Showing posts with label anxiety. Show all posts
Showing posts with label anxiety. Show all posts

Friday, February 8, 2008

The waiting game

February 8, 2008

I'm the kinda person who "suffers in anticipation." It is the single worst trait about me. For really important events in my life, I have major, uncontrollable anxiety, to a point that I live, breathe, dream whatever the issue is at that time, non-stop, until I find a way to calm myself down. Now, granted, at any given time, I don't have that many "super-important" things going on in my life to make me lose sleep over. That's the only reason why I'm convinced that I am not locked up in an institution.

I remember when I was in grad school, that after I wrote my thesis, I came across a topic that was very similar to the one I was about to defend. I was so terrified that my professor would think that I had plagiarized such article, that I didn’t only lose sleep over it: I couldn't eat, it was all I could possible think about all day long, I was obsessing so much over it that I was having visions of no longer graduating, of losing my job, of being ridiculed in front of my class-mates., and list goes on I believed in the thoughts so much that I started to orchestrate in my mind what I would do to defend myself. I went to my computer to check for file dates (so that I could prove that I hadn't copied anything from anybody), I started researching plagiarism cases and lawyers who would be able to defend me in case I was accused of something. I was going so absolutely mental, that I decided I would call the professor at home, on a Saturday morning, no less, to discuss my concerns.

The professor had very little to say. He was somewhat speechless at my speech of how innocent I was and how genuine my work was. After I was done "defending" myself and justifying and explaining that my work was indeed an "original", the professor said: "B, it's OK. I never thought your work wasn't an original piece. The topic is pretty common and there are many grad students defending it all over the world. You are fine. Relax." Upon hanging up the phone, it felt like a huge weight had been lifted of my shoulders. I sat there thinking: Oh, my God, I am so glad I called, because now I can finally have my life back. And I did. Things went really well until my next episode, which couldn't have been that memorable, becasue I don't remember what it was (although I know it happened - it may take months, but they always happen) but once I talked about it with my professor, THINGS DID GET MUCH BETTER.

The case above should illustrate my paranoia and how I operate in general. That feeling, however, doesn't come near this incredible feeling of insecurity that I've started to feel during the 2nd trimester of my pregnancy. Based on my past experiences, I am convinced that my thoughts will not be resolved until I know, one way or another, the true condition of this baby. Of course that I am praying for everything to be OK, but honestly, I would welcome my child into my life, whichever way that God gives her to me.

And most doctors (with the exception of my psychiatrist) don't understand that what I can no longer go thru is this feeling of anxiety, of not knowing. Last Friday, I went to my OB for my routine appointment. My OB is very aware of what's going on with me, so she brought it up during our consult and we talked about my options. She was like, well, you could have done an amnio at 16-2o weeks, but now, at 26 weeks, it's just too late for you to abort your baby. I was like, doctor, this was never, ever, ever about aborting my baby, or about my baby not being OK, or being OK. This is about the fact that I just need to know. She was like: why, if you'll want your baby anyway, why do you need to know, just wait until she is born? I sat there, looked at her right in the eyes and I said: You know dr. S., I understand that this is my own shortcoming. I am very lucid as to what is rational and what isn't: I understand that these thoughts and this anxiety are completely, totally, utterly irrational. I have done everything I possibly could to try and calm myself down, but my horrific anxiety issues -- that are mine, this wasn’t caused by this pregnancy, it may have been aggravated by the pregnancy hormones, but this is definitely a pre-existing condition -- combined with the absolute fear of litigation that this country lives in - which prompted all of my doctors to add more caveats to any tests results than to give me any reassurance whatsoever - are just not going away. I went to a psychologist, to a psychiatrist, I am taking Prozac for my anxiety (I am doing a little bit better with the crying but not with the anxiety), I am talking to my mom (who before anything is my mom, but who also happens to be one a fantastic psychologist) about my fears, etc… - and nothing, I mean NOTHING is helping the anxiety. Just the thought that I may have to live with this for the next 3 months make me not want to get out of bed for those 3 months. I'm at the end of my rope, I swear. I need to do something about this.

Then after understanding somewhat that I don’t want to feel this way and I have been trying to get out of this funk, unsuccessfully, the said: listen, if it's that bad, I'll highly recommend an amnio. At this point, you won't miscarry as your baby is strong and viable, so I say definitely go for it.

I then scheduled the test for the same day as my ultrasound. Unfortunately, the AA made a mistake in scheduling the location of my apointment so doctor wouldn't do the amnio (because we were not at a hospital, where he could perform an NST). It had taken me so much research, convincing myself that I really needed to do something about my anxiety because living the way I have been is just not doing my baby any good, talking my John, getting his buy-in on it, etc., that although it was hard for me not to have it done on Wednesday, as I had anticipated, I was convinced that I would have this done one way or another.

So yesterday, at 8:30AM, we had the test and now I am sitting here, waiting for the results, hoping that once get them, no matter what the result, my anxiety will diminish. Until then, I obsess....

Lovely... I just got a call from the genetics counselor. The lab didn't even process my test because my insurance won't pay for the preliminary results. I called the lab directly and submitted payment. Just before the lab director and I were about to hang up, she said (the damn caveat again!): you know these preliminary tests are not always accurate.... It has happened before that you'll get an OK result on the preliminary tests and a not-OK on the final result.
Argh! OK, whatever lady.

Tuesday, January 29, 2008

Psych

January 23, 2008
6:40 pm

After talking to my mom - a hardcore psychologist who believes that therapy cures everything and everyone - I decided to call a psychiatrist. My mom actually advised me to do so, because even though I had a good meeting with the psychologist on Monday, she advised me that it would take months for me to get better. The thing is: I don't have months to work on this depression.
The way I feel can't possibly do my baby any good (it certainly doesn't do me any good) so I truly feel at this point that I need to pick the lesser of 2 evils, I need to bite the bullet and if needed, take the depression medication in order to control my anxiety. But the guilt I feel for even thinking of taking the medication (despite being reassured that it is safe for me and my baby) is tremendous, in particular, because one of the "thoughts" that makes me so sad is when I realize that I will never be able to protect my baby from everything or everyone who could possibly hurt her thruout her life... I find myself crying so much, feeling this deep, deep sadness every time the horrible and uncontrolable thoughts creep in. It happens even when I had made a conscious decision to have a good and happy day. My resolve goes down the drain and this irrationality overcomes my being, my soul, my decisions. It is stronger than me.
The irony of it all is that little did I know that I would not be able to protect my baby from the one who is also nourishing her... I didn't know I could protect not her from... myself.
One more day until my husband comes home from China. Thank God.

Genetic Counselor

January 14, 2008
11:49 am

We were supposed to see a Genetic Counselor right after our Level II ultrasound on Wednesday, but since my consult with the perinatologist* started late and lasted longer that expected and John had to go back to work by the time the u/s was actually over. I was tempted to cancel my apointment with the GC altogether (because at the time I saw no value added in talking to her) but John pleaded with me that I talk to whoever I could about my anxiety, so I rescheduled my appointment with the GC to Friday morning. John picked me up at home at 9:45 and we headed downtown to Hartford Hospital. I was a bit skeptical about the whole thing, but I've gotta say, I had a GREAT consult with the GC: I feel much better about my blood and u/s results (she did a great job in explaining those to us), while, of course, continuing to understand that they offer me no guarantees (but, refreshingly so, she didn't focus on the possibility of what could go wrong - no matter how unlikely - but on the fact that everything was very positive).
THE CONSULT: She started it by asking John and I about our family history (whether everybody was healthy, etc. - John's family is 100% healthy but I have 2 cousins - that I learned genetically don't impact my baby - with mental problems). She then went over our blood test results and explained to us, in detail, what each of the 4 elements of the quadruple screen meant. My main questions was in regard to timing - I had my AFP at week 21 and 3 days when the cut-off is at 22 weeks (the lab doesn't have data past that time) - I was concerned, in the event I had miscalculated my conception date and I was actually later in on my pregnancy, I asked her if the results were still true considering the facts and if the data had been compromised, as a result. She reassured me that I am OK there, as the lab wouldn't have performed the tests if they didn't have data to measure my blood count against. Then we went over the level II u/s results. She said that the doctor (perinatologist - for definition, see below) who performed it was one of the most experienced doctors in the Hartford area, that my results were fantastic, that the machine was very accurate and that the odds, of us having a baby with special needs, based on these tests were much lower than a risk of a miscarriage with us having an amnio. She asked me to think rationally about whether the amnio would make sense - and even though "rational" is not a word that is in my personal dictionary these days - considering the results and how against it John is, I've decided not to have it.

The hard thing about this pre-partum depression is the unpredictability of how I'm going to feel. I've been doing really well for the past couple days but I have no idea of what's gonna hit me in the next few days. As a result of doing well, John and I were able to pick colors for the baby's room (pink, light brown and the paneling will be ivory), we bought a car seat at Target, we decided that we would try and work on organizing the house to get ready for baby, etc... The crazy thing is, I feel so good when I'm doing things for her, I love it when she throws kicks and punches and shows me that yes, she is here to stay and I love looking at my belly and actually "seeing" how fast she's growing now (I believe at this point, babies grow quite rapidly - weight -wise it is about 6 ounces/week)... It feels so real. I am just hoping that I can keep this up and that I can somehow stay somewhat positive for the next 3 and a half months... We'll see

* Perinatologist: An obstetrical sub-specialist concerned with the care of the mother and fetus at higher-than-normal risk for complications. Since the perinatal period, depending on the definition, starts at the 20th to 28th week of gestation and ends 1 to 4 weeks after birth, a perinatologist logically could be a obstetrician or pediatrician but, in practice, a perinatologist is an obstetrician. The comparable area of pediatrics is neonatology. A high-risk baby might be cared for by a perinatologist before birth and by a neonatologist after birth.

Level 2 Ultrasound - The day After

January 10, 2008
6:13 pm

Why am I a wreck? (Well, I am a wreck for many reasons, but episodes like the one I will talk about don't help me at all!) Because even after we had what is considered a great ultrasound, the baby looks great, she didn't show any "soft markers" and the doctor now reduced our chances of having a baby with abnormalities from 1:1400 to 1:2800, the OB, who knows that I've even been offered MEDICATION to ease my depression, said to me: well, OF COURSE these screening tests don't mean much in terms to giving you any guarantees, that is because the only way for you to know for sure that your baby is OK is by undergoing an amniocentesis or waiting until your baby is born. Okay, at that point I thought to myself - so why did I bother coming here and having this u/s? I u-n-d-e-r-s-t-a-n-d that of course those tests are merely screening tests and that they are not diagnostic and that of course, on a rational level, I understand all that. But what I really needed to hear from that doctor was that we are OK, that our baby girl is OK, that I can now go ahead and enjoy our pregnancy as opposed to what I actually heard, which was that those tests could be wrong…

Furthermore, why are there so many medical professionals out there against the amnio and why do doctors tell you to do the screening tests 1st and only after decide if you want to go ahead with the amnio (and I know, of course, that many people can and do elect to bypass screening tests and go right to amnio) -- Could it be because the amnio has a 0.5% chance of causing a miscarriage?!!! Gosh! Arrrrrrrrrrrrgh. Anyway, I spent the day today at home, working, and yet AGAIN today I didn't study, (cuz I'm still very unmotivated to do so), but overall I really did have an OK day (which in my book means: not overly obsessing in a bad, bad way over my daughter and it means no crying - except for when I watched "A Baby Story" on TV and saw the successful birth of a couple of beautiful babies - but even so, that was "good crying"!!!). I caught myself watching my baby's ultrasound pictures and smiling away AND my husband came home at lunchtime and we sat together and talked for 30' - a very rare occasion - at which point he said to me: you know, now that you've been staying home, I should be coming home at lunchtime more often to see you. My definition of a GREAT day, actually! In reality, if John will really be able to come home at lunchtime, God only knows, (even though I know he honestly has every intention to, but I also know how crazy work can get so I kinda doubt that he'll be able to, at least as much as he wants to), but it doesn't matter. I SO cherished my time with John today and I was very thankful for that time too.
And, the truth is that it is moments like these that I think that no matter how our baby turns out to be, she is a product of the most beautiful love story of John and I and she'll be so lovely, as well as wanted, loved and thoroughly cherished during every second of our lives.

My Pregnancy Journal

January 6, 2008
5:32 pm

I've decided to start writing a pregnancy diary for a couple of reasons: first, I would like to, one day, share these experiences with my soon-to-be born daughter and also because although I've been waiting for this pregnancy for many years, I was not at all prepared for all the changes that have occurred to me throughout, neither the difficulties that I have had to face during these past 6 months. I hope that writing about them may help me cope with those changes or at a minimum that it will help me put them in perspective. I've dreamt about being pregnant and having babies pretty much my entire life and having gone thru bad marriages and horrible relationships, now that I am with my soul mate, the love of my live, the person who I want to spend the rest of my life with, I honestly thought that I would be one of those happy-go-lucky pregnant women, those that once asked how "being pregnant is", "how I am feeling", etc. I would, with a huge smile on my face, give to those asking, one of those super happy answers like - "Oh, I am having a great pregnancy!" - "I am doing so wonderfully!" - "I feel greeeeeeeeeeat! - I am so happyyyyyyy!" - Ah, how I wish. In reality, I have been having a very difficult pregnancy: I started my pregnancy looking and feeling great and my body was exactly where I wanted it to be weight and looks-wise. John and I were having the time of our lives with a social calendar that would make any hip socialite super-jealous. I was also drinking more than I should, partying more than I should, and going out more than I should. We were having a fantastic summer when we decided that we wanted to try for a baby. Good times. Both of us had wanted to have kids for so long that it felt silly to wait and so we tried and in fact, we got pregnant indeed (I think we conceived on August 12th). In the beginning of this pregnancy, I honestly didn't know what to think about. It was not a natural process for me at 33, to find out that I had a little human-being being developed inside of me and that as a result, to have to make many adjustments to my lifestyle. My whole life as I knew it was being thrown up-side down. My body started to change. I went from an A/B cup-size to a D in a matter of days. My nipples, those little things that were rosy and cute, got large, dark and ugly - Oreo-cookie like, almost overnight. My skin got extremely dry. I wasn't sick at all during my 1st trimester, so I was pretty much hungry (and so I ate) all the time. I gained 15 pounds in 3 months. Oh and I couldn't drink my so-incredibly-cherished glass of red wine anymore without feeling at least extremely guilty (in reality and in all honesty, it took me at least five months until I didn't miss wine every single day). But all the above was absolutely nothing compared to the feelings and thoughts I've had during this 2nd trimester: the depression, the crazy thoughts that I can't help but have, the rejection, resentment, but most of all, the absolute terror that has become a constant companion of mine. This is where I start to create a log of this incredible journey one of which has been much expected, cherished, loved but at the same time so tumultuous and difficult. Here we go.