First Trimester Screening, Part I…

I suppose something good came out of the whole insurance debacle I wrote about last time: I got to spend close to 20 minutes seeing my babies via ultrasound during the Nuchal Translucency (NT) Scan.  Because honestly, given that a) my husband is in his mid 30s, b) the egg donor was 29, and c) the embryos were already PGD tested, it isn’t likely that something will show up.  Under typical circumstances with that kind of information, Evil HMO probably wouldn’t have approved it.  Then again, I’ve hit that special “1 in 1000” nail right on the head twice when it comes to dealing with medical issues–so I really wanted to make sure that should it happen a third time, I’m not caught unprepared.

The scan appointment, however, didn’t start off so great.  Our GS got lost on the way to the clinic, so she showed up late.  At first I wasn’t worried, because they told us to be there 30 minutes early.  But then she ended up arriving 20 minutes after the scheduled appointment time, which meant that she was really 50 minutes late.  We walked up to the desk to check in, and the girl told us that they have a “15 minute” policy, where 15+ minutes late = no scan.  But rather than flip my lid, I appealed to her soft side.  I explained that we were only told that the appointment had been approved the morning before, it was scheduled shortly after that, I made travel arrangements in the afternoon, and flew down from the Bay Area the same evening.  To add extra emphasis, I added that I drove 75 minutes to get to the appointment from where I was staying , and my husband and I were spending our anniversary apart because my attending the scan was so important to us.  (Lest anyone think I was taking advantage of her, everything I said was the absolute truth. Well, maybe not the 75 minutes, but only because I was driving way faster than I should have been. 😉 )  When I finished, she asked me in an incredulous voice if I had really bought same-day travel tickets and flew all the way down just for this one appointment.  I replied in the affirmative, and she said that she’d check to see if they could squeeze us in.

2 minutes later we were led back to the room, and the tech started the scan.  And oh, my goodness, the difference between 8 weeks and 13 weeks is incredible.  The heartbeats weren’t just flashing points of light, but actual muscle contractions that I could see pushing the blood through the twins’ bodies.  The arms weren’t just barely-visible bumps, but discernible limbs used to smack each other in the head with and fight like siblings do.  The most poignant moment, though, had to be watching one of them practice opening and closing the mouth.  For some reason, that made me reach for the stool and sit down for the rest of the appointment in awe.

Once the tech was finished getting all the measurements, she left the room and told us that the doctor (a perinatologist) would be there in a bit.  I figured we’d be waiting a while and didn’t mind at all, since they had made accommodations for us to be seen.  During the break, the agency coordinator texted me to inform me that our GS’s first appointment had been moved to the next day, which meant that I could attend it before flying home.  It was definitely a wonderful, unexpected surprise. 🙂

When the peri came in, he cranked up the ultrasound machine again to double check the tech’s work.  At first he claimed that one placenta was anterior and the other was posterior, which was good because it would make it easier to identify one as Baby A and the other as Baby B (until gender became apparent).  But then our GS’s uterus “shifted”, and both placentas were determined to be posterior, with one being high and the other being low.  Both the peri and the tech claimed to have never seen such a thing before, but told me not to worry, as the twins were still just as active.  Had they not mentioned it with such surprise I never would have noticed, being a novice when it comes to pregnancy ultrasounds.

At the end of the appointment, the perinatologist handed me a report and some pictures printed during the ultrasound.  Most of them aren’t too clear, although I think one is a facial profile, and another is a picture of a developing brain.  As amazed as I’ve been thus far by the science and technology we have at our disposal, I’m pretty sure that there’s still a lot left to be seen.

Oh, and I wanted to say thank you for coming back, especially after my ranting in the last post. It’s part of the journey, though, so I’m not going to remove it.  And besides, if a girl can’t rant on her blog, where can she do so? 😉


Ultrasound #3…

Since the pictures from the 3rd ultrasound arrived in the mail yesterday, I figured that I should probably write about it while it’s on my mind. 😉

The appointment was on May 31st, and the last one at Dr. K’s office.  It was also the first one I didn’t attend, even though I really wanted to.  Surrogacy is an expensive process, though, and we’re being as responsible as we can with our funds–especially since we’re expecting twins–which means we have to pick and choose which appointments I travel to make.

However, I was able to listen in because Dr. K called me right before getting started.  He announced that the babies looked fantastic and healthy, and that their development was great.  In fact, each of them were showing off in a different way.  Baby A was demonstrating some dancing skills and wiggling all over (our GS noted that she felt it, and had actually started feeling movement for the first time the night before).  Baby B decided to wave for the camera, so one of the pictures focused on the head and arm–it’s amazing how much detail is shown, especially for how small they are.

As always, the sound of their heartbeats made me both giddy and a little weak (in a good way :)).  Since I’m not able to feel the babies myself or experience any of the pregnancy symptoms, that sound is the most tangible connection I have with them.  Hearing their hearts beating away is proof that they exist for real, and not just in my dreams.  I have to say, though, that if I already feel like I’m going to melt just at the sound of heartbeats, I’m probably going to need some kind of physical support (like a chair or wall) in the delivery room when they actually arrive!

Stats at 10weeks, 3 days:

Baby A measured at 10w6d (3 days ahead), CRL 35.5mm, and heart rate was 175bpm

Baby B measured at 11w1d (5 days ahead!), CRL 39mm, and heart rate was 171bpm.

Ultrasound #2 (aka the 3 week late update) …

Finally getting around to writing about the 2nd ultrasound, which happened May 17th.  Sorry it took me 3 weeks to do so.  Whoops.

This time I flew into San Diego, and drove the 150 miles to the clinic.  Since I have family in the area, I chose to fly down the night before the appointment and spend a couple of days, rather than repeat the whirlwind trip from 2 weeks earlier.  Unfortunately, this made for a very long day in the car–especially since it’s almost impossible to go through LA twice during daylight hours without hitting traffic.

The appointment was set for noon, and I got to the clinic parking lot at 11:40.  My husband was in Germany for work, but called for a minute to say that he was back in the hotel room and available for a Skype call.  I told him I’d try to use Skype mobile on my phone to contact him, but I wasn’t sure if the cell reception in the office would be up to the task.  If that didn’t work out, though, I had already arranged with the Nurse Coordinator for part of the ultrasound to be recorded and e-mailed to me so he could listen to the heartbeats later.

When I walked in to the clinic, I was surprised to not see our GS.  It was only 10 minutes before the scheduled appointment, and she had been early for the previous 2 appointments.  The real shocker came when I checked in, though, and was told that the ultrasound had already started.  Apparently the NC interpreted my GS showing up 30 minutes early by herself and my request for a recording to mean that I wasn’t going to attend the ultrasound (even though I had communicated my intent to do so the previous day via e-mail).  I’m not even embarrassed to admit that I almost ran over the poor woman whose duty it was to guide me to the correct room.  I had, after all, driven 3 hours that morning to get there–and did not want to miss any more of the ultrasound than I already had.

My entrance interrupted the recording, but at least there was good news available–Dr. K had already looked at both babies, and they were doing great.  He was more than happy to stop things for a moment (although our GS probably wasn’t quite as thrilled, given that this was not an abdominal ultrasound) while I connected with my husband via Skype.  I held the phone up to the monitor’s speaker so he could listen to the heartbeats for the first time, as well as Dr. K’s commentary on each of the babies.  Even though he had seen the pictures from the previous ultrasound, at that moment, I think the pregnancy finally became “real” to him.  I also think that whoever invented Skype deserves an award for giving us that amazing moment.

7 hours’ worth of driving for 7 minutes’ worth of time with the doctor, our GS, and the babies.  Totally worth it. 😀

Stats at 8weeks, 3days:

Baby A measured at 8w3d (spot on), CRL 16.9mm, and heart rate was 175bpm.

Baby B measured at 8w5d (2 days ahead), CRL 18.8mm, and heart rate was 171bpm.

The First Ultrasound…

Friday morning, I flew down to Burbank to attend the first ultrasound, courtesy of my parents.  Given that the clinic is in the LA area and it was a Friday, I was pretty sure that traffic from the airport to the clinic was going to be awful.  To make sure that I had plenty of time, I took the first flight down there at 6:30am–which meant that I had to be up at 4:30.  While I’ve had my share of early mornings (hello, USMC), it’s still tough to be up at least an hour before the sun is even getting close to rising.

The flight and car pickup were uneventful, and I was surprised by the traffic, which actually wasn’t too bad.  I even had time to stop and eat breakfast.  Since our GS has started experiencing some nausea, I also picked up a small package of Preggie Pops for her.  Reviews on those are mixed; I know some who swear by them, and others who swear at the fact that they didn’t help at all.  I figured that at worst they would do nothing for the nausea and just act like candy, and at best they would make her feel less queasy.  And for $5, it would be easy enough to find out 🙂

As for the ultrasound itself, the first minute was excruciating.  Would there be one or two in there? Did we have a splitter? Or, worst of all–would there be an empty sac?  Dr. K asked me how many we put back, and I told him 2.  He asked how many I wanted, and I told him that I’d be happy with either one or two.  He smiled, and said…

“You’ve got twins on the way!”

Both measured at 6w2d gestation, which he was happy with.  As far as he’s concerned, if they’re within 3 days of the calculated gestational age, then things are good.  Gestational age starts at 14 days before egg retrieval (not transfer, like I had originally thought)–which means that they were technically 6w4d at the ultrasound.

I was a little surprised by my reaction to the heartbeats.  Seeing the tiniest points of light on the screen flashing on and off, knowing that it was the beating hearts of my children, was far more powerful than I had imagined.  I expected to get a lump in my throat, or maybe even some tears; I did not expect to be struck dumb, mouth hanging open, unable to get any words out.  For the record, one was measured at 114bpm, and the other was 126bpm.

After that we scheduled the next ultrasound (I’m going to that one too, since I already made arrangements to fly to SD and drive up), and then she and I went to lunch.  It was nice being able to sit and chat over a meal; even better, she was able to enjoy her food without feeling ill.

I then drove back to the airport, returned the car, and passed the time calling immediate family members with the news.  While my parents weren’t quite as excited as my husband and I are (I don’t think anyone could have been, to be honest), they were still thrilled to hear that they’re finally going to be grandparents.

And now, the big question:  Is it too early to start shopping? 😉


(Edited to Add:)

Stats at 6weeks, 4 days:

Baby A measured at 6w2d (2 days behind), CRL 6.6mm, and heart rate was 114bpm.

Baby B measured at 6w2d (2 days behind), CRL 6.6mm, and heart rate was 126bpm.

Making Travel Plans…

Our first ultrasound is coming up at the end of next week.  Originally, I wasn’t planning on attending.  Not because I didn’t want to, but because there’s quite a bit of time and expense involved.  As I don’t live close to the clinic, I’d have to either fly from the Bay Area to LA and rent a car, or fly to SD, borrow a car from my parents, and make the drive (5-6 hours round trip).  Since heartbeats are only a possibility this early (it’ll be 3 weeks and 6 days after transfer), I was going to wait until the 2nd ultrasound 2 weeks later.

A couple nights ago, my dad called me and asked if I wanted to go to the ultrasound.  I said of course I did, but felt that it wasn’t the best use of our budgeted surrogacy funds.  If we had unlimited resources, I wouldn’t even think about it–I’d just go.  But since we don’t know for sure how much this process is going to cost (or how many kids we’re going to end up with), my husband and I are trying to be as fiscally conservative as possible.  In other words, we’re being cheap when we can. 😉

At any rate, my dad said that I was being wise to not throw away money, but he felt it was important for me to go.  After all, it’s the first ultrasound.  And while there are going to be a lot of “firsts” in this process, the ultrasound is one of the biggies.  So, he was willing to pay for my plane tickets and rental car.  In his words, “Your mother and I have spent money on stupider things in our lives. It’s way better to spend it on something important and special, like this.  Consider it an early Mother’s Day gift.”

If I could have jumped through the phone to hug and thank him, I would have.  Not just because he’s paying for my one-day trip to the ultrasound, but because he called it a Mother’s Day gift–something I wasn’t sure I’d ever be fortunate enough to receive.  I know he chose those words specifically to show his support, but I doubt he realized the effect they’d have on me.

And while I didn’t turn into a blubbering mess on the phone, I did have to dry my eyes before running into the other room to tell my husband that he was going to have to get up and take me to the airport before dawn next week so I could go see our child(ren) on an ultrasound monitor.

Choked up in one post, teary-eyed the next.  What’s this once-tough emotion-controlled Marine becoming?