Thursday, June 25, 2009

the beginning of life?

So... I've been throwing up on and off, daily, for over a week.

My ultrasound and initial prenatal exam are on Wednesday the 1st of July, and with the help of Fertility Friend we've determined I should be due around February 26th 2010. I'm going to bring my chart to my OBGYN so he can help confirm the dates.

I KNOW we shouldn't be celebrating so early... because anything can happen between week 5 to week 9 or so... but DAMN IT.... We totally can't help it. We've been trying since 2006, and damn it, I'm excited.

I have a lot of questions for my Gyno...
How will my Fibromyalgia affect my pregnancy? What about my Chiari? How is my IBS going to respond to pregnancy? There are a bunch of things I worry about.... Especially surrounding the Chiari... Since it's considered an "neural tube" defect... I worry if I've gotten adequate nutrition and vitamins this far... I've been taking a Prenatal, as well as a DHA & Folic Acid supplement. Then my Vitamin D and a Calcium supplement. ... so I have my fingers crossed.


We have a long road a head of us, but I couldn't be more excited about what the future holds...

Monday, June 22, 2009

well....

pregnancy

Saturday, June 20, 2009

In 2 hours.... Sean and I will be married for a year. So many big things going on for us. I can't wait to see what the future brings

Friday, June 19, 2009

Sean and I registered at BabiesRUs today... while we're on vacation and... Sean bought us a 3pack of RedSoxs onsies

Thursday, June 18, 2009

Um...

Well...

I've been nauseous and crummy the last few days.

Today, I went to the doctor, and had some blood work done.

it's official. I'm pregnant. I'm NOT kidding. I'm going to be a mommy, and Sean gets his 1st Father's Day this Sunday, which is also our 1 year anniversary.

I'm speechless.

I have to go back any day between Monday and Thursday to have a 2nd blood test, since my hormone levels are a bit low... but we're confident (me and the dr.) it's low because I am not due for my period until Sunday/Monday... so it's really early.

We haven't told anyone yet. We're waiting... until the 2nd round of blood work...

... and now I'm leaving to go camping. I'll be back on Monday...

I feel like I need to throw up. But I'm so excited.


Now... to see how pregnancy and Chiari play...

Saturday, June 6, 2009

a battle I can win

I’ve spent about 1/2 my life as a slave to pharmaceutical companies… from a young age, I found myself wrapped up in bottles of multi-hued pills and tablets. As a teenager, it was recreational (and stupid) just as kids are… but as I’ve grown older and approached adulthood, it was no longer fun, it was necessary.
By the time I was 18, the pain in my body and head were getting more and more severe. Migraines, back pain (I have an abnormal curvature at the base of my spine… no one knows how it was missed during all those scoliosis screenings in school), joint and body pain… that was later diagnosed as Fibromyalgia and Hyper-mobility syndrome, and my head pain… my dear and beloved Chiari.
Muscle relaxers (Flexeril, Soma, Baclofen) became a good friend around the age of 18… they made my back feel better, and usually my neck… and they helped me to fall asleep. They did little for any other pains though…
Shortly after that, I grew more and more affectionate toward pain killers. Percocet, Vicodin… and for all over body pain, Valium. They took away the pain that I had in my joints… Then there was the Fiorecet… that helped with the Tension headaches.
I became SO reliant on my medications that I would be in severe pain if I didn’t take some.
From about 18 to just after my 27th birthday, I don’t think there was a day that passed where I didn’t take SOMETHING.
I hid my love of colored tablets well. Functioned, worked at times 2 jobs and went to school… but it grew harder and harder to deal with. There were points where I had 2 Primary Care physicians and BOTH were giving me different meds… one would give me Flexeril and Percocet, the other, Soma and Vicodin. I was always stocked.
As the pain in my body grew and because worse, I started seeing specialists and other doctors… (Neurologist, Neurosurgeons, Rheumatist…) and everyone would have a different pill in mind for a different ailment. My dresser looked like a shelf in a pharmacy. 5-10 little orange bottles, with labels with names of pills that made people look at me like I was crazy.
I’m an addict. Plain and simple. And I always will be.
I tried time after time to just take things when I had pain, but it would only last that way for a short amount of time. After a few days of “behaving” I’d end up with a mix of different pills dissolving in my belly and filling my veins with a calming happiness.

If it hadn’t been for Monkey, my sister and my friends, I don’t think I could have ever stopped. At the end I was averaging 4-6 Muscle relaxers a day, 4-8 Vicodins a day, and then I had my random Percocets and Valiums or Fiorecets. Body full of pills, at all times, morning, day, night… and in the evening, washed down with a tasty adult beverage.
I conquered my “demon” on Christmas day 2008. I stopped. I shook UNCONTROLLABLY for days. Vomiting, doubled over in pain, sweating, freezing, and every muscle and joint in my body was on fire. Monkey supported me in a way I never could have imagined. So strong for me… and no one had ever cared that much before.
I had my surgery in January 2009… I was afraid. I KNEW I’d been “clean” less than a month, and I was going to be thrown head first into that element again. But I was stronger this time. I made a bottle of pills meant for 20days last about 2 months. I tried to just take Tylenol or Motrin when I could. And I did. I succeeded.
Hot showers and heating pads replaced bottles …. Stretching and yoga replaced pills. Slow and steady.
I stopped all meds in March… 2 months after surgery. VERY rarely I need a muscle relaxer, but I try to only take 1/2 a pill now… and that’s 1/2 a pill a week, and only if the muscle pain in my neck is unbearable.
Multi Vitamins, Vitamin D and Calcium have become the main staples of my “pill” diet now. And Tons of water and green tea. The pain was for a reason. My Vitamin D deficiency, lack of minerals and nutrients my body REALLY needed…

I’ll always have that “itch” in the back of my brain that I will want to scratch… but I know I can’t. I’ve been put in the situation where my old best bottle friends were right in front of me, and I held on to Monkey’s hand and realized that the life I have now is the life that’s worth living… not where I was. He reminds me to be strong. Not just for him, but for myself. He reminds me that I need to take care of myself for ME… because no one else can do it for me.
… and to take care of myself for our future family.
I’m healthier now than I’ve been in years. I’m not the HEALTHIEST person alive, and I never will be. But I’m the healthiest me I can be. I’m clean, for the 1st time in 10 years, I’m clean, and I’m enjoying my life that way.

I didn’t need an inpatient program, or a counselor… but I’m not like anyone else. Some people NEED that help, and maybe someday in the future, I’ll need to see someone to stay on the straight and narrow. I’ve even debated NA classes to make sure I can do it. But I know I can now. A week was the longest time I ever spent with out the pills, and that was just to try to drop my tolerance.

What’s amazing, is that I don’t even LIKE the feeling the meds gave me before. Post Op, I hated that lack of control feeling… and I had so many meds in the hospital (Morphine, Valium, Toradol, Percocet) and I hated the lack of control.

It’s going to be a long road, but it’s worth it. My body is cleaned out, and being healthy is the 1st step to a healthy baby…

With that being said... http://www.theantidrug.com . This is occuring more in more in Teens and young adults, and there is a high abuse level for Rx meds, and parents don't know. Please, educate yourself and safeguard your home and your children.

Friday, June 5, 2009

more Chiari and Pregnancy

http://www.conquerchiari.org/subs%20only/volume%203/issue%203(4)/chiari%20&%20pregnancy%203(4).asp

From CONQUER CHIARI

Since Chiari often is diagnosed in a person's late 20's or early 30's, many women with Chiari become concerned whether it will impact their plans for a family. Beyond the question of whether Chiari can be passed to children, there is a concern about whether pregnancy, and more importantly labor, can cause Chiari symptoms to get worse.
Their concern is certainly valid. Chiari symptoms in general can get worse with straining and exertion, and there is no straining quite like that associated with labor and delivery. The contractions and pushing that occur during labor are likely to increase the pressure of the CSF inside the brain and spine. In addition, anesthesia is often given either just outside the dura or into the CSF space itself, raising other concerns.
While there is little research in this area, the few case studies which have been published (see Related Articles) are generally positive. These case studies have shown that with proper management, delivery is possible without aggravating Chiari symptoms.
In the February, 2005 issue of the Journal of Perinatology, Diane Mueller, a neurosurgical nurse doctorate, and Dr. John Oro, a neurosurgeon, add to this evidence by presenting seven cases of Chiari and pregnancy. In looking at the subject, Dr. Mueller wanted to answer three questions:

1) Is there a change or worsening of Chiari related symptoms during pregnancy, delivery, or post-partum?
2) Does epidural or intrathecal anesthesia change or worsen symptoms?
3) Are there any Chiari related complications during delivery or post-partum?

To answer these questions, Dr. Mueller asked 7 women who were diagnosed with Chiari and were pregnant either at the time they were evaluated or some time afterward to fill out answer a questionnaire. The questionnaire asked about symptoms experienced during the pregnancy, the type of delivery, anesthesia used, symptoms after delivery, and whether there were any complications.
The average age of the women was 29 (see Table1). The average size of the Chiari malformation was 9mm and two of the women had syrinxes as well. Most of the women got pregnant after undergoing decompression surgery, but two of the women were pregnant before surgery.

Table 1 - Selected Characteristics of 7 Pregnancies

Case Age CM Size (mm) SM (Y/N) Length of Labor (Hours) Anesth. Type of Delivery Surgery Before or After Delivery
1 30 8 Y 9 Epidural Vaginal After
2 28 7 N 3 None Vaginal After
3 27 4 N 6 Epidural Vaginal Before
4 30 19 Y 3.5 None Vaginal Before
5 23 3 N 1 None Vaginal Before
6 31 10 N .33 Epidural Not Clear Before
7 32 13 N 7 Epidural Vaginal Before

Overall, the group fared very well. For most of the women, some symptoms got slightly worse during pregnancy but resolved fairly quickly (see Table 2). Interestingly, in some cases symptoms - mostly headaches - actually got better at times during the pregnancy. Labor and delivery didn't aggravate symptoms at all, and only one woman had a slight problem post-partum which resolved in the near-term. Anesthesia did not seem to be an issue as well, with several women receiving epidurals with no problems. Overall there were no Chiari related complications during delivery.

Table 2 - Summary of Symptom Changes During & After Pregnancy

Case Pregnancy Labor/Delivery Post-Partum
1 Slightly worse None None
2 Some slightly better, some slightly worse None None
3 Some better, some worse None None
4 Slightly worse None None
5 None None None
6 Some slightly better, some slightly worse None None
7 None None Short-term neck pain, spasms
Even when all Chiari related pregnancy reports are combined, the number of cases is too few to draw strong conclusions. However, it is encouraging that at least several women with Chiari have been able to have successful pregnancies without aggravating their symptoms.
Interestingly, despite these publications, a number of women have reported anecdotally that pregnancy/delivery actually triggered their initial symptoms. In Milhorat's landmark study, 16 out of 364 Chiari patients reported pregnancy as a precipitating event. Is it possible that pregnancy can trigger initial symptoms, but in general does not worsen existing ones? Like so many Chiari related questions, the answer to this one will require much more research