Monday, March 30, 2015

Carlsbad Caverns and Area 51

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While we were in New Mexico, we were lucky to have Chuck and Jewel visit us on several occasions.  On one of those trips, we drove to Carlsbad Caverns.  This is something that I am glad I was able to do while we lived in New Mexico because it is pretty stunning!
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Scott and I
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This is the 'natural entrance' route to the inside of the cave.  I wish this picture did better justice of the road going into the cave.  I saw a cool picture of this road leading into the cave on some national geographic show and really wanted to get it, but my camera lens wouldn't take a wide enough angle.  There is also another entrance called the 'big room' route which is an elevator that takes people down into the cave.  
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The cave climate is cool and varies little from the year-round 56°F 
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This is looking out of the cave.  Carlsbad Caverns are famous for their bats.  Nearly 400,000 Brazilian (more commonly called Mexican) Free-tailed bats call Carlsbad Cavern home in the summer... and all they want to do each night is eat bugs... several tons of them!  This is where they fly out every morning/evening.  Surprisingly it didn't stink like I thought it would.  
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This Stalactite is called the 'lions tale.'  Despite the picture being blurry, can you see it?  

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Unfortunately, my pictures don't do the cave justice.  It's hard to take non blurry pictures without a tripod and no flash!   It was a beautiful cave.  Additionally, for being so deep in the ground, I kept thinking about all of the dirt above me.  Pretty creepy!  

Carlsbad Caverns was created by sulfuric acid eating away at limestone (like most caves) The limestone was laid down about two-hundred and fifty million years ago, as part of a reef complex along the edge of an inland sea. Seventeen to twenty million years ago, the ancient reef rocks that had been buried under thousands of feet of younger rocks began to lift upwards. Tectonic forces pushed the buried rock layers up and erosion wore away softer minerals to expose the ancient reef as the Guadalupe Mountains. Deep in the basin, a brine originating from oil and gas deposits and rich in hydrogen sulfide was forced into the limestone at the edge of the basin. When this brine encountered oxygen-rich rainwater moving down through the rock, it created sulfuric acid. This acid dissolved the limestone creating cave passages. As the Guadalupe Mountains continued to lift up, the water drained out of the cave allowing fresh water to percolate through and leave minerals on the ceiling, walls, and floors that we know as cave decorations.

After we went to Carlsbad, we went to Roswell 

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ET phone home?  Haha!
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Of all the places we went while we were in Roswell, we stopped at some alien museum.  It was crazy.  Roswell is famous for a UFO siting that happened in 1947.  It ended up being a weather balloon, but it caused a lot of drama and confusion.  
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Live Long and Prosper.
We also stopped at Smokey Bear Historical Park in Capitan New Mexico. The Park was established to honor of Capitan's favorite son Smokey, the little bear cub that was found with burned paws after a 17,000 acre forest fire in 1950 on the Capitan Mountains near Capitan, New Mexico. After living in the National Zoo in Washington D.C. for 26 years, Smokey passed away and was returned to the Village of Capitan to be buried at what is now the Smokey Bear Historical Park.

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Only YOU can prevent forest fires.  
Smokey Bear Statue

Albuquerque Balloon Festival x2

There were some wonderful things to living in New Mexico.  One of my favorite things we did while we lived there was the Albuquerque Balloon Festival. We were able to go a couple of times, once by ourselves (2013) and the next year (2014), Chuck and Jewel came down for the weekend. I think pictures do a good job of showing some of the beauty, but until you have experienced it, the immensity of the balloons, the beautiful colors, the crispness of the fall air is something that cannot truly be captured.  I would LOVE to take a trip back to this event at some other point in my life.  It is something to not be missed!

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There are literally thousands of balloons that participate in the Albuquerque balloon festival, having come from all over the world.  They are in all different shapes and sizes.  The launch in waves and it takes several hours for them to all take off.  The festival itself lasts for about a week, in which they have balloon races both gas and fire powered, they do a 'nighttime glow' and they also have a 'special shapes' rodeo.

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One of the rare things about the Albuquerque balloon festival is you can watch the balloon launches, and stand right next to the balloons as they prepare for departure.  This was taken at the morning ascension.  
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Spider Pig, Spider Pig, Does Whatever a Spider Pig does.  Does he swing from a web?  Of course he doesn't he's a pig....look out!
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They had a balloon that was no longer used they would push air through so people could stand inside it.  Pretty cool!
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Thank  you Albuquerque for this wonderful memory!  

For this child I prayed...

Life is a roller-coaster (see previous post).  So why did I end up on bed rest?  Obviously I wasn't finished.  

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In October (2014)  Things were going really well in our lives.  I wasn't working (that's a whole different story--but long story short...I was, waaaaaay less stressed) and we were applying for jobs in order to move out of New Mexico.  Things were just humming and moving along (I was feeling comfortable with the roller-coaster).

Scott and I had just participated in the branch Halloween trunk or treat (see picture above). I had been complaining to Scott about some physical changes I was going through, things that weren't 'normal' for me.  He later told me that with all of my complaining, he thought I might be pregnant, but didn't dare to tell me because he thought I would get upset...which in retrospect I probably would have.  :)

In early November I woke up in the middle of the night and thought I should just take a pregnancy test to 'see' if I was pregnant.  I psyched myself out of this because there was NO WAY I could be pregnant-and I didn't want to get disappointed by seeing ANOTHER negative pregnancy test..  Nothing else had worked for us.  Several days later, I again thought I should 'just see' if I was pregnant.  I dug up a pregnancy test, which came back positive.  I thought there was some mistake so I sped down to Wal-Mart and bought 5 more different types of pregnancy tests.  I took all 5 tests-to find that all 5 came back positive.  What the what???
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I thought there must be some kind of mistake.  I was completely surprised.  I tried to keep myself busy until Scott came home for lunch.  As soon as he came through the door, I said, 'we have a problem.'  Yup, that's how I told him I was pregnant.  Scott looked like he had swallowed something sour and didn't say much of anything.  Later that evening he said, 'thanks for saving me some money'-inferring that we didn't have to do IVF.  What a relief!!!

I arranged to see the doctor and was told at that first appointment that I was 8 weeks pregnant.  At that appointment, they suggested that I do the first trimester screen at 12 weeks-my next appointment.  The 1st trimester screen is an elective procedure, but as we had such a difficult time getting pregnant, the doctor thought it might be useful for us.  The first trimester screen (Nuchal Translucency Screen-NIT) is a noninvasive evaluation that combines a maternal blood screening test with an ultrasound evaluation of the fetus to identify risk for specific chromosomal abnormalities including Down Syndrome Trisomy 21 and Trisomy 18.  There are other trisomy's that it tests for, but those babies either die in utero and/or are born and only live for hours or a few days, therefore trisomy 13 is not a genetic defect that is passed on.  

We were so excited to be pregnant, we announced early-at 11 weeks.  There is always a risk to announcing a pregnancy without getting into the 2nd trimester.  What if there is a miscarriage?  Part of me felt like I waited this long,  and I was so excited to shout it from the roof tops that I couldn't wait.  This was BIG news!!!  I felt that if something went wrong, I would likely need support and understanding.  

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Our announcement...




















1 Samuel 1:27 reads: 'I prayed for this child and the lord has granted me what I asked of him.'  This is true for us.  

At my 12 week appointment, I was told that through the ultrasound that everything looked 'normal.'  The neck of the baby wasn't thick, the femur looked to be of average length--all visual indicators looked at in the screening ultrasound to determine if there is risk of a genetic problem.  When I met with the doctor he said all my early pregnancy screens looked good. This meant both myself and the baby were looking good.   This was a HUGE relief-as I think just hearing your baby is healthy always is-but as we were worried about possible genetic problems, it was an even greater relief to think that by looking at the baby's measurements, she seemed to be doing well.  Because we were moving, I didn't schedule any further appointments with the New Mexico OBGYN team-instead scheduling with a doctor in Boise.  I went home that day thinking everything was fine.

A week and a half later I got a phone call from the New Mexico OBGYN team stating that Dr. Johnson was out of town, but that I needed to meet with a doctor to review the results of the first trimester screen.  The lady on the phone was very 'cryptic' and I became alarmed because I thought I didn't have to do anything more with the New Mexico team.  I didn't understand why I needed to go in and meet with someone, I was moving out of New Mexico.  Additionally the movers were scheduled to come the day of the appointment that they wanted to do for me, and I wasn't sure what to do.

Luckily as in all things, the movers called and asked to come a different day and I was able to make the OBGYN appointment. I also had some REALLY great friends in New Mexico and my 'surrogate mom' (Linda Allen) went with me to the first trimester screen appointment and then the unexpected appointment that I had all of a sudden had to go to.  I have to say that it was a loooong two days between when I got the initial call and when they could get me in. It was an even longer drive to Las Cruces (which was 1 1/2 hours from our house).  I met with the doctor (one I had never met before) who indicated that the screen showed I had a 1:16 chance of having a down syndrome baby.  This is a high percentage, given my age and given the formula they use to determine the ratios.  I walked out of that appointment reeling!  We might have a down syndrome baby?  There are two ways to look at this, i.e. the 1 in 16 with me being the 1.  Or, that of the 16, 15 wouldn't have a down syndrome baby. While I tried to be optimistic, I was only focused on me being the 1 in 16.  I was told that if I were to have stayed in New Mexico I would have been referred to a high risk OBGYN team, and they would have done the quad screen test and possible amniocentesis.  


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So, now I am leaving the doctors that have been caring for me to meet a doctor in a different state who knows nothing about me.  I was scheduled to see Dr. Lovelace at 16 weeks (Jan 15).  Boy, did we drop a bomb on him during that first appointment.  He hadn't received all of my medical record, therefore had no idea about the NIT and it's results.  He ordered a quad screen and explained that just as in New Mexico, based on those results would determine what would happen next.  I was really impressed with Dr. Lovelace.  Despite us dropping the bomb, he spent a great deal of time with us, doing an ultrasound, gathered a lot of information and didn't seem at all alarmed in 'dealing' with me.  

The next week and a half was really long.  Scott and I were both really stressed about the possible results of the quad screen.  I think we are like most parents, we wanted a 'normal' healthy baby.  While we would have been happy with a down syndrome baby, they come with a lot of extra challenges that we were feeling overwhelmed and justifiably concerned about.  I received the call from the nurse who stated that the screen came back negative-no markers for down syndrome or other genetic problems and we were having a girl!  What a RELIEF!!!  I sat and cried for a long time as I was just so grateful that we had a clear answer.  The nurse also said at that point that Dr. Lovelace wanted to see me before our 20 week appointment.  This raised all kinds of panic as I was now having another 'unscheduled' appointment.

In meeting with Dr. Lovelace the following week, he explained he had some concerns about my blood pressure. He said in reviewing the chart, he found that my blood pressure was 'all over the place.'  But given my week in pregnancy, it should be at its lowest point, not where I was measuring at. He started me on a medication to assist with this and explained that the medication while old and somewhat obsolete would be fine for the baby and me.  So, I started medication.  

We announced we were having a girl at 18 weeks.  This is the only 'perk' to the quad screen as it is a genetic test, it also can tell the gender of the baby.  It was really fun to share this with my mom/dad.   


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The 20 (Feb 12) week appointment went off without a hitch.  No problems, nothing crazy! We were now finally getting excited about Petey joining our family.  Side note: since we found out I was pregnant, we have called this baby Petey.  Meaning, Petey the parasite. Her name was always said in love, but knowing it was a girl, finally not having much drama at an appointment...we were able to just be excited about being pregnant.  I was approved to work and I was able to go on our trip to Mexico.  VICTORY!!! The 24 week appointment (Mar 12) was also uneventful.  YEA!!!

At 25.2 weeks (Mar 19) I woke up in the morning to bleeding.  I debated about even calling the office because it wasn't much blood-it looked like an old period.  But, after looking at my paperwork thought I should be safe instead of sorry and called the office.  I was asked to come in and was told that my 4cm cervix had thinned to 1.3cm.  It was unclear if the blood was because of my cervix thinning (most likely) and/or if I had a tear in the placenta.  This came as a total shock to both Scott and I.  We were rushed from the doctors office to the hospital and began an IV, terbutaline to stop contractions, etc.  I was later told that I had prolapsing membranes (beaking) and that my cervix was irritated.  I had no idea what had caused this because despite a sharp pain in my side the night before this all happened, I was feeling fine.  Additionally Petey's heartbeat was tachycardic during her monitoring which was an additional cause for concern.  So, long story short, this is how I ended up on bed rest.

 A few days after admit to the hospital, another vaginal ultrasound was done and I wasn't as coned.  The doctor attributed this to the fact that I wasn't putting as much pressure on my cervix and was pleased with the results of bed rest.  At this point, I have been in the hospital 1 week and 4 days.  I am hoping that with another good vaginal screen that as of tomorrow (Mar 31) 1 week and 5 days, I will be able to go home.   I luckily have had no further bleeding and all the medications I am on have slowed down the contractions.  The doctor would like me to get to 28 weeks before Petey comes.  Each week she stays in is better for her and her development.  

We had a NICU doctor come and talk to us about risks associated with a premature delivery which brought up a lot of scary potential complications.  I am hoping we won't have to worry about any of those complications, but as it is difficult to tell how long Petey will stay in, its worth being educated on what the potential risks are.  We are super grateful for this baby and despite the little twists and turns she has taken us on, we will be so happy to have her here (which is hopefully later than sooner!)  While pregnancy definitely has not been easy, I wouldn't trade it for the world at this point as it was something I thought I would never be able to experience for myself.  

Here's my obligatory 'belly shot.'  I really need to do another one.  It took a really long time for me to even show.  I am hoping I stay REALLY small.  In all reality, this is the first time I have been able to lose weight in years.  Thank you Petey!

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Tuesday, March 24, 2015

Life takes you on a rollercoaster

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I think this picture adequately shows how life has been recently.  Sometimes I get complacent with life.  It's right around the time that I get comfortable with how things are going, and I think to myself, 

'I recognize this ride' when a new twist is thrown in and what I thought I knew is completely changed.  It's in those moments you gotta hold onto the crash bar and hope you survive without too much whiplash!  

While I think blogging has gone the way of the dodo bird--or maybe it’s just me, I find that it is helpful to have somewhere to journal because there are things going on in life that are worth documenting and while no one else may read this, I will read it again and it will adequately reflect how I feel about some of the things we have been through.  So with that, better late than never!  

I'm 26 weeks pregnant, and I'm officially on bed rest.  Let me back up to what led to this bed rest....After being married a few years, Scott and I decided that we would like to start a family, this happened shortly after we moved to New Mexico.  Up until that point, starting a family was something that I wanted, but hadn't 'yearned for' so I thought I would just let kids happen when they happened. I mean, how hard is it to get pregnant?  If I only knew!  

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We ‘tried’ to get pregnant on our own for one year and started to get worried when nothing had happened.  After nothing happened, I finally went to an OBGYN doctor who diagnosed me with PCOS.  When I was first told I have PCOS, I was super angry.  It took me another year of feeling sorry for myself and being in denial before we sought additional help.  When I was first diagnosed with PCOS, I thought the doctor was being so critical and couldn't believe that possibly the reason we couldn't get pregnant was my fault.  I don't know if 'fault' is the correct way to describe it, because I didn't intentionally mess my hormones up, but I definitely had gotten to a point where I wasn't always taking care of myself and so there was some room for guilt.  For those who don't know about PCOS, it is a problem in which a woman's hormones are out of balance. It caused problems with my periods and made it extremely difficult to get pregnant.  The most common symptoms of PCOS (which I seemed to be affected a lot or a little by all of these symptoms:)


·         Acne
·         Weight gain and trouble losing weight due to increased difficulty in the body processing sugars, causing insulin resistance and possible diabetes.
·         Extra hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back. (Luckily this didn't happen too much to me...I would find an occasional stray hair) 
·         Thinning hair on the scalp. (This didn't happen to me)
·         Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.
·         Fertility problems. Many women who have PCOS have trouble getting pregnant
·         Depression

The doctor put me on several medications to help 'jump start' my body (Metformin, a hormone medication, and blood pressure medication)  I worked hard for the next year which included a 'diabetic diet' which I was far from doing adequately, lost some weight (which was extremely hard), and took all the medications I was prescribed and still nothing happened.

At that time I asked my PCP what I should do as nothing had happened, so she referred us to a fertility doctor (Dr. Caperton) in Albuquerque.  I need to note that Albuquerque is about two hours away from where we lived (Elephant Butte) so getting time off of work to attend those appointments warranted a whole day off of work just for the commute (4 hours total-up/back) not to mention the appointment itself.  While it shouldn't have been embarrassing, asking for time off work was difficult as I couldn't plan weeks in advance and often had to ask for time off the day before my fertility appointment.  The other thing that needs to be noted here is that when working with a fertility doctor you can’t always PLAN when you are going to ovulate.  While they can guess the time (between days 12-15) sometimes it happens early in the cycle and sometimes it happens later. 

The first time we met with Dr. Caperton, I was encouraged.  He was semi-young and seemed to know what he was talking about.  He again told me I needed to lose weight and gain control of my diet.  I was annoyed that he talked about this so flippantly, referring to how he lost weight (so because he can do it—anybody can).  He referred to his body being like a car, i.e. you won’t put a bad gas in the car and hope that it works.  REALLY?  My body as a car?  While I appreciated the analogy, and it might be motivating for some people, it didn’t really work for me-he was neither motivating and it was crushing for him to disregard the progress I had already made-because I had lost 10 lbs at this point. 

While losing weight and dieting should seem like something that anyone can do—ITS HARD!!!  Regardless, we started IUI with him after 3 months of hard work to lose weight.  Unfortunately, despite my best efforts (which were really my best efforts) after 3 months, I hadn't lost any more weight. 

IUI (Intrauterine Insemination) is a type of artificial insemination.  IUI is when the sperm that have been captured are washed and concentrated, and are placed directly into the uterus around the time the ovary releases one or more eggs to be fertilized. The hoped- outcome of intrauterine insemination is for the sperm to swim into the fallopian tube and fertilize a waiting egg, resulting in a “normal pregnancy.”   

We did 4 rounds of IUI-with each round getting harder and harder emotionally.  I remember crying on my way to the appointments and after each negative pregnancy test.   Part of me was angry that I was ‘dumping’ money into something that wasn't working and the other part of me was so desperate at this point that when each round didn't happen I became depressed and more hopeless. 

Typically after 4-5 rounds if the woman has not gotten pregnant, IUI will likely not work for her and more aggressive efforts need to be done such as IVF, uterine scraping, etc.  We did our 5 rounds of IUI, which are not covered by insurance and require an ultrasound each time, resulting in fairly high bills (not as high as IVF—but still a financial stretch) with still no results.

We finally met with Dr. Caperton for the last time as of the beginning of October (2014) in which he told us the only other option we had for fertility was IVF.  He went over the prices, the procedures, etc.  Scott and I walked out of that appointment feeling defeated and very hopeless.  We knew we wouldn’t continue working with Dr. Caperton as we were moving at the beginning of the year (2015).  We were told we could do 'SUPERinsemination' for $7,000, which would get us the medication necessary for it and/or we could pay $25,000 for IVF.  We were told that $10,000 of that would just include the medication.  Who can afford that kind of money to start the procedures?  We would need time to save up.  At that time we decided we would ‘take a break’ from fertility treatments. 

It needs to be noted that I personally think fertility treatments are distressing.  Not only are you waiting/hoping for it to be successful each time you go through a procedure, walking away feeling depressed/hopeless, etc. when it doesn't work but being told to have sex is uncomfortable and for us-awkward.  Additionally all this talk about my weight really messed up my view of myself-as a woman, with body image and as a woman whose body wasn't doing what it was made for, i.e. having babies.  I couldn't understand why it was so ‘easy’ for other people, especially when some of those people complained so much about their pregnancies, seemed ambivalent towards their kids, etc.  I was so unhappy, and saw myself as broken.  I have never really thought I was that fat.  There have been times when I recognized I could stand to lose a few pounds, but until I was told repeatedly that I needed to lose weight I had been okay with myself—all of a sudden I was no longer okay.  This brought up a lot of insecurities, etc.  I believed that I was ugly, I believed that I was fat, I believed this was all my fault.  I was angry with my body for not working.  I ended up being angry with the children/families I was working with.  Church was a struggle as family is such a huge focus and I couldn't ‘multiply and replenish the earth.’

Luckily being a therapist, I realized how this was affecting my relationship with Scott and even in doing therapy.  My core beliefs were being questioned and I was struggling.  I had quit my job at this point as we were moving, but I also had realized that my personal struggles were interfering with my work-clouding my judgment, etc.  I started seeing a therapist who helped a great deal, to ‘normalize’ what I was feeling and to listen to my frustrations, etc.  Thankfully I started to ‘heal.’