Monday, October 04, 2010

The Crosses We Bear

A couple of years ago, I have this “convenient” relationship with god. I go to church when I feel like it and I pray when I find the time.


I do thank him for the luck and the blessings and the good tidings, but I really did not see him as the one who orchestrates the events in life. He is not the author of my life. I was the author of my own fate.… I used to believe that everything that I have reaped is because of what I have sown myself. God was merely a go to entity for times of crisis… major crises, when all hope is lost. He was an icon of hope… a symbol no different from Santa Claus, the Statue of Liberty, or a four leaf clover.


For many years, things came easy and we’ve been blessed by many things, but my spouse and I both felt that something was seemingly lacking… we both know that we need to nurture the spiritual aspect of our life, but we still kept choosing to be busy with other things. We kept putting off the nurturing of our spirit under a pile of things to do… and despite the knowledge of this need, we didn’t really think it was pressing enough to pay attention to right away. Our “spirit” was no different than another thing on our to do list that we needed to get done. “God”, was on our to do list, more specifically at the end of our to do list. We are guilty of putting god as our last priority that we will get to when we find the time…. Until a year ago, we eventually did.


A year ago my husband and I decided to participate in the Christian Life Program (CLP). We figured, ok its time. We told ourselves that since we do not have a major crisis in our life, “God”, however we may interpret him to be, will not be “judging” us because we only remembered him because we are in dire need. We figured that since we’ve been blessed we owed him at least that.


So we went to attend the CLP… “Friday” church as we called it. I was skeptic. I had all this mind noise and all these questions that challenge what was being said… I was preoccupied with what the speakers said that I found to be debatable. I would listen to the talks and take it in objectively, much like doing research or working on a course of study. Then, during one of the CLP sessions, while I was busy trying to block away all the mind noise, and asking myself “what am I doing here?” I found myself transfixed, on the picture of Jesus knocking on the door…. It was then that I realized that I was taking all the teaching the wrong way. I was looking at faith from the wrong perspective. Faith is not a matter of the “head”, it was a matter of the “heart”.


It was then that I felt a turning point whilst undergoing the CLP program. I have opened myself to the teachings. My son further motivated us to commit to finishing the program as he gets really excited about going to “Friday church”. We were able to attend the 3 modules, the 12 talks on Friday evenings after a hectic work week and me ALSO being PREGNANT at that time. But I didn’t mind… even though I was feeling extra tired from being pregnant, it became important to me…. For the first time, God was at the forefront of our daily life. Honestly, we found ourselves wondering why we didn’t let him in sooner. It was wonderful and we felt the immensity his love. There was nothing else that we needed. Everything was just going to be perfect from then onwards…. And so I thought….


Not long after we have completed the CLP… on November 13, a Friday, at my 36th week of pregnancy I received a phone call from my doctor. He said that the ultrasound we had a couple of days back revealed some concerns about our baby. He said that she has a hole in her heart. Eventhough we were worried, we know god is there…. and we prayed.


When we went for a more specialized ultrasound to have our baby’s heart checked, we were told by the perinatologist that there were concerns about my baby’s size, but most shockingly concerns also on the baby’s brain. They detected cysts. Again, eventhough we were more worried, we know god is there and we prayed.


We were then referred to Lucille Packard hospital in Stanford and met with a lot of specialists. And at an ultrasound we had there, they detected that my baby has multiple brain anomalies…. She has underdeveloped brain structures, brain cysts and some fluid. This was confirmed by fetal MRI scan, that then also added detection of a liver cyst, and concerns about the baby’s size. And eventhough a bigger worry was added on our list of worries, we still believe that god is there, and we prayed.


The doctors then told that a c section should be performed because of all these concerns. So on December 9, feeling not quite sure about how to feel about the anticipation of the birth of our baby, she was born. She weighed 4 lbs 3 oz. She had trouble breathing and was intubated, but not long after she managed to breathe on her own. She was also found to have a cleft palate. Again, we countered our worries in the belief that god is there and we continued to pray.


She stayed 17 days in the NICU and during her stay she was jaundiced and her weight went down to 3lbs 5 oz. Doctors kept poking her for many lab orders that were requested. She had an IV on her head. She had wires attached to her tiny body that were attached to these machines making all these beeping noises. It was a lot to take in… too much for a small baby…. Too much for a mother like me. They inspected every single thing that they could inspect. And eventually they detected that she has underdeveloped kidneys as well. Yet another thing that we needed to add to our already long list of complications… but we still prayed... in fact, we prayed harder.


We then were told that we can bring her home the day after Christmas. On the day that we were picking her up from the hospital a yellow card on her bedside read that she failed her hearing test. We brought home a deaf baby. By this time, worry was more than just a constant companion, by this time it developed into anxiety that seem to live and breathe a life of its own … but we held on to hope and trusted in the lord and we prayed like we never prayed before.


December 28, my birthday. I received a call from genetics doctors. They finally have a diagnosis that ties all these complications together. My daughter has wolf hirschorn syndrome. I cried… I was disheartened. When I googled the syndrome I was devastated. The prognosis is very grim…. Profound mental retardation… global developmental delay, seizures, Might not talk or walk….. I stopped praying.


I had many plans for her. I weaved many dreams of what she would grow up to be. In the many different beautiful scenarios that I have pictured in my head, none of that included feeding a child with a g tube, managing medication, pushing a child on a wheelchair, going to doctor’s clinics instead of hula classes, and working on speech skills and making sounds instead of having to sing songs with her. How will I be able to do things that I had planned for us when we do not even know when or if she is going to walk or talk. I was not equipped to do this. Despite my being a special education teacher, I was not ready to do this. I am not even willing to do it. I just can’t.


I did not understand why of all times in my life it had to be now. Why did it have to be me? Why my family? Why my daughter? Why when we finally brought ourselves to the Lord. I didn’t quite understand…. Why am I the lucky victim of this sick stroke of genius bad luck? Why didn’t he listen? I never ask for a lot of things, why was I not spared? God was unfair and I was angry and I was cursing at him. I hated him…. I really hated him. He was not there… was never there… God abandoned us.


In my grief… in those dark days and dark dark hours when I was asking god why? Why me? Why now? Why when I choose to come to you lord? A voice came to me and said, “I made you come to me cause I know you would need me”…. Upon hearing this voice, I experienced this lightness…. It was the answer that I was looking for. That was the day that I found myself praying again.


I said, Lord you gave me this, you have got to help me through this. You do not have a choice but to help me like I did not have a choice when you chose me for this task. You have got to help me. You just have to.


It took many tears, many sleep less nights, many crazy fits, extreme bitterness, intense self pity, many mind looping worries, fears, anger and anxieties before I eventually found myself in a place wherein I have surrendered all of this to the lord. It was not easy getting over the fear and the envy and the disappointment and the anger. It was not easy. It was very humbling but it was not easy, but I did it. I’m actually still doing it. I gave it all to HIM…. I offered Isabella’s fate/future into his hands. I realized that my children are not my children, they are the children of god. I am merely a steward. I was… we were… entrusted to care for Isabella. He trusted us, because he has that much confidence in us to give us this immense task, he believes that we can do this… and though I was very doubtful about the strength I had in me, I eventually found myself in a place of acceptance. Though there are days that I still shed a tear, when I still feel fear, frustration and doubt… I can easily muster the strength and courage to tell myself, that I can do this, with god’s help and god’s grace I can do this.

" My grace is sufficient for you, for my strength is made perfect in weakness"

Of all the crosses that I have had to bear in my life, this by far is the biggest… and yet, this is the lightest. I let god take over and I trust that he will fulfill his promise of carrying me through. Through him all things really are possible, all we’ve got to do is believe.

Thursday, September 09, 2010

Isabella's 9th Month

Current Stats:

Weight: 10 lbs 11 oz. - We met the 10 lb minimum goal weight for the cleft palate surgery

Length: 23 inches - Almost 2 feet long YAY!

We have outgrown newborn sized clothes and are ready to fill in the 0 to 3 month set.


Vision

She can track and follow us around the room.

She seems to be more aware of her surroundings.

She still seems to have better far vision.

She sometimes follows the sound of mommy's voice

She will stare at her hands and feet. She will also move her fingers and stare at them for long periods of time. It looks like we won't be needing baby toys for awhile. Body parts seem to be enough to entertain her.


Language and Social Development

She makes happy sounds which are mostly Mmmmm, Mmmmms. She will make vowel sounds like Aaaaahhh when she is calling for us or when she is upset.

Her cyring is much louder now.

The doctor was asking about her development one time and was asking if she was making consonant sounds. I told him that Mmmm is a consonant sound, but I guess it was not really a qualifiable yes response to the question. I think he was looking more at sounds like Ba-ba-bas, Ta-ta-tas, Pa-pa-pas, and Ga-ga-goo-goos.

It seems like she now calls for us when she does not see her in the room with her. She makes loud Aaaahhh sounds to call for us that stops and turns into a smile the moment somebody checks on her.

She will let out an accidental giggle every now and then. She managed to let out a giggle when we tickle her. it seems like she was not sure how to handle the tickling and thus a giggle came out of her. Pretty soon her giggles will be more puproseful and social in nature.

She is a happy baby. She is very easy to take care of and not demanding. She will cry when she needs her diaper changed or when she wants to be held. The moment her needs are met she will stop cyring. Every now and then she will cry when she is hungry.


Feeding

She eats semi solids alternately with her milk feeds during the day. She takes in about 40 mls of semi solids. She eats carrots, peas, apples and pears. The peas are her favorite.

She takes in 70 mls of milk during the day per feeding. She can orally take in 35 mls of milk using the pigeon nipple/bottle.

She still is fed via kangaroo pump through the night. She takes in 25 mls per hour throughout the night (10 to 7am.)


Sleep

She sleeps well throughout the night. She sleeps at around 9 to10pm and will wake up with a cry to get her diaper changed around 5 am. She will go back to sleep right after.

She takes 2 long naps during the day of about an hour each.

She sleeps better on her belly. We let her sleep on her belly during her day time naps.


Motor Development

She can turn with ease from side to side when we lay her on a flat surface.

She can turn from belly to her back.

She can also turn from her back to her belly, but sometimes still gets stuck on her side. She is getting better and better at moving her hand out of the way when she turns or being able to push harder with her leg to be able to make that turn.

She can definitely hold her head up. She likes being propped to sit on our leg or while leaning on pillows. She also likes sitting on her high chair inclined at about 100 degrees.

She can put her finger in her mouth or the back of her hand to her mouth.


Medical Stuff

Her PEG was changed into the less conspicuous Mickey button.

She has epsonic seizures. These are absence seizures. The EEG report says that she has about 1 to 3 seizures in a minute that last about 1 to 3 seconds each. Honestly my husband and I have not seen these "staring" seizures. We told the neuro that she sometimes does the blinking of her eyes with some jerking of the hands and feet that last only for a couple of seconds and has no known triggers nor patterns and are very spaced apart in occurence. Doctor says that these are also characteristic of the epsonic seizures. He added that Isabella's seizures are benign and she will not be needing medication at this time. He advised us to watch out for epileptic seizures and should we witness one we need to meet and talk about medication.


Others

She does not do the moving of her head from side to side when she is soothing herself to sleep. The hair at the back of her head now has a chance to grow back in.
-------------------------

This month was filled with a lot of positive progress. We are looking forward to how Isabella will surprise us in the succeeding months.

To read about Isabella's previous development update, click here

  
To read about Isabella's previous developmental update, click here

Sunday, August 08, 2010

Isabella is 8 months old!

Current Stats:


     Weight: 9 lbs 13 oz

     Height: 21 inches

Current Skills:

  • She has discovered her hands and has gotten better at exploring them. Not only can she put them in her mouth, lick it, and suck her thumb, we’ve seen her staring at her fingers as she moves them for long periods of time. I guess she is amazed at how she can manage to move them when it took her some time to figure out how to bring her fist into her mouth. I love it that she does this over and over which means that she does not give up trying.



  • She is still in verge of discovering her feet…. This time though she has made significant progress in that area since we do not just catch her incidentally looking at them, she actually lifts them up and stares at it. We've also seen so nail scratch marks on her legs.... does that mean that she has been trying to reach for them?




  • She is in the throes of discovering herself in the mirror. She has smiled at me numerous times when we do mirror time, and there have been times when I catch her with that seemingly wondering stare at the baby that she sees her mama carrying. Pretty soon, she’ll figure out that the baby is her.






  • She fell in love with rice cereal the first time she tried them. I guess that love was just "pupply love" because now she has figured out that rice cereal tastes like cardboard and she will spit them through her nose to tell me that she dislikes it. Its time to explore other tastes.




  • Her head control has gotten better. She would really try her best to hold it up. Now we can check off that skill from the list. Next up is having her practice sitting with support.


  • One thing she has learned how to do right off the bat is to manipulate her parents. She now does this loud fake cry to coerce us to hold her. The moment we pick her up she stops crying. If we decide to put her down, the moment her butt touches the bed she starts crying again. She is a master manipulator and we let her get away with it.


  • She smiles, and i do mean A LOT! Lately she's been doing this silly grin on her face like she thought of something really funny. What's fishy though is we seem to see this smile whenever we change her poopy diaper or when she is naked.




Medical Updates

  • We had her first 8 hour EEG 3 days ago. She showed no signs of obvious seizures. We tried many different things that we think can induce a seizure and we didn’t witness anything. This is of course not a certaintly that she does not have them or that she will not have them. The EEG could have picked up seizures that we cannot see. We are still waiting for the doctor’s call regarding his reading of the results and we are keeping our fingers crossed.



  • The GI doctors took her PEG out last Friday and now she has the low profile Mickey Button. Now we have more options for baby girl clothes.

Current Concerns:

She gained 1lb and 5oz since I last wrote about her stats (5 months). This is ofcourse not to mean that we did not have any chalenges in the weight gain and feeding department. Though we have made numerous adjustments in her feeding and have consulted many professionals and doctors about feeding issues, her weight gain is still slow. It is steady but it is slow. From the period June 9 to July 14 she only gained 2 oz (from 9lbs 2oz to 9lbs 4oz in a span of 5 weeks), which of course was a major concern since we are really shooting for the minimum 10lb goal for her cleft palate repair surgery scheduled in November. After many trials and errors, we finally found the best feeding schedule adjustment. She now takes in 30 to 35 mls per hour during the day time which translates to 90 to 105 mls in a 3 hour period . This as opposed to 60 to 70mls every 3 hours, which is her old feeding routine that usually ends up being thrown up. Our guess is that she could not handle a full 60 to70ml all in one feeding. Since the adjustment that we've made with her her feeding sched, she gaied 10oz in a period of 3 weeks…. We are keeping our fingers crossed that this new schedule is the best solution to address our feeding and weight gain concerns.

  To read about Isabella's previous development update, click here

2010 WHS Conference

The whole family took a long drive to attend the WHS conference in Salt Lake City Utah. It was a wealth of useful information for newbie parents like us. We gained a lot of knowledge regarding the genetics aspect of the syndrome as well as ideas on the how to’s for the many concerns associated with the syndrome (i.e. feeding, sleep, seizures). I met the other WHS mommies I've met in cyber space and the best part was meeting other kids and adults like Isabella. It was very reasurring for me to see what she can grow up into. It reinforced the “can do" approach that I have been sporting lately to an “I can do this” level.”