Incompetence. Utter Incompetence.

— Early January 2014 —

2014 is going to our year.  I just know it.

 

After being approved by everyone and jumping every possible hoop, Jen/we are ready to go.  We now have to set up our meeting to sign the consents at the clinic.  (Again, inside my head I scream- this is really happening!)

 

This appointment requires all three of us to be there and go through all of the legal paper work etc with the clinic.  The clinic has now received our surrogacy contract from our lawyers, all of Jen’s blood tests back, her test results back, and our pysch evaluation/approval.  I called and booked us in for our appointment mid-January- the soonest they could get us in.  It has also been one month from the time the clinic got my anesthesia information from the hospital so they would have a plan in place for my egg retrieval. Fabulous.

 

This appointment didn’t come without a big old financial price tag.  One would think signing some forms wouldn’t break the bank.  Well… they’d be wrong.  For this appointment, we had to pay close to $2000.

 

The day after booking the appointment I get a call from the IVF nurse.  She is needing to change the appointment as whomever booked it didn’t book it with the right ppl.  Okay.  Frustrating as arranging these appointments so three people, with three different jobs, could all be there wasn’t easy.  But we would make it work.  She started listing off days and we finally found one that we could arrange to make work.

 

She then notes that she wants to go through the check list to ensure we have everything ready.  She rambles through all of our appointments and documents that she has received.  She then stops at Jen’s basic blood work.  They haven’t received it.  Ok… well she did it over 2 months ago.  I know cause I was on the phone with her when she was there.  The IVF nurse starts saying how we can’t move forward until we have everything.

 

Yes, we get it.  But we did the blood work.  Can she check again?  Nope.  Not there.  She then says if we don’t get it before the appointment we would, again, need to reschedule.  The next appointment however was another 3 weeks after the first one.  Well in Feburary.

 

You HAVE to be kidding me.  Ok, I call Jen all frantic and she then runs across the world to get her new blood requisition and get it done that day so we would have it all back.  It’s not like we have to work or anything… :S  We make it work.  She even texts me a pic of the needle in her arm for ‘proof’ so the clinic doesn’t say it’s our fault!  Again, Jen is my hero.

 

It’s weird being somewhat helpless.  Being able to run around and get everything sorted out yourself is one thing, but asking someone else to drop everything and run is another.  Especially after she is already agreeing to do the most selfless act in the world.

 

I call the IVF nurse back and say she did the blood work, it should be back in time, and we should be ready to go for the appointment.  Just before I hang up, I said that I’m looking forward to this cycle as having full anesthesia during the egg retrieval is going to make all the difference! 🙂

 

… she pauses….  uhhhhhh…. right.  We did get that back from the anesthesia clinic, she says.  Then notes that she is going to put that on the agenda for this Friday’s RE check in with the clinic.  WHAT?  It had been a month since they got the report and they haven’t done anything with it?

 

Perhaps the clinic missed the point where we wanted to get pregnant.  And we had already been trying for over 2 years now… Plus our schedule was now based on my and Jen’s schedule (aka our bodies!) so not having the right info on one day could make the difference between a cycle in February or March.

 

So frustrating…. Obviously upset I asked her if that was going to hold up this cycle.  She said that she didn’t know and would have the RE’s look at it this week.

 

Wonderful.

 

I get I’m impatient and excited to get started, but waiting around for the clinic to do their job wasn’t in my waiting plan.  Pissed, I call Dan and Jen to vent about their incompetence.  They both being me back sane-ish and tell me it will all work out.  Yes, this was alllllll going to work out.

 

 

….. Monday, after the above noted ‘Friday RE Meeting’, and 5 weeks after the clinic received my report …..

 

I called the clinic and asked to speak with the IVF nurse.  After the amount of money we have spent at this clinic, I’m anxious for answers re: the new plan for my egg retrieval.

 

She answers and assures me that the RE’s discussed my situation at their Friday meeting.  It was decided that another RE, one who’s cousin was an anesthetist, was going to take the lead on this one and find out what we could do.

 

Me:  Okay, did she have a projected time line for this?

Her:  I don’t know. It is now up to the other RE.  She is going to handle it.

Me: Okay, but did she think we could be on track for a February cycle start date?

Her: She didn’t know.  We would have to wait and see what this RE would come up with.

Me: I’m just frustrated now that you’ve had this info for over a month and nothing has been done.

Her:  We are working on it.  That’s all I can tell you.

 

Wonderful.  Just wonderful.

 

 

….. Monday, the following week after the above conversation, and 6 weeks after the clinic received the report ….

 

Another call to the IVF nurse.  I hadn’t heard from her at all with any updates so I called and left a message to see if there was anything I could do?  Any calls I could make?

 

She called back after a couple hours and said that there was no update.  Last she heard, the RE was going to talk to her cousin…

 

Me: Ok, did she have a time line?  Or even a meeting date with him?

Her: She didn’t know.

Me: Ok, is there a way to find out a projected time line?

Her: She didn’t know.

 

Fabulous.

 

Next week is our consent appointment and hopefully, meeting with our RE, we would get answers.

Anesthesia – Sharp Curve Ahead

— December 2013 —

If I was to recap my experience during my previous egg retrieval in one sentence… it would be- Never, ever, again. It really wasn’t supposed to be this bad. The story was supposed to go something like being a tad nervous, getting the IV, getting virtually knocked out- suck the eggs out- wake up and ache a tad.

IMG_20140418_111735_edit

Yes, that’s a giant needle sticking through me to get the eggs….

However, of course…. it wasn’t. The story was in fact a morning of pure torture. There were two reasons why this was so- the first was that the RN gave me the meds I need so I clot better too quickly which, in turn, made me so nauseous that I dry heaved into a bucket for while getting ready. This could be slightly fixed by slowing down the meds this time, but ultimately, this was an obstacle that one could overcome. On the other hand, the conscious sedation drugs not working at all… now that seemed to be medieval torture. They gave me a heavy mixture of versad and fentanyl… and then more as I started screaming when the needles started through my vagina into my ovaries to suck the eggs out. Yes, never ever again. I still have nightmares.

So the good news is that because we know that it didn’t work, the clinic referred me to the anesthesia clinic at McMaster Hospital. In order to proceed with this surrogacy cycle, I’d need to do another egg retrieval. So this appointment was a must. I was hoping that they would give me a script for some magic formula so that I could sleep through the procedure like the rest of the infertile world.

After chatting with the doc, he gave me the bottom line. My body must not react to one of the two drugs given during normal conscious sedation, so we basically would need to give me full sedation in order to ensure that it works. We know that ‘normal’ sedation works with me as I’ve had a knee surgery and a tonsillectomy successfully.

Well that seems easy enough- right?

Wrong.

The problem with being fully sedated is that there are only certain doctors that are able to perform this. The list is short and basically includes anesthesiologists and emerg room docs in emergency cases. The other obstacle would be that a higher level of equipment would be needed to perform this type of anesthesia.

Okay. Think logically. We can figure this out. As my chest starts to heave in and out quicker and quicker I start to think about what this actually means.

Problem 1: Since Ontario de-listed fertility treatments, I now go to a clinic that is private. It is literally an office that has a couple treatment rooms- not a hospital. That means that they do not have all the hi-tech and fancy equipment needed to do this. Nor do they have an anesthesiologist on staff.

Ok…. Maybe I could have the procedure in the Hospital where they have these docs and equipment.
This leads us to Problem 2: I would then need to ‘rent’ out a surgery room, a recovery room, plus the nursing and physician staffing to go with them. Ummmm…. I’m assuming this cost wouldn’t be minimal.

But… after calling the clinic and brainstorming, that wouldn’t work either.  The clinic staff no longer have privileges at the Hospital.  Plus, McMaster Hospital doesn’t have the right equipment nor trained staff to inseminate the eggs on site.  Therefore, the only option would be  to extract the eggs, then get them quickly to the clinic…. but that won’t work either.  It would take too much time to get them there… they wouldn’t survive.

everythinghappens

Cause if you say ‘Everything happens for a reason’ I may just punch you in the face.

Okay… so the only viable option at this point is to try and get an anesthetist to come to clinic on my retrieval day and put me out.  Again, not simple.  It’s not like it’s a dentist appointment where we can call the doc ahead and tell him to meet us at a place and time.  Nope, the date completely would depend on my cycle- which at the best of times was unpredictable.  This would mean we could give a doc 48 hours notice and we would need them to be at the clinic ready.

… sigh….

The fertility clinic received this report from the anesthesia clinic in the middle of December.  So now that they had it, they could start working on a plan for me.  I would ultimately need to pay the anesthesia  doc whatever they would want to charge for their services (which we have no idea as it would be private so up to them…. $$$$$$).  But ‘it’s only money’, right?.

Stress levels just raised at least 100%.  If they couldn’t get someone into the clinic- what would I do?

At this point, I’m about ready to have a nervous breakdown… and I know the dollar amounts left in our accounts.

Yep.  FML. Again.

Bah Humbug- Part 2

— December 2013 —

It seems that every single person in my life now has a new born or is expecting one. The Christmas posts on Facebook continue and I keep asking myself when I turned into this bitter person?

Normally, most people that meet me would choose a variety of words to describe me – high energy, won’t stop talking, bubbly, hyper – but not bitter. Yet, even I know that I have gone from being an upbeat mid-20’s girl to a bitter, ungracious wreck.

Now, some of you are now thinking… ‘Well she’s been through a lot. It’s understandable.’ Well let me enlighten you – here is a glimpse into some of my worst moments as a human being. It wasn’t pretty.

Refusing to leave my office at work for fear of talking to someone… pretty much anything these days ended in a rant about how terrible my life was, how I had no money from fertility, and how we were never getting a child.

An example of me at my lowest…
I had joined the local gym and was attending with my Sister in law and a good friend. We did this in an effort to get fit, have fun (Zumba!), and enjoy some time out of the house. Yes, a distraction was needed. One evening after a work out, we headed back to change room to clean up before going home. In it were a couple of women chatting about whether or not they should have another baby. Keeping my head down and trying my very best to get out of there before I opened my mouth, I scurried to get my runners off and my coat on. Alas, I couldn’t do it in time. Cue one woman saying, “You know, I was nauseous… not for 3 months, but for almost 9 months. Now that is enough to make sure you take your birth control.” That was it. I turned around, grabbed my coat and said loud enough for them to here- “Boo-F*cking- Hoo” and left. My sister-in-law’s eyes almost popped out of her head. She not so gently pushed me out of the change room in a hurry. Classy Adele, classy.

Posts on Facebook continued… now, anyone and everyone that has a child is so excited about having their kid at Christmas. Pictures and quotes about how Christmas ‘isn’t Christmas’ until you see it through the eyes of a child, children’s Christmas concerts, and matching outfits were enough to make me crawl into bed for weeks.

Dan did his best to force me out. And worked on talking me back into our Family Christmas celebration- normally the highlight of my Christmas season. Was I being irrational? I was so terrified that the pregnancy announcement would turn into baby talk for the rest of the evening. I knew that I wasn’t great at keeping my ‘outbursts’ in lately, and the last thing I wanted to do was to make a fool of myself at a family Christmas. Nope, my bed was a much safer place.

Dan staged a mini intervention. Christmas was my favourite part of the year. It always has been and I start planning for it in August each year. Yes, this year was harder, but think of the progress we are making with surrogacy! We would hopefully have our little one in our arms by next Christmas! Ok, he had a point. I DO love Christmas. I love buying gifts I know everyone will love, I love decorating, singing carols… Maybe I just needed to be careful at certain events and allow some breathing room between me and Facebook. Yes. Plus, I was so excited for my cousins’ pregnancy- they would make great parents! I was not going to ruin this.

Head up, shoulders back, and tears stored at least one layer deeper, I was going to make it through Christmas.

bitter

I attended each Christmas celebration. Smiled nicely at those with protruding baby bellies, coo’ed at the newborns, and kept my shit together until getting in the car home each night. And I did enjoy most of them. They ended with a woe is me pity party at the end, but only Dan got to see those.

Frankly, looking back, I’m shocked Dan didn’t either have me committed or throw my ass out. But he didn’t. He hugged me tighter and tighter. Feeding my anti-anxiety pills when needed, and talked me back into reality. This man is indeed a hero. And if this isn’t true love, then I don’t know what is.

Christmas flew by without any major hitches…. We spent time as a family, gave gifts, and tried to give my head a shake and be grateful for the countless blessings we did have. Yes, blessings. The month of December was harder than some for focusing on the good, not the bad. But January was coming.

January meant the final medical clearance (hopefully!) for Jen to be our surrogate. This also meant the results from my appointment with anesthesia at McMaster so we would know how to proceed with the sedation around egg retrieval. This meant we could literally be pregnant by February… and baby by November! Things were happening. As quick as we could make them. A Churchill baby was certainly at the end of this long trying and bitter saga.

Bah. Humbug.

-Late Fall 2013-

The hurry up and wait mantra that is my life needs to take a hike. Like seriously, have we not waited enough?

After getting the official OK from the clinic on pysch, we had got the gold stars on several hurdles.  But several remained.  Each of which took, you guessed it, more time.  Everything was going fabulously with the testing and Jen, but I’m not exactly a patient person…

The To Do list was getting shorter though.  Jen had to go and get the never-ending panel of every blood test known to man done  to ensure everything was A-ok.  I needed to get an appointment for a consult by an Anesthetist due to the fact that the drugs for the conscious sedation for the last egg retrieval didn’t touch me.  If this plan for a gestational carrier worked out, I would need to do another round of IVF to harvest more eggs, inseminate them with Dan’s sperm, then put them into Jen.  That meant another egg retrieval for me.  And if there was one thing that I knew, it was that there was no way I could possibly endure another retrieval with no drugs.

We got the requisitions for Jen’s  blood, and I had a consult sent over to McMaster Hospital.  Now we waited for them to call me back.

In the meantime, it appeared that my entire newsfeed on Facebook decided to get pregnant.  Ultrasound pictures, posts about baby’s kicking, and baby showers were pure torture.  While I am sane enough to know that the chance that those people got pregnant and are posting those pictures and status’ solely to make me want to jump out a window was low, it didn’t matter.  I would come home from work and have a meltdown almost every day as someone new was calling us or posting about their good news.  The ones that really got to me were the ones who got pregnant when we started trying over 2 years ago, had their baby, and were now pregnant with their next one.  Yay for them (insert irrationally grumpy sarcasm here).

I desperately needed a break.  The problem, however, was that we had now spent over $60,000 on fertility treatments (with nothing but mental scarring to show for it) and we didn’t have a penny to spend on a ‘vacation’.  My family has a cottage in Muskoka, so Dan and I talked about trying to just get away there to relax.  The secondary problem was that Dan had just opened Pita Pit in the summer and couldn’t exactly just take off to the cottage for any number of days.  Cue another breakdown.

My parents, knowing a break was exactly what we needed, suggested an offer I couldn’t refuse.  My Mom goes to Barbados for work, and would be heading down there for a week the last week in November.  If I could get it off work and pay for my flight, I could bunk with her in her room, and she would cover the cost of my meals.  She would be working most the time, but at least I could relax beachside.  Really??  This was amazing!  Mom and I agreed this would be my baby-free vacation- a week where I could relax and just forget about everything else!

Dan and I figured out how to pay for the flight knowing how important and desperate I was for a trip.  I sent an email to my manager at work and noted that it was last minute, but was there any chance it would work?  He approved it!  I packed everything up and off I went.  The weather was gorgeous and the resort we stayed at was perfect.  Dan was at home working- and frankly a vacation without your husband isn’t wonderful- but this was still a week away from anything baby.

Day 2 of 8 my Mom hands me her phone while on the beach.  Someone from work was calling her about something, but wanted to say hi to me.  Sure- it turned out to be a good friend and I happily said hi!  He continued to talk and said that he wanted to share some news- he and his wife were pregnant.  He wanted to let me know before he told everyone at work so I wouldn’t find out through the grapevine.  So he called me in Barbados to tell me.  Thoughtful…. except I was supposed to be away from this all.  Plus, he already had 3 kids- come on!  I swallowed hard and congratulated him.  I was genuinely happy…. but devastated for me.  That was all it took.  I left the beach in tears and went back to my room to try to relax and enjoy the weather.  It worked, sort of.

By the next day I was calmed down again and ready to enjoy my vacation!  I unpacked several books and started some hardcore reading on the beach.  After dinner, I checked my email.  Another friend wanted to let me know about their wonderful news of being pregnant personally before they posted it on Facebook.  At least she wasn’t in the room as I burst out crying while I wrote a congrats email back. Yes, they will make great parents….  Recovery needed again.

A friend of mine lives in Barbados with her boyfriend, and I couldn’t wait to see them!  They had me over for a sleepover for a couple nights and ended up driving me to the airport to go home.  It was a perfect end to my trip and I was so excited to get to catch up.  After spending the afternoon together, we went for dinner.  After dinner, my friend looked exhausted.  She looked at her bf and said that she wanted to tell me, even though it was so early, as I was there- and she didn’t just want to email me when I got home.  They were expecting.

This is where I smile and congratulate them!…. Expect instead I turned into a blubbering idiot.  I have never been so embarrassed in my life!  I tried so hard not to cry.  So hard.  Instead I ended up crying on their couch after they told me the most exciting news of their lives.  When did I turn into this terrible of a person?  How could I do this to such great friends?  I apologized profusely and excused myself until I could at least fake pull myself back together.  When did I turn into such a pathetic, selfish, and terrible person?

I have never. ever. ever. been so embarrassed at my actions.  I tried so hard for the next day or so to make it up to them.  I just couldn’t control myself.  They forgave me and said they understood… but still.  Wow.  I’m an ass.

I flew home and had to tell Dan all about my depressed self and how 8 days of vacation turned into somehow 3 baby announcements.  We hugged and decided to focus on all of the great news we had moving forward with Jen.  This was going to work for us.

The next night we had my cousin and my parents over for dinner.  After dinner my cousin seemed to be dragging her feet in leaving until my parents left.  I got a pit in my stomach as I just knew.  Another one…. prepare myself for the incoming news. My parents left and she sat down on our couch to let us know her and her husband’s great news.  She was just 12 weeks and planned on telling the rest of the extended family at our family Christmas.  I held myself together until she backed out of our driveway and then I just collapsed.  She was the last person in the world we expected this news from.  Dan carried what was left of me up the stairs and got me into bed.  Anti-anxiety pills later, I could finally put words together.

But I LOVE Christmas.  LOVE it.  Obsessed with it really.  And now our family Christmas would be focused on baby talk.  I know, I sounds completely and utterly selfishly crazy.  But mentally, I didn’t think I could do it.  I just couldn’t go.  Maybe I’d get ‘sick’… I don’t know.  But with 2 weeks left until the party, I couldn’t do it and embarrass myself all over again a la Barbados. Dan said to wait it out, and we could talk about it another day.  With tears in both of our eyes, Dan held me until I feel asleep.

I ended up going off sick from work as I just could not seem to pull myself together.  All I could see each time I left my home was happy families, pregnant couples, and kids playing in the snow.  My solution was to stay in bed all day and drown my sorrows in my pillow.  The worst part was that I knew that everything regarding surrogacy was actually going well for us.  Yet I couldn’t seem to focus on the positives… just the negatives.

xmas

 

This Christmas was going to be a write off.  One to forget about and pretend it didn’t happen.

My obsession for Christmas had very quickly turned into social anxiety and a constant stream of negative thoughts.  No, I’m not happy so hurry up and get this holiday over with.

Us + Jen + the Shrink

Psych appointments.  Fun.

So in order for the clinic to move forward with the approval of surrogacy, they apparently want to make sure that both we, the intended parents, and Jen, the carrier, are sane.  Fair enough I guess.  But asking your best friend to head into the psychologist to be evaluated is not a normal friend request.

Again, Jen took it in stride.  Dan and I were up first.  This was the same doc that we had seen several times in helping us to deal with everything that was going on.  He was a nice guy that had provided us support and help when we were in need of it previously… and we felt very comfortable with him.  We walked into the appointment hand in hand and sat down.

This appointment felt different.  It felt like we had to say the right things so that we would ‘pass’.  I wasn’t sure what a right thing to say was.  I had already sat in this chair and spilled my heart out.  He knew about my history with depression.  He knew about our struggles.  He knew about my previous break downs after bad news after bad news.

Wait- did that make us not ‘pass-able’?

We sat down.  I suddenly started to get nervous. He smiled and told us to relax.  And the next words out of his mouth were magic to my ears.  He said, “Adele, we have had the opportunity to discuss your upbringing, your struggles, and feelings throughout the other sessions, so I’m really just hoping to talk about Dan today”.  HA!  Score!

Plus, hell, he is the sane one out of both of us!  He is my rock.  The one who always has something funny to say to make me laugh or smile.  The only who always sees the bright side.  Plus, Dan talking about his feelings was a rare opportunity… I felt like I just scored tickets to a good movie.  I say back and my heart rate slowed back to normal.

Dan lost his Father in a tragic car accident when he was 5.  He has very few memories of him… and mostly fills in the blanks with stories and pictures from others.  The doc asked him about how it was growing up without a father and how that played out.  He then brought up his Mom…  Dan’s Mom passed in 2008 of colon cancer.

While it wasn’t easy for him to talk about, he explained in detail about his Mom’s passing and how is affected the family.  He spoke about his closeness to his older sister and the important role she now plays in our lives.

Listening to him talk about his life made me really sit back and think…  Dan has not had an easy go at life this far, yet his outlook remained so bright.  He is truly an incredible guy.  Not once does he play the ‘woe is me’ card, instead, he has ensured that his life experiences assisted to build him into the man he is today.  (a pretty awesome man, I would add!)

The appointment was supposed to be an hour.  After about half an hour, he asked about he felt about my best friend carrying our child.  He laughed and talked about his initial reaction and how we had come together to be genuinely excited about this new, and unique, opportunity.  We were both 100% full steam ahead.

After asking a couple ‘what if’s’ he seemed happy and sent us on our way.  I felt like stopping while walking out of his office and asking- wait, did we pass?  The answer, I knew, was that this was just step 1.wait

Step 2 was Jen’s appointment.  I called her as soon as she got home from her appointment (a week after ours).  She laughed and said he asked the same basic questions surrounding her life, her upbringing, her motivation for volunteering, how she felt this would affect her and her children, and what her fears were.

She said he visit went very well and she was out of there in about 40 minutes.  I took this to mean that this was good news.  If he didn’t think she was sane enough for this, chances are he wouldn’t have sent her packing with a smile and a handshake after 40 minutes.

Well today was a great day.  My best friend was indeed sane, and she wasn’t yet scared away from doing this!

Step 3: The next appointment was going to be the interesting one.  The final ‘pass’ was an appointment scheduled with the three of us to discuss the plan and moving forward.  This was the final session.  The three of us met in the waiting room at the clinic and were chatting and joking around.  No one in the waiting room knew quite what to do.  First off, people we talking- unheard of in a fertility clinic waiting room. Second, we actually sounded happy- again pretty damn odd.  And third, why was there THREE of us?  We got stared at and lots of questioning looks.

The doc called us in and onward we trod into his office.  Three chairs were set up in a nice little semi circle in front of his desk.  I took the middle seat seeing as I was the binding piece to this whole arrangement.  We sat down and all smiled at him.  I think the three of us were weirdly anxious/nervous.  A psych session with my best friend and my husband wasn’t exactly the most normal thing…

We talked about our plans, about our intentions surrounding the legal aspects, and how we hoped this process would move forward.  The doc asked us a lot of hard questions:

– How would it affect our friendship if it didn’t work?

– What would happen if she miscarried?

– Did we think that jealousy was going to be an issue during the pregnancy or afterwards?

-What we do if we disagreed about how to move forward?

Jen and I promptly answered all the questions.  There was no doubt, we were on the same page about everything.  We both answered in unison about what would happen if she miscarried- we both looked at each other and said how terrible we would feel for each other.  My concern was Jen feeling like she failed and holding that weight on her shoulders.  Her first concern was to ensure Dan and I would make it.

Would this effect our friendship?  Well, we couldn’t really get any closer.  And our first priorities were each others feelings.

The doc nodded at all of our answers, then after about half an hour, he chuckled and asked how Dan really felt about this all.  Dan looked at Jen and I and made some joke about getting a word in edgewise… He said he couldn’t be more supportive and happy about moving forward.  We knew we couldn’t be doing this process with anyone else other than Jen- and he said this.

With a nod, and a pen stroke, the doc said he thought we had covered everything and offered his services for us on our journey.  There was about 10 seconds of silence in which I blurted out- so does that mean we pass?  He shook he head and said he wasn’t giving us a pass or fail grade.  He felt like we had had the discussions we needed to have.  We had the right attitude, and we were being realistic with our plans.  So yes, he was giving us his blessing.

Dan got the bill (yes we have to pay for everything….!) and paid him while Jen and I walked out and high fived in the hallway.

This hurdle was cleared…. just a couple more to go!

 

 

Under the Microscope

journeyThink of the most invasive question that someone could ask you… Now imagine ten pages worth of them.  Yep, I don’t think there’s a chance of ever repaying Jen back.

After our dinner together, I smiled and let Jen know that, guess what?? I already booked her an appointment to go to the clinic for literally the next week.

As it was her first appointment at the clinic, I wanted to go with her.  That meant she had to do a lot more planning than most for simple appointments.

Next came the forms… The clinic had handed me a form for Jen to fill out and bring with her to her first appointment.  I didn’t really look at much initially as we had to first sit down with each other to discuss all the logistics.  After the dinner, I actually had a look at the forms.  Ummm… Maybe I should have given her this thing right then and there.  It pretty much asked anything and everything.

I called her and warned her about the form.  Then I start reading the questions.  It started out innocent enough asking about her cycles- When did they start?  How many days do they last?  How is the flow?  For how long? Any pain?  What type of PMS symptoms, if any?

Then it moved on from there.  Us, being us, decided to fill it mostly out over the phone.  I’d BBM her the questions, she’d send back the answer.  The questions got more invasive the further through the form you got.  How many sexual partners in the last year?  Did any of them have an STI? Did any of them have a blood transfusion?  Did any of them do illicit drugs during this period?

How about you?  Do you use illicit drugs?  Do you, or have you been paid to have sexual relations with someone?  Do you, or have you exchanged goods for any sexual relations?  Do you smoke?  Smoke what?  How often?  Ever?  Where do you live?  Who with?  What type of water is your home one- city, cistern, or well?

The questions continued…  Most of which we just laughed at.  Seriously, if Jen was a closet prostitute or drug addict, I’m pretty sure I wouldn’t be asking her to carry our child.  But still, the fact that they ask all of the above means that someone, somewhere during this process answered yes to some of these questions… sketchy!

Back to Jen- Her pregnancies:  How long did it take for her to conceive?  Was she on any medications during the pregnancy?  How long did each pregnancy last? Any miscarriages? How long was the labour?  Vaginal or via C-Section?  With medications of without?  You get the picture.

Some of my favourite questions included, “Do you suffer from any nipple discharge?”  (Is that actually a thing?)  “Did the intended parents offer you any money or other goods in exchange for your services?”  (If I did, I don’t think she’d check yes… duh.  But no, fertility clinic, we are following the rules.)

The hardest part of the form was the section with basically a chart.  It had every medical condition or symptom you have EVER heard of and then had a chart to check off if you, your siblings, your parents, or grandparents had ever suffered from the following.  Well, the self, siblings and parents parts are easy… but add in a zillion questions involving 4 grandparents that you really weren’t intending on telling this whole story to until it was for sure, life gets a tad more complicated.

The chart was finally finished and we walked to the clinic the following week. We sat in the first waiting room chatting.  No one chats in the fertility clinic waiting room.  That is basically forbidden.  Screw it- we’d be through enough and I was breaking all of the unwritten rules.  We were just two best friends catching up on life.

We get called in and I stand up to go into the room with Jen.  The nurse kindly tells me that this was personal, and to wait in the waiting room.  Jen laughs and says, that I filled out most the form, so I can come.  Onwards we go into the little room waiting to be grilled.

The doc got there and asked a couple questions about who we were to each other, and how we got here.  He then said that we’d be going over a very detailed family, menstrual, sexual, health, and personal health history and asked me to leave.  Jen, again, said that I was more than welcome to stay.  I believe her comment was something to the effect of “If her baby is going to grow in me, then she needs to know what in this form too!”.  His eyebrow raised slightly, then said ok and we went over the entire form verbally.  Jen barely squirmed once under direct examination about her sexual and health history since the day she was born.  She deserved a medal.

Next he says is the pelvic exam- umm… Jen asked me what would be involved, I said just questions… she’s gunna kill me.  I winked and said that we’re close enough so I didn’t think I needed to see the inside of her uterus.  We agreed.  I waited back in the waiting room.

After a couple of minutes, and with everyone’s clothes back on, I got called back into the room.  They said that based on the information given today, they had a small concern about a family history item and that they wanted to refer her to specialist.  The theory here was that they wanted no additional risk put on Jen.  Fair enough, but we laughed that she had made it through 2 great pregnancies of her own…  Regardless, off to the specialist she was to go.

From there, the RE explained the process.  She was to do a whole pile of tests including a sonohystogram, a full panel of blood work, and day three blood work and ultrasounds to check on her hormone levels.  After all the above tests come back, along with the ok from the specialist, we could come back and review.  Then if she passed the test, we’d be on to step 2: the Pysch appointments.

I cannot believe this is actually happening!

My puppies.  They have nothing to do with this post.... but they do keep me sane. :)

My puppies. They have nothing to do with this post…. but they do keep me sane. 🙂

 

 

 

 

Surrogacy 101

surrogacySurrogacy: my egg, Dan’s sperm, and Jen’s uterus.  Well… it’s a tad more complicated than that.

In researching surrogacy, we found that it is something that is vastly different depending on where you live.  In some places it’s completely illegal like in Italy.  In other places, it is illegal to take part in commercial surrogacy- when you actually pay the surrogate for her services- like here in Canada.  And in other places, both altruistic and commercial surrogacy is well within the law- like the USA and Israel.

So being in Canada, where commercial surrogacy is illegal, and altruistic surrogacy is ok, I was surprised to find out that dependent on your Province, different rules apply… More on that later.

However, this whole surrogacy thing is actually a lot more complicated than you could imagine.  So I thought I’d do a quick (?!)  run down on how it works for us, here in Ontario along with the costs.

 

Step 1: Be Barren. ($$$$- All the fertility costs up until now)

– check

Step 2: Find a Surrogate (Free if you find one yourself… unknown fees if you use an agency)

There are actually three main types of surrogacy in Canada.  A traditional surrogate is a person who would use their own egg, plus the intended parent’s sperm, and carry a baby to term.  The second type involves donor eggs and/or sperm with the use of the surrogate’s uterus to carry the baby to term.  The third, and most common type, is called a gestational carrier.  This is where the baby would be biologically related to the intended parents, and use a surrogate’s uterus to carry to term.  That’s us.

Now to finding a surrogate.  ha…  Well think for a moment, how many people do you have in your life that are willing to volunteer?  I would hazard a guess that the number is fairly small.  And wait a moment until you read the whole list below about what’s involved and then ask yourself again, would they still volunteer if they knew all of the below?

So in case you don’t have anyone jumping at the chance to put their life on hold, endure invasive testing and actually bare you child, well you do have options.  There are surrogacy businesses in Canada that assist in linking you to a person who would be willing to be a surrogate.  Now remember, these potential surrogates cannot be compensated for this (other than their expenses) so as you can guess, the number is quite small of people volunteering.  However, these types of amazing strangers (angels!) do exist believe it or not.

So now you have yourself a volunteer….  (Insert Hunger Games joke here about volunteering to be a tribute)

Step 3: Get Approved for Surrogacy by your Clinic (covered by OHIP)

It apparently isn’t as easy as just asking.  Because of the potential harm and risk to the surrogate, clinics in Canada aren’t jumping at signing anyone and everyone up to do surrogacy.  In fact, many clinics do not facilitate surrogacy whatsoever.

We were lucky that our clinic did.  Not something I looked into in my initial research for a clinic, but was very helpful in the end as we got to continue with the same doctors, medical team, and it was close (enough…) by.

I wrote previously about our clinic not being overly excited about approving us at first, however, we were approved at our next appointment and on we go.  Read more about that part here: One Step Forward, Two Steps Back and Hoping for the best, Preparing for the worst: The Clinic’s Final Decision

Step 4: Get your Surrogate Medically Approved ($$- Every test and ultrasound is paid out of pocket ~$2000)

A logical next step.  We need to ensure the surrogate is in good medical health and able to complete the process without any undue harm.  However, I was surprised to find out how much testing they do.

The clinic requires the a whole pile of blood work that tests for anything and everything including STIs, HIV, mineral and vitamin deficiencies etc.  Next up is the Day 3 blood work and ultrasound- tests done on the third day of the surrogate’s cycle to ensure that all the hormone levels are where they should be for Day 3.  Next is essentially a full physical including a pap smear etc.  With this appointment comes the longest and most invasive list of medical questions you could imagine.  Lastly, if anything comes up in that, then she would need to follow up with specialists for clearance prior to proceeding.

Step 5: Get your Surrogate and Yourselves Psychologically Approved ($$ – ~$600-$1000)

Yep.  Next step is for you and your partner to sit with a psychiatrist to determine if you are able to go through with this process.  It isn’t easy for anyone, but there are also huge social, moral, and legal implications.  Have we thought everything through?

Once that is passed, it’s your surrogates turn.  She gets to sit on the hot seat and have a psych doc evaluate her mental capacity to ensure she is up for the task.  One hour of answering tough questions about how, why, and what is about to happen.  If your surrogate has a partner, the partner must also be included and pass the above testing.

Once you and the surrogate have the official ok that as separate parts you are sane enough to move forward, you then have the final appointment- An hour session with all included parties to discuss how we feel about moving forward, how it will work, ensuring we understand each others needs and clarify that yes, we are sane.

Step 6: Legal ($$$$- Two laywers btw $5000 – $10,000 total)

Next up- find a surrogacy lawyer who will draft a surrogacy contract.  This is a necessary step required by the clinic prior to initiating any procedures.  This contract will clarify a bunch of the detailed information such as the maximum amounts for expenses, what the medical agreements are, how many embryos, how many tries, when would we terminate the pregnancy, when would we selectively reduce, what tests and pre-natal care is expected, who will attend appointments, who will attend the birth… etc etc etc

We draft the initial agreement with our lawyers.  The surrogate gets an independent lawyer to review the agreement with and amend as necessary.

We go back and forth until it is acceptable and protects both parties- then it is signed off.  The lawyers then confirm with the clinic that it exists and is signed off.  Giving the clinic the go ahead to move forward with any procedures.

Step 7: Get your Cycles Synced up and Review your Protocol ($$$- Admin fees NOT including medications here are about $2500)

In order to get your cycles synced up, the surrogate needs to start a birth control pill to allow the clinic to ‘control’ her cycle.  The pill is the same dosage each day and she needs to continue on it until told otherwise.  In the meantime, the intended mother (aka me) needs to get everything in order to start a new round of IVF to grow and get the eggs to fertilize.  Signing off of medical consents with the clinic happens here.

Step 8: Start synchronized cycles ($$$$- This would be a round of IVF for me and a round similar to Frozen Embryo Transfer for our surrogate PLUS medications, so for us it would be anywhere from $20,000-$35,000)

in vitroA normal process would look something like this:  Surrogate starts injections to put her cycle on hold (yep- she’s now stuck poking herself with needles too…), then incorporates estrogen pills (orally and/or vaginally) to try and get her lining to thicken up to receive the embryos.  In the meantime, I’d get started with injections to stimulate the follicles, take a shot to mature them, have them extracted then fertilized.  Wait between 3-5 days while the eggs grow and then transfer them into our surrogates uterus.

All well and good, but the timing has to be perfect.  The surrogate’s lining has to be a perfect thickness in order to take the embryos… which means the intended mother’s IVF cycle has to be carefully planned to coincide with it.  Which is going to be very interesting (to say the least) in our case.

Step 9: Pray it worked (Do I include the cost of anti-anxiety pills here??)

Wait for two weeks until beta day to find out of the embryos implanted… if not…

Do not pass Go.  Do not collect $200.  Begin again at step 7 and repeat.

If it works!  Congrats!!  Now you’re pregnant… well she is, with your kid.

Step 10: Realize that legally you have no say into anything during the pregnancy. (Cue anti-anxiety meds again)

In Ontario, once the surrogate is pregnant, the law considers it her child regardless of it’s biological origins.  So if the surrogate decides to take up whiskey, pot smoking and moves to China… We have no say.

Now you’d ask why we spent thousands on a legal agreement if it means nothing?  Well… because that’s the process.  And the process sucks.

We have to have an agreement to start, but the agreement really doesn’t mean anything once she is pregnant (it wouldn’t hold up in court as the fetus is legally ‘hers’).  The only thing it would mean is if the surrogate directly violated the contract, the intended parents could withhold the expense payments.  Woop-di-dooo

So this means if the surrogate so chose, she could abort the pregnancy at any time or selectively reduce the pregnancy at any time (aborting one or more fetuses if there are many for medical reasons for the children or mother).  You get the picture.  This next 9 months is where it is incredibly important that in Step 2 you found a good surrogate who you completely and absolutely trust.

Step 11: Expenses ($$$$ For us, capped at a total of $21,000 plus any lost wages capped at $14,000)

Now is the part where you cover the surrogates expenses incurred during the pregnancy. And so you should. The basis of this legal principle allowed in Canada is based on the fact that this person, who is carrying you child for purely altruistic purposes, should not incur any expenses as a result.

Expenses can literally include almost anything if it related to the pregnancy. The easy ones to think of are maternity clothing, mileage to and from appointments and check ups, pre-natal vitamins, and covering babysitting costs if necessary to get to appointments. The ones you probably wouldn’t think of are covering life insurance premiums (at a minimum coverage rate), any lost wages if the surrogate becomes ill and/or if they go on bed rest and/or during the delivery and recovery, house keepers to assist with house work if tired/ill, healthy food, gym memberships, massage, chiropractor, and pretty much anything else you could possibly imagine that could somehow be tied to pregnancy.

As you can imagine, this portion can get extremely expensive. Interestingly enough, the average for expenses for surrogates that are close with their intended parents versus those who are strangers are drastically different. And I imagine so… I don’t think my best friend is going to go on a crazy shopping spree with my credit card for thousands of dollars of maternity clothes. She will go and get what she needs, plus I’ll push her to get a little more. Same with a house keeper etc. This is the part of the legal contract that is actually helpful as it stipulates the maximums allowed that the surrogate can charge.

All receipts and payments to the surrogate needs to be kept and tracked. Our lawyer and others have noted that we will most certainly be audited when it comes to tax time, so keep track of everything. To date, no one has yet been charged under this specific law so the boundaries around what are considered ‘expenses’ has yet to be decided in court. We don’t really want to be the first case… so we are following the rules precisely.

Step 12: Legal… again. ($$$- Around $5,000 – $10,000)

At around 24 weeks gestation, you get in contact with your lawyer again. When it comes time to give birth, it is important that the Hospital know the information surrounding this agreement as well as who the biological parents are. The lawyer starts correspondence with the Hospital to ensure they are aware and on board with our arrangement. Additionally, we need to ensure that all medical decision making for the baby, once born, is at our discretion. Legally, the baby is still considered to be the surrogate’s- so we need to ensure that the Hospital is ok with the surrogate having the authority to make decisions about herself and the baby while it is inside of her, but once born, all medical directives for the child would come from us.  Complicated.  But important.

heroStep 13: Have the baby. (OHIP covers the costs of the birth the same as any other in Ontario)

Suddenly the birth process sounds so easy, doesn’t it?

Here is the part where you surrogate actually endures labour and gives birth to your child. Yep, as I mentioned before. She’s an angel or a super hero.  Or both.

Step 14: Who’s baby is it? ($$- Legal fess cover off some of the above but you also need to pay for DNA testing etc)

Legally, until proven otherwise, it is the surrogate’s baby. We would initiate DNA testing of the child, the intended parents, and the surrogate to get confirmation of the biological origin of the child. This takes a little bit of time to send off and then receive the results. In the meantime, you cannot register the child’s birth as registering him/her in the intended parents names isn’t allowed, and registering him/her in the surrogates name would be false. And so you wait…

Step 15: DNA Results are in! Now off to court…!? (Covered in the legal expenses referenced above)

Once the DNA results come in, the lawyer now has to prepare what is called a Declaration of Parentage. This is a formal procedure in which the lawyer presents our situation to the judge along with the surrogacy contract and DNA results and petitions the court to put the intended parents (us!) names on the birth certificate. This normally happens in a closed door session in front of a judge.

The second step to this is a Declaration of Non-Parentage. This is sort of the opposite procedure. In Ontario, believe it or not, it is legal to have more than two persons names on the birth certificate. So adding our names would mean that it would now be listed as the surrogate plus us. We then have to provide the court with the above declaration to get the surrogates name off the birth certificate so there is no further legal link to the child.

Congratulations! You now have a baby AND the law recognizes that s/he is yours!

Now time to register the birth and celebrate.

Oh… and explain to the world that even though you didn’t have a baby bump, the baby is actually yours biologically.

Step 16: Have the Gov’t Screw you Again ($$$$- Cost of my top-up benefit and EI for ‘maternity’ portion of your leave from work.

Because I didn’t actually give birth to the child, I am only entitled to receive gov’t assistance (read: Employment Insurance) for the parental leave portion of the year (37 weeks). I can choose to take a full year off work, however, I do not receive anything for the ‘maternity’ (15 weeks) leave portion.

This has actually gone to the uppers courts previously as it was challenged that this is discriminating against those who are unable to bare children (cause it sure is… Haven’t we been through enough?  Since I can’t bare children, and you already won’t pay for me to try to have them, you then won’t give me the same benefits as a birth mother.  Nice). The court rules that the maternity portion is specifically for recovering from childbirth, it is the parental section is for raising the child.

To add insult to injury, my job allows for maternity/parental leave ‘top-up” to top up my salary to a percentage during my leave. However, the language reads that it will top-up the difference between my EI and my wages (to a percentage)  … So if I don’t get EI, I don’t get top-up.

But hey, I’ve got the child of our dreams- so I guess I’ll focus on the bigger picture.

 

 

 

We’re doing what?! -Dan’s Perspective on Surrogacy

Now, as I said previously, Dan wasn’t initially a big fan of this whole idea.  So I asked (read: forced) him to answer a couple more questions in order to try and get an idea of what was running through his head during this time:

Q: Your first reaction to the idea of surrogacy was that it wasn’t for us, can you explain your initial concerns?
A: That just sounds WEIRD! No one actually does that. Sure, I thought we would have to try some different procedures to attempt to get pregnant, but this just seemed odd.
Q: When we made the decision to sit down and discuss the positive and negatives of surrogacy and adoption, what were your thoughts?  Were you surprised at the final decision?
A: Going into the pros and cons, I thought for sure I would have way more Pros for adoption as I have always thought adoption would be a great way to fulfill our dream of  starting a family. Once we actually got into it, there are many many hurdles you have to get over before you can even think about adopting a baby. I was also shocked at the criteria you have to meet to adopt from most countries.
Q: What were two things that surprised you most about surrogacy/gestational carriers?
A: I was shocked with how detailed and specific the legal side of the agreements are. It makes sense but it goes into detail about EVERY little aspect and possible circumstances that could come up.
The other thing that surprised me was regarding payment.  Although I knew that legally, in Canada, you can not pay a surrogate/gestational carrier, I didn’t know it is actually illegal to even buy her flowers while she is in the hospital- as it’s considered a ‘gift/payment’.
Q: What are your biggest concerns or apprehensions surrounding this decision?
A: Although Jen is a very close friend (basically family), I would never want her to feel responsible if anything beyond her control goes wrong.
Q: But seriously, Adele’s best friend is going to carry your kid…. How are you going to explain this to friends and family?
A: The people who matter in our lives are very supportive.  Also, the more people we share this idea with, I find they are more curious than anything else.
*     *     *     *     *
Choosing to build our family with help from a third party obviously isn’t an easy decision.  We have been plagued by impossibly difficult moral and ethical decisions along the road.  Decisions that we, quite frankly, had never dreamed of having to make.
I’m not quite sure what the right answers are.  And I know that there are tons of nay-sayers out there- about fertility treatments, about IVF, about freezing embryos, and now about involving a third party.  Sometimes I feel the need to defend our decisions to others.  Sometimes I just want to laugh and say what others think doesn’t actually matter.
Ultimately, one of the most important things that we have learned through this process is this wonderful quote:
“Be who you are and say what you feel, because those who mind don’t matter, and those who matter don’t mind.”
– B. Baruch
lucky

Hoping for the best, Preparing for the worst: The Clinic’s Final Decision

October 24th, 2013: The big day!

Today is the day that we head back to the clinic to find out the RE and the team’s opinion about how we move forward.  I’ve spent the last 3 weeks going through each and every scenario, and how it would work.  I also have every scenario’s questions laid out in my mind to ensure we get all the answers we need.  Knowing the RE didn’t seem to be interested in surrogacy for us, I needed to know every medical reason behind each option and how it might work.  This was the only way we could make decisions about how was can move forward.

Dan and I got to the appointment, and I was trying to prepare myself for the news- and to be honest, I wasn’t exactly expecting great news.  Could I do another IVF round again?  How…? Emotionally, mentally, and physically I wasn’t so sure I could handle it.

To doc sat us down and opened with, “After review with my team and your medical history, we believe we’d be very supportive if you wanted to move forward with a gestational carrier”.  WHAT?!!!

This was the one scenario that I didn’t plan for.  The last appointment made it pretty clear that this wasn’t something that he was excited for.  My mouth actually dropped.  He laughed and said he thought I’d be happier with the news.

It wasn’t that it wasn’t exciting, but how did this come about?  What had changed?  The doc explained that after reviewing everything, we didn’t have very much medical evidence to base our decisions on.  We were basically guessing at best.

He explained that there was a very high chance of OHSS for me due to the amount of meds I require, and the extremely high levels of estrogen that I kept having.  This would not be supportive for the transfer, and additionally, could actually lead to us being cancelled- meaning either no retrieval or no fresh transfer- both not good.  Secondly, there was no medical evidence to support that is would work if we continued.  He said that we might be right, but then so might he.

He emphasized the importance of the ‘right’ carrier, not just any carrier.  Third party fertility was very difficult and not clear cut in Canada due to our laws.  This was not something to do on a whim with such anyone.  He felt that the close-knit friendship I had with the potential carrier, as well as her family situation was actually optimal for a gestational carrier.

The other issues that weighed into the decision was if I was able to get pregnant, we still may have problems during pregnancy and birth due to my bleeding disorder and the anti-depressants (which we now an even higher dose than before- thanks infertility!).

I honestly had no response for the doc.  This was the exact appointment I had dreamed about getting, but was not expecting at all.  Dan asked a bunch of questions, which, quite frankly, was very un-Dan like.  He is normally more of a nod and listen type of guy.  But he was the pinch hitter in this appointment as I just sat there stunned.

The doc said we needed to talk to the IVF nurse to discuss specifics, but we had his blessing and off he went.  My heart was racing, I had a huge smile plastered across my face, and I couldn’t stop squeezing Dan’s hand- this was it!  We’re going to have a baby!!!

The IVF nurse came in and went over how to move forward.  First things first, did we understand the financial impact? Well yes, I already had a colour coded spreadsheet at home with our guess-timates of cost.  Then, out came the sheet.  Holy sh*t… I perhaps forgot that OHIP would cover nothing.  At all.

Every appointment with the doc, blood tests, ultrasounds etc would all need to be paid for.  And man, did those fees add up.  We remembered the IVF fees, the counseling fees, the legal fees, the expenses, the post pregnancy expenses, but totally forgot about these.  The general estimate for typical surrogacy arrangements in Canada was anywhere between $60,000 – $90,000.

We swallowed and smiled.  Yes, the fees were ok.  Nothing was going to make my smile disappear today.

Our plan was that Jen would need to come into the clinic for an assessment by our doc.  He would go over her medical history and determine if she was a medical fit.  If she passed that test, she would get the privilege of having a sonohysterogram and blood work.  If she passed that hurdle, next was the psychiatric analysis.  If we all made it through those appointments, then we’d be off to the lawyers to sort out a surrogacy contract.  Once we have that, we would have to sync up Jen and my cycles, then off we go- I’d get medicated, grow awesome eggs, get them retrieved at the same time as getting Jen’s uterus ready for the embryos, pray the eggs fertilized, pray they make it and continue to grow them in an incubator for 3-5 days, then implant them back into Jen.  Then pray for sticky vibes and hope they stick and she would get pregnant!

Easy peazy….??! Breathe in.  Breathe out.

By the time I made it the 30 steps from the conference room to the front desk, I had texted Jen and my parents with the good news.

Even though we hadn’t had our official sit down with Jen, I got a bit ahead of myself and booked her for her initial consultation two weeks from now (to the tune of $250.00… :S) and left my credit card number.

To do: Call Jen and set up a little family meeting to discuss her carrying our child, go over all the information we had received and try to ensure we understand each step then come up with a new updated budget, oh, and raise our credit card limits.  Bright side is that we’re about to get a ton of air miles…!

On we go! Surrogacy here we come!!

Image

Found this… Infertility, IVF, Depression, Surrogacy… all scary things to put out there onto the internet for anyone to read. But this quote sums up what my hopes are!

One Step Forward, Two Steps Back

The next week was a long, difficult week for us.  We tried to process the idea of loosing something I’d always taken for granted- having a baby.  I was home from work.  This was both a blessing and a curse.

As time moved forward, and the longer I had been away from work, the more anxious I got about returning back. I was still very depressed, tired, achy, and wanted to sleep the day away.  On the other hand, getting back to work would keep my mind occupied.  Plus, I love my job.  I kept telling myself I’d go back tomorrow.

Then the evening would hit and I would be so anxious my mind would be racing in circles.  My job took my full concentration.  What would happen if I went back and made a mistake?  What if I missed something?  There were potential negative consequences for others if I made an error.  This thinking was enough to push me back into my cave of loneliness and I’d crawl back into bed for yet another day.

Days became a week, then two.  I needed to go back.  My calendar was fairly light for the next week ahead so thought it might be a good time to ease back in.  I promised myself that Monday would be my first day.

Monday came, I made it to work, and nothing terrible happened.  Tuesday followed, and I was back into the swing of things.  Focusing on other issues made our problems fade into the background… at least during my working hours.  Evenings I’d return home and feel lost at what to do next.

We had our WTF appointment at the end of the week.  Dan and I talked daily about what questions we had, what we needed to understand, and what we had decided- we were done with trying.  Our evenings turned into mini-counseling sessions.  Dan and I would try to talk through everything focusing on what was next.  (Ok, I talked through everything.  Dan did a lot of nodding.)  One thing we knew was that we couldn’t just jump into something else, we had to mend ourselves from this process first.  Throughout the week we talked about next steps.  We had decided to look into surrogacy as our next step, but the clinic didn’t know that yet.  What would they say about our new plan?

The night before our appointment it occurred to me- I needed to completely change my way of thinking.  Instead of focusing on ‘getting pregnant’, I know had to focus on ‘making a family’.  At one time, those meant the same thing.  However, now, I knew they were two very separate things.  Getting pregnant was only one solution.  Changing this mindset would take some time, but thinking about things this way made me feel like there was some light at the end of the tunnel. 

This wasn’t the end, this was just the end of trying ourselves.  More importantly, this was about the be the beginning of a whole different story.  Our story.

WTF Appointment Day:

Dan and I pulled into the clinic and gave each other the ‘we can do this’ smile.  We held hands and walked through the door.  This past year and half may have beat us down, but we made it through.  One thing was for certain, our marriage had never been stronger.  If we could make it through this, we could make it through almost anything.

We sat down with our RE and he said he was sorry about our disappointing news.  He then started into how he was going to change our protocol for the next round in hopes that it would take significantly less time to get my body to produce follicles (eggs).  I kept trying to jump in but he continued on and on about different medications we could try to help etc.  Finally, I stopped him.  I asked him to back up.

Why didn’t it work?  What went wrong?  Was it me?  Was it the embryos? He simply shook his head.  Science had come so far, and the doctors and scientists knew so much about everything before you actually put the embryos inside me.  Once they were inside, we just had no idea what went wrong.  There was no medical answers.  It could be my body rejecting the embryos, it could be something wrong with the embryos, or it could be simply bad luck.

Then I just came out and said it.  We were done.  We simply couldn’t do it anymore.  It took an entire year straight to do only 4 cycles (when most people would get to do 12).  The emotional, physical, and financial toll was just too heavy.  If the doctor didn’t have any reason why it wasn’t working, then what would change if we did it again?  My body was simply revolting at the idea of carrying a child.  No matter what we did, my body seemed to protest it.

I then told him about Jen’s offer of surrogacy and said that we were interested in exploring this option further.

He just shook his head.  What kind of surrogacy he asked?  We were thinking about Jen being a gestational carrier.  This meant that it would be my eggs, Dan’s sperm, and her uterus.  The child would have no DNA connection to Jen, we would ‘simply’ be using her body as an oven.

He took a deep breath and shook his head again.  This was not a simple process he explained- had we looked into it?  Did we know what it entailed?  And if we wanted to do it, we would still be required to make eggs again which was one of the most difficult parts last time.  He explained that while our clinic was one that would work with surrogates, that all of the docs would have to agree that Dan and I made good candidates.  This was not a simple hurdle and was not decided on lightly.  In order for the clinic doctors (the 5 of them) to approve us for moving forward with surrogacy, they would basically be saying they felt there was virtually no chance of us being successful by ourselves.  He wasn’t sure if we met that criteria yet…

I was stunned.  I had thought that we had figured out the perfect option to move forward with.  We had someone who was willing to investigate the process further.  We were with a clinic that would work with gestational carriers, and fertility treatments were simply not working for us.  And now the doc was all but saying no?  I was crushed. 

I asked him if he felt that Dan and I could conceive.  He said that there was no medical evidence at this time telling him that we could not.  I asked then if there was therefore medical evidence that we could?  He looked at us thoughtfully… and slowly said no.

He said, “In a perfect world, we wouldn’t have to worry about the costs associated with these treatments.  If we were in Holland or even Quebec, these services would be covered by the government and we would like to do three fresh transfers.  Once a couple has done three fresh transfers and was not successful, it was at that time that the clinic would say that we were unable to conceive.”  We had done one fresh transfer, and two frozen transfers plus an attempt at the less invasive IUI.  Not exactly his formula above, but it also wasn’t like we hadn’t given it our all.

The doc sat there in silence for a minute then said, “I know that your situation is very unique.  We have had issues at every step of the way and we know that you are not a typical infertile couple.  Let me think about this a little more and I will take it to my team to discuss.  We will discuss if we feel you are appropriate candidates for surrogacy and get back to you.”

Defeated, I nodded.  We shook his hand and left the clinic.  I finally thought that we had an opportunity to move forward… and now we were in exactly the same place we were a year and a half ago (only thousands and thousands of dollars poorer).

When we were going to get a break?  It appeared my ideology about this being the beginning of a new story for us meant nothing.  This looked like it was simply going to be the end.

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