Thursday, April 16, 2020

We euthanized our control yesterday

At the end of any research study, the animals are euthanized.  This is because they need to be autoposied so the scientists can figure out what changes happened inside the animal during the study.  They take sample of all the major body systems (heart, lungs, liver, spleen, pancreas, and kidney, as well as some connective tissue in this case) and analyze them.  I'm not involved in analysis, but obviously I am there for the euthanasia part.  More than just being there, I'm the one that gave the injection to euthanize the animal.  The animal was then immediately taken to the pathology center so tissue samples could be taken, blood drawn, and the carcass disposed of properly (cremated).

I've worked in a field that utilizes euthanasia for most of my adult life.  Veterinary medicine employs euthanasia as an option in some cases, where medically appropriate.  This is not the place to debate whether or not euthanasia as a practice is ethical, acceptable, or whatever.  My contention is that it exists, we use it, and it's a reality of my job.  I'm not making (nor inviting) a judgement call about the practice, just acknowledging its existence.  A lot of veterinary professionals site euthanasia as the reason they suffer from burnout and compassion fatigue.  Again, I'm not here to debate that fact, although I will say that I have had compassion fatigue in the past, and it wasn't really related to euthanasia.  It wasn't really related to anything having to do with the animals, actually.  It was usually because of the rudeness of pet owners (I got accused of not loving animals more times than I care to remember) and the unrealistic expectations of some doctors I worked with.  So I'm not opposed to the idea of euthanasia in general, and in fact most of the time it's the most loving thing we can do for a pet who is suffering and has spent their life being a companion to us.  We tell them thank you for being a good pet, and we let them go.  

But euthanasia in my current job is different.  These animals aren't sick.  They aren't dying.  This is their contribution to science.  It's their job.  One of the reasons I don't have an issue with euthanasia is because I take it seriously, I treat the animal with respect, and that makes the experience less routine.  I've developed a mantra of sorts that I frequently will say over animals as I euthanize them: "Black god take you gentle, Weiryn keep you safe."  These are both Pagan gods, the Black God is the god of death, Weiryn is the god of animals.  In Pagan tradition, the Black God escorts the dead (of any species) across the veil to the next life.  Weiryn protects animals who have died and makes sure they have all the blessings they might have been missing in this life.  With this job, I added, "Thank you for your sacrifice."  

The animals I'm responsible for will die. They have to.  It's how we'll learn from them.  You may have a personal issue with research, euthanasia, or animals in captivity at all (remember that includes pet ownership), and that's fine.  You don't have to agree with me.  But I have to find some way to make that okay for me, or I will definitely get burnout or compassion fatigue or just bored.  One of the guidelines I've developed for myself is to acknowledge that euthanasia is routine.  Routine means that we do it frequently, and we have a formula for how it's supposed to go.  But that doesn't mean it has to be mundane.  We can still take it seriously, we can still treat an animal with respect, we can still thank them for whatever contribution they have made, whether to science or as a companion.  So I thank them appropriately and I move on.  It's the best thing I can do.

Black God take you gentle, Weiryn keep you safe, thank you for your sacrifice.

Tuesday, April 14, 2020

Being part of an essential research department during a pandemic

We're all familiar with the COVID-19 outbreak, I don't need to go into that.  I started my current job in a research department of a university right before the "shelter in place" orders went out.  I believe I had two weeks of "normal" before the order went into effect.  In response, the university closed its campus, and all the students and faculty began working from home.  Classes are being conducted online, conferences and other on-campus events were canceled, and anyone not deemed "essential staff" was ordered to work from home.  I don't have a lot of contact with students or faculty, so I can't say how that end of things is going, but from what I understand of the administrative part of the staff, working from home is working wonderfully for them.  

Active research was deemed "essential", so I keep coming to work every day to do my job.  A job that is quite nebulous regarding its requirements and daily responsibilities.  The big picture is that my job is to make sure animals are being treated humanely and appropriately.  That divides itself into a number of things ranging from monitoring anesthesia to doing daily drug administration to socializing and caring for the animals.  There is a separate animal care staff that is responsible for food, water, cleaning, etc.  If we happen to have surgeries on any given day, that is my primary responsibility, if not, then I focus on socialization, administering drugs, and inventory/administrative tasks (document, document, document).  I also have to clean and maintain all our surgical instruments and equipment and keep track of inventory and ordering.

What is especially weird is coming to campus day after day when there's basically no one here.  Security is here, as well as shipping and receiving, and a handful of researchers.  A small handful.  My desk is an unused open bench in the lab.  As I type this, there is one other person here, a researcher I don't know, doing work I'm not familiar with.  The whole thing is like a setting for a zombie apocalypse movie.  Every morning I arrive at work and enter my building through the loading dock.  Why?  The key card system used to lock the front doors of all the buildings has been turned off.  The only way to get into any building is with a key, and only security has those.  So I have two options when I get to work in the morning: flag down a security guard and ask them to let me in, or go through the loading dock.  I typically opt for the loading dock because I don't have to bother anyone for that (not that they're bothered, they don't want to be sent home).

Once I'm in the building, if I see more than 4 other people in a given day it's an event.  My floor of my building is only for research, so there's no reason for anyone else to be here.  Most days I'm the only one in the lab.  It's also a biosecure facility so in addition to no one NEEDING to be here, no one can actually get into the lab or the vivarium (where the animals live) without authorization and a key.  The key is actually a chip embedded in my badge which I use to open any doors I need to enter.  Out of curiosity, the other day I went exploring on the other floors of my building, which are classrooms, offices, and study rooms.  

They were categorically empty.

Now, I'm an introvert who also happens to have social anxiety, so the fact that I never see anyone doesn't really bother me.  It is, however, creepy AF.  These rooms that used to house groups of students studying, professors giving advice and criticism, and lectures and presentations now stand empty and dark.  The cafe on campus is closed until further notice, so that social center is quiet, dark, and unpopulated.  I couldn't get in there if I wanted to.  I keep expecting Norman Reedus to jump out from behind some corner, but sadly, he never has.  Campus walkways that are usually filled with students, both current and prospective, are deserted.  Outdoor seating areas have been abandoned.  And obviously the parking lot is a virtual ghost town.

All of this inactivity makes me curious about what will happen when we can again go back to "normal".  My personal hypothesis is that there will be a new "normal".  I don't know what will be new, but things will not go back to the way they were.  Employers have learned that employees can telecommute, event to do things they didn't previously think could be done at home.  The food service industry has encountered new ways they can serve their customers from takeout to delivery to allowing customers to buy grocery items from them.  What, then, will happen when the order is lifted?  Like I said, I don't know.  But I'm very interested to see what the evolution of this situation will be.

Until then, my job is still my job, and I'll keep doing it while also maintaining social distancing, wearing a face mask when I go into public spaces, and staying home when I can.

Thursday, February 6, 2020

I got a job in animal research. Here's what happened.

First, a little background.

I'm a Registered Veterinary Technician and I've been a college instructor for the past 6 years.  I teach vet tech students.  I teach anatomy and physiology, small animal medical nursing, clinical pathology, exotic animal nursing, and laboratory animal nursing.  It's great, I love it, but I never get to do anything medical anymore.  Recently my supervisor left the college, and it seemed like a good time to see what else was out there for me.  Am I even qualified for anything else anymore?  I accepted a job in animal research.

Now, I haven't even started this job yet, but when I told people I had accepted it, I was met with something I should have expected: divisiveness.  I should have expected it because I know this topic is divisive.  I should have expected it because I know most of the public suffers from the same misconceptions about animal research that I used to have.  If you knew 16-year-old me, you would know this is a serious violation of what used to be my very firmly held (if uneducated) beliefs.  But for some reason, I expected the people I'm friends with to accept this about me.  To maybe ask me questions about why I decided to go this route.  To take an opportunity to find out what animal research is really about.

Instead, people have been expressing sentiments that range from supportive and congratulatory to disgust.  The word "disappointment" was used.  Interestingly, none of the negative reactions have been directly to me.  Most of them have been in passive-aggressive comments to other people in my hearing, negative memes posted on social media, and text messages to other people in my circle.

I wasn't aware that I had to consult my friends when searching for a new job.  I wasn't aware I needed their approval.  And I REALLY wasn't aware that some of them would decide not to be friends with me anymore. 

Not one of them asked me why.  Not one of them asked me what kind of work I would be doing.  Not one of them asked me what kind of research was going on.  No one bothered to gather any real information.  And you know what?  I'm fine with that.  If my job is a reason to stop being my friend, then we need to evaluate whether we were really friends to start out with.

So for fun, I found out some stuff we have because of animal research.  And I have to say, I'm pretty excited to be a part of something that may one day save someone's life, cure a chronic illness, or be the Next Big Thing in modern medicine.

1) Organ Transplants: Organ transplants used to be really complicated.  There were a series of genetic markers that had to match up, or the recipient's immune system would reject the transplanted tissue and the patient could die.  Then we found (through animal research) some drugs can suppress the immune response to the foreign tissue and make the recipient more likely to accept transplanted tissue that didn't match all the genetic markers.  The downside to this was that the antirejection drugs had to be taken lifelong, were very expensive, and suppressed other parts of the immune system as well, making the patient more susceptible to disease.  Now (also because of animal research, specifically with mice and rats) we have gene therapy that can target the triggers of the transplanted tissue and make it invisible to the immune system without drugs, and without suppression.

2) Balloon Angioplasty: This is a procedure where a surgeon threads a catheter through a blocked or partially blocked artery and inflates the balloon to open up the blood vessel and restore normal circulation.  The procedure was discovered and perfected using rat and pig models.  Currently, more than 200,000 people in the US receive angioplasty due to heart issues secondary to cholesterol build-up, and more and more babies born with congenital circulatory deficiencies are being "fixed" with this procedure.

3) Epilepsy: This one is a big deal to me, as a person who has a seizure disorder.  Certainly, we know that anti-seizure drugs are developed through the use of animal models.  But did you know that current research with mice has isolated a number of gene mutations that are linked to the cause of epilepsy?  Through this same model (mice) we've learned that certain types of epilepsy can be managed by including more of certain amino acids in the patient's diet, eliminating the need for drugs altogether.

4) Universal Flu Vaccine: Sounds like a pipe dream, right?  I know what you're going to say: "But the flu virus mutates every year."  And you're right.  It does.  HOWEVER, there are certain things in the DNA of the flu virus that make it influenza and not some other virus.  No matter how much the virus mutates, it will always be a flu virus.  That means, if we can find a way to create a vaccine against anything containing those DNA markers, we can create a universal flu vaccine that protects against all strains of the virus.  In 2015, a universal flu vaccine was developed that protected mice from 8 different flu strains.  The next step is to move on to ferret trials.  Why ferrets?  They live longer than mice, so immunity can be tracked over time to see how age affects the efficacy of the vaccine.

5) Parkinson's: Using mice and monkeys, we discovered that the neurotransmitter dopamine (more accurately a lack of it) is largely responsible for the tremors associated with this chronic and progressive condition.  Using that knowledge, we've been able to develop drugs that block certain neurotransmitters and enhance dopamine's action in the brain to control symptoms.  We've also learned using monkeys that Deep Brain Stimulation (a surgical technique used to direct electrical currents in the brain and control motor movements) is successful in patients who don't respond favorably to medications.

6) Stem Cells: I know it seems like stem cells are brand new research, but that's really because it only went public not too long ago, and people are understandably nervous about the ethical implications.  However, stem cells have been studied as far back as 1961 as far as how they may be applied to nerve damage (think spinal cord injuries and paralysis) to regrow nerve tissue and restore its function.  That research has continued, and we now know that stem cells in a certain type of tissue, rebuild that type of tissue.  Researchers are currently trying to develop cell therapies that involve transplanting stem cells into certain organs or tissues to rebuild and repair them in targeted locations.

So that's what I'm going to be a part of.  That's the legacy of this branch of medicine.  It's complicated and messy, and a bit of an ethical jungle.  But on average, humans in developed nations are living about 30 years longer than they did at the turn of the 20th century because of discoveries made using animal research.  And that's worth contributing to.

Thursday, August 15, 2019

Can I please just have some supplies?

 A few months ago, the administrative assistant at my work left.  I'm not angry about that.  She got a better position, moved, it was just a better situation for her.  I'm happy for her.

However, I have feelings about her replacement.  Feelings.  Negative feelings.  Angry feelings.  Frustrated feelings.  Exasperated feelings.  I don't want her job, but I'm positive I could do it better than she does.

Here's the sitch: I'm in charge of ordering supplies for our department.  Anything we need for class, labs, whatever, it's my job to order it.  Because I work for a corporate entity, there is a defined procedure for obtaining approval for those supplies.  I create a want list (a list of the things we need), I submit it to the administrative assistant, she  performs some kind of black magic involving Accounts Payable, and the list gets returned to me with a Purchase Order number on it.  Then I place an order, everyone's happy.

At the same time New Girl was hired, the system for Purchase Orders changed in some way.  My part in it is the same (I think), but apparently something has changed in the black magic portion of the process.  I found this out because shortly after she arrived, I discovered that two of my purchase order requests had not been returned in about 2 months.  I asked her about it, and she pulled out a folder and asked me, "Is that what these are?"  My requests had been sitting on her desk for 2 months, without being processed.

This is where the drama started.  I asked her if there was another way she wanted me to submit them.  I thought maybe they had gotten lost or delayed because the change dictated that I needed to follow a different protocol in requesting purchase orders.  She told me she was working with the assistant from another campus on the purchase order process, so things were moving more slowly that usual.  I asked her if she needed me to resubmit these requests to the other campus for the time being.  She said I couldn't do that because she (New Girl) had to "be aware" of what was ordered.  I asked what she needed me to do.  She told me a really long story.  It had a cast of characters that ranged from humble instructors like myself, to corporate employees in charge of huge budgets.  None of it involved telling me what I had to do.  I was losing my patience.  I said, "Those are all great things.  What do you need ME to do to make this process more efficient."  Commence another epic recounting of the entire system.

I took my issues up the ladder.  I spoke to my supervisor.  I spoke to the campus president.  No one could figure out what my role is in this process.

I now have 5 pending Purchase Order requests, the oldest of which dates back to July 17, that have not yet been approved.  I have a list of supplies needed a mile long and all it does is get longer.  Yesterday, I took some students to a lab where we did not have enough supplies to get everything we need done.  A colleague who teaches the dissection portion of Anatomy and Physiology is attempting to teach the class without enough gloves, surgical masks, or absorbent pads.  Next week, I have to teach a class how to run a blood test, and we don't have enough syringes to make this happen.  And to make things even more awesome, the vendor where we obtain our testing supplies has placed a hold on our account due to nonpayment.

My supervisor is working on it.  The Dean of Education is working on it.  The Vice President for Campus Affairs is working on it.  I don't know where the problem is.  But while this is being "worked on," I continue to submit lists and request Purchase Orders, none of which get approved.  And who suffers?  My students.  I have to somehow teach students practical skills without the supplies they need to perform those skills.  I have coworkers asking me when they're going to get their supplies.  All I can do is shrug.

And the other day I drank way too much coffee, had a minor panic attack, and started looking for new jobs. 

Universe, HELP!!!!  What can I do that I have not already done?

Tuesday, April 2, 2019

At 40 I Decided to Run a Marathon

I'm not a runner.  For a while I dabbled, but I could really never be called anything more than a jogger.  I'm slow.  I'm lazy.  I run because it's cheap, and I know it's good for me.  I've run in a few 5k races and one 10k.  That was good enough for me.

My husband said that for his 40th birthday he wanted to run a marathon.  "Great," I said.  "Pick one you think sounds like fun, and I'll support you the whole way.  I'll make you weird smoothies, I'll help evaluate your form, I'll stand at the side of the road with a hilarious sign, whatever you need me to do."

A few weeks later, he said, "What if we did it together?  We could do it together.  Wouldn't that be fun?"

My logical response was, "No.  Not at all.  None of that sounds fun."

But now I knew.  I knew he wanted to do it together.  I knew he cared about it enough to mention it and ask, seriously, if I would consider it.  It was what he wanted for his birthday.

Fast forward a bit and our church was putting together a team to run the LA Marathon with Team WorldVision.  In case, you're not sure, WorldVision is a charity that brings clean water to communities in Africa.  They are the largest non-government organization providing water for people in Africa, to the tune of about a million people a day.  It's a great cause.  I told my husband, "There you go.  You can run with friends from church, raise some money for clean water, do the 40th birthday thing, you should check it out!"

We both went to the orientation meeting where they handed out the training schedule.  Team WorldVision employs a running coach, a physical therapist, and a nutritionist to help runners accomplish this crazy thing, and their training schedule is extremely gradual.  Definitely geared toward people who are not used to running.  As I looked at it, I thought, "Well, maybe I can do this.  If I start now, and follow the schedule, maybe I can make this happen."  And it was what he wanted for his birthday.

I signed up.

4 months later, I realized what a moron I am.  That was the day I did my first 10 mile run.  Now Team WorldVision is fantastically organized, and every Saturday, we had a group training session with everyone from Team WorldVision in our area.  Honestly, that was the only thing that kept me training sometimes.  I knew that if I didn't show up for the group run, they would notice and they would ask where I had been.  The day I joined the Double Digit Club was a rough one.  It took me well over 2 hours, and I was the last one to finish (a trend that continued through training up until the day of the race).  When it was over, my husband told me I could back out if I wanted to.  But I don't quit (read: I'm stubborn and don't think things through all the way so I tend to do things I'm not actually capable of).

I've lost track of when, but somewhere along the line, I injured a hip flexor muscle.  It's a tiny muscle that runs from the lower vertebrae to the top of the thigh bone.  However, it's the major muscle that pulls the leg forward, so straining or pulling it makes running (and walking if I'm honest) very hard.  According to my physical therapist, that event caused a bit of a chain reaction where the muscles of my thigh and backside had to compensate for the injured muscle, rotating my thigh bone forward and changing the way the mechanics of my hip work.  She also sounded as though she thought running a marathon might not be the best idea for me.  But she didn't expressly forbid me from doing it, and like I said, I'm too stubborn to quit.

Fast forward again to the day after my 40th birthday.  Why that day?  That was the day of the marathon.

We caught the shuttle from our hotel to the starting line at Dodger Stadium and stood in the back with the slow people.  In case you're unfamiliar with how races work, let me set this scene for you.  All 24,000 runners are organized into groups called corrals.  Near the front are the seeded corrals.  Those are the runners with proven official times in previous marathons who are not strangers to this particular crazy activity.  The number of corrals varies from race to race depending on the number of registered runners.  The fastest runners are closer to the front, and the corrals get slower as they move further away from the start line.  The final corral is called the open corral.  That's the one for people who are running their first marathon or who are too slow to run with real runners.

We set off just as the sun was rising.  And the day after my 40th birthday, I was running a marathon.

Things were great for the first 5 or 6 miles.  I was alternating running and walking and feeling pretty good.  Then I stopped to go to the bathroom.  In the 2 minutes it took to do that, my feet swelled up inside my shoes.  When I hit the pavement coming out of the bathroom, my feet hurt so much I couldn't run anymore.  So for 20 miles, I walked.

I walked uphill.  I walked downhill.  I walked through downtown LA, Chinatown, Koreatown, past Disney Concert Hall (uphill), through Hollywood, through Beverly Hills, Westwood, Rodeo Drive, the Sunset strip, and into Santa Monica.  Now, no one starts a marathon intending to drop out, but around mile 15 I was seriously considering it.  My feet hurt, my hip hurt, it was hot, my hands were swollen, I was sunburned, I couldn't figure out what I needed to make myself feel more normal.  Dehydration and exhaustion will make your brain do funny things.

About this time, I walked past an Episcopalian church.  Outside was a priest wearing a sign that said, "Bless me Father, for I have a long way to go."  He was sprinkling holy water on all the runners as we passed.  I will always be thankful for that priest.  Just as I was thinking about flagging down a medical transport and giving up, I saw his sign, and he smiled at me as he sprinkled me with holy water.  It helped me keep going.

Around mile 24, I stopped into a medical tent and asked if they had anything for blisters.  A nurse sat me down and asked me to take off my shoes and socks.  One word: blisters.  Blisters EVERYWHERE.  Blisters on the balls of both feet that were spreading up between my toes.  Blisters on the insides of both my big toes.  Blisters under the nails of both my middle toes.  Blisters on the insides of both my heels.  Blisters under the two smallest toenails on both feet.  I knew my feet hurt.  I knew I had blisters.  I was not prepared for the disaster that was actually present.  I commented to the nurse that the blisters were bigger than I had expected.  His response: "Yeah, these long races can take you by surprise."  I'm proud to say that I refrained from responding with profanity.  After covering my feet with moleskin, I squeezed my swollen feet back into my shoes and took off again.

About a mile further down the course, I came to the WorldVision support tent.  They gave me a bottle of Gatorade, and reminded me that every mile I had come so far represented a child who could go to school because they no longer had to spend the day fetching water.  Every mile was a mother who could allow her children to live normal lives for the same reason.  Every mile was a community that would be free of any number of preventable diseases now that they had access to clean water.  Then as I walked away, they shot me with a confetti canon.  I will always have a soft spot for confetti now.

At this point in the story, I have to stop and talk a little bit about Team WorldVision.  They are an amazing organization.  Not only do they support communities by providing clean water and child sponsorship, they also do an incredible job of supporting the runners who raise money for them.  They are there for the runners every (literal) step of the way.  They coached us on everything from how to buy the right pair of running shoes to ways to raise funding to being there all day the day of the race cheering for everyone and providing drinks, snacks, and encouragement.  That support was the only thing that kept me training, and as I reached the end of the course, it kept me going when my body wanted to do nothing but stop and collapse.

As I crossed the finish line, I wish I could say it made it all worth it and I felt incredible.  I didn't.  I wanted to die.  Volunteers put a huge medal around my neck, and all I wanted to do was rip it off.  I walked half a mile to the gear check truck, all the while wanting to lie down, and knowing that was the wrong thing to do.  I picked up my gear bag, and met up with my husband (who ran the same race with a kidney stone) at the WorldVision tent, where a well-meaning young man stuck a microphone in my face and asked a bunch of questions I don't remember, and I tried to answer through my "civilized person" filter.  Once he let me go, I sat on the grass and ripped my shoes off, peeled my socks off, and tried to figure out what I needed.

Now, if you've ever engaged in any ridiculous, extended physical activity, you know that when it's over, you have no idea what you need.  I told hubs I was feeling dizzy and he immediately peppered me with questions about what I needed.  I didn't know.  Water?  A snack?  Gatorade?  A massage?  I didn't know.  Finally someone handed me a can of ginger ale, and I suddenly knew that's what I needed.  I had the presence of mind to sip slowly.

We were supposed to walk about a block to the shuttle stop to go back to our hotel, but my feet hurt so much and were so swollen that not only could I not put my running shoes back on, but I also could not put on the sandals I had left in my gear check bag.  I couldn't walk.  I wanted to lie down.  There was nowhere to do it.  Finally, my father-in-law hired a pedi-cab to take us to his car and he drove us back to our hotel.

I also would love to say that I took a shower and a nap and felt almost back to normal, but that's not true, either.  I did take a shower, and a nap, but when I woke up it became abundantly clear that I was still dehydrated.  I drank a bottle of water, FaceTimed the kids, and my husband convinced me that I should probably eat some food, even though it was the last thing I wanted to do.  And my feet still hurt so much I could barely walk.  We ate dinner in the restaurant in the hotel lobby and went back upstairs. 

The next morning, after over 500 training miles and one day of hell, we drove home. 

I will never do that again.  Hubs says he might one day, but it will be in a different locale.  I told him I was 100% behind him if that's what he wanted to do.  But I will no longer be participating in the insanity that is marathon running.

So what did I learn?  Well, I learned I can, in fact, finish a marathon.  I learned that in order to do that, I needed a lot of support and accountability.  And I learned that we are all capable of things we thought impossible. 

Wednesday, February 5, 2014

And Now a Moment of Irony

Back in December, everyone in our house contracted that evil stomach bug known as noravirus.  Of course the kids were fine in a day, but my husband and I took a few more days to feel normal again.  In about a week, my husband was back on track feeling normal, but my version hung on and on.  It didn't matter what I ate or drank, I never felt any better or any worse.  I went to the doctor and found out I had an infection.  Ah!  The source of the tummy troubles demystified!  He put me on antibiotics and something for the nausea.  I figured it would all go away in a few days as the infection got better.

After a few days, I could tell the infection was going away, but I still felt nauseated all the time.  The doctor had warned me the antibiotics could make me nauseated and had advised me to take them with food, so I again figured it would all go away when the medication was done.  As I finished the medication, the nausea stubbornly hung around.  I went back to the doctor.

They said they wanted to run a pregnancy test.  Uhm... okay.  I guess it's their effort, not mine, that's wasted.  I could have told them the results before they even ran it.

Have you ever heard God laugh?

The doctor came back in and said the pregnancy test was positive.  Sure, I'll go ahead and say it again: the pregnancy test was POSITIVE!  After an ultrasound, I discovered that not only was I pregnant, but I was 9 weeks along!  I had gone almost the entire first trimester without even knowing I was pregnant.

I have previously alluded to the statistical unlikelyhood of this very scenario.  Only 5% of couples diagnosed with infertility conceive.  I'm now a statistic.  And all I could think about as I drove home was all the times I told people they were nuts when they said, "Maybe you'll still get pregnant."

We'd decided we were done.  No more kids.  We'd started giving away all our infant stuff: clothes, bottles, bouncy seats, the swing.  And now that there's going to be breastfeeding involved, there's a whole batch of things we'll need to acquire that we are completely unfamiliar with.

This is a weird place to be.  It's our third child, but our first pregnancy.  There are a lot of things we don't know, don't know what to expect, don't know what to do.  And yet once the kid gets here, we'll be good.  We've done the newborn thing before.

I've become the person all infertile couples resent: the infertile woman who conceives by accident.  And now I wonder how long I would have let it go before I found out.  Shortly after I found out I was pregnant, the morning sickness (remember that unexplainable nausea?) went away and I've felt fine for the past couple of weeks.  Would I have been that girl who thought she was just eating too much fast food?  What would have been the tipoff?  I'm not an idiot, but I was certainly not expecting this particular outcome.

The roller coaster of life.  And we'll now be riding it as a family of 5.

Tuesday, December 3, 2013

Adoption Advice I Wish Someone had Given Me

When we began our adoption process, we looked everywhere for advice, tips, stories, some kind of idea of what we were heading into.  We found very little.  We spoke to a few adoptive families we knew, but they had all adopted through private channels.  We never had an opportunity to speak to anyone who had gone through the foster system, as we were planning to do.  We learned many things along the way via trial by fire.  Now that we're on the other side of 2 finalized adoptions, and we've closed our foster license, I've compiled the following list of points I wish someone had told me about before this all began.

1. Be Vocal
Social workers are busy people, usually being asked to handle far more work than any human should be able to get done in a lifetime, let alone the week many of them are allotted.  They are also having to juggle a number of different types of cases at any given time.  You, a stable home with intentions of permanency, will likely be lower on the priority list than you would like to be.  Social workers focus their time where they can, and less stable, potential problem homes are going to be at the top of the list.  If there's something you need, or a question you want to ask, don't wait for your social worker to come for a visit, send out an e-mail, or give you a call.  Ask any questions you have, address any problems you encounter, bring up any concern you think of whenever you think of it.  Despite the work load, your social worker wants to help you.  That's what they're there for.  You just have to reach for it.  Be the squeaky wheel.

2. Be Candid
Your adoption worker is your advocate within the system.  They approve whether your family profile is considered for given child.  Let them get to know you as you are.  Be truthful.  No adoption worker is looking for the perfect family.  They know it doesn't exist.  They just want to know who you are so they can accurately match you with a child available for adoption.

3. Be Proactive
Don't be afraid to go up the chain of command if your questions are not being answered.  If any of your social workers is unable to help you, speak to their supervisor.  If you don't get the help you need, speak to THEIR supervisor, until you find someone who can give you the information you need.  At some point in the paper process, you will be given a list of contacts within the foster system.  Use it if you have to.  It's there for a reason.

4. Be Flexible
Remember that you could get a call at any time that a child is available.  Be willing to leave work early, call in sick, or move your schedule around to accommodate that meeting.  Your social worker has a busy schedule, as mentioned before.  They may need to schedule their meetings with you at the last minute, sometimes the day of.  Within reason (they understand you have a job and things that need to get done) be as flexible as possible to these scheduling anomalies.

5. Be Attentive
Take notes during classes and meetings.  Whenever you deal with someone new, ask for a card or make sure you write down their name and contact information.  This way, when you have questions or concerns, you can address them to the proper person who can help you get the answers you need.  Nothing prolongs problem solving more than asking questions of the person who doesn't have the answers.

6. Be Realistic
Although you do need to be vocal, it's not a good idea to pepper your social worker with questions and expect answers immediately.  Give them some time, have a little patience, and remember they WANT to help you.  They will answer your questions when they have the time and the correct information.

7. Be Thorough
When filling you any paperwork, fill it out COMPLETELY.  Don't leave anything blank.  If you have no information for a particular item, write "N/A" or "none".  One of the most frustrating things during the process is having paperwork returned to you because something was left out or done wrong.  County deadlines are not suggestions.  They are real.  If you're late, your process will be delayed.  Make sure everything is done on time and in the correct format.

As you navigate the system, pay attention to social workers, other families, and any other sources you may come across.  They are your allies.  You never know where some important piece of information will come from, so make sure you have your eyes open along the way.

Adoption is amazing, beautiful, meaningful, and rewarding.  It is also aggravating, frustrating, confusing, and complex.  Fill your tool box, and forge ahead.