Saturday, January 13, 2018

Giving it to Him

It took us a few months to get our minds and our hearts to accept the idea of trying the IUI procedure again.  However, our decision to try again wasn't completely accepted on my part.  My heart was so set on having a child through my own physical body, and I had expected that first IUI to work.  When it didn't, I didn't think I could handle going through all of that again and possibly having it fail as well.

We had our next appointment set up and again met with the doctor to regroup where we had been and where we were going next.  He wanted to try the IUI procedure again, and then brought up IVF (Invirto fertilization) as the suggested next step if the IUI were to not work.  I tried to ignore this part of the conversation.  I didn't want to do IVF personally.  It is more in depth in nature.  And it's more expensive.  I felt that we had already been on a treacherous journey.  I didn't think I could deal with more that what we had been through.  Plus, there's the increased chance of having more than one child in one pregnancy.  Now, I thought it'd be neat to have twins because I am one.  But my fear was more rooted in carrying two babies.  With my health history with Crohn's and with my current health with having an ileostomy, I was scared of carrying just one baby and getting blockages that would send me to the hospital.

But we went back through the process of starting the pre-IUI stuff.  I took the medications needed to make me have a cycle and to make me ovulate.  After the medication did its job, we went back to the ofice for our second attempt at the IUI.  I did my best to put up a wall around my heart this time.  I din't want to get my hopes up again, just to be hurt in the end.  Part of me wanted to be excited.  But more of me wanted to be guarded from any possible let downs.



There are at least two times that I can remember praying, the reason for praying, and recollecting what I said to some degree and then the feeling after I poured it all out to God.  It's not that all of the times I pray don't matter enough to be remembered.  But there are times in life that you feel like you're at the bottom of the barrel looking for that last bit of something to just hold you over until you might could be fully nourished.  The first time was when I got saved.  The second time was in this era of my life, waiting to see if this second IUI had worked.  I remember driving to work (which is probably my best time to talk to God).  My heart was so broken, I didn't think it could ever be healed again.  Tears were streaming down my face, and I believe the only way I managed to keep driving my vehicle through this was because God had control of the wheel.  I don't remember all the words I had prayed, but I did tell God how much I wanted a child, how muckh I wanted to be a mom.  And I told Him that even though I wanted this so much, it was okay if I never got to do that.  I would be hurt, but I'd be okay because He would help me through it.  I didn't pray this out of manipulation.  You can't manipulate the One who knows what we're going to do before we do it.  But I had prayed that with full belief, with complete surrender.  I had to let go and let Him do what He thought was best regardless of what I wanted.  Now, I can't say that an angel came down and spoke to me saying, "Behold, in time you shall have the child you so desire."  I can't say that the world suddenly looked brighter.  But the tears stopped, and the burden I was carrying was much lighter.  (And I made it to work without incident.)

The procedure had been done, and we have to wait a couple of weeks to see if it worked.  My husband and I had the opportunity to take a vacation and during this time I was to either start my cycle or take a pregnancy test if I didnt start by a certain date.  I did not want to take that test.  See that's another thing with infertility.  There are only so many pregnacy tests a person can take and see negative results on them.  And I had taken several of those negative tests.  It wears on one's emotions as well.  I didnt want to see another one like it.  I had in my mind that I would very likely never see a positive test.  Then, one day I saw pink when I went to the bathroom, and I thought, "Well, here we go again.  But God, it's okay.  It will be okay."

The pink never progressed to red though.  In fact, after that incident, I don't think I saw any more pink.  The date to take the pregnacy test had approached, and they suggest to take a test with the first urination of the day.  Well, I woke up at a probably 3 o'clock in the morning, and I had to go.  I reluctantly took the test.  I even tried to not look at it afterward.  And when I did decide I probably should look at it, I tried to look at it out of the corner of my eye as if that would make a negative result less painful.  But it wasn't negative.  It was positive!  I was in awe.  The angels were singing somewhere, I just know it.  My heart filled up really quick with something I'd never felt before.  Now, my husband was excited with the news.  It just didn't show up when I told him.  Like I said, it was early in the morning when I took the test.  I woke him up from a dead sleep.  I couldn't go back to sleep and not tell him.  This was big!  He stumbles into the bathroom, blinks a million times trying to focus on the test stick in front of him, and somehow managed to see that it was positive.  He kissed me and hugged me for a few minutes, and then went back to bed without a problem.  I'm standing there thinking "Really?  That's the reaction I get after all this time?"  It would have hurt me quite a bit more if it hadn't been so terribly early in the morning, and I know how he sleeps.  And he did come around to the excited side after he became more coherent.

I even managed to go back to sleep myself.  It took a while though.  My heart was so full.  I took another test the next morning that was also positive.  And then we had to get official confirmation from the feritility clinic.  But as I've said before, I already loved a child that didn't exist, so there was no way to deny a love for one that, to my knowledge, was in complete existence however tiny they were.  For whatever reason, God found this to be our time to receive one of His greatest blessings.

Saturday, January 6, 2018

From the Mountain to the Valley

Another holiday season has come and gone in what I am certain has been the blink of an eye.  I remained in good shape digestively except for one day recently when my body seemed to say "enough with the holiday food already!"  That was my cue to get back to my normal way of eating. 

The day after New Years Day, I got the experience of having to deal with an auto accident in which someone pulled out in front of me.  Thankfully no one was hurt.  it just becomes a matter of inconvenience than as the police have to process the accident to form a police report, the auto insurance company has to be contacted repetitively (thankfully my husband took that one on), and with the contact of the two vehicles, my front right wheel was knocked out of alignment to where I felt I was driving on snow and ice and had little control over the vehicle.  We decided we needed to have a tow truck take it to a collision center.  And since the vehicle was out of commission, we had to get a rental car at possibly the busiest time we have ever dealt with when it came to renting a car.  The rest of my evening plans were thus derailed as well as my spirit.  But even with the inconvenience of it all, I'd rather deal with that because the alternative could be much worse. 

And now to continue with the infertility journey:  After all the testing was completed, we met with the doctor to get his thoughts on what was likely happening and to form a game plan for the best approach in my husband and I trying to conceive.  The issue of infertility in our case was that I wasn't ovulating.  I had what I needed to do so, but my hormones seemed to interfere.  I have an abnormally high amount of testosterone for a female.  Although this has never been medically presented or challenged in my case and is pure speculation and wonder from me, it's crossed my mind that my issue with Crohn's Disease, or more specifically the use of prednisone in treatment for my illness, had in some way affected my hormones.  My cycles were fine until I got sick with Crohn's.  And after having surgery and getting an ileostomy, they were only "normal" with the use of birth control.  It just makes me wonder. 

With all of this information from the test, it was decided to first get my body to ovulate.  I had to take medication in order for this to happen of course.  (Forgive me because my mind is lost on how many medications I had to take, but I think there were two.  And I definitely can't remember their names.  This journey, this story I now share is more based and focused on the emotional struggle of it all.)  I remember the medical personnel saying to take a certain medication on certain days of my cycle.  And then on a certain time range of my cycle, they wanted both my husband and myself to come back to the office so that they would be able to do a procedure called an IUI (intrauterine insemination).

An IUI is, in simple terms, artificial insemination.  The goal is to get more sperm to reach the fallopian tubes increasing the chance of conception.  The procedure itself was awkward.  I never anticipated needing outside help in order to conceive a child.  But here we were: my husband and myself going through our own respective necessary procedures, and again, I had to toss modesty to the side.  And even with the awkwardness, there was a sense of excitement that soon we might be parents.  The staff seemed positive as well.  We just had to wait a little while longer after the procedure to find out if it worked. 

We go home and go about our daily lives.  We tried not to think about it too much.  Then one day, it was thrown in our faces.  I had gone to the bathroom and had seen the color pink.  And then the pink turned to red.  Months ago, I probably would have been ecstatic to have this happen as I hadn't had a cycle on my own in a long time.  but when you're waiting to see if you're pregnant, pink and red are not welcome colors.  And that evidence was all it took to break a heart that had just been bandaged u with a hope that I almost lost not long before.  you don't think that you can cry any harder or any longer than you do in that moment.  But the next day proves otherwise.  When I would hear that others were expecting or had given birth, it would rub those wounds that were already so big, so fresh, so painful.  And then, on top of that, I'd feel guilty.  Yes, guilty!  A joyous time for others and here I was, so hurt and heartbroken.

I wanted so badly to be happy for them, but I just couldn't fully invest that much selflessness.  I hadn't had time to even put a band-aid on my own wounds (like that would even help).  I wasn't even able to hide my feelings.  If you were looking at my face in one of these situations, you'd have seen it.  (Just ask my mother.)  I personally would like to add that those with the good news of becoming parents, those that want to share with the world, they shouldn't feel bad for sharing their joy.  Just understand that there may be some in your midst who are unable to share in your joy, and those same people feel bad for not having the ability to share in the joy and elation. 

With the realization that we hadn't achieved what we had hoped for, a child, we decided we needed a break  After only one attempt, maybe we should have jumped right back in.  But emotionally, I was spent.  Another failed attempt that soon after would most likely have done me in for good.  We were also spent financially.  We needed time to save up money again. 

In the meantime, we continued to turn to God, each other, and the family and friends, who knew of our situation provided as much support and comfort as possible.  And for that, we are both grateful!

Friday, December 29, 2017

Where Will It Lead?


Christmas has come and gone, and now we are quickly approaching the end of 2017 and diving head first into 2018.  New Year's Eve/Day is one of my favorite holidays.  One reason for this is the food involved.

My last post was about taking care to eat in moderation, so I won't go there again but to say that it's probably harder for me to do that with the foods that I truly only see and eat once a year.  And these foods appear on New Year's Eve.  It's food that is not low carb, low fat, low sodium, none of that.  It's more like appetizers and desserts for our family gathering.  This stuff is so good on the taste buds, but so bad for the waistline.  And I love it.  I am adding some fresh veggies to the mix this year though.  Of course, we have some dip for them to make them fit in with the rest of the food we are eating.

Another reason I enjoy New Year's is that we (mostly the family we were fortunate enough to spend Christmas with) have fun.  We let ourselves relax, play games, and that brings joy and laughter.  (And we eat of course.)  How often do you just relax and have fun like that?  I know I don't.  I get into the routine of life.  The house has to be cleaned, food prepared for whatever meal is coming up next, laundry, dishes, taking care of those you love.  Every once in a while, my husband and I will play a card game we enjoy.  But most of the time, having fun doesn't make it on my list of things needing to be done.  It's like I'm just trying to get through one day and on to the next.

And a final reason I enjoy the end of one year and the beginning of another: the reflection of where I've been and the hope of where I could be in another year.  This year, I started this blog.  I had never thought about writing about sharing my Crohn's Disease story before this.  I didn't think I had a story.  To me, my life is rather ordinary and routine most of the time: get up, go to work, come home and take care of my family, go to bed and do it all over again the next day.  Who wants to read about that?  Then, I realized my life now may seem monotonous, but I may look back at this time at some point and find a story to tell like I have with Crohn's Disease.  At that time, I was just trying to get through one day at a time.  I never imagined a story was forming and that it would be worth sharing.  I wouldn't have been ready to share much at that point either.  And what I did share was with those I was closest to and felt okay to share some of the most personal aspects of my struggles.

Where will the upcoming year take me?  I'm ready to see what it will bring to my life and the blessings that await.  May the upcoming year find you all blessed as well!!

Thursday, December 21, 2017

Christmas Fun or Folly?

Here we are at Christmas time.  It's a time of wonder and magic for kids, joy, and fun for families, peace and rest for those who have been at the daily grind of work and life.  It's one of the very few days that people allow themselves to enjoy the life they have.  Time is intentionally spent with family and friends.  Gifts are shared among many.  People give of themselves now more than any other time.  And let's not forget the food that is consumed.  Delicious, fulfilling, and dangerous.  Dangerous...?

Holiday foods typically don't lend themselves to the health-conscious side of things.  But to call it dangerous may seem odd to most people.  However, people who have an ileostomy may get the description.  Let's take a step aside from the story of my life that I've been writing and address the wonderful (or dangerous) food we eat for the holidays.

Here's the thing: having an ileostomy has helped my life considerably.  The removal of my large intestine removed the area that would get inflamed and cause horrible flare-ups that in turn would cause the painful, bloody diarrhea to the point that the consumption of water wasn't even tolerable.

A downside of an ileostomy is that blockages can occur.  This, of course, causes much pain.  But if it persists, it can lead to the individual becoming quite ill with vomiting as the contents can't pass through as intended.  This can lead to dehydration.  And the longer it lasts, the more likely a hospital stay is necessary to replenish fluids and get the blockage relieved.

I have not had any blockage experiences to that degree.  Although, I have made poor food choices (or more so the amount that I ate was a bad choice), and that led to horrible pain.  My ileostomy even leaked with one occasion, I imagine from all of the pressure and swelling put on my stoma.

Food for our holiday meals can be chalked full of various types of nuts: peanuts, pecans, walnuts, almonds.  These, for me, are doable as long as I'm sticking to serving size amounts and chewing well.  My mother-in-law makes chocolate covered peanut clusters.  How can I pass up those?  But if I eat a few of those, I probably want to steer clear of other things that might have hard to digest nuts in them.  Moderation, right?

There are lots of fruits and vegetables involved, too.  Again, chew, chew, chew.  And if they can be cooked before consumption, that helps to soften them and make them easier to chew and easier to digest.  Don't eat a ton of oranges or strawberries or corn (or whatever) in one sitting.  Again...moderation.

(Side thought: Why is the healthy food so hard for an ileostomy patient?)

I wouldn't say to avoid any one certain food unless you know it causes you problems with your health in whatever situation you deal with.  For me, the one food I don't touch (and absolutely love) is a bowl of chili.  I've eaten it in casserole type dishes in smaller amounts and have been fine.  But a solo bowl of chili, as much as I love it, the pain just isn't worth it.

One thing that can upset my stomach is just the variety and abundance of foods that are not normally a part of my diet: the peanut clusters, the wonderful casseroles covered in cheese, and the delicious desserts that appear only once or twice a year, so you feel like you have to eat as much as you can in one sitting.

Don't do that!  Even if you don't have an ileostomy.  It's not good for anyone's digestion, but especially so with an ostomate's digestion.  It may not cause a blockage, but an upset stomach may soon follow.  So let me say it again: moderation!  Plus, your waistline will thank you later.  I may need to read this again before Christmas dinner to keep myself in check this holiday season...

Merry Christmas!

Saturday, December 16, 2017

The One I Loved Already

My husband and I went to our first appointment with the fertility clinic in early 2014 (the exact month escapes me).  I'm not sure how my husband felt at this point although I know he is reluctant to go to doctor's offices and hospitals.  But I imagine he was a little on the nervous side.  I sure was. 

Going to the doctor's office usually has the power to make me a little on edge.  I probably should be used to the process after going to the doctor so often with having Crohn's Disease.  It seems like there would always be an unpleasant test of some sort awaiting me.  What surprise tests would we have here?

With this visit to the fertility clinic, we were looking at potentially large medical bills coming our way as insurance would provide little to no assistance in the process.  We had saved up money, but how long would that last?  And would we get the results we wanted after spending that much money? 

And the biggest cause for my shaken nerves: the end result.  Either way it went.  I was nervous it wouldn't work; that the baby I longed for, of mine and my husband's own flesh and blood, would never be, and I'd be left with a massive hole in my heart.  On the other hand, if it did work, if we were to be blessed with a child...well, having a baby makes everyone nervous!

The waiting area at the office provided a slight calming of my nerves.  The environment was open and quiet.  But then we were handed the new patient paperwork to fill out.  That's hard to do when you keep thinking of the potential life change awaiting you.

Once we were called back, we went through the new patient preliminaries.  The staff was great.  It was helpful that we already knew one of the staff members prior to our visit (my husband knows someone everywhere it seems) which, for me, is calming as it provides familiarity.

When we met with the doctor, we heard a trusting voice.  He brought knowledge and confidence to a room that was filled with a sense of possible hopelessness.  He explained what was currently happening with me physically with the information he had from the tests that had been done prior to this point.  Further tests would be needed in order to get a better understanding of what my body was doing (or wasn't doing).  He also addressed what tests would be needed on my husband's side of things to eliminate issues there. 

I had thought that my modesty within the medical world had gone out the window by this point in my life.  How many times have I had to have invasive testing done with strangers present in regards to having Crohn's Disease?  And once I was of age to start going to a gynecologist...there's not really any explanation needed there, right?

The testing needed for this battle with infertility: It's a well advanced, in-depth trip to the gynecologist; throughout the whole process.  It's like modesty went out the window, tried to come back to thinking the coast was clear, and then saw the actual situation and said, "Why bother?"  There were times I'd think my life couldn't just be simple somewhere in the health spectrum.  (Of course, that was just me having a pity party on top of being tired of having to see doctors.)

I'm fairly certain I could have donated a decent amount of blood over the years (if I were medically cleared to do so) with all of the lab work I've had done in my life.  I think I had lab work done every time I visited the fertility clinic. 

And you know what?  I would have had even more lab work done, filled out enough paperwork to write a book, went through even more tests, worked more to be able to pay for all of this if it meant sharing the love that God had put in my heart for a child.  Some people say they love the child they are carrying but is not yet born.  I loved a child that didn't yet have life inside of me. 

Saturday, December 9, 2017

Love, Marriage, and...

There's a saying "First comes love, then comes marriage, then comes baby in the baby carriage".  My husband and I had the love part.  We had the marriage part.  Next, we wanted that baby carriage.

At this point we had been married around three years.  It seemed like a good time to expand the family, bring new life and joy into our home.  But something strange had happened to my body.

My menstrual cycles started off as normal as possible for a teenage girl.  But then Crohn's Disease happened and wreaked havoc on my body.  I had lost a lot of blood over time due to my illness that the "gift" had disappeared.  My body was doing good to pump enough blood to keep my heart going, I'm sure.  Functions that had to do with reproduction were not important.

After my issues with Crohn's were addressed, then my menstrual cycles (or lack there of) were addressed.  I was prescribed birth control to get my body to have cycles.  A woman's body is meant to have cycles once a month.  The monthly visit seemed annoying at the time (and sometimes still does), but it's unhealthy for the woman's body to not go through the process.  Birth control resolved that issue; at least on the surface.

When my husband and I decided to take the leap into parenthood, I just assumed it would happen.  No issues could possibly interfere.  The only medication I was taking was the birth control medication (my Crohn's was under control after my ileostomy).  Obviously, I stopped taking that.

Then the issues started.  A month went by, and I didn't have a cycle.  I'm all excited and go and get pregnancy tests.  They were negative.  That was disappointing.  But it didn't seem terribly odd to me.  I'd been taking birth control for several years at this point.  My body probably just needed time to adjust to not taking it.

Well, months went by and then almost a year had passed since I had stopped taking the medication, and still, my cycles hadn't returned and unfortunately, I still was not pregnant.  It was time to go to the doctor.  He reinforced my idea that it could take some time for my body to get back into order after stopping the birth control.  But he actually put me back on it for three months thinking that it may jump start my body.  It didn't.  At the end of the three months trial, my cycles still hadn't returned, and I still was not pregnant.

I found myself trying to will my body to do what it was supposed to.  If I could just have my cycles back, we would be able to conceive.  But there was nothing I could do of my own accord.

We took it upon ourselves to get more in depth help for reproductive issues.  We made our first appointment with a fertility clinic.  The emotional roller coaster would start here.


Saturday, December 2, 2017

Make Them Aware

December 1-7, 2017 is IBD Awareness Week.  This is a great time for those who have Inflammatory Bowel Disease or those who may know someone who has it or those who work in gastroenterology to bring awareness to the forefront of people's lives.  It's a time to share information on the disease and how it affects different areas of the body in various ways.  And it's a time to share experiences of dealing with what can be a vicious illness that takes over the ability to live in comfort.

IBD (specifically Crohn's Disease in my case) isn't something you can take an antibiotic for 10 days (or however long), and the affliction goes away.  It isn't a scrape on the knee where you just clean up the injured area, put some ointment on it and a bandage, and the scrape heals.  IBD is...well...forever.

With IBD, medical tests are commonplace.  Fortunately, for me, I can now go two years between ileoscopies as I've had good results from my previous scopes over the past few years.  Every year (at least), I see my gastroenterologist.  But there was a time when my Crohn's was active that my visits with him were much more frequent.  Medications (that aren't always budget friendly) have to be taken regularly.  But there is no guarantee that they will help the individual that is taking them (for me, they did not).

Some people face multiple surgeries due to the impact their illness has had on them, such as removal of parts of their intestines or even removal of their colon completely like with me.  And though its been a blessing to my health, I have to admit that sometimes I wish I didn't have to wear an ostomy bag.  When things are quiet around me, that's when my stoma wants to be the noisiest.  It's not very lady-like.  I attempt to muffle the noises by putting my hand over my ostomy bag, but it's still noticeable, to me anyway.

There are costs involved with IBD as well.  Monetary costs are big due to expensive drugs and sometimes extended (or just frequent) hospital visits.  And of course, doctor's office visits.  With an ostomy, supplies can be quite pricey.

There's a time cost.  People with active disease are likely to miss time at work due to those hospital visits, doctor's appointments, and just feeling unable to work.  They miss time with friends and family when they don't feel well.  Being a part of society gets pushed aside as one just tries to get through the daily pain.

Family and friends pay a price, too.  They may miss out on the same things as the family member that is struggling with their illness: time at work, spending time with other family and friends, and just having time for themselves.  They are doing their best to support the loved one who is sick; but their free time may be turned into a time of care-giving.

And lets not forget the emotional toil IBD can have on a person.  The uncertainty of if and when one is going to get better (or the if and when is the next relapse going to happen) can really take a person on a roller coaster ride. They are on top of the world when the disease has calmed down and one is able to go out of the house pain free; but then the ride goes way too fast in a downward spiral when a relapse occurs and the painful symptoms reappear.

As this week of awareness goes forward, my hope is that the awareness of IBD doesn't end on December 7th, but that it will carry on each and every day.  People can't be a part of something they know nothing about.  Bringing awareness of IBD is part of why I started writing this blog.  I'm hoping that it's doing just that.  Please continue to share my story with those that may be affected by IBD.  We all need the support of others.