butterfly kisses

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The first flutter was felt just below my right breast. It felt like a small bubble was stuck there and then a faint electric current of sorts running through you.That was on 8 Feb.

We saw the doctor the next day and NUH treated us well (except for the waiting area which lacked seats).

We didn’t have a great time at KK last year, dealing with their AnE, and although friends differed in their opinions of The Private Suite’s treatment, we didn’t want to risk another negative impression. We narrowed down our choices to NUH, Mt E Novena and TMC. So now that I’m in week 19, it’s just nice that we go and see what NUH has to offer.

Prenatal package starts from week 22 onwards.

Based on last scan, baby’s legs are on my left tummy. And that’s where the majority of my movements are from. It’s a tickle under my left breast now. Sometimes, feeling like a cramp or a current. And sometimes, flutters across. One can only imagine what type of gymnastics little one is up to ;P

The flutters vary from person to person. Some as early as week 13 (muscles more relaxed, or if it’s a second pregnancy), some later on week 20 onwards. No cause for concern unless gynae says so. Every body is different, every pregnancy is unique.

I am looking forward to the first serious kick or punch. Hubby felt the flutters yesterday. Today, little one seems to move a fair bit. I’ll rub my left tummy and smile and send lotsa telepathic hugs and kisses to it. I wonder what it’s doing.

Fluttering aside, I am so enjoying this period where you are ‘normal’ as normal can be in a pregnancy. We got loads of things done, lots of walking, browsing. Yes I get tired very fast and fatigue is catching up on me again. Staying awake at work is SO DIFFICULT.I try to nap during lunch time but it’s hardly enough. You need to eat, rest, and by the time you drift to sleep, lunch time is over.

My next scan is on 10 Mar. Counting down to end-June when I am on maternity leave.

Waiting for more butterfly kisses from little one. You don’t know how it makes us feel to see my tummy growing, the little one moving in scans and feeling the flutters, especially after what happened to us

The 2 trimesters

I’m now in my 5th month (20th week).

I am very tired, as you can imagine, producing and feeding another being inside you takes a LOT of hard work. Your food, energy and body is now shared. I get headaches, fatigue, nausea, extreme sleepiness, aches, pains – you name it, a pregnant woman would have gone through it.

The things people say baffle me. I read a lot to understand and prepare myself mentally of what’s to come. (I’m that sort of person… I even read movie synopsis on wiki so I know the plot and what’s coming. Nope, it doesn’t ruin my movie experience. I like to know what’s going on!)

This is what I’ve gone through thus far:

First trimester (0 – 12 weeks)
Confusion. Overloaded with emotions and hormones as your body prepares for change.
Vertigo. Throwing up before work, at work, during and after. (Lucky you if you don’t suffer from all these!) Headaches. Extreme sleepiness. Backache (those jabbing kinds that you feel wth is going on?!). Gas. Sense of smell developing.

Lacklustre energy and can’t stand any strong smells. In constant headache/tired mode. Gone to bed at 8.30-9pm. This is the kind where you just can’t stay awake and your eyes droop and you can’t even fight it.

People ask ‘Why are you so tired?’
People say ‘I think you are having a girl cos you are throwing up and it seems like hormones’ overload’
‘You should see a doctor; you will be very weak at this stage you are going’
‘You shouldn’t be wearing jeans anymore!’ (this, although my jeans are bigger than my waist/tummy cos I’m pear-shaped remember)

I’m PREGNANT. Hormones overload is part of the wonderful (I meant that both sarcastically and not) package that mommy-hood offers. Unless you are going through extreme vomitting till you are dehydrated, well, pregnancy is like this. I’m not sick (and yes, that’s another point to note. When you are pregnant and sick, best to not medicate at all as everything affects development of baby! Go natural remedy… and always speak to your gynae for advice)

2nd trimester (13 – 28 weeks)
Awfully swollen, tender, big breasts. More gas. Stretching and tightening of belly, hips, thighs and everywhere. You can actually start charting your belly growth as you amaze at how your little one is growing! More aches and pains. Energy coming back. Easily tired though. Sleepiness (again). Acute sense of smell.

People ask ‘How are you feeling now? How far along are you?’ (together with the realization that your tummy pooch is now a baby bump. And you didn’t just put weight around your waistline ;P) ‘Have you chosen a doctor? Is it a boy or a girl?’ ‘Why are you crying?’

People say ‘You shouldn’t be eating this/drinking that.’ ‘Your tummy is small for XX months.’ ‘You must start (insert activity/food/advice/etc’

This is the period that I feel the best, as will a lot of women attest to.

I get most of my baby shopping done in this time. Yes, I get tired very easily. Takes me a day to get rid of the fatigue if I’m out the previous day walking. I walk a lot. If you are like me and don’t have an exercise regime, you should start you-tubing simple yoga, stretching, pregnancy exercises to do.

Remember, your body is now very different and you must prepare it for childbirth. This includes a conscious effort of eating every 2h (who’s gonna feed your child inside??), getting blood circulation going and the aim is to ensure your body is prepared when it comes to bringing baby into this world.

Start from the inside, nourish yourself body and soul, be happy. And you should be able to countdown to your EDD with much excitement and anxiety 🙂

An insensitive soul.

It took me months to come to terms that I lost a heartbeat in me. I never forgot and I wanted to talk about it as freely as I could if someone were to ask.

That’s the step to healing. You don’t pick at old scabs but you pluck the courage to talk about it for it to stay in the past – so you can live in the present and look forward to the future.

My body has changed from the pregnancy. My tummy has expanded and it reminds me every single day of the loss. It hangs like a little poochie tummy, which I never had. And everytime I look at myself, I remember.

Before pregnancy, I’m a natural pear-shaped figure. Tiny waist, big bottom.
See the chart below to know what body shape you are. This is just the rough guide. You might find that you are in-between shapes but one thing for sure, your bone structure wouldn’t change 🙂

girlsaskguys.com

So, I have this colleague whom everyone loves because she is the motherly kind. She means well, have good intentions but a bit on the rough side. Says things that are insensitive but she has no clue. Her thinking’s still old-fashioned and she dishes tons of advice on anything and everything that you feel ‘Ok, thanks now. I got to go.’

She has been advising me to get pregnant early after marriage. She compared to olden days where the Malays she knew had big families. I better get started, she said. The thing is, Singapore is now an expensive place (if not THE most expensive city from 2014 survey) and we don’t have the means to support us comfortably, much less a big family.

Anyways, besides the point that she’s been egging me to get pregnant (like really. have you heard of boundaries?), after my miscarriage, I was trying to live life and just move on. She didn’t know I had these challenges and ever so frequent, she’d pipe up and ask ‘Are you pregnant yet?’

I told her once, twice, often that it’s not the right time and it’s a private matter to be asking me. She observed that I had the pregnancy curves (from my body’s expansion plus my naturally curvy bottom half) and told me to check a pregnancy test. This happens often. I wanted to punch her.

The last straw came when she was walking behind me and asked that again ‘Are you pregnant?’ ‘Your butt and thighs are big, you look pregnant.’

If I had no self-control, I’d have knocked her down. But she’s an older woman, nice (till about the time she started nosey-ing in my baby-making business), and you know she doesn’t mean any malice. Still, it hurts. Still, I wanted to heal not get reminded of what could have been.

And I shouted at her.

I raised my voice to an almost-scream (nothing that I could control but a release of allllll the months she’s been bothering me) that ‘I’m NOT PREGNANT! It’s VERY RUDE OF YOU TO KEEP ASKING ME THAT!!! MY SHAPE IS NATURALLY LIKE THAT!!!!! STOP ASKING!’

She got taken aback and tried to shush me. Damage’s been done.

My floodgates opened.

If you thought telling a girl she’s put on weight was a bad idea, try saying that to someone who suffered a loss and can’t do anything about it. Heard of binge-eating? I wasn’t. I was just going through the motions of what could have been.

I cried from the awful reminder that my body isn’t the same. And all for nothing. I cried cos I can’t control the way it has expanded. I cried cos I miss you, little one, and knowing that I lost you before you had a chance to grow.

She came to apologize but damage has been done.

Till this day, she doesn’t really want to talk to me. Which is weird, considering she’s the one who’s insensitive, but I prefer it that way. I’ve moved on from that episode, said hi, smiled but she either ignores me or looks away. I know she’s embarrassed but she needs to know boundaries and respect.

A month later after that incident, I found out I was pregnant.

Now that I’m sporting a baby bump, I’m glad that she doesn’t bother me. I heard she’s bothering someone else in the office who’s pregnant, showering her with advice and books from her time (1985 – the year I was born). Sweet, but overwhelming, if you say so.

Supersonic smell

In my transition from all-day sickness (mornings, evenings, nights), I developed an acute sense of smell.

As it is, I’m usually pretty sensitive to smoke, perfumes or strong odours. It irritates my nose and my tip of the nose kinds of bristles. I’ll keep rubbing till I have a pink/red tip of the nose like Rudolph.

With the hormones coming into full-play and taking over, I was extremely sensitive to smells.

The lunch meals my colleagues took smelt like puke. But I had to withstand it because actually, it doesn’t smell like that. I was just more in-tuned to the different notes of spices that exist. My own food probably smelt the same!

I couldn’t go into a food court without being hit by an overwhelming sensory explosion (in a bad way). I resorted to covering my nose while buying my food. Someone’s BO became extremely repulsive (even more so than normal!). Cigarette smoke sent me into a rage (and my husband’s a smoker plus I’m surrounded by the lingering stale smoke smell from colleagues’ who do smoke). On normal days, my sense of smell was already sensitive. On pregnancy days (which is 3/4 of the year!), it’s evolved massively.

The first time I realised my sense of smell was heightened was when I opened the home pantry door. That’s where we store onions, dried foods, eggs etc There was this pungent smell everytime I opened the door and no one could smell it but me. I thought something had died inside and was adamant something really did!

No one in the family smelt it.I withstand it for a week and covered my nose if I had to take something from there. One day, I decided to investigate and put my trusty nose to the test. I poked around corners, looked in between narrow holes and under stuff just to make sure nothing died. Then I smelt everything in there – including the clothes pegs, washing machine, eggs, cupboards. Then I found it.

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It was a basket of garlic cloves which emitted that pungent smell!!! Not the big red onions, not the eggs, but these cloves!

I was relieved to finally find the source. Phew. At least, now I know what’s causing that pungent smell. I never used to smell it this strong…no one else smelt it except me.

It took a while for my nose to get used to the smell though. But finding out the offensive source put a smile on my face. If only I can say the same when I open the fridge…

Cancer Society at J8

This is where I went for my free pap smear and breast exam. Do contact them to check if it’s still free. Nothing to be scared of. All ladies (again, check with them in case a male doctor is assigned. There will always be a nurse with you).

Early detection might save your life. Or someone close to you.

http://www.singaporecancersociety.org.sg/Publications/SocietyNews/psocietynews1/enews14.aspx

New Singapore Cancer Society Multi-service Centre at Bishan Junction 8

To bring our services into the heartlands, the Singapore Cancer Society (SCS) Multi-Service Centre has begun operations in Bishan at the Junction 8 Office Tower.

The SCS Multi-Service Centre provides access to cancer screening, cancer support services, hospice home care, and welfare services in an effort to make these services more accessible to the general public.

SCS provides these free Cancer Screening services:

  • Faecal Occult Blood Test (FOBT) for Colorectal Cancer
  • Pap Smear for Cervical Cancer
  • Clinical Breast Examination for Breast Cancer
  • Patient Education
    • Breast Self-Examination for Breast Cancer


Singapore Cancer Society Multi-Service Centre
9 Bishan Place
Junction 8 Office Tower #06-05
Singapore 579837
Tel : 6499 9133
Fax: 6499 9140

BreastScreen Singapore

Visit BreastScreen Singapore for more details.

BreastScreen Singapore

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BreastScreen Singapore is the national breast cancer screening programme which encourages women aged 50 years and older to go for regular mammograms. Read on to find out more.

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BreastScreen Singapore (BSS) is the national breast cancer screening programme which encourages women aged 50 years and older to go for screening mammograms (breast X-ray) once every 2 years. The aim of this Programme is to detect breast cancer early, allowing for more effective treatment and a reduction in the mortality rate.

Women aged 40 to 49 years old who wish to participate in this programme, are advised to talk to their doctor about the benefits and limitations of mammograms for women in this age group so that they can make an informed choice about going for screening. If you are 40-49 and decide to get screened, you should go for a screening mammogram once a year until you are 50 (after which screening mammograms are recommended every 2 years).

Am I eligible to participate in BreastScreen Singapore?

How can I protect myself from breast cancer?

  • The best way to protect yourself from breast cancer is to go for regular mammograms. Doing monthly breast self-examination also keeps you aware of any changes to your breasts.

(1) Go for a mammogram every two years

During the process, a female radiographer will put your breast between two flat plastic plates and compress for a few seconds. This is performed on one breast at a time. Some discomfort may be felt but it is important for the breast tissue to be compressed in order to take a clear X-ray.

(2) Practise monthly breast self examination

How often should I go for a screening mammogram?

  • For women 40 to 49 years old – once every year (should you decide to go for screening)
  • For women 50 years and older – once every two years

How much does it cost?

  • Subsidised screening is offered at $50 for Singaporean citizens and $75 for permanent residents (PRs) under BSS at 16 participating polyclinics.
  • If you are aged 50 and above, you may use your Medisave or the Medisave account of an immediate family member (excluding siblings) for your screening mammogram at all Medisave -approved screening centres. All BSS screening centres at the 16 participating polyclinics are approved centres for use of Medisave.
  • Under the scheme, up to $400 per Medisave account per year can be used for screening mammograms.

Which screening centres participate in BSS?

BSS is available at the following X-ray centres (please click on the individual centres for more details):

National Healthcare Group Diagnostics (NHGD)
Tel: 6275 6443 (6-ASK-NHGD)

SingHealth
Tel: 6536 6000

Radiologic Clinic
Tel: 6533 2721

  • X-ray centre (Level 4, HPB building)

How do I make an appointment?

A doctor’s referral is not required to make an appointment.  If you are 40-49 years old, do consult your doctor about the benefits and limitations of a screening mammogram so that you can make an informed choice about having your screening.  Please call the following healthcare providers:

  • NHGD: 6275 6443 (6-ASK-NHGD)
  • Radiologic Clinic: 6533 2721
  • SingHealth: 6536 6000

For more information about BreastScreen Singapore and breast health, please call 1800 333 3030.

What do I need to do on the day of my appointment?

Your mammogram appointment should be at least one week after the last day of your menses. On the day of screening:

  • Wear a two-piece outfit so that you can easily undress from the waist up
  • Do not use any perfume, deodorant, powder or ointment on your underarms or breasts
  • Remove any jewellery from your body
  • If you are pregnant or suspect that you may be pregnant, you should inform the clinic immediately (before your mammogram).

What to expect after a mammogram?

If your screening results are normal, you should continue with your monthly breast self-examination and regular mammogram once every two years.*

If your results are abnormal and you are asked to go for further tests, do not panic. Out of every 10 women who need further testing, 9 will have normal results. Having to go for further tests does not mean you have breast cancer.

*Women aged 40 to 49, who would like to go for breast cancer screening are advised to go for regular mammograms once a year. 

What should I do if I am asked to go for further tests?

You should make your appointment within two weeks of receiving your result letter.

You can make your appointment at any of the following locations:
1) National Cancer Centre (Tel: 6436 8415)
2) National University Hospital (Tel: 6772 5201)
3) Tan Tock Seng Hospital (Tel: 6357 8177)

On the day of your appointment, avoid using powder, perfume, deodorant or creams on your underarms, and wear a two-piece outfit, so that you can easily undress from waist up. Bring along your IC and result letter.

What further tests are required?

The tests that you need will depend on your mammogram result. The doctor will recommend the suitable tests for you.

Some examples of further tests include:

  • A repeat mammogram where different views of the breast are taken
  • A breast ultrasound where sound waves are used to see the breast tissue

For more information about BreastScreen Singapore or breast health, please call our Nurse Advisor at 1800 333 3030

Click here to view more Frequently Asked Questions  about breast cancer screening.

 

Discovering the breast lump after my miscarriage

After the miscarriage, another obstacle hit us. A breast lump just behind my nipple surfaced. It was hard, unlike any other cyst, or lumpy breast syndrome that you have when you near your period.

It hurt.

I was woken up by the pain and shocked to feel that. What could it be?

We went to the doc and was referred to a breast specialist for an urgent consultation.
Dr Chuwa at Gleneagles is a really kind, understanding and motherly figure. She and her team of nurses handled us with care and concern (and dare I say, enthusiasm when we went into operation to ease my worry!) from the very first visit.

She took a scan measurement of the lump and asked us to monitor if it grew. We were to come back and if it’s grown, we will see what happens from there.

The next visit was 2 weeks later. Unfortunately, the lump has grown and was now pushing against my nipple. A sample tissue was taken and examined by lab. 2 days later, we were back at the clinic and the results weren’t good.

The lump had grown rapidly and was now 2cm. It’s continuing to grow which suggests an abnormal growth. If I didn’t remove it, I would not be able to breastfeed and there is a chance that it could be breast cancer.

I broke down when she explained about the surgery. I was fine with going through the surgery but the combination of receiving this news plus going through the loss of our loved one was too much.

I nodded as she showed me slides of possibilities of nipple or breast reconstruction, if needed. I was fighting back my tears but it was no use. I had to go the surgery to stop the lump from growing. Potentially, after the surgery, I could lose my nipple too. With any surgery, there is always a risk of complications and possible after-effects.

We scheduled for surgery in the next 3 days. It was a scramble of informing our employers to hand over work/cover duties, family and checking with insurance to help with finances.

Surgery is not cheap. With only 3 days to settle everything, we had to ask family to standby some cash for us. Thankfully, I was covered under spouse insurance by hubs’ employer and our insurance would cover us. It was having the cash upfront first just in case the hospital needed us to pay and then seek reimbursement. We were looking at $10k.

The day of the surgery, we tried to make light of the situation. I was very nervous. I didn’t know what would happen and I didn’t know if I’d still be awake after. I just know that this all happened so fast. And God has really given me so much challenges in a short span of time. I accepted it and I sympathise that my husband had to go through so much shit this past few months because of me. It was a test of our endurance as a couple.

I remember being wheeled across floors, making conversation with nurses who assured and reassured me and husband, having Dr Chuwa’s staff come and make joke with me. Even my anesthetic person was awesome. They asked me repetitive questions as part of the protocol – name, age, IC, where am I, which side of the breast is my lump at, whether I wanted to go home or stay in the hospital after the surgery. I teared seeing my husband with me through all of this. Such love from him.

As I waited to be wheeled into the operating theatre, I listened to the gentleman beside me cracking jokes with the nurse. He said he’s been in surgery 3 times. If he didn’t know where he was, he better make sure this is the last surgery he’s going to.

I looked at the white hospital lights as I was wheeled. I looked at the nurses’ kind faces as they smiled and say they will see me in a few hours. When Dr Chuwa came, I smiled as I saw her Tory Burch earrings and thought ‘Wow, those are damn nice.’ She comforted me again that I’d be able to breastfeed after the surgery and she’s looking forward to seeing me at the end.

They placed the anesthesia on me and asked to inhale deeply and count to 10.  I lost count and fell into blackness.

I was woken up with gentle patting and someone calling my name. She said surgery was over and it’s a success. I smiled but I was way too groggy. I drifted back to sleep.

I heard my husband’s voice and opened my eyes to see him. I drifted off to sleep again.

It wasn’t till later that the effects wore off. Well, it didn’t completely wear off as my body seemed to had a lot of it! It wouldn’t comply when I wanted to move. I looked at the bandage across my nipple. I survived. The lump was successfully taken out.

I took lots of fish essence after the operation to help in the healing process. It hurts when I stretch my arm. The little stitch was still sore.

The miscarriage was a blessing. Irregardless if I was pregnant or not, I’d have to go through the surgery as the lump was a risk. There’s always a reason for things happening. And this was it.

Life resumed for us as we left behind the memories of our ordeal. I scheduled a breast lump check for the next 6 months and shared with everyone I know the importance of having insurance and a breast check. A woman should be empowered to know what’s normal for her breasts to feel like and what’s not. Going to the free breast lump check should be a motivation not a deterrent that someone is going to find out something is wrong.

Early detection helps a lot in the long run. Don’t take anything for granted.

17 weeks

I’m now 17 weeks with my second first.

You don’t forget your first … although it’s only in memory. there was a heartbeat after all. it was life.

I marvel at how our bodies are miracles. from a sperm and an egg, from a few mm to a few cm. from nothing to organs forming, blood pumping and movements.

I’m waiting for the movement(s). i’m now past the 3 months development stage but every doc visit still creates anxiety. not until i see the little blob moving and stretching with the beating of the heart, will i stop worrying.

Rubbing my baby bump soothes me and in a way, I hope it assures the little one that I’m here and thinking of him/her. Our doc visit is on Mon and hopefully, we will get to know the gender. The last time, it’s a speculation that it’s a girl but it could jolly well be a boy hiding his privates 😛

Either way, we are thankful, grateful and excited to welcome the little one.

We manage to get our stroller, breast pump, some washcloth/swaddle (but of course, you need more!!), carrier, pillow. We are blessed that a friend is selling us a Maxi-Cosi car seat at half price and another awesome friend is blessing us a cot. This is definitely helpful.

I’ll get even more excited nearer to date. For now, fingers crossed for Mon’s visit. 🙂

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