Well I had quite the ordeal on Tuesday night and wanted to share. Welcome to the third trimester, and so long to my drug-free pregnancy I was aiming for...
Short story: I had a kidney stone attack, ended up spending the night in the high-risk/antenatal unit and fortunately passed the stone, avoiding surgery!
(very) Long story:
So, Tuesday I woke up feeling kind of off, at 5 a.m., and took a bath. Got through the day ok, but I feel a lot of urgency to pee - yet, no pee came out - and what did kind of trickled, no proper 'pee stream' could be made. I definitely did not drink enough water that day, but still. It was odd. I had a nutritionist appointment in the afternoon and asked to have my pee tested for a UTI. They obliged, but said it was likely the baby sitting on my bladder (later, the OB triage nurse said "um, a little soon for that").
I came home and around 5 p.m. got some serious, telltale flank pain that to me had kidney stone written all over it. I called my MFM and the NP taking calls said to try two tylenol and to rest, but if it got unbearable to go to OB triage after calling her back to alert them I was coming in. I took another bath and got the dry heaves, twice (always pretty to puke in the tub). I laid down for a while and tried relaxation techniques, only to find myself vomiting again from the pain. I called back deciding it was time to go in, and then texted J to come and get me!
The OB Triage was a great experience. WAY superior to an ER! They first monitored the baby for about 30 minutes. I was in *so much pain* but I just tried to breath and her rhythmic heartbeat was relaxing. I rated my pain an 8 of 10 - and I have a pretty high pain tolerance. It took quite a while and then finally they gave me morphine. So much for my drug-free pregnancy:(. It did absolutely nothing to address the pain, at all, and I was sent for a kidney ultrasound. That was less than awesome as it felt like I had a knife in my side and they were pushing and ultrasounding all over it. I whimpered through it. They definitely saw stones (duh) and I headed back to OB triage.
Luckily, even before the u/s my MFM was there and said she was admitting me. It was kind of a relief to just know I could settle in and honestly, in my head there was no better place to be! They moved me to my room (now I'm at a 9 of 10 pain) and said "we need to do an internal cervix check" - ug. Good news was it was high, long, and closed. The bad news was it was seriously uncomfortable. No one at any point was worried about the baby which was reassuring.
Finally at around 9:30 p.m. they gave me a different drug ("the big guns"..."we use this for drug addicts"...) that worked great for about 2 hours but could only be administered every 3 hours - so I started resting/sleeping for 2 hour chunks, waking in pain and watching the clock till my next dose but that was tolerable. Meanwhile, the doc came in (this was right after I got painkillers, and J ran home to get clothes as she has to work at 4 a.m. so I was alone and whacked out) - to tell me I'd almost certainly require surgery in the morning to put in a stent to allow the stone to pass. She said "We can't leave you this way." I was cut off from water or food at midnight.
So when J returned I told her about surgery and she was shocked (I was too, well, as shocked as you can be on drugs that make you not care about anything) - so she arranged for my sister to come in case I needed surgery since J had to be at work (the manager of that shop was out drinking, so she didn't trust him to cover for her as he was drunk when she called at 11:30 p.m....). This was stressful but I was kind of like "whatever we have to do - keep the baby safe and stop this agony." The nurse I had was awesome and kept up on my meds, but kept saying "no one has ever passed a stone in my 20 years ... I've never seen one." Thanks for the pep talk, Mary.
Well they were hydrating me like mad via IV, and gave me a pill to relax my ureter, and so I was peeing a LOT more which was great. I woke up around 5:30 a.m. with no pain. Now, the drugs are awesome but you still feel pain, just not so bad that you can't handle it. At this point - it was totally GONE. I tried to put off the next dose of meds, suggesting maybe I passed the stone, but Mary said "we're on top of it now so it's best to stay that way" and shot me up. Then she checked my pee (she strained it all) after the shot and I hear her say "Huh?!" from the bathroom. She got her charge nurse and low and behold, I managed to pee out the 3mm stone!! They came over and showed me and congratulated me. Apparently my stone made the rounds because all the nurses had never seen one that passed! (They do high-risk OB, and basically push you to surgery ASAP, minimizing your chance to pass it on your own like a non-pregnant person might be able to do given enough time).
The urologist came at 6:30 a.m. and said, "well I have all the consents for the surgery you no longer need"
. She gave me follow-up instructions and basically I will likely need to get some treatment after the baby is born. It's not uncommon to develop stones in pregnancy, and I even went for an "all clear" CT scan in June last year before we tried again to be sure nothing was amiss and I didn't have stones then. They did a 40-minute monitoring of the baby, had me eat a few times and then discharged me around 2:30.
The good out of this:
- I got a dry run of going to L&D
- I had a great experience there - everyone did what they said they were going to do, set expectations and gave us consistent messages
- I was in the high-risk OB ward, and realized how lucky I was! One woman just delivered twins after 65 days of hospital bed rest; and my nurse had two patients on magnesium for high blood pressure/pre-e who she had to help pee because they were a fall risk. My kidney stone was small potatoes.
- The food wasn't bad, once I was allowed to eat and surgery was off the table I had both lunch and dinner; and J had lunch too ($8)
- My urologist, MFM, MFM fellow, and both nurses I had told me kidney stone pain actually surpasses labor pain! So now labor will be a breeze, right? (says she who wants an unmedicated birth but was begging for drugs on Tuesday...hm...we'll see). My MIL texted at the time, having had both, that she would birth 100 babies over 1 kidney stone attack.
Oddly, I hardly was worried about the baby - I think because she was monitored right away and I could feel her moving. J told me she was terrified about the baby more than anything, but thankfully she concealed that worry from me because she didn't want me more stressed or worrying about her. I think I was in too much pain to think about anything else, and I felt very safe with the hospital and doctors.
Anyhow, that is my story! It was quite an ordeal and I am happy to put time between me and that experience! I'm dealing with the aftermath of my narcotic binge - itchy, constipation expected - but overall, phew. I'm just so glad that is OVER.
Thanks for listening/reading!!!
Lil'mamaz was born on Aug 21, 2014! She's PERFECT!
It's been a long road to here...
Me (43) and J (45) - same sex couple. And we don't feel 40+!
June'12 - First RE Visit
Sept. '12 - Tubes removed
Dec. '12 - Donor Egg/Donor Sperm IVF Cycle - 4 good embies!
Dec. '12 - Fresh transfer, BFP! EDD 8/29/13
Mar. '13 - Missed m/c at 16w1d, baby boy stopped growing at 15w4d
Loss due to umbilical cord clot...baby was perfect.
Jul '13 - FET#1 - c/p
Sept. '13 - FET#2 - BFN
Dec.' 2, 2013 - FET#3 with our last chance embie - BFP!!!
Dec' 26, 2013 - hb!!
EDD 8/20/14 with a baby girl!
Little S was born on 8/21/14 - 8lb, 14 oz and 20 inches long. We live in Seattle and used SRM for our donor egg IVF cycle