Wednesday, July 8, 2015

6 weeks to go

I am now on my week 28 of my pregnancy. 6 weeks to go before the c-section.  I had betamethasone injection last week- to aid the maturation of the baby's lungs. Mixed emotions... I am excited and scared. 6 weeks is like a breeze.I am still afraid to do baby stuff shopping. Luckily, my sister-in-law will hand down their crib. But, I am afraid to accept the delivery for now. What else to buy?

My KCT and ESR are awful. But, I was spared from my supposedly 5th Smoflipid infusion. Wow! Good news... no more Smoflipid. However, my amino acid is now increased to 24 tablets per day. 6 weeks*7 days/week * 24 tablets/day= 1008 tablets. Ouch! My immunologist target weight for the baby is 2.5kg at week 34. This means the baby should have 0.15kg weight gain per week. I feel like I am an 'eating machine' or a 'food vaccuum' or a 'food monster'. I don't know how do I possibly expand my stomach capacity to accommodate more food.

I had itchy itchy skin this week. I am monitoring my blood sugar and I will recheck my bilirubin next week. I hope I dont have gestational diabetes and cholestasis. Speaking of gestational diabetes, ouch,,, I failed OGTT the third time. I thought that rolled oatmeal is good for diabetics. I caused my sugar spike ya!

Monday, June 22, 2015

25w6d- sketch marks

I feel my tummy got bigger today. I also noticed I begin to have my stretch marks today. I though those were markings from my Transderm Nitro patch. Omg. My navel also got some deformatioms. I just feel it may pop outin no time.

Sunday, June 21, 2015

Hi Son, will you be selfish to me?

I gave my nephew a pack of 5-pc gummy candy. Then, we (uncle, grandma, father, mother, and I) ganged up to ask for our share of candy. It seems to be a tricky scenario ya. Is this a battle of love and loyalty? How to equally share five gummies to 6 people?

The outcome:

Jayden, my nephew, shared gummies to uncle, grandma, father and me. Jayden reasoned out he did not share gummy to his mother because his mother does not like gummy. How did he arrive at that conclusion? Why did he just simply neglect his mother? Why did he give his second to the last gummy to his father and not to his mother? 

Is blood really thicker than water? Ouch... Blood! Will my heparin shots and transderm nitro be in vain? Ouch... It is not impossible that my son will not also share is gummies to me in the future.

Hi son, will you be selfish to me?

Saturday, June 20, 2015

my allergies

I just gave a list of my allergy medicines to my obgyne. She was shocked I am allergic to the anesthesia that she commonly use for her patients. Benzocaine, Lidocaine, Tetracaine. I recall I am also allergic to Sulfasalazine.

Initially, I was playing Sherlock Holmes. I told my immunologist that maybe I am not allergic to lidocaine because it does not contain benzoate. Benzocaine, tetracaine and sulfasalazine all contains benzoate. Ehem,.. But I am not allergic to benzoate because it is widely used as food preservative. My immunologist just commented that I need to look at its three dimensional structure. If they are IgE mediated, I will also develop allergy from lidocaine even if it doesn't contain benzoate.

I got scared of the fate of my friend she had her preterm labor. I heard she used magnesium sulfate as the first line of defense for contraction. Ouch... sulfa... sulfate? Ehem... google google... I need to brush up my biochemistry. I am not allergic to celecoxib, therefore I am not allergic to the entire class of sulfonamide. Correct? Having a specific drug allergy means it is not IgE mediated. It is triggered by other immune elements.

My brain was drained after my consult. Hehe, I will discuss those medicines again with my immunologist/allergologist. If my hunch is correct, I am allergic to aniline and azo. I remember I have tried to use an unwashed new cloth. I got allergy from its dye or its preservative. I am also allergic to folmaldehyde, hair dye and detergents, Wah! long list ya.

I guess my new hunch is more logical, benzocaine, tetracaine, lidocaine all contains aniline or aminobenzene. while sulfonamide contains azo.

I suddenly has the fear of anesthesia. Can't I just use propofol and fentanyl? I am scared of allegy. Haha, this reminds me of a hyperventillation once upon a time.

25w4d

I am now 25 weeks and 4 days . I was excited when my obgyne told me in two more weeks I will be starting to inject betamethasone for the the earlier development of the fetal lungs.

I still feel some sort of emptiness. I am still battling with my pessimism and insecurities. I am still reluctant to shop for baby's stuff. At least, I just came up with a baby name. Is week 30 safe enough for me to start my shopping spree?

Dear God,
Pls dont let me cry. I pray for a smooth pregnancy. No contraction pls.



Saturday, June 13, 2015

Do i have a gestational diabetes?

I dont think I have a gestational diabetes. My hba1c is just 5.3% and my fasting serum insulin is 5.7. Based on my record for the past four days my blood sugar has not exceeded 6.0 mmol/l (108 mg/dL). Was it (self pricking) a torture again from my doctors?

Uhmm... What is next? How can my obgyne explain the large abdominal circumference of my fetus? Btw, i have just discontinued prednisone this week.

Monday, June 8, 2015

23w5d- scratch scatch scratch and gestational diabetes

I went to my obgyne this morning. She said I have gestational diabetes. I need to see an endocrinologist for my insulin shots. She does not want me to use metformin anymore before my sgpt is 86 already.

I was caught scratching by my immunologist tonight. Ouch, it maybe a cholestasis. Will have my blood tested tomorrow. He also gave me a worksheet for my blood sugar testing. He said 100g OGTT sometimes causes a false positive result. If my blood sugar is good, I dont have to use insulin throughout my pregnancy. He fears Somogyi effect.