a place to think... a place to write... a place to rant... a place to rave... a place to be.
Wednesday, March 25, 2015
Tuesday, March 24, 2015
Hiccups!
That's all I wanted to say. Haha!
Tuesday, March 17, 2015
Monday, March 16, 2015
Baby name reveal!!
Updates: Me and the baby
- Because I reverted back to my daily heparin injections, the level of flow for my left uterine artery improved a little bit, though it was still sub-par.
- However, because of the length of time of the blood flow being sub-par, the middle cerebral artery showed slight elevation. The doctor's explanation for this is because the system detected that the blood flow is less than ideal, it automatically tells the arteries to prioritize the brain, hence the middle CEREBRAL artery. Is it just me or anything with the word "cerebral" is just freakout-inducing?
- Anyway, weight-gain wise, the perinatologist doing my exam initially told me that the baby's weight was coming in within normal values. It turns out that he's hitting only the 18th percentile in terms of weight. While this may be normal for most pregnancies, (1) my OB wants him to be over the average in case we need to resort to preterm delivery ; (2) we are aware of the blood flow issue, which means his current estimated weight of 636grams is really not meant to be his size at this time, if it weren't for the blood flow issue. This second point debunks the possibility that this just might be his size or that he may be a small baby, really hitting the smaller percentile. We do know that me and my husband are not particularly small people, plus, the subpar blood flow means the baby would probably weigh a lot more if he had access to more nutrients and oxygen. So it is a bit worrisome but not cause for worry --> something most doctors say to me, which I don't really understand.
Anyway, my immunologist upped my heparin dosage to 50 units per shot, daily, from 35. She also initially prescribed a steroid for me - something I took during the first trimester- that is an immuno-suppressant drug meant to essentially tell my immune system to calm the F down because the baby is NOT an invader. I already bought the pills for 2 weeks as she prescribed, when my OB (whom I saw the day after) said NO. He told me to get these progesterone shots from him every week instead of the steroids. He explained that the shots essentially isolate the immune suppression to just those that affect the baby and leave out the rest of the body. The pills, on the other hand, are like a bazooka explosion of suppressing effect, which means my entire resistance will be down. Because I'm pregnant, getting sick or catching a really bad bug is not a good idea, even with this blood flow issue. So, I followed him as usual, as he seems to be more of a thinking doctor than my immunologist is.
So there we stand, at almost 25 weeks. My next scan will be on April 1, for my 3D ultrasound, and then April 7 for my third doppler which I PRAY SHOWS ALL NORMAL RESULTS.
On the matter of the 3D ultrasound: People usually get 4D ultrasounds, but since the difference between 3 and 4D is just that the latter is in video format, I opted for 3D instead. Also, there are no medical reasons for other people to do it, but in my case, I do need to, because the immune drugs I took at the first trimester carry a risk on the baby to develop a cleft palate. This was a risk I knew about going in, and it was a smaller risk compared to the scarier prospect of my immune system triumphing over the baby, so we went ahead anyway. Since the 3D scan will be able to see the baby's face clearly, assuming he is cooperative and stays still, this would definitely allay my fears. Or inform us of procedures he may need after delivery. I am praying it is the former.
Oh, and it doesn't end there: So far, we've been monitoring the baby and the blood flow issues due to my overly enthusiastic immune system. I've been feeling exhausted lately, sometimes dizzy and lightheaded, and I would also get shortness of breath. I chalked it up to usual pregnancy symptoms as advised by Dr Google and to my asthma. It turns out, when I asked my OB about it, he looked alarmed and asked the nurse to take my BP. My BP then, even after eating a good breakfast and taking the stairs up to the 3rd floor of MMC, was only 90/50. He said this was not good at all, married with the subpar blood flow. My acupuncturist wasn't happy about it either, when I told her Saturday afternoon. She said this was a threat to me, not just the baby. And since the baby was depending on me for blood, then it was something that needed attention right away.
So not only am I supposed to up my calorie intake, I am supposed to take more salt into my system and more 'hypertension-causing' food too. Lechon, here I come!
So, definitely an exciting pregnancy, won't you say?
Last night, my mom saw me injecting my tummy with the 50mg heparin and as a result, she also saw my bruise-laden tummy. One bruise in particular was so unsightly, my mom's face fell and I think she felt sorry for me. But seriously, I do not at all feel bad for myself, despite all these things I need to do to my body to get my baby delivered safely. Nothing else matters, really. No physical pain is too painful to bear. Just that he is safe and healthy. Sometimes, I think the worry and the anxiety is much much worse.
Please pray all goes well !!
Tuesday, March 03, 2015
Updates
1. Because of my immune issues, my immunologist asked me to do a doppler velocimetry test at Week 19. It's apparently a test that only a perinatologist (i.e. high-risk pregnancy OB) can perform so St Lukes could only pencil me in on my 21st week. I was a bit anxious about this, as it was a good 2 weeks after the ideal time, but I had no other choice. Anyway, the test is a colored ultrasound that measures the flow of blood from and to the baby. The two uterine arteries supply blood into the umbilical artery, which reaches the baby. The ideal results is normal for all three arteries.
My results showed that while my right uterine artery was doing its job, my left one was supply blood at a sub-par level. This led to the baby coming in a bit underweight (about 453 grams VS the ideal 500 grams at the gestational age he was in). Plus, he is so far coming in at about a week and a half advanced in terms of height. Which makes his being underweight even more concerning. The weight that bones account for is higher than usual, because he's taller.
Of course, this got me worried. On one hand, I was relieved my very cautious OB insisted I still did heparin shots even though my immunologist said I could stop already at 12 weeks. Dr Manahan said he is more comfortable if I at least did every-other-day shots instead of stopping altogether. Back then, I figured, might as well follow his advice, as it's better to have been safe than sorry. Turns out, it's SUCH A GOOD DECISION because I refuse to even consider what could've happened if I did stop. The flow may not have been good at all. As it is, my baby relies more on the right side's flow, it being at 100%.
So what's the next step? My immunologist actually said to keep up my every-other-day heparin shots until my repeat doppler velocimetry on March 10th. I think her approach tends to be on the 'chill' side, because (1) she is the head of PGH-Immunology; hence, I think she carries a 'keep costs at a minimum' mindset ; (2) the majority of her patients are much more complicated cases compared to me, because she usually tells me not to worry because other people have it much harder.
My OB, on the other hand, is really more a doctor with patients that, well, for the lack of a better term, can afford to spend. He also has a belief, which I share, that it's always better to spend more on preventive care now, at the prenatal stage, and it's always more worth it compared to spending later on when the baby is out and we have issues post-natally. I agree wholeheartedly. I know that there are people with more limited means than us, and there are people who have worse immune conditions than me, but no offense, I really only care about myself and my baby as far as this pregnancy is concerned. I want to and will always do the best I can and pick the best possible option for my baby. It's got nothing to do with anyone else.
So, suffice to say, my OB said to disregard my immunologist's instructions and resume daily heparin. This way, the March 10 velocimetry test will be even more useful for us because we'll know if daily heparin gets the job done (rather than evaluate if the every-other-day should really be stopped). If the results are still sub-optimal, then I can up my dosage to twice a day. More blood flow means more nutrients, more oxygen and much better care for my baby. To Dr Manahan, the every-other-day is off the table. Minimum daily is the way to go, at the minimum.
He also told me that since my baby is a bit underweight, I have to eat WAY more than I currently do. I must admit, I have not really been eating significantly more than I did before. I know this is normal for people with normal pregnancies - you are, after all, only supposed to add a few more calories on top of your usual diet. But Dr Manahan wants me to prep (physically and mentally) for a possible preterm delivery. He says if my immune reaction gets worse (and it just might get worse because as the baby grows bigger, the bigger the signal it makes to my immune system that there is a huge invader to my body), at month 7, doctors usually deem it safer for the baby to be out of the womb than remain in it. This means that the bigger I can get my baby at month 7, the better the outcome can be for him. He also already administered the sulfactant shots to me last week -- this is the steroid typically given at month 7 if there is a risk of preterm labor. It hastens the dev't of the lungs - the last organ to develop. He says it's better to give a dose now, then see later on if my baby will benefit from a second round. This way, we give him the best shot possible at having capable lungs even if he meets the world ahead of schedule.
Doesn't this sort of approach just make you feel safer under a doctor's care? I'm really grateful I met this guy and that he's the one taking care of me and my little fighter.
2. We've settled on a name! Love love love it!!!
3. Work is boring. (haha!) But the good news is that the huge bonus that we're looking forward to is confirmed to be arriving to our bank accounts on March 10. Hooray! Such a blessing to receive this year of all years, when I am scheduled to take some months off with no pay. Thank you thank you. I am so so so grateful.
That's about it. Pray for me that my results on March 10 are normal.
:)
Thursday, February 19, 2015
Wednesday, February 18, 2015
Problem solved!
Just when I was wondering what final decision to make about my plans for 2nd half of this year, it has been made for me!
My boss pulled me in this morning into his office and midway into our conversation, he suddenly brought up my maternity leave and the fact that I'm nearing the 2-year mark here in this office. The convo went like this:
Boss: So, you'll be two years na here by June, which is also when you're due to give birth, right? So you'll be out for 2-3 months depending on whether you're CS or normal delivery... I guess you'll go back to Smart afterwards? That's what's fair to you.
Gladys: Speechless but nods
Boss: So I'll tell them you'll be back by Q4.
Gladys: Actually, I was thinking of extending my leave further.
Boss: Extending? Without pay na yon. So.. until yearend?
Gladys: Yeah
Boss: Okay, so I'll tell Smart HR you'll be back on January 2016. What function do you want?
Gladys: A brand role.
Boss: Okay, I'll make that communication. It has to be told to them earlier, you know, because these things take time and I want to make sure you'll get a good position. So that settles it. Who do you think can take your place here?
Gladys: Mentions a name.
Boss: Yeah, good point. Okay.
Done.
What a huge relief. I didn't have to suffer through a tough, emotional conversation. I didn't even have to utter much, not even a single word about how this is my first baby, my dream come true, etc etc. It was all fixed up for me.
I can't help but attribute it to Buddha- I've been, after all, praying to Him to take care of my career progression from this point forward, considering that the baby will be my top priority. It's like He inception-ed Noel into this line of thinking, in such an effective way that the road ended up being fixed for me all the way.
I am shocked. In a good way. I can't believe all that went down so well. So easily. This pregnancy may have gone through a tough road to get going, but so far, everything else about it and after it has been smooth-sailing. (Knock on wood, pwera usog) Hope that's a sign of everything else to come.
Thank you, thank you, thank you, Santo Singkong. I am beyond grateful. Your blessing has never left my side.
Grateful. Happy Chinese New Year!!
Tuesday, February 17, 2015
Quickening and some other thoughts
Tuesday, February 10, 2015
Midway point and ecstatic!
Movements: Well, the baby is supposedly now the length of a banana, which explains why I can feel him more now. Albeit the little flicks come and go and sometimes the intervals between them are pretty long, I can 'feel' where he is in my belly. He moves around a lot, I think, especially when BabyPlus is playing. I can't wait until I can feel his movements more, and share them with his daddy.
Aches and Pains: So far a pretty uneventful pregnancy and I am so grateful for it. I do feel some of the aches and pains, but definitely nothing I can't handle -- all of them (shoulder spasms, lower arm swelling that resembles carpal tunnel pain, etc) are a far cry from dysmennorhea and because I know they have a purpose (i.e. side effect of baby growing), I don't mind at all. I'm just so so so grateful, at least for the most part. I can do without the leg cramps for sure. Hehehe. And I hope my feet don't swell too much in the end. I have lots of nice shoes kaya :p
Size: I have yet to weigh myself again, but last time I checked (about 4-5 weeks ago), I had only gained about 5-6 pounds. Some people though have apparently no qualms about telling me to my face "you're so huge!" Umm, that's mostly from the hormones I took prior to getting preggers, lady. But why should I use up energy to get all defensive? I think though I need to start gaining a bit more in the coming weeks. According to BabyCenter, the baby is supposed to double in size from month 5 to month 6.
Babymoon: I entertain the idea of a babymoon sometimes, often flipflopping between wanting to go and saving money + what if something happens and I need my doctor. So my fearless forecast is nothing will get planned. Haha! Which at the end of the day is fine with me, I guess. We really traveled a lot already prior to this and I don't feel shortchanged at all. In fact, I can't wait to have the baby with us already.
Baby Name: We do have a name in mind, and we use it already to refer to the baby. I think it's an apt name given that he's our little fighter. Can't wait to share soon :)
That's it for now. Congenital scan is up next, on Feb 19, and I pray everything is okay. I've been indulging in some baseless worries recently, and I know I should stop. Buddha gave us this baby and He will make sure that our little one will be fine and dandy.
Love you, little fighter!
Tuesday, February 03, 2015
Gender reveal!!!
Tuesday, January 27, 2015
BabyPlus!
Thursday, January 15, 2015
Birth photography
Project Mom
Thursday, January 08, 2015
Options
Anyone reading this blog regularly will also know that I am a planner at heart. So as early as now, I am thinking of what to do when the baby arrives. My thought process goes as follows (and these little thoughts may not always harmonize with each other, hehehe):
1. I've waited for this baby for a long time, and leaving him/her to go to work after 2 months seems unjust to the cause I've fought and to the little fighter who clawed and fought his/her way into our lives. I didn't just wait to get pregnant. I waited to have a baby. I feel I owe it to myself, to our little family and to the heavenly beings I flooded and bombarded with my endless pleas and prayers to maximize our little one's littlest months. To do otherwise feels ungrateful.
2. On the other hand, to be a full-time mother costs money (at least forgoes the earning of money). Money that, strictly speaking, we may have in our stashed-away funds, but money that we will miss nonetheless. Should I 'buy' this period of time (in my head, it's a full year as 6 months still doesn't sound enough)? Me being me, I already have a figure in my head for how much this year will cost. Should I do it? Will it be responsible of me (fiscally speaking) to do so?
3. The other thing to consider is the impact to my career in the long run.... which leads me to the next point....
4. By the time the baby arrives, I would have spent 2 years in this media company. I came here to (1) learn something new while (2) affording myself a flexible, non-critical yet substantial role at work to still be able to earn and be productive with my brain and efforts, while pursuing infertility treatment. A big check on both counts, but I also feel the time has come (the mark of which is at 2 years) to end it. I've done what I came here to do. Moving-on is the next logical thing.
5. But of course, move on how? Here is where the options come in:
Option 1: Take a 1-year sabbatical after my maternity leave (subject to approval, of course) and return to Smart by mid-2016.
Upside: I keep my tenure and will be working walking-distance away at a place I have paid my dues in and no longer need to exert too much effort in proving myself. Work is familiar. This option is likely the most palatable to all bosses concerned, including HR, making the sabbatical easier to approve.
Downside: I don't like the current management. I won't be learning anything new. May also have career implications of staying too long in 1 industry/company.
Option 2: Similar as Option 1 except instead of Smart, I look for elsewhere within the Group (that is not media).
Upside: I can leverage on the last 9 years I invested in this group. It also tends to be financially rewarding and at least my last package from Smart can still be honored. Depending on the company, I will learn something new.
Downside: Location may not be favorable to me unless it's PLDT (gulp!) and I doubt my current boss will not feel bad if I choose another 'sister-company' over the one he heads.
Option 3: Take the sabbatical, look for work while on break, and go from there.
Upside: The reverse of the above. And I have a fresh start.
Downside: Pretty tough to find work that's as physically close to my home as Smart is. Plus, there would be backlash in taking a sabbatical only to resign later on.
Option 4: Resign from the onset.
Seems there's no upside. Haha!
If you notice, coming back to my current position is not an option for me. It's not good for my career in the long run. It's also not close to my place, and there's no 'passion' on my end for this industry.
So there. That's where I am right now. I wish money were not an issue at all, so that I can have another option, which is to be a consultant and work part-time indefinitely. But I know that's not fair to my family and as it is, the one year off already carries cost.
Wish me luck! Have about 4 months before I need to give notice. :)
Wednesday, December 31, 2014
Goodbye, 2014! Hello,2015!
Friday, December 12, 2014
Nuchal translucency test: Passed!
Thursday, December 04, 2014
The sweetest video EVER
Wednesday, December 03, 2014
Graduation from KATO!
Wednesday, November 19, 2014
2 months!
Officially 2 months pregnant, or 8 weeks 1 day to be very exact.
Had my 8th week scan today and this time, my loving mama came along with me as Dennis couldn't get out of a work commitment. I was also happy to have my mom there, to experience this miracle with her and to share with her the overwhelming joy of seeing that strong heartbeat flickering on the screen. There's no more glorious sight to behold in this entire world, I tell you.
So here's my little love @ 2 months gestation:
Our little bean is now 1.5cm, right on time, it seems, and the lovely little heart is beating at 151bpm. Love. My heart is full.
Next up is a consult with my immunologist. She still has me on 10mg of Prednisone daily, which I would like to ask if it can be lowered. While I know many people take it throughout pregnancy, I would like to continue taking medication that is absolutely necessary. Especially as Prednisone is a steroid.
Then again, because it's meant to manage my ANA-positive condition, a part of me is also nervous to cut down on the meds. Does that sound strange? Because I waited for this little love for so long, I want to do everything in my power to optimize and protect this pregnancy. I just find myself flipflopping on the best steps to achieve that goal.
Anyway, that issue aside, pregnancy is so far so good to me. Except for the bouts of nausea and the constant upper-back spasms. What's up with that?! I read somewhere the back cramps may be due to my boobs becoming heavier and as I wasn't particularly athletic pre-pregnancy, my back is complaining. Geez. I wonder if that's true. As it is, my back spasms bother me enough to wake me from sleep.
But no complaints. At all. Anything for my little love. Anything.
My heart is truly full. So this is what gratitude feels like.










