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01/25/2008

The light fantastic, the patient sarcastic

You know how sometimes at a doctor's office you'll lie back on the table, look up at the dropped ceiling expecting to see only spongy-looking acoustical tile, and instead see a restful cloudscape?

No?  Well, it's a translucent panel that fits over a fluorescent tube fixture and it goes a little like this:

In my gynecological travels I have enjoyed many a soothing panorama, from a bright drift of butterflies...

...to a coral reef shimmering with life and color...

...to a tangle of bougainvillea so vivid and lifelike you'd almost expect it to wave lazily in the warm tradewinds of this New England winter...

But it was not until today, flat on my back in the fetal diagnostic center of our regional hospital, that I basked in the gently diffused glow of ultimate tranquility:

Jets

Because nothing says serenity like a squadron of F-16s.  I bet they were scrambled specifically to deal with the clear and present danger in the next exam room over:

Monster mash

...

No such reptilian drama in my room.  No drama, in fact, to speak of, unless you count the stubborn refusal of the fetus to present its nuchal fold for measurement.  For over an hour the ultrasound tech measured this and evaluated that, counting hands and feet, assessing lengths and diameters, ascertaining to my relief that the fetus had no bony knifelike protuberance projecting from its forehead.  (We've decided not to find out whether it has a bony row of wicked dorsal spikes — we're leaving that surprise for the birth.  Note to self: Consider repeat C-section.)

Everything looks good — gorgeous, in fact, if you're into quick blurry flashes of something that sort of looks like it could be vaguely humanoid.  But no neck.  My retroverted uterus conspired with the fetus to make a good view impossible, despite the tech sneaking up on it several times during the course of the scan.  In the course of these ambushes, I'm pretty sure I saw it give us the finger at least once, and probably twice.  Lest you think I am a slack disciplinarian, I assure you that later I punished the fetus for its insolence by eating a large bar of Toblerone.

The most exciting part of the scan was when the tech tried to visualize the nuchal fold by going transvaginal, thinking she might be able to get a better angle that way.  She didn't, but we did get better resolution.  Those few minutes of uncomfortable rooting were rewarded by a view that was absolutely clear.  I could count ribs.  I could see each individual knobble of spine.  And when we looked at the hemispheres of the fetus's brain, I could practically see its thoughts.  Of course, those ran heavily to SWISH SWISH INVOLUNTARY WIGGLE SWISH SWISH SWISH MUST ROLL IRRITABLY OUT OF RANGE SWISH SWISH HA HA TAKE THAT ASSHOLES SWISH SWISH, but I'm not expecting sparkling banter until early in the second trimester, so I saw no reason for concern.

Based on the results of my bloodwork and what we were able to see, my risk of Down Syndrome is calculated at 1:4000, and my risk of trimsomy 13 or 18 at 1:3000.  I was offered the opportunity to return next week for another run at the neck, but I turned it down.  I like those numbers fine.

...

At my OB's office a little later, I had my 12-week appointment — some questions, a weigh-in, and a brief tussle with the Doppler.  All absolutely uneventful, except for the moment when the doctor asked me, "So, do you have a feeling?"

Like, uh, what kind of feeling?  Urinary urgency?  Vague foreboding?  A warm regard for my fellow man?  Contempt for stupid questions?

Yes to that last, because he clarified: "About whether the baby's a boy or girl."

A feeling?  ...The hell?  Oh, Doctor, aren't we past that?  You're holding my chart in your hands.  I lost my faith in intuition about 120 pages ago.  So forgive my dearth of shiny-eyed wonder, but I will manufacture a feeling when you show me genitalia, and not one second before.

Now if only he'd asked me if I had a feeling about whether the baby's Godzilla...

Posted by Julie at 09:54 PM in Jesus gay, I'm pregnant. | Permalink

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Comments (49)

Woohoo! Awesome numbers! I am also impressed you passed up an extra ultrasound. I am not sure I could resist the temptation. Yes, I am that pathetic.

Does your hospital serve many pregnant fighter pilots? Or wives of same? Actually, I think the best ceiling panel is the second u/s screen, for better viewing. My practice just installed second screens on the swivel arms on the wall. I guess they want to make sure both the woman and whoever came with can see, but I still say the ones on the ceiling are cooler.

Posted by: JuliaKB at Jan 25, 2008 10:09:49 PM

Ooh, I see they make a dog, cat and parrot light cover too. Wouldn't it be fun to put your legs in the stirrups and look up to see a bunch of animals staring down at your bits.

Congrats on the uneventful scans!

Posted by: Sara at Jan 25, 2008 10:15:10 PM

Awesome numbers! And lol over SWISH HA HA TAKE THAT ASSHOLES SWISH SWISH

That last light cover looks like artists rendition for STDS: Burning sensation? Crabby monsters running amok? Blue penis growing out of your head? You have an STD.

Posted by: anne nahm at Jan 25, 2008 10:31:43 PM

I once went to a gyno for a Pap smear, and when I laid down, I discovered his ceiling had a large, nursery-themed painting bolted to the ceiling. It was one of those pictures designed to appeal to 3-year-olds, with a chubby pink elephant, some baby bunnies, and other assorted nauseating stuff. It was in the most enormous, heavy, wooden frame I have ever seen. I spent the entire exam terrified it was going to crash down on my skull.

Posted by: Queenie at Jan 25, 2008 10:33:38 PM

I'm Australian. I mention this because I'm wondering if your choice of the word "rooting" is a good one or not. I guess it would depend on your intention.

Bea

Posted by: Bea at Jan 25, 2008 10:35:24 PM

So I was talking to your fetus earlier today, and it told me that for all that the two of you share, it really needs it's own space, and it will thank you kindly to keep your (and the ultrasound technician's) grimy paws off of its nuchal fold until it's darn and ready to present it for inspection.

Yeah, it was a little touchy today. I wouldn't take it personally. The weather, the economy, that Dow Jones... it's got a lot on its nuchal fold at the moment. I'm sure it'll be right as rain in a day or so.

Ya know, I realize I'm a bit late to the party, but reading this today -- after being a fan for two years -- it finally hit me today.

Jesus gay, Julie. You're pregnant.

~C~

Posted by: Catharine at Jan 25, 2008 10:40:19 PM

Great numbers!

I, too, am astounded that you can resist the allure of a repeat ultrasound.

Don't tell me you won't get another one until 18-20 weeks?

Posted by: Melissa at Jan 25, 2008 10:54:31 PM

Congrats on the good numbers! It took forever for the techs to get Mac's measurement. He was too wiggly and healthy, little bugger. He turned out perfectly fine if it's any comfort to have a comparison with another kid who wouldn't stay still.

I assume you did the PAPP-A and HCG blood tests as well? Just because when taken in conjunction with the AFP at 15-16 weeks, they can indicate placental health all on their own, regardless of the health of the baby or the chromosomes.

Posted by: Aurelia at Jan 25, 2008 11:02:53 PM

See, uh, being used to your phot*shop (or whatever) skills, I assumed the F-16s were, uh, your doing. Until I clicked. Um, yeah. In an office where many people got in their delicate condition due to, you know, an act involving a body part airplanes are occasionally used metaphorically to represent (Austin Powers? Anyone?) -- not that we infertiles would ever use such animalistic techniques to create human life of course, but, where was I? Ah yes... -- right, does the potential symbolism strike anyone besides me as, uh, funny?

But my main point, of course, is Julie, congratulations, and here's to another 28 weeks of smooth sailing.

Posted by: Alex at Jan 25, 2008 11:22:14 PM

Ooooohhh.....the doc's I work with don't have those in their offices. Our patients are clearly getting screwed. I must inform them of this; the next patient I'm assigned in active labor will then will have one more thing to bitch at the MD about. ("Aaaaannnnd another thing asshole. Not only are you telling me that I have to wait till I'm dilated to, what was it? 15 for my epidural? I just found out that you have also been screwing me out of the soothing fluorescent illuminated F-16's and seascapes while you've been poking my cervix in your office? You suck.") Of course, all will be forgotten upon administration of the magical epidural. Usually is.

So excited that you've now gotten 12 weeks under your belt (very.very.very.bad.pun. sorry.). Here's to at least another 24 more. 36 wks is a beautiful number, and 37 is pretty much perfect. The last four weeks are just a very cruel joke from mother nature as the baby's lungs are usually good to go and the baby just gains weight.......thereby making the watermelon even bigger than the lemon it must squeeze through. Though I'm pretty sure with your history you wouldn't been made even if you hit 41. I'm guessing getting past the weeks starting with 2_ is a very fabulous thought, eh?

Couple of questions for you as you--I'm guessing--are graduating from the Redbook infertility blog. Are you going to move over to the Mom Moment with your fellow blogger, or are you just content to be happily fired (hey, isn't that discrimination? lawsuit. lawsuit. ;-} )for your pregnancy?

Last questions: has/when is Mr. Charlie going to learn of febryo? Do/did you have a specific time/way of telling him planned? (will offer this up - have adorable red 'I'm the big brother' t-shirts at my work that have been a pretty cool way of both introducing and acclimating a future big sib to the notion if you would like one. We generally hand them out with the birth, but have done this in the past with pretty cool results.)

Keep cooking that little one. You are fabulous.

Posted by: Stephanie at Jan 26, 2008 1:46:44 AM

Julie-
I love you.
You just freakin' rock. What lucky kid this one is gonna be.
And Hooray! Great numbers, great mom, looking good...Congrats!

Posted by: Susan at Jan 26, 2008 1:59:40 AM

My friend is the managing RN of a doctor's office. They also tried putting up posters on the ceiling for patients to look at but had to remove the posters when the patients started gasping in shock -- the place is an out-patient surgicenter and the patients could see the doctors doing surgery on them in the reflection of the posters!

Posted by: t at Jan 26, 2008 2:17:15 AM

I think I choked on my own laughter reading this post. That's a new one for me.

Posted by: Natalie at Jan 26, 2008 2:50:47 AM

I think fighter jets would have been an improvement to the ripped-out & ceiling-stapled calendar pages of kittens and bare chested firemen I had to look at.

Posted by: Beenami at Jan 26, 2008 4:52:09 AM

I too, am Australian, and I nearly lost my lunch when I read that there was a bit of rooting around down there. Then I realised what you meant.

Oh well. That visual image was fun while it lasted!

Posted by: Rosemary at Jan 26, 2008 6:11:58 AM

Great news!!!! Grow little fetus, grow!

The worst OB/GYN ceiling adornment I've seen was the famous cat poster where the cat proclaims "I'm not fat - I'm fluffy".

Yep, my fat! That's what I want to think about while my big butt is out in the air for the world (or at least the doctor and his assistant, who I am sure giggle together after I leave) to see.

Posted by: Crystal at Jan 26, 2008 6:18:16 AM

Classic!

Posted by: Beth at Jan 26, 2008 7:20:19 AM

The 'operating theater' in my RE's clinic has a bumper sticker on the ceiling that says "BREATHE". I thought it was kind of funny the first time I saw it, like 6 years ago. My OB office has mobiles, most of them kind of sad looking, and funky oven mitts on the stirrups. I would love to see flowers and fish, not so sure about fighter planes though.

I went on Thursday for the bean's nuchal. They told us to plan for an hour and 1/2 and my husband were laughing like crazy after. It took all of 15 minutes for the tech/doc to get multiple measurements, and the other doc stepped in to confirm and didn't even look for himself, he just said "Yup, looks great." We dropped in to Ikea next door for some grub and a spin through the kid section and still headed home before our planned hour and a 1/2 was up. "Who needs THAT long?" we laughed heartily. Well, now we know. Nothing EVER goes easy for you, does it? A hearty congrats on the screening results!

Posted by: Chickenpig at Jan 26, 2008 7:42:18 AM

swish swish wiggle - YAY! congrats on great numbers from a healthy active baby!

Posted by: Melissa at Jan 26, 2008 9:10:00 AM

You travel in nice ceiling circles. I don't think I have ever ever anywhere seen said translucent lighting disguises. Who knew?

Great news on your numbers.

Posted by: maggie at Jan 26, 2008 9:35:47 AM

Oh Julie, how fantastic!

Congrats on getting to the second trimester! Here's hoping you go another 28 weeks.

How's the GD diet going?

Posted by: moo at Jan 26, 2008 9:39:35 AM

After reading the Aussie comments I was compelled to find a slang dictionary and realized that rooting around would means fucking. In the states, we use it as "searching" or "digging around." However, considering the poster is Julie, your translation could have been correct too.

Posted by: MamaPajama at Jan 26, 2008 9:44:53 AM

What are nucal folds? Do we all have them or just fetuses (feti?)

Posted by: Gef the Talking Mongoose at Jan 26, 2008 10:26:47 AM

One more reason to love my obgyn: at least one exam room has a Bart Simpson poster on the ceiling above the table. He's at the chalk board and it's full of snippets like "I will not waste chalk" and "I will not see Elvis." Anything to distract from what's going on on the other side of my paper blanket!

Posted by: Jamilyn at Jan 26, 2008 10:33:23 AM

It's just wrong to laugh as hard as this when one's child is trying to nap.

Good Lord woman, you are seriously funny.

Congrats on such good numbers and everything else.

Posted by: BrooklynGirl at Jan 26, 2008 10:33:55 AM

Obviously my doctor's are lagging in the "crucial improvements to office decor known to soothe women" department. Though I have stared up the skirts of more than a few teeny fairies on mobiles...

Posted by: Julia at Jan 26, 2008 11:17:33 AM

Domo arrrrrrrigato! My work in office lighting field not so recognized outside Japan.

Posted by: Zigra at Jan 26, 2008 11:34:21 AM

Jealous.

Posted by: Guiron at Jan 26, 2008 11:35:26 AM

So funny about the light panels - my doctor just had those installed (the fluffy clouds one) but I was not aware of this exciting improvement. As I lay back to assume the position I had a few moments of panic, as I thought it was a skylight...and I had just seen workers on the roof when I pulled up to the building! I think I like the old, dusty, paper umbrella mobile better...

Good news about the good numbers. Whoohoo!

Posted by: Cindy at Jan 26, 2008 11:39:29 AM

I had an Ob/GYN who stapled swarthy Playgirl centerfolds on his ceiling. Honestly. Because when your genital doc is a big hairy guy, the first thing you want is to enhance the underlying sexual tension and ratchet up the discomfort.

I don't go there any more.

Posted by: Barbara at Jan 26, 2008 12:07:33 PM

What...no light cover with asteroids barreling toward the earth, lol.

As for no look at the nuchal folds, I couldn't help thinking of that scene in Rocky Horror Picture Show were everyone yells "WHERE'S YOUR F******* NECK?!" I think you should dress like Tim Curry for your next appointment.

Onward toward D-day! Congrats on the great numbers!

Posted by: Jozet at Halushki at Jan 26, 2008 1:30:20 PM

Har Har Har!!!!! (Snort).

Posted by: Carol at Jan 26, 2008 5:04:36 PM

My RE's office had a poster on the ceiling--one of those "the love of a child" things. The damned thing always made me cry.
I'll take the airplanes anytime!!!!

Glad to hear everything is going great this time around.

Posted by: Sheri at Jan 26, 2008 9:30:55 PM

If that baby is already saying "asshole" - you know it's yours :)

Congrats that everything looks good. Except for the spike-y part. :)

Posted by: Toni at Jan 26, 2008 9:37:06 PM

My RE's office had a poster on the ceiling--one of those "the love of a child" things. The damned thing always made me cry.
I'll take the airplanes anytime!!!!

Glad to hear everything is going great this time around.

Posted by: Sheri at Jan 26, 2008 11:32:19 PM

"Do you have a feeling?" Why, yes. Flashdance...What a feeling. (Lyrics gently edited.)

First when there's nothing
But a normal nuchal fold
That your transversion seems to hide
Deep inside your womb.

All alone I have cried
Silent tears full of pride
Astride stirrups made of steel,
Made of stone.

Well, I hear the music,
Close my eyes, feel the cooter wand,
Wrap around, take a hold
Of that transducer.

What a feeling.
Bein's believin'.
I can have it all, the fetus is dancing for its life.
Take your passion and jack off into a cup and add some eggs
And make it happen.
Pictures come alive, you can dance right through your sonogram.

Now I hear the heartbeat,
Close my eyes, that rhythm sounds like a polka.
In a flash it takes hold
Of my dancin' feet.

(You're on your own for the chorus.)

Posted by: Orange at Jan 27, 2008 12:49:17 AM

Wonderful news! And I love the title of this post. Didn't know about the new ceiling pictures - not bad. When will they get overhead TVs, like my dentist's office?

Whoa, Orange, you have seen that film way too many times! Flash-backs now, icky.

Posted by: Sheila at Jan 27, 2008 2:10:20 AM

Am I the only one who thinks a panel of the "missing man formation" is entirely inappropriate for a fetal diagnostic center?

Posted by: Exiled to Canada at Jan 27, 2008 11:16:40 AM

I am happy for you that this little life is going quite well for the both of you.
CONGRATULATIONS AGAIN!
May peace and good wishes stay with you.

Posted by: Melissa P. at Jan 27, 2008 3:30:44 PM

Jesus Gay that is SO FRICKING WONDERFUL!

Posted by: winecat at Jan 27, 2008 9:59:25 PM

Go figure, I'm not able to read fro a while and you finally get pregnant. So,


CONGRATULATIONS!!!!!!!!!!

Sending you prayers and loving thoughts for many more uneventful appointments.

Posted by: cc at Jan 27, 2008 10:55:31 PM

Sheila, no! I haven't seen Flashdance since the '80s. But Google coughed up the song lyrics in a trice.

Heaven help me, I do love that Kia commercial with the guy dancing to "Maniac."

Posted by: Orange at Jan 27, 2008 11:09:32 PM

See, when I heard the fetus call Julie an asshole, I wondered if Tertia is the egg donor.

Posted by: Slim at Jan 28, 2008 9:32:53 AM

I am just so happy that things went well. What fantastic numbers! Wishing you many uneventful appointments to come...

Posted by: Jane at Jan 28, 2008 10:05:22 AM

I'm so glad to hear everything went well, even though you couldn't get that good of a look at the little bean :o}

I love your style of writing, highly amuzing! I always look forward to checking you blog

Posted by: Brandy at Jan 28, 2008 1:27:51 PM

Hi! I've been lurking around here for a while, but this is my first time commenting. Congrats on GREAT numbers! I'm 20 weeks pregnant right now and was so relieved when my numbers came back looking good but not that crazy good! Yay!

I just had the big anatomical, boy or girl ultrasound on Friday. The little bugger was having a total disco party in there. The tech finally got a view of boy parts, which was...surprising. Frankly, I'm a little surprised that my body can make a penis. Weird.

My doc most definitely does not have the soothing light panels, but I find them amusing. What woman doesn't want to look at a squadron of F-16s while getting her girl parts examined? There's something awfully Freudian about the whole thing.

Posted by: Jill at Jan 29, 2008 3:49:50 PM

I see that company also makes a panel that depicts cats and dogs peering over the edge, looking down at you. And one featuring a dog that seems to have been tossed out of a plane, ears flapping out as it prepares to land feet-first on your belly. That is one straaaange company.

Posted by: Molly at Jan 29, 2008 5:16:52 PM

While I don't want to see the missing man formation while in the stirups, I kind of want one of the plain sky for my office...except, we have that lattice stuff and not a plain piece of plastic on our lights. Dang it!

Posted by: Kristine at Jan 30, 2008 8:37:08 AM

I'm 100% positive it's a girl. In fact, I thought that before I even knew you were pregnant. Don't ask how much time I spend thinking about the people whos blogs I read. It's creepy.

Posted by: Don't hit me, please! at Feb 1, 2008 2:57:04 PM

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