On being pregnant in a war zone Pt 1

Spring 2007

I winced as the doctor examined my stomach.  The pain was excruciating.  As he prodded, he said “feel here…see?”  I felt my own stomach where he indicated – it was hard, not squishy like normal.  I continued to wince as he poked around my tummy.  “This is your poo.  You are constipated.  We will get you some laxatives and you should be better in a few……”.  The piercing alarm sounded.  We both looked at each other and quickly dived on to the floor.  My body armour and helmet were in the waiting room, no chance of me grabbing hold of it in time.  I leopard crawled under the table, it probably wouldn’t offer me much protection. The doctor grabbed his own body armour and helmet just as there was a loud thud and the ground shaked.  As he put his body armour on and quickly threw on his helmet, he mumbled “Here we go again!”  I wasn’t sure if he was trying to make conversation or if he had genuine grievance by the incoming rockets.  The way I was feeling about these rockets I felt it was probably the latter.  After a few minutes of what was probably the last rocket (usually 2-3 at a time), the doctor quickly stood up and said, “I’ve got to go, I’m on call for the crash emergency team.  Wait here until the all clear, someone will be with you soon.”  And he ran out of his office.

As I lay there on the dusty floor waiting for the all clear siren to sound, I felt stupid.  I felt stupid and embarrassed that all I had was constipation. I wondered how it had happened.  For the last 8 days I had hardly eaten a thing, I felt nauseous and I had horrific stomach pains.  These pains were sharp and short, sort of like my IBS pains, but twice as painful as usual. But this didn’t seem like IBS.  I promised myself I would go to the doctor after 7 days of feeling like this.

The all clear siren sounded. I got up and left the office to speak to the corporal at the reception desk. I explained what had happened, she told me to take a seat in the waiting room and another Doctor would see me shortly. I waited for half an hour. All I could think about was that someone must have been injured by the rocket attack, otherwise my doctor would be back by now. This made me very sad.

I was called into the very same office I had been in just 30 minutes ago, but this doctor was different. I explained that the previous doctor was just about to prescribe me something for constipation. He asked me to tell him from the beginning what the problem was and the symptoms I was suffering. He wasn’t going to sign anything until he made his own diagnosis.

He asked me all sorts of questions about my IBS, what I had been eating, how often etc…it all made sense to me. New environment, crappy food, stress from rockets. Usually my IBS presents with horrific diarrhea, but now my IBS was giving me constipation. Not uncommon, right? But this doctor asked me (like the other doctor) “Is there a chance you could be pregnant?” I laughed and said “No, very unlikely!”, he said, “Well let’s be sure, I want you to take a pregnancy test before I prescribe you anything”. “Sure….” I said, but muttered to myself “…if you want to waste our time”. The doctor called in the nurse and explained I was to take a pregnancy test. I dutifully peed in the cup and together we sat down and waited for the results. The nurse tried to make small talk about the recent rocket attack. She proceeded to tell me that a lot of girls try to get pregnant on purpose to avoid deploying or wanting to be sent home. But then her words slowly slurred to a halt, she paused and exclaimed with a look of unexpected shock “errrr you are………pregnant! Ummm, congratulations?!?”.

I could feel the blood drain from my face in disbelief. I haven’t had a period in years after my depo provera issues, how was this possible? What is going to happen now? I’m not ready for this. I’m not one of these girls who purposefully gets pregnant just to be sent home. I volunteered to deploy to Iraq! I volunteered to be with the rest of my unit. Despite the shit getting real with the rockets, I wanted to be there, to do my job, to serve my country.

I could hear in the distant background, the nurse asking me all sorts of questions about if this is what I wanted? Was I excited? Did I need anything? But I was in too much shock to answer her questions other than mumble a no.

The doctor who made me take the test called me back into his office and said “Well, now we can explain the constipation and nausea. But this doesn’t explain your pain. We need to make sure you are not having an ectopic pregnancy. Let’s get you to the Emergency Hospital for a checkup by the specialist. I was hurried out of the doctor’s office, into the back of an ambulance to drive the half mile to the emergency hospital. This was the most embarrassing thing of it all. Being driven into the ER entrance. Pregnant. Not shot, wounded or even sick. Just pregnant.

I had no idea what an ectopic pregnancy really meant. I was prodded and poked all over again by several nurses and doctors. They even checked my constipation and try to help it along, but there was nothing in there. There was no poo. After all, I had barely eaten for the last 7 days. I hadn’t pooed in 4 days.

Finally, my boyfriend arrived at the hospital (yes we were deployed together, we got it together during pre-deployment training). He had no idea why I was in the hospital, he had left me at the doctors only 2 hours ago! He looked panicked. I looked at him and tried to get the words out, but I just started crying. It was the first time I cried since finding out my news. Eventually he got it out of me, and we both cried. We cried conspicuously together as we were not really sure how else to do it, this crying thing.

The hospital facilities on our camp did not have a vaginal ultrasound machine. The closest one was in another country – Kuwait at a US Airforce base. They wanted to check if the pregnancy was ectopic as the symptoms matched. I was put on the medevac waiting list and told to go back to my room and rest until I was called to fly.

I went back to my room, cried a lot, read up on ectopic pregnancy, and asked myself a lot of questions. How will I explain this to my unit, to my boss? Will my boss know already? What are the rules on medical confidentiality? Will they send me home? Will I be discharged from the Army? What if I have an ectopic pregnancy? Should I tell my family? When will I be able to eat again? When will this pain go away? So many questions as I lay in my room, sometimes in bed, sometimes on the floor under my bed as the rockets kept coming throughout the day and night. Get some rest? Ha. No rest for me….

TBC.

On occasions I forget that there are two of us on this journey

I was really mean to Chris the other night.  I mean really mean and I feel bad about it.  We were in bed together and just about to switch out the lights when Chris asked

“Can I touch your tummy?”.

Now, I hate, hate  hate  my tummy being touched after eating dinner, I just hate the feeling, something probably related to my Irritable Bowel Syndrome (IBS).  But even so, Chris wasn’t just being polite….so with a slight quizzical look said

 “No!! Why???”

Chris rather coyly replied

“Because…..well….there might be a baby in there!”.

Oh.  I can’t remember exactly what I said next because I had mixed thoughts at the time.  But I know whatever it was, it wasn’t very thoughtful.  I argued that that he shouldn’t get his hopes up because the chances of our success were low.  Then we argued about the statistics of IUI vs natural conception.  And so we rolled away from each other after our mini dispute agreeing to disagree and the lights went out.  After about 30 seconds in the dark, I felt guilty, terribly guilty.  I have been trying to not get my hopes high with this IUI because I’m afraid of them just being put back down, again… so there I was, trying to put Chris’s hopes down too.  In the darkness, I quickly apologized for being mean.  He said it was OK.  I couldn’t get to sleep for an hour or so after this brief incident because I was lamenting on why I felt so guilty.  Really it’s because I realised I had not considered him and his feelings, I was selfish and temporarily forgot that actually there are two of us on this journey together and I am not alone.

Our journey together

This is our journey together

Diagnosis – Taking The First Steps

When do we seek help?

The typical time to see a doctor when you are concerned about infertility is after a year of TTC (Trying To Conceive) if you are under the age of 36.  Both Chris and I are 32, we had discussed when we would seek advice, which was of course as per the guidelines suggests.  But ten months in, Chris had a new doctor’s routine physical where he explained our dream of becoming parents.  The doctor recommended a routine blood work up; this is when we found out that Chris’s testosterone levels were very low.  And so as our doctor provided a suggested specialist fertility clinic.

In the UK, things may have gone a little differently.  We probably would have had to wait a year and at least one minute to be able to get any tests unless we had symptoms.

Research….research….research

So after a serious amount of research, including finance checking, we made an appointment with the Jones Institute for Reproductive Medicine – this organisation was the pioneers of IVF.  We took the first appointment we could get, and so after 11 months of TTC we were taking the first steps towards a diagnosis.  This was pretty scary.  I was in denial, I really did not want to go to the appointment.  Chris was eager, with his testosterone levels being so low, I understood why it was important for him.  Within the last eleven months we had experienced twelve of the dreaded two week waits.   (Those two week waits deserve a whole blog on their own, so I won’t talk about them right now.)  I can have a very short cycle of 22 days so we were able to pack a few extra chances in 🙂

A bad history with doctors

Why was I so nervous?  Well my history with the doctors in the UK is not a great one.  I spent several years in my early twenties making numerous trips to the doctors to diagnose the cause of my sharp, random, abdominal pains, painfully heavy periods and diarrhea.  After many tests ruling out anything serious, my doctor concluded that my pain was either IBS (Irritable Bowel Syndrome) or Endometriosis.  To diagnose Endometriosis I would require a laparoscopy – the last resort – and not a favoured diagnosis method for someone so young.  Therefore, she recommended I first try an exclusion diet to rule out foods that might cause the pain.  After four weeks of experimenting with my diet I discovered a notable correlation between my pain and eating potatoes, wheat and acidic type fruits such as pineapple.  The pain also got worse with stress a notable IBS symptom.  There is no test you can take to diagnose whether you have IBS or not.  But it fitted my symptoms and so I tried many treatments.  My IBS was very bad at university – I had spent two days out the field training with the Army, eating the Army freeze dried ration packs (packed with potatoes and wheat!!!), this plus a particularly stressful moment tipped me over the edge, the pain was so excruciating I passed out and woke up in hospital.  When I told the hospital I had IBS, they discharged me immediately with no further questions.  And since then I have managed my IBS through diet (and recognise that stress is likely to be a bad day for me!!).

So why do I not like the doctors?  My experience with doctors in the UK has always been one of a feeling that I am wasting their time.  I have yet had the opportunity to experience them here in the US as I have in the UK.  So far so good…..the major difference is that I am paying a lot of money for the doctor here in the US and I have a choice, but in the UK it was ‘free’, and beggars can’t be choosers (although much has changed in the NHS over the recent years, there is more choice available now)!

Our first appointment with the Fertility Clinic

wish

I can tell you that I felt sick to the stomach about going to our first appointment together, I must have gone to the toilet at least three times in the hour before.  I knew it was a ridiculous feeling to be having, but this time I had Chris to hold my hand with me, and after discussing the first steps with our new doctor, it wasn’t all so bad.  In fact, I left with a feeling of huge relief.