adventure

BMI…The Be All, End All of Fertility

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Who would have thought that BMI could dictate so much in life…for something that was created in the 1800s by a man who was a mathematician, not even a scientist/doctor/physician, it has an insane amount of power when it comes to whether you are eligible for fertility treatments or not.

So lets look at the history of BMI…a Belgian man in the 1800s developed what was known as the Quetelet Index. It was used to find the ‘ideal man’ or ‘socially ideal human person’. He measured thousands of men (all Caucasian western European men) and compared them to find the ideal weight. He found that weight typically increased in relation to the square height of men. It did not measure the health of the individuals but only the height and the weight.

Notice anything weird in that? Fertility is measured using a scale that was used to measure men…not women…men…and definitely didn’t factor in the health of the men…

The history then carries on…in the 1970s an American physiologist and dietician used the Quetelet’s Index as a way to quickly screen for obesity. Exactly in the same way as in the 1800s…the test was done on thousands of ‘healthy’ men from 12 different sample groups.

So again…the test is done on men…not women…it also doesn’t take into account the health of the individuals. Its a known fact that muscle weighs more than fat…so in that regards, most elite athletes are classified as ‘overweight’ according to the BMI scale.

So here I am…a 31 year old who definitely isn’t in the best shape of her life…life has thrown me so many curveballs that doing exercise, etc, was far off my agenda. Not only have I had 2 major operations on my womb in the last 5 years…I also have EDS (Ehlers Danlos Syndrome) so I’m super hypermobile and all my joints dislocate and tear easily. After my second operation in 2022, I started walking to try and lose weight for the wedding…and after a successful couple weeks, I end up injuring my foot…didn’t even feel it happen…just one day I could barely put any weight on my foot. Now luckily my fiancé is a runner and is very used to foot injuries, so he reassured me it would be a couple weeks/months and it should be better…but…EDS…the joys…its now 6 months later and I’ve been to the GP…my foot feels like it re rips every couple days…So now I’m being referred to the muscular skeletal department to get a scan done and might need an operation to fix whatever I’ve done to my foot.

Now you might be wondering what that has to do with fertility. Well…after 6 months of trying, the GP wanted to discuss how its all going for me…you have to remember that I have had 2 major operations and still have fibroids in my womb. So time is not on our side. We have all our tests done and the only outcome is that we will be referred to the fertility clinic for further help.

This is where BMI comes in…I am 5ft2 (155cm) and weigh 84kg after having lost some weight after my recovery. I know I am not thin or fat. I know I am average. But according to the fertility clinic, I am too fat to get pregnant. They gave me a website to get some support and the ideal weight they want to be…let me tell you, when I logged into the website and saw what they wanted me to weigh…I burst into tears and laughed at the same time! 51kg…51! so I would need to lose 33kg!!! I went onto the BMI calculator and their ‘healthy ideal weight’ for me is between 44.4kg and 60.1kg…44kg…like what!? I don’t think I’ve weighed 44kg since I was a kid!

I have been on a calorie deficit diet for months now and still struggling to lose weight. The GP reassured me that that’s an unfortunate side effect of EDS. But its still frustrating when they want me to lose that 33kg before being taken seriously with the fertility clinic. The support that they gave me was vouchers to go on slimming world…which does NOT work for me. I refuse to lose the weight in an unhealthy, unmanageable way for me.

So what now?

I’m stuck…I’m lost…I’m frustrated…

Here I am…31 years old…struggling to lose weight, not getting any support from the fertility clinic…and yet…everyone around me is getting pregnant…every week I see posts of pregnancy announcements…and no matter how happy I am for them…it breaks my heart a little more each time…especially when they weigh the same, or even more than me…but I’m too fat to get pregnant.

Infertility is a lonely and frustrating journey. A year of negative tests, a year of trying to work on myself to be in a better position and just getting knock back after knock back. A year of taking all the supplements recommended to me by my GP and Surgeon. A year of changing my diet to help in whatever way I can. Nothing to show for it…Yes I’ve lost 4kg in the last couple months…but I’ve been struggling to lose more…

If you know someone who is struggling and frustrated…its not personal if they need time away from you if you just announced your pregnancy…its the fact that we are being let down by healthcare around the world. All because a guy in the 1800s did a ‘test’.

BMI is a silly concept that I wish would disappear. Too many GPs agree that it should never be about weight when you are trying to conceive and need help. And yet…here we are in 2023 and BMI is the only thing they use to say whether you are a good candidate to be helped or not…

I started today with doing gentle exercises that will hopefully help…I am trying to keep my head up…but its ok not to be ok…

Living with a hidden (not so hidden) illness…Part 6

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December 2022…what a year this has been.

January started off with us still being hopeful and even buying a few baby clothes in the sale…we had started trying as per the advice from the sonographer. It was also the month that I turned 30! I didn’t have a birthday party or any celebrations apart from a meal with Steve and my parents, but I was surprised with a trip to Dubai for February.

February meant I was off to Dubai, and I was beyond excited! It was cold in the UK, and I was desperate for some sun and heat. The trip was absolutely amazing and I’m sure I’ll write a blog post in the coming weeks about Dubai and my experiences there.

March is when things started to crash around me. It was time to go back to London to speak to the gynaecology department with an update on the MRI that I’d had back in November 2021. I wish I could say the news was good…In short, we were told to immediately stop trying and that I’d be booked in for an operation as soon as possible. It would be another major operation and it carried more risks than the first time. But it was the only option aside from a hysterectomy. So, after a LOT of back and forth…we decided to go through with the operation. The rest of that day was spent walking around London feeling completely numb with shock. Crying in the British Museum, in P.F Chang’s, in the Lego store, etc. I also had a Vitamin D check done and it turns out, I am way too low on Vitamin D… not uncommon here in the UK…

April was a blur apart from the trip to the Netherlands for the tulips (which did not disappoint!) and to see family.

May was a trip to Vienna and Budapest with friends which was exactly what I needed! The perfect distraction from reality! I cannot recommend these places enough if you are looking for somewhere to travel to in Europe!

June was the month that I got the call with an operation date in the middle of Waitrose. 6th of July…just a couple weeks away…Mum whisked me away to Budapest for a couple days to take my mind off it all and to soak up more sun before I’d be on bed rest. The rest of the month just flew by and before I knew it, July was here.

July couldn’t have started any better for me though…Steve proposed!!!! I am now officially a fiancée! 1st of July will forever now be a special day for me. Those last few days before the operation flew by in excitement with wedding planning!

That excitement quickly moved to dread and fear on the night of the 5th. Tears wouldn’t stop flowing and I was ready to call the hospital and cancel it all. After a very restless and sleepless night…off Steve, dad and I went to London. They dropped me off and weren’t allowed to come up with me. I was escorted up to the pre op room where I had bloods drawn, many questions asked and forms to fill in. The one I hated the most was the one where I had to sign that I understood that I had a higher risk of death during this operation. I was all alone…crying my eyes out…hyperventilating. The nurses, doctors and anaesthesiologists tried their hardest to comfort me. Steve, mum and dad were texting me encouragement too, but I have never felt so alone and so scared. Here I was…having just turned 30…just gotten engaged with so much to live for and not knowing if I would come out the other end. Time stood still whilst I was in that room…I saw others come and go for their operations and mine never seemed to get closer. Eventually it was time.

The past few times I’ve been in hospital for operations, I’ve been taken to the room just before the operating theatre where I’ve been put under. Not this time…this time I was walked into the operating theatre. I was sat down on the operating table, and it was time for my epidural. It did not go smoothly…she was struggling to get into my lower back and suddenly nausea hit! I almost passed out and suddenly got so hot! The whole team stopped and cooled me down and calmed me down. They were honestly so amazing, and it calmed me down. The surgeons didn’t look nervous…so surely, I shouldn’t feel nervous. The second try of the epidural, she went a little higher and got it in one. What a weird feeling!! Being asked to move your limbs but not being able to at all! Before I knew it though, I was out like a light.

When I woke up, I was surprisingly ok…no pain…no nausea…had they actually operated?? Until I tried to move myself in the bed…the searing pain from my abdomen told me they had. The surgeon came to talk to me and reassured me that it went seamlessly. I lost a lot of blood, but they were able to get almost all the fibroids. I still had a womb, but I would probably need 3 or so smaller operations to remove the last few that were on the inside lining. The news had me crying for joy…I was alive…I still had a womb! The operation took a long time…close to 5 hours and I had 1.2kg of fibroids removed.

I’ll skip over my experience in the hospital as it wasn’t pleasant…recovering from a midline incision (belly button down) is not easy. But I learnt that I have really bad reactions to opioids and to anti-nausea medication. I managed to go home on Sunday the 10th where the real recovery started. I had been very sick and hadn’t eaten much over the last week. But eventually that started to fade, and my appetite started coming back. What I hadn’t mentioned yet was that as I came home, the UK had a heatwave. So here I was…recovering from a major operation…and it was close to 40 degrees Celsius almost every day. Our flat felt like an oven…and I couldn’t escape it. I would try and sit in our home office as long as I could, as that’s where we have an aircon unit, but sleeping was a challenge.

Fast forward to September and I finally have my follow up with the gynaecologist department and my surgeon…the news couldn’t have been better…yes, I still had fibroids, but they were extremely small, and I wouldn’t need any more operations…they would do an MRI to confirm this, but they were very optimistic. We were also given the green light to start trying from end of October and no time limit.

We know that I will need a hysterectomy at some point and the fibroids will be back…but for now…we are super optimistic…Recovery is slow, and I am still only 5 months into the 6-month recovery till I am mostly ‘back to normal’ but the difference in my life quality is insane.

The journey isn’t finished yet, but I am hoping that the next part might have more uplifting news…for now…if you have any pain or heavy periods…please go get checked for fibroids…the earlier you catch them…the easier they are to treat! All it takes is a quick ultrasound and its completely painless! I wish I had listened to Steve earlier and gotten checked much sooner.

But right now, I am mostly fibroid free and free to live my life again and to hopefully try and become a mum!

Fingers crossed 2023 is the year we’re able to get pregnant and have as safe a pregnancy as we can!

Living with a hidden (not so hidden) illness…Part 5

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So it has been a couple years since my last blog post and I wish I could say that I was done with this story…Unfortunately that is not the case.

Rewind to late 2020 and I started noticing that it was becoming uncomfortable to lie on my stomach and that something didn’t feel right. After some badgering by my other half, I begrudgingly called the doctor to make an appointment. Fast forward to the start of 2021 and Covid is still in full swing meaning that doctors appointments are just phone consultations at first. It didn’t take long for the doctor to realise that I need to go back for another ultrasound.

After my surgery they had given me around 5 years before the fibroids reappeared but here I was…2 1/2 years after my operation and knowing something was wrong. It took a little time for my ultrasound to happen and the nerves were definitely high. At this point my womb had started growing again and the familiar signs were back, however I tried to stay positive and had thought that maybe it was just adhesions after the operation. However, no matter how much you try to stay positive…sometimes your gut feeling is just too strong.

Summer of 2021 and it was time for my ultrasound…with Covid still being around, no one could go in with me, so I had to stay strong. It was apparent very quickly though that it was worst case scenario…the fibroids were back and there were already 2 large fibroids. The lady doing the ultrasound was super sweet and reassuring because as you can imagine…I didn’t take the news well…I was fighting tears and feeling numb at the same time. Not only were the fibroids back and large…but they also told me that I probably had about a year or 2 to have a baby in with minimal risk. Those that know me, know that I would love to become a mum one day and have dreamt about it for a long time.

It has been several months now since the scan and in all honesty, I am still numb…I am still coming to terms with the news. What made it harder for me was that I had just started my relationship with my other half a couple weeks before the first lockdown in the UK and just over a year later we get the news of the fibroids. I had gotten myself so worked up on the drive over to him and was so scared that that was going to be it for us. But luckily he took it as well as could be expected.

Now here we are, at the end of 2021…I have just had an MRI a couple days ago and we are staying positive for the year 2022 that we’ll be able to either have a baby safely or have some form of treatment that gives us some extra time. I am still numb and still beat myself up occasionally but there are more positive thoughts and hope for the future.

So yes, my fibroids are back and that sucks, but there is hope…and that’s what we are holding on to. Here’s to a great 2022!

Season of Change

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So much Covid time has passed and the inspiration to write has passed with it. The world has been upside down and is now slowly making its way back to a new sense of normal. Like the Spanish Flu in the years 1918-1920, this season is slowly passing. 50 million people died due to the Spanish flu, about 5 million so far due to Covid. But more people are vaccinated now and that means less risk to get new Covid mutations. And that gives hope!

I sit here reflecting on the year and I am probably not alone in thinking this has been one of the most isolating year in my lifetime.

About 3 or 4 generations have passed since the last pandemic of the Spanish flu. Maybe it will take another 3 or 4 generations till the impact of the current pandemic is no longer remembered.

But life is certainly not all bad. Many opportunities have arisen during this period too. Opportunities to spend time, to help out, to re-energise, re-asses priorities and reflect. I have discovered truly beautiful nature in the area I live in. Time spend walking outside, or just driving around have been treasured. Grocery shopping became an outing, chatting with my daughter (ok.. some lockdown rules were broken….) and I don’t even like grocery shopping!!

Time will tell how people will respond to the renewed season of our lives. It’s often said that in times of change people realise they need Jesus. Even though churches will need to reflect also on this new way of doing things, I hope the church can truly make a continued difference in people’s lives.

When Jesus went from village to village He instilled this sense of belonging to the family of God in people. He spend time with those that needed it most, or wanted it most. He urged the woman at the well to go tell everyone. Many of the people He healed he asked to talk about Jesus love for people.

That’s our continued task also, to be His hands and feet here on this earth till we meet Him face to face. In this season of uncertainty and change, He is certain and unchanged. He loves us just as much as He did 2 years ago.

For sure that’s what I will continue to try and do. To love people where they are and be His hands and feet in my own little corner and my own little way. I hope you will too. So our future generations can look back at this period as the time when Jesus was truly manifested in our lives.

Lock Down

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It has been many weeks since I last wrote a post. The weeks have totally run into each other, with the latest lockdown that started before Christmas. It seems so long ago already, but with most of December, all of January, February and March still to come, the world has just been at a stand still.

Working from home has gotten really old. Hours run into days, run into weeks. Each day is exactly the same as the previous one. Weekends don’t feel much different. Just existing from one day to the next.

It makes me reflect on the story of Noah. He and his family and all the animals were in the ark for 371 days! (40 days of rain, light rain of 110 days, 74 days till the water receded enough for Noah to see the tops of the mountains, 7 days later Noah sends the first dove, 7 days later another five, another 7 days later and the final dove. Then another 29 days and the ark cover was removed. And then, finally, another 57 days later Noah and his family disembarked.

If Noah can be in the ark with all the animals for 371 days, I know I can endure another month or so of this lockdown.

It will have been just over a year since the first lockdown when predictions in England say we can see some sense of normality. The seriousness of the infections are reduced by the vaccination program. And soon we are sending out our first dove by finally getting our kids back in school. It’s not quite 7 days later when shops can reopen, but I certainly am looking forward to that second dove being send out to search for dry land!

Then God told Noah, “Come out of the ark. And bring the animals with you so they can be fruitful and multiply and fill the earth.” So Noah and his family came out with all the animals (Genesis 8:13–19).

Noah was faithful in his obedience and devotion to God. He must have felt that God had forgotten then during those 371 days floating around. We don’t read much about those days, but if I feel cooped up after 100 days, I can certainly imagine how Noah and his family must have felt. He waited obediently till God told him to come out of the ark. It was safe for them all to start repopulating the earth.

And that’s what I’ll do. Faithfully wait till it’s declared safe to go about our business once again. Yet, through this all, I am more convinced than ever that this is My Fathers world. He has not forgotten us, He cares for us as much as He did keeping Noah safe.

With only a few weeks to go to Easter, this is a great time to reflect on that. The great sacrifice He made to be our ‘ark’, our rescue.

Speak Lord, your servant is ready to hear…..

Narnia

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CS Lewis wrote the Narnia Chronicles in the 50s, having converted to Christianity in the late 20s. It is based on kids finding a mythical world in a wardrobe and overcoming their own fears in the progress of the story. It’s certainly a series worth reading. Many see the books as a Christian allegory, with Aslan as the Son of God.

Nothing actually says Christmas to me like the story of Aslan in Narnia. Aslan the lion who teaches the kids in the story about unselfish love and self sacrifice. The Lion gave up his life to save Edmund in the story, who had betrayed the Narnians and his siblings. By the death of the Lion, the boy was free to live and repent. It all ends well, the Lion is resurrected and the kids reign over Narnia which they freed from evil.

That’s the story of Christmas to me. Jesus came to this earth to teach us how to live with each other. Ultimately we betray and hurt each other, and in order to give us an opportunity to reconcile with the Father, Jesus gave up His life for us. The story starts of course with the babe Jesus, born in a manger.

Christmas is now past, but remembering Jesus is not just for Christmas. We remember his birth, but it’s worth to also look at His life and the lessons He teaches us daily. Maybe that would be a great way to start the new year 2021, which is almost here. To care for each other, to live in harmony with those around us and put our trust of these uncertain times in the life of Him who came to show us how to live.

May 2021 be the best year yet!

Thankful, Grateful, Blessed

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In Europe we don’t celebrate Thanksgiving in the same way our American neighbours do. However, that does not mean we are less thankful!! It’s actually a great opportunity to reflect on the last year and give thanks to Him who has blessed us greatly.

This year has been a hard year, with Covid being on the forefront of everyone’s mind am sure. Sickness, death, job losses, money problems, mental health issues… you name it… Life as we knew it is no more.

Still, I am thankful for all He has lead me through, good and bad.. He is still in control and still the Saviour of my life! And that makes me feel blessed!

So I am taking this moment to also thank all of you. I am grateful for the support I receive in all that I do. I hope I can be as supportive of you.

Thankful for another year, grateful for all my friends and family and blessed because He loves me and cares for me!

A Time For Reflection

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Another year has passed. It’s less than 8 weeks to Christmas. The US presidential election is still undecided. And we are back in a total lockdown… events just keep unfolding, and time just keeps on flying. It certainly gives me time to reflect and think about all that is going on in this world.

As I write this, I can hear the family walking up the stairs singing. So sweet, they are bringing cards and little presents. Still I can’t shake the feeling this is just another one of those days of which many have passed already in the last 9 months. I don’t know why I struggle so much with this forced lockdown. Even though I rarely go out anyways, when someone tells you you can’t do something it feels just worse!

Since I have come back from the US I have volunteered at the One Vision (link below) where I can. Sorting food, clothes, refilling the store etc. And by doing so I am focused on others more than myself. With each foodcan I put down or plastic bag I fill I am reminded how blessed I truly am. N

I have no financial struggle, a warm house, and still the ability to enjoy another birthday! It sure puts things in prospective.

Melody and I are also about to attend our first virtual Christmas market with our handmade crochet items. You can find the (growing) collection on our Shopify page (https://tapandco.myshopify.com). This will be a totally new experience, thanks to the lockdown. A little reminder that Christmas is coming!

With that, I can truly say I am thankful. And blessed.

I would encourage you to find light in this dark tunnel. And find a listening ear if you are struggling. There are many wonderful support groups that can be reached, and many individuals who unselfishly give up their time to care for others. It provides a different prospective. And I am also very willing to be the listening ear, or be the other face on a zoom social. Just contact me and let me know.

A Time for Everything

1Everything that happens in this world happens at the time God chooses.

2He sets the time for birth and the time for death,

the time for planting and the time for pulling up,

3the time for killing and the time for healing,

the time for tearing down and the time for building.

4He sets the time for sorrow and the time for joy,

the time for mourning and the time for dancing,

5the time for making love and the time for not making love,

the time for kissing and the time for not kissing.

6He sets the time for finding and the time for losing,

the time for saving and the time for throwing away,

7the time for tearing and the time for mending,

the time for silence and the time for talk.

8He sets the time for love and the time for hate,

the time for war and the time for peace.

9What do we gain from all our work? 10I know the heavy burdens that God has laid on us. 11He has set the right time for everything. He has given us a desire to know the future, but never gives us the satisfaction of fully understanding what he does. 12So I realized that all we can do is to be happy and do the best we can while we are still alive. 13All of us should eat and drink and enjoy what we have worked for. It is God’s gift.

14I know that everything God does will last for ever. You can’t add anything to it or take anything away from it. And one thing God does is to make us stand in awe of him. 15Whatever happens or can happen has already happened before. God makes the same thing happen again and again.

https://www.onevisionproject.org

Sandy Beaches and Empty Shells

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Those who know me know I love shells. I can walk along the beach for hours, looking for the perfect shells. Especially shells still connected together (but empty!). I love the turned little shells, as well as big plain ones!! I collect them, all with the promise of one day doing something with them. That has not happened so far but my season is not over yet! Each trip I come back with more.

One of the most soothing sounds walking along the beach is the sound of the crashing waves. A long slow sound when the wind is calm. A rushing crashing sound when the wind is strong. Both are calming in its own way, that is.. as long as I have my feet firmly on the sand. I do get seasick quickly, so I prefer the sound over the experience of rolling waves!

Walking along the beach is a great time of reflection. Many facets of life are resolved, when the wind blows through my hair. Even as kids my dad took us often to the beach in the weekends. In stormy weather there was usually a cup of hot chocolate at the end of the walk. Those were probably the best walks! Any lingering cobweb in my head gets blown away, and after the walk I feel light, refreshed and ready for whatever is coming my way. My pockets jingling with shells… or seaglass…

Seaglass… old bottles battered around in the sea, broken up into pieces, and then sanded by the constant motion of the water. The result is a beautiful piece of so called sea glass, coveted and treasured. I love collecting these pieces too. These tell me a great story of no matter how battered and bruised I may get, I will get polished and come out beautiful at the other end.

If anything is an example of transformation, it’s seaglass!

There is this verse in the Bible in Malachi 3:3 that speaks about purification of silver and gold. I get reminded of that when I think about seaglass. We all have to be transformed, purified by the fire, just like silver and gold. That’s where our true worth comes out.

We may get battered and bruised in the process of our lives, but we will get transformed into something very valuable and beautiful. And when we are finally going home, Jesus will be waiting for us at the sea of glass, welcoming us with open arms. That’s when the biggest transformation will take place. We will be the most beautiful and shiny, walking hand in hand with our Father, who has not ever left us in our transformation process.

I can hardly wait for that moment!

Nearly Autumn

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The trees are starting to get a distinct yellow hue. Leaves are actually turning colour, and some are already falling off the trees. Autumn is approaching!

This year is such a strange year. By now, 5 months into Covid, it’s starting to get old. Staying inside, not mingling with people, none of the things we are used to take control of. Churches needing to be reimagined, economies struggling, not able to freely travel. It has impacted us all in some way or other.

Secretly I hope that autumn is a sign of change. The natures changes, producing the most wonderful colours. A real promise of new things to come. But the old first has to die. Maybe that’s true if Covid too.. I certainly hope so!

For everything there is a season, and a time for every matter under heaven: a time to be born, and a time to die; a time to plant, and a time to pluck up what is planted; a time to kill, and a time to heal; a time to break down, and a time to build up; a time to weep, and a time to laugh; a time to mourn, and a time to dance; a time to cast away stones, and a time to gather stones together; a time to embrace, and a time to refrain from embracing;

This comes from Ecclesiastes 3, and reminds me of an old song:

Our lives is a real mixture of all sorts of emotions: joy, fear, anxiety, sadness etc. Nothing stays the same, change is always there. We all have to learn and accept and adjust to the ebb and flow of God’s design. Just like the seasons in the year. Some seasons are difficult, and we may not understand what God is doing. Like the current season we are in. But as I said in an earlier post, God is still in control and we have to trust He has our lives in His hands.

This season approaching is one of my favourite seasons. This year particularly I hope this will herald in a season of change. Turn .. Turn… Turn…

The first turned leaf I noticed
The first leaf I saw on the ground