Tuesday, December 30, 2014

Results Day!


So it is December 30th…the day of results.
I wish I could say I had glowing and positive thoughts to share but I don’t.
My doctor just called and although the pregnancy blood test came back positive she is ‘VERY’ concerned about the very low levels of pregnancy hormones in my sample. According to her this could mean 383 different things and she has ‘seen it go both ways’.
It could mean that my body recognized the embryos as ‘implanted’ but only one made it or neither made it. It could mean my body is just taking extra time producing the natural ‘pregnancy hormone’….
I will retest again on Friday, which seems like a year away and if my levels have risen than that is a good sign and I get to stay on my meds and schedule an ultrasound for 2 weeks from Friday. If the levels are the same or lower, I will be directed to discontinue the meds and we will start a new IVF cycle as soon as I have a period.
I wish I could say that I was not tearing up as I type this week’s post but I totally am. The first round including meds was so expensive even though insurance picked up 80%...(not including meds)  we may have to wait on the second round until we save up more $$$. Which is really gonna kill me; I hate waiting. But…I know that this is God’s will and I must accept it.  

I am not sure how Chris took the news; I was trying to explain to him over the phone while in a crowded restaurant and he just snapped at me telling me to speak up and into the GD phone.
So that is awesome; imagine sitting in a crowded restaurant trying to hold it together while sharing the not so great news with the one that is supposed to love you the most in this world and they just scream back at you. As if my hormones weren’t keeping me on edge enough.

I will cut him some slack; I know this is hard for us both.

Well folks, I hope my next update will be more upbeat…please continue to pray that God’s will is done.

Thank you, Amanda & Chris and hopefully still two embryos.

Monday, December 22, 2014

Genetically Viable...ugly words

December 22nd

Fox News Headline today:

 Seven girls, ages 13 to 15, are pregnant after a five-day school trip to their country’s capital city and their parents are being blamed.


 A doctor was quoted saying:  “Early sexual relations lead to adverse consequences such as infertility, various diseases, miscarriages and premature births.”

What is this world coming to? Really people? Really! I know I seem a bit emotional today but I have every right! Chris and I have to subject ourselves to the mercy of infertility treatments and by subject I mean: financially, physically and most of all emotionally. It has been a roller coaster ride, tests, injections, procedures, the humiliation of having your beav up high and on display as the doctor performs their voodoo magic to your ovaries and uterus. All the while teens are getting pregnant all over the world without so much as a hey how do you do!
The fertile really have no idea how sad this makes women and their partners out there just like us.

On to better topics...
Today I went in for my first post transfer bloodwork and it was good meaning hormone levels are where they are supposed to be and we keep waiting until day 10 when we find out the answer to our family…but I am jumping ahead.
We went in for the egg retrieval on the 13th of December and out of the 36 eggs only 17 were viable. Our good Doctor was able to make 14 embryos with the 17 eggs and they all made it to the ‘critical’ day three! So here was our choice: our IVF package included the genetic testing of only 8 embryos but we could spend another $300 per embryo for testing over the 8. So we spent the $1800 and we are so glad that we did!
Only 4 of the 14 embryos were ‘genetically viable’ meaning they had all 46 chromosomes no more and no less. Two of each one from each genetic donor (Chris & I).  We came out with two girl embryos and two boy embryos.
We ‘transferred’ one boy and one girl this past Thursday the 18th... Of course I asked if we could transfer 3 but the wise doctor said NO!

Post transfer I got to enjoy ‘princess time’ or what I like to call being bored out of your mind time. Time when you relish in watching cheesy scyfy movies like Snomageddon and Ice Quake and Icetastrophe….. I really hope our children get my taste in movies.

This ‘princess time’ is also the time for me to start taking more meds including what is listed on my IVF calendar as ‘vag gel’. Yes folks….it is what it sounds like. An oral progesterone medication that if I am lucky I get to take two times daily for the next ten weeks; throw in a daily blood thinner injection for six months and a prenatal that makes me burp up what I can only describe as prehistoric smelling putrescence and I am in heaven. But…it is all for a good cause.

So back to the good news….
Bloodwork my hormone levels are increasing and I retest on Friday. If all goes well we (meaning me) take a preggo test on Tuesday the 30th and then again on the 2nd just to confirm.
Then it is on to the world of ultrasounds a few weeks after that! We should know by January 15th or so if we have one, two, three….or four brewing inside my uterus that is just now feeling very small J Oh yes folks you read that right….on day eight (this past Saturday) both of our little embryos had the possibility of splitting into two. My NP calls it a ‘freak of nature’ and yes, she knows I am a twin, aka freak of nature. So I guess it was a sound medical decision on the Doctors part to only put in two and not three like I requested. *Chris is laughing on the floor right now….and thinking about moving to Canada and changing his name.

Stay posted for our next update!

Forever grateful for your love and prayers!

Amanda & Chris….and at least two embryos.

Monday, December 1, 2014

Donor Update


Update:




1.       I do not qualify as a donor. ..So that is disappointing.


2.       After Chris’s semi-annual check-up this August, in Arizona, his transplant coordinator told us that we don’t have much longer to wait…a year at the most. Please cross your fingers and say some prayers. 


3.      Chris started a new job. Now that is better news! Chris is now working as an inside sales rep for a company that sells just about everything China makes ;-) the upside is flexible work hours, sense of accomplishment and another health insurance coverage. We are so blessed that he will now be TRIPLE covered. How many people in the US can say that they even have some coverage? We are lucky folks, lucky. This means no co-pays and less out of pocket for when he does get called for his transplant. Phew…we even got a letter from the new insurance company saying that they will cover our travel expenses to the Mayo Clinic and my lodging while we are there for his transplant. Whoa.  


4.      After a lot of pressure and prodding from his social worker at Fresenius; Chris applied to be on UMC’s transplant wait list in addition to the Mayo Clinic. We were both hesitant at first b/c UMC was sanctioned a few years back due to the high mortality rate of their transplant patients.  But we did our research and found out that after rigorous testing and recertifying it is a viable option for us. Well….we got the call last week saying: hey, you have been accepted, but, neither of your insurance companies will cover services at UMC so…you can go out of pocket for the cost of the transplant or choose not to be on our list. Uh…did that even deserve a half a thought? No, it did not. We will stick with Mayo. There has to be some reason that the top two insurance carries in the country do not cover services at your facility.

5.      In July of this year we began the adoption process through Catholic Charities of Southern Nevada. Unfortunately…the average wait time for a child is 3 years and longer if you want to be paired with a birth mother that did not do any drugs or alcohol during her pregnancy. In Las Vegas that is a bit of a long shot…but we decided to pursue our dreams of a family any way.  


6.      In October we found out that Chris’s new insurance covers a portion of IVF! We discussed this option at length and decided to take advantage of the benefit. The hard part about making this decision was putting a hold on the adoption process. Catholic Charities is pretty strict about not pursuing a family 'naturally' while waiting to adopt. And rightly so. We totally get it. So we committed to three tries of IVF and if after that we cannot get pregnant we will un -pause the adoption search.
7.      Today, December 1, 2014 we are beginning our first fertility treatment cycle. It is hard…I have logged over 5 hours of phone calls with the insurance company and the meds I am on have presented with a variety of not so fun side effects. But if all goes well I will have my eggs harvested on the 14th and then two embryos implanted on the 19th of this month. So this could be exciting. Because the only thing we want more in this world than a family is two kidney’s and a pancreas. So with any luck, God will bless us with both this coming year.




As always, your continued love, support and prayers keep us going. Thank you.

Monday, March 24, 2014

It's Official


It’s official…

 We have three really great sets of parents, amazing brothers and sisters, loyal & caring friends and very supportive and loving extended families.

 Chris’s second living donor (R—I am not using his full name so as to protect his identity out of respect for his privacy) has been officially disqualified by the Mayo Clinic. We are so very blessed and grateful that he came forward at all. R is a close personal friend of Chris’s…in fact you could say that they grew up together. They met in HS and have continued a 20yr+ friendship. R came forward after Chris’s brother Matt was disqualified as a donor back in March of last year.

It was a very long testing process but all signs pointed to a very positive verdict from the transplant committee. The only test that R had trouble with was the blood pressure test, some days it was up and other days it was down. For those of you unfamiliar with the testing process let me take a moment to give you the run down:

First you clear time in your very busy schedule to fly to Phoenix, Arizona. Then you submit yourself to five pass or fail days of testing, blood tests, fitness tests, stress tests, psychological tests, ultra sounds and the dreaded ‘Dave Barry’ colonoscopy (http://www.freerepublic.com/focus/news/1975542/posts). If you make it to the fifth day your case is put in queue for the transplant team to vote yes or no on. You wait a minimum of two weeks for your case to be heard and then each doctor that tested/evaluated you has a chance to speak and vote whether or not they feel you can give your kidney to someone in need.

Well R’s case was heard and the team voted and inconclusive, ‘not now’. They contacted R and asked him to retest again in 3months time and in order to get the green light this time he would have to have ‘perfect’ blood pressure tests. Perfect. He was instructed that he could only lower his BP through diet and exercise and that BP meds were out of the question.  Now R is in very good physical condition but…he has a high stress job. Very high stress. Three months went by and R was exercising more and eating very well, no salt, no French fries and limited red meat. Alas his BP was still on the high side by the Mayo clinic standards. R decided not to retest at the 3 month mark but at the 4 month mark. Mayo Clinic said it was still too high but they wanted him to test for 10 days in a row and they would use the 5 best results. Long story short, R was disqualified last week due to high BP.

What is next? Or should I say who is next? Well….that would be me. I cannot be a direct donor b/c our blood types do not match, I can however apply to be in the ‘paired donor program’. This means that I will donate one of my kidney’s to another patient in need whose loved one will donate one of their Kidney’s to my loved one in need. The Patient Service Coordinator told me that b/c my blood type is the most popular we would not really be increasing our chances by that much but I still have to try.

Mr. Gushard and I made a promise to each other back when he was first listed with Mayo. Our agreement was that we were to start a family first and then once I had given birth to our son or daughter I would be allowed to ‘enlist’ if you will. After trying for a year to get pregnant we went to the best fertility clinic in Las Vegas. Diagnosis: Infertile. Treatment: In Vitro Fertilization. Success Rate: 70%. Cost: $36K. Percentage Covered by Insurance: 0%. Chances of getting pregnant naturally >1%.  

Plan B: Adoption. Chances of Adoption with one parent diagnosed as ‘terminally ill’: 0%.  

Plan C: Be happy and blessed with what God has given us and wait to adopt until after the transplant.  

After seeing two healthy men disqualified for one reason or another I have decided to start my 120 day challenge before applying to the ‘paired donor program’.

Challenge:

I will eat clean: Organic, No GMO, Gluten Free, Dairy Free, Hormone Free and locally sourced foods

I will exercise more intensely and more often

I will lower my stress level

I will live each day to the fullest and appreciate the little things

I will let those I love know it each and every day

I will maintain my faith in God as my one and true savior

And

I will believe that good things happen to good people

Tuesday, March 18, 2014

The Beginning


The Beginning…

For those of you not aware, my beloved husband, Chris, was diagnosed with kidney disease and has been in Renal Failure since May of 2012. Because his kidneys are only functioning at 13%, Chris must undergo dialysis three days a week until he has a dual kidney transplant and pancreas transplant.

So let me start at the beginning:

In his mid-twenties, Chris was diagnosed with diabetes, type II, as a result of an injury to his pancreas. Over the course of 21 years Chris tried a variety of treatments for this disease including chiropractic therapy, homeopathic remedies like a strict diet and fish oil regiment and the latest and not so greatest designer drugs. As the years went by Chris and his doctors monitored his kidney function and up until January of 2012 his kidney function held steady at 85%. It was around this time Chris changed employers and thereby made a change in doctors. His new health plan did not cover the same medications and he was switched to a new drug on the market (whose name will be left out here for legal purposes).

From what we can gather, this new medication reacted badly with the other medications he was already taking for high blood pressure and his own body chemistry and as a result his body began to fight itself by attacking the weakest organs (Kidneys). His kidney function plummeted from 85% to 6% in the course of just a few months. Chris attributed his fatigue, night sweats and extreme highs and lows in blood sugar to the adjustment to living in a new city, his new and rigorous travel schedule and his new medication regiment.

Unfortunately this decline went unchecked and it was not until he was hospitalized in Phoenix for a foot injury that it was discovered. The nephrologist (kidney specialist) in residence where Chris was being treated for his foot visited him in his room to inform us that he was in fact in Kidney failure and that he would have to be hospitalized for at the very least the next few days (more like 2 weeks!).  

He didn’t believe the doctor at first, he said: ‘I think you have the wrong room, the wrong patient’. He did not have the wrong room or the wrong patient. We were in shock. How could this happen? Chris was only 41 years old. His last reported kidney function test read at 85%. What is happening?? The doctor went on to explain that Chris would need a dual kidney transplant and ideally a pancreas transplant. Chris was told that he would have to start dialysis as soon as possible.  

For those of you who don’t know Chris’s new job took him to Phoenix, AZ. The plan was that he would go out there first while I stayed in Southern California for 4-6 months all the while job hunting in the Phoenix area. I started to tie up all of my loose ends, I started to pack and prepare to move our household a few hundred miles east.   

I still remember that phone call, it was a Monday morning around 10am, I was at work (in dtla) and in between meetings when my cell phone rang. It was Chris’s Dad, Dan. I thought that’s unusual, so I answered the call. He started speaking in rapid fire telling me that Chris was in the hospital and that he was in critical condition. I wanted to rush to LAX and catch the next flight to AZ but Chris calmed me down and said to stay put until the weekend. I made until Thursday.  

I stayed strong during my visit but when I got to the airport for my return flight to LA the flood gates opened it took a long time to stop. The poor passengers waiting at my gate thought I had lost my mind as I sobbed uncontrollably sitting there waiting for my flight. I felt like a wounded animal that was left to die. The only word I could utter was ‘Please’. Thinking to myself, please God Please do not take this man away from me.  

Within two weeks, we were referred to the Mayo Clinic in Phoenix, Arizona. Two months later after mounds of paperwork and what seemed like 1,000 tests he was put on the national transplant list. Chris did not want to go on dialysis so he was put on a very strict diet, low sodium, no phosphorous, high protein…he lost 40 lbs overnight.  

While all of this was going on we prepared to move me from LA to Phoenix sans a job. We talked about it and Chris’s job was stable and paid really well. He had settled into his medical routine and I started making plans to go back to school for my Masters and work a low level/low stress job near the AZ State campus in Tempe. Chris started working with a realtor to find us a rental and I started packing up back in Huntington Beach. We found the perfect home to rent with a great backyard and a walk-in closet. The deposit was put down, the movers hired and my notice at work tendered. I was working my last week in LA and on Wednesday I got my next shocking call. Chris was laid off due to a ‘re-structuring’ of his firm...

Shock sets in again. But I am a military brat, therefore I am adaptable and I can think quickly on my feet.  

I walked into my bosses office and said if you have not hired my replacement please hold off. He had not...but what am I going to do with all of these damn boxes in our condo in HB?? That night when I got home I sat on the couch and stared at the wall for what seemed like hours. But I came up with a plan; months prior my company had purchased a portfolio of 32 office buildings in the Summerlin area of Las Vegas.  

They needed someone to manage it, I had been offered a shot at the job initially but had turned it down in favor of moving to AZ.  

Chris had lived in Las Vegas before back in 2006 and had rented out his condo on the north side of town ever since moving back to LA. The last renters had moved out sometime ago and it was move in ready. Las Vegas is 2 hours closer to Phoenix than LA, this could work, but was the position still available?  

I called Chris and told him my plan, I said we have one of two options: You either move back to LA and we unpack all of our stuff or I walk into work tomorrow and see if the Summerlin job is still available as our internal website listed. I told him: ‘you have until the morning to decide’. And decide he did, he called me the next morning and said okay let’s see about Summerlin.  

I made the call to my VP who was on vacation at the time, I left him a voicemail. He called me back within 20 minutes saying: ‘Amanda, you just made my day, my month, my year!’ We set up a date and time to interview with the onsite team for the following Monday. In the meantime we called the movers and put them on hold. Within one week our life had taken a left turn at San Bernardino and took us north on the 15 frwy to Las Vegas. We moved that following weekend to LV but as a condition of my contract I had to stay in LA another month until my replacement could be hired. I stayed with Chris’s mom Trula in Redlands (70 miles east of my LA Office) for 3 ½ weeks.  

It was at this time Chris had to finally start dialysis treatments. It was rough, really rough. We received stacks and stacks of literature on the different types he could choose and their respective benefits.  We were overwhelmed.  Have you ever attempted to read something and the words just swam before your eyes?  

Chris was in and out of the hospital a few times as his body adjusted to the treatments but because we were only engaged and not married at the time the doctors in the ER would not share information regarding his condition. The day he checked out of the hospital the second time we drove directly to the courthouse downtown, applied for a marriage license and were married at 11:45pm that night on 12-12-12. We followed up our legal ceremony with our already planned and paid for church ceremony a few months later on 4-13-13 in Sedona, Arizona in front of our families and close friends.  

I hear the comment all the time: ‘you knew that your husband was terminally ill when you married him and you still went through with it anyway?’ Well of course I did, the vow of marriage speaks of in sickness and in health to death do us part. My love for my husband could never be diminished by his sickness I will stand by him until I am called home to God and even then I will still be standing by his side.  

And that is where I am today, standing by his side every day. I decided to write about Chris’s journey in the hopes of finding a release for my own personal stress. I have searched for caregivers support groups centered around those who care for loved ones in need of an organ transplant but have not found any in the LV area. My company canceled their mental wellness coverage that used to be a part of our healthcare package. And so I will write to get some relief. If this blog finds you I hope that it helps you or someone you love to realize that we are not alone.


More to come.


Thank you for reading.


Amanda