Friday, September 27, 2013

Happy Harvest, Frau Freak!

After about an hour drive north to my fertility clinic, I park the car and take the stairs up to the second floor. When I reach the secretary, I always have to repeat my name multiple times because "Rachel" is pronounced ::throaty sound:: "Rahhhhel" and my last name "Frick" sounds more like "Freak" when they say it. I refuse to say either name like them. Sometimes I just tell them my birthday because I don't feel like repeating or spelling anymore.

Step 1: Wait on bench in hallway.
Step 2: Give blood sample.
Step 3: Wait 1 hour for results.

During this one hour waiting period I like to go to Starbucks and walk around the Freiburg train station to kill some time. I'm still 12 years old and I think coffee tastes icky so I usually just get a hot chocolate. I tried the "Pumpkin Spice Latte" one day because everyone flips their shit when this time of year comes around because "it's baaack" but I don't see what all the fuss is about. Why does everyone feel the need to take pictures of it with different filters on Instagram? Give me a "Zimtschnecke" any day though! (Zimtschnecke - "Cinnamon snail" - Cinnamon roll).

After an hour passes, I check back in and the secretary tells me to take a seat in the waiting room.

Oh no...the waiting room...::gulp::

I walk slowly down the hall and peak around the corner. Phew! Empty. Once there, I wait about another 15-20 minutes alone before they call my name - "Frau Freak?" ::eye roll:: I round the corner into the doctor's office. She is sitting across from me at her desk next to her computer and my file is open in front of her. I try to read her face before taking a seat but I get nothing. (Germans have chronic poker face.)

After some small talk, she leads me into the adjoining room and instructs: "Take off your undertrousers." Up until that last sentence our conversation has been in German. I'm surprised but when I close the curtain the get undressed I smile to myself because I've never heard the word "undertrousers" before. I repeat it in my head. Where did she learn that word? Is it British English? Should I correct her? Naaaah. Instead, I make a mental note to start using it at home with a British accent. "Hey Ed! Do you fancy my new undertrousers?" "Do you think I look fit in these undertrousers?"

I sit down and "assume the position."



When I say I have to get an ultrasound each time, it's not the cute kind that they use on pregnant women's bellies. You know, the one where they use a little bit of gel? The one in the holder next to the keyboard in this picture? No, each time I go, I get an "internal" ultrasound...with the rod looking thing that extends to the monitor screen. Pleasant, right?

Through this process we see that for the FIFTH TIME the eggs still aren't mature enough to be harvested. I get dressed (put back on my undertrousers) and we meet again at her desk in the other room. At this point in time I am trying to comprehend how this could be true. Why are the eggs not maturing? I'm doing the injections precisely as instructed. What else could I possibly be doing wrong?

My blood results from that morning still aren't back yet so she tells me to take a seat in the waiting room again. I round the corner obediently...only this time, I didn't prepare myself for it to be occupied. There is another woman sitting across from me at about my 10 o'clock with a round, gravid belly and I cringe.
"Don't look at it, Rachel. Don't look at her. Keep your eyes on the piece of square tile in front of your feet."
I busy myself with my purse, searching for the tissues that I knew to pack earlier this morning in case I didn't get the news I was hoping for. I can feel my eyes burning as the tears start to form. I keep my eyes closed because another pregnant woman has entered the waiting room and I just can't stand the sight of another pregnant belly in my face right now. So I sit there, with my head tilted back against the wall, and let the tears roll down silently. I don't bother to wipe them until they are gathered under my chin. The other women here probably think I'm nuts but I don't give a what.

Down the hallway I hear another ultra sound machine start up and the static sound of gel being placed on the probe. Then it starts, the rhythmic heartbeat of a baby. Based on my expertise, I'd say it's a healthy heart frequency of about 130. It's a sweet sound...but the baby is in someone else's belly...not mine. And I ache.
"Rachel, thou shalt not covet. Don't listen to it. It will be over any second."
But the beat continues. Would it be too much if I curled up in a ball in a corner with my eyes closed and my fingers stuck in my ears rocking back and forth and humming until my name was called? It's been said before but people with infertility issues should have the option of a separate waiting room. At this point, the room I'm picturing includes padded walls.

I resist the urge to scream because I figure they might change their minds on helping us get pregnant if they think I'm a nutcase. That or I will have psychologists/social workers breathing down my neck the whole time, and we don't want that now, do we? I try to pull it together before the doctor finally meets with me again. She says my hormone levels are ok and gives me a few more prescription papers. I don't even have to look at them, I already know they're for more shots...and more shots equal more money. As I take the prescriptions from her hand I can hear my bank account emptying like a toilet flushing.

After this short encounter I have to return to the secretary counter and make another appointment in 3-4 days. As we try to coordinate days and times the tears start to stream again this was supposed to be my last exam before the retrieval. I tried to hide them from the doctor but I get the feeling the secretaries know I'm unstable and report back to the doc. You think German is an ugly language? You should hear the way it sounds when you have and big lump in your throat and you're trying hard not to burst out into tears. Not pretty.

I finally exit, call for the elevator, and begin to hyperventilate. Just as the elevator arrives another man joins me. He greets me but I can't look him in the eye. Instead, I bolt for the stairwell where I let it all out just as the door closes behind me. My cries are extra loud as they bounce of the narrow walls but at least I'm alone. I have to wait until I no longer feel dizzy to go down the stairs. Wouldn't want a broken arm on top of all these issues...

I walk blurry-eyed through the city to the nearest pharmacy that I know has the hormone injections always in stock. I hand the man working there my prescriptions and his fetches the syringes. He tells me something about how long the shots are good for and something about a refrigerator but I'm not really listening. I've heard it all before and just give him a nod. He tells me my total and my face drains of color. I start to cry again too (why not?). As I put my card in the machine I pray to God that there is enough money in our account. As he bags up the meds he gives me a kind smile and tells me I can have a body wash for free from the display behind me. "Danke..." I manage to squeak out and then off I go...600 Euros poorer but, hey, 1 free body wash richer!


This is what baby-making paraphernalia used to look like to me:

 
(Ok, those are gag gifts left over from my bachelorette party, but you know what I mean!)



But this is what it looks like now:

You think $48.00 for a lingerie set from Victoris Secret's is ridiculous? Mull this one over: One of the front left syringes (yellow boxes) costs 53€ ($73.00)...ONE SHOT! That big syringe pen in the middle - $500.00! This is just my medicine, people! Don't forget that we get charged for each visit, each blood draw, each procedure, etc. etc. etc.! Keep in mind that this is just Month 1 - Attempt 1 too! You can imagine my frustration to hear each time that, despite 27 subcutaneous injections, the eggs aren't ready to be harvested. (Note my Fall table decorations: "Harvest Blessings - the warmth of home and family" says the candle holder. "Happy Harvest!" the little pumpkin wishes me. Thanks, I'm trying, guys...I'm really trying.)


Our fridge now looks like this:


Normal convo in our house:
"Hey Babe! Did you forget to buy more butter?"
"No, I got some, it's in there somewhere!"
"I don't see it!"
"Did you check on the shelf with the Gonal and Ovitrelle?"
"Yea...not there!"
"What about under the Orgalutran?!"
"No...oh wait, yea, there is it! Found it!"


A small glimpse of what I have to do twice a day.
(Warning: If you can't handle needles, don't click play!)

This is what happens each time I take Orgalutran and last for about an hour.

This happens sometimes too.


The drive home from Freiburg is always a tearful one. I wonder what the passers-by think when they look in my car and see the driver having a silent break down. There are times when I think I'll have to pull over until I can catch a good breath. Then my phone rings and it's my husband. I love him and he calms me. Just once, I want to give him good news. Just once, it would be nice to not let him down. Can one thing work out on the first try? As I return home the messages start to come in too, friends and family wanting to hear how it went and when the eggs will be harvested, fertilized, and implanted.

On Tuesday, they'll put me under anesthesia and go in and take out the eggs. As of today, I only have 2 mature eggs on the left side. At this point I should have at least 8-10. I have to keep giving myself injections until then. At this point I have more faith in God than in the shots.

Genesis 30:22 - "And then God remembered Rachel. He listened to her prayers and opened her womb."

I trust Him and I believe in His word. (How can I not when he mentions me specifically?) Although the word "remembered" infers that at some point He may forgotten about me...I can look past it and trust in Him fully. I know one day he will answer my prayers but I really need this to work next week. I really need this to work. It just has to...

Germany vs. America

191.   Sometimes Germans will ask “Do you do sports?” I used to respond with “Well, I swam when I was younger.” but what they really mean is “Do you work out?” Sometimes I want to explain the difference but I don’t have the energy. I mean, either way the answer is no... ;)

192.   Another common mistake I hear all the time - When departing, Germans will tell me “We’ll see us!”   ???
What they mean is “We’ll see each other later.”
They translate “Wir sehen uns” word for word but it doesn’t make sense in English. So when a German says that to me I'm just like “Yea, see ya later!” But then they get confused because you don't say "See you later" unless you are actually going to see them later that day. So then there like "Wait, when?" Ugh...confusing...

193.   McDonalds/Burger King is the only place that has a drive thru and it’s commonly referred to as the “McDrive.”

194.   Eddie likes the idea of our drive up ATMs, mail boxes, and banking services, not to mention our drive thru gas station stores (Sami Quick Stop) in America. His friends and family were amazed by these services. Turns out, the Europeans have to actually get out of their cars to run errands...psht! What a joke! :)

195.   During an earlier visit to Germany, Eddie and I had to deposit some money in the bank. While we were driving, Eddie asked:
“What’s today?”
“April 7”
“No I mean the day.”
“Wednesday”
“…shit….” …and he proceeded to slow down.
Confused, I start looking behind us to see if we were being pulled over. Nothing. I saw him looking at the clock so I did too. Ok, 2:00 PM? So, what? I finally asked him what’s wrong.
“…The banks are only opened for a half day on Wednesday.”
Oooohhhh, the good ol’ half-day, should have known! Frickin’ EUROPE! What is a half day? Is it a halfway through the week holiday? Who does that? I’ll tell ya who, only the Europeans. Americans wouldn’t have that for a minute!
Same thing goes for the fact that we have to plan things around the “lunch break.” Here’s an idea people, half your workers take a lunch break at 12 PM, the other half at 1 PM! Business continues as usual and your customers are happy! Problem solved! ::sigh::

196.   Basically, America is way more consumer friendly. Most stores will match competitors prices. Eddie was amazed when I got Circuit City to come down on their price of a PS3 controller by a quick phone call to Radio Shack. Or when Foot Locker apologized for not having Eddie’s shoe size and offered to ship them to my house for free.
Basically, they just know that if we don’t buy it right now from them, we will go right down the street and buy it from someone else. You don’t have that luxury in Germany. The German businesses know that if you don't buy it from them, well, you're S.O.L.

197.   Germans don’t have the right to bear arms. I like that we can legally own guns in America if we want to. On multiple occasions, Eddie’s parents have found strangers wandering around their yard claiming they “just wanted to see the new sauna house.” There is a high probability that, if that happened in America, you would be greeted with a sawed-off shotgun between your shoulder blades. I liked going to sleep in America knowing that it is a mystery to a burglar whether or not I sleep with a 9mm in my night stand or not…try me, buddy! Juuussst try me!

198.   Germans can’t name their babies whatever they want like we can. There are rules. After working in the NICU at OSU, I think there should be some limitations. Two Words: "Lotsa Dollas." Sheesh!


199.   When was the last time you saw a cigarette machine? Come to Germany and you’ll see one every couple of blocks! It's sad...

200.   They don’t have a “cheap seats” movie theaters where we live. I once took Eddie and his sisters to Movies 8 in Boardman and we paid $0.75 per ticket. Olivia was so shocked that she saved the movie stub as proof!

Saturday, September 7, 2013

The Hope Dies Last

There is a German saying “Die Hoffnung stirbt zuletzt.” The literal translation is “The hope dies last.” This can be no truer than in the case of infertility. Each month you hope. You cling to it…tooth and nail actually. I see hope every month…but not so much in myself these days. I see it in the eyes of my angelic husband. When was the last time you saw hope? Not just heard the word like “Oh, I hope I win the lottery” or “I hope the Buckeyes win today.” I mean witnessed it so intense that you felt as if you could reach out and touch it. Was it on the news as parents begged for the safe return of their missing child? A daily hope that their child will walk through the door. The last time I saw it, it looked like this:

You are in the middle of dinner with your husband and his head snaps up. You see a light bulb go off in his head and then he asks you the date. When you answer, his eyebrows crinkle and you know exactly what he’s thinking. As you cut your chicken, you are cringing on the inside. In his head, the gears are turning as he calculates your last cycle. He smiles broadly and proclaims that you are "about two days late!" You put down your fork and knife and try to soak up the twinkle in his eye. As you chew your last bite, you try to memorize the small wrinkles on sides of his eyes. Your heart warms because you married such an optimistic man. At this moment you can see hope in its entirety. It’s like a delicate bubble that he is holding out with pride in front of you.

Only now, you have to reach out with your one finger and pop that large, round bubble of his. The lump you feel in your throat can be from the chicken you swallowed in a hurry or it may be because you're fighting back tears. The truth is, you started yesterday but haven’t had the guts to tell him yet. How many more times will you cry alone in a bathroom? As you wash your hands, you scold yourself in the mirror for anticipating otherwise. I usually need about a day to deal with these emotions alone before I tell Ed...before I disappoint him...again. It’s like telling a child Santa doesn't exist…but having to do so every 4 weeks. Month after month. Year after year. The craziest part of it all is that this hope…or this faith…whatever you want to call it, rebuilds itself each month. When Eddie gets so excited at the “chance” of getting pregnant naturally, I feel sad for him. But when I actually stop to think about it, I should be sad for myself. Why don’t I have the same outlook as him? It’s almost like I want to preserve his innocence. I don't consider Eddie to be naïve as in inept, I just don’t want him to be become jaded, or frustrated, or bitter…like me. When I am a few days late his eyes brighten as he says "Hey! Maybe you're pregnant!?" And I can't help but mirror his enthusiasm with a "Yea, maybe you're right!" On the inside, I am thinking that I shouldn't get my hopes up. I dread telling him each month that I started because his head drops and his smile melts away.

Throughout this process, I've had to have multiple check-ups and ultrasounds. I lie there and watch on a screen as the doctors point out my ovaries. They are clicking around and printing out pictures. I momentarily get nervous but then they tell me I have many follicles in the right ovary and even more in the left…and I swell with pride. How silly is that? Like a thirsty sponge, I soak up any and all positive news these days. If I could, I’d wear around a shirt that says “I have many ovarian follicles!” or lead a parade down the street, or post it as my Facebook status…(or write about it in my blog).

As they move the transducer probe over slightly, they point out my uterus. My eyes widen and begin to dart around the screen. Searching. Praying. HOPING. My mouth opens and I speak before I think:
“Is it empty?” I ask.
“Yes,” they answer, not taking their eyes off the screen, “it’s empty.”
And I hurt. Why do I hurt when I already knew the answer? I’m so stupid for asking. I've done this on two separate occasions. “Die Hoffnung stirbt zuletzt.” They then point out my bladder and, in order to cover up my pain, I crack a joke and ask if it's empty too...

I have an old colleague/dear friend whose husband got a vasectomy, despite her everlasting desire to still have more children with him. She told me how she still hopes each month that her period won’t come. That, somehow, just one little guy will sneak out and get through. “Die Hoffnung stirbt zuletzt.” The fact we still have faith despite daunting statistics is wonderful to me.

How wonderful yet simultaneously sad is hope. What is perhaps the saddest is witnessing the moment when the hope does die out. The moment when the missing child's body is found in a lake. I ache for the friends that have been forced to make decisions ending their dreams of conceiving or ever conceiving again.
The last conversation that I had with a friend who recently made a tough decision:
Me: Ok. Keep me updated.
Her: Thanks. I will.
Me: Want some more prayers?
Her: No, that's ok, I'm way over them.

Although the hope of conceiving naturally is dimming for me, we thankfully have one option left. I thank the Lord daily that our hope has not yet died and pray for those whose has. I still trust, seek, believe in, and need Him but I just get tired sometimes. I worry that when he sees me cry that he thinks I'm giving up. 
"Delight yourself in the Lord and he will give you the desires of your heart. Commit your way to the Lord, trust in him and he will do this - He will make your righteousness shine like the dawn, the justice of your cause like the noonday sun. Be still before the Lord and wait patiently for him."
I know what I am supposed to do but I'd be lying if I said that last part isn't hard as hell...


(As always, photo courtesy of my talented brother-in-law, Johann Frick - JF Photography.)


Germany vs. America

181.   There are a lot more traffic circles in Europe. We have some in the States but nothing compared to over here. Rules for these circles: They always go to the right, no need to turn on your blinker signaling upon entry. If you plan on exiting within the first 2 streets get in the outside lane. If you plan on going more, you get in the inside lane of the circle. Always try to signal out. I must admit I have a small amount of stress in these circles.

182.   Oktoberfest is actually at the end of September. It is the celebration of the beginning of October...er, Oktober...whatever.

183.   Their loose-leaf paper looks like grid paper, not like the blue lined paper with the pink margin line and three holes.

184.   Their crutches don't go under the arm pits. They look like the old-school polio ones around the forearm...kinda weird at first.



185.   I once wanted to buy a baby onesie that had German words on it but it was hard! I had to go to multiple stores! Almost all of their baby clothes have English on them. I can't imagine buying/having my kid bee-bop around wearing something I can't read/understand!

186.   I never saw this but a girl I worked with who lived in Germany for 8 years said that in some public places there is a hole in the bathroom floor and a place to put your feet. Supposedly you straddle the hole and pee. No toilet to sit on, just a hole in the floor and an outline of where to put your feet...sick...

187.   "Farfignewgen" is actually spelled ""Fahrvergnügen" and means the "Pleasure of driving."

188.   First time moms get over 1000 euros and then an additional 200-600 euros a month PER CHILD!

189.   Wedding planning is a lot more intense in America.

190.   Sometimes people act like Germany is another planet. I get people who act personally offended with "Wait...what do you mean they don't have Chipotle there?!?!?" And on the opposite end of the spectrum I get "Does it rain there?" I see the two extremes, people that think everything should be the same and others that think everything is completely backwards.