Monthly Archives: February 2008

10 weeks 6 days

Well yesterday was infinitely better than the previous two days. I started to feel a little crappy last night, but I didn’t throw up. Afterall, I’m not doing much different so far. The PICC line is just more permanent than the other IV lines. I’m still getting the same hydration and medicines though. So like Sunday and Monday I still have times when I feel a little crappy even when I’m getting my hydration.

I wanted to focus on a few good, happy things this post. Simply because there has been so much bad lately.

First is the heartbeat. Pretty much every time we go in now my OB whips out his doppler and checks on the heartbeat. To me it’s still a little awkward. I have to unbutton my pants and I’m not even showing or anything yet, so he finds the heartbeat pretty low. But EVERY single time it comes across the speakers Stephen’s face just lights up with the biggest “wow!” look ever. It doesn’t get old.

The next one is that my sister-in-law Ruth is coming all the way from Newbury Park to help us out and take care of me and feed me for the next two days. She’s the best.

Also Stephen has just really stepped up through this whole thing. He’s missed work, he’s come home to give me food at lunch he’s done everything. If you are going to go through something rough like this… well I guess you don’t really know if or when you are going to go through something like this… but if you are, make sure you pick someone that will be there and will handle the situation.

This is a little off topic, but I forgot to mention something that the OB said the other day before he sent me off to the ER. He said that 3 in 4 of the patients at the medical group that have morning sickness this severe and this late into the pregnancy have girls. Just another prediction factoid for you.

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10 weeks 5 days

So yesterday and the day before were probably the most stressful, awful days yet.

I have never thrown up so much in my life. At one point, it was every 5-10 minutes.

I was finally able to take a Phenergan at 10 am and it slowed the throwing up to every half hour and then every hour which was an improvement.

Every muscle in my abdomen was so achy from throwing up so much that sometimes when the urge came I had to stop it somehow. I don’t know how I did it, but basically unless there was really something coming up I had to make my body stop. I don’t even know that stopping it voluntarily is the right way to describe it. It was more like my whole body just gave out and said, “NO MORE!”

As soon as everything opened up at 8 am, I started calling. First I called the home healthcare nurses. It turns out that they were certified to put in PICC lines, but they don’t do it on pregnant women because they’ve had too many complications with it. They said I should call my health insurance case manager and that they would be the ones to organize everything, rather than my doctor. I called my doctor’s office anyway because that’s what he told me to do in the morning if the home health nurses couldn’t do it. Man, I did not want to go to the hospital! The receptionist took down all my information and promised to pass it on to my doctor and his nurse practioner.

So then I called my GEMcare case manager. My case manager is a nurse and she’s been great through this whole thing. She calls every few days to check up on me and see how things are going. She used to work at the same OB group where my doctor is and is really familiar with HG. So she said that she would call and get everything set up for us to where we would have a specific appointment and not have to be in the hospital for days. Thank goodness!

Well after those phone calls is when the throwing up every five minutes began so Stephen handled everything else. It turns out they can insert a PICC line at a radiologists office and so all of that was set up.

At 12:30 I went to get some pre-lab work done at PAL’s main location and then we went to Truxtun Radiology’s southwest location. While we were waiting for my appointment I threw up twice in the bathroom. I was so afraid I was going to puke while they were inserting the line or something.

There was some confusion at the radiology place because they didn’t realize I was pregnant and so they wouldn’t be able to give me the contrast to find my veins. Finally they got it all straightened out and I was able to go in.

I had to lay all the way flat on a x-ray table which was really hard and uncomfortable. I thought for sure that was going to make me throw up. The nausea is always worse when I lay completely flat.

Somehow my adrenaline took over though as I started to get more and more nervous about the PICC line. I had read a little about it a few weeks ago on this HG message board that I check out from time to time. Some of the ladies said that it hurt really bad going in and that they bled a lot.

I think the concept of it just freaked me out a lot too. For those of you that don’t know a PICC line is like an IV, but it has a really long catheter which goes all the way up your arm and into your chest where it hangs out in a centralized artery. Because it is so deep, it is a much more permanent IV that can last for several months which is much better than getting poked every two days and my arms looking like those of a drug addict.

So first a nurse comes in and does a little prep work. She layed out a bunch of towels under my arm so it would be comfortable laying across the table and down onto the tray. I think this was also for the blood, but I can’t be sure. I never actually saw any blood. She used an ultrasound machine to check out my upper arms to see what would be the best veins to use. Then the doctor came in. There was further prep work They layed a bunch of blue papery stuff over my shoulder and part of my head and then also over my lower arm. Then they covered my arm with iodine and alcohol to sterilize it. Then the doctor used the ultrasound probe to look at my arm.

I got a shot of anesthetic right around where they had decided to insert the line. My arm never felt numb though so I’m not sure it even worked. Maybe I’m developing my dad’s insensitivity to anesthetics?

Then the insertion began. It felt just like getting an IV: a small poke to go in and then a little discomfort as it reached down into the vein. I couldn’t see most of what was going on because my view was covered. That was probably a good thing.

I know that the line went in next I could feel it a little bit until it reached my arm pit and then after that I couldn’t feel the rest. It didn’t necessarily hurt, just like I could feel that there was something there where there normally isn’t. My arm pit was a little uncomfortable the rest of the day. They cleaned up the area and taped me up and it was over.

Then I got an x-ray of my chest while wearing a protective abdominal shield. The x-ray showed that the line was in a little too far. So the doctor and the nurse came back in and pulled the line out a little bit then retaped me and sent me home.

After the adrenaline let down I threw up in the car. We got back home and I was able to take another Phenergan. The nurse came out and got my line all set up so I could use it and we started a new bag at around 6:30 pm. I was finally able to get a dose of Zofran and I didn’t throw up anymore after that.

I fell asleep on the couch and stayed there until 3:30 this morning when I went to our bed.

A nurse will be here later this morning to change the dressing on the line. I can’t even really feel the thing now. The discomfort in my arm pit is gone. My abdominal area is still sore from two days of throwing up, but hopefully that will be done for good. I haven’t thrown up since yesterday’s dose of Zofran, so that’s much better.

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10 weeks 3 days

I’m going to the doctor. He’s going to admit me to the hospital. Still can’t keep anything down. Feel like crap.

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10 weeks 2 days

Well this past weekend really just proved all theories about hyperemesis that I’ve been given are wrong.

Namely:
#1. If you get enough protein you will feel better.
#2. If you get enough carbs and increase your blood sugar you will feel better.
#3. If you stay hydrated you will feel better.
#4. If you get enough rest you will feel better.
#5. If you stay on schedule with your medicines you will feel better.

Thursday, the day after I went off home IV care, I woke up feeling terrible. I managed to get through it that morning though and ate a bunch of food throughout the day. I got plenty of hydration, protein and carbs. I didn’t actually throw up once.

Friday, however, I woke up vomitting and I couldn’t stop. No matter what I put in it all came out. So I went back on the home IV care. We almost stayed home the whole weekend because I felt so terrible. Even once I was back on the drugs and the hydration I felt terrible.

Once back on the IVs I didn’t miss a dose of my medicines. I stuck to the schedule perfectly. So the theory that missing your dose times was quickly ruled out.

Saturday I had a great day. I woke up a little woozy feeling, but I quickly quieted my stomach with some ginger snaps. The rest of the day I managed to get plenty of food and protein in. I had several small meals throughout the day. I even did OK during the cooking of our Chinese dinner. Something I had been worried about because of my recent aversion to sesame oil. The only thing that bothered me briefly was the smell of onions which I quickly tempered by peeling a tangerine and practically sticking it in my nose. I even took a nap that day.

Sunday I woke up and felt awful. I had gotten plenty of food and rest the previous day. There was no reason for me to feel like crap. I ate a few ginger snaps which didn’t help. Stephen gave me a dose of my medicine. I smelled and ate half a tangerine. Nothing seemed to really help. I got up. I ate some oatmeal. Still didn’t feel great. I obeyed my cravings on the way home and had a burrito from Taco Bell on the way home. Still didn’t feel great. I tried to sleep in the car. Nothing was helping. We got home. I tried a few snacks. Nothing helped. There was no reason for me to feel this way. I was eating plenty and getting plenty of hydration. I wasn’t missing my medicines. I took a nap when we got home. I just kept feeling like crap.

This continued this morning. I had a bowl of cereal. I continued to feel like crap. I took my medicine. I continued to feel like crap. Stephen brought home another burrito for me. I still feel like crap. I took a bath. Nothing has helped.

This is just ridiculous. There’s no pattern to it. No theory that explains it. Bland foods or no, protein or no, carbs or no, medicine or no, I still feel like crap.

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10 weeks

Well, we decided at the last minute to go ahead and go to Ruth and Eric’s. So we’re here and I haven’t thrown up yet. 🙂

This morning we had a delish breakfast made by Eric. It’s so nice to eat real food. Lately we’ve been eating a lot of fast food when I feel up to eating something because I’m not ready to cook just yet.

I did make some of my own protein bars the other day though. They turned out pretty good and they don’t have any of the stuff I’m allergic to either.

I have to say that I am feeling a bit like a vegetable lately. Watching TV, getting an IV and sleeping are my main activities. And sometimes it is a bit hard and depressing to deal with all of this. But then I have OK days like today and it makes it a little easier.

I just don’t think I really expected that this is what I would have to go through in order to have a child. I was so bent on getting pregnant that I didn’t care. A year is a long time to go through the emotional rollercoaster of trying.

Maybe this is all just good preparation for parenting.

I don’t want to scare anyone or sound too down in the dumps with my thoughts here. I really am doing OK. And I’m not alone in this. It’s just a lot to go through.

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9 weeks 6 days

Well the bladder feeling went away. So I’m not sure what that was all about.

I’ve thrown up 6 times today so I had to get an IV started again. Not sure at this point if we will be making it the Barone Chinese New Year celebration which I’m sad about.

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9 weeks 5 days

I had to take my IV out last night because my hand got puffy again.

I wasn’t feeling that great last night and this morning. So I thought for sure that I was going to have the nurse come out again and restart my IV.

I took a shower though and then afterward I felt pretty good. I ate some cereal and I’ve decided to try the no IV thing again.

I have a follow up appointment with my OB today so I’ll update later with what he has to say.

I just can’t wait to not feel crappy anymore, for good!

Update 6:27 PM

If I can go five days without IV hydration then I can take this blood test to evaluate my TSH levels again. The doctor thinks I have developed an overactive thyroid in response to the pregnancy. Which could be why I feel so crappy.

He says 14 weeks is generally when most hyperemesis patients start to feel better. I know a few women on this hyperemesis message board that would definitely beg to differ.

So far today I’ve managed to hold everything down. So that’s a good sign. I just hope I can keep it up.

We got to hear the heartbeat on the doppler today. It was going strong at 160.

He also says that I’m 10 weeks according to the revised due date and “the wheel”. I don’t know… last week I was measuring at 8 weeks 5 days at the ultrasound so I’m just going to go with that one.

So of course as we are driving home after the appointment I start to feel like I have a bladder infection. Which is apparently very common in pregnancy and when you are dealing with dehydration. Lovely. Another thing for me to deal with.

I am seriously ready for the first trimester to just be over with already. Yeesh!

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