Category: Infertile Me

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Effed-Up Signals

I’ve gone and done it. Finally.

That’s right, peeps. Stubborn Emily finally broke down and saw her primary doc today. Not for just the common cold or flu bug; no … I saw her because I’ve been feeling craptastic for the past five months or so. Specifically, I’ve been feeling fatigued.

Now, normally I’d chalk it up to stress and anxiety. After all, my current career path has certainly given me enough gastric reflux. And well, i fully admit that I’m prone to over-analyze and freak myself out over things I can’t control.

But this fatigue is just downright … exhausting; for lack of better words.

I mean, I can’t even wake up from my alarm clock until close to an hour afer it went off!

And even though I want to blame it on the fact that I just can’t stay asleep, I don’t think that’s the case. Because when I do have the ability to stay asleep and/or sleep in, I still wake up with the same fatigue.

This is what makes me think it has something to do with my body. And specifically with my endocrine system; my metabolic system. And given that I have a history of PCOS also which affects my pituitary, I’m thinking that this could be closely related to my body’s ability to produce adequate thyroid hormones. Which could consequently cause hypothyroidism.

Without going too much into pathophysiology, if the thyroid doesn’t produce enough thyroid hormones (T3 and T4) which help to control a person’s metabolism, then the pituitary sends signals to the adrenal glands to produce TSH; a hormone that “stimulates” the thyroid to make more T3 and T4.

How do I associate PCOS with hypothyroidism? Well, it has to do with the pituitary gland. In a woman’s reproductive cycle, the pituitary gland is responsible for producing the Lutenizing Hormone (LH), which sends a signal to the ovaries to mature and release an egg to be fertilized. In PCOS, the pituitary gland gets its signals mixed up and secretes too much LH. Which can, in turn cause the ovaries to secrete more than usual amounts of testosterone in a woman’s body … which then can create a situation of the inability to have regular menstrual cycles. In addition, the higher amounts of LH can also cause a lack of ovulation on the ovaries’ part. In turn, the pituitary gland continues to secrete LH, thinking that the ovaries still haven’t “done their job.”

SO … Because of how the pituitary relates to my PCOS, I’m also wondering if it has a part in the fatigue I’ve been feeling; which is one of the big symptoms of hypothyroidism. Perhaps my pitiuary is also getting its signals crossed with the secretion of TSH for my thyroid as well as with LH for my ovaries.

Which brings me to the reason why I went to my Doc. I told her about my fatigue and my concerns about my PCOS possibly contibuting to it … And, as expected, she ordered the specific lab tests to see if my T3/T4 and TSH are out of whack. She ALSO gave me a prescription for a sleeping pill; as she seems to think may also be contributing to my fatigue. <– Hmmph!

So we’ll see … and if I am right about having hypothyroidism, this may ALSO explain the ridges on my finger nails and the increased loss of hair I’ve recently been experiencing.

If not, then I guess my fatigue has nothing to do with my metabolism. Which would mean that I’m just a lazy-a$$ person who just doesn’t want to do anything more but work and sleep.

I hope I’m right about the hypothyroidism …

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Six more days! Until then, here’s my Daily Lenten exercise:

Good Deed Du jour: I actually “made” someone’s day today. At least that’s what the lab tech told me when I complimented her on a pain-free poke to my arm when she drew my blood. Apparently the previous patients were not happy with her technique. So when I told her that I’d been poked enough times during my active (but failed) baby-making yearsand that she was supberb … Well, I made her day!

Grateful Thought Du jour: Health Insurance. Glad I currently have it; glad that the rest of the country will, too.

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The *Other* Look

Vintage Hello Kitty, circa 1976

I was five years old when I got caught shoplifting.

It’s one of those definable moments in life that a person never forgets. And it’s funny that today this memory would bubble to the surface of my mind.

I’m not quite sure what triggered this memory. Perhaps it’s because I’m hanging out at the local Border’s on Michigan Ave again (free WiFi … gotta love it!) Or maybe it’s because I happened to see a little kiosk in front of Macy’s that had stuff similar to the chotskies I stole at the tender age of five.

Anyway, I can remember shopping with my mom at Oakland Mall one Saturday afternoon when the incident happened. It must have been around Easter or Christmas, because all I could remember was having to try on frilly dresses that I had no intention of keeping clean once I wore them. Distracted by the ribbons and laces on third floor of Hudson’s, my Mom left me to my own device around the girls section.

I naturally found my way over to the little Sanrio kiosk located close to the girly accessories. The little Asian girl in me absolutely looooved Hello Kitty and secretly wished she could be Hello Kitty’s twin sister, Mimmy. As Mom continued to be distracted by polyester and rayon (it was the late 70’s at that time … breathable stain-free fabric for kids still hadn’t been invented), I thought about how cool it would be to have this pocket sized colored pencil and paper set complete with Hello Kitty stickers. Because they were so small, I didn’t think twice about putting them in my purple hippo Garanimal pants.

Early 80's Hello Kitty Chotsky. Would have gone good with those mini colored pencils!

And because my Mom just happened to call me at that moment to try on a few dresses, I quite honestly forgot about my new treasure until we got home. Which of course, when I discovered it in my pocket, I immediately went to my bedroom and began to draw with my new mini-colored pencil set.

I probably would have gotten off scott free if my Mom didn’t catch me playing with my new “toy” the next morning before Mass. In which I can remember the shame I immediately felt when she asked me where I got those pencils. Without my Mom having to say any more words, I broke down and sobbed; confessing that I took them from the store the day before.

Now is the time I can tell you about this particular look my Mom would give Dr. Bro and me whenever she was angry. In our teenage years, Dr. Bro and I would call it “The Eyes.”

Yes … Eyes. As in plural. Because she just wouldn’t give us the “stink eye” where one eye would squint while the other eye glared at you intensely with the corresponding eyebrow severely arched in an upward manner. No … my Mom’s look was more like two normally big eyes bulging out to two times its normal size. Both eyebrows would be arched to the extreme while she glared at you as if lasers would shoot from her eyes to burn every fiber of hair on our heads. Needless to say, Dr. Bro and I would run and take cover whenever “The Eyes” would come out.

Probably late 90's version of Hello Kitty

I distinctly remember the look in my Mom’s face when I confessed about stealing the pencil and pad set. Because it wasn’t “The Eyes.” Rather, it was this strange mixture of shock and sadness. As she stood speechless in front of me for a few moments, I suddenly felt smaller than I ever had been in the five short years of my life. I can recall feeling that way because I knew my shoplifting caused her to have that expression … and I hated knowing that I disappointed her so badly. At that moment, I almost wished I would have gotten “The Eyes” instead of that other look.

After she recovered from my confession, I was told to go to my room where I would wait anxiously until she returned. That’s when I got the lecture about stealing, which of course was reinforced by the Seventh Commandment. Then it was off to Mass where I had to pray to God for forgiveness. Afterward, we went straight to the mall where my Mom would make me give back what I stole and tell the store clerk that I was very sorry.

Obviously it was a very good method of learning from one’s mistake, because I’ve never shoplifted again since that incident.

I’ve seen “The Eyes” many times in my life; especially during those high school and college years. But I had never seen that other look since my shoplifting incident. I’ve never seen her disappointed in me as much as she was that Sunday morning.

To me, that is an extremely important thing to remember. Because even during the worst days of my infertility journey, when I felt as if I was as small as that five-year old version of me, she’s never me shown that “Other Look.”

Which, to me, means that even though *I* feel as if I’ve disappointed both her and my Dad by not giving them the grandchildren they so deserve, my Mom isn’t.

Disappointed in me, that is.

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Whew … is Easter here yet?! Oh yes, only 10 more days left of this Lenten Crusade.

Probably my fave Hello Kitty ... a Filipino version! LOL!

Daily Random Act of Kindness: Ugh. Having a hard time remember what good deed I’ve done today. Short of holding elevators for complete strangers and holding doors open for fellow employees, I can’t think of anything significant. Eesh … perhaps I need to make it up tomorrow with a better good deed.

Daily Thought of Gratitude: Not sure if I already said this in the past 30 or so days or this exercise, but I’m thankful for mass transportation. I love that I can get to places without having to drive myself (or have Hubby drive). I love that I can jump on a bus and travel down one end of Michigan Avenue to the other. But another unexpected benefit of mass transit is that I find myself getting more walking time in; it forces me to be active for more than I normally would have been if I was still living in Detroit.

Okay. I’m tired … and I still have another day of work in front of me before the weekend. Think I’m calling it a night!!

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Voices Emily

I’ve made no bones that, at one time in my life I wanted to be a rock star. I wanted to sing in front of adoring fans and raise the roof with some kick-a$$ songs that I wrote myself. Never mind that I was just a mediocre musician. And never mind that I never have an incredibly strong voice. I mean really … I never did make the actual Show Choir in High School; the same Show Choir that would go on to compete and  perform in other settings (a-la Glee).

My Cousins & I being “Gleeks”

Regardless, I just wanted to BE something important; to display some incredible talent and to feel some pride in myself. I wanted show that I had enough confidence in myself because confidence was something I’ve struggled with my entire life.

Well, not my entire life. Just from Eighth Grade on, when upon leading up to graduation from middle school, I was voted “Most Arrogant.” Which then resulted in me being ousted from my usual group of classmates; especially  during our class trip to Toronto where I got stuck rooming with one of the school teachers and the other “bad girls” of our class.

Anyway, my point in bringing that up is to show how one bad incident in a person’s life can affect his or her outlook in life; his or her confidence in what may be considered talent or skill.

Hubby rockin’ out on Rockband

Last week I’ve start getting back into American Idol. I usually like watching the first few weeks with all the auditions just so I can get a good laugh at some of the contestants (“Pants on the ground,” anyone?). Then I usually opt out of Hollywood Week and the first few live weeks; aiming to pick it back up around the Top 12 or so. And I think I do that because by then, most of the contestant’s real personalities start to show off in their performance; they’re more comfortable in the skin that they’re in. In short, they start to have much more confidence in themselves.

The reason I brought up American Idol in relationship to confidence is because some of the comments that Simon, Randy and the other judges make in response to some of the contestants’ performances. Many times I’ve heard them say that singers need to find themselves in the song choices they make; they need to make the song their own. And while I sometimes think they try to pigeonhole a few contestants into a certain genre, I do feel that the judges do that in their best interest; to help the contestants focus on what the judges feel is their strength.

As I’ve mentioned in the past, my parents had a very early version of a karaoke machine; a dual tapedeck and 8-track player that could record your voice singing to an instrumental version of any song in your karaoke tape library. (What can I say? It was the early 80’s … CD’s and digital technology wasn’t consumer-friendly at the time.) So yeah, I’ve got a few tapes downstairs in my parents’ basement with my voice one them.

But the thing about these recordings is that my voice always tried to sound like the artist that originally recorded the song. Whether it was a breathy version of “Like a Version” or a nasally version ” of “Do You Really Wanna Hurt Me?,” I never truly discovered my own voice.

More Rockband with Hubby’s Cousins

As I continue to find my new reality in a Child-free world, I’m finding that I’m beginning to feel more comfortable in my own skin. I find that, although I’m not always the most well-liked person out there … don’t always hold the same popular opinion that other people have … I’m quite okay with it; comfortable enough that I don’t always feel like I need to be “right” or prove someone “wrong.”

Oh, believe me … most days I still find myself “left out” of the Mommyhood Club, seeing that I’m part of that 10% of the population that bite the infertility statistical bullet. There are more days than none where I feel the losses more than I count my blessings … but those “off days” seem to happen less frequently.

And, unlike the awkward 13-year old eighth-grader who felt incredibly shunned by her classmates, I’m no longer afraid of showing a little pride in myself; a little more confidence on who I really am … regardless of whether I’m a mom or not.

Ironically? This year … the year I’ve finally accepted myself and my body for what it is? Well, it’s the same year that I’ve managed to stop trying to sing like Madonna; the year that I’ve finally found my own voice.

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Annnnddd … it’s Finnish today; for my Daily Lenten exercise:

Tyler also “Rocks Out”!

Hyvän teon tänään: Once again, I managed to find another stray dollar bill laying around. This time it was in a typically busy hallway at work. And of course when I found it, the entire hallway was empty. So once again, I made a donation to my co-worker’s favorite homeless guy. Funny thing was, when I found it I was on the phone with Hubby. And his comment was, “Wow; if you kept all the dollar bills you’ve found recently, you’d have a nice little pot.” Of which I quickly replied, “No way … I’d rather have my good deed return to me in spades!” Hey, my philosophy has always been “What goes around, comes around”!

Tunne kiitollisuutta päivä: I am so grateful to have the staff of RN Case Managers that I do. Even though they challenge me every day … today, especially as I rolled out their performance goals for the year … they’ve always showed appreciation to me for giving them the opportunity to express their opinions. Hey, I figure that I’d rather hear the complaints directly in front of me than behind my back!!

Okay, that’s all for now. G’night once again!

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Triple the Thanks

“They say a person needs just three things to be truly happy in this world; someone to love, something to do, and something to be hopeful for.”  — Tom Bodett

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Happy St. Paddy’s Day to all you Laddies and Lassies … Well what’s left of it anyway.

Oh yeah, a Detroit Original ... *finally* in Chicago!

But more important (at least to me), Happy Blog O’Versary to me!!

Yeah, I’m lame; but I just had to add a bit o’ Irish to it, seeing as I started this blog three years ago to the day.

After my first Meetup last night, I was so exhausted. Not that going to the event was so stressful … It’s just that it had been a reaaallly long day, and the last thing I felt like doing was writing a blog entry. Yet I persisted. After all, I made that lofty promise both here and with NaBloPoMo. (D*mn you, the overachiever in me!)

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This week I’ve been trying to have One-on-One meetings with my staff. It’s something that I’ve learned from my previous stint as a supervisor that has proven to beneficial with getting to understand my team.  While meetings are a great way for a message to be delivered in a manner where everyone hears it at the same time, One-on-One meetings provide a person to be heard and recognized individually. And since many days I’m too busy running from meetings to meetings of my own instead of being readily available to them, I’ve made it a point to allot a block of time on my schedule just to spend quality mentoring time together.

On the drive to the West Loop yesterday.

The thing is, I now have a staff of 12 people; 10 of them that are Nurse Case Managers (CM). With six CMs, carrying out One-on-One’s are quite a chore. Adding the additional four new CMs to the list? Well, it’s simply exhausting … even if I broke them up over the past three days. But the upswing to them is that I’ve really gotten to know these four new hires.

Two of the new CMs are younger in age** in comparison to the rest of my staff. Not that the rest of my staff are years and years older than them. But with these young newbies come a fresher, more enthusiastic attitude than the more established CMs.

Then there’s the older, more experienced new hire. She has years of knowledge in Case Management and resources up the wazoo. After spending time with her today, I realize that she is definitely one (of the very few) staff members than can understand the intellect behind some of the business decisions in our department.*** And, trust me … I truly appreciate that!

Anyway, this older new hire is currently going through Empty Nest syndrome. With her only daughter now in college and no spouse in the picture, she confessed that she had been going through a difficult time. For the past 18-plus years, her life was centered on her child’s life, and now she’s not exactly sure what her next step will be.

We stumbled on THIS while trying to find parking ...

Reflecting on that conversation had me contemplating about my struggles with my infertility “next steps.” For so long, my life was centered on getting pregnant and starting our family. After the failed IVF attempt, Hubby & I went on a long sabbatical on actively TTC (trying to conceive) to decide what our next step would be. Should we try another round of IVF? Or should we look at adoption? And even if we finally came to a decision, could we even afford either option? But after a multi-year sabbatical, entwined with several pregnancies in our families alone, we finally decided to go down the Childfree Living path.

While doing this, I realized that “Empty Nesting” is similar to an infertile who finally sets free that dream of having a family. Suddenly there’s no purpose in life and there’s a struggle to find out what to do next. And the childless couple as well as the Empty Nester both share the same thought process; both begin to think, “Our lives no longer revolve around a child anymore.”

It’s just that an infertile’s “child” is merely a dream.

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One last bit about my Blog O’Versary … Thank you for all those readers and commenters out there; both faithful and new. Knowing that my voice is heard in some manner or another means that I am leaving a legacy behind … even if it’s a “virtual” legacy.

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We were told it's a large toy storage facility!

Oops. Almost forgot about my Daily Lenten practice. But really, this shouldn’t be too hard today.

Daily Good Deed: I think that today, my daily good deed happens to be setting the time aside to spend with my staff. As much as these One-on-One meetings take up a big chunk of my schedule when I could spend it working on those projects and reports I’ve been assigned to, I believe that this is one of those value-added tasks that allow me to see the bigger picture of my staff.

Daily Gratitude: It’s all about you readers today. Again … thanks for your love and support.

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** Which sometimes makes me feel so old as their supervisor … especially since I’ve always been the youngest CM/Superivsor on the block. And here I am hiring younger staff than me … eesh!

*** Here’s an example of what I mean. I know that most people are resistant to change, and I expect that. When enhancing and streamlining a piece of our established CM process, most of my established CMs will voice concerns that we’re adding an “extra” piece of work for us to do. While they may see it as non-value added step (despite given a logical explanation), this older CM actually sees it as another piece of the puzzle to a) understand the member and b) a way to “justify” our jobs.

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Pushing It

Don't forget DJ Spinderella!
Don't forget DJ Spinderella ...

Remember that song by Salt n Pepa? The one that goes, “Ahh … <inhale>, Push it”? The same one that I used to say “Bullsh*t” instead of the real lyrics? I just thought of that song today during a Leadership class I attended today.

I should start off by saying that our department is really decent about providing its supervisors and managers with continuing education classes. In fact, every month we typically have one of these all-day sessions, which is a great time for us to focus on “us” as leaders. And which is why most of us look forward to these days.

Today’s class happened to be about being assertive while not appearing pushy. (A-ha! Now you get my Salt n Pepa reference!) It’s one thing that I know I have issues with; not necessarily about the “being pushy” part, but the “being assertive” bit. You see, I know that I tend to be passive rather than assertive or aggressive. I know that I tend to be indecisive rather than authoritative. I know that I tend to lean towards keeping things harmonious rather than try to stir the pot.

Not that I mean to keep rehashing old issues … but a good example of this is how I dealt with my infertility. Especially up to the point where my SIL announced her pregnancy with my nephew, Liam. Rather than make others be subjected to how much of a failure I felt, I kept all those feelings in. I may have outwardly shown that I was okay, but in truth I was a big unhappy mess inside. Once I found out about the pregnancy, all those insecurities tore open wide … And there was nothing I could do to stop myself from openly feeling miserable.

In the same token, I know that once a particular “button” is pushed; whether it be a verbal or nonverbal action, I can go full-force into agressive mode. Which, again I don’t mean to rehash another old issue, happened to me with my SIL following the birth of my niece, Kairi. And even though I felt “better” about finally expressing everything I had ever felt about my infertility, I felt … guilty for doing it in such a manner.

Yet, for a while there … the time period between Liam and Kairi, there was a little bit of assertiveness. Perhaps I wasn’t directly assertive; because, truth be told, I never physically approached a person face-to-face about my infertility. But that assertiveness came in the form of my blog; where I was able to sort through all the emotions and insecurities I had about myself and my lack of ability to create a life. And where I was able to express these feelings in a written form.

During today’s class, I learned that most people who are not assertive feel that they are not in control of their situation. As a passive person, that lack of control comes forth in the sense of indecision. As an aggressive person, it comes forward as being forceful and emotional.

To become more “assertive” (and therefore less passive or less aggressive), one of the learning tools that we learned was to determine when the optimal time would be to have that conversation about behaviors or actions. In order to determine that optimal time, we must first determine what our worries are about having this conversation.

In order to do that, we were given instructions. First, we needed to write down all of these worries. Next we were told to eliminate any of those worries we had no control over. And finally, we were told to take those worries we had control over and ask ourselves, “How can I … ?”

That last step was key for me. It’s that one that I knew would be able to ease my discomfort in having an assertive conversation. First of all, it forces me to realize those worries I knew I couldn’t change. Secondly, it helped point out those concerns that I knew I could modify. And finally, by asking “How can I … ?”,  it allows  me to feel as if I was part of a solution to a problem or situation rather than appearing aggressive and dictatorial.

More important was that first step … at least to the blogger in me. That step … the one where I need to write all these worries down … helped confirm that what I had been doing has been helpful in allowing me to grow in assertiveness. Because blogging about my frustrations and anger and jealousy; it allows me to vent when I need to vent and cry when I need to cry, without having all those emotions build up … until I take out my aggressions in an unhealthy manner.

I hope that this little tidbit of information helps other bloggers also feel justified in wearing their heart on their sleeves, whenever writing about their emotions. And I also hope that those non–blogger readers of mine find that what I write in my blog … well, sometimes they are things that I can’t say in my real world. You know, the one where I’m still learning not to be so passive …

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It’s official. I’m pass the halfway mark for my 40 day Lenten promise of paying it forward. Today is Day 21! So let’s get it started …

Good Deed of the Day: Since our leadership class finished up early today, we were able to leave work about an hour earlier than usual. One of my co-workers needed to take a commuter train to her suburban Chicago home, but unfortunately she was between trains on the schedule. Rather than have her walk all the way to the train station on her own (as she tends to either take a bus or walk with other coworkers who were still up on the floor working), we both took advantage of a beautiful Chicago afternoon and walked it. This, however, is the same co-worker who has not been in her best health and became short-of-breath rather easily. So rather than have her keep up to my (already) slow pace, I took it even a pace slower … and tried to do most of the talking, so that she didn’t have to walk and talk at the same time. Even though this is something I would have naturally done for any patient I take care of, I find this one even more satisfying because I knew that I was killing two birds with one stone: I got her to exercise a bit so that she’d continue to gain strength. And I got her to the train station in a safe manner.

Gratitude of the Day: Even though I know that these leadership clases tend to take us away from our daily duties at work, I am so grateful that we get this “perk.” Because I tell ya … every time I go to one of these, I come back with great nuggets of information.