Sunday, December 21, 2008

The Truth, The Whole Truth... In Abridged Form, Of Course. Still Long, Of Course.

At my last doctor's appointment, he asked me if I have the support I need. I paused, and he added, "Honestly." I had to answer no.

(That second sentence looks like a punctuation nightmare. I know it already, so forgive me and keep your mouth shut unless you know how it actually should be.)

He was asking me about support because... I've had some stuff going on. And I had to say no, because only a handful of people even know what is going on in my life. How can people support me when they don't know I need support? Why do I keep hiding something that is in no way my fault? This isn't a dirty secret. It's just... my third miscarriage in six months.

The first two pregnancies occurred this summer. They both terminated very early--the first at seven weeks and the second at five. I take pregnancy tests the second my period is late, so I knew about both for a while. Long enough to start thinking about names. Long enough to go through the baby stuff in my basement and decide I would need a new crib, and maybe new crib bedding to go with the new crib. Still, I was over it after a week or two. Once the bleeding stopped, the grieving stopped. The first miscarriage I blamed on a genetic anomaly. It happens. It isn't a baby, I told myself. It's an Unbaby.

The second one worried me a bit. I did some research and found out the birth control method I was using to space out my children to a more reasonable two years apart may or may not cause miscarriages if a pregnancy does occur. I discontinued using it. After all, it wasn't exactly, umm, working, and I'd rather have a viable, albeit unplanned pregnancy than a miscarriage.

I found out I was pregnant again at the beginning of November. I was so happy. No, I was ecstatic. I was over the freakin' moon. I felt pregnant--unlike my last two unpregnancies. You have never seen a woman so happy to puke every morning. I made a doctor's appointment. I ceased drinking coffee (for the most part), exercising, eating anything artificial, anything that I might have done wrong the other two times. I worried at every twinge, but I told myself: no blood, no panic. I went to the first prenatal appointment bracing to be lectured about the nine pounds I had gained.

He didn't find a heartbeat. The doctor was nonchalant about it; I was in instant panic attack mode. When he was listening to--whatever they listen to on your back, your heart or lungs or both--he told me to breath normally. This is as normal as it gets.

Because no doctor likes hyperventilating maybe-pregnant-maybe-not women in their office, he offered to do a quick ultrasound. He found a water sac, a pregnant-ish uterus, but no baby. It's called a missed abortion. I lost the baby, and I never even knew it. 'No blood, no panic'? Apparently not a medically sound policy. I was almost ten weeks pregnant, but not really.

That is the biggest shock I have ever experienced. I felt bad for Dr. Davenport, because I knew he was counting seconds until this entire not-really-prenatal visit was over. Sheesh, he's like my baby brother's age. Just had his own first child. Such a nice guy, but he has to be thinking please, please, please, don't freak out. I started to cry, but stopped myself long enough to get out.

It was 5:30 PM and I had this to-do list. Pick up kids from preschool. Get daughter ready for her Christmas play. Go to Christmas play. Tell husband our baby is dead. Move the Pottery Barn crib set that the UPS man delivered while I was at my doctor's appointment. Complete two writing jobs. Study for second day of finals.

Did you know life keeps happening when your baby dies? It's really surprising when you are in the moment. Like, how come the Christmas play isn't cancelled? How come Christmas isn't cancelled? Intellectually, you understand, but emotionally, it just seems like the world should stop turning for a few days, maybe even a month or so. And no one knows why you are crying at your daughter's play or why you are rude to her teacher. No one knows why your writing assignment is late, or why you fail your finals despite being a straight-A student up to that day.

I'd like to make a note here. I had never considered that I would be hit this hard by a miscarriage, but it is the biggest and most terrible shock I have ever experienced. I have buried a parent at a young age, been unceremoniously dumped by my oldest son's father after working three jobs to support our fledgling family while he finished his degree... none of it even compares. When my son almost died twice earlier this year, I was so distraught that about three-quarters of my hair fell out. I can't wait to see what this does. (Please, God, spare my hair. There's so little of it left. It was just starting to come back in. Don't leave me ugly and barren.)

The day after my finals, I had another ultrasound at a facility with more sophisticated equipment. My doctor wanted to do more tests to make sure the baby was really gone. He also wanted more data on the huge growth in my pelvis that he found while looking for my runaway fetus. Did I forget to mention that? The possibility of having cancer was nothing compared to the reality of not having a baby. Mere background noise.

At the appointment, the ultrasound lady went and fetched her supervisor. They agreed to call my doctor. Then, they came back and did the rest of the ultrasound. I won't tell you what a transvaginal ultrasound is--that should be self explanatory. I will merely suggest that the 'wand' used for it is so long, I laughed when I saw it. Seriously, if it vibrated they could market the thing to lonely women.

They told me that my doctor would get the results by Monday and then call me. I was a little concerned about the whole 'call the doctor' thing. But then, I thought, if I really had a problem, they would fast-track the ultrasound to the radiologist, not let it languish in his inbox for almost a week.

What did I do in the meantime? I cried every day. I cried every hour. I went to my husband's company Christmas party and got ploughed on a Riesling with a silky honey aftertaste. Everyone commented--more than a year already and I'm not pregnant? I watched Tori Amos videos on Youtube. Did you know she had three miscarriages before she finally had a successful pregnancy? Now I know why almost every song on From the Choirgirl Hotel is about her miscarriages. If I could write a song that adequately expressed how shredded I am about this, it would be all I did. Song after song. Instead, all I have are my words.

I stayed home all day Monday and--no call. Then, on Tuesday, my doctor called. The growth was a corpus luteal cyst, which is something pregnant women get sometimes. It was already almost gone when they did the second ultrasound. Because, of course, I wasn't pregnant. That's why the techs were calling him so frantically. They couldn't find anything noteworthy and wanted to make sure they were looking in the right place.

My uterus was seven weeks pregnant, which I guess means that is how far I made it before the baby died. I tried to think what I did that week. What was so important that I didn't realize my child was dying? I can't go there... but I can't not go there either.

I was spotting, not so much spotting but passing a few tiny blood clots. My doctor expected that my next 'period' would be heavier than usual. Because, you know, I had all the baggage from a seven week pregnancy. Other than that, I was physically a-okay. Right, I thought, except that I have all this rotting tissue inside me. I told him that I was (am) going crazy. He thought that sounded like a normal reaction and offered antidepressants, which I refused.

Late that night, I woke up because something was... ummm... coming out. Like, several blood clots the size of golf balls, along with a lot of blood and cramping that felt like labor pains. I thought, wow--it all happened at once. Baby suite, dismantled. All over. Except that it kept happening, every twenty minutes or so. It was so freaky, I was afraid to call the doctor's on call guy. Afraid to go to the ER. Who is going to believe this? I couldn't fit all of those clots in my entire abdomen, so every time seemed like it had to be the last.

By morning, I had bled through two large packages of maxi pads and every pair of pajamas I own. I decided to take a shower (not exactly springtime fresh after my night of horrors), take the kids to school/preschool, and then call the doctor. My own doctor would believe me. I think he'd believe anything I said at this point; I'm a walking anomaly, but an honest one. Although, I briefly considered, I did just tell him not twenty-four hours ago that I'm going crazy.

I didn't get the chance. I passed out just after getting out of the shower. I awoke not long after, but I couldn't talk, and every time I lifted my head the room started to turn gray. After a few minutes, my daughter walked in. Why don't kids knock? But thank the heavens she didn't. Get Daddy, I whispered. She came back and said Daddy was leaving. I couldn't think of anything to say. My wise little girl, she went back and insisted that he come. By the time he walked in, I could sit up, hunched over. There was blood everywhere. He looked around in shock, and I said, I'm bleeding to death. It seemed a reasonable conclusion. He said he was calling an ambulance, and I told him just to put the kids in the car and bring me some clothes so we could drive to the hospital.

I looked bad when we got there, bad enough that they took me back while asking me what had happened instead of making me go through the triage thang. They started an IV and did a screwy job that left a huge bruised lump on my hand that is still there. I started to feel better, and a little sheepish. You see, the blood clots stopped coming as soon as I arrived at the hospital. Of course. But my blood pressure was low--90/60 after two bags of fluid. And I was bleeding like crazy, blood just pouring out of me. They knew something was going on.

They did a ton of tests, including an awkward pelvic exam throughout which I apologized to the doctor for how gross this had to be. I hope this is the low point of your day. I'd hate to think it goes downhill from here. The tests--including another transvaginal ultrasound, which wasn't so much funny as painful this time--showed I was full of baby detritus that was poised to exit, possibly taking a lot of blood and fluid with it. Seeing as how I didn't have a lot of either left to spare, the ER doctor wanted to do a D & C, which is this horrendous, invasive procedure in which they scrape your uterus clean while you are completely awake and without anesthetic. My doctor popped in, and thought that was unnecessary. I'll go with his opinion, thank you. They decided to admit me and give me medicine to make all this baby stuff come out while I was under their expert supervision.

It didn't go according to plan. As soon as I took the pills, the bleeding let up, which is the opposite of what it was supposed to do. My blood pressure kept getting lower. My blood count kept getting lower. The machine showed my blood pressure at 83/40, so the nurse took it by hand. That reading was lower, 80/37. The other nurse--who told me several times how crowded they were and how they needed my bed--came in and took it, saying it was 90-something over 50-something. She was so lying. But it was enough that I was sent home. I was happy to go home.

I had a mess on my hands at home when I arrived at 11 PM. I had to change my sheets, scrub the mattress, and get all the bloody laundry to the laundry room. This was a challenge when I couldn't walk five steps without getting dizzy. Finally, I went to bed. I'm still bleeding heavily four days later with some frankly disgusting stuff coming out of me. I had a follow up appointment and my doctor was so quiet and gentle instead of the all-business type thing you usually get with doctors. When he found out I did poorly on my finals, he wrote a letter to my teachers requesting that I be allowed to retake them. He even printed it out right away because I have to go visit my dying grandfather two states away and didn't know when I could pick it up. It's such a compelling letter (yeah, I read it, before I even started the car in fact) that I wondered if he worked his way through medical school as a freelance writer, the way I am doing it right now. But who cares? I doubt my dillweed professors will let me retake the tests because they are jerks that way and all men besides.

The doctor has been such a rock star through all this. I forgive him for his rude office staff, for the giganto pain in the tokhes it is to make an appointment, for picking on me about my weight gain when I was pregnant with Rachael and not exactly bathing in love for my swollen thighs. I hope his wife is super nice and makes him homemade baklava and rubs his stinky, hairy feet at night. He's that awesome. He's cute, too, but don't start seeing him. He has enough patients. It's easier to get a papal audience than to get a routine well child visit with this guy.

So, that's what's been going on with me.

8 comments:

Shannon said...

(((HUGS))) is all that I can say - my heart goes out to you. I will pray for you and your family during this time.

Mrs. Pevensie said...

OMG! Now I feel like a gargatuan (no, I don't know how to spell that) heal for not calling you every time I thought of you the last 3 weeks. I'll be praying for you! Calling you right now too so if you see this and I haven't caught you, see if you have a message on your voice mail! (((HUGS)))

LET said...

I am so sorry. I'll be praying for you, too.

Jennifer said...

Emily, I am so sorry to hear all of this. Talk about a tough few weeks. Anything I can do now?

John, Jessica, Will, Clay and Joe said...

wow. i've read your blog on and off for a while. while my ordeal wasn't nearly so awful as this - i empathize with you. i had to switch doctors - mine handled everything so well, but after that i couldn't go into his office for anything without involuntarily crying. and all the blood loss made me so tired - for a long time. seems i can't ever get enough iron. hope your body and soul heal quickly.

That lady with 6 daughters said...

oh you poor sweet thing. How lame I am to not be keeping up with you. I hope you post something soon and let us know how you're doing. I'm so sorry. And here's a little flick in the forehead for not calling one of us and asking for help. I'd have totally come over and washed your nasty stanky bloody laundry and even forced you to eat something full of iron and vitamins. Please take care of you, we really love you and your family. I'm sorry for your loss. I never call you because I think you're too busy to hang out but my girls miss Grace and Malcolm and I miss you. (((((hugs))))))

Mom said...

I'm reading this a month after you wrote it. I hope you are doing better with the physical aspects of your ordeal. I've never suffered a miscarriage, so I can't even say that I understand what you've been through - only that I feel sad for your losses.

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