Another Roll of the Dice

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Well its been a long time…..

Back in May, we decided to try one last time to get pregnant.  After our successful IVF in 2012 that resulted in our son, we had 6 embryos left to freeze.  Two were implanted in January 2015 and resulted in a blighted ovum (A story for another day).  After a break of a few months,we decided to try with our last three embryos.  I knew this would be, one way or another, the end of our long journey with infertility.  In many ways, I welcomed that end-whether we were blessed with another child or not.  I was tired.  I was weary.  I was ready to move past this and continue to enjoy the amazing life and gifts I had been given.  We had tried 4 times with 8 embryos.  One IVF had failed, the following Frozen Embryo Transfer had resulted in a chemical pregnancy, the second IVF in our miracle of a son, and the fourth had resulted in a miscarriage at 6 weeks due to a blighted ovum. After the miscarriage in January, I wasn’t too hopeful that this last try would be a success, yet I wanted to see this through to the end.  I wanted to give our family the chance to grow, to experience the joy of having another child.  So I dug down deep, found that spark of hope and began again.

Well, it is with great joy that I write today that we are 20 weeks pregnant.  We found out recently that we are having a girl.  Joy abounds!!!  It has not been easy.  There were multiple times during the first trimester that we though we had lost her, yet she is seemingly healthy and thriving!  I have had everything from low betas, heavy bleeding, the miscarriage of a twin, massive blood clots, measuring behind……but she has come out the other side a fighter, a survivor, and I can’t wait for her to be a part of our family.

I know people experiencing infertility stumble upon my blog from time to time.  I am hoping to write entries about all the milieu of things that happened during this try.  I hope that someone can find hope, comfort, and/or information to help them along their journey.  Stories such as these were a comfort to me during my darkest hours, and I hope my story can somehow offer that sort of warm light in the dark for people still going through infertility.  There is life on the other side…….

FlashBack 11/15/2012: 6weeks 1 day: Hearts all a flutter

*I wrote this entry when I was pregnant but was too scared to post.  Going back and reading brought such a feeling of joy that I wanted to share*

So today was our first ultrasound at 6 weeks and 1 day or 24 days past our 5 day transfer.  The wait was torture.  Not quite as bad as beta hell week, but torture all the same.  This process really should come with a disclaimer…”You may think that when you get this news you are all set, but each milestone is just a hurdle on your way to the next milestone—-you never feel out of the woods.  Oh, and by the way, time will sloooowwwww down between each of these milestones to the points where minutes feel like hours. Have fun!”  But time passed as it inevitably does, and we finally found ourselves in the ultrasound room with our Dr. at about 11:30 am.

As he was preparing his “magic ultrasound wand” , a million catastrophes ran through my frazzled mind.  He is going to see nothing….he is going to see a sac but no baby ( For some reason I cannot use the word fetus)….going to see a baby, but it will be too small…there are going to be 15 of them.  There was this awful 30 seconds where he found the sac (a dark blob on the ultrasound), but could not find anything inside it. I heard him say, “We should be seeing something right around in here.”  I closed my eyes and braced for the bad news.  Us infertility girls are the masters of receiving bad news-at this point it is a part of our identity. We have been steeling ourselves against the news of failure and loss since the beginning of our infertility journeys. So there I was, gritting my teeth and scrunching my eyes against the inevitable loss that I knew was coming…with that 30 seconds spinning out into what felt like an eternity…when the Dr. said, “Ahh…here we go…There it is”.  I felt like a white hot explosion happened somewhere deep in my brain.  Surprise? Joy?  Disbelief that this could be real?  All I can say is that I will never forget the way that moment felt as I opened my eyes.   My husband grinning at the screen (which of course I couldn’t see) exclaiming, “That is so awesome!”-the doctor and nurses smiling and laughing-everyone lit up by the bright, white glow of the ultrasound image.  Did I mention still couldn’t see the screen?  I reached up and the nurse helped me turn the screen to face me.  And there you were….a little fluttering dancing ball of light.  The fluttering was your little heartbeat.  I felt my heart start to flutter with yours.  We were so blessed to get to see that. A lot of people don’t see the heartbeat till much later…AND you were measuring 1 day ahead.  Ultimately, it could not have gone any better.  You are 4.98 mm.  You are strong and growing.   You are in this world.   And your dad and I are the happiest we have ever been.  I am writing to you now because I saw you,  you are here, you are real,  and you are absolutely and utterly amazing.

Saltwater Taffy: The Saline Ultrasound

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So yesterday it began. What I like to call the “prep” phase. Like I said before, I was feeling a little anxiety about hopping on this ride again.  My last experience with this procedure was pretty painful.  Not as painful as the uterine biopsy– (That was more painful than birth), but painful all the same. However, the saline ultrasound, or sonohysterography as it is sometimes called, is an important step in determining infertility issues.  Here is a little background…*disclaimer:  The following is by no means intended to be medical advice and is solely intended to reflect my own experience and understanding.  You own experience may be different due to the advice and policies of your medical team*

The saline ultrasound generally takes about 3-10 minutes once it gets going.  You, of course, assume the position on the chair with the stirrups.  A speculum is inserted, which is the same instrument used in a PAP smear.  A catheter is then inserted into the cervical opening into the uterus, and a small amount of sterile saline (saltwater) solution injected into the uterus.  This will outline and highlight all the amazing stuff going on in there.  From there, an wand ultrasound is inserted and the doctor will examine all such amazing stuff, photograph it via the ultrasound machine, and give you the “what haps” on what he sees.  Here is a little diagram….

The purpose of the saline ultrasound is to determine if there are any polyps, fibroids, scarring or endometrium issues within the uterus.  It detects issues that generally cannot be seen with a traditional ultrasound.  Here are two examples  of the types of images produced by a saline ultrasound. The photo to the right shows the uterus before being blown up by the saline, and after the saline is injected (The black mass in the center).  This is what the results will look like for a normal, healthy saline ultrasound.  The photo to the right shows abnormal results with arrow A pointing to a large polyp, B is the Saline, and C is the wall of the uterus.

uter-hysterosono-norm[1]               uter-hysterosono-polyp[1]

You can see how a polyp might impede implantation!

So many people ask, “Is it painful?” This is a challenging question for me to answer. I remember the first one I had a few years ago being pretty painful…like a 7 out of 10. This was mostly due to the speculum, cramping and catheter insertion. Speculums have always been pinchy for me, but others have now problem with speculums. My procedure yesterday can only be described as moderately uncomfortable and was over in like 2 minutes. Yay!!! I think the experience is different for everyone, but it is an invaluable tool in helping to pinpoint your fertility issue.

So the good news is:  My ultrasound came back amazing!  My doc’s word were, “Everything looks perfect!”  Well hot dang…..

Gambler’s Anonymous

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So for those of you who need a recap, our 4 year journey with infertility ended last July with the birth of our amazing son.  I always tell people that he is a product of hope, love, faith, and science.  In October of 2012, we did one last IVF cycle.  I must admit, I was done.  After 1 failed 3 failed IUIs, 1 failed Fresh IVF, and 1 chemical miscarriage after an FET– I really was just going through the motions.  Our clinic, NCCRM (which I love), offered a significant discount up front if you payed for multiple cycles.  We chose to prepay for two.  Although going into the last IVF I put on a hopeful smile, a hidden inner me had begun to accept that children were just not in the cards for my husband and I.  That IVF cycle went perfectly- 12 eggs retrieved…10 fertilized…and 8 made it to grade A 5 day blasts.  I attribute this significant improvement to acupuncture and diet, but I will go into that more another day.  Two were transferred and 6 were frozen.  And after years of waiting…we finally had a successful pregnancy.  Now my son is approaching a year old.  It has been a whirlwind! We have loved every minute of it.  Finally coming up for air, we recognize that those 6 embryos are still there..waiting….Dare we roll the dice again with an FET?  Absolutely!

Next week we will slowly start to delve into the process.  Slowly.  I am going in for a saline ultrasound to check for polyps and such.  Booooo.  I must admit, walking into the clinic to have our first consultation was like walking into a past war zone for me.  Can I really do this again?  All the nurses smiled, called hellos, and cooed to the baby.  The Dr.  talked about how promising our chances were and laid out the potential schedule.  All I could see ahead was blood draws, probes, 2 week wait anxiety, and potential heart ache.  But then I looked at my son playing with fistfuls of brochures and thought, “It was worth every painful moment and then some!  Lets go for it!”.  So here we are…brave faced ready for probing 😉

I will try to blog more often during this experience as a lot of readers have reached out wanting a better understanding of the process.  Maybe we will be double blessed and our family will grow.  If not,  I am forever grateful and joyous to have this adventure of life with my husband and son!!!!

Reflections on my 8 month old!

Who knew that this would be such a fun age!  I have watched my little bundle of sleeping, eating, and crying start to grow into this amazing little human right in front of my eyes.  His little personality -or should I say BIG personality- is starting to really shine through, and it is a miracle to watch.  Here are some things about Tobie…

1)  He has the most amazing laugh I have ever heard.  If I could bottle it and give it to the world, the world would have no choice but to smile back.  It is a throw-your-head-back belly laugh that crinkles with mischief.  It is my favorite thing in the whole world.  The first thing that ever made him laugh was blowing zerberts on his tummy.  My husband and I had such a surprised reaction when we heard it, that he immediately started crying :).  Since then, the word “Icky” seem to make him fall into hysterics, throwing trash in the trash can, spitting a small rubber toy in his face, telling the dog to do anything, and singing Pop goes the Weasel.  Ohhh…and anytime Mommy says “No”…that seems to be just the funniest thing in the world!  I know…I’m in for it!  But whenever it happens, it is beautiful.  I basically spend my day trying to see what will bring that laugh and toothy grin about.  Tobie is also funny.  He tries to make you laugh with faces or the ever famous pull your hair game.  He also thinks it is hilarious to open his mouth and bounce his face up and down on your belly making popping noises.

2)  He is determined. His dad says he gets this from me.  He is curious.  I say he gets this from his dad.  Determined to explore, to crawl, to stand…to stand with toys in each hand.  I can tell he will be an explorer, a discoverer, an inquisitive soul. He is most happy with a box of previously unexplored items.  Each item is picked up, turned over and examined, and then tossed vehemently to the ground to empty his hands for the next object.

3)  He is intense…Tobie takes things seriously.  Funny things do not just elicit a giggle…the elicit a head thrown back belly laugh.  He is not a baby who will “quietly cry it out” .  If he is upset, you will know it…and to ignore it will only result in more determination to have his feelings known. He fights sleep, wanting to continue his mastering of standing and opening his favorite toy boxes…until he finally winds down like a motor…sounds and all.   He is silly at home but when out in public he “drinks it all in” with a serious little look on his face.  I have had more than one cashier (more like a million) remark at how serious, how intense, or what an old soul he was.  I think his wheels are always turning.

4) He loves to interact…with the world, with the people around him.  If taken into a group where people are sitting in a circle, he will immediately crawl to the middle, plop down, and just soak it all in.  He loves to watch people talk and mull over what their face is doing.

5)  He is a sweet, loving amazing kid.  The minute his eyes open in the morning and he sees his Mom and Dad, his face breaks into a sleepy smile.  And in precious, rare moments where all his energy has run out, he sighs and rests his head on your shoulder.  He tries to share is snacks with you and brings stuffed animals over for you to hold.  He instinctively bops to the beat of music and loves to sing songs (or at least listen to songs being sung).  He fearlessly crawls all over our 100 lb German Shepherd, pulling ears and fur in the midst of sloppy kisses.

The world is a new and beautiful place for him, and through him our world is a new and beautiful place.

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Buddies

The Things I will miss…..Written when I was 8 months pregnant back in June 2013

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1)  How every rose had its own unique smell early in my pregnancy….it was beautiful and gave me a whole new perception of the world around me.  That was one of the first signs I knew I was pregnant.  Smell.  The smell of metal in your dad’s garage.  I could smell it from the back bedroom.

2)  How everyone wanted to give me or make me food…Growing a baby really does take a village and I loved how everyone wanted to care for us in their own way!

3)  Long, hot showers.  I know I will still have these, but I don’t think they will ever hold the same value as they did while I was pregnant.  It was one of the few things that made me feel better.  Sometimes three a day!  I think you must have liked the sound of the water.  It became our family hang out place.  Ubie, me and the dogs would just hang out in the bathroom and talk.

4) How much I loved Peanut Butter, Orange Juice, oranges, Milk, and Lemon Vinaigrette Dressing, and Zoe’s Greek Salads.  Gyros, garlic, and pork were a no fly zone however.

5)  How your daddy called me his Beluga Whale, because that is the cutest whale- but I think that one is going to stick around.  He was the best pregnancy husband ever-caring, considerate, comforting, and more than willing to get me anything I even thought to need, no matter what time of night.

6)  How he would talk to you through my stomach. I’m going to miss talking to you too.  Talking to you was like sharing secrets with a childhood best friend.  Only we got it.  You would tumble around when I would laugh.  I’d like to think you were laughing with me!

7)  My vivid dreams!  So real I would wake up and feel like I had gotten to have adventures with old friends and old places- lions in Africa, long walks on white sandy beaches, mischief in high school…too cool.

8) Feeling you flutter around for the first time.   I was sitting at my desk at work.  Of course, I thought I was imagining things.  Now, at 8 months, there is no denying it!  The little flutters have turned into kicks, twists and ripples.  I am  still amazed by what our bodies are able to do.

9)  This long, lustrous, shiny hair and glowing skin!  Somebody should bottle this magic!

10) Listening to your heartbeat on our fetal heart rate monitor.  In the beginning, I would try for hours to find it.  There it would be-this fluttering hummingbird of a heart beat.  Just a whisper amongst all the wooshing inside me.  Now, no matter where I put the wand, your heartbeat is there.  Strong and vital.  The heart rate monitor brought comfort to me many a long night between OB visits.

11) Being a “we”.  For the past 8 months, I have not been a me, I have been a we.  I am going to miss that.  We have been partners on this great adventure and shared this space together.  Caring for you, protecting you,  has been in my every thought.  For this one little snippet of my life, I get to be part of this miracle.  To be not only myself, but also part of something much greater.  Life.  We are truly amazing.

Over the Moon

Words do not really work in times like these.  So much has happened over the past year that it intimidates me to try to capture it all.  There are a million tiny stories wrapped up in the bigger one, but I am ready to start capturing these new moments.  So here we go….4 little words sum it up….

WE HAVE A SON!

I can not express what it means to be able to type these 4 little words.  I reread this blog today and felt the pain, and anguish, and determination of the heart who wrote them all over again.  These 4 little words represent everything we fought so hard for.   They represent joy, hope and life!  They represent the end of one of the darkest chapters of my life and the beginning of a  blazingly bright one. Rereading this blog was painful…yet cathartic.  I just want to go back and hug the woman who wrote these words-that determined version of me- and tell her to hang in there, that wonderful things are on the horizon, that it is all going to be SOOOOO worth it (She would probably want to slap me 😉 ).  I am also so proud of her for having the strength to keep going, because now we get to have the most amazing gift…

WE HAVE A SON!

He is an amazing, determined, curious, loving little 6 month old, and I never imagined I could love something so much!.  We is worth, beyond measure, every day of those long 5 years we fought for him to get here.  I want to write all about his story-from the IVF cycle to his birth, but for now I will end with those 4 little words that have forever changed our life…

We have a son….and we are over the moon with joy.

Thank you, Thank you, Thank you!

Summer FET Flashback: The “Almost Pregnant” option

So…This blog has been quiet for awhile, but I recently started feeling drawn to continue the story. Over the summer, My husband and I underwent a FET, or Frozen Embryo Transfer, with our two remaining frozen embryos, or snowbaby prize fighters as we fondly called them.  All in all, the FET process was much less stressful than the traditional IVF cycle.  No two weeks of shots and ultrasounds.  No phone call anxiety each day as I wait for messages such as “Your estrogen isn’t high enough-we may have to cancel!”  or “Your estrogen is TOO high-we may have to cancel” or the myriad of mini-crises that happen day in and day out.  Essentially, during a FET cycle, you take some pills to enhance your lining and prevent ovulation.  Once enough time has passed and everything looks hunkie-dorie, you prepare to go into the office for the procedure, and your embryos are thawed.  Now this is the one point where it is a stressful waiting game.  Not all embryos that are thawed survive.  Some data suggests that roughly 60% of embryos survive the unfreezing process and continue to thrive.  We had two-so I was expected to hear the news that only one (or, God forbid, none) had survived.  However, we were elated when the embryologist called and said “Come on in!  Both little guys made it!”.  From this point the procedure is basically the same as a normal IVF.  You go in, the embryos are placed back in the uterus, and you go home to brave the 2 week wait.

While my fertility doctor has you return for your first pregnancy test, which measures HCG in the blood, two weeks after transfer, you often start to register positive on a pregnancy test 5-9 days after the transfer.  Of course, I couldn’t wait the entire two weeks (More on the crack that is commonly referred to as Peeing on a Stick, or POAS, later).  I began to register positive on pregnancy tests about 6 days after the transfer.  Needless to say, the first time I saw that +, I nearly went through the roof.  My soul sang with the knowledge that our journey was FINALLY over! We were PREGNANT.  I had waited 3 years to say that, so long that I could barely say it and have it register as the truth. “Pregnant” had been this word we had longed to be, a symbol of our life moving forward, the end of a long, hard fight for our dream of family.  Now this little + mark was ushering in all the possibilities of something we had secretly begun to think impossible.  I think I knelt on the bathroom floor for awhile repeating “We finally did it, its finally over”  over and over again.  I crept up behind my husband and handed him the test.  He turned white as a ghost and stared at me, unblinking, for what felt like forever.  I think he asked me if this was real, or was I playing a joke on him.  Then a brilliant smile lit his face and I knew his mind was echoing my own racing thoughts…We finally did it…It is over….We are having a BABY …..This is REALLY happening!…..

But….it was not to be.  See, nobody told my there was an “almost” option.  I always thought once we got that YES- we were done.  + pregnancy test + 9 months=baby.  But life is never as elegantly simple as math.  There are no rules, no certainties, no absolutes.  As the days went on, that + on each test we took began to grow lighter and lighter.  We remained positive and hopeful with each other, but in my private reflections I knew that test lines getting lighter and lighter translated to less and less HCG hormone in my system-no matter what the the box said, or the internet said, or the  Clearblue company helpline said (Yes-it got just a little crazy around here for a while). By the time my actual blood test came around, that hot pink neon line had faded to the point where I had to twist the test in the light to make sure it was there.  Sure enough, my first HCG test came back at 60.  It should have been in the 1000s by this point.  The nurse had that cautious tone in her voice.  She said, “Well, you were definitely pregnant at some point, and may still be, but I wouldn’t hold out hope or tell your family-come back in two days”.  That test came back at 30, and I was officially declared as having a Chemical Pregnancy.  A chemical pregnancy is when the embryo implants long enough for the body to produce HCG, but a miscarriage happens very early on. Today’s home tests are so sensitive that they can pick up these trace amounts of HCG, whereas in the past you may never have even known that you were technically pregnant then miscarried.  So in the end, I guess you could say I was “almost” or “kinda” pregnant, at least for a little while.

I will not lie, it all felt like some sort of cruel joke.  Like being handed something precious and having it ripped away-I would dare to say that hurts worse than never having it at all.  We mourned, flailed our fists, did all the things you do to put bad experiences behind you- but in the end, my husband and I are who we are- we don’t give up, we keep moving forward, we find the will, and we try again.  And so it begins again….on to another fresh IVF cycle….stay tuned….

Day 31: The house wins….

This is probably one of the harder posts to write.  Today was my beta blood test, which is when the clinic takes a sample of blood and tests it for HcG-the hormone you produce when pregnant.  We are now 14 days past the transfer, so those embryos should have dug in and given the body the signal to produce HcG by now.  The nurse called today at around 3pm to let me know my Hcg test was negative and that I was not pregnant.  Our first IVF cycle is officially a bust.

Now I have had a little time to prepare for this devastating news.  I started taking home pregnancy tests (the most sensitive kind) about 6 days ago-just to see.  Some people do not do this, but I am not one of those people.  I am by nature impatient and need to adjust to news a dose at a time.  There is NO WAY I could have hoped this whole time, sat around today waiting for the call, and THEN have a nurse tell me negative for the first time.  I cannot fathom how people do that!  More power to ’em.  Needless to say, each home test came up negative.  I knew I was testing a little early, but as more time passed, I was able to bear the thought that this truly might not have worked (while secretly hoping I would see that second line the next time I got the guts to take one).  So today more confirmed what I already knew-but it still was not easy news to get.

Its hard not to get bogged down in why this didn’t work-or more starkly-why don’t I work/why is this happening to us.  IVF isn’t a sure thing…its a gamble and sometimes that house has to win.  I knew going in it only has a little over a 60% success rate…but I REALLY wanted us to be in that 60%.  I believed in my heart we would be.  But, alas, that was not to be.

So what now……We pick ourselves up by our bootstraps and keep fighting forward.  I will not pretend that I am not weary of all this.  Sometimes I wonder about just jumping this particular track and starting a new track…a new life’s dream.  Like sailing around the world for a few years with my husband, or dragging him to Africa with me to live in the wild and try to save the gorillas or something.  But I don’t think I have lost all my will just yet.  This is something we truly want…and the best of things are worth the fight.  I believe that we will get through this and come out on the end grateful that we stuck this out-that we kept trying.  But MAN, I can’t imagine going through another medicated cycle right now!

On a positive note-no more NEEDLES..no more SHOTS…no more WAITING FOR NEWS…On the negative…got about 10 pounds I need to run off.  4x the hormones and limited to no physical activity for a month (plus those dang Girl Scouts) have really done a number on me.  So I’ll start there…have a cry (one of those frustrated ones where you pound your fist on the bed)….take a deep breath…eat a big fat cheeseburger/drink a big cup of coffee…..then regroup!

In the meantime,  I got my eye on those snow baby prize fighters I was telling you about.  Two 6 day blastocysts (way more further developed than my 2 3days that were transfered) are waiting in the wings (or the freezer) for whenever we are ready to do a Frozen Embryo Trasfer (FET).  I am going to take a month off and then get back to business.  When we first started this IVF process, my husband and I each wrote down our predictions on how many cycles (fresh and frozen) it would take for us to get pregnant.  Turns out we both picked our first FET.  All in all, I’d say its a decent bet…..

Day 24: The dreaded 2 week wait

I am now in what us infertility people call the two-week wait, or 2WW.  The 2WW is that chunk of time where you can not do anything except wait for enough time to pass to see if you were successful or unsuccessful.  I can tell you from experience, the wait can be hell!   Only a little over a week left to go! Or, in other words, and eternity!  My beta blood test will be Friday, March 16th, which tests for positive pregnancy. My Doc recommends taking it as easy as possible during this time.  I, of course, used this as an opportunity to take the week off of work and just relax.  Or more like pretend to relax to cover my intense desire to pace tread paths into the carpet.  My doctor asks his patients to try to remain in bed for three days after the transfer.  Honestly, I was so exhausted from the month’s adventures that I slept on and off for most of it.  Now, rested and stir crazy, I am trying to keep my mind occupied and entertained.  Here are some of my tactics…

  • I have read the entire Hunger Game Trilogy-a book a day.  I must say, they were better than I expected.  Cannot wait for the movie!
  • Thank God for Netflix!  After cruising through as much 30 Rock and Parks and Recreation as I could handle, I am now engrossed in Sons of Anarchy.  Gotta love a good biker gang drama!
  • I am playing about 30 Word with Friends games simultaneously on my IPAD.  One of the best inventions to arise in the past year-at least for those of us on bed rest.
  • Mango flavored Haagen Dazs sorbet- its like a tidbit of tropical paradise.  The best part…you can eat a whole pint and be confident you will still fit into your pajama jeans the next week.
  • Speaking of….I should give a shout out to Pajama Jeans here.  Thank you, pajama jeans, for not only being super comfortable, but also allowing go ninja style out in public in what I slept in the night before…..
  • Crocheting, crocheting, crocheting….
  • Catching up with all my friends on the phone. You know, those long conversations you never have time for during your normal life, but now I got NOTHING but time.  Good times!
  • Online Infertility forums and support groups.  I highly suggest this to women going through infertility treatments.  Each month has its own kind of “thread” of women going through IVF from all over the country.  You keep up with each other, post stories, post questions, answer questions, get support, discuss experiences, and really develop a group that is cheering for you the whole way.
  • Jeopardy tournaments with husband.  These are the highlight of my day because I beat him EVERY time. 😉

Things like this have made the days pass as quickly as possible.  The weather is beautiful and sunny, so I like to pull up a chair, read my books, and watch my dogs play in the kiddie pool.  All in all, it has been a pretty good week 1!  Now, on to week 2!  Any suggestions???? A flash forward button maybe?