The Good, The Bad, and the Eh.
We'll start with The Bad:
- Getting my sorry arse to Boston proper yesterday should have been a quick ride. My first appointment was at 8 am, I was leaving my house with an hour and 15 minutes to spare (I had hopes of grabbing breakfast before my appointment and getting a little work done on the trusty laptop) but traffic on the way into the city dashed all hopes of getting there on time. It took me two hours and fifteen minutes to make a 35 minute drive. Needless to say, I was livid by the time I had arrived at Joslin.
- And while I'm driving, I'm watching my blood sugar climb. Crap on several levels, because as I edged closer to 170 mg/dl, I started to wonder if my insulin to carb ratio needed to be changed, I fretted about the effects on the baby, and I also realized that two hours in the car at an elevated blood sugar equaled "OMG I have to pee like you read about."
- Also, felt a dampness in my armpit and became disgusted with myself, realizing I was sweating through my shirt? Gross, Kerri. That's just gross.
- Arrived at my appointment 30 minutes late, they squeezed me in, and after I gave a urine sample, they told me that I was spilling ketones for the first time in my pregnancy. FanTAStic.
Which leads me into The Eh:
- Turns out that my blood sugar was climbing because my infusion set wasn't connected to my body. The pump was on my hip, the site in my arm, but the two weren't joined at the set, leaving every bolus and every basal unit pooling into my armpit. Thus explaining the stain on my shirt (and the fact that what I thought was sweat was, instead, vital insulin units). Two hours without insulin explained the high, the headache, and the ketones. And also made me feel extremely dumb.
- My eye dilation was deemed "inconclusive" by the retinologist. She said that my right eye was perfectly fine, but the left did still have two spots close to the macula. Again, less an issue with the spots themselves and more with their precarious location. "But I feel comfortable with you attempting a vaginal delivery. But if you have a long labor, or a difficult labor, you'll need to have a c-section." My initial response was "Oh, but I'd really like a healthy baby and healthy eyes for myself, so would a section be a better chance at having both? Or do you just want me to push, possibly harm my left eye, and then possibly still have the c-section? Does not compute."
But thankfully, there's still The Good:
- BSparl remains at a steady, healthy weight, and her heartbeat was lovely enough to make my own skip a beat.
- My doctor called me at nine o'clock last night to tell me that she reviewed my eye exam with the other high risk OB/GYN and they feel confident in recommending a c-section. Their main concern is the Factor V Leiden issue, which could cause a clotting concern with the delivery wound, but I've already had my medical team advise me that I'd be on Heparin for a few weeks after delivery. They just want the baby out safely, and for my eyes to remain intact. I'm on board for that, as I'd like to be able to clearly see this creature we've created.
- And now I know how she's arriving, and I can start Googling that and freaking out. No, I know not to Google and not to completely melt down. But honestly, the whole "giving birth" thing, no matter the method, has made me nervous for years. And it's strange to know that in eight weeks, I'll be doing it.
Which brings me to the best part of The Good: Only 64 days until I can hold her in my arms and tell her I love her. It's on.