has a good run with no frustration. It did start pouring after a few hours though and that made driving hard. After a bit I think I experienced a form of tunnel vision - it was hard to see. 

Luckily the rain stopped before I got to Brownsville so I was able to walk to Dr Garza's office without difficulties. during my walk i saw orange trees full of oranges and a large jasmine bush that we call Mulla Poo in Malayalam. Mulla Poo has an amzing fragrance and I picked a flower to take with me. I was in Mexico for about three hours.

I had packed a couple of sandwiches to bring with me so ate in the car as I drove home. I saw a lovely pond full of purple lillies, a flock of birds that were white with black detail, swooping and creating beautiful formations high in the sky. They acted like river terms but were much larger. And, while not so natural, but still beauty in my eyes, Ikea being constructed relatively close to home!  We are very excited about this!

I don't think there will be much for me to write about during the next few weeks. I'm giving myself one shot a day so things are pretty uneventful. Check in towards the end of October though and there may be more to share!

P.S. My car battery died today and I had to get a new one. I was very grateful that it happened today and not yesterday down south somewhere! 








Monday, September 24, 2018

Final Beta

Just a brief update to let you all know that today's test came back negative. Dr Garza said to stop the supportive progesterone supplement. Now I'm working on setting up a phone call with him to determine our next step. It felt like a good run and hopefully we do even better next time!

Thursday, September 20, 2018

Test Results

Part of my IVF treatment included a trigger shot of HCG. HCG is the pregnancy hormone that you are tested for to confirm pregnancy.  The trigger was given on September 1st and should have left my system within 10 to 14 days.

When two weeks had past, I began using home pregnancy tests and got a faint positive. Each day the line, indicating a positive result, became lighter.  This made me wonder if the trigger shot was still in my system - although it seemed unlikely.

In any case, today was finally my Beta and it came back with HCG levels of 17. This is within the 'normal range' for three weeks of pregnancy but is very, very much on the low end. Also, the fact that my home pregnancy tests have been fading, leads me to believe that this first cycle failed. I have to retest on Monday to be sure though. If my numbers go down, then I'm not pregnant. If they go up, I am. 

I'll have to ask Dr Garza but I believe a pregnancy did in fact start, but just wasn't viable. It's probably strange to read this but, if my theory is true, I feel like we've made progress. Nothing is so hard as not being able to get pregnant - so to finally have a bit of success feels good!

Onwards! 

Sunday, September 9, 2018

Transfer

Hello Everyone, I made it back to San Marcos after a four and a half hour drive. My transfer Saturday morning was easy - as I guess most are. There were two retrievals this morning and me as the one transfer. I had understood that transfers were always last but I was the first to be treated.

Embryos are supposed totbe highly sensitive to scents so I dutifully didn't wear deodorant, chapstick or hand cream.

My full bladder experience was different than others I've heard about. When I got to the clinic I already needed to go because of the milk and orange juice I had at breakfast - don't judge 😉 I was cleaning out the motel fridge and trying not to be wasteful! Anyway, they took me in so quickly that I only had time to gulp down one bottle of water. So, while I did need to use the bathroom, I wasn't doing the dance or fearful of letting go! 🤣

I learned that I had 11 eggs retrieved, 6 fertilized, and 2 made it to my five day transfer. If there had been more, I would have had a frozen embryo opportunity later on but that's ok.  I'm still grateful that these two made it!

Dr Garza was truly kind as he told me about the transfer. I couldn't have asked for more. So now I'm an IVF veteran... there was a time, not too long ago, when I never would have believed it and yet here I am... resting at home with two nalla mottas...  I have a streak of realism in me brought on by all my past disappointments, however, right now I feel quite happy!

PS - As I was waiting for transfer, my acupuncturist emailed me to ask if the doctor I was seeing was named Dr Garza. One of her patients mentioned him and was thinking about coming to see him. It's a small world!

Friday, September 7, 2018

The Zoo and Dolphin Watch

On Tuesday afternoon I visited the zoo and had the place to myself.  It really is a beautiful place and, strikingly, doesn't have a raw animal smell about it.  J and I had wanted to go together but we ran out of time while he was down here. Who knows, maybe we'll have another chance to visit it together soon.

Very cute pygmy hippo!



The gorillas were particularly fun to watch with all their very familar actions. We really do look like them!


Yesterday I was stuck indoors all morning because of heavy rain. By the afternoon though it had cleared up and the sun was out. I spent the later part of the afternoon, until sunset, on a two hour boat tour of the waters around South Padre. The tour focuses on watching dolphins and we saw a lot of them.  Even more fun, however, was standing at the prow of the boat as we rode the waves. We would go up one pretty high and then crash back down. It was absolutely thrilling and I yelped with joy and excitement!  Felt a bit like a rollercoaster...


At one point we went by a long jetty made of granite brought down from Marblefalls years ago. A man stood at the tip of the jetty, his fishing rod bent in a dramatic arch, as he fought with something big hanging on to his line.

My fellow passengers began cheering and taking pictures as our boat swung around to watch. This was a rowdy affair but it was apparent that the fisherman loved the attention. Our boat stopped and finally the man was able to pull in his catch. The cheering intensified as he held up a fish that was about two and a half feet long! The man was quick to measure the fish, and took a selfie with it, before throwing it back into the water.


The crew had a couple of living sea creatures in a tub and they gave us a little lesson about them. An elderly woman in a wheelchair got to hold a sea star and it seemed to really make her day. It was her first visit to the sea.

As the sun set on the horizon, and the cool sea breeze washed over us, I sat quietly and chatted with an interesting family from Switzerland. Soon we arrived back at the dock and our tour was over.

And this just about wraps up my two weeks in South Texas.  Tomorrow is transfer and I'll finally find out how many embryos made it. I'll write a final post when I get home but, until then, thank you ever so much for all the good wishes and positive thoughts!  It's been a very special two weeks.




Thursday, September 6, 2018

Veterans Park and Vegan Tacos

I've discovered Veterans Park which is just down the street from where I'm staying. The memorial sits in the middle with two sidewalks looping around it.


Both mornings I've been there, the outer loop is filled with people walking at an even pace, but going counterclockwise.  Walking counterclockwise... I just can't do it! So, as everyone walks one way, I take on the inner loop all by myself and go clockwise. They look at me strangly - I'm probably returning the look.

It's weird because I have this same problem at the local park in San Marcos - except there, there is only one loop, so I'm always having to brush shoulders with others.

Here are a few pictures from my walk. The statue of Sergeant Jose M Lopez, and the inscription, was something to see/read.  Such outstanding bravery and valour.





There were pretty flowers & waterfowl along the way:




Last night I tried out the vegan food truck and it was good. I actually wasn't hungry at the time, and I'm mainly making my own meals to save on expenses, but I bought one taco called the Pastor. It was quite tasty - although I had them switch out the pineapple that was supposed to be on top and add avocado.  I would go back.


Today I have a few errands to run. I need more syringes and I'm going to use the last of my Target gift card to buy something warm for my ever-cold feet. That is all.

Have a good day! 








Wednesday, September 5, 2018

This Weekend


J came for the weekend and it was really good to have him here.  As mentioned in another post, he unfortunately wasn't feeling well, but still enjoyed himself and we had fun.  IVF with Dr Garza consists of multiple payments.  Each time you go he adjusts your medications and you only pay for a few days worth of medicine at a time.  He accepts credit cards, cash dollars, or cash pesos.  The way you get the best rate is by using your credit card but ask them to charge it in pesos. The final payment for retrieval, however, is just under 3000 dollars and Dr Garza prefers to have it in cash dollars. J brought the amount down with him when he came so that I didn't have to have it on me the week before. 

J left home in the very early morning hours of Saturday and arrived around 7:30 a.m.  While he had breakfast and rested after the five hour drive, I popped over to Dr. Garza's in his van, and made the payment. As using the doctor's driver to return to Brownsville sometimes takes extra time, depending on how many patients you are waiting for, I requested the office to call the medical district van for me instead.  Waiting downstairs for the van to arrive I noticed another women waiting as well.  She had Indian features and I had noticed a file with the name Khan on it upstairs.  When we got into the van together I struck up a conversation and learned that she was in fact Indian and, much to my delight, from Kerala.  She is a nurse that lives in Houston but found Dr Garza when she used to live in Brownsville. She makes the trip to see him as she says he is a very great doctor.  We had good conversation about Indian food, the wonderful smell of curry trees and, of course, fertility.  She's the only Indian I've seen in the Matamoros/Brownsville area and I was pleased to have found her.

J was waiting for me on the other side of the bridge and we spent a little time wandering through the shops downtown.  They are filled with Mexican merchandise and are very affordable.  We didn't buy anything but there were items that would have been perfect for my classroom at school.  For example, I just know that the children in my class would love all the very sparkly dress-up shoes!

Later that afternoon J discovered this neat store in Brownsville that sells fruit, vegetables, spices, herbs, organic products, natural body care products etc.  The place is run by a family of three, parents and their daughter, and has so much character.  Out front they had a bunch of moringa trees that were pretty tall.  J has been trying to grow moringa so this was an exciting find.


I'm having a hard time manipulating the images in an attractive way but here are a few pictures that I took.  There was also an odd assortment of pots for people to choose from.  We ended up buying some bananas and a grain snack (can't remember what it was called) with the plan of going back to buy moringa trees later.






Today I went back to purchase the moringa trees, in fear that they would run out of them by Saturday, when I leave.  The proprietor/father and I began chatting and he wanted me to sample all these different fruits. We talked about growing jackfruit and moringa and, with great surprise in his voice, he told me about a "gringo" in Mexico who grows the best jackfruit.  "A gringo!!" he emphasized... He also told me that Mexico is no more dangerous than the US and that in the US people steal your clothes.  When I laughed he said, "No, really! People are drunk and sleeping on the side of the street and someone goes and steals their pants! It happens.  And what about Chicago?... and New York?... No, no... Mexico is a safer place."  "You know" he added, "This all used to be Mexico. But Mexico had so much land that they didn't care and gave this way. Davey Crockett fought down here..." and with a flourish, he pointed to his baseball cap that read, "You can all go to hell, I'm going to Texas."

But, I digress.  I wanted to talk about the weekend rather than today.

On Sunday we went to Nuevo Progresso in the morning.  It's a 45 min drive from Brownsville and you drive right along the border fence the whole time.  On the US side, in Progresso, there is a large parking lot right next to the bridge that charges 2.00 a car for the whole day.  We got there at about 9:30 and the place was already filling up.  Walking across the bridge at Progresso is very different than walking across at Matamoros.  The Matamoros bridge is strikingly unattractive and feels dirty and dusty.  In Progresso, however, you are greeted with pretty patches of manicured lawns and other lush greenery. 

 
 
 
The view of the river is beautiful here whereas, at Matamoros, it's just a trickle with litter covered banks.     
 
 
 Half way across the bridge is this sign - and then the bridge suddenly becomes shuttered so that you can no longer see the river.  J and I wondered at this until we realized that there was a small crowd of people down below on the river bank.  Some of them had lawn chairs and all of them were calling out to the people crossing above.  I don't understand Spanish but it was a very dramatic scene and it was apparent they were calling out for money.  Underneath the shutters on the bridge there was a balustrade.  As we approached the end of the bridge, where the banks of the river were leveling out with us, an arm suddenly shot through the balustrade with a cap in its hand.  While you of course feel compassion for someone so desperate - there is something about a disembodied arm shooting out at you that is just a little nerve wracking.

Once in Nuevo Progresso you are accosted by fantastic sights and sounds.  Every few feet there is a dentist's office or a drug store, and members of these establishments stand outside listing all their services and rates.  "You want teeth cleaning?!! Today only special! Thirty dollars!!" said one man as we walked by.  Another rattled off all the prescription drugs available and sounded very much like a professional auctioneer.  A third man called out to us asking if we wanted a haircut; J pointed to his shaved head and said, "It's already taken care of..."




And then there were the stores... oh how I loved them!!!  They were filled to the brim with brightly colored pottery and I wanted to buy it all!  Baking dishes, platters, mugs, serving sets, large spoons... you name it!  It was all just so beautiful and I kept going through the shops examining all this beauty.  It's truly a feast for your eyes.  I would love to come back down here for a shopping trip some time.  Just saying. 

The shopping in Nuevo Progresso is on one street and starts at the bridge.  You walk down a few blocks and then cross the street to walk back up the other side.  We had stopped to watch a landscape painter at work when J saw an elderly women trying to sell small packets of chiclets to people passing by. J said he would be right back.  He went to the lady and bought two packets of chiclets from her; her face broke out in a crinkled smile. She said, "Thank you" as she handed the tiny packets to him and J came bounding back to me full of smiles himself.  I was so touched by this because I realized that I wasn't noticing the hardships around me in the way that he was. 

After wandering up and down the street for a couple of hours we headed back over the border.  While we were waiting in line J reminded me that I had a banana in my purse.  It was originally from Mexico, but I bought it in the US, had taken it to Mexico with me and now, as I attempted to re-enter, it was going to be a problem.  So I ate it.  That is all.

When we got back to our car the massive parking lot was full.  Nuevo Progresso is a happening place and all the cars there proved it.

Other than this, J and I also tried out a couple of restaurants here in town.  We ate at Emilia's in Brownsville, a small Mexican food place that I would not recommend.  The food wasn't at all flavorful and was very oily. 

We also tried Russo's NY Pizzeria which we enjoyed.  Other eats included breakfast tacos for J from a highly recommended gas station.  He got an egg and green chili taco that he said was quite good.  And before he left on Monday he got some fajitas from Kikis which he said were good as well.

That about sums up our little vacation together.  I wish he could have stayed longer but am happy he could come when he did.  Maybe in the winter we'll be able to do something like this again.

Tootles everyone! Thank you for reading!

Tuesday, September 4, 2018

16 Hour Check

Dr Garza contacted me this afternoon to let me know that six enbryos survived the night! I was very surprised and happy to hear this as I would have been grateful with even one or two!

With IVF, the most common days to transfer the embryos, is on either day three or day five after retrieval. Dr Garza believes in day three if you just have a couple but, when you have more, it's worth it to wait until day five.  The reason is that, as the days go on, there is more and more risk of embryos dying off. If you just have a couple then he transfers them earlier so that they have the best chance of success in a natural environment. If, however, you have a higher number, he waits till day five to see which ones make it. The embryos that make it to day five are the strongest and have the best chance of becoming healthy pregnancies.

So now my transfer is scheduled for Saturday. If I had known sooner I might have come home for a bit. J and I talked about it but it seemed like a stressful drive, right before transfer, wasn't the best idea.

Onwards!

Retrieval

Retrieval finally happened!  I'm going to skip over the weekend adventures and then hopefully get back to them on later posts but, for now, I just want to talk about yesterday.  J was here for retrieval and we drove over the border with Mario, the doctor's driver, for a change.  The office was very crowded and I was thankful that I didn't have to wait upstairs in the main waiting room.  After signing in they had us go downstairs where all the procedures/surgeries take place.  They treat several women at the same time so the husbands cannot accompany the patients into the treatment areas. 

The nurse took me into a back room and asked me a few questions about and J and myself. Then we headed back to the surgery area and she had me put on a hospital gown, and a cubby shelf on the wall was available to store your belongings.  Once I was ready, she had me go into what was the waiting and recovery area. In this room, there were a couple of rolling bed/stretchers and some large comfy chairs.  I was told to sit there and wait. Soon enough the other chairs began to fill with women in hospital gowns as well.  Three of them were there for transfer and, as we talked, a still unconscious women was wheeled out from the procedure room on a bed.  The arrival of this patient signaled that my time had come and into the procedure room I went.

As far as surgeries go, it was very similar to the operating theatre at Seton Hospital on 38th street - although not quite so white and plastic-y. Still, with a quick glance, as the anesthesiologist got to work, I could tell that all the basic equipment was present.

Since I've been seeing Dr Garza, the nurses have replaced the J sound in my name with an H sound. I'm not sure what caused me to say anything while I was on an operating table but, for some reason, I was suddenly inspired to correct them. What a hubbub it caused!  The anesthesiologist placed a mask over my face and I began breathing in gas - in the background I heard the nurses chattering a multitude of variations of my name. I also heard the anesthesiologist's radio which, attached to his belt, was yammering on and on in Spanish.

If felt like the anesthesia took a long time to take affect.  I wanted to pull the mask off and breathe clear air but of course that wasn't an option.  Finally, with my mind filled with happy thoughts, I closed my eyes and went to sleep.

The next thing I remember was my name being called, being moved off the table, and saying, "how many?"  A male voice, and I'm guessing it was Dr Garza, said, "six or eight".  I fell back asleep and woke up a moment later in the recovery area.  I felt very proud of myself for first waking up in the surgery and then again right away in the recovery area.  All the women were greatly impressed with my alertness *blows on nails*.  While some women come out of this procedure in a lot of pain, others just experience mild cramping.  I was not in much pain myself and did not require any pain medication. 

While I was in the recovery room I was keenly aware of how uncomfortable J probably was outside in the waiting room.  Unfortunately he's been sick for days and, while we had a great time exploring together, he was also quietly suffering. As I felt pretty good I asked one of the nurses if I could leave.  She said no though and had to wait for the doctor to clear me.  Thankfully it didn't take too long and after sharing good byes and best wishes with the other women, I went and got dressed. 

Next I had to be given a progesterone prescription (these are the IM shots that everyone says hurt a lot).  I was waiting for the prescription when three or four of the nurse surrounded me and asked again, in broken English, how I pronounced my name. As I sat on my chair, they leaned in until their faces were about two feet from my own.  Their eyes locked onto my mouth as I slowly said my name and, with great effort, they repeated after me.  All of a sudden a light bulb seemed to go off and one of them took out the appointment book and wrote my name in letters that made sense to them.  Without skipping a beat I pulled the book towards me and wrote my name in Malayalam script, explaining that it was from India.  They had such smiles on their face and seemed to really love this little bit of information.  I'm looking forward to seeing them again soon!

Following this I went out into the waiting room to find J.  I was bubbling with excitement and one of the husbands commented on how much chipper I was than his wife after she went through the retrieval process.  The van was ready for us and we headed back to the hotel.  Thankfully there was no wait at the bridge and we slipped right through.  J and I were both hungry so, after dropping off our things, we went out in search of food.  All in all I think we were in Mexico for about two and a half hours.

At 11:00 this morning, which is just half an hour away, I'm supposed to call the office to find out when transfer day is.  After the first sixteen hours or so they are able to see how many, if any, of the eggs fertilized.  They will discard the ones that didn't make it and put the rest back into incubation.  The eggs are then left alone for a couple more days before being checked again.  It is expected that some of them will stop growing and not make it to transfer day. I'll count myself fortunate if I have two to transfer - and if there are any extra that can be frozen for a future attempt, that would be amazing!

Thank you all for your best wishes and positive thoughts that have come our way.  As you can see from above, they have certainly played a part!