I have been quiet, yet again. This time, however, I do have a very solid excuse; something profound and life-altering happened to me two weeks ago, and since then, I have not been entirely me.
To start off this story about my near-death experience, let me go back to December 2010. At the time, I was working for an internet provider in Stellenbosch, had been dating Izzy for about 3 months, weighed 17 kg more than I do now, and had started imagining the kind of life that I wanted for myself.
Amongst other things, this introspection resulted in my decision to go to university. I needed to become something other than a secretary, and academia whispered my name. I decided that giving up my independence (as gained through employment) was worth gaining knowledge, a degree, a career. Furthermore, I concluded that the type of life that I hankered for was one which included children; I had always wanted a 10-toed wonder. I wanted my life to include Izzy, a home, a stable career in academia and a baby (or three); I wanted to be a mom, to play and giggle and bake and read bedtime tales.
Being a mother and being a lesbian are, however, not things which go together, necessitating contemplation in order to answer the burning question which flamed me to near-insanity: how? How would I acquire a mini-me, a baby unicorn, a screaming, shining illusion of rainbows and lollipops? I refused to sleep with a man, so that option was immediately abandoned. The idea of surrogacy was daunting, and seemed impossible. The concept of adoption sounded like a stumbling torture of rejection. Eventually I decided that fertility treatments were the best option. Sure, it would cost me roughly four year’s rent, but it would give me exactly what I craved: pregnancy. Big-bumpedness. Glowing, rounding, joyfulness. This being decided, I assumed that at some later stage in my 20s, I would need sperm, and thus, when a colleague told me of the fertility clinic his mother was employed at, and of the egg donors they required, I began to think.
I was thinking of karma. Izzy and I spoke, and we filled out application forms, and we submitted ourselves and pledged our eggs. How many women do you know who are unable to have children? How many stories have you heard of parents who cannot build families? How many, how many, how many. And all the need is an egg. One egg, one miracle, one step to realize a fervent desire, a never-ceasing dream. And I, well I could give it to them.
I received a call roundabout January/February of this year from the fertility clinic – a couple had chosen me, my eggs and my intelligence (or lack thereof). The process took less than a month to complete: it started with psychological assessments, next came blood work and medical tests and checks and finally came the treatments. I was given a bag, filled with needles and medication and alcohol wipes. I injected myself once a day with lets-not-attempt-to-pronounce-it medication, designed to stop my hormones. After some time had passed [during which the receiver's body had to synchronise with mine], I was given a second set of medication, which was incredibly complicated to mix and inject, with the intent to stimulate my eggs. They grew massively, roughly to the size of apples, and were large in number: 17.
Come mid-March I was bloated, continually had to urinate, had slight stomach cramps and felt as though I was pregnant. Cigarettes and alcohol started to taste bad, and nausea set in. The operation in which they were to remove my eggs was scheduled for 28 March, and I was told that it went well. It took roughly 20 minutes for the aspiration of my eggs to be completed, during which I was under local anaesthesia, and when I awoke, I was in a mild amount of pain. The gynaecologist informed me that I would be slightly bloated for roughly 14 days, and that I would experience slight discomfort, but that I should be right as rain come the Monday [this was the Wednesday].
Come Monday, however, I was hospitalised. What had started out as mild discomfort could soon not be dulled by morphine; I vomited for three days straight, my stomach was distended and painful, and I was scared. I drove, in tears and whilst vomiting, to the gynaecologist on the Thursday, who sent sent me for bloodwork, examined me and informed me that I was “fine”. The weekend I spent in various forms of what I assumed was death, and on the Sunday morning Izzy found me on the bathroom floor, howling with pain. I was rushed to a hospital in Durbanville, where the doctors were unable to help me, and took hours to assist me. First, they treated me for an infection and then, several x-rays later, it was decided that they would operate, at which point I called my father.
My family were of course unaware of my decision to donate my eggs: the concept of lesbianism was already a difficult one for them to come to terms with, and I knew that this would be something that they would not a) understand, or b) support. Izzy has worried and unable to help me, and I was sure that I was going to suffer a stroke or blood clot at some point – as things stood, I was already severely dehydrated and the drip which they had me on was not offering any comfort or relief from the constant nausea and searing pain in my stomach. When my father arrived at the hospital, it had been arranged that I would be transferred to Stellenbosch, where they could better help me. My ordeal was however not over; I would get a lot worse before I would feel better.
Upon arrival at Stellenbosch mediclinic, my gynaecologist who had aspirated my eggs examined me, and found that I was suffering from something called Overian Hyperstimulation Syndrome (OHSS). In layman’s terms this is: “a complication from some forms of fertility medication. Most cases are mild, but a small proportion are severe.” Three types of OHSS occur: mild, moderate and severe. I, of course, managed to suffer from severe OHSS, which is characterised by: “fullness/bloating above the waist, shortness of breath, pleural effusion, urination significantly darker or has ceased, calf and chest pains, marked abdominal bloating or distention, and lower abdominal pains (in addition to mild and moderate symptoms).” To put it in terms most people will grasp: I had gone from weighing 58 kg to 69 kg in the space of four days, had not peed in two days, my stomach had swelled to 93cm, I appeared roughly 7 months pregnant and was struggling to breathe because my stomach was filled with fluid from the operation.
The treatment for OHSS is this: nothing. The only thing they can do is wait it out, whilst ensuring that you stay hydrated and medicated in order to curb your pain. The first two days in the hospital were incredibly frustrating: there was nothing they could do for me, no means to speed up my recovery and I was not given any answers as to when I would start feeling better. Come Tuesday evening, I experienced increased trouble breathing. The gynaecologist was consulted, however he reported that I was fine. My blood tests were fine and I was fucking fine. On the Wednesday, however, I called for the nurse to bring me oxygen, and implored her to get a doctor as soon as she possibly could; I felt as though I was suffocating.
Thankfully a surgeon showed up, listened to my lungs and sent me down for an x-ray; within an hour they realized that my right lung had collapsed from the fluid moving from my stomach to my chest cavity. I was not, to put it mildly, fucking fine. My father, who lives two hours from Stellenbosch, had driven to the hospital on a hunch, and upon his arrival was informed that they would be performing emergency surgery so that I would not die; as it were, I was pretty damn close to the light. The likelihood of a lung collapsing due to OHSS is less than 1%. As always, I am the minority. I was rushed to ICU, where the doctor barely had the time to scrub or wash his hands, applied a scalpel to a space between my ribs and sliced me open. The pain was excruciating, but more so was the moment that he inserted a pipe into my ribs in order to drain the fluid. I am told that they heard me screaming outside the ICU – I don’t remember much but that I internalised. My first thought was: oh fuck. My second thought was about God. And my third was that I would never smoke again.
When I opened my eyes again, the floor was covered in blood and a yellow-ish liquid; the pipe in my chest cavity was attached to a bottle, into which fluid drained. In the space of less than 5 minutes, roughly 5 liters of blood and water had rushed out of my body. I was in severe pain, on an oxygen mask, could not move, and my shoulder was suffering from transference [whenever you experience pain in your abdominal or diaphragmatic area which is too great, it moves to your shoulder]. I was given an extremely heavy dose of painkillers, and eventually drifted in and out of sleep. When I opened my eyes on the Thursday, I was still in incredible pain, however it was slightly dulled by morphine. A catheter was inserted; I was ordered to eat, however could not. I had not eaten in six days.
During this time I allowed no one but my father and le girlfriend to visit me, both of whom were sources of great comfort to me. My father was understanding, caring and scared, and Izzy was loving; a wreck, yet solid in her support. I was given around-the-clock care, barely slept, had horrid nightmares when I did, experienced moderate nausea and severe pain, was swollen and smelly, and in general not incredibly enthusiastic about life. My skin had turned a yellow-ish colour, I was unable to lie on either side or move anything but for my legs [and experienced muscle cramps in all other areas due to this], and had to undergo physiotherapy for my lung, which was still draining blood and fluid.
I was finally transferred to the general area of the hospital on the 6th of April, where I underwent the rest of my recovery. I allowed visitors to sit at my bedside, could now walk for about five minutes without fainting or experiencing too much pain, and had resumed eating again. As a bonus, my catheter was taken out – horrid, horrible things they are – and I began monitoring the draining process: it was necessary that complete cessation took place before the drain could be removed. Once that had happened, I was allowed to go home on the 9th of April.
Why have I told you this? Because you need to know. You need to know that you could die at any second. People have repeated this fact throughout history, yet it is not until you very nearly die that you realize that you COULD die right now, in this instant. I have ceased smoking; if a collapsed lung feels like THAT, then lung cancer will feel like… What? The pain of a collapsed lung is unfathomable, and the pain of lung cancer even more so. Whatever it is, however it steals your light, I have no intention of experiencing it. I have told you this because somewhere, out there, someone might read this and think that egg donation is a harmless process; someone might have even worse luck, and die from it.
The woman I donated my eggs to, is pregnant. The gynaecologist informs me that my seat in heaven is awaiting, that I have accrued enough karma to last a lifetime, that it wasn’t for nothing. Your suffering has meaning: bullshit. Unnecessary pain is exactly that: not necessary. Your life has meaning, your existence brings joy to others and you should never, never compromise that (especially not for a stranger). Kindness has its limits, and I sure as hell have reached mine. Did I rememer to mention that as a consequence, I will never be able to receive fertility treatments again, thus robbing me of the opportunity to have children with my partner? As I said: kindness has its limits, and I have reached mine.