At least you know you can get pregnant

I think I’m quite a tough lady when it comes to receiving mis-informed and unintentionally hurtful infertility advice from the more fertile.  I experience it frequently because I am open about our infertility journey.  I forgive them because I know they don’t understand infertility as a disease and they only mean the best for me.  And I also know they couldn’t possibly truly understand how I feel because it has never happened to them.  Similarly like to people who have suffered from other diseases such as anorexia or depression or cancer, I don’t know what it is like or how it feels…I would never offer my uninformed opinion about treatment options or ways to overcome the symptoms of these diseases.  I won’t offer consolation that attempts to make them feel better about their disease.  Rather, I will offer my ear and my hand.

So why is infertility any different to any of these other diseases in how we talk to other people about them?  Why do so many bloggers end up writing about this struggle?  Is lack of education really the cause of this? May be other disease sufferers experience similar unhelpful comments too.  I really don’t know.

Have you seen that film about depression where friends and family offer their advice about depression, but the recipient of the advice is portrayed as a cancer sufferer?  The point of the video is that you wouldn’t say these things to someone who has cancer, so why would you say these things to people who have depression?  I think it is a great educational video (it’s at the end of this blog post if you want to see it).  Ultimately, I think there needs to be a film in a similar light about infertility.  I know there has been outrage on some forums of comparing infertility to cancer.  I understand that it is outrageous because people generally won’t die from infertility.  Comparing depression to cancer may also outrage many people as well…but depression can lead to suicide, it can kill too, but it is not a well understood.  So what is my point?  My point is that there are helpful things you can say to someone with infertility, and then there are unhelpful, even hurtful, things you can say to someone with infertility.

I have written about things that hurt, what to say, what not to say to someone with infertility many times before (ignorance is bliss, a voice of the child free family, Grow some thicker skin, you are so lucky you don’t have kids, Understanding: #YouAreNotAlone, Reblog from Que Milagro: Pardon Me While I burst into flames).  Today’s post adds to this list.  Today I am writing about one particular comment I have received multiple times since our loss from IVF cycle 1 from both fertile and infertile people:

“At least you know you can get pregnant”

I’m just going to put it out there straight away.  There is nothing consoling about this.

I get that there are many women who have never seen those two pink lines, me being one of them until our fist IVF cycle.  So I understand how hard it is to get negative after negative 25 times in a row.  But being pregnant  and losing a pregnancy is not consoling, knowing that I ‘did get pregnant’. I didn’t stay pregnant.  Maybe they would say “But it’s one step in the right direction”, yes perhaps, but it was then like ten steps back after our loss.

Would you say this to someone after they lost their baby during childbirth?  No.  Would you say this to someone who lost their baby in their third trimester? I doubt it.  Would you say this to someone who has suffered from recurrent pregnancy loss and miscarried 6 times? Definitely not. Would you say it to someone with secondary infertility? For goodness sake, NO.  So why does this need to ever be said at all?  It makes absolutely no sense at all and simply reminds me that we simply FAILED.

I am due to have my first beta test on Friday and in some ways, I am afraid of a positive than a negative.  Don’t get me wrong, I WANT A POSITIVE MORE THAN ANYTHING.  But I am afraid of when the positive comes, I know that even if this is my one successful pregnancy, my journey through the first trimester is going to be a psychological challenge.  If we ended up in a similar position to last time with a slow rising beta levels, pregnancy of unknown location suspected ectopic, yes it will be easier knowing the process the second time around, but it will be bloody damn hard to go through it all again.  And that is why I cannot accept the statement  “At least you know you can get pregnant” as consoling.

exhausted

IVF Diary Vol 2: 2-8 Feb 2016

Medication(s) administered and dosage(s). Progesterone in Oil 1ml Intra-muscular injection, vivelle dot estrogen patches 0.1mg x2.  I have failed to pierce the skin myself yet, I am so close, but I have managed to do everything else, including doing the actual injecting part…I had a couple of mis-haps, including one evening as I removed the needle, blood gushed from the injection site.  The blood poured down my leg and I just managed to catch it before it landed on the nice white hotel towels.  I have no idea why it happened, I guess it’s going to happen once in a while.  The injection site was sore for a couple of days after that 😦

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I had to put a plaster (aka band-aid) on this one after the blood gushed from this injection site!  Minions to the rescue!

 

Medical procedures undertaken. Nil

What are my symptoms?  I have had a few sharp pains and cramps here and there.  All good signs I guess.  I have also managed to catch a cold and sore throat. WHYYYYYYYYY??!!?!!  Now the wisdom of the internet says this is an early pregnancy symptom. Well, it is the runny nose/cold part which is the symptom that can be explained by the extra estrogen caused by the pregnancy, apparently that creates a stuffy nose.  Well, I have a sore throat and that can’t really be explained by that theory.  Some argue that your immune system drops after implantation.  Well in my case, this cold was inevitable because it was going around at work.  I was the last person to catch it because it was going around mostly when I was out of office for the stimulation/egg retrieval part of the IVF.  There were some remnants of the cold hanging around the office when I returned.  It was bound to happen.  Also, this happened to me the exact same time last year during my second IUI, excitedly thinking it was an early pregnancy symptom, I was wrong.  SO I am not taking this cold as a sign of anything except for being a pain in the butt.

The night sweats.  It’s gross and I hate it.

The cats have been on my lap again (two nights in a row)…I have already written about this (Can your cat tell if you are pregnant before you do) and whether it could be an early pregnancy sign.  I think they can detect a change in something, whether it is pregnancy or just a change in your body temperature, I don’t know.  One thing I do know, they can’t tell if the pregnancy is going to stick around or not 😦

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Sushi sitting on my lap and tolerating Diesel laying next to her, it’s not a common sight

Having said all that, today I do feel a little nauseous and I couldn’t bare to eat my chicken sandwich.  So who knows?  May be I am pregnant!  I don’t know because I haven’t tested yet!!!  Yup, today I am 9DP5DT (9 Days Past 5 Day Transfer) and I haven’t pee-ed on a stick yet. I am impressed with myself! I’d like to thank a very lovely lady who I met at my local Resolve Support Group who is IVF cycling with me…she encouraged me not to do the test it out thing, and to wait it out with her!!  Last time around I tested 12DP3DT (i.e. what would be tomorrow, when my period would ordinarily be due).  But this time I am not testing until the evening before my Beta test (which is scheduled for Friday).

How do I feel today? You may have noticed my absence for the past week.  Well I took my ‘Must keep busy during the 2 week wait’ a little too literally!  Although I have been hampered a little bit as a result of work.  Last week I got home in the evenings with my brain frazzled – I wasn’t doing overly long hours, just lots of hard thinking and writing.  The thought of updating my blog was too much for my poor brain, so I did mindless (mindful) things such as knitting, TV watching and colouring in.  I even taught Chris how to knit 🙂

knitting project

My IVF knitting project 2/3 complete!

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Chris learning how to knit!

We also went away on a mini road trip/city break to Charlotte, North Carolina to see the Charlotte Hornets v Washington Wizards (Basketball).  My first NBA game, it was my birthday present from back in December.  I had a fantastic time, I really enjoyed the experience and appreciate the very talented athletes.  I think it might be my favourite American sport so far!  Along the road trip we visited some random places, like a Lemur conservation, the world’s biggest chest of drawers, and a mountain that was only 350ft tall (it was a slightly misleading name of a state park!!!!).  Planning a city break in this 2 week wait was perfect! (Except for the catching a cold part).

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Our first NBA game!

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The World’s Largest Chest of Drawers – It’s in a town called High Point in North Carolina!

Any results?  Not much longer to go now!

What’s next? Beta HcG test will be 4 days from now :-s

Weight. NSTR.

Waist. NSTR.

Boobs. So, so sore and sensitive!

*Notes.  I take First Response Reproductive Health multi vitamin gummies (pre-natal) and CoQ10 200mg gummies daily.  NSTR = Nothing Significant To Report.

Two week wait fun times planning

After two years of trying to conceive unsuccessfully I reckon I am getting quite good at this two week wait malarky.  Admittedly, I’m a bit rusty at it.  So in light of my previous post where I declared my new year’s resolution: I will embrace time, I decided to start thinking about my next two week wait for IVF cycle 2.  Now, I know that I will not be doing anything ‘extreme’ or ‘partying like it’s 1999’….but that doesn’t mean I can’t plan for some fun! right??!

Evening Fun Activities (i.e. post work)

Self-Pampering – Mud mask, jacuzzi bubbles bath, trashy magazine, a bar of chocolate (something fancy like) cosy pyjamas and early to bed.

New food (2 nights) – Cook or bake something outrageously random for dinner that requires some new cooking skill!  Like working with pastry or something equally different.  Glug it down with a random new TV programme from Netflix or Amazon Prime. Sadly no alcohol to glug.

Fun with friends – hang out with friends, either invite them over for take-away (take-out) dinner or try somewhere new together.

Fun with family – I can’t really do this well, but I will spend some time writing a couple of letters to my family back in the UK.

Meet some new people – go to one of my local social and sports club nights, make an effort to be sociable!!!

Crafty and creative (2 nights) – do some knitting (including teach myself a new stitch and practice it), start/continue my new painting (it’s a secret what I am planning to paint!!!)

Date night with hubby – Trip to cinema or rent a DVD with lots and lots of popcorn and some BIG SNUGGLES.

Blog focus night – discover some new blogs and write a new blog post (perhaps from my collection of ideas I have left over from NaBloPoMo 15).

Weekend Fun Activities

Well there is potentially only one weekend I will need to keep busy for!

Road trip to Charlotte, North Carolina (to include going to a Basketball game, a walking tour, perhaps a nice meal out and a trip to Lemur Land on way back!!!!).  I am pretty excited about this road trip.  My Birthday present was tickets to see the Charlotte Hornets play the Washington Wanderers.  I don’t support any particular team, I just really wanted to see basketball game!!! It was perfectly planned by Chris.

I looked back at all my previous blog posts that were tagged with the 2 week wait (2WW)…I think the key for me is to keep myself busy, even if it means I am just ‘planning’ to relax and pamper 🙂

Ohhhh I should also mention that I have ZERO home pregnancy tests in the house!  I used them all up last time and did not replace them.  So no sneaky testing will be happening this time around!!!

Do you have any other tips for the 2WW?

Time

Today I am reflecting on time.

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This week I turned 33 years old, and so I decided to celebrate all the threes, 33!  I had a few friends over for an afternoon tea party and we learned how to knit.  Yup….you may have been mistaken into thinking that I was actually having my 65th Birthday Party.  But haven’t you heard?  Knitting is totally hipster.

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This is how I imagined my friends and I to be like at my Birthday party.  Very Cool.

Thinking about turning 33 I realise that I am quickly heading towards 35.  Yeh, yeh, that is two years away.  But 35 is the age that women apparently ‘may find it more difficult to get pregnant’…note – it can be difficult, not impossible.  And that is to be said for a woman who was supposedly more fertile than myself.  So, if the next round of IVF is successful and we do decide to have a second child I would definitely be past 35 if we ever tried to conceive again.  Not exactly what I had in mind!   But time is never going to be on my side and I can’t cheat it!

Today as I did a bit of early spring cleaning, I took down our four photo frames Chris and I put together for our Wedding day.  They were starting to curl and look a bit raggedy.

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Our photo collage we put together for our wedding day…we look so young!

I peeled the photos off the frame and I noticed the lack of wrinkles on my face in some of the photos.  A couple were from over eight years ago when Chris and I first met.  As I look in the mirror today I see my slightly more pronounced furrow lines and wonder how much my life experience impacts these lines.  Often we associate wrinkles with ‘wisdom in life’, and I sure feel like that.  Since I met Chris we have done incredible things in our lives.  If I were to die today I would think I had led a pretty amazing life and would go with a smile.  But experience and wisdom doesn’t simply come from the good things in life, it’s also the bad things.  I think it’s difficult to truly appreciate the good things without experiencing some pain.  So when I see those furrow lines in the mirror I don’t just see time fading, I see time enriching me.

“The more sand that has escaped from the hourglass of our life, the clearer we should see through it.” – Jean Paul Sartre

With infertility, I want time to pass quickly, I’m always waiting. The dreaded two week wait (How many of those have I written about on this blog now??!), waiting to start treatment or waiting to end treatment!  But I don’t want it to pass so quickly that my furrows grow deeper and I realise too late that infertility made me accidentally press the pause button on gaining that life experience and wisdom – the good, bad and ugly.

So as I move forward into 2016, my new year’s resolution is to embrace time and make every bit of sand in that hourglass of life count for something.

O-Day

Chris and I shower together – we have a bath that has two shower heads at either end, so we share.  It’s impossible to switch either one off, so we have to shower together to save on the water!!!  It was a bit weird at first, but we have discovered this is the one time of day that we can have a conversation without interruptions.  Today, as we were getting in the shower together Chris asked me

“when will it be baby making time?”.

I knew it was today.  Today is ovulation day.  I don’t need an ovulation predictor kit to tell me this.  I am just so experienced at it, I just know when it’s going to happen.  All the signs and symptoms are here.  O-Day.

I turned to Chris and said that I am not sure I want to try this month.  (For some quite selfish reasons I’ll go into a minute.)  He said “Maybe if we are not trying our hardest, we are not ready to become parents”.  I told him that is a perception not a fact….  I was pretty mad at him for saying that.

….And then I just burst into tears.

I can tell you that being in the shower whilst crying is a great place to be.  You can cry your hardest and it just doesn’t matter where the tears and snot roll down you face.

Let me tell you why I cried.  I cried because I do feel selfish.  I thought about not trying this month because my period is due on my Birthday, a few days after Christmas.  Between O-day and then (the dreaded two week wait) I would feel guilty for every sip of alcohol I drink. Which will mean I will not want to drink.  But I LOVE Christmas drinks – mulled wine, bubbly, mimosas, red wine, hod toddies, baileys coffee, port. I’m not an alcoholic BTW!! Last year, I had a couple of Christmas drinks knowing there was a chance I could be pregnant.

I am also going to be in the 2 week wait worry – and I am out of practice of this.  The last time I was in the 2WW worry I remember feeling incredibly emotional.  I have just got over being sad about the way things worked out after IVF 1.  I want to be emotionally sound going into IVF 2.  If I get a negative test (which will happen to be on my Birthday by the way) I get yet another punch in the stomach that I can’t get pregnant on my own.  To which I already know this.  Why do I want to mess with my sanity when I am in a good place right now?  I would love to not go through another round of IVF.  Seriously, it would be the best thing in the world.

Unexplained infertility leaves you with feelings of ‘There is nothing stopping you get pregnant’.  Maybe we could get pregnant without medical intervention.  So I then have a huge rack of guilt.  Surely if I want a baby then these things all shouldn’t matter – I should just suck it up.

Chris says he understands.  But honestly, I don’t think he understands how I truly feel, it is difficult to understand unless you have felt it.  Yes, he feels the pain of this too.  But it’s not his body that wakes up everyday in the two week wait, hoping – losing hope with every twinge your body makes.  It turns your inside out, it makes you feel sick, it makes you well up on the verge of tears, it eats you alive.  Infertility does this.  It puts you in position of feeling guilty for not trying your hardest.  But sometimes you want to screw up that infertility and throw it in the “just fuck-it bucket”.

I haven’t decided yet.  My feelings are mixed and confused right now.

Purple sperm and a painless IUI#1

Today Chris and I tried to make a baby without touching each other (well later on we will try the normal way too!!).  Totally weird.

Last night I had killer ovulation pain.  Both my ovaries were painful when I went to bed – the timing seemed to be just right, 12 hours before the scheduled artificial insemination procedure.  Thankfully, I woke up this morning with just a dull ache in my ovaries rather than a sharper pain.

Chris worked from home today and I had a day of leave planned.  We headed out to the clinic for our 10AM appointment and we were out of there by 12PM (with a short interlude to Starbucks).  First of all Chris gave his sperm specimen for washing.  He didn’t take long at all!  Then we headed to Starbucks for a quick coffee and catch up on a bit of work.  Chris collected his washed sperm sample and we waited in the waiting room with his purple sperm for about 20 minutes.  Yup it was purple!

Chris's purple sperm

Chris’s purple sperm

The specimen that Chris gave was excellent according to the doctor:

semen volume: 1.7mL

Sperm Concentration: 12.45 million per mL

Percent motile: 64.3%

Number of motile sperm: 13.6 million

After washing (centrifugation)

Number of motile sperm in vial: 6.6 million

Motility:  95.7%

volume of vial: 5mL

recovery rate for processes sample: 49%

It seemed a bit weird sitting in the waiting room whilst Chris held his sperm…but then again I am currently blogging about his sperm, so we are not prudish about it.  It was just weird and I can’t put my finger on why.  We did get a good giggle though from the diagram on the results form. It was more of a cartoon than a diagram because I don’t think it accurately represents a medical procedure of washing sperm.  But perhaps it is, and this is how they wash the sperm, in a nice warm bubble bath.

A highly technical diagram on how sperm are washed

A highly technical diagram on how sperm are washed

I wasn’t nervous about today, just more excited to get it over with.  I was called into the examination room with Chris and the nurse briefed us on the procedure.  Very simple.  A speculum is inserted, without any lubrication (because that kills sperm), then a catheter is inserted through the cervix to the womb.  The sperm are then slowly injected into the womb.  Actually it wasn’t very slow and was over within seconds.  Apparently the doctor pulled a funny face after she removed the catheter.  I didn’t notice as I was concentrating on the picture taped to the ceiling of a happy place – a tropical island beach.  The face was one of puzzlement.  Chris wondered if she was going to say that something didn’t work.  But no, that was it, over and done with in less than 2 minutes.  It was painless and hurt less than a pap smear test.  I was asked to lay down for 15 minutes, and the nurse left a timer.  We laughed about bun making, ovens and timers.  All in all, the process was very easy.  I’ve had cramping for most of the day, but I’d rather that than the sharp ovulation pain I was having any day of the week.

We are now into the two week wait and I have told Chris if he asks me one more time ‘Do you feel pregnant yet?’ I’ll punch him in the face.  Luckily he doesn’t really mean it and we can have a bit of a giggle about it.  No point in stressing, my glass is back to being half full again 🙂

Sporting activities during the two week wait – stupid to do it or stupid to not do it?

Day 12 of the two week wait – and on day 11 I did something which might be stupid.

Chris and I are both keep active and we like to try new sports.  Here is a list of sports we have done over the last few years or so…

  • Rock climbing
  • Hiking
  • Skiing & Snowboarding
  • Yoga
  • Insanity exercise programme
  • P90X3 exercise programme
  • Dodgeball
  • Volleyball
  • Softball

SAM_0997Our favourite sport is anything which involves being outdoors – particularly if it is quiet and remote (much to my mother’s horror!).  We have had discussions about whether or not putting myself at risk from a big fall on a climb was worth it, and we decided to give climbing a break and spend more of our free time travelling to cities and taking the opportunity to do some siteseeing around Virginia.

We have missed climbing a lot over the last year.  We also skipped a couple of ski trips last year too, similarly, not wanting to put myself into a risky situation with a big fall.  But after the last year we looked back and realised that you can’t put your life on hold just because you are trying to conceive.  Although I didn’t wrap myself in cotton wool during the two week wait, I was very conscious about doing something silly in case I was pregnant.

So this weekend we headed west on a ski trip with a few friends.  I decided to ski the easier runs and not put myself in potential danger on the black runs this time round.  This was so much fun, I was in my element, enjoying being outside on the mountain.  The second day, Chris and I decided we would keep going with our lessons to learn each other’s sport.  I took a snow board lesson (my third one) and Chris took a ski lesson.

As I am a beginner on a board I knew I would be sticking to the bunny slopes – little chance of big falls here!  Perhaps a few bruises and bit of hurt pride, but other than that – safe as houses.  This was all until the very last run of the day.  I had two lessons that day, and suddenly snow boarding began to click (hooray! at last!!!!).  Well…..so I thought!  I felt comfortable picking up some speed (but not quite as fast as I ski, so I know what stupidly fast is), and as I came into the flat, I caught an edge and landed heavily on my backside – I was winded.  When Chris hurried over to me, I could barely breathe.  I cried.  I cried because it was such a stupid thing for me to do.  Also, my stomach and back was writhing with pain.  I can deal with bruises – but my abdomen just throbbed like hell, as if I had been punched in the stomach.

I know it is highly unlikely that this fall could cause a failed pregnancy this time – but why would I risk it for my selfish desire to do these dangerous sports??!!  When you try to look at other people’s experiences with these sports, I have not found consistent guidance on whether they should be avoided completely.  The only common guidance I found was to seek advice from your doctor, I suppose because each individual is different.  And this is exactly what I shall do next time I see her.  But I have read that after IUI, strenuous exercise should be avoided, so this could be a mute point if this month is a failure and we proceed with IUI next month.

When I am pregnant then I want to keep doing as much as is thought to be reasonable.  But what is reasonable?  I like this lady’s story about rock climbing when she was pregnant: Anonymous mom – I was a pregnant rock climber (www.mommyish.com) She talks about how she felt during her pregnancy and how people made hurtful comments (unintentionally sometimes).  You have to be a strong person to do this.  I’m not sure I can.

I found two books which I have seen a good few reviews about, these are going on my to read list:

Exercising Through Pregnancy by Dr James Clapp

Fit & Healthy Pregnancy: How to stay strong and in shape for you and your baby by Kristina Pinto

Into the two week wait with a little help

I am on cycle day 19 and 5 days past ovulation.  I think.  I think, because this month I decided not to do any tracking.  I am now regretting this!!

Today has been particularly hard.  This morning after I went to the toilet, I discovered a spot of blood.  I came out of the bathroom beaming at Chris.  I think I might have been a bit optimistic that this was bleeding from implantation.  The rest of the day I have had abdominal pains, and I am now sat here with a hot water bottle, still in pain.  I’ll see how tomorrow goes.

But today got me thinking about the two week wait.  At first they were exciting, and nerve wracking, but recently I have been so busy that I hardly noticed them except for a couple of days before my period was ‘due’.  Today I found this article, which I will attempt to critique from my personal perspective:

9 ways to make the two week wait a little more bearable By Catherine Pearson.

Here’s what Catherine suggests:

1.  Step away from the computer.  Yup, this is what I talked about in my blog post yesterday.  Today I certainly felt a little bit of heightened anxiety looking at some other blogs and articles about implantation bleeding.  When I am done with the blog I will do just that!

2.  Distract, distract, distract (and plan for it).  Usually I do have a distraction – my study for an online course, but I skipped this month’s module because of Christmas holidays.  We have started watching a new TV series – The Americans (love this!), so this has been a great distraction.  However tonight Chris is out doing some photography, and I can’t watch the next episode without him!!! With nothing good on TV, I have failed at distracting myself this evening.  I must be more proactive about distractions next time from cycle day 1.

3.  Write it down.  I’m doing that write now!!! Do I get bonus points for writing about writing it down??!

4.  Name your feelings.  I’ve never tried this.  So today, my feeling is ‘Anxiety’. I want to learn more about meditation techniques.  A few months ago I downloaded an app called ‘Breathe‘ to help me learn some guided techniques.  It has been brilliant at helping me to get to sleep when I have had work going around and around in my mind.

Defining my feeling - I am anxious

Naming  my feelings – I am anxious

5.  Stroll.  Sleep.  Take care of yourself.  Chris and I have started doing more p90x3 in the mornings, getting up earlier, but going to bed much earlier.  So I think this is another tick in the box.  But as of tomorrow, I will make myself go out for a walk at lunch times whilst at work.  I have been bad at this because it has been so cold recently.

6.  Give yourself sad days.  I have done this and treated myself to a monthly glass of wine.  I only recently started to do this because I had given up alcohol almost completely for about 9 months.  A little glass on the first day of my period can’t hurt as a treat.  Chris is also great to talk to, but actually he gets more sad than I do sometimes.  Our partners need these sad days too.

7.  Try an intention.  I do this at yoga classes when I go.  I haven’t been for a while, so I might try and schedule in a few more classes during this time.

8.  Practice a relaxation technique.  I learned breathing techniques at yoga class, and strangely enough, at a presentation skills course.  Thinking about your happy place and connecting it to a sensory point has helped me stay calm before big presentations.  Combining that with deep breathing is an awesome feeling.

9.  Try defensive pessimism.  This is a new one for me as I am usually a glass half full kind of girl, but a little less so recently.  I will try to work on the defensive perspective.

Thank you Catherine Pearson for your article, some great ideas I will put some into practice starting tomorrow.