Baby talk 5: the bad news

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My life is just a series of unexpected hiatuses (hiati?) at the moment so I shan’t keep apologising for the break in posting.

This is pretty much the verbatim post I wrote, on 11 June 2020, when it was confirmed our first embryo transfer hadn’t taken. I still find it upsetting to read, and it gets sweary, so, approach at your own discretion.

Content note: infertility, pregnancy loss

I was pretty sure what the result would be. I thought I’d been pretty chill. Not getting my hopes up, and not setting any expectations, reminding myself it’s all just a coin toss and no one knows why it does or doesn’t take. But there was too much blood, and it was too red, and so it wasn’t a surprise when they called with the blood test results. Negative. No baby this time. And I cried anyway. For a moment. But I was at work – my first day back after the COVID lockdown, what fun – so I pulled my shit together and powered through the next four hours, with just a tiny catch in my throat when I called J to let him know.

It’s always really awful to realise you have no idea what’s going on in your own head. Because I thought I had it together. Like I said: no expectations. No telling myself the stars were aligned, the odds were in our favour. I think a core part of me just assumed we’d fail, like so many of our friends failed, again and again and again. I hoped, but I didn’t stake my mental wellbeing on hope. I thought.

It’s so fucking hard to cry and not have any idea why. To not be able to pin down the frustration, the source of the pain. I didn’t think of our embryo as a baby, not yet. I kept telling myself the odds were bad. But – as J kept reinforcing to me because he’s wonderful – it’s still a loss. It’s still a disappointment. And whether you’re thinking about it or not, whether you think you’ve got closure on it or not, there’s all the years of disappointment that suddenly crystallize into one point in your mind and demand emotional release.

The TLDR is I just cried a lot. Without having anything to say, which is unusual for me.

I decided to vent everything by drinking a whole bottle of prosecco. It wasn’t as satisfying as I thought. J had his friends over for their usual game night so I stayed in the study, trying to find something on Steam that would give me the right mix of mindless, violent entertainment without requiring any skill or coordination, which is not in any way my usual gaming taste. I watched some random YouTube videos. I wrote angry tweets about Black Lives Matter and explained in cold, crystal terms why JK Rowling was a confirmed transphobe in Facebook comments. I daydreamed about shouting at people I’d never be allowed to shout at.

It’s almost cliche that when I’m upset, my brain turns to the political injustice of the situation. It’s too painful to dwell on my own frustrated need to be a mother. It’s too hard to reflect on whether I already did think of our doomed little embryo as a baby, a future child. I hadn’t picked a name. But I had picked the name I wanted to pick if the test were positive. But that’s not the same. Unless it is.

Fuck all that. It was so much easier to sink into a rant – to myself, to my non-operational webcam – about fat politics, about our fucked up health system’s racist fatphobia which just happens to impact some white women like me.

We could have been trying this five years ago (when the odds are incrementally better) if the Ministry of Health didn’t use fucking BMI to ration healthcare. If we’re doomed to not have children, if that’s something I’m going to have to accept and work through, we could have been and gone through that fucking trauma already, and have a plan to age disgracefully through our 40s and 50s instead of still being stuck at the trying, and failing, and having no fucking idea stage.

I keep yelling at the mirror: I do (well, before COVID, did) eight hours of dance class a week. Our infertility isn’t anything to do with my health or my size. Yet my size is used, was used, continues to be used to deny us the chance to have children without forking out tens of thousands of dollars.

How the fuck am I supposed to succeed with that stress hanging over my head?

Addendum

The funny thing is, there’s been some conversation on Twitter recently about how every infertility story you hear has a happy ending. The accepted, appropriate narrative to share is one that ends with miracles and sunshine. And let’s be honest: that’s what these posts are. I know I only feel comfortable sharing my outpouring of grief and frustration *because* there’s a baby-shaped pot of gold at the end of the rainbow.

And that sucks. It was something I felt really strongly when we were in the middle of this process, and a big part of me was convinced we were going to fail anyway. And aren’t I now just contributing to that narrative by only posting these posts with the hindsight of a positive outcome?

The thing is, whatever the outcome, the process is a gruelling, alienating one. And a lot of it gets glossed over even in the happy-ending narratives (probably because comparing your vaginal discharge to candle wax is a little TMI for most people. But not me!). There are few enough raw, nitty-gritty accounts of what it’s like to go through IVF – certainly I couldn’t find many when I needed them – and from other experiences I’ve had since baby was born I’ve really appreciated the power of a personal account with those little details you just don’t get from a fertility clinic webpage or a human interest news article. The feedback from members of our family, who knew we did IVF but had no idea what that really entailed on a day-to-day basis, and the sheer number of people I know, who’ve now told me they did IVF but never mentioned it before, tells me this has value.

For those who have tried, or are trying, or stopped, for whatever reason, I know that it’s only a matter of sheer bastard luck that I’m not in your shoes. And that’s so unfair. And your stories deserve to be told too.

A year ago today

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(Content note: infertility, IVF, fatphobia)

A year ago today, my partner and I “properly” began the journey to become parents. We’d been on the path for a very long time: first trying, and trying, and trying, and failing, then trying to get help, and facing some pretty gross obstacles to that; and finally being in a position to overcome those (with money, which tells you how unnecessary those obstacles were in the first place) and then having incredible good luck and at long last, after wanting and hoping and waiting and longing, just over a month ago, she arrived. Our baby. The tiny helpless bean who has completely turned our lives upside down. (Sorry, spoiler alert: this one has a happy ending.)

Of course, I wrote it all down. Even the bits I don’t even want to look at, myself, because they’re too raw. But there are parts I do want to share, and thus my blog is getting resurrected because I’m too much of an old school millennial to do Substack even if they weren’t currently tanking as a platform after pandering to transphobes.

(Yes, even in the posts about how much I love my baby, there will always be politics. You know where you are, right?)

As for the timing: I couldn’t bring myself to post this stuff earlier, unlike my good mate Dave who had the incredible courage-slash-lack-of-filter to write about his and Kim’s journey as it was happening. On top of all the other layers of anxiety we were going through, it just felt like it would be unlucky; or at the very least, it might force us to reveal things we weren’t ready to, even if just by the lack of posting at a critical moment.

But she’s here now, and she’s as close to perfect as she needs to be, and even though I still have that fretful voice in the back of my mind telling me not to count my baby chicken even though she’s already hatched, I think it’s the right time to start pulling all these scattered drafts and notes together – not to mention an essential outlet for my brain as I’m at home on paid parental leave, desperately trying to work out what my life looks like now I’m a mother, and feel almost incapable of considering myself having any other role in the world.

So here’s (most of) what I wrote after that first “proper” consultation – the one where you go to Fertility Associates with a lot of money and say “help us make a baby”. With a few editorial comments from Stephanie-Of-The-Future.

The first consultation is like an infomercial which demands your most intimate details. But wait, if you throw in even MORE money we can take time-lapse photos of the embryo to make sure its legs are on properly. And there are lots of options for freezing the eggs we HARVEST OUT OF YOUR BODY after an unspecified course of drugs and scans that get right up ya.

And all of that costs more money on top of the money you’re already putting in. And will it increase your chances of success? Those chances which are already worse than a coin flip? I could see the value for people who know they have specific genetic conditions, who have already tried and failed a few times – but when it’s your first turn on the carousel it feels like cynical upselling, and in a way, it hurts that early relationship with your doctor, because they’re not just there for you, y’know?

J hates every bit of it and I can’t really blame him. He’s “the problem”. The reason we couldn’t just make a baby the fun way.

And this never stopped being incredibly difficult for both of us.

And the money. Everyone says oh there’ll never be a good time to spend all this money – whether you have to have All The Medical Assistance or even if it just pops out of its own accord, babies are expensive – but it’s so difficult to pull the trigger when maybe if we just wait until THIS contract renews or THIS job offer arrives or THIS chunk of the mortgage is paid off … and of course the Clock Is Ticking and that stupid dotted line on that stupid fucking Probability Of Success Based On Age of Woman graph keeps edging down and down and down.

I will always wish we’d been able to do this sooner. I will always wish that we were in a situation to do it again, to consider having a second baby. What I can tell myself – now, in 2021, with my actual baby coma’d out in the living room after a healthy feed – is that things happen for a reason and if things had happened differently maybe we wouldn’t be here at all.

I’m the problem too, of course. The Aging Woman who didn’t chop her leg off five years ago to qualify for public funding – because that would have been fine, you see. It’s not actually relevant how big my belly is, it makes no difference to the chances of success. BMI is literally just picking one variable – fatness – out of the hat in order to “ration” public healthcare. The best bit is it’s completely fucking racist but our society is so comfortable with openly hating fat people we can get away with pretending it’s not a hatred fundamentally rooted in racism, classism, and body-hating white supremacy.

I could have lost a limb in a terrible accident and the health system would say oh okay, you’re obviously Healthy Enough to have a baby on us.

I could have starved myself, vomited every meal, taken amphetamines, and it would have meant we could have a baby, sooner, and cheaper, and without anyone questioning how it happened – because losing weight when you’re fat is Always A Good Thing.

Jarrod interrupted the doctor to say that I’m a pole dance teacher. I was annoyed. I don’t need to fucking prove my fitness to her. It wouldn’t matter if I’d just won a marathon. Fertility Associates are getting the money one way or the other.

So this is going to be a pretty major theme. Our health system, wonderful and public as it is (except for GP appointments and many prescriptions and don’t start me on access to contraception and abortion services even AFTER we supposedly decriminalized) uses the unscientific quackery that is BMI to ration access to fertility services, which is baseless, harmful and transparently racist. This was not our first visit to Fertility Associates, not even the fifth – this was just the first one where we were allowed to progress past the basic tests into actually doing something towards making a baby.

Because despite being the picture of health – perfect blood pressure, non-smoker, and, yes, being literally paid to perform and teach pole dancing and being able to bust out twelve burpees in a minute at one particularly energetic cardio class – my weight, alone, divorced of context or nuance was the reason we couldn’t get public assistance for our infertility. The only advice? Lose weight.

But how? It’s a post for another day, but let me simply assert a simple fact at this point: diets don’t work. Not predictably, not sustainably, not healthily. And not if you call them “lifestyle changes” or pretend that counting “points” isn’t the same as counting “calories”. And even if they did, I want to be really clear: no one at the District Health Board (adios) or the Ministry of Health was going to check how I lost the weight, if I did.

And that’s why I wrote that, a year ago: I could have lost a limb and as far as a health system, using BMI to ration services, is concerned, that would have been enough to get public funding for our IVF. The numbers have nothing to do with health or probability of success or anything except using our society’s hatred of fat people as an excuse to cut costs.

So.

That was a whole extra mindf*ck to take going into a process which already carried so much emotional and psychological baggage. With such low odds of success regardless of my dress size. And we knew so many people who had gone through it, and failed, and failed again and again, and seen the toll it took. So I just had to keep reminding myself, as we left the clinic that day filled with a mixture of hope and dread:

Three rounds. That’s the deal. Even though we probably can’t get the lootbox deal (pay for three rounds now, and get a refund if they all fail – or lose it all if you succeed first time). I can’t do this for the rest of my life. I don’t even want to be doing it now.

And that’s why I waited a year to write this. Because there’s been a lot of strife and plenty of tears but at the end of the road, we got her.

If you like this post, feel free to spot me a virtual coffee.

Sunday reads

A few pieces that caught my eye this week.

Bec Shaw: Fat of the Furious

I couldn’t write about what happened at the time because I felt so despairing when Roxane Gay discussed how humiliated the incident made her feel. I despaired for her, but also for myself. Because selfishly, it made me realise it maybe actually doesn’t get better, like I thought it might. Sure, I am treated awfully, but surely once you are Roxane fucking Gay, it gets better. But no, just despair. Because it evidently doesn’t matter if you are a universally respected writer, someone being flown around the world to speak to adoring audiences. It doesn’t matter how beloved, how successful, how amazing you are — if you are a fat woman, you are first and foremost still just a fat woman.

Laura McGann: I believe Bill Cosby

This trend is deeply troubling. Even in the face of clear statements and corroborating evidence, we so often just don’t believe men when they say sexual assault is funny or when they say they’ve done it.

It’s time for us to start believing men.

And because at least three separate people sent this link to me for no apparent reason: This is what happens when you teach an AI to name guinea pigs

Earlier this week, research scientist Janelle Shane got a fantastically unusual request from the Portland Guinea Pig Rescue, asking if she could build a neural network for guinea pig names. The rescue facility needs to generate a large number of names quickly, as they frequently take in animals from hoarding situations. Portland Guinea Pig Rescue gave Shane a list of classic names, like “Snickers” or “Pumpkin,” in addition to just about every other name they could find on the internet. The rest is history.

10 things you could do instead of a sugar tax

It’s sugar tax season again, when leftwing politicians hem and haw about increasing the costs of food they don’t like in order to coerce people to be healthier. Are you excited? I’m excited.

jafar-ecstatic

But I wonder if there’s maybe another way to do things. A way which isn’t punitive, judgemental, or unsubtly sending a message to fat people that their lives are worthless. Maybe it might look something like this.

10 things you could campaign on instead of a sugar tax

Raising wages. Guess what the major obstacle to eating a varied diet high in fruit, vegetables, and tasty protein is? Food costs money! People don’t have much money! Make sure they have more money! Rocket science.

Community gardens, school gardens, and fruit trees on berms. Just put the fresh food out there. Give kids and adults the tools and space to develop skills, provide for themselves, and develop a stronger relationship with where their food comes from.

Good school lunches. Give kids access to a wide range of fresh locally-made food and let them figure out what makes them feel good and full of energy. Bonus: local jobs and opportunities for young/unemployed people to learn skills and contribute to their communities.

Make school sports free. Like, really? I’m not even a parent and I’m hearing about schools charging up to hundreds of dollars, per kid, per team they’re on, per term.

Pools, playgrounds, skate parks, basketball courts. Outside of school, create safe local places for kids and adults to get out and be active.

Raising wages. You know what else makes people reach for convenient pre-packaged highly-processed “junk” foods? Working two or three jobs because they can’t afford to pay the rent, much less be at home every evening to cook a meal from scratch, or go out to the park to play frisbee.

Break up the supermarket duopoly. Two companies control most of our supermarkets, which pushes prices up. Encourage local farmers’ markets especially in urban centres, make it easier for small grocers to get started, crack down on price-fixing and supplier bullying.

Reverse the government’s $1.7 billion cuts to health and then some. Build a health system focused on prevention (of actual diseases, not existence-of-fat-people-itis)

Adopt a Health at Every Size approach. It may sound terrifying, but trufax – when you stop focusing entirely on people’s weight and promote actual physical and mental health, you get happier healthier people. End sizeist policies which exclude fat people from healthcare, and get medical staff looking beyond body size.

RAISING WAGES. Like, seriously. You know what causes a hell of a lot more damage to people’s health than having a fat ass? Stress. Not all the kale in the world is going to save your life if you’re barely sleeping from worry and overwork, never getting any natural light, or constantly fretting about unexpected costs or keeping up appearances despite being skint.

The ironic thing is, many of these policies are already in the political picture. But time and again we get distracted by the policy equivalent of the South Beach Diet- it’s quick! It’s easy! It might damage your health in the long term but you’ll do it anyway because there’s literally nothing worse than being fat!

Our distaste for the huge corporations who sell the packaged/processed/unrecognisable/cheap/nasty food we label as “junk” distracts us from the reality that they are only able to profit because far too many people do not have the luxury of picking and choosing a perfect organic macronutrient-balanced meal plan every week.

I get it. Those guys suck. But ultimately, a sugar tax does nothing but make the cheapest food available more expensive, in an environment where many people cannot make ends meet anyway. Those people won’t find magical quinoa salad under the mattress in the boot of their car if a bag of potato chips costs 50c more.

There are so many other things we can do – so many things that would improve people’s lives without marching into their homes and telling them what’s good for them. A more positive, supportive approach which says people have free will and good hearts, which trusts them to make the right choices for themselves and their whānau. Which is what we’re meant to be about, isn’t it?

Enjoy your salad, enjoy your burger

My very good friend Coley Tangerina has a splendid post up about bodies, food and fitness in the workplace:

We lean over our cubicles or bemoan across the kitchen how long it’s been since we went to the gym, or how badly we’ve been eating lately, or how we’re worried about gaining weight or how we shouldn’t have had that thing for lunch.

We start up conversations to feel camaraderie in our slog. The receptionist’s salad looks healthy. Your boss must have hollow legs. Thank goodness your analyst is eating for two. Gosh, your PR person must be hungry!

This talk is common place in offices and while it’s totally understandable, it’s bad for workplace welfare. Here’s why.

Go read the whole thing.

I had a great experience recently working with a new team. Maybe it was because we’d already been talking about wellness and empathy in a broad sense, maybe (probably) it was because I’d been That Person who deliberately set a boundary early in the process, saying “A lot of workplaces have a really damaging culture around food talk.” Either way, we found ourselves discussing food – but it wasn’t negative. It wasn’t judgemental, or normative. Someone had brought something delicious for lunch, which reminded someone of a thing they’d cooked for dinner the week before, and (because these things are inevitable) we somehow ended up discussing the great Vegemite/Marmite dichotomy.

Yet, in contrast to almost every other work-based conversation about food that I’ve ever been party too, it was just … fun. A nice positive chat before we got back down to business. Nobody walked away thinking their body or food choices had been judged and found wanting.

Imagine if that were the norm. It’d be pretty awesome.