Wednesday, April 22, 2015

Stubborness and LIT

I am not proud to admit that I am stubborn. I may try ivf without LIT. I am thankful that I went to the right doctor. Instead of challenging me, he said he believe I can get pregnant. But, his main concern was any damage to the placenta is irrepairable. Now, I understand he was referring to the placenta aging or grading. Hehe, should he insist about the DQ-alpha, HLA- matching thing... I guess I will never follow his advise. I may have tried ivf right away.

I hope the upcoming LIT will be my last. After letting him cast a magical pregnancy spell on me, I am still skeptical about LIT.

I am taking Imuran and prednisone. These shut down my immune system. What if...
1. My blood donor is in the incubatory period of chickenpox? I believe I have varicella igg, can immune suppresion lower my varicella igg titer? Can the varicella virus successfully penetrate the placenta? Can re exposure to varicella virus cause chickenpox reinfection?
2. White blood cell contains IgE that is responsible for triggering allergic reaction to food, pollen and etc. What if I became allergic to fish or soya! Haha, acquired food allergic. Oh my god, will this jeopardize my 1 L soya and 0.5 kg tofu diet? Ouch... No source of phospholipid ya! Ouch again... Soya based anesthesia will kill me. :(
3. What if my donor has ANA, or anti thyroid antibody? I may acquire this antibody ya! Oh my god.

Now, am I still ready for LIT? Huhu... No blood donors yet.

Its a boy

It sounds funny from week 10-11, it was a boy because of the triangular thing in its genital area. But on week 12, the doctor said its a girl. She showed me the slit and two tiny balls. She then asked me to wait and see. It was too early to comment. But on week 16, she said she saw the scrotum! Its a boy!

Wahaha... It is more challenging to treat my immune system if I were carrying a boy. I was a bit shocked when she asked me to see a perinatologist on week 18-19. I thought something might be wrong. Because her request was a week earlier than my intended date. This brings me to doubt on the BPD (biparietal diameter) vs FL (femur length). Grrr... I cant help but to check the mean proportion of FL/BPD ratio. Ouch...  I want to relax. I don't want to think too much.

Thursday, April 16, 2015

9th LIT

I am looking forward for my 9th LIT on week 18 of my pregnancy. I hope this will be the last LIT ever. Was it too early? I just have the hunch that I will still have LIT on my week 22.

I am afraid of blood. Red is never my favorite color!

My second Smoflipid infusion

I hope this is my last Smoflipid infusion. It was really painful compared to the first infusion. Perhaps, my vein became brittle with steroids or heparin. I had intravenous back flow on the left hand. Ouch... Then, I had intravenous injection on the right hand.  Luckily, the infusion was about to be over when I had an intense pain on the right hand. I was not able to hold back my tears.

I hope I learned my lesson. I should take soya milk and tofu even when I detest its taste. Grrr... I feel squeamish. Yuck!

Friday, April 3, 2015

Incidental hypertension?

I was awakened by headache again this morning. My crappy blood pressure monitor is having error in the early morning. Grrr... But the earliest blood pressure in the morning were 166/114 (today) and 161/103 (yesterday). Throughout the day it seems normal 123/65 to 108/56. Crazy blood pressure. Can people get hypertension in the morning only?

I will closely check my blood pressure when my new blood pressure monitor arrives. Oh... There is such thing as morning hypertension. Does hypertension cause black eye?

http://www.pharmacytimes.com/publications/issue/2007/2007-04/2007-04-6392

Wednesday, April 1, 2015

Black eye

I woke up last Saturday with a black eye. Until now, I can't recall that I have hit my eye. I suspected My unfractioned heparin as the culprit. I asked my obstetrician whether I can reduced the dosage of my heparin or not. She changed my medicine to low molecular weight heparin. Clexane needle is quite coarse. It is painful when injected. I feel the radiating pain on the injection site, wahaha up to my pockets. Ouch... expensive.

Is heparin really the culprit?  If i am very prone to bleeding and hemorrhage, why my bruise is on my upper eye lid only? I don't have any other bruise in my body except the one on my right knee. I bumped into something... I forgot where but there is an evidence of scratch on my skin.  My stool color is ok. 

Blood clots and blood vessel breakage is scary. Is phlebolith considered as blood clot?  My pelvic xray decade ago  revealed a phlebolith. The xray film was missing. But, I remember I asked my rheumatologist why my vein is torn apart. Those heart bypass patients also get graft from their leg vein. Nothing to worry about phlebolith. I am just curious to know whether it has correlation to my antiphospholipid antibody syndrome. I guess there is. But, can it cause veins to tear apart? Or the idea that my veins were torn apart is just a product of my imagination?

So, what caused my black eye?

I miss my immunologist.