12 Weeks, But Don't Get Too Comfy

I’m twelve weeks and four days, deep breath now, yes? Well, “BWAHAHA!!!” says the universe. Not so fast Melissa, here’s a little curve ball just in case you were getting a little too comfortable shopping for maternity clothes and thinking about colors for the potential nursery. Oh and don’t pick out any names just yet either!


I got a phone call today. My Natural Killer Cells are elevated again. Not to an exceedingly dangerous level mind you, but elevated nonetheless. And yes, aside from them being normal last time I had a blood draw, I was very aware that this could be an issue. But my friend Denial and I had made up our minds that this problem would just go away, and we were quite content with that. Let me just say, that I’ve planned to do, and will do everything within my power to keep this baby safe, but sweet Jesus am I so overwhelmed with the constant stream of having things to fear in regards to this pregnancy. Please know that I’m so grateful to have gotten this far, and for the fact that I have access to such specialized care. But oh my gawd I am just exhausted from all of this –  all the ups and downs, and feeling pushed and pulled by being so aware that having gone through four years of infertility has changed me, mostly for the good. And I’ll never be the same, I’m not a regular pregnant person - and for so many reasons,  I am proud of that. But now, in this regard, I want so badly to be a regular pregnant person.  I’ve read so many blog posts about the women who hate graduating from the their clinics (save the fact that it usually means they are pregnant)  because they are sad to leave the safety net of their RE’s monitoring and guidance. Which makes plenty of sense. But for me, I am just so fucking over the constant monitoring. I can’t wait to wrap things up over there. Don’t get me wrong. I love Dr.3 and the fact that he made our biggest dream come true (so far). But DAMMAT am I ready to be done with them. I don’t want to see another alcohol pad, or syringe of any type, or a fucking cotton ball covered by paper tape on my arm... I’m tired of weekly blood draws and hoping I get my favorite phlebotomist – I DON’T WANT TO HAVE  A FAVORITE FUCKING PHLEMBOTOMIST! It’s been six months now of regular monitoring and I’m starting to feel more like an inmate that a fucking patient. 


But back to the NK issue. All I have to do is have another Intralipid infusion. Piece of cake, right? Sure, except that my clinic and the satellite office for the Beers Center totally screw you on the cost. My clinic charges $700.00 per infusion, it takes about 90 minutes and they are 7 miles away from my office. The Beers Office charges $550.00, takes about 3.5 hours (including travel time) and is 30 miles away from my office. The kicker? A bag of the Intralipid mixture, cost roughly $50.00 US dollars. Which basically means I'm taking it in the tuckus to pay for their overhead, because they basically have me and everyone else, over a barrel. They might as well say “Take this, or your baby will die. Cash, Check or Charge? ” 


I just want to scream ENOUGH ALREADY!!! 


After I caught my breath a bit I sent an email to Dr. 3 with a few questions. 


Hello Dr.3, 


I was wondering if you would be able to explain a little bit about what the recent increase in my NK cells could mean. I understand that the level is fairly low, does that still mean the Intralipid infusion absolutely necessary? Also, how likely is this to be an ongoing issue during the rest of my pregnancy? 
Thank you in advance for your time 


Sincerely, ProbablynotgoingtobeabletorelaxuntilI’mwritingacheckforthiskidswedding


His response:


Hi Melissa, 


90% of the patients who require immunology treatment are done by twelve weeks. You fall into the 10% where your NK is still a little elevated and the reason to treat is because of the possibility that the Natural Killer Cells could attack the developing placenta. 


As the placenta gets bigger it is better able to defend itself and that is why most people are usually done by twelve weeks. In patients with severe elevations, it is sometimes necessary to treat them up to 20 weeks, but not beyond. I think it is very likely that your levels will be normal after one more treatment, but the body is not a machine, so one cannot say with certainty until we test again. 


Warm regards, 
Dr. 3 


And my progesterone levels are still stupid – in my opinion. This week came in at 15. I have another 11 days of the suppositories that melt and drip out shortly after I go to bed, mostly because I’m up peeing every two hours. So I have to wonder if I am even getting the benefit of them. Sorry for the rant. And sorry if this sounded like my complaining is unreasonable. Deep down I am grateful to have problems like these, because I am all too aware of the alternative. Thanks for listening. 


Reading. 


Whatever.