Sunday, January 25, 2009

The Uncommunicator

I once saw a card at a baby shower that said, "Congratulations! (And thanks for not telling us you were trying.)" Some people just don't want to know the details. They still love you, but they don't want to know. I've been thinking about this with my parents. In someways they would love to be included. 

Choosing a donor with my mother could be fun. She really enjoys the details and nuances. I, on the other hand, look for a basically well-adjusted, reasonable person with a decent health history. Mom would fuss about preferences and balance possible potential for the baby. She would pour over the personal history and medical history and try to make the perfect decision. I stopped believing that perfect exists a long time ago, but I think Mom still believes. She'd be delighted to help me over think this whole adventure. Maybe that's what scares me. I'm afraid she make the list of obstacles and err on the side of safety. No baby. 

Mom may know because she and Dad talk about everything. He was sad about my childlessness, and I said, "It's not off the table. I might not do it with a partner." He sounded surprised but pleased. He said, "I could support that." 

My sister said Dad mentioned it to her and was excited. And there is the situation in a nutshell: talking. My family loves to talk. They have opinions. They love each other. They want the best for each other, and they share all of the opinions with everyone they love. I could swear them to secrecy and they do their best. It might last a week, but eventually it would slip out. Someone would tell one of Mom's many siblings or Grandma. Within a month my aunts, uncles, twenty plus cousins, and anyone in the tri-state area would know. And I don't even know whether I ovulate. I'd rather invite them to the second act of the drama, and I'm looking forward seeing them there. I was very tempted to tell Mom and Dad this weekend, and I decided that it was best to stay quiet longer.

Communicating with the doctor, on the other hand, is a challenge. I want to tell her and her nurses important things like when I start my period. It is so challenging. I leave a message on the nurses' voicemail, and the message tells me that messages received prior to 3 pm will be returned on the same business day. They have faithfully returned my calls, and yet we don't quite understand each other. It began with my first visit to the clinic. The first visit was rescheduled to be an hour earlier in the day -- 1:00 pm instead of 2:00 pm. I arrived on time and was ushered into an exam room where I waited until 2:15 pm. After waiting 45 minutes, I inquired about the doctor and was told she was double booked. I wished I had brought my book.

But the doctor was so gracious and articulate and her nurse so sensitive and understanding that I immediately overlooked the waiting. They explained everything I would need to do. The doctor said I wouldn't need to see the counsellor because it wasn't an issue that involved a father. Using someone else's sperm introduces legal and emotional difficulties for couples . . . but that's not me. The nurse drew my blood to check for HIV, TB, CMV and some other scary abbreviations I don't recall. The doctor was certain that I needed to know the blood type to pick sperm. The Rh factor is a big deal. It took two veins to draw two vials, but it was no big deal because she was gentle with the needle. I was assured that blood type was on the testing. She said I could call late the next day to find out about the results.

The nurse who answered the phone that day didn't have the lab results. She said she'd call me. She didn't. Two days later, I called her. She said the lab results were great, but there was no blood type. Since I needed to have more blood work done in my home town, she faxed the orders to a local lab and said she'd include infectious diseases. 

At this point, I was at work trying to communicate by whispering into my cellphone and leaving messages on the "calls received prior to 3" voicemail. Discussing artificial insemination and infectious disease labs discretely in a land of cubicles is impossible. The bathroom has a surprising number of visitors throughout the day although I resorted to making more calls from there. I spend lots of time in meetings so I was getting messages back on my telephone. The messages were proceeding like this:

Nurse: doctor's orders were faxed to the lab. We added infectious diseases. Doctor said you also need to see our psychosocial counsellor.

Me: Thank you for faxing the orders. Isn't infectious diseases for HIV, TB, etc? Because that was the lab work done in your office and you said it was ok. I really need to know my blood type for the selecting a donor. Can we get that? The doctor said I didn't need to see the counsellor.

Nurse: The infectious diseases are HIV, TB, Hepatitis, . . . that's the order that was faxed to the lab. No, we don't know your blood type. The doctor wants you to see the counsellor.

Me: The infectious diseases have been done. What has changed about the counsellor? Can I get a blood type?

Nurse: We won't know about your infectious diseases until you have the lab done. I can ask doctor about the counsellor, but I'm sure she wanted one. You could only have your blood type determined through a lab.

I gave up. I was tired. I was running out of discretion at work and dignity on the phone. The lab couldn't type my blood without an order from a doctor, and the man behind the counter tried his hardest to help me. He called the doctor and expressed frustration by the voicemail that would be returned if left prior to 3 pm. I smiled sympathetically. He even drew an extra vial of blood in case he got a belated order from the doctor. He called later to tell me the nurse didn't fax it. A friend said the Red Cross will tell give you your blood type when you donate, and I think that sounds like a good option. It may even help someone who needs blood.

I called the counsellor with all of the grace of a teenager who has been coerced into an unpleasant task. I didn't want to drive 3 hours and pay $250 to talk to someone about a decision I agonized over and read about for years. My teenage mind was pouting and screaming about going to a bar and finding some guy to do the job, but that wouldn't be right. It wouldn't be fair to me, the baby or the guy. 

Last night, while I drifted off to sleep, I remembered college. I was a good college student. I got As and liked my professors. However, I wasn't receptive to my advisor's advice. She would have steered me toward the Rhodes scholarship and other opportunities. I was young and thought I knew everything. It wasn't that I did poorly without her, but I could have done better with her advice. I hope the counsellor will offer me useful advice, and the baby and I will fare better because of it.

More than ever, I hope I get pregnant on the first try and not just because I'm ready for a baby. I want return to my regular ob/gyn and his nurse. I understand them. The office is close, and I understand the system. I miss my doctors and their staff. 

Thank goodness for friends. Two close friends went out to dinner with me on Saturday night. They said, "Tell us everything. We want to know. How do you feel? Are you excited?" I told them every last detail. They listened, asked questions, and understood. Then they gave me some good tips on the best deals for ovulation predictors. 

Monday, January 19, 2009

Got Eggs?

On Thursday morning, I set out driving across miles and miles of grasslands. It was bitterly cold, snowing, and the sky was gray. Not too much snow fell, but the wind blew it in swirls across the road. I didn't see any accidents but the radio kept talking about accidents to avoid. I was tense and wondering how my appointment would be, and then after the first hundred miles, the sun broke through and the snow stopped. I started to feel as if I were making my own decisions about my life, and it felt good.

The doctor was pleasant and professional. She thought that everything looked good. Apparently I ovulated last month and she admired the number of eggs that I had. No one mentioned my weight. Perhaps that will concern the ob/gyn who oversees the pregnancy. The next month is going to be comprised of monitoring. A checklist encourages me to call when I get my period. Then the nurses remind me to get the first of three tests. 

I was very relieved to learn that these tests can be done by local doctors. Even the local doctors who are unwilling to perform single woman inseminations for moral/ethical reasons would be willing to help with some of the testing that leads up to the insemination. If these go well, I'll be ready for insemination in the next cycle. 

The timing is tight. I need to let the doctor know when I ovulate by three pm. Then I need to be in her office at 7:30 am the next morning. The three-hour drive is a complication, and I dread explaining it to my supervisor late in the day. "Um, I just got worked in for some, um medical testing. I'll be out tomorrow." He's a fifty year-old man and is tremendously supportive of me at work. He even identifies issues I've had as sexism before I'm willing to put them in that category. However, I try to keep it strictly professional. This gets pretty personal. Eggs? Ovaries? Artificial insemination? If all goes well, I will eventually tell him, but he won't need or want all of the details. 

In the meantime, I've got a list of sperm banks to peruse.The California Cryobank and Xytex are the top recommended banks from nurses I've spoken to, but I'm sure some other good ones are available. So much to think about. . . I'm actually starting to feel like I can imagine a baby. Just a little. 

Sunday, January 11, 2009

More Details

I'm trying not to hope too much and to pay attention to each step along the way instead of thinking about the outcome. Obviously, a happy, healthy baby is the desired result, but that would be too much hoping. I'm not decorating a nursery or telling lots of family and friends. The next step is vacation from work next week and a drive to the fertility clinic.

I expect my family and friends to be happy for me. I've got a safe, supportive, nurturing group. There will be surprises. Not everyone deals well with changing situations. Overall though, I expect my parents to be happy for all of us. It's still too soon to start hoping. Dealing with their disappointment would be as hard as dealing with mine.

The intake paperwork for the doctor needs to be completed. I'm working on that this morning. The intake has so many questions about the father, the sperm and how long unprotected sex has not resulted in pregnancy. But I try to be a good girl and follow the rules. I've never had unprotected sex. I've never had a pregnancy scare. Should I worry? Does it mean anything? Is it time to start thinking about sperm bank selection?

Sunday, January 4, 2009

Plans Change

I live in a mid-western town where the metro-area is just shy of half a million people. That’s big enough to foster business, diversity, and education. We’ve got an art district and independent business districts. The larger culture has a strong conservative flavor, and I’m sheltering myself from that as long as possible. I have only spoken to a few supportive friends about my plans, and I didn’t anticipate a cultural road block so soon.

The irony of going to a fertility specialist without actually having any infertility is not lost on me. However, I was surprised to learn that the local fertility specialist will only treat married couples. The next closest option is 200 miles away. They want to do an initial consultation and discuss my options at that time. I already feel like I’m on approval and hope they will work with me. I’ve been diligently saving vacation time for after the baby is born, and each trip I make requires a full day of vacation. 

Popular wisdom says that parenthood delivers many unexpected changes of plans, and I suppose it is only fitting that they would begin now. In the meantime, I intend to drink a latte today and take a nap – things that are either not recommended during pregnancy or are scarce once a child arrives.

Friday, January 2, 2009

The Beginning

Having a child on my own wasn't the way I planned to do things. A child should have a father and mother, I thought. Because. Because that's the way it is. Because that is the way it should be. Life has a way of colliding with my assumptions and beliefs and turning them on their ears. I learn this again and again with increasing humility. Each time it is new and each time I have the same niggling sensation that I've learned it before. 

It's been nearly a year since I divorced, and marriage doesn't hold the slightest appeal. However, I've wanted to raise a child for the last ten years, and I have never made it a priority. While I'm beginning to be interested in dating, serious dating just sounds gross. I don't see wanting a long-term relationship for at least a several years. But, with my thirty-fifth birthday just weeks away, I realize that I want a child, and the time for waiting has passed. I've spent a year thinking about this decision and questioning the wisdom. It seems right for me. 

I've made an appointment with fertility specialist to discuss how I will become pregnant. Not having sperm is a huge fertility issue, and I'm about to dive into the realm of sperm banks and turkey basters. It is unknown and scary and hopeful--all at once. There are too many stories about dashed hopes, and I try to restrain my dreams of a child until the unknown factors are more certain. But hope is a stubborn thing.