Date: Fri, 13 Jun 1997 08:56:39 -0500 From: Phanny Subject: SUB: CONTEST: Humor: Essay: Game NOTE: I'm giving this entry a generic "title" for your voting purposes, as the author did not submit a title. -- Phanny The rules of the baby game seem fairly straightforward to the beginner. At the first ring of the biological alarm clock, you count backward nine months from Memorial Day (which gives you time to trim up for Fourth of July, opening day of Bathing Suit Season in New England); clean out the extra room that's now filled with junk; assess the bank account and take a blood oath with your husband that you'll both start saving more money; and start clipping Pampers coupons from the Sunday newspaper. Then you wait. And wait. Finally, you reread the rules, which say: Go directly to the doctor's office; do not pass maternity; do not collect your 200 jars of baby food. Now, the game grows more complicated. Instead of playing in the privacy of your own home, you must play in a public arena where cheerleaders try to keep your spirits up, coaches sketch out a strategy for you try to follow, and specialists analyze and scrutinize your every move. To understand the language of the game, you must arm yourself with volum es of books that define medical terms and spell out acronyms. To win the game, you must figure out a way around certain obstacles; some are simply annoying, some are simply painful, and others are seemingly insurmountable. To participate in the game, you must play with real money -- and the stakes are high. But the real trick is knowing when the game is over, because there aren't always winners. Infertility treatment has come a long way since my mother and other wome n of her generation played this game, and the rules have changed a lot. Before, players depended more on fate than on doctors. If you were lucky, you "found yourself with child." Today, doctors know a whole lot more, and for many women, technology has replaced the roll of the dice. Before beginning, however, you should be aware that even though you ofte n play this game as a husband-and-wife team, the playing time is not always equally distributed. You are the lead player who starts every new round. Your husband or partner is the second string; he must be prepared and ready to step up under the glare of the examining light when it is his turn, but it seems he seldom gets the call. Once you've committed to the game, you must resign yourself to the well-meaning friends and relatives who feel compelled to cheer you on. They understand the object of the game, but when you try to explain the maneuvers you've tried, and the details of your current strategy, they may innocently ask: "Have you tried just relaxing? Relaxing? Relaxing is a candlelight dinner, some red wine, and jazz on the stereo. These folks have obviously never tried relaxing with a thermometer. Then there are the pom pon wavers who secretly desire to be coaches. The y send you articles they've clipped from newspapers about how drinking coffee can cause fertility problems; how eating yams can counteract infertility; and how standing on your head adds the law of gravity to the egg-plus-sperm equation. Well, if that's all it took to hit the jackpot I'd throw my sacrificial coffee pot to the wolves while standing on my head eating yams. Another part of the game is finding a coach you trust, a coach you like, a coach who doesn't have cold hands. Then you have to learn to interpret the signals of your coach. When he or she tells you a procedure may cause slight discomfort, that mean's it's really going to hurt. When the doctor's receptionist tells you to have seat because the appointments are a bit backed up, that means you'll have time to finish War and Peace. If the technician tells you she's just going to draw a few small samples of blood, get ready to open a vein. And if your doctor tells you he or she is not sure how much this whole process will cost, better head for the bank to apply for a second mortgage. If and when your doctor refers you to a specialist, be aware that you ma y either lose a turn, or receive a penalty and be forced to go back a few spaces. Specialists often scoff at your former coach's strategy, and insist upon retracing your moves according to their game plan. Once the specialist is in control, you must learn to interpret in code. For example, a specialist in ART may have you chart your BBT to determine if you are producing enough FSH. If you are unlikely to conceive without ART, you may choose to try IUI, IVF, GIFT, or ZIFT. If you are adept at this game, you quickly become a cryptologist and translate this alphabet soup to get the real story. In lay person's terms, this means if, after a battery of tests, you are considered unlikely to conceive without high-tech help, you may choose from a menu of options: fertilization inside or outside the womb, with or without your husband as donor, with our without your egg. If you get this far in the game, it becomes difficult to see if you are any closer to winning. You know more -- more doctors, more receptionists, more x-ray technicians, more about the reproductive system than you ever really wanted to know. You find yourself hating those early winners who collected their embryo and went home; you suspect they cheated somehow. Your also find yourself beginning to wish that some of those "old wives tales" about where babies come from were true. Maybe you could buy a stork and train it to deliver a baby. Or you could plant a cabbage patch, and collect a baby during the harvest. Or perhaps swallowing a watermelon seed really would bring fruit. The reality, though, is the game could continue for a long time. It's hi ghly unlikely the game will be called on account of, say, Immaculate Conception. You may give up and, miraculously it seems, conceive and give birth some time later -- without doctors, without test tubes, without petri dishes. Doctors have little explanation for this phenomenon. Well-meaning friends would say: "See, you finally relaxed." Then again, you may choose to keep playing. However, the more technologically advanced and experimental the procedures, the less the odds for success are in your favor. But because the prize you seek is priceless, you may try to win no matter what the cost. As for me, I'll ante up for another round. Maybe a few rounds. Gamblers are a superstitious lot, though, so I'm stocking up on yams just in case. -end-