Officially 12 weeks!

It's finally here!  You might be thinking that I'm excited to be safely into the second trimester stage...which is definitely true, but I'm also excited for one other milestone...

No more PIO shots or Estrogen pills!  Its only been 3 months but holy moly does it seem like having to be home by 9:20 has been a part of my life for so much longer!🤣⏰

No more shots!  My bum can finally start to smooth those lovely knots out🥰❤️.

We had our second OB appointment on Wednesday...and my oh my has it changed since I last came with my own pregnancies.  It's like a 3 hour ordeal now!  

My appointment was at 10AM and was supposed to consist of lab work, an ultrasound, and an exam, which it did...but each was treated like it's own appointment because they send you back to the waiting room in between!  

I first had to go and leave a urine sample, so fun.  Then I was called back for my ultrasound.  (Definitely the highlight)

I was told this particular ultrasound was to check the thickness of the tissue of both babies necks to check for Down Syndrome.  I of course gave the shrug and obligatory nod like ok, whatever you need to do.  He then says, "Now you're using donor eggs, right?"

Probably a perfectly normal question...but it seemed so odd to hear it that way!  I paused for a second...trying to process what he asked..and then he broke the silence and said, "Or was it just the sperm donated?"

Haha I had to giggle and say, "The whole kit and kaboodle are donated.  The eggs were my sister's and fertilized by her husband...implanted via IVF.  So...I guess you can say they were donated to me until they are born...then I'm giving them back!"

Haha I think as I said it, he remembered either me from the last appointment where we had both my sister and my husband there (probably odd to have so many people at a first ultrasound) or it noted in my chart🤣.  In either case he totally laughed and said that's right...gestational carrier.  

Now with the pleasantries out of the way, he got to scanning.  He was super easy to talk to, since the proverbial ice had been broken, so I asked a bunch of questions as he was looking at things.

First, he labeled the baby on the screen "baby A".  So I had to ask...is Baby A always just the first you happen to see?  He said no, it's the baby closest to your cervix, or lowest in the uterus.  Ahh...so we finally have a rhyme and a reason to the A and B thing.  Okay this was good to know!  

He let me know that baby A was on the lower left side and seemed to have their hand over their face 🥰.  They were perfect for all scans.  He was able to get a beautiful measurement of that neck tissue he was going for along with lots of great silhouette pictures.  

Baby A side view 

Baby A was measuring right on track for 11 weeks 5 days.  Heartbeat was cruising at a 171 beats per minute.  They were active, I could see them kicking and moving the entire time🥰.

On to Baby B!  Baby B is above and to the right, and happened to be facing my back. So I was asked to cough so baby would turn around for us.  I honestly was a little skeptical...but it worked!  Baby B moved right on around.  He was able to catch the scans he needed and recorded a heartbeat of 165. 

Baby B was measuring 2 days ahead at exactly 12 weeks.  Everything on both looked great!  As he was going back and forth between babies it appeared as though one baby was literally kicking the other!  So I asked how close they were and if they could feel that?!  (Literally, I think A kicked B in the head mid scan😲.  Sibling rivalry is already starting!)

He said they are right next to each other.  Only separated by the amniotic sac membranes, which he said are about as thin as a rubber band.  So yes they can feel each other!  So crazy and amazing to watch them fidget and kick around together.  I hope they enjoy the room while it lasts! 😕😬

So twins are getting too big to be on the same scan, so he did a split screen so he could capture one then the other but put them both on the screen.  As he was capturing babies he caught a cute little frog legged pose from baby A. (Pictured below 👇🏼)

Baby A frog leg pose

Then he went over to baby B and tried to capture the same thing.  He then asks, "Do you already know the sex of the babies?"  I said yes, one boy and one girl.  He said well I am seeing some anatomy on Baby B that would suggest he's the boy!  (Pictured 👇🏼 below ... would you agree🤭?)

Anatomy between the legs of Baby B

So I'm excited to know the difference between baby A and B now!  B for boy ...super easy to remember too!

After the ultrasound and an additional trip to the waiting room, I was called back for my exam.  It went pretty seamlessly.  I gained 1 pound, my blood pressure was great, and I was told the twins look very healthy and happy!  So I should keep doing whatever I'm doing 👏🏼😁

I was scheduled to come back in 4 weeks, December 6th (which would make me 16 weeks by then) and was scheduled for another ultrasound during the same appointment...so they can check fetal growth.

I waited for a third time in the waiting room and was called back for my blood work shortly after.  The cute lady who maybe only seemed about 10 years older than me, whispers to me..."So twins?!"

Haha I reply yes, that's right!  Twins.  She said wow you're handling this so well.  I was a little confused but simply responded with an uncomfortable, "haha I guess so far, so good!". 

She then starts reading her notes and says, "Oh, these are donor eggs?!  So you aren't too worried about down syndrome then, I bet?"

Oh my goodness, what is up with this office support staff and not reading their notes?🤣 I just said well ...I'm a gestational carrier for my sister.  These babies are on loan with me for a little while, then I'm giving them back!  Her entire demeanor changed and she got so happy and said how wonderful it was that I was willing to do that for her.  (It always makes me feel awkward when people tell me how wonderful I am...I feel like I'm doing something that most people would do, if it were possible.  Maybe I'm different, maybe I'm special...but I don't feel that I am. 🤷🏼‍♀️)

Anyway, after the 9 vials of blood they took and the funniest stories from this conversation starved phlebotomist, who probably missed her calling as a hair dresser, I was finally on my way!  I arrived at 9:54 and left at 12:55! Crazy.  

All in all babies are doing well!  I'm still experiencing sickness...some mornings and evenings are just worse than others, but definitely manageable.  I can still fit into my stretchy jeans but that waistband is definitely starting to dig in 😕.  Instead of wearing my self proclaimed "cute and trendy" clothes to work, I've opted for "cute and comfy"🤣.  Leggings and sweaters are where it's at for me right now.   I'm always cold and I'm always ready for a nap.  Comfy clothes make both of those things manageable 😘😃!

You're late...

 So this morning around 8:45am, I'm at work and I get a text saying, "Hi Summer, you've missed your appointment this morning for lab work, are you on your way?"

Uh, what?  I quickly look over the appointment paper that they gave me...no appointment.  Then I look over the string of messages they send on this app called Klara...nothing about an appointment. So now armed with this information, I feel confident that they are reaching out to the wrong Summer.

After a few exchanges back and forth...I guess it is me they want.  Although my last labs from Monday came back as negative for progesterone they want to check again to ensure that before I begin taking PIO shots tonight...that my levels are still very low.  (Having progesterone in my system early would mean by body could ovulate on its own, instead of allowing them to hijack it on their timeline, which is what IVF does)

Okay sure I'll let work know that there was an appointment scheduled that they forgot to notify me about and I have to go to Gilbert to complete lab work.  Ugh.  Oh well...it is what it is and luckily my job is very flexible. Whew.

My biggest concern at this point is I've been wearing long sleeve shirts because my left arm still has a major bruise from the phlebotomist royally sucking it up.  

...a few hours later I roll up, quickly get called back and low and behold it's the same phlebotomist!  Oy vey...she asks to see my right arm because it's closest today.  (I think to myself...there's no way she's gonna screw this one up too.  I'm sure it was a one off.  The funny thing is...I've been going here for months...and I don't think I've ever had the same person draw my blood.  Yet I have some how won the bad phlebotomist lottery and lucky me get her twice when my other arm still looks like a junkie 💉😬)

After a less painful draw...I leave bandaged up and scurry back to work.  After about an hour I remember I have this darn bandage on my arm!  So I pulled it off and boom...looks like she screwed up this arm too😞.  

In 100+ degree weather...I will now be wearing long sleeves for the foreseeable future thanks to Ms. Jabby Jabberson the horrible phlebotomist.

For your viewing pleasure...here's my lovely arm pokes after about two hours on both arms.  (Monday and Wednesday)

Monday (8/7) two hours post jab left arm

Wednesday (8/9) two hours post jab right arm

I didn't end up getting a photo of them both a few days after...but trust me, the people who saw them were like holy canoli keep those covered up 🥲.

Wish me luck...PIO shots start tonight.💉😲

Shots in the Wild!

Okay, so today is day 5 of the Progesterone in Oil (PIO) shots and by now we have a rhythm going on.  At home, it's an easy routine.  I have decided laying down flat on my bed, face down, works the best.

As I talked about earlier, the shots gave me a lot of anxiety, so I researched and heard a ton of horror stories, but I also got some good tips too!  My main concern was pain, of course.  Which some experienced at the time of the shot, but others seem to experience after the shot.  As the PIO is being absorbed into the muscle, it can create a knot, which becomes painful.  (After literally hundreds of personal stories, posts, websites, etc...I noticed a few common themes to avoid this.)

First, make sure you're not using the muscle that it's being shot into.  If you have to stand, bend the knee of the side you're going to inject.  I took it a step further and decided to just avoid using either muscle period, so I lie down flat to avoid any flinching ;)

Second, heat the oil up by first putting it in the crease of your arm or arm pit.  It thins the oil out just enough to make it easier to inject.

Okay so...this all plays out great when we are home and I get to lie down on my comfy bed for the shot.  We knew there was going to come an evening when we wouldn't be home...and would have to do the shots somewhere else and that day finally came.

It was father's day and also one of our girl's birthday.  She decided around 7pm that she'd like to celebrate with the family at Pop Stroke, a new mini golf place about, about 20 minutes away.

We have been there before and based on how crowded it is, it can take up to a few hours to complete the two courses they had.  I mentioned that we might have to leave early because I would need to leave around 8:40 to get home in time for my shot, which didn't sit well with the birthday girl, because that meant we wouldn't be able to finish the course and if I left, the party would be over. ( I knew she was referring to me physically taking half the party with me when I left but if course acted completely flattered that I was the glue to this party 🥳.)

So agreeing with her that the party would be lame after I left...I reluctantly agreed to bring my shot paraphernalia with me. Ugh.

Okay so fast forward a few hours, it's a Sunday evening, see the course is popping... literally packed with people.  We have only made it to the 11th hole and it's 8:55.  So Phil and I let the group know we will be back, hand our clubs to the others and head out to the packed parking lot to his car.  (If you've been to this place, you know there is no easy exit from mid course!  We were walking across greens, apologizing to parties as I was praying I wouldn't eat it.)

After we made it out of the course and into the parking lot, to our car.  I suddenly realized that laying face down in the back seat, with Phil bent over on top of me...might not be the best look out in public!  I really hadn't thought it through!

So I share my concerns with Phil and he also agrees this might be more difficult than we thought.  I could lean up against his car outside...but then again he's behind me doing something to my upper behind area...and this is only for people far away!  Let's not count the fact that if anyone was getting into their car or sitting close by, they would see us with the needle, probably looking like some weird junkies!🥴

Okay, okay...think Summer!  Where can we go, we are out of time and I have to get this shot!

I look around and behind me there's a restaurant that's closed for renovations and it has two large container sizes dumpsters outside of it.  The sides of course are open with cars able to view us, but it was darker ish and I didn't see any cameras outside or signs of life inside, so Phil offered to back the car in between these dumpsters to give me more privacy and allow me to lay down in the back seat.

(Ok imagine it being dark...with all parking spaces full...so you can visualize)

Okay so plan is in motion...I'm laying down, trying to relax.  I hear a car start up close by and suddenly I feel something crawling on my feet (because I was wearing sandals and my feet were still touching the ground ew)...Phil is still getting used to giving the shot as much as I am at receiving it and he's hesitating and triple checking he's in the right spot.  So he finally injects me, but I can't stay still any longer, my imagination has gone wild and I could be standing on an ant hill with soon to be thousands of crawly bugs all over me...so I lift up my legs (using the muscles that are supposed to be relaxed ouch).  He finishes the injection (which takes a bit, because it's thick and doesn't come out super quick) and I crawl back out of the car.  

As I stand up fixing my clothes I immediately notice the car, idling with its lights on, perpendicular to us.  (Hand to forehead) I'm sure trying to figure out what in the junky heck we were doing!

Phil's trying to find the needle cover (since I forgot my "sharps" container) and I'm inspecting my legs and feet to ensure there aren't a ton of bugs crawling on me.🥴 I was relieved to know that there didn't seem to be any bugs on me anymore...(the spazzy leg lift did the trick!)

Phil moved the car back away from the dumpsters into our original parking spot and we rejoined the others taking a route...similar to our exit.  We only missed four holes and the police were never called on us...so it was a win in my book!

Although the scenario wasn't ideal...we learned a few things and we laughed a ton.  Happy Father's Day Phil❤️.

Let's do shots...

So today's the day...the day I start the dreaded Progesterone shots.  I'll start today and will need to continue until I'm 12 weeks along.

I'm not gonna lie - the thought of having a 1.5" needle stuck into the upper part of my A$$ doesn't sound exciting.  Part of the deal was that my sister would be the one giving me the injections.  What we didn't anticipate was that she would be traveling a majority of the summer, so last minute we ordered an auto-injector, so I could give myself the shots - but unfortunately it's not in yet!  Everyone in my family has a serious needle phobia, so it took a lot of coaxing, but my husband graciously agreed to try and give me the injection tonight.

These shots are required every single day, at the same time for 12 weeks!  I have to take them at 9PM every night and cannot go over 24 hours.  So if I need to push the time back, it needs to be in 15 minute intervals.  I'm not sure if there is ever an ideal time to get a shot in your behind...

**9PM SHOT TIME**

Okay, so the alarms went off and we started to fumble through this new process.  We grabbed both needles, (the 18G for drawing the progesterone in oil out of the vial and the 22G for injecting it into my booty) the alcohol prep pads, and my tide pod container, which hence forth will be known as my 'sharps' container.

All day, I've replayed how the shot would feel, (ouch) watched the video they sent a few times, and tried to do my best about how quickly it would be over.  I used a compilation of tips...held the progesterone in oil under my arm, to warm it up and decided that my optimal position would be to lie flat on the bed, bunny side up, so there would be NO muscles in use at the time of the injection :)

Phil washed his hands and I prepped the injection needle, even tapped it to get the air bubbles out and pushed until a drop came out the top!  So satisfying...okay back to the task at hand.  I laid down, Phil prepped the location he was going to inject and then proceeded to count down from 3...about three times before he actually jabbed me! hahaha the suspense was killing me! I know he felt it worse than I did!  As soon as he stabbed it in, he started apologizing.  The greatest part was, I actually didn't even feel it go in!  He just chose some random count to use the needle, like a dart to a balloon, and inject me.

Yep - didn't feel a thing!  He was pressing on the skin around it pretty hard with his fingers, so maybe that's the trick?  Not a drop of blood, he was so excited.  It was then that he realized and shared that he was supposed to pull back on the plunger before injecting to make sure he didn't hit any blood vessels, but we both agreed at this point...it was probably fine and went back to high fiving and celebrating the first shot being completed!

A huge sigh of relief, because I really didn't feel a thing.  I mean pressure, but no twinges or stings!  After about a minute, it felt like someone had given me a small charley horse in my bum...but nothing more or worse!  

So...one down, 99(ish) more to go!  Let's hope tomorrow night goes just as smoothly!

Walmart for the Pharmacy Win?

My family and I have been very fortunate and really haven't spent much time in the pharmacy department.  I have called our CVS pharmacy at Target a few times to get prescriptions filled and utilize their auto fill function...but that's about as far as the transactions go.  They get the order, the script is filled, I get a text letting me know it's ready and available for pick up.  Easy.

Well I guess the things my previous orders have all had in common were...the medications I needed, were not time sensitive.  If they weren't a common prescription, I could easily wait the additional 24-48 hours for them to fill my prescription.

So remember my original post - where I told ya it was a last minute scramble to urgently get a prescription filled and begin taking it as soon as possible?  Well that's where we are.

So I reach out to my CVS pharmacy, someone answers the phone after a long game of pick the number that's closest to what you want, followed by several 0's...in hopes of being transferred to a person.  (The purpose of course for my call, was to find out if they had the medication in stock, that I was prescribed.  Since there was a sense of urgency to this request - I didn't have time to show up and find out it wouldn't be ready for a day or two.)  After a few rings, a gentleman answers (perhaps the pharmacist?) and lets me know that they have the prescription from the doctor's office and will be able to fill it, but will need my updated insurance information.  No problem!  I offered to provide it over the phone and he replied that I should instead just bring it when I come to fill the prescription, which should only take 5-10 minutes.

Feeling confident that the medication would be available, I head down to Target to grab the prescription.  After providing my insurance card and updating my file - I was shocked to learn that they didn't have the medication needed after all!  (I later found that the reason for this was the gentleman on the phone didn't have access to their inventory, only going through the motions.)  Well now what?

Long story, shorter - CVS at Target was unable to direct me to another location or help me further.  So...I hesitated naturally, because Walmart isn't known for their amazing customer service...but they are close to me and perhaps they would have the medicine in stock to fill my prescription.

So I call Walmart's pharmacy department (expecting the worst), I speak with a gentleman who seems very pleasant, I tell him my circumstance and the urgency and he immediately offers to take my insurance information over the phone, checks his inventory, and tells me when I can expect to pick it up.  Even goes the extra mile and tells me when they break for lunch, to avoid further delays!

Within an hour, I get a text letting me know that my prescription was ready to be picked up.  (Amazing!)  When I arrive, the pharmacy tech asks for my name to go grab the medication.  The moment I provide my name, a gentleman in the back, immediately steps forward and stands to the side, awaiting for the transaction to be complete.  As soon as I've paid, he says, "Hi Summer, my name is Omar. I'm the pharmacist here and we spoke on the phone earlier today."  (Wow - maybe the bar is just set soooo low - but I was already totally impressed!

Omar then took me to a side window and asked if I had ever taken the medication before.  He asked because he was concerned about the dosage that I was being prescribed. I, being completely unfamiliar with dosages and knowing mistakes can be made - immediately offered up what I was doing (GC) with an implant date of 6/22.  He asked if I knew how long I would be on the medication, since the dosage they were prescribing was really high.  Of course I didn't - so he asked if I would be okay if he made a call to the doctor's office to ensure the dosage was correct and asked if he could call me on my cell phone, so I didn't have to wait!  

Okay so the story ends with yes - it was the correct dosage, but I truly felt reassured and so much more comfortable about the dosage and the pills I was prescribed for this first part of the adventure.

Side note - I'm now a regular there and Omar greets me with a wave and a smile from behind the counter every single time and whenever there's a new prescription (including my Progesterone in Oil shots), he walks me through the medicine, possible side effects, and makes sure I still have his card to call with ANY questions!