I. Am. A. Moron.
Last night I did my trigger injection. Took the Ovidrel box out of the fridge, set myself up with swabs and rubbing alcohol, iced down my belly. I'd also had a glass of wine to take the edge off.
When I took the syringe out of the box, I noticed a fairly large air bubble inside. Despite having had an injection class lasting over an hour, I could not for the life of me remember if they'd said anything about air bubbles (not really an issue with the Follistim pen). (In my defense, we spent about half an hour on Follistim and about 5 minutes on Ovidrel.) Like a good newbie, I had already memorized the patient information insert, which said helpfully, "Inject as directed by your doctor," so I knew there was no help to be had there.
But okay, I could handle this. I pointed the needle upward and tapped the syringe to get the air bubble to rise to the top. Then I gently pressed the plunger to try to get the air bubble out. But only beads of medication came out. Obviously there was some medication trapped between the bubble and the needle. I kept trying--tapping, then pressing--but still, only little droplets came out.
I didn't know what to do. I was afraid I was only pushing out valuable medication, and while I remembered that Follistim cartridges are overfilled, I had no idea if Ovidrel syringes were too. I had my pants open, my belly swabbed, the needle unsheathed. I couldn't just run to the computer to find out what to do. I'm not sure what I was thinking, but I finally just grabbed some flab, stuck the needle in, and pushed the plunger down, v e r y s l o w l y so as not to push a pocket of air into my flesh.
Except that's exactly what I did. All the medication went out of the syringe, then before I could stop, the air pushed into me with a loud "pffft." I stared down in horror for a second, then pulled the needle out. A big drop of bright red blood followed it out (about a nickel-size stain on the alcohol-moistened cotton square).
I panicked. I ran and told my husband what I'd done, then ran to the computer, where I googled various combinations of "subcutaneous injection air embolism." I finally convinced myself that I probably wouldn't die (and I'm not dead yet, so I guess I'm OK), and that the only potential problem, according to Dr Google, might be that I didn't get the full dose of medication. I was worried about the blood, but my husband suggested that maybe the air pushed the blood out, and I only have the tiniest of bruises, so I guess it's fine.
But now, of course, I'm worried about the whole not-getting-the-full-dose thing. Almost 20 hours later, and I don't have any of the side effects most people seem to get from hcG--no bloating, no sore breasts, nothing. Argh! I have to stop second-guessing myself and just try to chill out. What's done is done.
IUI tomorrow morning. Will, of course, let you know how it goes, in quite probably excessive detail.