May
03
    
Posted (Tina) in All Posts on May-3-2009

Ella had a fun day. We went to our favorite breakfast place and sat outside – it was warm and sunny. And Ella loves to people watch. You figure, she rarely gets to go into the real world since we try our best to keep her health from being compromised. But every once in a while, it is worth the risk. And being outside has less risk.

When we were done with our breakfast outing, we decided to stop and pick up gardening supplies. Once again, we could put her in the stroller and spend time outside while we shopped for flowers and other supplies.

We came home and got 90% of the gardening complete and then ran out of supplies! But that just gave us another excuse to go for a ride again. So, Ella had lots of time in the car today. She did great – I think she likes sitting up so high and watching the scenery. Plus, it is good reinforcement to go for a ride and not end up at the doctor’s office or the hospital.

As Sunday winds down, we are looking forward to starting a new week. Last week was rough and filled with many challenges. So much has happened recently that it is sometimes hard to realize the magnitude of the events. We’re hoping that this week is easier on the heart and mind.

On an ending note, another short poem that seemed appropriate in memory of our son.

Time spent with you
Was so very precious
Even if only for a very short time
I hold a special memory
Close inside this heart of mine
To me you were very special
Much more than words can say
I still love you now little angel
And I’ll remember you every day.
-Anonymous



 
May
04
    
Posted (Tina) in All Posts on May-4-2009

Ella did not have any therapy sessions today, so I decided to take her on some errands. Once again, she enjoyed the car ride.

For the first time, I took her to the grocery store and placed her in the cart. I figured it was time to try since she is able to sit up. She did really good. As long as I was moving and not stationary for too long, she was good with the experience. Thankfully, it was a ghost town – – there might have been 4 people in the entire store. So, the risk was minimal but I think it was good for Ella. She has barely been exposed to the outside world. Doing normal things are good!

While we were shopping, there was an announcement, “Clean up, aisle 7!” Actually, that is not what I heard over the loud speaker. Although, it was still a little strange. The store manager made an announcement that they were going to be turning the lights down low for about 5 minutes while they tried to get a bird to vacate the store. So, Ella’s first time to the store included very dark aisles. In between, I tried to snap some pictures but there was so much going on that she was not interested in the camera.

This past weekend, it seems that Ella’s snotty nose finally went away. So basically, we were not having to wipe her nose every 5 minutes and following every sneeze. But, I still feel bad for her because she has a lot of congestion as a side effect of a medicine that she takes – Sildenafil. And then teething is still going strong, so she creates lots of extra saliva. In combination, it creates lots of retching while she is trying to manage all the secretions.

Since she had a cold, her oxygen requirements went up. And although she is congested from the Sildenafil, she is back to her baseline. And yet, it seems like the oxygen requirement has stayed higher. Her heart rate has been much improved since her SVC procedure, but it does seem like the oxygen requirement has crept up. This might mean that she is clotting near the stent and it is making the opening of the SVC less effective. Right after the procedure, her oxygen requirements went way down. But now, they are slowly getting higher again.

We have a pulmonology appointment on June 9th and we are scheduled to get another EKG and echocardiogram. Since the last test was inconclusive, they want to try again. And now that we think we are seeing some clinical signs, that is probably a good idea. It might be the SVC or maybe she does need more diuretic. It’s so hard to know. Our hope is that she will continue to go in the right direction, but only time will tell.

Psalm 40 (NLT)

I waited patiently for the Lord to help me,
and he turned to me and heard my cry.
He lifted me out of the pit of despair,
out of the mud and the mire.
He set my feet on solid ground
and steadied me as I walked along.
He has given me a new song to sing,
a hymn of praise to our God.
Many will see what he has done and be amazed.
They will put their trust in the Lord…
…O Lord my God, you have performed many wonders for us.
Your plans for us are too numerous to list.
You have no equal.
If I tried to recite all your wonderful deeds,
I would never come to the end of them…
…I have told all your people about your justice.
I have not been afraid to speak out,
as you, O Lord, well know.
I have not kept the good news of your justice hidden in my heart;
I have talked about your faithfulness and saving power.
I have told everyone in the great assembly
of your unfailing love and faithfulness.
Lord, don’t hold back your tender mercies from me.
Let your unfailing love and faithfulness always protect me…
…may all who search for you
be filled with joy and gladness in you.



 
May
05
    
Posted (Tina) in All Posts on May-5-2009

Ella was in an “ok” place today. She was happy some of the time, but still had quite a few meltdowns.

Feeding therapy went pretty well. She still did not enjoy the process, but you can tell that she is getting better at self-soothing (calming herself down after she melts down and being ready for more therapy). Towards the end of the session, we took her out of her high chair. I have tried the past few days to do more touching around her lips, as I felt she would tolerate. That paid off towards the end of the feeding session today. As I was holding her and she was watching her video, she let me put some applesauce on her lips with my finger. Each time, it prompted her to move her lips up and down with the motion of eating, which is a sign that she knew the food was there. Also, she even slightly explored with her tongue a couple of times. For this next week, we are going to try feeding exercises twice per day and see if we can make some further progress.

Physical therapy went well too. Ella is getting so much stronger as she sits up. She’s even engaging toys and reaching across her midline for toys. We’re trying to get the feet flat on the ground when balancing her off our leg, having her lay on top of her arms in a midline position when she is on her belly, and place weight on her arms by leaning on them.

We’re so thankful that we have a great occupational therapist and physical therapist that really care about Ella. Amongst all the other stress in life, it is such a comfort to know that Ella has these two professionals that are dedicated to helping her take next steps.

My best friend decided to come and visit me. It is so nice to see her and get a hug! She is here for a few days and so we’re going to have a great time just hanging out…all the girls! While it was sunny this afternoon, all of us took a walk to get some fresh air. I still think my favorite part is watching Ella kick her legs in excitement and attempt to fling off her stylish sandals!

Looking forward to the time with the Bun and my girlfriend over the next few days and being thankful for all the blessings in life.

Psalm 62 (NLT)
I wait quietly before God,
for my victory comes from him.
He alone is my rock and my salvation,
my fortress where I will never be shaken.



 
May
06
    
Posted (Tina) in All Posts on May-6-2009

Ella had a better day.

Her OT session was cancelled because the therapist’s son is sick. We hope he feels better soon. The lack of a formal therapy session just gave Ella and I an opportunity to try something different. I tried to place her in the chair while I gathered some supplies, and she started to fuss. She does not want to be in the high chair because she associates it with eating. So, I just held her on my hip, grabbed food, put some on my finger and would touch it to her lips. All of this while walking around the kitchen area and talking to Terri. It was enough of a distraction and something different for Ella. She did not welcome my finger touching her lips with food, but she did not melt down and only retched one time. We felt that was a successful session. Later in the day, the Bun had a great physical therapy session too, as evidenced by the photos!

Once the afternoon passed, all of the girls got into the car and took a field trip to accessorize. We drove to 2 local show stores and browsed. Terri talked to Ella and explained to her about the importance of a good pair of shoes. Based on the smiles, the Bun was receptive and was taking mental notes for later. And Ella wore her cute silver sandals and kicked her legs happily while roaming around in the stroller, looking up at the lights, and catching smiles in the full-length mirrors. All in all, a fun day for the girls!

Psalm 26:3 (NIV)
For your love is ever before me,
and I walk continually in your truth.



 
May
07
    
Posted (Tina) in All Posts on May-7-2009

Hi, I’m Tina’s friend Terri and for the last 72 hours, I have had the honor of being part of the West family. We’ve had a great time visiting, and I’ve had an awesome time getting to know the Bun. This morning I asked Tina if I could write the blog this evening…a strange request, but one my best friend and her adoring husband allowed.

Let’s address the business of the day before I being the muse. Ella had a good OT session, which is evident by the condition of Tina’s shirt. Food was everywhere!

After nap time, the girls headed out for another shopping excursion. She does so well in the car and stores. Not a peep, cry, whine…I think she’s thrilled to be out and part of the world beyond the crib. We actually had a great day, so good in fact that she allowed me to rock her for a while before she went to bed. That was the high point of my trip!!

So many of us follow this story on a daily basis, and have been given an intimate glimpse into the hearts and lives of this dear family. The work that God has done is obvious to us all. However, I know I’ve been guilty of reading the blog, viewing the cute photos and thinking that things are good. Little did I know the work and drama that goes on inside of this house on a daily basis. I thought I knew, but in reality, I didn’t have a clue!

Tina has mentioned so many times the issue of congestion. Sure I think I understand congestion. I have nieces and nephews. They always have a runny nose or colds of sorts, so that’s what I relate to. Newsflash, that’s not the type of congestion this precious little one deals with. I can’t imagine having serious congestion all the time and being unable to clear my throat or blow my nose. Hearing her gag and wretch over and over broke my heart, and watching her mother calmly support her was nothing short of amazing. The one mantra I now know by heart is, “Swallow Bun,” which is literally said 100 times a day. What’s cool is that Ella understands and is beginning to try and manage the severe retching.

The other thing I learned this week is that Ella really does require attention at all time. A serious scare for me on Tues, was when mom walked away for less than 45 seconds and in that time Ella became upset, stopped breathing and was on her way to passing out. HOLY COW!! That’s when it hit me that they really don’t have the ability to allow others to assist with her care. My every instinct was to hold her, kiss her, make her laugh, but that just not possible.

As I prepare to pack my bags and head back to Dallas, I’m reminded how much this family still needs our loving prayer and support. Things are far from normal, or “ok”. It’s been such a blessing to witness God’s abundant love, visible and in the flesh in two people named Josh and Tina West. These guys are AMAZING! The love and patience I’ve observed over the past few days is similar to what I imagine from our Heavenly Father.

We are all blessed to be part of this journey.



 
May
08
    
Posted (Tina) in All Posts on May-8-2009

Ella had a good day.

We were bummed that we had to take Terri to the airport…we wanted her to stay! We miss her already….sigh. But, the Bun enjoyed the car ride and then I took her on a short errand on the way home. As you can tell by the smiles, she just loves being outside the house and hanging out in her stroller.

Her PT session was good too. We are trying to get her to bear weight on her forearms and elbows. Each time we tried to “sneak” that move into her exercises today, she would melt down. Fortunately, her recovery time was not too long, but the PT left me with some exercise sheets to see if I could try the weight bearing exercises in our alone time with Ella.

We’re looking forward to the weekend where we can rest and get some chores done around the house. Moreover, we’re getting ready to go on vacation this next Friday. Since Ella is stable, we want to take the opportunity to go visit family, especially Josh’s grandparents. They have never had the opportunity to meet their great granddaughter. It will be a long drive, but hopefully Ella will hang tight for the road trip!

I’m entering the weekend with a thankful heart – thanking the Lord for wonderful friends who are providing prayers, love and support during this season of life. It means so much. Once again I’m reminded that He always provides what we need to get through the valleys of life.

Psalm 36:5 (Today’s NIV)
Your love, LORD, reaches to the heavens,
your faithfulness to the skies.



 
May
09
    
Posted (jooosh) in All Posts on May-9-2009



 
May
10
    
Posted (jooosh) in All Posts on May-10-2009

On Mother’s Day 2008, I posted a series of photos that visually represented Tina’s journey with Ella. The trend starts right where it left off and continues all the way through today. A taste of Tina’s strength, compassion, patience, humor, and love for Ella can be experienced by the images below. Thank you Jesus for Ella’s amazing mother.



Also, I don’t want to forget to honor Tina by remembering our son, who was with us a very short time, but his footprints will leave a permanent mark on our hearts.


Our son’s footprints (actual size)



 
May
11
    
Posted (Tina) in All Posts on May-11-2009

Ella and I had a great day just hanging out at the house. It was gorgeous outside, so we took the opportunity to walk out on the patio and enjoy some sun. I’m so thankful that the warm weather has arrived. It pleases the Southern California girl inside me.

We did not have any therapy appointments, so we did our feeding exercises and physical exercises on our own…in a mom and daughter playful way. It was a good time.

Ella’s daytime congestion is still getting the best of her and causing lots of retching throughout the day. Although, it finally seems like the congestion at night has faded. She is requiring about 800ccs of oxygen during the day and 500ccs at night. We have not seen this type of saturation in weeks, as it seems to have taken about a month for her to return to this baseline behavior. Once again, we are very curious to see what type of oxygen she requires when we travel to sea level later this week.

We have graduated to 210ccs per bolus feed during the day, in an effort to lessen the need for the food pump at night. And it seems that she is still gaining weight, ever so gradually. This morning, she weighed in at 11.02 kilos or 24.24 pounds. We’d like to keep the volume of food the same until she has her next EKG and echocardiogram to check her superior vena cava stent, as long as she is still gaining weight. Since she may still have fluid issues (although it seems to be much less than before) we still need to be cautious about increasing fluids. We would like to make sure the flow in the SVC is the same or moderately the same before increasing her volume of food. Her next appointment is June 9th, so we’re hoping she can still make moderate weight gain until that appointment arrives.

Today, I feel prompted to share an excerpt from a devotional book that I have been reading called “Streams in the Desert” by L.B. Cowman. The entry for today, May 11th, resonated with me this morning. It reads:

Psalm 66:12
We went through fire and water, but you brought us to a place of abundance.

It may seem paradoxical, but the only person who is at rest has achieved it through conflict. This peace, born of conflict, is not like the ominous lull before the storm but like the serenity and quietness following the storm, with its fresh, purified air.

The person who may appear to be blessed, having been untouched by sorrow, is typically not the one who is strong and at peace. His qualities have never been tested, and he does not know how he would handle even a mild setback. The safest sailor is certainly not the one who has never weathered a storm. He may be right for fair-weather sailing, but when a storm arises, wouldn’t you want an experienced sailor at the critical post? Wouldn’t you want one at the helm who has fought through a gale and who knows the strength of the ship’s hull and rigging, and how the anchor may be used to grasp the rocks of the ocean floor?

Oh, how everything gives way when affliction first comes upon us! The clinging stems of our hopes are quickly snapped, and our heart lies overwhelmed and prostrate, like a vine the windstorm has torn from its trellis. But once the initial shock is over and we are able to look up and say, “It is the Lord” (John 21:7), faith begins to lift our shattered hopes once more and securely binds them to the feet of God. And the final result is confidence, safety and peace.



 
May
12
    
Posted (Tina) in All Posts on May-12-2009

Ella had an amazing day.

She did really well with feeding therapy. Our current tactic is for me to hold her on my lap, dip my finger into the food, and swipe across her lips, sometimes getting it into her mouth. The first bite is when she retches, but the rest of the time it is minimal, which is a big deal for her. The biggest accomplishment today: no crying or tears. We went through an entire session and she tolerated everything. It is so nice to not feel like you are torturing her all the time. Don’t get me wrong – the feeding session was not something she enjoyed, but she did not cry or meltdown once. She tolerated me swiping the peaches across her lips and ever so slyly putting some into her mouth on occasion. Tomorrow, we are going to start trying again with the spoon. I hope that she tolerates that change too.

Also, I discussed with the OT that Ella does not drink at all. She completely refuses the bottle. Over the months, she would drink here and there, even throughout the night, because she was so thirsty. She would retch nearly every time and it used to amaze me that she still even had a desire to drink. But the instinct of thirst was so strong, that she couldn’t help but drink.

Ever since her SVC procedure at the end of February, she has refused the bottle. This is also the same time that her fluid issues were reduced and we were not having to administer the high amount of diuretics. So, I actually think that the diuretics were making her insanely thirsty. However, now that she has not been on the huge amount of diuretics, the thirst is not there and so she will not take anything to drink. This isn’t great for her either, so the OT is going to think of some exercises that we can implement to help Ella.

The Bun did not take her nap at her normal time today, so I was not sure how well the physical therapy session would turn out. Well, she surprised me there too! For whatever reason, she was very tolerant of the exercises and worked hard. About 30 minutes sitting up and reaching for toys. Then, we switched to tummy time. That usually lasts for 5-10 minutes. Instead, she spent the other 30 minutes on her belly – it was amazing. She would lift her head, weight bearing on her arms and elbows, get tired and rest her head down again. Then, the PT guided her by tucking her knees up and under her tummy, so she was placing weight on her knees when she would lift up. A simple demonstration is all it took and Ella kept trying to replicate the position on her own. The Bun was just in a great mood.

We are still working on speech therapy and have an appointment set for May 26th for Ella’s evaluation. It will be interesting to see what the speech therapist recommends for treatment. At this point, we would love verbal communication from Ella, but realize that simply forming some type of communication (signing or using picture books) would be a step in the right direction.

On a more serious note, I think that sometimes it is hard to step back and realize how different our journey is than most with lots of OT, PT and soon-to-be speech therapy. On top of that, Ella is considered medically-fragile. This just means that she does not have the immune system or resources to fight off common illnesses (we need to be especially conscientious while she is on oxygen therapy). In light of that truth, it means that we need to be careful who she is exposed to, and try to stay clear of public places as much as possible.

We are getting ready to go on vacation this week and have so many people that we want to see and yet, Ella cannot be exposed to children and most of our friends have kids (children inherently carry lots of germs). We are hopeful that some friends may be able to get babysitters, but realize that many will not and we will just have to skip seeing them this time. Ella has 4 cousins that I would love for her to meet and yet, it is not possible this trip.

I have been on the phone with the durable medical equipment company this week, arguing for them to send her monthly order of special formula and supplies early so we can make it through our vacation. Also, trying to scheduling an echocardiogram, researching up on a question regarding one of her medicines, coordinating the speech therapy evaluation, making sure we have oxygen tank refills and a place to exchange them upon arrival at our destination, etc, etc.

So every so often, it hits me that we have a special needs child that is medically-fragile. I realize that this is not a news flash, but it just hits me sometimes…and some days, it is harder than others. It is difficult to watch your dearest child not able to do things that “healthy” children are able to do. It is heart-wrenching to not see her able to drink from a bottle or eat or drink or crawl or walk or talk when most kids her age are able to do these things. Heck, she even needs oxygen therapy to breathe!

I know that we have been blessed with a little miracle. And this is not about complaining or venting, but I’m trying to express that the emotional impact of these realities can sometimes get lost in the mundane activity of life…and yet out of nowhere, it can just hit you. Today was one of those days for me.

A dear friend sent me a good read last mother’s day. She has a special needs child along with healthy children and is an amazing woman of God. I had to retrieve it in my email and read it again to try my best to get a different perspective.

Mothers of Children with Disabilities Worthy of Praise

Expectant mothers waiting for a newborn’s arrival say they don’t care what sex the baby is. They just want it to have 10 fingers and 10 toes.

Mothers lie.

Every mother wants so much more. She wants a perfectly healthy baby with a round head, rosebud lips, button nose, beautiful eyes and satin skin.

She wants a baby so gorgeous that people will pity the Gerber baby for being flat-out ugly.

She wants a baby that will roll over, sit up and take those first steps right on schedule (according to the baby development chart on page 57, column two).

Every mother wants a baby that can see, hear, run, jump and fire neurons by the billions. She wants a kid that can smack the ball out of the park and do toe points that are the envy of the entire ballet class.

Call it greed if you want, but a mother wants what a mother wants.

Some mothers get babies with something more.

Maybe you’re one who got a baby with a condition you couldn’t pronounce, a spine that didn’t fuse, a missing chromosome or a palate that didn’t close.

The doctor’s words took your breath away. It was just like the time at recess in the fourth grade when you didn’t see the kick ball coming and it knocked the wind right out of you.

Some of you left the hospital with a healthy bundle, then, months, even years later, took him in for a routine visit, or scheduled her for a well check, and crashed headfirst into a brick wall as you bore the brunt of devastating news.

It didn’t seem possible. That didn’t run in your family. Could this really be happening in your lifetime?

I watch the Olympics for the sheer thrill of seeing finely sculpted bodies. It’s not a lust thing, it’s a wondrous thing. They appear as specimens without flaw — muscles, strength and coordination all working in perfect harmony. Then an athlete walks over to a tote bag, rustles through the contents and pulls out an inhaler.

There’s no such thing as a perfect body. Everybody will bear something at some time or another.

Maybe the affliction will be apparent to curious eyes, or maybe it will be unseen, quietly treated with trips to the doctor, therapy or surgery.

Mothers of children with disabilities live the limitations with them.

Frankly, I don’t know how you do it. Sometimes you mothers scare me. How you lift that kid in and out of the wheelchair 20 times a day. How you monitor tests, track medications, and serve as the gatekeeper to a hundred specialists yammering in your ear.

I wonder how you endure the cliches and the platitudes, the well-intentioned souls explaining how God is at work when you’ve occasionally questioned if God is on strike. I even wonder how you endure schmaltzy columns like this one — saluting you, painting you as hero and saint, when you know you’re ordinary. You snap, you bark, you bite. You didn’t volunteer for this, you didn’t jump up and down in the motherhood line yelling, ”Choose me, God. Choose me! I’ve got what it takes.”

You’re a woman who doesn’t have time to step back and put things in perspective, so let me do it for you. From where I sit, you’re way ahead of the pack. You’ve developed the strength of a draft horse while holding onto the delicacy of a daffodil. You have a heart that melts like chocolate in a glove box in July, counter-balanced against the stubbornness of an Ozark mule.

You are the mother, advocate and protector of a child with a disability. You’re a neighbor, a friend, a woman I pass at church and my sister-in-law. You’re a wonder.

~Lori Borgman