Saturday, November 27, 2010

After Surgery

Life was fairly quiet for 2 weeks. I was on modified home bed rest and took it easy. I finally started to feel little baby kicks-which most people describe as flutters, but I honestly had no idea what that would mean. It felt similar to what I imagine popcorn popping feels like...or little bubbles popping. But it was cool.

When I was 22 weeks and 1 day I noticed an issue. (TMI warning). I felt as if I had sprung a leak...a decent sized one. Knowing that wasn't normal for me I called my peri- who had me come in for a sonogram. I was scared to death, because I just knew my water had ruptured-a common side effect of the surgery.

My Dr. performed the sonogram and assured me that the fluid around the boys was fine. Then she noticed the rather large amount of liquid on the paper. A quick exam and suddenly she was telling me I was being admitted for the duration.

My mind was seriously running ten million miles a minute. I called Randy so he could meet me at the hospital and I waited in a panic as a technician wheeled me to what would be my new 'home.' Everyone looked at me with was horrible. I knew that my water breaking was not a good sign. Knew that at 22 weeks there was no chance for viability. All I wanted to do was sob and yet I couldn't, for fear of making things worse.

I don't remember who gave us the grim prognosis first. An on call doctor, my doctor..doesn't matter really, they all said the same thing. Of women that rupture, 75% of them deliver within 72 hours. Of the women who make it through 72 hours, 95% deliver in a week. Even at 23 weeks, there is little chance of viability. At 24 weeks, there was a 10% chance the boys would survive if delivered. At 28 weeks, that chance went up significantly to 90%..and every week after that, even better.

What do you do with odds like that? Basically 1 woman in a 100 doesn't deliver in that situation. My luck was generally not that good. Randy and I were facing the very real chance that we would not have our babies safely. For the first 72 hours, I was hooked up to an iv, not allowed out of bed for any reason (no, not even that), and had fetal monitoring several times a day. I was monitored for contractions..and if I had more than few in a 20-30 minute period was given a shot of terbutaline. If the terbutaline worked, it generally meant I was not in labor.

The only thing I could do was lay there, drink lots of water (the more fluid I had, the more they had, and I needed to keep fluid around them), and pray.

Goodness did I pray....

I am Lame

And haven't posted in months. Even more..I realize I haven't talked much about the crazy life of having 14 month old twin boys. The joys and pains of cutting molars, crawling and cruising...and the maddening certainty of knowing when one child is playing with a toy, his brother will suddenly appear and want to play with it. EVERY time.

It doesn't matter how many toys are out...each boy wants the toy his brother has. Painful for Mommy and Daddy.

Oh...and the word "no"? Yeah, they don't care. Ahhh the joys.

Will Continue with the pregnancy saga and do my best to talk more about the boys.

Thursday, June 24, 2010


1 year ago today was our surgery for TTTS. It is so hard to some ways it feels like so long ago, and it others, as if it were yesterday.

The night following surgery was long, I was coming off an epidural and gradually allowed ice chips, water, and food. My feet were attached to a device designed to keep my circulation flowing to lessen the chance of clots (it was rather nice, kind of like a foot massage every few minutes.

My back hurt from the epidural and I was nervous about our sonogram in the morning. I hadn't felt the boys kick as of yet in the pregnancy, and it always panicked me to hear a doctor ask if I had. What if one of the babies hadn't taken to surgery? Worse yet, what if they both didn't like the change?

Randy and my mom stayed with me for most of the day and left in the early evening to go get some food and rest. I ordered from the hospital menu, which was awesome, because it was a children's hospital. It was like a giant menu of comfort food. And I got worms in dirt cake for dessert :) Hey...I hadn't eaten all day and I just got out of surgery- I earned it!

After a relatively sleepless night, my mom and Randy returned as we waited for our first post surgery sonogram. It was a scary moment, but almost immediately we saw two perfect little hearts beating. Baby B also had a little more fluid around him-woohoooo!

My mom and I were going to stay through the weekend and we would have a second sonogram on Monday to make sure both boys were still doing well. I was on a modified bed rest for the duration of my pregnancy- which meant I could get up to use the restroom, or eat a quick meal, but I had to really restrict my movement.

It was a stressful weekend, but I truly cherish the time I got to spend with my mother. We really got to talk and bond, and share our fears and hopes. It made the time pass.

Tuesday, June 1, 2010

Pregnancy part 9: Surgery Day

There are certain posts I am not looking forward to writing. It is primarily because the emotions attached to those memories are still vivid and raw. In this case, reliving the day of surgery is difficult. I still have a huge attachment to it.

I wasn't allowed food after midnight (kind of like a mogwai). I of course understand why, but being hungry and pregnant stinks. We got to the hospital in the morning and sat in one of the rooms in the Fetal Care Center. Our nurse practitioner ran us through what the day would be like and set up the line for my iv. For several hours it was nothing but waiting, as the surgery before mine took longer than expected. There was still a chance for my surgery to get pushed back in the event an emergency came into the hospital, but thankfully that did not happen.

I got to climb into a hospital bed and got wheeled down to the surgery prep area. It is very strange to be wheeled around while you are in bed. Gives you a completely different perspective of your surroundings. We met the anesthesiologist, who gave me something that would neutralize the acidity in my stomach (as she said, it tasted like the worst sweet tart ever), and something we ultimately called "happy juice." I recall saying something about having a nice buzz. Although I would have an epidural and would be awake for the procedure, she told me I probably would not remember much about the surgery itself.

They wheeled me into surgery and my husband and mom went to a waiting area, where they would be updated with progress. Getting the epidural was a challenge, as I think I panicked each time they tried to insert the needle. You need to arch your back as much as possible and I kept doing the exact opposite.

Once the line was in, they told me I could expect tingling, numbness, or a heavy feeling in my lower half. They wrapped me in a blanket to keep me from feeling cold and positioned me for surgery. I started to feel heaviness in my legs, and it was awful. It was literally like somthing was weighing down my legs and I couldn't move. It was almost painful. I remember asking if someone would move my legs out of that uncomfortable position. When the anesthesiologist looked at me, I tried to explain that I was slightly clausterphobic and not being able to move my legs was really freaking me out. I managed to choke the words out as tears streamed down my cheeks. She was incredibly kind, and reassured me that she understood, and added something to my iv line to help calm me down. I think I apologized for being so silly, and again was reassured that I was not being a nuisance.

It does get somewhat hazy from there. The doctors came in and said hello, and I remember making fun of the golf game of one of them (as his peers had asked me to do, lol). I tried not to focus on the surgery, on the doctors voices. My eyes were shut and songs from church played over and over in my head, so I could keep myself from panicking.

I could hear the doctors confirming their mapping, and calling for goggles for the laser (I got them too). The smell from the laser was noticeable, and slightly gross. Other than that, I don't remember much until I heard the doctors confirm they were done and finish.

Still fuzzy, they wheeled me down the hall to my husband and mom, who had been updated by the doctor. The boys shared 6 blood vessels, and the doctors were quite confident they had fixed the problem. They performed an amnioreduction, but opted not to do the microsepstomy, since baby b was shrink wrapped in his sac, and it was determined better to not try and make the hole. ( I was actually pretty happy about that) 6 blood vessels. 6 little vessels that could have killed my boys. I know there are women with over a hundred vessels, which takes longer for surgery, but any shared vessels amounts to the same thing.

The boys weren't out of the woods. The first 24 hours were most critical for Baby B and the first 72 most critical for Baby A. I would have a sonogram in the morning to see how the boys were doing. The surgery had a high success rate in practice (over 75% that one or both boys would survive), and I was hopeful.

Monday, May 31, 2010

Off topic

I have been thinking about all of the free stuff given to celebrities, just so companies can get the "free" marketing. Its a good technique...especially considering how star struck our society is. You see Angelina Jolie carrying a cute diaper bag and you have to have it...$200 price tag be darned.

But isn't it a little depressing? People that make millions of dollars getting freebies? Just doesn't seem fair,

I understand celebrities and their photos reach the most people in the quickest manner, but companies could really branch out.

What about a sweet, special education mommy to two twin boys? Who...may only have a few blogger followers but has many friends IRL as well as Facebook.

It may not be millions of people...but it would be authentic word of mouth marketing.

I challenge any companies that feel like giving away something for marketing value to give it to me. I'll take pictures, videos, write a formal review...whatever.

Just help a penny pinching mom out, lol!

ETA: If you type twinsane asylum into Google, I am one of the first sites that comes up...just sayin ;)

Thursday, May 27, 2010

Pregnancy and Cincinnati part 8

Echocardiogram time.

It was basically an ultrasound where they monitored blood flow and heart dopplers. I didn't understand most of what I soucl see them measuring. Unlike when you go in to your usual doctor, they didn't explain as they went. The process took almost an hour, so I completely understand not explaining...that would have taken an eternity.

The gist of the echo told us that Baby A's heart was enlarged-it took up almost half of the space in his chest cavity (WAY too big). And his little heart was working overtime. What we eventually came to understand is while Baby B was shrink wrapped and not getting all of his nutrients, TTTS was almost harder on baby A. The strain on his hear was worrisome, and if the surgery was successful, his heart would have to be monitored for several weeks afterward.

On to our meeting with Dr. Crumbleholme. We met in a conference room with several doctors and our case manager. The doctors introduced themselves and got the meeting started.

On a scale of 1-5, with 5 being the worst (which is death of one or both boys), our twins were at a 3. In Cincinnati, they also break level 3 into three parts of progression from A-C, with C being most severe. So in their terms, we were at 3-C. Obviously not good. With as quickly as it had progressed, if we did nothing, it would likely result in the loss of one or both boys.

Dr. C. had a fabulous bedside manner. He talked to me and not at me, gave me a folder full of studies and research (Yay! My geeky science brain was so excited), answered all of our questions, and even managed to make us smile and joke. He truly understood the level of strain I was under, and did everything in his power to make me feel as comfortable as possible.

We were candidates for surgery and the surgery would be the next day around noon (they had another surgery in the morning). The surgery was fetalscopic and a laser ablation (laser severing the blood vessels they shared). The doctors would go into the uterus with a camera and map out the placents to find the blood vessels shared by the boys-there could be anywhere from 2 up to hundreds. After they mapped it once, they would map it again to make sure they found eeverything. Next would come the laser and sever the connected vessels. This would allow each boy to have his own nutrients. Additionally, the Dr. wanted to do an amnio reduction on Baby A (remove some of the excess amniotic fluid) and a microseptostomy (tiny hole in the barrier membrane between amniotic sacs-would allow for fludi to evenly flow to both boys). We had the option to deny anything we weren't sure about-and could even make a final decision as of the next morning.

One other issue-Baby B had a marginal cord insertion. His umbilical cord was attached at the tail end of the placenta, and it meant that even under ideal circumstances, he would not get as many nutrients as his brother. The surgery would give them more information as to what percentage of nutrients he was getting.

I initially opted for all 3 things, though I was incredibly wary of the microspetostomy. The main risk of that was the potential for the rupture of the membrane which would put the boys into one sac.

The surgery had risks of its own. One or both boys might not accept the change, the amniotic sacs could rupture, etc. I couldn't do nothing...I had to take the risk.

Friday, May 21, 2010

Pregnancy part 7

As I said, Cincinnati Children's is huge. We had to go downstairs and into another wing to wait on the MRI appointment. Since it is a children's hospital, there are games, toys, small furniture, and of course, children everywhere. It was strange to be a waiting patient among them. I found myself wondering what each of them were there for, and praying for good news for everyone.

We've all seen MRI's on tv shows. I was ok with laying on the "bed", but was scared to death about having to go into the MRI headfirst. Luckily, since the MRI was on my uterus, I got to go in feet first. If I moved my head just right, I could see out of the MRI and felt much better. Of course I was more or less strapped onto the bed to position me correctly, which was not great. They also told me that it would take longer if I moved, so I vowed to remain as still as I possibly could.

What they don't tell on tv is that the MRI is LOUD. Obnoxiously so. Thankfully, the lovely technician put some headphones on my ears and piped music through them. I could still hear the MRI, but could turn some of my attention to the music and actually managed to doze off a few times. They talked to me through an intercom like system as they needed to, and it really wasn't that bad. I know I say that because I was not in that thing headfirst. If that had been the case I would have cried for the entire hour.

Right after I got out of the MRI, someone brought me a couple of juice boxes and some peanut butter crackers. It may not sound like much, but being pregnant and starving, it was as good as if it had been surf and turf!

On to lunch and then the echocardiogram, then the final consult with the doctors to discuss the findings.

And it was still Tuesday morning!

Thursday, May 20, 2010

TTTS and pregnancy part 6

It was Monday when I got into Cincinnati. My awesome mom had booked us a room at the Raddison on the Kentucky side (an absolutely fabulous hotel-they truly went above and beyond and we had paid a very discounted rate through the hospital.) Tuesday's itinerary was full and Randy was coming in Tuesday night to be there if there was surgery Wednesday.

Tuesday morning began early...I woke up about 5 so that I could eat something quickly, since I couldn't eat 3 hours before the MRI. I am a woman who needs her breakfast...and I was always hungry during my pregnancy, I wasn't sure if I would make it the requisite amount of time before I had a meltdown. The Raddison had a free shuttle that took us over to Cincinnati Children's Hospital (thank you again, Raddison. You are going to see me thank the hotel a lot...they were incredible.) The day started at The Fetal Care Center for our initial meeting and a sonogram.

The hospital was huge. You literally need a map or a tour guide to get through it. But it is truly an amazing place and they give the highest level of care. Though I do hope I never need to see it again-you understand.

Our initial meeting went well, they took all my information, answered questions, and guided me through what the day would be like. I was going to undergo all of the tests possible so the Dr. could confirm Twin to Twin transfusion as well as the severity. After the doctors had all of this information, they could determine if I was a candidate for surgery or what the options were. I remember at one point, I was aksed if the tests determined defects or disorders in addition to TTTS, if I would want to continue the pregnancy. I suspect I looked at the nurse as if she were crazy. I had come this far to save my babies...I wasn't going to give up on them for any reason.

I started with a lengthy sonogram, and my mom got to see "her boys" up close for the first time. (Gotta love the cooter cam). It wasn't difficult to see our Baby B was completely wrapped in his amniotic sac. His bladder wasn't working and he could not move due to a lack of fluid. Baby A, was in a swimming pool of fluid, but his little heart was working overtime to compensate for the excess nutrients. I cannot tell you what a relief it was to see each little heart beating, though. Every time I had a sonogram I looked for those tiny fluttering hearts, I was so terrified that we would lose one or both of them.


I know it has been far too long since i have updated! I will get back into it asap. The boys are 8 months old, and doing so well.

Elias is getting the first tooth, but Griffin is not far behind.

Griffin has a diaper rash that has required the prescription ointment which without insurance would be $100. ($50 with, but hoping they take my coupon. The sample seems to be working, I just hope it helps him!

No one is crawling yet (but they are only 6 months adjusted) Griffin sits on his own for the most part...he still bobs and weaves and tumbles over, but he is trying. Elias wants nothing to do with sitting up on his own. He will actually arch back so he is laying down again, lol. What a stinker!

I will update again soon and get back to the TTTS surgery!

Wednesday, February 3, 2010

Twin to Twin Transfusion pregnancy part 5

We were going to Cincinatti.

My Dr. faxed over paperwork on a Thursday (I was 19 weeks 1 day) and The Fetal Care Center at Cincinatti Children's Hospital called me with an itinerary that began the following Tuesday. I had to get into Cincinatti on Monday and plan to stay about a week.

Tuesday would consist of meetings with the doctor's, sonograms, and echocardiogram, and an MRI. If surgery was an option, it would probably be on Wednesday or Thursday and it would require an overnight hospital stay. Then I would have to go back for additional sonograms and echocardiograms a few days after the surgery.

First task was finding airfare, which was found at a fairly reasonable rate considering the last minute nature of the trip! My mom offered to meet me up there and stay with me for the week so that my husband could continue to work though he would fly up for my surgery. (We were trying to save his vacation days for when the babies were born. )

My mom took care of getting a hotel booked and we arranged to meet at the airport.

My head was spinning. What if I got there and the disorder had already progressed to far? What if I had already lost one or both boys?

I wasn't feeling movement yet, so I had absolutely no reassurance over the course of the weekend. In some ways, all of the tests could not come fast enough. I just wanted to see my little boys...see their tiny heartbeats.

I was also dreading the MRI, as I am clausterphobic and the thought of being trapped in a magnetic tube was terrifying.

I had been praying for my pregnancy all along, but now the prayers just multiplied. I asked anyone I could think of to add us to their prayer list.

Tuesday, January 26, 2010

Pregnancy part 4

Twin to Twin transfusion Syndrome is basically a placental disorder. The babies share multiple blood vessels in their placenta. One baby gets the bulk of the nutrients, grows much bigger, and gets surrounded by a swimming pool of amniotic fluid. The second baby gets far less nutrients and gets shrink wrapped in his amniotic sac. If left untreated, the smaller baby perishes due to lack of nutrition and organs shutting down. The bigger baby also will not survive due to his heart working too hard to process nutrients.

You *can* Google it...but I wouldn't recommend it. Searching the internet for information is great, but when you are researching any kind of information related to illness, Google is never your friend. You always seem to find horror stories and scare yourself even more.

It makes sense though...we often talk about the bad things at length. Think about it, how much longer do you focus on a bad experience at a restaurant versus a good one? With bad news, people are often looking for support and get out and post their stories out there.

So...we went to the perinatologist and initially she didn't see a problem. Great! I went back for a follow up and we noticed a discrepancy in the fluid amounts. The amount of amniotic fluid surrounding each baby is often an indicator of TTTS. In this case, our Baby A had noticeably more fluid than his brother. Our Dr. gave us a bunch of information, recommended restricted activity and suggested I start drinking protein shakes, as some research indicated the disorder is aggravated by lack of protein.

I went back a week later and the discrepancy was severe. My Dr. gently told me she was faxing all of my information to a Dr. in Cincinatti that routinely performs a laproscopic laser ablation to correct the syndrome. Time was a factor and if I wanted a chance to save one or both of my little guys, I was going to need to get up there and get evaluated, and most likely have surgery.

I couldn't breathe...My mind was filled with all of the "what if's" and I was overwhelmed with everything. I knew without hesitation I would make the trip, and if I was a candidate, get the surgery. I was 19 weeks at this point...I had to give my babies every chance I possibly could.

Friday, January 22, 2010

What work out?

Ugh. I MISS working out. I stopped somewhere around finding out I was pregnant because I was so exhausted all the time, I just couldn't do it. Then, I wasn't allowed extra movement...then I was on bed rest.

So it has been nearly a year since I have gotten any kind of real exercise in.

I miss running, I even have a new pair of Asics.

There is NO time. I wake up at 5 to shower, get ready, feed the boys (with help from hubby) out the door by 7 to get the boys to daycare so I can get to work. Pick the boys up around 5, get home, feed the boys, try to wolf down food while loving on the babies who have missed Mommy all day, feed the boys again and then it is 10 or 11pm.

I think I am going to dig out the Moby wrap, strap one of them to me...and get some squats and lunges in that way....

Wednesday, January 20, 2010

Pregnancy part 3

Due to my advanced maternal age (that just doesn't get old to make fun of) I opted to have a nuchal translucency versus an amniocentisis.  Basically, my perinatologist took some blood and had it tested, as well as performs a sonogram and measures the folds on the neck of the babies to check for genetic issues.
The sonogram was cool.  My doctor had a HUGE screen in her office, so I got to see my little gummy bears on a big screen.  It was amazing.  They were squirming around but did not give us any hints on gender...Booooo!
All went well with the screen and we were not worried about Down's Syndrome or any of the Trisomy defects.  At 16 weeks, I went into my ob's office for another routine sonogram.  I told my in utero children that they were welcome to show off their "stuff" this time, and it was likely the only time I would ever give them that permission.
Amazingly enough, they cooperated quite well.  Almost right away, our tech said "Baby A is a boy"  (Baby A was QUITE proud of his boyhood!) a minute or so later, she said "Baby B is a boy as well!"
Two boys.
Oh Lord...I was outnumbered in the gender category.  My house was going to be filled with 3 males...and the testosterone overload.
I was so excited.  And yes, I cried again...seriously, the crying thing was getting old.  I am not a crier, but the pregnancy hormones were having a field day with my emotions.
We had one name for a boy, we needed to come up with another one.  And now I could get the adorable blue cribs from IKEA we had loved. 
Then we went over the other results with my ob.  She told us she was concerned about the fluid levels around Baby B.  We needed to go back to the perinatologist for another sonogram (a better software) to check.  A certain discrepancy could indicate something called Twin to Twin Transfusion Syndrome.
And here is where our fun began.

Friday, January 15, 2010

Timing of milestones

So, I am fairly certain God plans things like babies hitting certain milestones at exactly the perfect time. The boys have been starting to smile here and there, which has been a long time coming. It is one of the disadvantages of 8 week early preemies...when most 2 month olds are smiling, the boys just were not there. Now, at 4 months they are really getting to smiling socially. It can be hard on a parent. A baby smile is such a reward, it is very difficult to wait for them to start.

Last night, the boys were not having anything to do with sleep. G kept waking up crying, so he was sleeping on my chest while I was curled up on a small portion of the couch. Then, E would let out his ear piercing shriek to let me know he was not happy about not having Mommy time. Awesome.

I was exhausted and cranky when I got up this morning, so I was really dragging. When I turned on the light to get Elias up for changing and feeding, he saw me and gave me the biggest smile. I started talking to him and he kept smiling...then Griffin started doing the same thing. I completely forgot how tired I was, it was just so much fun playing with the boys and making them smile.

Also, Griffin's laugh is hilarious. He sounds like an Edsel (to quote Randy). He makes this sputtering cough type sound that completely sounds like a car trying to start. I'll have to try and catch him on is great!

Thursday, January 14, 2010

Interjection and picture

Because they are preemies, the boys may develop more slowly than their chronological age peers.  They are 4 months but may only exhibit milestones of 2 month olds.
So far, they are doing pretty well.  They are meeting most of their physical milestones for their actual age.  Smiling and some of the cognitive development is closer to their adjusted age. 
But..they are really starting to smile and laugh and I love it.  Makes me want to do nothing but make silly sounds and faces simply to get a smile or giggle :)

Pregnancy part 2

I will interject some posts about the boys as I continue to tell the pregnancy saga :) They are almost 4 months old, I can't believe it!

When I last left you, it was April Fool's Day and Randy and I had found out we were having twins. At this point, very few people knew I was pregnant. In fact, no one in our family and most of our friends did not even know we were trying to conceive. It worked well for us, and we never felt any pressure while trying.

But, the excitement and the shock changed our strict "no telling until the second trimester" rule. Randy wanted to tell his parents that night and called them to tell them we wanted to go out to dinner. I told my lead teacher at school who was so excited, she asked if she could show the sonogram picture to anyone I was willing to tell, lol.

I waited until April 2 to tell my mother. She lives in another state, so I would have to tell her on the phone, and since she had no idea I had been trying to conceive, I knew she would never believe me on April Fool's Day. I called her the next morning and asked if she was sitting down. Then I told her I was pregnant...she kept saying "what?" I told her I wasn't finished yet, asked her if she was still sitting down and told her about the twins. I believe her response was "If this is an April Fool's Joke, I will kick your butt all the way from Texas to California!" Then, she handed the phone to my step dad so she could cry.

Our next step was the 12 week appointment for our nuchal translucency (fancy name for the sonogram to check for birth defects). After that is where it gets complicated!

Saturday, January 9, 2010



I am Heather, mommy to twin boys G and E. They were born 8 weeks early in September 2009. I just went back to work as a special education teacher and am learning the balance between, work, mommyhood, and maintaining my sense of self. Oh...and I would really love to be able work out again sometime!

My pregnancy was my first and was the exact opposite of normal almost from the beginning. I had a good idea I was pregnant as my cycle was regular (for me anyway!). I got a faint positive 11 days past ovulation and a positive digital the next day. At first I was scared to death, because I had experienced a loss at 6 weeks the previous fall. I had my doctor draw levels from my blood to check the status-if I was going to miscarry I wanted to be prepared. My first levels drawn at 11 days past ovulation were 39. Two days later they were 94, so I was well on my way!

I had my first appointment and sonogram at 8 weeks, on April Fool's Day. Other than being extremely tired, I had no morning sickness to speak of. My boobs hurt a little, but I did not feel particularly pregnant, so I was worried what the sonogram might show. Pregnancy is different for every woman, but they really don't emphasize how mental you can be when you are pregnant. If another lady feels all sorts of symptoms from her first positive test and you feel nothing, you definitely wonder what is wrong with you!

My husband went to my appointment with me. Our sonographer got out the Cam and a picture pulled up on her screen. Some of the ladies in my online due date club had posted sonograms, so I had a good idea of what I was looking for. I thought I saw two little blips on the screen but then decided I simply did not know as much as I thought I did. Then our tech started to chuckle and said "How do you feel about two babies?" I think one of us asked her if it was an April Fool's joke. She smiled and said "No!" and pointed out the two separate embryo's on the screen.

My husband, Randy stroked my hair, his face absolutely shocked. Not being a person who cries, I was surprised that tears started streaming down my face. Not only was my baby ok, I had 2 babies (and virtually no symptoms!). I remember the feelings of shock and pure joy. Excitement and terror felt exactly the same!

My exam went well and my doctor went into great detail about the differences with a twin pregnancy. She would require that I go on modified bed rest in my third trimester, so I would not be able to return to teaching in the fall. She was going to have an ultrasound at every appointment to monitor the babies. I would also have to see a perinatologist for a level 2 ultrasound and to test for any issues due to my advanced maternal age (34).

30 may be the new 20, but 34 is advanced maternal age. That seems to be the equivalent of old...doesn't it?

None of it mattered. I was pregnant, with twins.

Holy crap!