26 weeks


How far along? 26 Weeks
How is Mommy Feeling? 
- I am feeling great. I love this growing bump even more than i imagined i would. I love feeling the baby move around and wish that it would never stop. I love knowing that its only a matter of time before I finally get to meet this little person. 
- Tired. If i could take a nap everyday I would. There are some days I can't resist and actually leave work to come home and rest. 
- Out of breath. I've been out of breath since we got the bfp. Just walking from my car to the office leaves me winded.
- Excited that we have made the switch to a midwife for a homebirth. I love the idea of being able to labor and deliver in the comfort and safety of my home. 
- For whatever reason, hitting the 24 week viability mark was a huge milestone for me. Since then I've started relaxing into the reality of this pregnancy. In fact I think that I was waiting for this before I felt comfortable writing more weekly summaries, I just needed to know that we were going to get here.

How is Daddy Feeling? 
- 'wonderful' he says. which makes my eyes fill with tears. 
- He has been able to feel the baby's movements for a few weeks now, which also makes me so so happy.

Total weight gain? 
- oh geez, I had to stop stepping on the scale because it was freaking me out. I've been monitoring my diet pretty closely, focusing on protein and limiting carbs, so I know that nutritionally I am in good shape. At our Midwife appt last week I weighed in at 185 - up 30 lbs. She told me that I should expect to hit 200 lbs before the end of this pregnancy. yikes!
Symptoms? 
- My legs, feet, and ankles are swelling. Not a ton, but enough that i am bothered by it. I've mentioned it to my midwife, masseuse, and OB who all have checked me out and assured me that i'm well within normal ranges and to expect it to increase.
- Thirst - I am drinking so much water and pretty vigilant about carrying a water bottle with me at all times.
- Heartburn started a while back. I have bottles of tums scattered all over the place. It comes and goes, some days I don't have any and other days it feels like I am popping tums every few hours. On a few occasions it has even woken me up at night. 
The Belly? 
- I've definitely got a belly. Did I mention that I LOVE it! We haven't taken any pictures, and really need to get the camera out to document it as it grows in these final months. 

The Boobies?
- Cleavage is kind of fun :) 
- The boob pain has started to subside which I am so grateful for. I don't have to wear my sleep bra anymore and it is okay once again for ML to touch me!
- The nipple pain is also starting to subside. I still have to be very very careful to keep them safe, but so long as I do my job well they don't hurt. (this includes checking my bra multiple times per day to be sure that they are not being bent or twisted. I have to make sure that they are perfectly centered on the fabric.)
- I continue to use the breast warmers that I ordered from Australia, but only when I know that I'll be outside or in a cool place. Even better than the breast warmers that reflect my own heat are the camping hand warmers that actually heat up when you open them. I keep them in my purse and can quickly pop them open and stick them on the outside of my bra when I feel a boob attack coming on. 
- I've never had this problem before getting pregnant, but when i eat crumbs keep falling into my cleavage! I have to scoop or shake the food bits out after each meal. It is too funny.

What I miss? 
- I want a drink. I want a mimosa on weekend mornings, and a cocktail after work. I've never in my life craved alcohol the way I have these past few months.

Big News this Week? 
- Biggest news this week is the addition of HBear to our family. 





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Headed to Court


HBear has a court appearance this Tuesday.

I have a lot of thoughts regarding this that I'm not sure I can share openly out of concern that they might find their way back to her mom. For the record, as I voice my own opinions, I do completely understand that her mom was doing the best she could, making the decisions that she believed were best for her family. I will never be able to fully comprehend the complexities of the life that she and HBear shared, but I do have compassion for the challenges that they faced.

Backing way way back, I was one of the few kids I knew in high school that didn't smoke pot. I worked hard in school and was a pretty good kid. I experimented with alcohol and boys a little, nothing dramatic, but was careful not to get caught for my 'bad kid' activities. I lied to my mom on occasion, only because I knew that she wouldn't agree with what I knew I could handle, and also because the few times I did reveal the truth about those situations she freaked out. (Yes mama, its true, I wasn't perfect!)

ML was a straight A student, without even trying. He got away with a lot as a result of his stellar academics. He smoked, he drank, he snuck out, snuck girls in, broke curfew, all sorts of 'bad kid' stuff. He gave his mom all sorts of heartbreak, but because he was a stellar student, held down a job, and managed his own finances, there was little she could do to force him to behave the way she wanted.

HBear, on the other hand, hasn't managed to figure out how to 'play the game' and get away with it. She has not done well in school, doesn't have enough credits to graduate, and yet is still trying to get away with what I suspect is fairly normal 'bad kid' behavior.

About a year ago, probably out of desperation, her mom started calling the cops to the house for help in dealing with HBear. One time it was because HBear and her mom got into a fight and HBear took off, making her mom even madder which led to the filing of a missing persons report, and ultimately her mom insisting that the cops take HBear in on a 5150 (mental health) hold. Other times it has been because HBear was being disrespectful, verbally abusive to her mom, and out of control on drugs. The cops, after determining that no drugs were involved or in her possession, were asked to lecture HBear about being nice to her mom. I've heard most of this directly from HBear, so it is totally possible that there is more to these stories than what I know. Regardless, I just can't imagine ever calling the cops on my child unless our lives were in imminent danger.

Earlier this summer, HBear tested positive for marijuana on a home drug test that her mom started giving her last year. Having run out of consequences to dole out her mother called the police to their house, showed them the positive home test, and insisted that they issue a citation. HBear was not under the influence at the time the citation was issued, however did admit to the cop that she'd smoked earlier in the week.

This is the part that I have a real problem with. What the heck was her mother thinking? Who did she think was going to have to deal with this? What kind of parent would turn their own child over to the police for something like this? for pot? seriously?

So on Tuesday, ML is taking the day off work to drive HBear back to her home town to go to court to fight this misdemeanor charge. It actually makes me really angry.

The citation was issued for penal code 647(f) disorderly conduct, specifically being under the influence.

California Penal Code Section 647

Every person who commits any of the following acts is guilty
of disorderly conduct, a misdemeanor:
...
(f) Who is found in any public place under the influence of
intoxicating liquor, any drug, controlled substance, toluene, or any
combination of any intoxicating liquor, drug, controlled substance,
or toluene, in a condition that he or she is unable to exercise care
for his or her own safety or the safety of others, or by reason of
his or her being under the influence of intoxicating liquor, any
drug, controlled substance, toluene, or any combination of any
intoxicating liquor, drug, or toluene, interferes with or obstructs
or prevents the free use of any street, sidewalk, or other public
way.


We are going to ask for a public defender, hopefully have a chance to explain the changes that have been made in her living/school/custody situation, and request to have the case transfered to our County.  I'd love the advice of anyone who has ever dealt with something like this before.
*****
All things considered, this first week has gone much better than I anticipated. HBear is a really nice young woman. She has responded well to the expectations that we've laid out for her. She's been honest and respectful, helpful, and generally agreeable. There are of course the rules that she has challenged but its all been very appropriate. I'd be worried if she was just agreeing to everything!

She misses her mom and her home and her friends, and talks about how great her old school was compared to her new one. This has been a huge change for her and really, I am so impressed and proud of how well she is adjusting.

ML and I are holding firm to the expectations and rules that we outlined. The hardest thing so far has been figuring out how much freedom to give her with new friends. We want her to have the social outlet, but don't want to set her up for trouble. The poor girl has been holed up at home with us and needs to get out, but we just haven't built up enough trust to give her free reign. She had two new friends over on Friday night and we almost had a panic attack letting them leave the house to walk to the beach. Then last night when she wanted to go out for a few hours to one of the girls homes, I insisted on dropping her off and made her promise to text me if they went anywhere other than the home where I left her. She was home before curfew and texted to tell me when they went to BK for shakes. I was so happy that she followed thru on our agreements!

As with so many things in life, one step at a time, one day at a time, one week at a time. Thank you all for all of the support this past week!

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A family of three

ML and I spent a good portion of last weekend preparing the house for the arrival of my 17 year old cousin. (We'll call her HBear) ML cleaned and painted her room. My mom brought a desk over. We pulled a mattress out of the garage. Blinds are on order. Towels, bedding, etc. We got it all ready for her.

HBear arrived on Monday. Her older brother drove her down, helped her unpack the car, and delivered the notarized documents from her parents giving us legal custody. Yep, we are officially responsible for the welfare and upbringing of a beautiful 17 year old girl.

For all the drama and chaos that has surrounded her, she really is a good kid.

ML and I had outlined a list of weekly expectations and responsibilities that she will need to meet in order to get a weekly allowance. We are paying her $5 /day to be at school, another $10 for meeting a set of basic expectations of respect, honesty, communication, and personal responsibility, and then she can earn another $10 for doing certain chores. Part of the agreement is that she has to save half of everything she earns towards a car. I'm trying to remember, but $23 seems like it would have been plenty of spending money for the week when I was 17.

We took her to our local high school to get enrolled on Wednesday, but she is so far behind in her credits that they referred us to the continuation high school. Not to be judgmental, but we were really hoping to get her into the regular high school so that she'd have a better chance at meeting the "right" kinds of friends.

She was distraught to learn that the continuation high school runs a full day program. Apparently last year she only had to be at school for 3 hours each day, and had the rest of the day to hang out with friends. When we talked to her mom and previous school counselor about this, they argued that she just couldn't handle a whole day at school and tried to tell us that she'd never agree to it. Ummm. Ohh-kay...

As shocking as it might sound, she seems to be responding well, so far, to the expectations and structure that ML and I have laid out. Granted its only been 5 days, but she has been getting herself up in the morning, catching the bus to school, attending all day, eating dinner with us, and spending an hour each night doing 'homework' of some sort. She's been testing the rules, to see how flexible they might be, but in a very respectful way.

I have to say that I am falling in love with ML all over agin watching him interact with this child. Seeing him rise to this challenge with such patience and commitment really makes me melt. Its like I have a newfound sense of respect and appreciation for him, seeing most incredible qualities in him shine bright.

So far so good. I think that we've got a lot of the right pieces in place to do this right, but holy moly. Jumping straight into parenting a 17 year old... its definitely giving me a lot to think about as we prepare for the arrival of our own little one.

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Puppy Love

My dear sweet puppy has become exceedingly affectionate. I am starting to think that she might sense this pregnancy. She has always been a really sweet dog who is very attached to me.

Maya is our 4 year old German Shepherd, so not really a puppy, although often mistaken for a puppy.

Every morning after ML gets up and out of bed she slowly crawls from the foot of our bed up into his spot on the bed, her head on his pillow, snuggled right up as close as she can get to me. We sleep together like that for another hour or so until she finds some exposed skin, an arm, or my face, or a hand, to start licking. It is annoying, but so sweet and tender that I can't help but love it. Its our time. ML get jealous that in the rare event that I am out of bed before him that she doesn't stick around to cuddle with him, but instead follows me out of the room.

We also have a bedtime routine that, until recently, was like clockwork.  We all hang out in the living room, ML and I on the couch and Maya on her dog bed. When we are ready to make the move to bed, she jumps up and heads down the hallway, stopping midway to make sure that we are right behind her. We get to the bedroom where she plops down onto her dog bed (yes, we have dog beds all over our house!). She watches patiently as ML and I go thru our bedtime routine and finally climb into bed. She waits until we are settled and then gets up, walks to the side of the bed to ask permission to climb up, and then makes herself cozy at out feet. She stays on the bed for an hour or so, then acts irritated by our feet and jumps down to sleep on her bed where she stays until morning when she joins us at our feet again.

Its been like this for ages. Until a few nights ago.

All of a sudden Maya is heading directly for the bed. and not for the foot of the bed. By the time i am done with my bedtime routine and ready to climb into bed, Maya is staked out with her head on my pillow. It takes both ML and I to roll her 70 lb body down to the foot of the bed so that I can climb in. As soon as I am in the bed she creeps her way back up, right in between ML and I. Its like she can't get close enough to us.

Then last night, when I refused to let her in between us, because, you know, I enjoy sleeping next to my sexy husband, she crawled all the way up my other side so that her head was at my pillow. She then proceeded to try and push the covers out of the way so that she could be IN the bed with me. It was bizarre, but so sweet. I could be making this up, but I swear that she was trying to get as close to my stomach as she possibly could. Even stranger was that she stayed cuddled up right next to me the entire night.

Something is going on with my puppy. Whatever it is I am loving all of this special puppy love :)

Just for fun, I have this cute video of Maya when she really was a puppy eating a pumpkin that I'd grown in our backyard.


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Foster Placement?

Where do I even begin with this post...

After a complicated chain of events, it looks like my 17 year old cousin is going to be moving in with ML and I.

... just as we were about to reclaim our home as our own.
... just as we are about to take on a huge new responsibility as parents to our own child.
... just as we are preparing our finances to take a big hit while I am out on unpaid maternity leave.

A part of me thinks that this could be a huge disaster. but another part of me knows that we can give her a chance to graduate high school and experience success.

A part of me wonders if its just too late for her. but another part of me feels like she deserves a chance.

A part of me is scared about what impact this could have on my relationship with ML. but another part of me feels like this experience can only make us stronger as a couple.

We'd talked about her situation and the possibility of her living here for some time, but I never really thought that her parents would take us up on the offer. Then her mom called today, ready to take us up on the offer.

ML and I are outlining responsibilities, expectations, and house rules.
and glancing at each other with looks of terror...

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Leftover Medication & Lessons Learned

So friends, one of the lessons I learned from our IVF cycle is that some doctors recommend that you order all of your medications at once. I suppose that there are benefits to having all of your medication delivered at once. With a box of expensive drugs you get to take the money shot photo of all your baby making medications laid out on display, and I imagine that there is less worry about a freak snowstorm (in southern california?) shutting down the pharmacy and preventing delivery of a refill order mid cycle.

The downside however is that your medication protocol changes over the course of your cycle, depending on how you are responding to the medication. In my case, my dosages were reduced at every monitoring visit, which meant that at the end of my cycle I am sitting on thousands of dollars of leftover medication.

I shared this with my Doctor after our cycle and he explained that it is illegal to sell prescription medication, however I was welcome to donate it back to the clinic and they will donate it to future patients. I might have been open to this recommendation, except that I wasn't offered any donated medication for our cycle, and seriously I am sitting on thousands of dollars of unused medication. If I was going to make a thousand dollar donation, it would probably be to a very different cause and qualify me for a donation tax credit.

At least I can share this lesson learned with all of you who have yet to order your box of medication. And for our next cycle, when we are ready to do this again, I will most definitely remember to order a minimum amount of medication knowing that we can order additional medication as needed via overnight delivery throughout the cycle.

I am feeling like I want to get these meds out of our house, but at the same time, if I can't sell them, then I might as well keep them around. I'd hate to give them away for free now and have something awful happen that might require us to purchase more. All but the progesterone in oil have expiration dates that would let me hang on until December. Then in December, when I am holding our miracle baby, I might feel better about giving them away.

I keep wondering if there is a way to 'trade' these medications - you know, like a barter of sorts? Any suggestions?

In the meantime, check out my pharmacy of extra medication...

Menopur 2 x 75 iu  (exp 7/2012)

Vagifem estradiol vaginal tablet 10 mcg, #2, (exp 7/2013)

Zarah Tablet (Yasmin generic), 12 active pills, (exp 10/2012)

Endometrin progesterone vaginal insert 100mg, #16, (exp 8/2012)

Progesterone in Oil (Ethyl Oleate) 50 mg/ml, 10ml (exp 10/05/2011) - still sealed

Progesterone in Oil (Ethyl Oleate) 50 mg/ml, 10ml (exp 10/05/2011) - half used, no longer sealed

Ovidrel prefilled 250 mcg syringe refrigerated, #1, (exp 7/2012)

Follistem AQ Cartridge 900 iu, two full cartridges!, (exp 3/2013)

Follistem pen with partially filled cartridge (exp 3/2013)


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On Tour

Happy Saturday!

ML and I got home last night from a week long vacation to visit family, friends, and follow one of our favorite bands for a few nights. I've been looking forward to this trip for so long, and had such a great time. It is good to be home though :)

Best part of the entire trip was on Wednesday night. We had just arrived at the show, looking for a place to set up as home base where I could sit as much as I needed, while the boys roamed to dance in the crowd. The venue was mostly standing/dancing, but there were some bleachers set up although they were pretty full looking when we arrived. As we scanned for a few empty seats a man in the very first row caught our attention and asked us if we needed a seat. He said something about pregnant women needing a comfortable place to sit down and offered us the two seats he'd been saving for his friends! We had two of the very best seats in the entire venue, which was beyond awesome and made for a fantastic night.

Even more awesome than the seats, which really were amazing, though was that this was the first time that a stranger had acknowledged that I was pregnant. I could have cried. Instead I smiled the biggest smile and basked in the glow of this experience all night long. It might sound strange, but I've been waiting for that moment for so long. And it was perfect. 

Then later on in the evening a woman sitting next to us leaned over and asked me when I was due :) Again I could have cried. It just felt so good, so perfect.

Another perfect part of the shows was on Monday night when they played one of my favorite songs. ML and I were dancing and as they sang the course "We want you to be happy, cause this is your song too" ML just kept rubbing my belly. It all just felt so wonderful I could barely contain myself.

http://vimeo.com/27512271


Phish - 8/8/11 "Joy" from Phish on Vimeo.

Sending lots of love,

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kind words and irony

I got an email this afternoon from a colleague at work. It seriously made me tear up.


"Foxy … You’ve really been on my mind the last couple of weeks, really ever since you told me about your long awaited success in becoming pregnant.  I could see in your eyes when you shared your news with me just how joyfully anticipated this baby is for you.  I hope with all my heart that your pregnancy proceeds without complication and that you bring a healthy happy baby into the world.  What a wonderful thing for a child, before it is even born, to be so anticipated, wanted and loved.  Please continue to take good care of yourself … you’re looking amazing!"

I don't know this woman particularly well, but I do know that she had had some medical struggles of her own in recent years. I don't know anything about her personal life, if she is married, has kids, or what. I would guess that she is in her early thirties though and wonder if there is a reason why my news has touched her. I know that I need to reply, but I don't have any idea what to say...

Interestingly, I'd asked her boss about his kids - the ones I see in picture frames in his office - sometime last year. He explained that those were his niece and nephew, that he and his wife were not able to have kids. He continued, unprompted by me, to share that they had looked into donor sperm, but never made the decision to proceed, and finally too much time had passed, and it was too late. He was so calm and confident in his explanation, clearly grieving the fact that they had never had kids yet acknowledging that there were options they could have pursued. I listened, but didn't/couldn't reveal our struggle.

He was one of the first people at work who I told about our pregnancy. I did it over the phone because I was afraid that I'd cry. I told him we'd had a long journey to achieve this pregnancy, and that our earlier conversation meant more to me than he could have ever imagined. My voice cracked as I thanked him. He seemed caught off guard, and sincerely touched. 

There has been some internet discussion lately about our need to start talking about infertility more. I find it so ironic that it has only been since we achieved this pregnancy that I have been comfortable revealing our struggle more openly.
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PS - ML is still in Vegas with his dad. I flew home on Monday night. After a rocky weekend in the ICU his dad was released to go home Monday night and is doing exceptionally well. The man is amazing.

this and that

Oh my goodness, it is really ICLW again? I totally forgot to sign up this month.

I've written so many posts in my head these past few weeks, but haven't made it to the computer to write anything down. I swear that I've become much more tired in my second trimester than I was in the first. It also feels like I have so many more evening commitments, making for long days.

I think I'll make this a Friday leftovers kind of post, since I really do have so much to catch up on...

First things first, my father in law is really sick. We knew that he had been admitted to the hospital earlier this week because he was having some heart problems. This man is like a medical rockstar though and while we keep close tabs on him when there are medical issues, we don't usually worry. This time was different. ML got a call on Thursday morning from FIL's wife who sounded quite distressed and explained that things were much more serious that FIL had let on. She didn't tell us to come, but it was clear that they were quickly running out of medical options to manage the situation. We immediately got in the car and headed to Vegas. ML's sister received the same call that morning and was on a flight an hour later. Its been a long 30 hours, but FIL is a fighter and has been stable since we arrived. He's in the cardiac ICU heavily sedated but seems to be responding well to the 5 hr surgery he had yesterday (where he flatlined and they had to do CPR to bring him back). ML and his sister stayed at the hospital last night and are there for the night again tonight. ML and his dad are really close and I feel like ML really needs his dad here as he transitions into parenthood.

Because we are camped out in the ICU, I am not in my normal routine and not eating on my normal schedule. Apparently I waited too long between breakfast and lunch today. As we were ordering our lunch my stomach turned and I had to run out of the restaurant to throw up. It was embarrassing, and has left my stomach feeling messed up for the rest of the day. I thought because I made it through the first trimester without tossing my cookies that I was in the clear. No such luck :) (but I am most definitely not complaining :)

We had our 20 week ultrasound on Thursday morning. It was very cool to see the baby again and to know that everything is still looking good. The OB said that the baby is growing on the big side, but that is great as long as I am eating healthy things, which I am. I'd wanted to ask her about home birth with a midwife, but we'd gotten the call from ML's step-mom right before she came into the room, and I was more worried about talking to ML about what was going on with his dad. I really like our OB and wish that we could keep her on our team, so that I can still get the 34 week ultrasound, and as a contingency in case we needed to transfer to the hospital from a home birth. Unfortunately our medical system is not set up to allow for that.

Speaking of homebirth, we met last week with a local homebirth midwife. It felt so right. I can't even remember all of what was discussed, but we talked for about an hour with the MW and her apprentice.  They asked us some questions that led ML to laugh and tell them about our experience to get pregnant. One of the reasons a homebirth feels so right to me is the chance that it gives us to reclaim ownership of this experience. At one point ML asked what kind of supplies we would need for a homebirth, specifically if we would need "one of those tubs". I feel so lucky that he is so open and supportive to these options, that I wouldn't have even thought to bring up. They asked about our expectations for labor and delivery and I realized that so much of my focus has been on the ultimate outcome of holding our child, that I really haven't given much thought to the actual birth. They asked me about my birth fantasy to which I honestly answered that it is simply to end up holding this baby. I told them that I would have had very different answers to these questions five years ago, but so much has changed since then. They felt that we were excellent candidates for homebirth and would love to work with us. We haven't made any decisions, but I think that we are strongly leaning towards the homebirth option.

I got an email today from a new local IF friend who also blogs at http://pathtonewhope.blogspot.com/. She has been through so much, including the death of her premature twins a couple years ago, and just gave IVF another try. She had her beta on Tuesday and I've been waiting anxiously to hear from her. The news is good and she is officially pregnant! I am so excited, and nervous, for her. Please stop by and send some peace and love her way.

I also want to send out a big huge congratulations to Katie at http://www.fromiftowhen.com/. I LOVE her blog, my heart breaks for her journey, and I am so proud of her for winning the 2011 RESOLVE Hope Award for best blog. Go Katie! May this year bring many other wonderful surprises to this awesome lady!

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Meeting my Congressman


Dear Barbara Collura, Executive Director - RESOLVE,

I met with Congressman Awesome, and a member of his staff, this morning. We spent about 45 minutes talking in his District Office.
 
I'd sent him the Infertility 101 Factsheet and Family Act Factsheet in advance of our meeting. He'd had a chance to read thru the material and review it with his chief of staff. He explained that it was unlikely that this legislation would successfully pass through the Senate, since it would set a precedent for other similar bills to follow.
 
He felt that we would have more success working on advocacy at the state level, or as part of federal health reform, or even as part of federal tax reform efforts that he sees coming in the next 5-10 years.
 
I asked him about sponsoring similar legislation in the House, and while he supported the concept, he did not think that that a tax credit for any specific medical procedure would be successful.
 
I shared a little bit about the experience that my husband and I have had trying to build our family. He was empathetic and commented on the fact that people don't talk much about infertility. I explained that a year earlier I would not have been able to sit and have this conversation because I would be crying and incoherent. Besides, I said that people don't normally talk about how they conceived their children as it is a highly personal and private matter. I explained that it was only now that I am 19 weeks pregnant, thanks to the miracles of IVF and a retirement savings account, that I was able to speak about the pain grief and loss of our journey.
 
He suggested that we could write off medical expenses that exceeded 7.5% of our income. I replied that we'd spent nearly 50% of our gross income on medical expenses last year and appreciated the medical deduction.
 
At one point in the conversation he used the term "infertility and other exotic diseases". I didn't draw attention specifically to that statement but tried to emphasize the prevalence of infertility. I compared infertility to breast cancer in its prevalence, but reiterated that infertility is usually suffered silently.
 
He reiterated the suggestion to work on this at a State level, especially considering that we have a progressive insurance commissioner in office now. He also suggested that I lobby my employer, the County, to provide infertility coverage as part of our benefits. My boss is a County Supervisor and he was sure that she could get our coverage expanded. I assured him that I was working with the County on this issue, but that the county contracts with the State CalPers plan and we actually had little local control over the benefits offered.
 
I also tried to emphasize how lucky my husband and I were to have access to the funds necessary to receive treatment. I explained that most young couples in their 20's and early 30s who are experiencing infertility do not have a savings or retirement account to finance their treatment. I told him that my husband and I have spent $50,000 on testing, diagnosis, and treatment.
 
Finally we talked a little about the medical side of infertility. I urged him to support additional research in this area. The treatments that we used were not available 10 years ago, and we would have benefited greatly from treatments that will be available 10 years from now. I mentioned the CDC workplan and thanked him for the SART statistics that track IVF success rates. I explained that the costs of infertility could be much better controlled if there were mandates for coverage. In our case we chose to transfer two embryos because our costs would be the same for one or two, however if we had multiples the cost of a high risk pregnancy and NICU care would be borne by our insurance company. The cost of one IVF cycle that limits the number of embryos to transfer would be significantly less than the cost of a baby who requires the NICU.
 
We also talked a little bit about my work on other political issues, namely fighting for the inclusion on maternity coverage as a basic benefit of all health insurance plans, and my paid work for our local County Supervisor.
 
There was more to our discussion, but I think that this highlights the most relevant parts. Please feel free to call if you have any questions or would like me to elaborate more.
 
Thank you again for championing these visits and for providing the materials to facilitate this visit.
 
I would like to plan a follow up visit to meet with Dave Jones the California State Insurance Commissioner. Is there a chance that a RESOLVE staff or lobbyist would be able to join me for such a meeting?
 
take care,



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