The Trying Trimester, Part 1: Flutter

When it finally came time to take the pregnancy test, my first thought was not any of the inspiring lyrics from “Soon Love, Soon,” but rather, It’s way too early in the morning to find out we aren’t pregnant again!” and then, “We really ought to be doing this on a weekend because now we have to be ready to make it through a full day at work after we get the bad news.”

 People who have just met Cari and I will sometimes mistake me for the optimist in our relationship. Perhaps this is because I can appear even-tempered and positive next to Cari’s passionate and sometimes hot-headed responses. But the truth is, I seem even-tempered because I’m a tried and true pessimist. Or at best, a realist. I tend to keep my expectations low, plan for the worst, and am pleasantly surprised when the worst gives way to something unexpectedly better.

 This is why, in the days before Cari peed on the little white stick, I was busy frantically creating plans and back up plans for where the next six month’s supply of sperm would come from now that we had used up all the vials we’d purchased. Cari, meanwhile, was busy yelling at me for giving up hope on the baby she was convinced she was already carrying.

 The moment itself nearly passed me by unnoticed. Cari dragged me out of bed at 4:55 am, urging me come to the bathroom with her so she could capture that essential first pee of the day before getting ready for work. In my groggy haze, I somehow missed her pulling out the stick. One minute I was busy trying to figure out if we should wait out the torturous 3 minutes looking at the stick or sequester ourselves outside of the bathroom, and the next I suddenly noticed that Cari was staring in fixed, unblinking concentration at something on the bathroom cupboard.

 “What, what is it?” I asked her, fearing the worst… perhaps a spider, or a seizure, or maybe even a combination of the two. “What are you looking at?” I demanded, louder.

 And like that, we were pregnant.

 The I-Phone photos we snapped of that moment show our faces puffy with early morning haze, and just beginning to master the particular blend of ecstasy, shock, disbelief and terror that would become the defining feature of the months that followed.

 From the moment we saw those two pink lines it was sudden onset neurosis. First came the OCD-like checking. We checked, double-checked, and triple-checked the two lines on the stick. I snapped pictures of it and checked those throughout the day. I simply could not believe that we were pregnant. This was the one outcome that my tried and true approach of preparing for the worst had left me ill prepared for. After months of trying to conceive you could hardly say that our pregnancy was a surprise. And yet, that’s exactly what it was. Unable to believe the existence of those two lines, I re-checked them when I got home that afternoon, and kept right on checking until the next neurosis set in.

 Cari and I have often said that Anxiety is the third person in our relationship. We have it in all three models- mine, hers, and ours- and all three showed up during the first few weeks of our pregnancy.  We rode the first wave of anxiety together, equally convinced that the pregnancy wouldn’t stick.

 When you get pregnant through the infertility department, they treat the early part of your pregnancy as well, even if your infertility is the kind that is defined solely by the absence of regular access to sperm. For us, this meant Cari had to have her blood drawn every three days to confirm that we were Still Pregnant. Actually, technically, it was to confirm that her HCG levels were doubling on schedule, but for us each test result carried the full weight of Still Pregnant or Not Pregnant Anymore.

 You see, most of our friends who have been down the two-mom fertility road have experienced at least one miscarriage, and we were not about to start assuming we were the exception, only to be caught unaware. It’s not that the rate of miscarriage is actually higher in our community; it’s just that we have to be so intentional about the whole business that we’re often keenly aware of a pregnancy long before a straight couple who wasn’t trying every would be. That, and we’re probably a lot more likely to talk to each other about it, since we need the sage wisdom of those who have gone before us to even stand a chance of successfully navigating the complicated process.

 So given all of this, we somehow arrived at the misconception that worrying about losing our baby would be the same thing as preventing it. Lesson number one of pregnancy: You have absolutely no control over anything that happens from here on out.

 Yes, this could have been a lesson learned during the roller coaster of conception, but for me, it wasn’t. I managed to emerge from that process feeling magically powerful over the whole business. It was, after all, the month after I implemented my own special fertility regimen that we successfully conceived. I read everything I could on the topic and put Cari on a strict routine of a nightly bucket-sized cup of fertility tea I blended myself, snuck flax seed into everything from pancakes to stir fry, and developed a dozen new ways to prepare Kale. I had her licking liquid Vitamin D drops of the back of her hand, and swallowing a small army of overpriced food-based prenatal vitamins and omega-3 tablets. The result? When our positive pregnancy test came back I felt more confident that I had impregnated her based on these measures than I did based on the fact that I had actually pushed the plunger on the insemination syringe.

 Unfortunately, the confidence didn’t last.

 After we finally finished the 3-day cycle of having her blood drawn, waiting for the results to come back, and receiving an arbitrary HCG number only to begin waiting again, like a 28-day cycle in microcosm, we moved on to anxiously awaiting our first ultrasound.

 By that time my work life had been reduced to a series of Google searches: What is the normal range of HCG levels at 5 weeks and 4 days pregnant? What is the rate of miscarriage at 4 weeks? 5 weeks? 6 weeks? If a pregnant woman’s HCG levels triple, does that mean she is having twins? If my HCG levels don’t double, does that increase her risk of miscarriage? What are the odds of having multiples when conceiving on Clomid?

 Seven weeks and two days into our pregnancy, we arrived at Kaiser for our confirmation ultrasound. I knew the odds of finding no heartbeat, a visible heartbeat, or a both visible and audible heartbeat, and how each of these outcomes would impact our odds of miscarriage from here on out. Cari knew that her ever-present exhaustion was starting to give way to all-consuming waves of nausea, and that she didn’t have the energy to think about much else.  I don’t think either of us knew what to expect when that first image of our child projected on the screen.

 Nurse Beasely walked into the room and greeted us calmly, as though it was the most expectable thing in the world that our monthly visits to her would have resulted in this strangely terrifying miracle. As I stood to hold Cari’s hand while Nurse Beasely moved the ultrasound wand into place, the blood rushed from my head, my legs threatened to collapse, and I had the sinking suspicion that if I was this useless at our first ultrasound, I would be a complete bust at our baby’s actual birth.

 But I managed to retain consciousness, and there up on the screen was our little one, having grown from a poppy seed to a blueberry in the short time that we’d know . Now, looking for all the world like it was well on it’s way to becoming… well, a kidney bean at best, since it certainly didn’t resemble a baby, but a kidney bean with a fluttering little heart! Nurse Beasely used the keypad to zero in on the flutter, and the room was filled with the sound of a galloping horse, our baby’s heartbeat, both audible and visible.

 That first fear abated, we moved onto the next. We insisted Nurse Beasely double, triple check for other little beating hearts. We’d had at least four potentially viable eggs the month we conceived, and were equally as afraid that there were be three or more beating hearts as we were that there would be none.

 Lesson number two of pregnancy: If you are always looking forward to the next milestone to ease your fears, instead of inward to yourself, you’ll be afraid for a very long time.

 After Nurse Beasely verified the little bean was alone in Cari’s womb, she briskly asked us what ob-gyn we would like to see for our first pre-natal appointment.

 “But what about you?” Cari asked, “When will we see you again?”

 “This is it,” Nurse Beasely replied, not unkindly, “my work here is done.”

 Moments later we were standing on Piedmont Ave, booted out of the Infertility Specialty Clinic and into the land of the really, truly pregnant.

 We stared at each other in disbelief, then, and in the nearly silent hours that followed, as we tried to wrap our minds around the blob projected on the screen, lop-sided with a galloping racehorse heart, who would soon become our own very little person with a big, big role in our lives.

 It didn’t feel at all like I thought it would. Yes, excitement bloomed from the tight knots in my stomach, and love swelled in my overwhelmed heart, but mostly there was just terror, tingling from my fingertips to my toes.

 Lesson number three of pregnancy: sometimes getting exactly what you wanted is much, much harder than you ever thought it would be.

Hope-Missile

Once you are in the rotating two-week cycle of trying to get pregnant, realizing you aren’t, and trying again for several months, you start to embody this strange breed of despair/hope. For us, the hope usually began its steady take-over of our lives just as we took into our possession the exalted sperm. For those of you who don’t know, the teeny-tiny vials of goods come encapsulated in a hulking metal tank. It is icy-cold to the touch and closely resembls a giant missile you might expect to find on a field during a World War II reenactment. For those of you who don’t know, thanks. I’m glad you don’t. That’s one less person we have to worry about catching site of the tank while we are lugging it down the street and knowing exactly what we’re up to.

This last cycle we did our gosh-darn best to get off on the right foot with our little hope missile. We made the hour trek to the sperm bank together, carried the tank to the car swinging gently between us, lovingly strapped it into the backseat of the car, and then covered it with a nest of coats and sweatshirts to prevent it from getting too much sun exposure. Then, we went on our only date that month, given our conflicting work schedules, seemingly endless series of doctor’s appointments, and the high percentage of our disposable income that went to purchase the vials.

Adjacent to our sperm bank is a fancy restaurant I’d always eyed curiously during my rushed trips to the bank between clients, and this time we splurged. We ordered decadent plates of steaming butternut squash soup and crab-melts piled high with the seafood Cari would soon have to swear-off if everything went as planned. Our air was celebratory, giddy even, and the waiter caught our enthusiasm, sneaking us glass after glass of raspberry lemonade despite the restaurant’s strict policy against free refills. When we got home that afternoon we tucked the tank into the back of our bedroom closest and sent it the very best energy and intentions we could muster. “Welcome home, little guy”, we told it fondly, “we hope you decide to stick around.”

A few days later, after our usual series of panicked phone calls to the sperm bank—Cari’s ovulation cycle was running late, did they think the dry ice would hold? Did we need to come back for a bigger tank? Was that zip tie supposed to be on our tank of had it been tampered with?—we were finally in the doctor’s office waiting room. It’s a narrow, congested space filled with little love seats large enough to hold two petite adults shoved shoulder to shoulder. If we weren’t lucky enough to find an empty love seat, I knew we’d be stuck again pressed up against someone’s husband, politely trying to pretend we didn’t know from our Kaiser fertility orientation that he had a vial of fresh sperm stuffed under his armpit to try and keep it at body temperature.

But lucky we were… it was a slow morning in ovulation land, and the nurses called us back before we’d even settled fully into a position that struck what I hoped was the appropriate balance between maternal affection for the cold metal tank that held the beginning of what could one day before our firstborn child, and the objective detachment that would allow us to embark upon this journey yet again if this wasn’t our month.

We were greeted in the examination room by Nurse Beasley, a sturdy, unsmiling woman who had accompanied us during each of our previous rounds of insemination. She had the air of someone who had done this a thousand times before, and each time her stern yet kind expression seemed to be trying to remind us that the odds weren’t in our favor, but we’d still eventually get where we were trying to go.

“Would you like to keep the vial?” she asked, pulling it from it’s little pot of steaming water with what looked like a petite Easter egg dipper. “Yes!” we replied unanimously. We’d declined the first few times, as it seemed to be the silly, sentimental stuff of hippies, but our distain had quickly faded. We’d take what we could get these days. The procedure itself took under a minute, anticlimactic in how poorly its ease of execution matched its significance for our future.

Our sperm were off and running, and we were finally alone in the room. I crawled onto the narrow bed where Cari had been instructed to lay, right ovary down, for at least 20 minutes. I splayed my hand across where I imagined her ovary would be and urged them on, towards the warmth of my hand. “Come on little guys, you can do it!”

With Cari’s I-phone tucked between us, I began to play the soundtrack of our first few months of dating. The songs were Ethereal, piano-driven melodies reminiscent of our first date and the seemingly endless series of late nights and long, lazy mornings that followed. The music filled our examination room and most likely the rest of the doctor’s office, and I imagine practical Nurse Beasley, whose office shared a wall with our room, shook her head in only mildly disapproving bemusement. “Soon, love, soon…” Vienna Teng’s voice promised,

Soon, love, soon                                                                                                               Soon, love, soon

There’ll be a fire burning in the temple of our peace
(Soon love soon)
There’ll be the soaring voice for a silent plea
(Soon love soon)
We will hold a broken circle and begin to pray
(Soon love soon)
We will find a black and white in the grey

And we will be as one god
And we will be as one people
And we will be as one god
And we will be as one people

(Soon love soon)
We will find illumination in unnatural light
(Soon love soon)
You will travel a thousand miles without leaving my sight
(Soon love soon)
We will find we never knew hatred ran so deep
(Soon love soon)
Such a wide, wide chasm of faith to leap

But we will be as one god
And we will be as one people
And we will be as one god
And we will be as one people
Yes we will be as one god
And we will be as one people

(Soon love soon)
There’ll be an evolution of the human soul
(Soon love soon)
We will know that to be a part is to be truly whole
(Soon love soon)
We will know the pattern of centuries’ rise and fall
(Soon love soon)
We will know that the fate of one is the fate of all

And we will be as one god
And we will be as one people

Through the years this song had been many things- a promise of our future together, a plea for a more peaceful future for the world, the closest we could come to praying. Now, we sent it up as all three- a promise, a plea, and a prayer that soon, love, soon, our baby would find its way to us.