Sunday, March 25, 2012

Finding Moments of Peace

About a month ago, I was running late to church.  It was about 9:20am (I know, REALLY late!) and I was really rushing to get there.  I drive past the trees that are blocking the building and the parking lot is EMPTY.  It turned out that it was Stake Conference which didn't actually start until 10:00am.  Oops! Well, at least I got like a REALLY good seat and the best parking place.

I definitely need to listen better to announcements at the beginning of sacrament meeting!

So today, I was sitting in church (got there at 9:01am... ONLY a minute late!) during the announcements when they reminded us that General Conference is next weekend!  I didn't want to have a repeat of the Stake Conference incident, so I immediately got out my phone to add it to my calendar.

Next Sunday is April 1st.  Next Sunday, I am scheduled to start the Clomid.  I only have A WEEK.  (Breathe in, breathe out.)  I think that we're going to just go for it... and hope and pray that I get pregnant in the next three months.

Sure, I'm nervous as heck!  I'm worried about the pain, the possibility of surgery, etc... I have several different nightmare scenarios running around in my brain.

BUT, I need to know that we tried everything before we go to IVF.

Last week, I emailed my doctor to ask about a drug that I had heard about through my online support group.  She kindly acknowledged my anxiety about taking the Clomid and let me know that the growth of my endometrioma last time was due to ovarian stimulation which both Clomid and Femara (the other drug) do.  The reason why she is not doing Femara is because it "has a strong label warning with regards to possible birth defects."  She also reviewed it with the RE (Reproductive Endocrinologist) and he does not recommend it either.  Then, she basically told me that I could "consider going straight to IVF" if I wished to use something else besides Clomid.

IVF scares me, like A LOT... even more than the Clomid.  I still haven't responded to her email.

Lately, I've been going back and forth between having moments of worry and moments of peace.

Monday night this last week was one of my moments of worry.  It came on suddenly.  I realized that getting pregnant is probably going to be hard, REALLY hard.  I also realized that endometriosis is a disease without a cure and will not be going away.  Even if I am successful in getting pregnant, it is a painful disease that I will have to cope with for the rest of my life.  I became depressed immediately.  I cried and pitied myself.  I doubted whether or not I was up for the challenge.

Then that same night, I balled the whole time with Doug on Skype.  See, I haven't really been bringing up much of my daily worryings because the time that we are able to talk is so limited... I don't want to be the downer in his day.  He listened, but as a man he was looking to FIX.  Unfortunately, there really isn't an immediate fix, so... he listened.  I just felt so alone.

I texted my friend Caitlin a little and then put myself to bed early.

The next morning my alarm went off and I woke up, but I didn't get out of bed.  I just laid there.  I even knew I would be late to work, but I just laid there.

Lucky for me, as soon as I'm with my students, all of the fear I have about not getting pregnant usually gets put on the back burner.  I can't focus on it and do my job the way I feel it should be done.  For that, I am grateful.

Tuesday after school, I went to my weekly "date night" with Caitlin and she, knowing about my moment of worry the night before made me a notebook.  As you open it up, there are several statements of affirmation to look at.  In the very back of the notebook, there are success stories that she found of women getting pregnant with endometriosis.  The middle pages are for me to write down my questions and the answers to those questions.  Caitlin even sat down and typed up a list of things that I had been repeatedly worrying about in all our many conversations, so I could remember to ask my doctor about it in our next conversation.


This notebook seriously has to be the most thoughtful thing that anyone has done for me in my whole life.  Caitlin, if you read this, I want you to know that you have been a blessing in my life during this time.  I don't always convey myself very well with spoken words, but I wanted you to know how truly grateful I am for your support.

Later in the week, I was having another moment of worry when the title of the LDS hymn, "Where Can I Turn for Peace?" came to my mind.  I've never really paid much attention to this hymn before, but like many hymns it has unknowingly been engrained in my memory after years of singing it in church.  I looked it up to find the exact lyrics.

1. Where can I turn for peace?
    Where is my solace
    When other sources cease to make me whole?
    When with a wounded heart, anger, or malice,
    I draw myself apart,
    Searching my soul?

2. Where, when my aching grows,
    Where, when I languish,
    Where, in my need to know, where can I run?
    Where is the quiet hand to calm my anguish?
    Who, who can understand?
    He, only One.

3. He answers privately,
    Reaches my reaching
    In my Gethsemane, Savior and Friend.
    Gentle the peace he finds for my beseeching.
    Constant he is and kind,
    Love without end.

    Text: Emma Lou Thayne (b. 1924; LDS)
    Music: Joleen G. Meredith (b. 1935; LDS)

I'm hoping to have more moments of peace than worry in the next week. 

Only 183 more hours (or a little more than seven days) till Doug is home!

Wednesday, March 21, 2012

Greetings from Thailand!

Doug is about to becoming an unknowing and probably unwilling author on this blog.  I mean, his name is on it and all... and he forwards his website www.dougandjenny.com to here as well!  I wanted to share some of his neat experiences in Thailand.

Greetings from the Other Side of the World

Just thought I would let you know that after 19 hours of sitting on an airplane, I am finally in the Kingdom of Thailand! The last few days (two for you, three for me) have been a bit of a whirlwind. To start it off, the merger of United and Continental Airlines’ database systems occurred on Saturday, the day I was flying out; to complicate matters, the plane we were scheduled to go on had technical troubles the day before, so they assigned our flight a new plane – these two variables combined resulted in most of the aircraft apparently being assigned the same seat. It was a nightmare. We were more than an hour late taking off.

I had a layover in Tokyo, Japan. You can still see some of the wreckage from the earthquake and tsunami last year. Airport security in Japan is a little funny – they still have a deeply-rooted social class system, and the people doing the security checks obviously felt extremely uncomfortable about inspecting my luggage; they asked my permission each time they unzipped a pocket on my backpack and didn’t really poke around much, then apologized profusely for the delay and inconvenience. It was a stark contrast to the TSA, who all appear to be aspiring OB/GYNs or proctologists.

I arrived a little before 1AM. The weather in Bangkok was 85 degrees and extremely humid. You start sweating as soon as they open the aircraft doors and continue sweating until you’re indoors for a solid half hour. My hotel room is bigger than my first apartment and is paneled in cherry and bamboo. The hotel sent a limo service for me, and I tipped the driver 150 baht (the national currency). 150 baht translates into about five US dollars, but it’s a lot of money here! You can eat out for lunch on about 200 baht a week, or buy a freshly-beheaded whole chicken at the outdoor market in front of Sukumvirit park.

Thais are used to the heat, and are known to wear down jackets if it gets below 70-75 degrees. I keep my room at the lowest the thermostat will go to, which is about 66 degrees Fahrenheit if I’m reading it right. The cleaning crew will almost certainly don parkas and snow boots for my room.

Anyway, I have to get back to embassy business, but wanted to let everyone know I was doing OK.  

VOLUME II: Tales of Action and Intrigue from Siam

Unfortunately, we’ve had a local network outage that will take about an hour to resolve, so in the meantime, I can assault entertain you with more stories from Bangkok.

After work last night, I went to one of the largest malls in Thailand called MBK (Maiboon Krong). It is eight stories tall, and has about 2,500 stores. Many of them are traditional mall stores that you might expect, but parts of it are more like a “market” feel, with very small booths packed into a tiny space. The food is also great – in malls like this in Thailand, you are given a small electronic card when you enter the food court that you swipe when you order food from various merchants, and then pay when you exit. Most places will specialize in a single food, so you visit one vendor to get curry, and then another vendor to get a drink, and another vendor to get dessert. I had a large meal of red curry with chicken and a strawberry smoothie with mango sticky rice for dessert, at a grand total of 300 baht (about ten dollars). Including my hotel, I’m easily able to live on less than $100/day, which is pretty remarkable for such a big city.

This morning, a woman was pushing a cart around with orange juice she would make from scratch in front of you – no water or sugar. It was 10 baht (about 30 cents) for 250 mililiters and was the most amazing drink I’ve ever consumed. It didn’t taste anything like orange juice or even any drink I’ve had before. I will definitely be splurging 30 cents in the mornings for this treat. I’ve also started carrying small scraps of meat from breakfast to give to the alley cats between my hotel and the embassy. Cats don’t grow to be as large here as they are in the United States, but they all have disproportionately large heads with big eyes, giving the everlasting impression of kittenhood. The residents of the city seem to like the cats and frequently leave table scraps on the sidewalk for them after dinner. Around 7PM, all the cats in the city come out of hiding and run to claim the scraps in their respective territories.

Tonight I am going to have a new suit and some shirts tailored for me at a local shop. The owner is said to be extremely eccentric and never forgets anyone’s name, even after several years. Most of the Congressmen who come to visit Thailand stop by this store, and he can recite their measurements from memory. Perhaps I will finally be able to get some dress shirts that fit properly instead of bunching at the waist.

I am starting to get used to the time change, but still woke up at 3:45 AM today. I will probably head back soon and take a short nap, because the heat combined with the jetlag has about put me into a coma for the day.

Wishing you the best from sunny Siam,

Something Fishy

Unfortunately, I am still waking up at 3AM, which is early even by early-bird standards. I cannot seem to program my internal clock to go forward a full twelve hours, with the unfortunate consequence of lethargy in the early afternoon – either that, or all the tasty food!

Yesterday afternoon, I decided to go to the largest aquarium in Thailand. There are brochures for it everywhere, and they definitely charge tourist-level prices for it; the farang (foreigner) admission fee is 900 baht, which is certainly more than what most of the street vendors live on per week. Fortunately, I was able to convince the cashier that I was a resident and get a huge discount, which is pretty impressive considering I’m a foot and a half taller than a native of Thailand and whiter than a snowball. The aquarium was fantastic – lots of interesting fish that are native to the warmer waters in Thailand, plus a house-sized aquarium that you could walk through via glass tunnels, which housed several large sharks. For an additional fee, you could don a dive suit and go in, but the sharks were quite large and had several rows of nasty looking teeth and looked hungry, so I decided not to pay to have shark wounds inflicted on me and just watched from the other side of the glass.


Along the way to the aquarium, a large outdoor Buddhist shrine took up the better part of the block, so I observed people worshipping for a while. Eventually, a native Thai came up to me who was a history teacher at one of the international schools and spoke English fluently, and she talked a bit about what people were doing and the symbolism of it. I laid a little flower wreath on the statue for good luck, and may see if I can find a cathedral tomorrow just so I can cover all my bases. One can never be too insured by deity when traveling overseas.

I tried Peruvian chicken, which was delicious – they brine whole chickens overnight in a vinegar and oil mixture and then grill it in front of you. It is very spicy, but dissolves in your mouth before you can swallow it. I ate half of an entire chicken for lunch, which is good, because after touring the aquarium, I couldn’t decide what to eat for dinner so I played it safe with some local mango ice cream. Being an adult is great, because you can dedicate an entire meal to ice cream. I have gotten a little more adventurous and tried some meat from a street vendor from an unknown animal. I guess it’s true what they say – “tastes like chicken!”

Unfortunately, I spent so long at the aquarium that I didn’t get to the suit-tailoring place. I’ll be working late at the embassy today due to a meeting with Washington DC, so I guess it will have to happen tomorrow. This weekend is the outdoor marketplace at Chatachuk, which is 34 acres of small shops that set up early Saturday morning and run until Sunday evening. You can buy anything at one of its 15,000 stalls, including tropical aquarium fish, purebred Siamese cats, hand-carved jade statues, and everything in between.

Anyway, I must get back to the grindstone. Hope all is well.

On Squashing Pennies

I ended up working all of yesterday, and didn’t get to go sightseeing. I will spare you a play-by-play of the minutes of fun one can have at a typical day at an embassy and keep this short. For the first time since arriving, I slept past 4AM, and am definitely feeling a bit more chipper today.

Money in Thailand, no matter the denomination, has the King’s picture on it. The King is revered in Thailand, and even stepping on money is a grave insult – thus you never find money lying on the ground, and the paper currency is usually in pretty good condition. Street vendors will avoid taking currency with a “dirty” hand; for instance, the nice lady that makes me my orange juice will not use her orange-stained hand to take money. When I visited the aquarium a couple of days ago (see Something Fishy…), they had the penny-squashing machines that will stretch a penny and stamp a logo from the destination on one side (and always seem to appear at tourist traps). While I collect squashed pennies and would’ve gotten one anyway, I was extremely interested to see how it would be handled in this case… would they really have a machine that defiled currency in Thailand? I waited with bated breath as I inserted my coins – would I be kicked out of the country for making a souvenir?

Fortunately, I will not be convicted of lese majeste any time soon; after depositing 20 baht, a small blank silvery disc was automatically dropped into the machine from a hidden reservoir and I got my squashed “penny”. Thailand finds a way to bring all the comforts from home, including a Ronald McDonald at every McDonald’s entrance giving the traditional Thai wai’ greeting with hands pressed together and head slightly bowed.


Out of My Comfort Zone

Since my last intrepid e-mail, I have moved a little further out of my comfort zone and experienced some truly singular events; as referenced in an earlier travelogue, I went to go get some shirts tailored at a fantastic shop called Rajawongse. This is the must-shop experience for men coming to the embassy, as evidenced by how many Department of State business cards Viktor Rajawongse has on display in his shop. I can proudly say that I am now there too, in good company with many ambassadors, both President Bushes, and Barack Obama. While I am not prestigious enough to get a photograph on the wall like the aforementioned celebrities, I did enjoy looking at the photos of President Bush (Jr) getting fitted for a suit. He looked like he was cracking jokes the entire time.


Of note is that the renown tailor is smack-dab in the middle of the red light district. I didn't realize this coming off of the BTS SkyTrain (similar to the DC metro, only suspended above ground about 60 feet - dad would love it, no doubt), since I was intently trying to find his shop; however, I definitely realized it coming out of the shop, as the vendor who set up shop was selling certain paraphernalia that might make a sailor blush. To make matters worse, I decided to walk back instead of taking the train back, and mis-calculated which direction the train had originally come from, so I walked about three quarters of a mile into the heart of the red light district. Jenny will be happy to know that I was propositioned several times by women who I suspect may have been men - the Adam's apple kind of gives it away. By the time I realized my error, my pace was somewhere between a brisk walk and a full-out sprint and I decided to just hop on at the nearest train station. Someone at work suggested I buy a compass.

It was not entirely bad, however - I found a nice old lady with one eye selling four spring rolls with sweet and sour sauce for 20 baht (less than a dollar). The spring rolls were gigantic and she cut them up and put them in a little to-go box with a wooden poker to eat them, and I ended up getting so full that I didn't need to eat anything more for dinner. I am making a killing on per diem on this trip, as I am allocated approximately $40 USD a day for dinner. If I continue eating like this, I won't spend $40 USD the entire month I'm here for dinner.

After getting my suit tailored and turning down some nice working "ladies", I met up with some guys to catch a movie at one of the several local mega-malls. As odd as it sounds, the movie experience was also recommended as a "must do", but that's because you can see movies out here "First Class". For 450 baht (about $14) you can get a large overstuffed electronically-reclining seat with footrest and massage with a blanket, all-you-can-eat popcorn and drinks, and entrees brought to you by your own Thai butler. The popcorn comes in four flavors - salty, caramel, sweet (kettle corn) and ginger (the caramel was definitely the best). You have a little button on your armrest that summons your butler to get you more popcorn or even steak with a nice Chianti if you want it. The First-Class theatre can only hold about forty people because the seats are so much larger. Before the movie starts, you sit in the First-Class lounge that has a huge buffet and interesting fruity juice that is a combination of coconut and raspberry and ends up tasting like blue cotton candy - they escort you to the theatre and start it when everyone is seated and reclining and has plenty of snacks to get them through the previews, which are about 40% longer than the preview time in the USA because they have to show all the movies coming from America and then all the movies coming from Thailand and Japan and India. They're all subtitled in the local language so the Thai don't really care - they'll watch everything.

This morning (currently 5:38 AM my time) I will be going to the large Chatuchak weekend market (http://chatuchak.org/) that I referenced earlier for some bargain hunting. I was advised to arrive very early to beat the crowds (about a quarter of a million people will show up today) and the heat.

Shopping in the Oven

The weekend was fun. I managed to do some interesting things but still relax. We do not have the abominable Daylight Saving Time in Thailand, so no setting the clocks forward here. I am now only +11 from Eastern time, which is actually less convenient when you’re trying to schedule teleconferences with people in Washington DC – when it’s +12, it’s easy enough to just swap AM/PM in your head.

On Saturday, I got to the outdoor market nice and early, as suggested by a coworker. He was absolutely right – even though many of the shops weren’t open by the time I got there, I was able to get my bearings much easier than if I had come when everything is fully open at 10-11AM. Without all the people milling around, I picked out a few landmarks that would help orient me through the maze of shops – and mazes they are. There are so many thousands of shops that it seems like there’s no order to anything, but after a while, you start to recognize that the people selling counterfeit purses are all clustered together, across from the people selling second-hand t-shirts and sneakers stolen from tourists at the Buddhist temples (where you are obligated to remove your shoes). There are literally hundreds of stalls selling the exact same souvenir trinkets, hoping that they will be the first ones you see – because of this, I decided that I would walk for several hours and just browse before buying anything.


Now, all of these shopping stalls are crudely covered by corrugated  tin roofing, to protect the shops during the upcoming rainy season. The shops are not simply in long rows – rather, they are in bunches of hundreds, and if you walk the main walkways, you’ll miss most of the stores. You have to walk through these tiny one-person-wide alleys between the shops to see everything. These alleys have small troughs that run parallel to them that allow for “draining” – of rinse water, fat runoff from the food stalls, and when someone decides they don’t want to walk all the way to one of the five bathrooms that is supposed to service this market of a quarter of a million people over about 30 acres. All of this combined with the sun beating down on the tin roofing at 95 degrees results in what can best be described as “Hell’s Urinal.” You kind of get used to it after a while, and even get your appetite back. I ate some fantastic Tandoori chicken wrapped in naan, and cooled off with a local favorite – drinking chilled coconut water directly from the coconut (the coconut is submerged in ice water, and when you buy it, the guy chops off the top with a machete and puts a straw in it for you).

I am happy to report that I bought myself lots of goodies, and none for you guys – only kidding. I tried to pick out an eclectic mix of souvenirs that suit your personalities, and got hand-made items where possible. Along with the mass-produced junk and the interesting trinkets, there were also a myriad selection of animals to choose from – both for pets and for eating. Surely the term “puppy mill” was invented to describe the conditions of the dogs here, as they were frequently crammed in cages with no room to move, and I felt especially bad for the long-haired huskies who were panting in the heat. Kittens were placed in bird cages whose wires were too far apart, causing the kittens’ legs to constantly drop through the bottoms of the cages. There would be so many kittens in the cage that the “stuck” ones on the bottom would have to wait some time before they weren’t being walked on to hoist their arms and legs back into the cage. There is very little oversight of the animal industry here, both in breeding pets and in zoos – Westerners are frequently shocked when they see Asian zoos, because the animals frequently look dirty or miserable.

I actually enjoy going to the “rougher” places that aren’t polished for tourists – you learn a lot more about how the locals live, and gain a better appreciation for how lucky we are to live in the United States.

Getting Around

Last night was laid back. I just walked around a bit, and re-visited the MBK mall that I went to last Monday to eat some of the delicious red curry again. I could just get some from a street vendor, but I’m pretty iffy on eating things that aren’t grilled or fried in front of me. I was already feeling a little under the weather; I suspect the fried rice with ham I ate for lunch, so I wasn’t in the mood to spin the wheel on intestinal cramping for dinner.

On Friday, I had a need to take my first taxi. Getting a taxi can be a bit challenging in Thailand, as the literacy rate and familiarity with English is directly proportional to one’s social status and income level. Some taxi drivers cannot even read above a third-grade level in their own language, let alone understand English. Furthermore, unlike the USA, taxis are not well regulated here; if you are going far, you typically have to open the passenger-side door, explain to the illiterate driver where you want to go (usually consists of naming landmarks around your destination until the driver seems to understand), and then asking “meter work?” A common scam is for tourists to get in taxis and then once you’re on your way, the driver tells them that the meter is broken and then he quotes a price that is between 40-80% more than what it would’ve been metered. Frequently, you never get that far because when the taxi driver understands where you want to go, he’ll shake his head once, or make an “…eeeehhhhh” sound, which means that he doesn’t want to take you – perhaps it is towards the end of his shift and he doesn’t want to drive away from home, or the traffic is bad, or he doesn’t think he can pick up another fare at your destination, but it’s extremely important to get this confirmation before you get in, or else the driver may just drop you off at a random point along the way once he’s had enough.


I went through half a dozen taxis before one wanted to take me from the embassy housing area back into Bangkok, a drive of about 15 minutes with no traffic, but seeing as there is always traffic, a reliable 40 minute ride. The traffic was horrendous getting back into the city; Thai drivers like most of their counterparts in other Asian countries, do not follow conventional traffic laws. It is not unusual to see drivers going the wrong way on one-way streets, nor is it unusual to see three lanes delineated by the traditional white highway lines turned into four or five, because people just start driving halfway on the shoulder or just create a new lane by edging between two cars in different lanes. Most highway traffic is driving close enough that one could easily reach out and touch the mirror of a car in another “lane.” Anyway, the traffic finally got to my cab driver, who pulled over at a random point and uttered the most famous English phrase in Thailand – “same same”, which means “close enough.” It was definitely not close to where I had asked to be dropped, but fortunately for me, it was close enough to a train station that I could ride the rest of the way back.

To really understand the prevalence of “same same”, one must visit Thailand, as it has become something of an international joke, complete with t-shirts. I have heard the “same same” response to the following questions during my visit:

-          “Will this battery work in my phone?”
-          “Is my masseuse female?”
-          “Are you sure this is chicken?”
-          “Is this really an iPad? Because the Apple logo is upside down and doesn’t have the trademark bite in it.”
-          “Is this a bootleg copy?”

One does not want to hear this response to things that truly matter, such as something associated with electricity, gender, or your GI tract.

Anyway, I need to finish up some work before my culinary adventure at 11:00 AM known as “lunch.” 

Mystery Meat Adventure

Yesterday afternoon, I picked up my new shirts from the tailor, and boy am I sold. It is undoubtedly the first time I have worn a dress shirt that actually fits me. There is no annoying bunching of excess material at the waistline or sides, and it is long enough for my frame that it stays tucked in even when I scoot around in my seat. I am going again tonight for my suit coat fitting.

Since I had a hike to the seedy part of town where the tailor is, I decided to dine on entirely street-vendor food – besides the food carts that run nearly the entire length from my hotel to the red-light district, there are several enclaves in parking lots or cul-de-sacs that are filled with people selling food. I armed myself with $5 (about 150 baht) to spend, and set off.

First was a stand selling fresh fruit. I picked an easy one of fresh strawberries. They were good, but not nearly as good as Higson’s strawberries in June. The bag was pretty big, so I was eating these and walking for the better part of a kilometer.

Next was a stand selling what appeared to be crepes – I asked the vendor what they were, and he explained “hot dog.” It was five baht, so I don’t have anything to lose, and tried one, and it was delicious! A lot like a corn dog without all the bready stuff – just a sweet thin pancake wrapping a hot dog. I actually have a hankerin’ for one of these right now.

Once I finished the hot dog, there was a mango stand. I bought a sliced mango with what appeared to be a small bag of sugar. I ate several mango slices (they’re in season, and just dissolve into sweet mushy goodness in your mouth) before trying the “sugar” packet – boy was I wrong. As it turns out, the packet was salt and some kind of spicy herb. I basically salted my mangos to an inedibility, so I had to declare the rest a lost cause. I did try eating one, and I am here to tell you salty mangoes are gross.

A bit discouraged, I finally came to the meat stand – I have seen these all around, but have been kind of scared to try anything because the only recognizable item is the whole fish that has been battered and baked to a crisp and is staring at you with blank, lifeless eyes. I selected three skewers at random, and ended up with “chicken parts”, “beef spheres”, and “something that may have been pork.” I ensured that all three were cooked in front of me and hot before taking them, to at least slightly mitigate the possibility of getting sick. “Beef spheres” won out, but I was a bit put off by the pieces of tendon and bone that were in one of them. It was kind of like meatloaf on a stick.


My stomach was feeling a little perturbed by now, so I played it safe with some won-tons on a skewer. I don’t know what was in them, but it was some sort of meat with curry and wasn’t too bad. The consistency is what kind of made it icky, almost like a chunky pudding.

Now, at this point, my stomach knew that it was being conned and was doing cartwheels in protest, so I decided I was done. I had spent three dollars at this point and was really full, but then I passed a home-made Thai doughnut stand, and just had to stop for a strawberry-filled doughnut. Fortunately, there were no animal parts to report in the doughnut, and it was probably the best doughnut I’ve ever eaten.

I am happy to report that I am not feeling sick today, and thanks to a small dose of Imodium, there are no ill side-effects from my culinary experiment. I’d better get going, since my fitting is in half an hour, so I’ll leave you to the rest of your day and bid you adieu. 

Working too Hard

Unfortunately, I was at work until 10:00 last evening, so I didn’t get to do much sightseeing. My stomach definitely appreciated the reprieve, but I am itching for adventure. I will fortunately get it tomorrow, as I am taking off around noon to fly down to Phuket (pronounced pooh-quet). I am really excited! I am still trying to decide if I’m going to do the ocean kayaking in the limestone caves, or ride on an elephant through the jungle on Saturday, and then Sunday will be a beach day. I fortunately was able to get my hotel points in Bangkok awarded early, so I could then turn around and use them in Phuket to avoid paying for a hotel. I ended up booking a five-star on the beach, but just two days there used up all the points I will accrue with thirty days in Bangkok, but judging from the photos of the resort, it’s worth probably worth it. Due to my flight, my travelogue may be delayed tomorrow.

I thoroughly enjoyed my tailored shirts so much that I decided to get a suit made. I went yesterday afternoon between meetings to my first fitting. My longer frame combined with my posture from having a bad back make most suits look big on me, so it will be nice to not have a jacket that gives the appearance that I’m wearing NFL shoulder pads. The first fitting was kind of fun – the jacket is just a rough cut-out without the arms or anything, so it looks like you’re wearing a vest. They stick a bunch of pins in it (yes, this made me quite uncomfortable, but they didn’t poke me) and mark it up with chalk for what needs to be adjusted and cut off. Then they take the arm pieces and pin them on to get an idea of how much they will need to adjust for your arm length. It was a pretty lengthy process and I was frankly glad to be out of my prototyped suit full of needles. I will go back today for the second fitting, and then start getting ready in earnest for Phuket.

Made it!

I am safely in Phuket after a less-than-optimal flying experience with budget airline "Air Asia." I significantly underestimated how long it took to get from the airport to the hotel (about an hour and a half), which was compounded by the fact a tour bus had not been able to handle one of the downhill hairpin turns into Phuket town proper and was skewered by someone's balcony (photo attached); however, all is not lost, because I was upgraded to a nicer room since I was late in arriving and my other room had been taken.


Kayaking

My kayaking trip yesterday was a blast. I didn't get seasick, which is a miracle - okay, not really a miracle, since I took 6 Dramamine throughout the day. I still feel a little fuzzy.

My group had about 25 people in it. We all rode on a large motorboat for about an hour and a half to where the islands are, and then hopped on inflatable kayaks to visit various "Hongs", which are the hollow center that some of the islands have. We would kayak through a cave entrance, and after about 250 meters of darkness, arrive in the actual Hong. It is pretty hard to explain and do any justice to the incredible experience - photos make it a bit easier, but my photography skills are lacking. I shot some video that I will put up on YouTube when I get back to Bangkok and have a stable internet connection.

Some of the caves are pretty narrow - in a couple places, you had to build up some momentum and then lie down in the kayak because there was only a couple feet of clearance. My guide joked that I might still end up getting hurt because I had a "long white nose instead of a proper small Thai nose" when we had to lie down for a particularly narrow portion of a cave.


Towards the end of the evening, we entered a cave, stopped, and turned off all the lights. It seemed weird that the guides would do this, but then they stirred the water with the paddles and the water lit up! There are tiny bio-luminescent plankton in the water, and they glowed the color of fireflies when you jostled them. This was really cool, hard to describe, and impossible to take pictures of.

Anyway, off to enjoy my last little bit of beach before I head back this evening.

Tuesday, March 20, 2012

Crap.

Apparently Thailand has topless beaches.

Doug was very shocked to say the least.  He thought that the poor girl lost her swimsuit in the waves... that was, until the rather obese and wrinkly 80 year old woman came walking by topless as well.  Painful.

A little more than halfway there.  Doug will be home in 14 days.

Monday, March 19, 2012

Blogging as an Outlet

It probably doesn't seem like it, but I am still incredibly uncomfortable with having all of this personal fertility stuff up on my blog.  I know I put it up here for anyone to read, but whenever I have a post where I've talked about getting pregnant, I've always tried to following up quickly with another post.  I don't like to focus on negativity.

My blog is a place where I reflect.  It takes me a quite while to get my thoughts down and the process of doing it is actually very calming for me.  I like to plan and think through things carefully.  After I have blogged about something, I feel like I can let it go a bit.  It may seem weird that I write about all of this stuff on my blog, but really I have a hard time even talking to my own mom in person about it.

When I see someone that I haven't seen for a while and they ask me how I am doing, I don't want to say something like, "I'm struggling with getting pregnant and it dominates my thoughts pretty regularly." but that's what I think sometimes.

My blog is an outlet for all of that right now.  I don't want it to turn into, "My Journey Getting Pregnant with Endometriosis," but this is unfortunately what I am going through at this stage in my life.  Hopefully one day my blog will turn into one of those mommy blogs where I obsess over baby monitor choices, discuss sleep training methods, and get excited about potty-training progress.

Sunday, March 18, 2012

Doubt

I decided after my disappointing conversation with my doctor that I would join a support group online for women with endometriosis.  I wanted to talk to women that were going through the same thing I was. 

Well, I feel like I've learned a lot, but unfortunately I feel so much more conflicted and full of doubt.

What I found when I got on these message boards was very sad, and yet comforting at the same time.  Women, reaching out to other women... sharing experiences, seeking advice, and just venting on tough days.  They all, like me, are all going through the nightmare of trying to conceive with endometriosis.  Many have dealt with the hot flashes and night sweats from Lupron.  They've gone through surgeries for the removal of growths from endometriosis.  Some have had experiences with failed IVF cycles.  Others are trying natural and homeopathic remedies.  And some lucky ones stay on long enough to share their success stories.

There was one thing though that I hadn't expected... women expressing regret over trusting the decisions of their doctors.  I don't know if it is how I was raised or if it is my personality, but I've always been very respectful and trusting of doctors.  In fact, I've probably viewed them as being superhuman and incapable of making mistakes.  They went to a bajillion years of school to be able treat and diagnose.  I've just always trusted them.

Now, my ability to conceive and bear my own children is at stake.

I really and truly think that my wonderful and very capable doctor is doing everything that SHE believes will help me.  One time in conversation with my doctor, she said, "Usually I just give women their annual pap smear and send them on their way with their birth control prescription."  ...I'm not her usual case.  She even realizes this.  She's consulting specialists on my case.

The most common advice, I've gotten from women in the group is "Stop seeing your OBGYN and start seeing an RE (Reproductive Endocrinologist) or fertility doctor."  My doctor said that she was going to refer me after this last attempt.  Should I ask now?  Do I even ask my OBGYN?  What does my insurance cover?

One of the biggest shockers I heard from a woman in my group was that "Lupron will not shrink an endometrioma.  It only keeps your endometriosis 'quiet' because it puts you in a temporary menopausal state."  It can shrink a complex cyst, but an endometrioma is a blood-filled cyst.  It can only get smaller or go away through surgery.  WHAT??  Did I misunderstand my doctor?  Does she even know what she is doing?

Another thing I've heard from multiple women is "Clomid will only fuel your endometriosis.  Don't take it!!"  This one is extremely concerning to me.  My doctor basically told me through our last conversation that Clomid might be my last chance to get pregnant naturally.  That both her and the fertility doctor she consulted both believe that I do not have the time and should not take the chance of trying to conceive without any medication.

I'm doubting everything.  I don't know what to do.  I need to talk to my doctor, but I don't know how to bring up many of these questions.  If I do what she says and take Clomid, will I end up regretting it?  What if I lose my right ovary?  What if my left ovary ends up being bad?  Will I be okay with not having my own biological children?

I just don't want to mess up.  Because all of these decisions matter A LOT.

I know, I know...

#1 Have FAITH,
#2 TRUST that everything will work out the way it is supposed to,
#3 DON'T GIVE UP,
#4 RELAX,
#5 Pray, pray, pray, pray, pray, and then PRAY some more.

I'm trying.

Tuesday, March 13, 2012

A Stronger, More Independent Woman

So, Doug has been gone now for 11 days.  When someone asks me how I am doing, I usually say something like, "I am becoming a stronger, more independent woman." and fake a really nice smile.

Well yesterday, I decided that as a "strong, independent woman," I should go ahead and fill up my own tires.  (I've been talking about doing this for months, but I was hoping that Doug would do it for me when we stopped to get gas, but it didn't happen before his trip.)

So anyway, I was driving by the Sheetz where they have a free tire pressure thingamajig and I decided that I was going to do it.  ALL ON MY OWN.  My hesitation was always that I didn't know how much to fill up my tires.  One time when I was expressing this concern to Doug, he told me that I could probably read the number that is listed on the tire. (Ahem... not such good advice.)

So, I get to the gas station and read my tire. (Max 44 psi)  Okay?  So, I decided that I didn't want to fill it to the MAX and only set the machine to fill it to 42 psi.

So apparently, that's WAY too high and Doug practically flipped when I told him how much I inflated them because now I have an increased danger of having a blowout. (Great!)  If you're wondering how full you should inflate YOUR tires, it's usually about 32-35 psi.  You can check your car's owner's manual or there's usually a sticker on the inside of the driver's door.

OOPS!  Well, now I know!  I just need to go BACK to the gas station and deflate my tires...

Good thing I'm becoming a stronger, more independent woman.

Saturday, March 10, 2012

Three Months

I talked with my doctor yesterday to try to figure out what is next. She started our conversation saying that she had good news and bad news. Basically the "good news" is that she wants to just go for it. The plan is to go on with what we were going to do before we knew that the Lupron wasn't working. Try Clomid and just hope I can get pregnant.

There are risks (of course!). My body reacted very badly to the Clomid before. It very possible I could end up in the hospital again getting surgery. (in the middle of the school year??) This time though, they would do an Oophorectomy (oh-oaf-uh-REK-tuh-me) which is the removal of an ovary (my right one). The ovaries "take turns" randomly and the best case scenario would be that it is my left ovary's turn when I start on the Clomid. If it is the right ovary's turn, things might not go so well. (We can't choose which ovary's "turn" it is.)

...uh that's the good news??

So then the bad news?

After seeing the not-so-fantastic results of my ultrasound, my doctor looked to some colleagues for advice. She shared my history with a fertility specialist, Dr. Khan, that she had worked closely with in the past. (In 2012, Dr. Khan was named in the Washingtonian's "Top Doctors" list for Infertility.) The consensus between doctors is, I need to get pregnant as soon as possible. Both doctors agree that the Clomid is my best chance at a "natural" pregnancy.

Right now, my left ovary is looking great and in time if the disease has time to spread... It might not. My endometriosis has shown itself to be very resistant to any form of treatment. I asked my doctor if there was something more powerful than the Lupron, but apparently Lupron is the strongest stuff they use.

We have THREE cycles of Clomid and THREE months to get pregnant starting in April. If it doesn't happen, Doug and I will be referred to a fertility specialist. She even said that we would start the prescreening fertility stuff after month two because we have no time to waste. Then she said the three letters that I DID NOT want to hear.

IVF

That's the next NEXT step. A test tube baby? That means $$$$$. Literally that many dollar signs. I've looked at the costs associated with IVF and you can't get it for any less than $10,000 in the US and those are just the starting costs. Don't even get me started on all of the ethical issues involved.

Icing on the cake? I got stuck in Friday traffic and didn't make it home in time to talk to Doug.

Okay body, you've got THREE months. You CAN do this.

Wednesday, March 7, 2012

Next Step?

So, I went to get my ultrasound today after work.  I really felt like the appointment was just a formality just to check to "make sure" that the medicine was working.  I mean, the Lupron was basically shutting down my estrogen production.  There's nothing left to "feed" the endometrioma. 

Well, I asked the ultrasound tech if I could speak directly to the radiologist afterward today because I was tired of waiting for news.  The tech was very kind and was able to get the radiologist to speak to me the same day.

I should have been sitting down.

It turns out that the endometrioma on my right ovary is the same size... maybe even slightly bigger. 

I'm pretty sure it was supposed to be GONE.  I've been going through menopause for the last three and a half months for basically nothing.

I was brave.  I didn't cry.  The radiologist told me that she had endometriosis as well and she was still able to have four children.  She was very optimistic and tried to even joke with me about how the male hormones they gave her "back in the day" made her really buff... and that guys have it easy when trying to tone their muscles, and blah blah blah.  I just kind of stood there feeling dead and hopeless inside.  I tried to crack a smile at her obvious attempt to cheer me up.  But, it was just BAD news.  And it really came out of no where.

I left the office swiftly, but got stuck behind a woman in a cute maternity shirt that was leaving the building and walking at a slightly slower pace.  I really tried to rein in the tears. 

I got lost driving home.  The signs were fuzzy.

I couldn't call Doug because he is in Thailand for the next month.  So, I did the next best thing and called my good friend Caitlin.  It's important to have good friends.  When you get news like that, you just need to talk to someone.

I got home just in time to get Doug's nightly Skype call.  It's 12 hours difference.  He tells me good night and I tell him good morning.  He listened and was supportive.  What else is there that he can do?

Another good teacher friend of mine moved into my neighborhood recently and had me over for dessert tonight. We talked about non-depressing things and I think I'm going to make dinner for her cute little family.  I've been really fortunate to have good friends that keep me busy while Doug is gone and my house is empty.

I called my doctor and left a message to set up a phone appointment for hopefully tomorrow.  Honestly, I don't know what all this this means, but I'm pretty sure I was on this medication to see SOME improvement... and it doesn't really look like there was any.  I thought that giving me the Lupron shot was taking out the "big guns."

I don't even know what the next step is.