Monday, August 31, 2009

Simple Math

Maternity Underwear + Low Rise Jeans = World's Most Awesome Muffin Top

I'd take a picture if it weren't so embarrassing.

Friday, August 28, 2009

Scratch that too

Update on the email announcement thing...

I finally just told new boss to forget about it the other day. I still think it's kinda weird telling someone that they are suppose to publicly congratulate me and I haven't ever really felt comfortable with it, and it obviously wasn't a priority for him, so scratch that.

New Boss did announce it to the Managers at their monthly meeting. He didn't tell me he was going to do this, nor did he tell me after he did it. Courtesy anyone?

My supervisor tried to make a cute little announcement at our monthly Division meeting the other day by announcing that their would be a new addition to the division staff. And said he didn't care if it was a boy or girls as long as it was fully utilized (which is a joke around here, in case that didn't come off right). But of course, everyone there already knew I was pregnant, so it wasn't much of an announcement (although I though at least one guy would be surprised, but since he'd already heard at the managers' meeting...).

There may be as many as half a dozen people left that don't know now, but I don't really care... they will figure it out.

I haven't really told any of my friends yet, most of them don't live near me and I don't see them or talk to them very often, but I will probably announce to my Bunco group on Monday since we are meeting at the neighborhood winery and it will probably look odd that I won't be drinking.

DH hasn't told any of his local friends yet. He works with several of his friends, so if he tells one, then he tells the other. And he didn't want to tell his work cause they had some trainings coming up and they usually make announcements to everyone in the area during those and DH would rather skip that (DH is a fed employee).

We went out to dinner with a favorite drinking buddy to our favorite brew pub the other day. He asked me if anything was "baking" (he asks something suspicious like that every time we see him). This time I said yes and left it at that. Some other people I didn't really know joined us and this girl kept telling me that I needed to drink and try these beers and become a beer connoisseur. I didn't want to be some kind of jerk and say, "Duh, I'm pregnant, bad idea." (I was wearing a mat top and looked suspiciously round to say the least.) I just bit my tongue and said that I wasn't a drinker and sipped some more water.

Oh well, more fun times are to be had I'm sure. I cannot wait for this belly to look like a real preggo belly and people will just know and not be left wondering 'is she or isn't she?'

Thursday, August 27, 2009

Nevermind

No. She definitely has not learned her lesson.

Tuesday, August 25, 2009

17 weeks

I'm all kinds of upset after this morning.

First, the baby is fine. That's the only good thing I have to say about this morning, but it's the most important thing.

Now everything else. Ok, not everything else, because this post is long enough and would get way too long, but here are some of the highlights.

-I asked too many questions at my appointment today and my OB got testy and indignant that she had to spend a whole HALF hour with me and that I was worried about things I shouldn't be worried about.

-I apparently hate the staff too and if I don't think I'm getting good care maybe I should go somewhere else.

What were all the questions I asked you might be wondering?
-I asked why she doesn't check my cervix and when will she start (she doesn't check unless I've had a cervical cone or a LEEP procedure otherwise she won't check until the last month)
-I asked if you can feel braxton-hicks this early because she told me I probably won't feel the baby until 20+ weeks and I've been feeling something (apparently it's more likely that it's the baby than braxton-hicks)
-I checked to make sure that they still weren't going to be administering swine flu vaccines there and if I should avoid the ones with mercury in them (apparently a supply is being produced without)
-I told her the side sleeping wasn't going well at all (to which she told me to take benadryl-for real, that was her advice)
-I told her I was having sciatica pains (which she agreed with but didn't tell me how to manage at all)
-I told her I was afraid of going off the baby aspirin (no sympathy, the best she could offer is to let me come in for a biophysical profile weekly after that, but my ins won't cover it because 'patient anxiety' isn't a medical reason, yes, that's what she said).

~That's it~
That's what I asked, it's really not that long of a list and I don't think at all weird of a list of concerns. I can't help it if MOST of your patients don't actively manage their medical care and would prefer to float along in the breeze, that ain't me, and I bet a lot of those women don't end up happy when they get an episiotomy and forceps delivery (or maybe they don't care, because they don't know any better, whatever, I do not want to be one of those women). I also don't want to quit my baby aspirin and have my baby die because I have an undiagnosed problem that we could have possibly identified and prevented that problem (not that we can, but can we at least talk it out a little?).

But basically at this point she starts (and I use this term loosely) 'attacking' me for all the questions I'm asking and I don't need to be so worried about everything. So I'm crying in no time flat, because I'm just a little tired from the not sleeping for the last week. Of course, the discussion get's longer because I'm on the defensive now and have to explain that I want to talk about things now so that I have time to think about my options and get comfortable with the situation. But then she starts saying 'she's not sure she's providing me with the care I want and that I haven't been happy with the staff and maybe I should go somewhere else....' (For the record, I've written a post appointment summary for all of my appointments on here and the tone for all of them has been very positive, I don't know if she was having a bad day or what but I haven't shown her any negativity in person or behind her back until now, she's completely of the mark, but you can judge for yourself ->1st appt, 2nd appt for cramping, 3rd appt, metformin discussion at 3rd appt)

-Yes, I think the PA is an idiot, and she shouldn't have treated me the way she did (I don't see what's unfair about that)
-I thought the LPN was a moron too when she went through a long list of questions at my first appointment and got to the one where it asked if we had a cat and then she said she didn't know why that one was on there (um, maybe because of toxoplasmosis? you'd think someone that works at an ob's office would know that).

I'm also not exactly happy that no one called me last week after the PA said that someone would, but I didn't say anything about that.

And during this whole take down, my husband is not exactly being supportive or helpful... I don't really want to go into it, but next time he can go through and pay for the fucking infertility treatments and then push the kid out himself, and then he can act however the hell he wants at the OB office. But until then, he needs to play the part of the supportive husband, or at least keep his mouth shut. He's not allowed to go back with me again if he cannot master this concept.

So I probably need to find a new OB now. Fan-friggin-tastic. But who? I've called and scheduled a meet and greet with Dr. L (whom I had scheduled to have my gynecological care with but then she left my old clinic and went to the clinic that my RE is associated with). Unfortunately I couldn't get it scheduled until after my next OB appointment so I will have to proceed forward... honestly, I'm tempted to skip the appointment except it's the anatomy scan and I'd really don't like the thought of missing that because I'm pissed at my OB.

And I'm not 100% sure that I'm switching... Despite how bad this post sounds, this is only #3 or #4 on the list of worst gynecological appointments I've ever had and probably at the lower end the top 10 for worst drs visits in general (great idea for another post). And we didn't leave things in such a bad state that the relationship can't be repaired, but things were bad enough that I owe it to myself to at least talk to someone else.

So here's the plan, my OB wanted me to make birth plan and we would go through what is and isn't possible on it (and if the appointment runs long, we will resume the discussion at the next appointment). I will do this and take it with me to Dr. L's and be able to do a kinda side by side comparison on who will provide me with the experience I want and be able to make a decision from there... that the decision may be that I need to find yet another ob because it turns out I don't like either of them. Of course, I still have an appointment on the books at my old clinic at the end of October that was suppose to be with Dr. L and since she left and my clinic never actually bothered to tell me (why I'd rather not go back to them) but it's still on the books and as long as it's not with evil ex-gynecologist, I'd be willing to go back there.

I'm exhausted. Sorry this was so long.

Monday, August 24, 2009

Bullets

Lots of thoughts today...

- DH gets brownie points... after I was wedged in to go to bed the other night I realized that I forgot to put on socks (feet get cold). So when DH came in to go to bed I asked him if he could get my socks for me. He did me one better and put them on for me. Awe, how sweet.

- I think Bliss has temporarily learned her lesson. I haven't seen her on the other side of the deck railing since the other day. She is also more cuddly lately too.

- I found it highly ironic, and dissappoinging that one of the big members of my churches "pro-life" committee thinks it's alright to leave her dog in her car for an hour (or longer). This really pissed me off. First, dogs are animals, not accessories and shouldn't be left trapped in your car for such long periods of time. Second, as a person so committed to life she should know that it isn't limited to embryos and she's endangering her dog's life. People say you shouldn't treat your pets like children, but maybe some people need to treat their pets a little more like children (this coming from the woman that laughed about her cat falling off the deck the other day). And although I was pissed at the situation, it was cool enough and late enough (and the windows were cracked) that I don't think the dog was in danger, otherwise I would have busted back into church to give her a piece of my mind.

- Then, on my way home I saw a missing dog sign and a dog in my neighborhood that kinda looked like the dog. So I drove back to the sign to check it out again and I realized it wasn't the same dog. I was hoping I might have been able to help that family, but unfortunately no.

- New Boss STILL hasn't sent the email. I'm going to tell him he might as well wait until tomorrow after my appointment (you know, because I would feel better knowing that it's still alive before sending the announcement).

- My list of questions about labor a delivery are getting longer as I get farther into this pregnancy. I didn't worry too much at first, because I didn't think I'd get that far, but maybe I'd better start planning accordingly.

- I'm behind on my reading so I'm bringing my books to work to read on the lunch hour (another reason that New Boss should probably get that email out, otherwise it might look a little weird with me reading "Ina May's Guide to Childbirth").

- Next OB appointment is tomorrow, and I've got quite a list of questions, but I'm going to start off by tattling on the PA for being a moron.

Saturday, August 22, 2009

Bliss' Great Ideas

If I were an out of work documentary film maker, I'd probably fill my days following Bliss around and filming her do crazy/dumb stuff. I'd call these "Bliss' Great Ideas" and they would include such gems as:
- Standing on the OTHER side of the deck railing
- Trying to get into a hot oven
- Where does the toilet water go after you flush?
- If I keep digging in the litter box will I get to China?
- Eating the fuzz from the purr pad
- Electrical cords are tasty
- Attacking Ambrosia (of course)

I just wish I could get evidence of Bliss' genius ideas.

Ambrosia just lays around and demands to be petted, but Bliss is the adventurer.

Today Ambrosia was getting loved and it occurred to me that I hadn't seen Bliss in while. I asked DH to go look for her. He couldn't find her, so I rolled my eyes and started a more thorough search. It took me all of 2 minutes to realize that she was outside the basement door crying. She fell off the deck.

HAHAHAHAHA!!

Laugher is completely appropriate here.

She was fine, I kept telling her that she was going to fall off the deck and she didn't believe me. There is not enough deck edge to stand on the other side of the railing. Maybe now she will have learned her lesson. Probably not.


That was fun! Let's do it again!


I did not push her. I have an alibi. I was in the living room with you the whole time. But I thought about it.

Friday, August 21, 2009

Acupuncture and PCOS

I just saw this yesterday and wanted to pass it along to those interested.

I've posted on my acupuncture experiences several times and truly do believe that I benefited from it. I got the more traditional acupuncture and not the 'electro-acupuncture' used in this study, but I was happy with the therapy I did get. Very happy.

Thursday, August 20, 2009

Whining

New Boss hasn't sent out the email announcement yet.

He's a really busy guy, but I think he's putting it off too. I never figured New Boss to be a procrastinator, but I think it's showing on him right now.

And I'm a bit mixed over it not getting out yet. A part of me will feel a little relieved that it's out there. And I'm not showing terribly, but when I wear maternity clothes, it becomes a bit more obvious. I'm sure some of the people that haven't been told are probably getting suspicious by now.

But the best thing about people not knowing is that it keeps me from whining. I'm a natural whiner. I do it so much I don't even realize it when I do it. But I don't want to be a whiner about pregnancy. Yes, I'm tired, but being pregnant isn't a free pass to whine about it all day long. Yes, I'm sucking on a tums, but I don't need to go on about it. And I don't like hunting people down in the office all day (the getting up and down and running all over is more annoying these days) but I'll do it and keep my mouth shut.

But once the whole office knows that I'm pregnant I might be tempted to milk it. And I want to be a tough chick that can do it all and not let this be an excuse.

Most of my coworker have sahm wives. If you're planning on being a sahm, good for you, a part of me is a little jealous, but at the same time I find it a little dissappointing that these smart women with degrees and prior careers gave it all up to support their husbands and raise their children. I want to do my work well and raise awesome kids and do it in front of these guys to show them that I can. I don't get along with my mom all that well, but I have to admit that she set a pretty good example in this area and I want to do an even better job than her, particurlarly if I have a daughter. I want her to know that she doesn't have to choose and that the sky's the limit.

Tuesday, August 18, 2009

16 weeks

I feel like I'm starting to lose track of the weeks here.

Some of the discomforts of pregnancy have found me. I have to be diligent about my posture these days, particurlarly while standing. I tend to slouch while standing by shifting my weight on to one hip or the other... I think a lot of women do this. I find that if I do this for very long, my back will crack very loudly when I straighten back up again. And sometimes I just get hot and start to feel faint from standing for very long.

And then I started having this lower back pain that tingled and twitched on just my right side. I'm not sure, but dr. google seems to think it might be sciatica, which isn't uncommon during pregnancy.

Since monitoring my posture, I haven't had the twitching, but it made me realize just how much I slouch (any time I stand still). I will follow up with my ob about this... I certainly don't want to develop any lasting problems if there are exercises I can do to help it.

And Your Pregnancy Week by Week told me that I have to stop sleeping on my back this week. I usually mix side sleeping with back sleeping, but not being able to back sleep at all has proved to be an uncomfortable challenge. Since I try to be on my left side most of the time, I find that my right hip suffers from not being supported. I have shoved pillows every which way to no avail. I have been staring at the pregnancy pillows online, but it doesn't look like they make one that would solve my particular problem. Maybe it will get easier as I go along. I really hope I don't end up on bed rest. I don't think I'd do well.

But everything else seems to be good. I keep thinking the heartburn is creeping up on me, but then it goes away for awhile. My skin is looking pretty good. I think I'm up a couple of lbs, but that's probably to be expected at this point. Oh, and second trimester libido increase is in full swing ;)

Sunday, August 16, 2009

Ready or Not

You know what was the weirdest part about telling my bosses that I'm pregnant? None of them asked about when and how much time I would be taking off. Nor did any of them ask me about announcing it to the rest of the office. Old Boss, my main supervisor, didn't even ask me when I was due, so at the end of the conversation I was squeaking out, "You probably need to know that I'm due in early February for planning purposes." Well, Old Boss remembered that there should probably be some kind of announcement the other day and asked me how I'd like to do it.

I would rather not 'announce' it. I've personally told about 1/4 of my coworkers and talked out loud enough about it that I figure most of the office knows by now. It's not really a secret anymore. We have two seperate divisions and I feel that I really only need to tell the division that I work in and the other division will figure it out sooner or later. So, IMO, I don't need to announce it, and eventually, it will announce itself. (And there are only about 20 people in my office, word will get around soon enough.)

But Old Boss feels I must. So my options are:
1) Tell everyone myself
"Did you get a copy of those plans, and oh, by the way, I'm pregnant." No, I don't see that topic naturally working it's way into conversation. The folks I have told, I pretty much had to, or it actually did work it's way into the conversation (ex. So why did you get a new car?).

2) Blurt it out at an office meeting
I could make an announcement at an office gathering by just blurting it out to everyone at once. It made me feel pretty shitty that last time I had to sit through this style of announcement, so I'd rather not do that myself. And, in an office of men, it just seems inappropriate to make me announce it in this way.

3) Email
Old Boss says in the past he has sent a congratulatory email to the mom-to-be and copied the whole office in on it, so it's a quieter way of announcing. Actually, it's not a terrible idea, I'd still rather not announce it, but it's not bad.

So email it is. Only, since New Boss is in-charge now, he should be the one to send it. He was on vacation last week, and Old Boss told me I need to tell him to do this on Monday when he gets back (b/c Old Boss will be on vacation then). Good luck to New Boss, because I have no idea what the heck this email will contain. I'm a little worried, but I must admit, that New Boss has a way with words and I should just trust him to handle this.

So ready or not, the whole freakin office will probably know by the end of the day tomorrow.

Bonus: When someone has a baby in my company (and we have several offices all over) a birth announcement is normally sent out company wide. I will NOT have one of these emails sent out for me. I have never seen one of these emails sent out for a female engineer in my company, and I won't be the first. I can just imagine all the misogynistic old jerks sitting at their computers groaning about how my leave will bring down utilization for the entire company ("And that's why you shouldn't hire female engineers."). No thanks.

Friday, August 14, 2009

Hilarious!

What's so funny?

Me, that I'm pregnant, that's what. Really.

I went to the bathroom and looked at myself in the mirror and pulled up my shirt exposing my belly panel (I'm obsessed with this thing). I just cracked up.

Oh, that's crazy, I'm pregnant, and wearing preggo jeans. Hilarious.

Amanda never thought she'd be able to get pregnant, and look at her now. Belly panel.

The only way I can react to how fantastically weird this all is, is by laughing.

I hope everyone gets to laugh at themselves like this someday.

Wednesday, August 12, 2009

The Physician's Assistant

I called my clinic the other day to get permission for the doppler. I know there are plenty of ways to get a doppler without going through the trouble, but I'm choosing to take the upfront, full-disclosure route here.

The problem: Doc's on vacation. So I am obviously at an impasse until she gets back next week... BUT I can come in the next day (today) and talk to the physician's assistant and let her doppler me. Ok. Deal.

The good: The baby's heartbeat was just fine and it only took about 2 seconds to find it.

The bad: She just really wasn't listening to what I had to say. At all.

The first thing she says to me is that I need to RELAX. That damn phrase will haunt me for the rest of my life. I still find the reflex to scream when someone says that very strong. But she goes on to say that it would be very rare for something bad to happen at this point (I actually don't think it's that 'rare'... not likely, but not rare).

I have to counter her with the horror story my coworker tells me when she sees my new car Monday. Her daughter was stillborn at 7 months just after they bought their very first new car. That story just reinforces my fear that telling people, and buying a new car, and wearing maternity jeans are inviting fate to come and destroy me. The PA didn't really have anything reassuring to say about that other than it's out of my hands so there is no use worrying about it. Oh, yes, powerlessness makes it so much easier to relax.

But I had to explain to her that I was trying to rent a doppler and needed permission to do it about 4 times. She just wasn't listening to what I was saying at all. I said several time that dopplers are FDA controlled devices and because of that I needed permission. Finally, she asks if we need to talk about anything else and I ask, "So are you going to get me permission for a home doppler or not?" And the light finally came on and she finally figured it out. (And I was speaking very plainly, the only reason she wasn't understanding it was because she wasn't listening to me, or she's a moron, or both.)

Well no one's ever asked her for one of those before (just me about five times now). She'll have to leave me a note in my chart and my dr. will have to get back to me next week. "But why do they want permission?" she asks. BECAUSE IT'S AN FDA CONTROLLED DEVICE, Moron.

I don't even know if the website I was planning on using even checks up that I actually got permission, but like I said, I'm just trying to be upfront about all of this stuff. I'm not sure it was worth the effort. But at least I got to hear my baby's heartbeat again today.

Tuesday, August 11, 2009

15 weeks

Dude, I'm freaking out here.

Nothing is wrong, nothing has gone wrong, but I am FREAKING out.

We've done a lot of telling in the last week or so. Now both of our families know, and I'm sure my FIL has told DH's entire home town (he's like that). Some of my coworkers know. The news is getting around. And I'm so incredibly nervous now.

Before if something bad happened, everyone didn't have to know. I could choose who I told it to and mourn quietly over here. Now, if something happens, holy crap, there will be no peace for me.

I started googling dopplers again yesterday. I am going to call my clinic today and ask about getting permission to use one. Because I can't take the pressure right now. And it doesn't help that I'm smack dab in middle between appointments.

Sunday, August 9, 2009

The Weekend

Old Altima,



I'd like you to meet New Altima.



That's right, we replaced our 1998 white Altima with a grey interior with a 2009 white Altima with a grey interior. As our dealer put it, this is the old one's big brother. (And by the way, we didn't trade in our old car, so we have them both.)

I cannot tell you how great our first Altima has been, and Nissan appears to have learned not to fix what ain't broken, so their are still all the great features I love, plus some upgrades this time. We got the real alloy wheels. I HATE hubcap covers, they suck, never again. This one also has an "intelligent key" system which is pretty cool. It also has an upgraded sound system... I'm not really an audiophile, but even I can appreciate the difference. And it has integrated Bluetooth so I can make and receive calls hands free through the audio system which is nice (I've already played with this a bit).

But MOST importantly, the Altima has good safety marks. Five stars in crash test ratings for both front and side impact. Front, side, and side curtain airbags. LATCH system anchors. And Consumer Reports rated it very highly.

So far, I'm very satisfied. Now I have to resume the practice of parking at the far end of the parking lot, lest someone dare park next to my shiny new car and risk my perfect new doors. Oh, the paranoia of having a new car. Do not mention the word hail to me right now.

Oh, and buying the car. They had it ready to go when we showed up. We kicked the tires for about 20 minutes. Actually buying the car took about 5 minutes. I swear it takes my husband longer to buy socks than this car did.

-----

We made it to BIL and SIL's much earlier than expected. Their baby barely ever woke up the entire time we were there. He's cute and very tiny. I think my SIL regretted having a c-section (it was elective) seeing how small he was and how the recovery for the section was going.

This morning DH told me how happy it made him to see me holding the baby. It was sweet of him, he's cute like that.

-----

Maternity shopping: I'm convinced that I'll be wearing moo-moos by the end of this.

Don't buy JCP maternity jeans... I actually fit nicely into XL maternity jeans, but the stitching on the top of their panels doesn't give very much at all and I can barely pull it over my gut now. There is no way that I will be able to wear those 3 or 4 months from now. And JCP's tops? Can someone explain to me why a XXL mat top fits the same as a regular XXL? Aren't they suppose to be bigger or something? I just went over to the plus size stuff and found some tops that will probably work for several months.

Motherhood jeans totally won out. They are comfy, look good, and that panel stretches wonderfully. The tops are awesome too, but very $$$.

And I don't have to wear mat jeans yet, but they are so comfy, I think I will start now anyhow. I think my body was made for maternity pants, I may never stop wearing these things.

Friday, August 7, 2009

The Schedule

Update to the car buying saga: I think we're buying a car this weekend. I need to go to the bank today and get a big 'ol certified check made out. The dealership is charging $160 in fees. I probably would have walked away if they didn't want to include that in the price of the car, but my husband is a push over and was handling this dealer. Oh well, we are getting a pretty nice car, and it's the one we want. And we probably wouldn't be able to get any better of a deal if we waited for the 2010's, and with me gestating a baby over here, it is going to be nice for sanity's sake to be driving a safer car.

So the schedule for this weekend is as follows:

Saturday
7:00 - Get up, eat, shower
8:30 - Drive to the City
9:00 - Get hair cut... I've been putting it off b/c I didn't want to tell my hair dresser I was pregnant yet. And since I'm 14 weeks, that means I haven't had my hair cut since when? I've been bad. The spilt ends are taking over.
10:00 - Now beautiful, leave salon, drive to other state
2:30 - Arrive at dealership in other state. Inspect and buy car... we should be able to do that within 2 hours I figure.
4:30 - Head back toward BIG CITY in my state driving 2 cars... which means I have to drive in BIG CITY, which I hate.
6:30 - Arrive at BIL and SIL's house in BIG CITY and visit new nephew. Supper?
???? - Leave to go home
~midnight - arrive home, get dh to scoop litter box, crash, dream about buyer's remorse all night

Sunday
Get up at crack of dawn to go clothes shopping b/c it's our state's sales tax holiday this weekend and there will be SALES. And the best sales are all over by noon. I'm going to have to start wearing maternity clothes soon and I might as well get in on the sales and save myself the tax. Have to drive back to the city to do this.

Come home and feel utterly sick from all the money I've spent this weekend. Nap for hours. Adoration. Eat frozen pizza for dinner. Crash.

Oh crap, I completely forgot church! NO!!! I'll miss the sales... maybe we will go to church in the city this weekend. There is one right by the mall.

Monday
Go to work. Whine all day long that I'm tired, brag about new car.

Thursday, August 6, 2009

The car buying saga

DH and I know what car we want. We are pretty specific apparently, because almost no one has the car we want. And our list of criteria is pretty small (interior/exterior color, alloy wheels, 4 cylinder... sounds easy doesn't it?). I think they are all out of it because everyone else wanted that car too. And I don't want to say what kind of car we are trying to get just yet.

By the way, Cash for Clunkers is totally screwing us right now, because neither of our cars are 'clunkers' and a slew of people that wouldn't have bought cars came in the last week and they are driving up the market.

The the saga of buying a new car has been consuming us. I'm pretty behind on blog reading and commenting because of it.

Our closest dealership couldn't get us our car and said that almost no one will trade right now. They were friendly and honest. They get a gold star, but it doesn't get us a car.

The next closest dealership lied to us several times and tried to screw us. They have totally under estimated us. We drove up there last night just to tell them we know what lying douche bags they are and we will be writing the car manufacturer to let them know. And we also be letting our neighbor that works for the state attorney general's office know. Oh yes, a strongly worded letter is in the works.

Then we dealt with another dealership out of state and when I thought we were close to a deal, their sales manager called and refused to accept our loan because it's something called a 'performance draft'. Since they didn't want to meet our price, were going to force us into a loan with a higher interest rate, we would have to travel about 250 miles just to get there, and that guy was an asshole to me, I told him he could keep his car.

Now we are talking with another dealership in ANOTHER state. But coincidently, this dealership is actually in the town that my family is from and both my grandparents and parents have bought cars from them. They offered us a good price and will accept our loan, so DH is calling today and we will probably have a deal (probably... I'm waiting to hear what their fees are). I told DH to start out by mentioning all the cars my family had bought from them before checking on the fees. Cause we want to drive the car off the lot for the price they quoted us, not that price plus a $200 administrative fee or something.

Ugg... Oh the drama.

But I'm hoping it will come through. I figure if we go there we should drive by my grandparents old house and the theater my dad used to work at as a teenager. Some memories.

If this doesn't pan out, we are putting the breaks on for awhile.

----

We told DH's parents last night. They hope it's a girl... I have 3 nephews, everyone so far has said to us that they hope it's a girl.

Tuesday, August 4, 2009

14 weeks

I honestly don't know when the first trimester ends and the second begins. There seems to be some difference of opinion where that extra week goes. But I think since I'm at 14weeks, I'm officially in the second trimester! Wow, me? Really? I thought it'd never get here and now it doesn't feel like it took that long.

So the second trimester is kinda cool, but not really any different from the first since I still don't feel pregnant and I'm still not showing and we still haven't told a lot of people. I am really looking forward to a bump that isn't just blubber and movement whenever that happens. But I know it won't be long now.

And, you all are going to really hate me again. I didn't exactly have it rough during the first trimester and it has gotten even better symptom wise for the second. *ducks to avoid used needles and tampons thrown this way*

I can eat spicy food again (but I think the heartburn might be creeping up on me). My face is getting clearer... although it will take the rest of this pregnancy to get the marks from the 1st tri flare up to fade, assuming I don't flare up again. My hair was a grease pit (even before the pregnancy) but now I can actually go a day between washes (last time that happened I was on spironolactone). Even the constipation issues seem to have dissipated. I have been so lucky to have things go so smoothly so far.

So, 14 down, hopefully 26 to go.

Sunday, August 2, 2009

Metformin and Pregnancy

This is a post I've been meaning to write since my last ob visit.

My Ob was not wild about me staying on metformin at our first appointment. I think I'm probably the first patient she's had come to her after conceiving on metformin and whole heartedly wanting to stay on it.

First, I just want to say that met was one of the best things that has ever happened to me. I love it. I don't think I'd be pregnant right now with out it. When I started it, it was like I was a new person. The spark came back into my life again. I had energy. For the first time (in a long time) I actually felt the effects of adding the calories into my body. And it never mattered how well I dieted before, they just didn't work, I couldn't loose weight without massive amounts of exercise. But since the met, I have been eating sensibly and loosing weight like a normal person does (amazing). I didn't really have any digestive issues other than a little extra gas (really only lasted for the first 6 weeks). I really like my dosage- 750mg Extended Release twice daily. If you feel a little knocked around/light headed on met, I highly recommend you try extended release. If you have digestive problems, see if going low carb helps while your body adjusts.

But back to pregnancy and met... my Ob wasn't sure and we decided to discuss it again at my 13 week appt and she would pull some research to review before then. And I pulled some research of my own of course.

First, check out Bird's list of papers on met during pregnancy. Their are some excellent papers listed there. And I have a few more papers listed below too.

Basically, when me and my Ob met again at my 13 week appt. she had read enough and knew that I was well informed on the risks and had read the research to support me in this. Neither she nor I had seen any research indicating complications from using it. HOWEVER, the research is not complete. There needs to be more, larger, long term studies showing the safety of metformin during pregnancy. Both she and I agree on that. But, I have weighed the research and am comfortable taking that risk because the benefits appear to outweigh the risk at this time. And she agrees with me and is going to support me in this decision.

In general, women with PCOS tend to face a significantly higher risk of complications during pregnancy (including miscarriage, preeclampsia, and gestational diabetes, to name a few). In comparing control groups (non pcos women) to pcos women on placebo and pcos women on met, the risks of these complications tend to be significantly reduced to levels meeting or even exceeding those of the non pcos women (even when controlling for weight). I haven't seen any reported increases of congenital defects from taking met. The last study on here shows that children of women who took met during pregnancy show no signs of abnormal development at 18 months.

The first and second papers on my list appear to conflict on whether met decreases in utero exposure to testosterone. If it does decrease exposure to testosterone, that is something really interesting to consider. PCOS appears to be an inherited condition... but no one has been able to determine if it is genetic yet. Also, PCOS symptoms can appear so differently between women... so what if exposing baby girls excess testosterone in the womb is a factor contributing to the development of PCOS? I'm just pulling this out of my ass, but wouldn't it be incredible if they determined that in utero exposure to testosterone causes PCOS 5 or 10 years from now, and this cheap and widely available drug prevents your daughter from developing it? How great would that be? But this is just Amanda's wishful thinking brain here and not really based on scientific facts at all (but it makes you think).

Conversely, if 10 years from now, they determine that kids exposed to met in the womb all develop type II diabetes at 13 that would not be good at all. I am taking a gamble here, and I hope I don't loose.

Well, if you are TTC and on met, I really recommend that you do some research. Stick to peer reviewed papers in actual journals and don't just believe the crap on blogs (particularly this one) or in chat rooms.

Metformin during pregnancy reduces insulin, insulin resistance, insulin secretion, weight, testosterone and development of gestational diabetes: prospective longitudinal assessment of women with polycystic ovary syndrome from preconception throughout pregnancy
C.J. Glueck , N. Goldenberg , P. Wang , M. Loftspring , and A. Sherman
Hum. Reprod. Advance Access published on March 1, 2004, DOI 10.1093/humrep/deh109.
Hum. Reprod. 19: 510-521.

BACKGROUND: In a prospective observational study of 42 pregnancies in 39 Caucasian women (age 30 ± 4 years) with polycystic ovary syndrome (PCOS), we examined effects of metformin on maternal insulin, insulin resistance (IR), insulin secretion (IS), weight gain, development of gestational diabetes (GD), testosterone and plasminogen activator inhibitor activity. We assessed the hypothesis that diet–metformin (MET) lessens the physiological gestational increase in IR and reduces gestational weight gain, thus reducing GD. METHODS: Preconception, in an out-patient clinical research centre, MET 1.5 (eight pregnancies) to 2.55 g/day (34 pregnancies) was started. Women with body mass index <25 or 25 kg/m2 were given a 2000 or 1500 calorie/day, high-protein (26% of calories), low-carbohydrate (44%) diet. Calorie restrictions were dropped after conception. RESULTS: On MET, GD developed in three out of 42 pregnancies (7.1%). Median entry weight (94.5 kg) fell to 82.7 on MET at the last preconception visit (P = 0.0001), fell further to 81.6 during the first trimester, was 83.6 in the second trimester, and 89.1 kg in the third trimester. Median weight gain during pregnancy was 3.5 kg. The median percentage reduction in serum insulin was 40% on MET at the last preconception visit; insulin did not increase in the first or second trimesters (P > 0.05), and rose 10% in the third trimester. The median percentage reduction in HOMA IR was 46% on MET at the last preconception visit; IR did not increase (P > 0.05) in the first, second or third trimesters. HOMA insulin secretion fell 45% on MET at the last preconception visit, did not increase in the first trimester, rose 24% in the second trimester, and rose 109% in the third trimester. Testosterone fell 30% on MET at the last preconception visit (P = 0.01) and then rose 74, 61 and 95% during trimesters 1, 2 and 3; median testosterone during the third trimester did not differ from pre-treatment levels. CONCLUSIONS: By reducing preconception weight, insulin, IR, insulin secretion and testosterone, and by maintaining these insulin-sensitizing effects throughout pregnancy, MET–diet reduces the likelihood of developing GD, and prevents androgen excess for the fetus.

Metformin reduces pregnancy complications without affecting androgen levels in pregnant polycystic ovary syndrome women: results of a randomized study
E. Vanky , K.Å. Salvesen , R. Heimstad , K.J. Fougner , P. Romundstad , and S.M. Carlsen
Hum. Reprod. Advance Access published on August 1, 2004, DOI 10.1093/humrep/deh347.
Hum. Reprod. 19: 1734-1740.

BACKGROUND: Investigation of a possible effect of metformin on androgen levels in pregnant women with polycystic ovary syndrome (PCOS). METHODS: A prospective, randomized, double-blind, placebo-controlled pilot study was conducted. Forty pregnant women with PCOS received diet and lifestyle counselling and were randomized to either metformin 850 mg twice daily or placebo. Primary outcome measures were changes in serum levels of dehydroepiandrosterone sulphate, androstenedione, testosterone, sex hormone-binding globulin, and free testosterone index. Secondary outcome measures were pregnancy complications and outcome. Two-tailed t-tests and 2-tests were used. RESULTS: Maternal androgen levels were unaffected by metformin treatment in pregnant women with PCOS. While none of the 18 women in the metformin group experienced a severe pregnancy or post-partum complication, seven of the 22 (32%) women experienced severe complications in the placebo group (P=0.01). CONCLUSIONS: Metformin treatment did not reduce maternal androgen levels in pregnant women with PCOS. In the metformin-treated group we observed a reduction of severe, pregnancy and post-partum complications. Metformin treatment of pregnant PCOS women may reduce complications during pregnancy and in the post-partum period.

Pregnancy outcomes among women with polycystic ovary syndrome treated with metformin
Charles J. Glueck , Ping Wang , Naila Goldenberg , and Luann Sieve-Smith
Hum. Reprod. 17: 2858-2864.
BACKGROUND: We sought to determine whether metformin, which had facilitated conception in 72 oligoamenorrhoeic women with polycystic ovary syndrome (PCOS), would safely reduce the rate of first trimester spontaneous abortion (SAB) and increase the number of live births without teratogenicity. METHODS: Seventy-two oligoamenorrheic women with PCOS conceived on metformin (2.55 g/day). They were prospectively assessed in an outpatient clinical research centre. Outcome measures included number of first trimester SAB, live births, normal ongoing pregnancies 13 weeks, gestational diabetes (GD), congenital defects (CD), birthweight and height, as well as weight, height, and motor and social development during the first 6 months of life. RESULTS: Of the 84 fetuses, to date there have been 63 normal live births without CD (75%), 14 first trimester SAB (17%), and seven ongoing pregnancies 13 weeks with normal sonograms without CD (8%). Previously, without metformin, 40 of the 72 women had 100 pregnancies (100 fetuses) with 34 (34%) live births and 62 (62%) first trimester SAB. In current pregnancies on metformin in these 40 women (46 pregnancies, 47 fetuses), there have been 33 live births (70%), two pregnancies ongoing 13 weeks (4%), and 12 SAB (26%) (P < 0.0001). There was no maternal lactic acidosis, and no maternal or neonatal hypoglycaemia. Fasting entry serum insulin was a significant explanatory variable for total (previous and current) first trimester SAB, odds ratio 1.32 (for each 5 µU/ml rise in insulin), 95% CI 1.09–1.60 (P = 0.005). On metformin, GD developed in 4% of pregnancies versus 26% of previous pregnancies without metformin, P = 0.025. There have been no major CD in the 63 live births or CD by sonography in the seven fetuses 13 weeks. In the 63 live births, neither weight nor height differed from the normal neonatal population. At 6 month follow-up, height was greater (P = 0.008) and weight did not differ from the normal paediatric population; motor and social development were normal. CONCLUSIONS: Metformin therapy during pregnancy in women with PCOS was safely associated with reduction in SAB and in GD, was not teratogenic, and did not adversely affect birthweight or height, or height, weight, and motor and social development at 3 and 6 months of life.

Height, weight, and motor–social development during the first 18 months of life in 126 infants born to 109 mothers with polycystic ovary syndrome who conceived on and continued metformin through pregnancy
C.J. Glueck , N. Goldenberg , J. Pranikoff , M. Loftspring , L. Sieve , and P. Wang
Hum. Reprod. Advance Access published on June 1, 2004, DOI 10.1093/humrep/deh263.
Hum. Reprod. 19: 1323-1330.

BACKGROUND: We prospectively assessed growth and motor–social development during the first 18 months of life in 126 live births (122 pregnancies) to 109 women with polycystic ovary syndrome (PCOS) who conceived on and continued metformin (1.5–2.55 g/day) through pregnancy. METHODS: The lengths and weights of PCOS neonates were compared with gender-specific Centers for Disease Control and Prevention (CDC) infant data. Gestational diabetes (GD) and pre-eclampsia in women with PCOS were compared with 252 healthy women without PCOS who had 1 live birth (262 live births). RESULTS: There were 101 out of 126 (80%) term (37 gestational weeks) PCOS births, which was not significantly different (P = 0.7) from controls, 206 out of 252 (81.7%). There were two (1.6%) birth defects. GD occurred in nine out of 119 PCOS pregnancies (7.6%) versus 40 out of 251 (15.9%) controls, P = 0.027. The prevalence of pre-eclampsia did not differ in PCOS versus control pregnancies (4.1 versus 3.6%, P = 0.8). The birth length and weight of the 52 male neonates did not differ (P > 0.05) from those of CDC males; the 74 female neonates were shorter than CDC females (48.9 ± 5.4 versus 50.6 ± 2.7 cm, P = 0.006) and weighed less (3.09 ± 0.85 versus 3.29 ± 0.52 kg, P = 0.04). There were no systematic differences in growth between PCOS and CDC infants over 18 months. At 3, 6, 9, 12 and 18 months, of a potential 100% motor–social development score, scores (±SD) were 95 ± 13, 98 ± 8%, 95 ± 10, 97 ± 8 and 94 ± 16%; no infants had motor–social developmental delays. CONCLUSIONS: Metformin reduced development of GD, was not teratogenic and did not adversely affect birth length and weight, growth or motor–social development in the first 18 months of life.

Glueck has probably been the leader in researching metformin in PCOS women and here is a handy link to most of Glueck's research if you would like to read more.

Saturday, August 1, 2009

We told

We told my parents. We didn't do anything cute or fancy. No offense if you're into that kind of thing, but that stuff makes me gag. I don't even believe the terms grandma and grandpa got used. It's just not us.

My mom was happy for us and did get a little weepy. But at the end when we were leaving she did exactly what I was worried she would do. She said, "See, and you were so worried about getting pregnant."

Yeah, I know on the scale of things, we didn't have to use the 'big guns' but I hate that it feels like she totally trivialized the fact that this didn't 'just happen' it was difficult. Drugs, doctors, nurses, technicians, a lab, and an acupuncturist were all involved (and not to mention more than a little prayer). She just has no idea. I truly feel that the aggressive way that we approached things made this happen more quickly than it could have been... so even though it ONLY took 8 months with an RE, it sure could have taken longer if I didn't push for additional treatment upfront.

So my mom asks if she can tell my siblings... I tell her to knock herself out. My brother has already called me. I might call my sister and tell her myself, she never had any children, so I think she will really be excited. And I will have to call my other brother, because my mom hates talking to him.

We are planning on telling DH's family next week. We didn't want to pile it on top of BIL & SIL's new baby... I'm not sure who would be stealing who's thunder there, but something tells me an actual baby will always trump an announcement. So he probably won't tell them until the middle to end of next week. I'm sure the joy of my in-laws first grand child will have subsided by then (yeah right).

But the best thing about today was test driving new cars! My car has been more than I could have ever asked for, but it's 11 years old, and we need something safer. So we test drove our top two choices and one was a dud and one (the one I was rooting for) was a STUD! I'm pretty excited because I think if we can find one in the color we want we will probably buy soon. Telling my family I'm pregnant isn't near as fun as looking at new cars.