Sunday, November 25, 2007

Champions

Even after a grueling, emotional game, Hercules Satele was kind enough to pause and take a photo that will be cherished by our family! Kyle (with tongue out), RJ (#7), Chase (back right), Matt (#1), and their buddies Jared and Zachary Infante. The boys also got to go into the locker room, which was a surprise blessing and profound treat thanks to Jeff Reinebold. Of course, I was limited to second hand reports of that part of the evening, but was told that not only can they really play football, but that the Warriors are a talented bunch of singers!

You can't tell from this picture that Blaze Soares will later barely be able to lift his arm to get his jersey off. What classy guys these Warriors are!!

As you know if you've read Abbie's site more than twice, the Warriors have meant quite a bit to us during this journey. I wanted them to win so badly for them...I wanted this group of young men who have been so bold in sharing their failures and second chances, their faith and their love to experience success together. None of us, no matter how long and loud we scream from the stands, will ever have an inkling of what this year has meant to them. But I do know what it has meant to us.

Why such a long tangent about football? Well, for me it has always been about much more than football, and I recently found out why I feel such a strong bond with this team. For them, it, too, is about much more than football.

Quoting from the last page of the recently-released book "Warrior Football: A Story of Faith, Hope, and Redemption:" [in response to Jeff Reinebold sharing heart-rending personal challenges] "It's in God's hands," June [Jones, head coach] says. He doesn't move right or left, he just stares out the window. "Why did I live through my accident? This isn't about football...I feel God didn't take me because of so many kids who have come to know the Lord through football."

"God is in complete control, and nothing else matters to me anymore," says [George] Lumpkin, in a whisper. "I keep telling people that God has a plan for this football team...God is healing so many people, touching so many lives...each day I'm here, I'm amazed at how much bigger it gets."

As Ellie Reinebold and I stood in the end zone watching the long-anticipated celebration at mid-field I grabbed her and said, "You tell Jeff to tell them 'Thank You' from all of us that are living on a second chance and a prayer. I feel like they won one for all of us!"

Doesn't matter if ESPN commentators state you will lose before each of the last three games. Doesn't matter if doctors say there is no hope. Doesn't matter if the pollsters discount your accomplishments. Doesn't matter if "realists" say she'll never walk.

Our God is a God of second chances, and those whom He calls to these chances He equips to walk them all the way out. He's a God who creates winners in the middle of the Pacific and walkers out of broken bodies....and the thing is, once you've seen Him in the dark and heard His voice whisper over your tears, nothing else seems as imminently possible as that to which He has called you.

Tuesday, November 20, 2007

"Abbie's Healing" Update

In relating all the details of our recent decisions in the last posting, I forgot one important thing! The "Abbie's Healing" tab is now completely updated, thanks to help from Jean Egan. I am not an expert in anything besides Abbie, but I wanted to pass on some of what we have learned in the last year or so. I hope you will visit that section of Abbie's site.

These are challenging days around our house, mostly because we are not having any nights. Abbie is just not sleeping, consequently, neither am I. The hours of 3-5am and 3-5pm have been particularly challenging. In the afternoon she is so uncomfortable that she becomes distraught, and there is not much I can do to calm her. Following a hunch, I measured her voltage during this time of day on Monday. Her overall body voltage was an astounding 48! (Normal is 22 or so). 8 of her 12 meridians were in the the healing range, above 50 millivolts. So, once again this is good stuff with an ugly face. It would be easier if I knew exactly what I was doing, and was certain where this path is leading. But, I don't. I just have to trust and keep moving, praying for Abbie's discomfort to be eased.

When she is so uncomfortable, her tone increases markedly, making it more difficult to work with and care for her. I become so obsessed with improving this area that often little signs of progress can slip right by me. Today, Carol came to give her healing touch at 3:15pm, right in the midst of some real struggling for Abbie. At the end of the hour Abbie was quite a bit calmer, and I asked her to say "Thank you" to Auntie Carol. She immediately vocalized, which I thought was sweet and I complimented her for her good manners. A little while later I asked her if she needed new panties, and she immediately vocalized. The light bulb went on...in the middle of suffering, when she should be distracted and uncommunicative, she is using her voice right on cue...that's a big step!

Back when I was in the Army I used to chuckle at the Special Forces guys who would say, "Plenty of time to sleep when I'm dead". Once again, my old mantra, "Be careful what you laugh at, for you might become it!" I am on the longest patrol I could've imagined, but if all this journey costs me is some sleep, then I am getting the deal of a lifetime. Please, just pray for me not to be cranky with my family (they would appreciate your help in this matter:)

Monday, November 19, 2007

The Hokey Pokey Continues

So much to write about, but let me give you the bottom line up front: we have postponed Abbie's surgery until after the first of the year. We made this decision for many reasons, but I must admit that not at the bottom of the list was the effect it would have on our family during the holiday season. We also had to consider the slim chance of a negative outcome, and whether we wanted memories of that etched on all our Christmases to come. So, there's the Cliff Notes version of of the last two weeks at our house.

For those of you with a little more time to spend with me today, here's the topsy-turvy version...On 11/2 we had a not-so-great appointment at Shriner's. We were not scheduled to see the surgeon that day, but because the previous consent form had expired they sent in the worst possible combination: an arrogant resident and an overambitious medical student. I was shivering in my pants and sweater, but Abbie needed to be unclothed for their exam. The resident looked at me with disbelief after I told him Abbie could understand everything and would communicate by squeezing my hand, and off we went. He didn't talk to her about what he wanted to her to do, so it was not surprising he got no cooperation from the frozen little girl on the table. When I finally jumped in to ask her to give us soft arms, she did. I was so focused on helping him not hurt her arm, that I didn't see the student working on Abbie's ankle at the same time. Golden rule #1 in assessment of a brain injured patient: only work on one part at a time. Guess he hasn't learned that in school yet... Fortunately, from her position at the head of the table, Debbie could see what the student was doing, and as Abbie began to whimper told him, "She's in pain, you need to stop!" That really was only the beginning of the fun, but I don't need to spend your time reciting things that I should forget. I have gotten very spoiled by the wonderful physicians we have, by being taken seriously as a caregiver and partner in Abbie's medical care, and by Abbie being seen as more than "just a case." This day made me realize, through tears and shaking, just how fortunate we are. I also, realized though, that this was just one resident, and is certainly not representative of the care we've received at Shriner's.

The trauma of that day (which required me to treat Abbie's ankle for pain through the weekend) prompted us to follow up on a suggestion that had been given the last time we took Abbie outrigger canoeing. The steersman was Dr. Rob Durkin, a pediatric orthopedic surgeon of all things. He is a great doc, and we consider him a good friend. He mentioned that I should take Abbie to see his new partner, Dr. B., who "everyone calls to consult on the tough neuromuscular cases." Wanting to talk to another surgeon about the recent changes in Abbie and what that might mean for the surgery timeline, we set up an appointment for the following week.

Abbie began to complain as soon as we got on the elevator, and was almost beside herself when we entered the exam room. I told Dr. B. that she was very apprehensive given what had happened the week before. Then, an amazing thing happened...he talked to her until she calmed down, then turned to me and said, "Tell me about Abbie." Kind of a broad question, I didn't know where to start. He asked me to start at the day of the accident. Wow!! So for a good half hour he listened to everything about Abbie from Dr. Tennant to Dr. Becker to Dr. Starr and everything in between. After taking a phone call he returned to say, "You know, meridians and electrical systems in the body are not my area of expertise, but I will agree with you that western medicine does not have all the answers." Double wow!!

We got Abbie up on the table, and she relaxed pretty well for him. She's never as loose as she is at home, although for a doctor's office this was a pretty good performance. But, I got a huge dose of reality. At one point he asked me if her knees bend easily when she's alseep. "Oh, yes!" I enthusiastically answered. "So, that means her heels can touch her bottom?" "What??" I was in shock...that thought never crossed my mind. Then I realized that is what a normal kid can do. I am so used to measuring Abbie's capabilities and progress on her own little scale, I don't even think about "Real Normal" anymore. It's a matter of survival I guess, both for me personally and for the hope that we harbor. If we arose every day and measured Abbie against the "Real Normal" scale, I think we would immediately return to bed and burrow our heads under the covers.

At the end of the exam Dr. B. said, "I hear what you are saying about the recent changes, and if you wanted to put off the surgery for 3 months, I would be fine with that. If you want to put it off 6 months, that would start to bug me. Her femur head is going to deform into more of a triangular shape, and then we are going to try to fit it back into where a ball should be. I am also concerned about losing the joint surface, so that we will end up with bone-on-bone." Ugh. Not what I wanted to hear. But you know what? I will take the difficult truths of a friend any day. This doctor LISTENED, asked lots of questions, he HEARD me, and he saw Abbie for himself. I didn't like what I heard, but I was so grateful to have his input.

I drove home thinking we should just go ahead on 11/21 rather than wait just three months. Ray had been unable to be at that appointment, and planned to talk to Dr. B. early the next week. So, we agreed we would not really discuss it all weekend and wait for that conversation to make a decision. Sometimes you have to take a time-out from the tough stuff.

After they talked, Ray called me to relate to me what Dr. B. had to say. When Ray asked, "You know what the first thing he said was?" My heart hoped to hear, "What a smart little girl, using her switch so well. " or "I can see that she is really changing." Again, reality hit me square as I heard, "Ray, you know that she is very, very spastic." Ugh, another one of those "Real Normal" scale measurements. She is doing so well on the "Abbie scale", that it was disheartening to consider the bigger picture. But again, the words of a friend cut just where we need them.

Dr. B's conversation with Ray sparked a research frenzy on a subject I thought I'd never consider: a Baclofen pump. Baclofen is a medication that relaxes muscles. Abbie was on an oral form of it for a few months after her injury, but it so sedated her that I took her off of it so that we could more fairly assess her cognition. The pump, which is implanted into the abdomen, delivers micro-doses directly to the spinal column, so that the patient gets the relief from the drug without the troublesome side effects of the oral medication. We first talked about this two years ago at Shriner's, but two things kept it from going further. First, the size of the implant -- it looks like a tuna can, only half as high. I could not imagine putting that in little Abbie's body. Secondly, we were told that no one in Hawaii implants them or manages the dosing afterwards. That makes it a little tricky.

I wanted to know what FAMILIES have to say about it, since the professionals don't live with the day-to-day consequences of an implant. I called my dear friend Sue, Luke's mom, who related several stories of families just like ours -- a few years out from the injury who had been adamantly against drugs and implants. Even though some of them had complications after the surgery, all of them agreed it was the best thing they could have done and were very happy with the outcome. I went to the website of the implant manufacturer, Medtronic, where they had a story from a near-drowning family. Scotty was injured at 2 1/2 just like Abbie, and they waited until he was six to do the implant. One of the most poignant things the family said is that now that they are not fighting high muscle tone each day, their whole family's life does not have to revolve around Scotty's injury. I was also greatly impacted by reading what children with spasticity wrote about what it feels like to always have high muscle tone. I've not really deeply considered the pain and discomfort Abbie must be in because of her tone. I also wonder what she could be doing if she wasn't fighting against her body every moment of every day!

That thought has been generated lately by...(this is your reward for reading this far)...Abbie learning to READ!! Last week she correctly identified each of her five flash cards the first time through, even when I tried to trick her. Since then her reading program has arrived, which includes books, audio CDs, and computer programs. She is eating it up!! Her motivation to learn to read is helping her vision, I think, as she now quickly focuses on her books and the computer, and tracking becomes easier all the time. This is truly unbelievable for me, and the most tangible gift of God's grace I've experienced in a long time. My little smarty-pants girl is learning to read, just like a lot of other 6-year-olds.

In talking with her therapists, they also wonder just what she would be capable of if we helped control her tone, since she initiates movement and knows what she wants to do but is inhibited by her tone. Like all things in this journey, there are trade-offs, and implantation brings new concerns about things like scoliosis and overdosing (which could be fatal). But, if I had the option, I would do a trial test of the medicine tomorrow to see if an implant would help. Unfortunately, we are still stuck without anyone to provide this service in Hawaii, and I don't know that this is feasible thing to be flying to the Mainland every three months to manage. Please pray that we could find a solution. Now that I've done my homework, and actually, now that I"ve received some clear guidance, I want Abbie to be comfortable and freer to move.

So, where we're at now is basically "I don't have a clue!!", but I am ever grateful to be holding the hand of One who knows exactly what He's doing. My thought is that if we are going to do the pump we should get that in place before the surgery. Then, we won't have to do the extra tendon release procedures and the recovery could go much better without her muscles always pulling on her hips. But, that is just Mom-Logic, I have no idea how that aligns with Surgeon-Reality. Plus, we would have to pull together a team to support us with the implant surgery and management afterwards. In any case, we've decided that it is worth giving Abbie a little extra time before the hip surgery in light of how rapidly her body is changing.

I have been relishing my family lately, thus the lapse in posts. We've had some more special things these last couple weeks that I will fit into the next update, including a very special visitor. I pray that you have a WONDERFUL time of thanksgiving this week with your families. The weight of my thoughts cannot be carried electronically, but please know how truly, deeply grateful we are for your prayers and companionship.

Tuesday, October 30, 2007

Ballerina Legs

Sometimes, at the end of a post I try to find a scripture that sums up where we are at or what I am feeling. This week, I found the verses before I knew the details of what I was going to write. On Wednesday I read Romans 8:24-25, and as it reverberated within me, anticipation to see how it was going to be animated in our life this week rose in my heart.

"For in hope we have been saved, but hope that is seen is not hope; for why does one hope for what he sees? But if we hope for what we do not see, with perseverance we wait eagerly for it." -- Romans 8:24-25

This was a good reminder to tend the fire of eagerness in my heart that can so often flicker and turn to embers. With Abbie's twice-yearly neurodevelopmental assessment coming up on Friday, I turned my hopeful thoughts toward that appointment, wondering if God was up to something.

At the beginning of the appointment we gave Linda, the neurodevelopmentalist, an update on how consistently we accomplished the program she gave us at the last appointment. As I was filling out this report I found myself repeatedly admitting, "was not able to accomplish due to tone until the last two weeks." I felt bad for having failed to be a good "program mom", but seeing the answers in writing made me realize that something has really changed in the last couple of weeks.

As usual, Linda was much more encouraging than disciplinary, understanding that our challenges were because of Abbie's tone. We talked at length about diet, supplements, activities and then the new treatments we are doing for the hypothyroidism. She was very interested in this, but once we got on the floor to work with Abbie, she became amazed.

Abbie's legs were soft, aligned properly, with good skin temperature even in her toes. When we laid her on her tummy she quickly fell asleep, and Linda said the words I was thinking, "Look at her...she could be any one of your children laying there...she looks absolutely normal." And she did! There was no hypertonicity in her muscles, no over-rotation in her legs, her ankles were soft and flexible...

Abbie did move up one level in two of the six areas of assessment, which surprised me given the limitations we've had. So, that was a blessing but not the thrill of the day. It was seeing Linda's face as she worked with Abbie, hearing her say over and over, "I am so, SO excited" and seeing my observations of Abbie validated by very knowledgeable eyes.

So, we have a new program with some very specific goals and it has been an absolute JOY to begin working with Abbie on it. When you are not struggling against the body it feels more like dancing than fighting -- and I have waited a very long time to dance with my girl!

It's almost hard to fathom the changes because they have happened so quickly. We went to therapy today and she did the best leg-bending ever -- and we weren't even working on her legs! Just to hold her soft little body is an exquisite luxury that might not be fully appreciated by mothers who've never had to hold slabs of steel or chunks of granite.

I was doing my Bible study tonight and was asked what portion of Daniel 5:1-9 struck me most. This selection is about a huge feast being thrown by the king of Babylon the very night that kingdom fell. There was much to choose from, but one word was neon to me..."Suddenly..." (5:5). Even after 3.5 years of this journey, it feels like God has shown up suddenly in our circumstances, and I am breathless with gratitude and anticipation.

Sunday, October 21, 2007

Pure Light, Pure Joy


This Saturday Abbie went for her second excursion on the ocean with Pure Light, the organization that gets special needs people out in outrigger canoes. It was a brilliant day -- much more beautiful than the gray windyness of the first time she went. Kyle, who has paddled before, was able to join the crew in the boat when we took Abbie out. I was able to avoid weeping this time, but just barely! Abbie was so relaxed by the gentle rocking of the waves that she fell asleep for part of the trip.



The ocean literally washed away all the tension, worry, irritation, and just plain "yuk" that was built up inside me...perhaps I should become a mermaid!! We stopped for a while a distance from the shore, just to let Abbie take it all in. Kyle and some of the crew jumped in for a short swim, and I just tried to bottle up the serenity of the sea. As they paddled back, I watched the turquoise water run against the yellow ama and enjoyed the noiseless sound of the boat cutting through the waves.




I cannot say enough to convey the goodness and kindness of the Pure Light volunteers. After we'd gotten Abbie out of the boat, they took RJ, Matthew and our nurse's daughter, Kiana, out for a ride. This was truly a family day! Once we were all on the beach again we were treated to a delicious (or "ono") lunch and fellowship with many new friends.




One paddler came up and said, "Hey! There's Abbie...she's the one!!" He continued, "Her first time coming here was my first time as well. When I turned around to see you crying I thought, "Whoa! What did we do wrong? Why is she upset? But then you said something about you and Abbie being blessed, and I was hooked. It is in my heart now...I wouldn't miss this for anything!" OK, so that broke my "no tears" policy for the day, but it was well worth it!

All the volunteers promise that they get far more out of it than we do, but I just don't know how that is possible. Perhaps we should declare a tie and praise God for how He showers blessings on both the giver and receiver. We are sad that Abbie will miss the next two month because of her surgery, but if you have a special needs family member on Oahu, Pure Light meets every 3rd Saturday, 10am, at Kailua Beach park.

Thursday, October 18, 2007

Our Shrinking Girl

I think Ray was a little envious of Dr. Mark Starr this past weekend. We've never met Dr. Starr, but I spent the whole weekend enthralled with his book, "Type 2 Hypothyroidism". I learned so much, and I am a little hesistant to try to share it for fear that by distilling it down to bite-sized pieces I will not give you an accurate or complete picture. His book is less than $15 and I would encourage you heartily to read it.

It did explain much about Abbie however, particularly the fact that she was hypothyroidic before she was ever injured. Much differently than Type I hypothyroidism, Type II occurs not at the thyroid gland necessarily but in the mitochondria (energy factories) of each cell, and is most often passed down through maternal lines. As I learned about how this condition presents itself I could clearly trace the route it had taken from my grandmother, to my mother, through me to Abbie.

We have begun to see some of the hoped-for early effects of starting Abbie on Armour Thyroid and iodine. Her face has begun to thin out, as have her lips. She is losing bulk around her thighs, and today the nurse asked if she'd lost weight because it has become much easier to get her on-the-verge-of-being-outgrown size 6 diapers on her. As the mucin that has infiltrated her connective tissues starts to leave her body, I think we will see a new "lean, mean Abbie machine." Another fantastic effect of the reduction of mucin has been much better breathing. It is not uncommon now for Abbie to be satting 100 on her own, even while on her tummy or asleep. That hasn't happened in over a year. Her muscle tone continues to improve, and she is doing her neurodevelopmental exercises better than she has in a very long time.

Today we got some new foot orthotics at Shriner's. While being fit for the right foot, Abbie did not like a certain way the orthotist moved her foot. She let us know loudly, with expression and first with crying then with a vocalizations -- she really let us have it. Newt has been making "shoes" for Abbie since right after her injury, and was very impressed with how much she has changed lately, both in communication and muscle tone. I love hearing people say that!

Right now I am studying the book of Daniel, and having been gaining SO much from each minute I spend there. There's so much I want to write, but I don't want to babble or overwhelm. Let me just share one point that flashed like a billboard for me today. In the story of the fiery furnace, Shadrach, Meshach and Abednego leave their fourth, divine companion in the blaze to emerge unburnished. I have known that story since preschool, but read with fresh eyes today that they did not even smell like smoke after their ordeal. Beth Moore (yes, her again...I bet that Houston girl doesn't even know she has a part-time residence in Hawaii!) drew the parallel to the fires we have to walk through by saying that we do not have to, in fact we should not, have a smoky aroma lingering upon us afterward. By the promises given in Isaiah 43:1-3, no one should even have the slightest hint that we've walked (or stumbled or crawled) through the flames. So that is how I am checking my spirit, my countenance, my attitude...am I wearing "Eau de Smoke" to let the world know of my light and temporary suffering, or do I smell fresh and new to let them know of my powerful, eternal God?

"But now, thus says the Lord, your creator, O Jacob,
And He who formed you, O Israel,
'Do not fear, for I have redeemed you,
I have called you by name; you are Mine!

When you pass through the waters, I will be with you;
And through the rivers, they will not overflow you
When you walk through the fire you will not be scorched,
Nor will the flames burn you.

For I am the Lord your God,
The Holy One of Israel, your Savior.."

--Isaiah 43:1-3a

Thursday, October 11, 2007

An Official Warrior

Last Saturday the UH Warriors were in town, and as usual our family headed for Aloha Stadium...but this time Abbie was WITH us!! Kyle going to a birthday party left us with an extra ticket, so it was an easy decision about who should get it. All day I prayed for the weather to be good, and must admit I worried a little as Abbie and I sat in the van during tailgating to avoid the fat drops of rain.

Fortunately, the handicap seats just a few rows above our normal seats were open, so Abbie and I set up camp there. As I watched sheets of rain dance aross the field, I was surprised we weren't getting wet. I looked up to realize that the wind was blowing in just the right direction for the stadium to protect Abbie and I...actually it felt like God's hand, not a steel mammoth, but nonetheless, we stayed dry.

I kept trying to turn her head to watch the action on the field, but during the first quarter she was pretty much glued to the end zone. I thought perhaps, with all the commotion around us, she was just checking out. Think again, Silly Mommy! On the other side of the end zone were the Rainbow Dancers, with their choreographed moves and shiny pom poms...what little girl cares about sweaty boys when there is dancing to be watched??

This little girl who was just getting over a cold did not have to be suctioned, nor did she cough even once the whole time we were there. She was as content as she could be, even when it looked like she was inside a pup-tent made of yellow ponchos. As I sat there holding her hand I recalled what an oasis UH football games had been the year Abbie got hurt...our one escape from a brutal reality. Now, with her by me, I knew that I no longer needed an oasis because our reality is no longer brutal. What a joy it was to have my girl with me!!

At one point a woman named Michelle came up to say "She is just SO beautiful!!" I did admit my bias before I heartily agreed. We talked for a bit, then she continued out to get snacks. Upon her return she came up and thrust cash into my hand saying she wanted to help with Abbie's care expenses. I tried mightily to refuse, but then allowed the blessing to flow from her hand right into Abbie's, who was thrilled to hold "paper money!!" It overwhelms me when strangers pour love out so freely.

As for all the new things we have recently added..they do seem to be making a difference. One place that the myxedema, (swelling caused by excess mucin) affects is the lungs, one source called it "decreased pulmonary vitality." Now that Abbie has been on iodine and Armour thyroid for 8 days we are noting great changes in this area. Slowly, almost imperceptibly, over the last year Abbie has required more oxygen support. She used to never need it, then only when she was sick, then sometimes at night, to now needing it at some point almost every night. With the thyroid things on board she has been satting so well, even at night, which makes for better sleep for all of us. Her face has begun to slim down a little bit, as has her lower lip. I've decided that it droops over not only as a result of poor muscle tone, but also because it is just so big and heavy. As it has gotten smaller and able to stand up more, drooling has decreased significantly. She is not having any seizure/muscle spasm movements to her right any more. This matches what the family of another near-drowning survivor who recently started Tremal is seeing. I FINALLY got the book on Type 2 Hypothyroidism today after a month-long Amazon drama. I read portions of it during tonight's UH game to dilute the pain when they were struggling. I have learned so much already that I look forward to sharing in the near future.

As we tucked Abbie into bed the night of the football game, RJ asked if he could sleep with her. She indicated a vigorous "yes" before all the words were even out of his mouth. They fell asleep shoulder to shoulder, and even with her eyes peacefully closed she seemed to be smiling about the wonderful evening we had all shared....and she wasn't the only one.

Sunday, September 30, 2007

Open Floodgates



A deluge of knowledge, information, and spiritual insight has been swirling through my brain and soul these last two weeks. It's difficult to know how to even communicate just the highlights. Most importantly, Abbie is doing well, as you can see in this recent photo taken by her nurse, Dayna.



The last update I wrote described the emotionally-taxing decision to postpone her surgery. As we came to that conclusion, I knew deep down that we would see blessings in the waiting time. They have already begun to arrive. I apologize in advance for some parts below that may seem too verbose, but I am truly writing this update for other brain injury families.



I have been communicating very regularly with Dr. Tennant regarding a plethora of new things he has learned in the past few months. If I've been flooded of late, he is covered under epic depths of new information! I've written somewhat about getting aggressive in dealing with the fungus in Abbie's body, and am working madly to get an update to the "Abbie's Healing" portion of her site completed. However, we have added several more new things since mid-September.



At the beginning of our journey into energetic medicine I read a terrific book call "The Body Electric" by Robert O. Becker, MD. His book outlines the electrical systems in the body and the critical role they play in healing and regeneration. Unfortunately, Dr. Becker is now declining into Alzeihmer's. When he was having a lucid day last year he and Dr. Tennant had a long phone conversation about Dr. Becker's current research, what Dr. Tennant is pursuing, and their mutual interests. Some time after that conversation, Dr. Becker's wife sent Dr. Tennant all of Dr. Becker's unfinished research, most of which revolves around the use of true colloidal silver as a means to dramatically increase stem cell production.



I say "true" colloidal silver, because what is usually available in health food stores as colloidal silver is actually in ionic form. We have found a source that produces high quality true colloidal silver, Deseret Biologicals, (www.desbio.com), however they only sell their product, "Smart Silver", to licensed medical practitioners, so most people can't buy directly from them. Abbie is getting 2 teaspoons of 10ppm solution each day. This is not a "quick fix" type thing, but I am curious to see what it can do for her not only in terms of healing her initial injury but also in keeping her healthy in the meantime. There is some very interesting congressional testimony at the above website regarding what Smart Silver was able to do for malaria patients in Africa.



As interesting as the silver was, a breakthrough of much larger proportions was quick on its heels. Dr. Tennant recently met a physician, Dr. Mark Starr, who has written a book describing his hypothesis that like diabetes, there are two types of hypothyroidism. The first type shows up on blood tests, but the second type does not. In the last hormone panel we did, Abbie's TSH was very elevated, while her T4 was normal, which was an indicator that something was not right. Additional clues are her consistently low basal body temp. (96.0-97.0), cold intolerance, "myxedema", which is non-pitting swelling that is very apparent on her hands, feet, and even her cute, chubby face now that I know what I am looking at.



Please go to www.type2hypothyroidism.com to see some stunning before and after pictures of patients who were treated for this condition. These pictures are old because mainstream medicine stopped treating Type 2 once lab tests for TSH became available. You can give Type 2 sufferers all the thyroid hormone you want and it won't fix the problem because it's not the absence of T4 that's the problem, it's actually an iodine deficiency that is often at the root.



So, we have started Abbie on an iodine supplement called "Iodoral", and early this week we will be starting her on a natural thyroid supplement called Armour Thyroid, which is made of dried pigs' thyroids. (Gross, I know...but I will do whatever makes Abbie better!) This approach could yield results in a very quick fashion if Abbie follows the path Dr. Tennant is observing in his other patients. I am THRILLED to think about this possibility, because many of the complications of Type 2 seem like a portrait of a brain injury survivor. In addition to the ones mentioned above, they include: anemia, dysarthria (difficulty moving jaw, tongue), thickened tongue, mental fog, slow relaxation phase for muscles, gait abnormalities, and altered Achilles tendon reflexes. While these challenges for Abbie were caused by the initial insult to her brain, I don't think we can expect her to recover if she has another condition producing the same symptoms!



Additionally, the thyroid is becoming more apparent as the voltage regulator in the body. This may explain why Abbie experiences such dramatic swings in her voltage, from very high healing range, to much below normal. Her regulator is faulty right now, so her body is acting just like any other electrical device with an inefficient regulator, and is just about as functional. We have had Abbie on DHEA cream since her hormone panel came back, but Dr. Tennant is finding that he cannot fix hormone levels with bio-identical hormones if he does not fix the thyroid. So, we will simply keep her on pregnenolone, since it is the precursor, and proceed with her thyroid therapy. I am hopeful that if we can get her thyroid fixed, many good things will follow. Just an aside, back when mainstream medicine used to treat Type 2, high cholesterol was one of the key indicators...if your interest is piqued, order Dr. Starr's book (around $15 at his site).



The day we were in the midst of the surgery drama, I was a basket case. Dr. Tennant called with news that gave me a boost out of the pit. He was on his way back from the office of a Dr. Danhoff, an MD/PhD who had been his physiology professor in medical school. They had not seen each other in years, and in the interim, Dr. Danhoff had begun working with a very concentrated form of Aloe. He treated hospice patients in Florida with it intravenously, and cured 90 out of 100 of them. Yep -- 90% of hospice patients got better. Perhaps because there was a none-too-happy chemotherapy research site just up the road, the FDA raided Dr. Danhoff's clinic, and effectively shut him down. Two years later the court ruled that the FDA was way out of bounds, and Dr. Danhoff had done nothing wrong, but you can't just start a clinic back up after two years. So, he found his way back to Dallas, and thankfully, back into Dr. Tennant's orbit. Recently a man who was experiencing 1000 tics per day was treated with an oral form, and in 6 days the tics ceased. A Parkinsonian patient treated intravenously had temors that had persisted for 15 years stop on the third day of treatment. They think that the product, which is called "Tremal" on the bottles we have, does something in the way of remyelination. But, honestly, I'm a mom, and I don't care so much about the mechanics as the outcomes!



The second day we had Abbie on Tremal she turned her head quickly to the right to look at her nurse and I. This particular movement will often throw her into a seizure/muscle spasm motion for a few seconds where her head will pulse repetitively to the right. This time there was none of that. I just stood in surprised silence, while her nurse, who didn't know about the Tremal, said, "Hey --- no extra moving!! That's great!!" Great, indeed!



So, we have much to keep track of and much reason for heightened observance and anticipation. We also have a couple more new things in the pipeline, but I'll wait until I know more before I write about them.



To get me ready for all of this, God took me away to be alone with Him, and alone together with some wonderful women. 14-16 September my dear sister, Katie Cheshire, (it's official -- we adopted each other) and I, along with sweet baby Iliana flew to the Big Island to attend a women's conference centered around a video series by my best girl, Beth Moore.


We stayed at Kalopa State Park, at 2000 feet elevation this rainy, lush spot reminded me of the Northwest, only warmer. I was blessed to have time alone, running on trails in the woods, and wandering around the grounds with my camera. I met a woman who is twice the mother I am, literally. Jessica is the mother of 11, including two sets of twins!! And, walking in to this remote place on the Big Island, I didn't expect to know any of the other 32 women besides Katie. Then, Lisa and Ellie Thatcher came up and told me they have been praying for Abbie for three years. I was stunned at how God weaves us together long before we know it!


The theme of the conference was "Loving Well", with the bottom line being that in and of ourselves we cannot do this. As always, Beth taught with a passion and clarity that ignited my spirit, and reassured me that just as I cannot love well on my own, neither am I Abbie's healer. There is only One with that job description, and I only have to follow His lead.


At the conference we were broken into small groups of 6 women each. Honestly, as we got our group assignments I was a little disappointed because there were women in other groups who I really wanted to get to know better. But, I realized God must have a purpose for placing me in a particular group. Boy! Did He ever! Out of the other 5 women, 2 had lost daughters in car accidents. One was part of a set of triplets, and died at 13, while the other was an only child who died at 8. What are the chances of that?? No other mother at the conference had lost a child besides the two in my group...what a privelege for me to harvest the wisdom they have gained from walking a narrow, difficult path. And, honestly, to remember how blessed I am that we still have Abbie...just to brush her hair, see her smile, and think about still having future with her in it!



I was relieved to be able to enjoy the weekend without Abbie's surgery looming so near. We have rescheduled it for November 21st -- the day before Thanksgiving. I am assuming it is because we will have so very much to be thankful for this year after she sails through the surgery.



Thank you for your patience during the lapses in updates. Don't ever worry that something is wrong. No news is good news, it just means that I am too busy actually being Abbie's and the boys' mom to write about it.


I hope that all the new things we've added recently will require more frequent updates as I share exciting news. Please pray for wisdom as we put these new things into place. Please also pray for Abbie's health. She is at the tail end of a cold that her Daddy and brothers graciously shared with her, but she just can't quite kick it completely. My heart is full, and I end this with a big smile on my face!




Thursday, September 13, 2007

A Hellish Hokey Pokey

We had one foot in , then one foot out, one foot in , and now both feet out...of the OR that is. This afternoon, after an emotionally draining, straining, nearly-shattering two days, Ray and I decided to agree to postpone Abbie's surgery.

As I posted Monday, we left Shriner's feeling good about the plan and ready to move ahead. We thought all was set. Apparently we were the only ones feeling that way. The team met through the day on Tuesday to discuss Abbie's case, and by the end of that day were not comfortable with proceeding for numerous reasons. The surgeon called us in the late afternoon to tell us the surgery was off. This took me by complete surprise, and my gears couldn't move fast enough to mentally take in such a huge shift in plans. I spoke to Ray on his way home, which precipitated his call to the surgeon. So, by the time Ray arrived, we were back to the "thinking some more about" just doing it on the 18th.

That night, once again in the thick of things was Abbie's boldest advocate, her pediatrician. She was on the phone with various folks until 11:30 last night. For those who may not know the details of the beginning of Abbie's journey, she would not be alive were it not for Dr L. intervening on her behalf when I was too overwhelmed with grief and shock to do so myself. In the years since, we've resumed our more routine relationship, but leading up to this surgery I've seen her angel wings poking out from under that white coat again.

By this morning, the surgery was back on, much to our relief. As Ray explained to the team, it has taken two years for us (or actually, me) to get to the point of being able to sign the consent forms for this surgery. Having it postponed at the last minute was mentally shattering, and I worried that I would not be able to psyche myself up again.

The phone calls continued through the morning, until I just thought, "We need some PEACE around here." So, I told Abbie we were going to "read our verses" for the day from Psalms. Since it's the 12th, we started there. When I got to verse 5 things got interesting. As I read, "Because of the devastation of the afflicted..." Abbie jumped in bed and looked right at me..like, "This is for me!" I continued, "...because of the groaning of the needy (that part was for me:), Now I will arise," says the LORD, "and I will set him in the safety for which he longs."

The echo of Psalm 4:8, about lying down and sleeping in safety reverberated, and I knew this was a reminder of the words Abbie spoke the morning of her injury, "Jesus keeps me safe. Jesus keeps me safe!" All was well, and in my now-relaxed and calmed state, I started to wonder if perhaps we shouldn't just agree with the team and postpone. Their nervousness was starting to rub off on me, and there is no emergent reason to go into this surgery without everyone feeling absolutely comfortable and confident.

Then the phone rang again. Ray said, "I am going to ask you a question." That is husband-code for "I am going to ask you something that is either going to make you mad or with which you will violently disagree." Being a good decoder, I braced to be maddened, and then heard, "Do you think we should just postpone this?" I smiled at how God had worked in our hearts at the same time. So, at the end of all the drama it was actually an easy decision that flowed from a unity of our hearts...do what is best for Abbie, and if that means later, so be it.

Abbie gave me big grins when I told her that we actually won't be going to the hospital next week. Like me, I know she is ready but not excited about doing this. But, the prayer list remains the same...now we just have more time to pray!! We will hopefully have the new date by the end of this week. Until then, thank you so much for the encouragement that has been flooding in from all directions. This has been a very trying time, and your emails, phone calls, and prayers have buoyed us through some very rough waters!

Monday, September 10, 2007

Many Answered Questions

We had four well-spent hours at Shriner's this morning, as we met with their pediatrician, a nurse practitioner, the surgeon, the anesthesiologist, dietitians, and care coordinators. I wrote an entire page of questions last night so that I wouldn't forget one in the midst of emotion and detail today. After about half an hour the surgeon had answered all of them except one...where the surgery will be done. When I broached this questioned, he just looked at us squarely and simply said, "We're doing it at Kap." Oh, OK...end of discussion. But, we still wanted to know what brought him to that conclusion.

Abbie will be recovering in the PICU after coming out of surgery, so he feels that it just makes sense to do the surgery in the same place. We agree, although the decision to do the surgery at Kapiolani in no way reflects poorly on Shriner's, for whom we have great respect and trust. After receiving many answers, and now better knowing what to expect when we see Abbie for the first time, I am grateful that we are going to the PICU. She will have a few lines in, and most likely a central line in her neck. She will probably remain on a ventilator through the first night. She will also be in a cast extending from the bottom of her ribs to her toes. I will be glad to be surrounded by a critical care staff that we know (and love). Caring for a sick child on a normal pediatric floor is very demanding for the parent, and I was unsure I would be able to stay on top of her pain during the first few days. The anesthesiologist had some very good ideas about this.

Just prior to the surgery Abbie will receive an epidural, which she will keep for a couple days. This will allow us to aggressively control her pain without drugging her into a stupor. As I'd suspected, the first 3-5 days are going to be very tough, pain-wise. I'll be writing a gargantuan prayer list at the end of this update, and pain control will be very high on it.

I've been asked several times, "What exactly is going to be done?" Well, here's the medicalese version: bilateral proximal femoral varus derotational osteotomies, right pelvic acetabuloplasty. Here's the mom-translation: a surgery on both sides, removing a 1" portion of each femur, turning the head of the femur into the proper rotation and reinserting into the hip socket, then securing it with a metal blade and using screws to connect each end of the femur at the cuts. On the right side they have to do some reconstruction of the acetabulum, using the bony material removed from each leg. This is the most complex part of the procedure, and will necessitate a second incision on the right side. I wanted to know where the incisions would be...from the "bump at the top of the leg" to about halfway to her knee on each side, and then from the middle of her groin, around the top of her hip bone to her back...that's about when I stop asking those kind of questions!

We're now very aware of the risks, complications, and potential challenges during recovery and beyond. We are realistic on one hand, but also very optimistic. After all, this is Abbie we are talking about. She was on her game today! She answered many of the pediatrician's questions herself, using her switch, and even laughed when the surgeon was checking her belly. When the blood pressure cuff went on, she immediately looked right at it and scowled. I asked the surgeon what the critical factors for success were, and the only one that was really key to him was the health of the child going into the surgery. In his experience that is the major differentiator. Our girl is healthy as a horse, so that gave me a boost of confidence.

So, we are scheduled for next Tuesday, 9/18, at 1130. Abbie will probably be in the OR about 6 hours, so by the time we are settled in the PICU it will be late in the evening Hawaii time, and way after bedtime for everyone else. But, I will do my best to post timely updates and fresh prayer requests.

Speaking of prayer, here is the monster list:

1. Complete success with a perfect outcome; wisdom, skill, and an "in the zone day" for the surgery team.

2. Effective pain control, and a quick diminishing of pain as the days pass

3. Minimal blood loss (100cc expected) so that Abbie doesn't need a transfusion.

4. No infections!

5. Quick recovery from the anesthesia with no complications.

6. Protection of her respiratory system; no events during surgery or recovery.

7. Rapid return of stomach and gut function so she can tolerate her normal diet.

8. No nerve damage. On the right side, her sciatic nerve will very much be "in the neighborhood" as they reconstruct her hip socket.

9. For necessary equipment and nursing staff to be in place for discharge.

10. For grace, peace, assurance and hope.

As I sat down to write this tonight, Ray's email account was open, and seeing a name we are fond of I asked if I could open the message. Again the tears flowed as I read, and I want to share this with you:


This is Mia Letterie from Seattle. I have been thinking about Abby day and night. I have been praying for Abby as well as keeping up with Tiffany's constant postings on prayforabby.org. I hope that her surgery goes well. Here I have attached a story that I have been meaning to send to you. In class last year we were asked to pick a hero. My first question was is it ok if our hero is younger than us. My teacher replied yes. The minute he said yes I knew who I was going to write about: Abby. So here is my final copy of the story. I have gotten everything from the website. I hope it is close to right and I hope that you enjoy reading it!

Well, Mia - your story was spot-on, especially the part about Abbie being a fighter. We loved it, and one day Abbie will read it for herself!! And you know what? My hero is younger than me, too!

Saturday, September 08, 2007

The White Line

The relaxation of a wonderful Labor Day spent on the beach at Sherwood Forest was consumed like dry tinder in the days that followed. On Tuesday we had Abbie's pre-op appointment with her pediatrician. She is good and healthy, but her doctor raised some concerns about where the procedure will actually be done. Shriner's Hospital, where it is scheduled to be performed, is right across the street from Kapiolani, where Abbie has received all of her other care. It is likely that she will be recovering, at least immediately, in the PICU at Kapiolani, since Shriner's doesn't have intensive care patient settings. Dr. L. wondered why we didn't just have the surgery done at Kapiolani, in case of a "bad event" during the surgery. We honestly hadn't considered this before because we have a lot of faith in the folks at Shiner's, and we have our minds and hearts set that Abbie is going to fly through this, without a "bad event" in sight.

Wednesday morning brought a flurry of phone calls between me, Ray, and Shriner's, all focused on planning for a worst case scenario. Spending that much time thinking about a heartbreaking outcome put me into a pea-soup fog. I didn't realize how non-functional I was until I missed a long-awaited meeting with a friend, and was stumbling through the rest of my day grasping, weeping, and recollecting myself.
As we've done so many times during this journey, we talked out our fears and prayed through them with our small group that evening.

We fully anticipated the surgeon would not support moving the surgery, but did not hear anything from him on Thursday. What did Tom Petty say about the waiting? He is right, it's the hardest part. I was still socked in, but at least I'd turned my headlights on. As I did so, a curious thing began to happen -- bits of encouragement began arriving from unexpected places, weaving together to form a line I could follow through the fog.

On Thursday I received the itinerary for a women's retreat I will be attending next weekend. The coordinator included postcards with a Scripture verse, a different one for each woman. She said she'd assigned them randomly, and just wanted us to meditate on them until next weekend when we could share what meaning they had for us. My card said, "Psalms 4:8" Like a treasure hunter, I opened my Bible with expectation. Not to be disappointed, I read, "In peace I will both lie down and sleep, For Thou alone, O Lord, dost make me to dwell in safety." I just grinned, because one of the first things to go during times of heightened stress is my sleep.

On Friday I took Kyle to the pediatrician for a physical. Ray met me there with yet another birthday present for Abbie (a Hello Kitty backpack, and makeup kit which she LOVED!). He also pulled out a card addressed to us. The front read, "We don't always know what the plan is, but we always know there's a plan", while the inside said, "Relax and know that God's got it all worked out." At the bottom was Luke 1:37, "Nothing is impossible with God." Passengers disembarking the elevators must've thought it strange to see a woman choking up in the hallway, but Kelle, you will never know how profoundly you impacted me...you spoke God's words into my life, and His love into my heart!

We still hadn't heard from the surgeon by late Friday afternoon, so Ray called him. It turns out that he isn't absolutely opposed to doing the surgery at Kapiolani, since Abbie will probably go there to recover after the surgery. But, since it is such a major procedure, it requires a lot of equipment, which they have in place at Shriner's. The staff at Shriner's is also very adept at supporting him during the surgery because they do it all the time. So, it comes down to a balance of comforts. Will we be more comfortable at Kapiolani where we know all the staff and she can have the same anesthesiologist she's always had, with the intensive care resources in the same building, yet have a surgeon working in a place where he is not quite as comfortable, with a staff not quite as used to doing this procedure? Or, will we be more at ease at at Shriner's, with a new anesthesiologist, and the emergent and intensive care resources across the street, but with the surgeon working in "his backyard.?" We honestly don't know the answer to that tonight, and will talk it out at Abbie's pre-op appointment on Monday. Please pray for wisdom for us in this matter, it is a big decision. We've gotten used to our fairly stable life that has been devoid of decisions of this magnitude for quite some time. Truly, we really could use your prayers right now!

Today brought a huge highlight for me. Kapiolani was having the last day of a radiothon at John Domini's, a beautiful restaurant filled with views of water, waves, and Diamond Head. We arrived just a wee bit late, and were seated at a table with Jerry Coffee and Susan Page. For the benefit of those who may not be aware of his story, Jerry was a Navy Commander when he was shot down over Vietnam. He spent the next 7 years as a POW, often in solitary confinement. I read about his ordeal as a teenager, and it made a lasting impression that I often called to mind as I later served as a military officer myself. We made small talk for a while, and then just enjoyed the show. As I looked at him, framed by stunning scenery, sitting next to his beautiful wife, I thought, "There IS life after the storm, and it can be radiant!"

Finally, Susan asked about Abbie, wondering why she was in a wheelchair and being fed through a tube. As we shared the beginning of her story it reaffirmed in me just how far she has come. Susan told her, "You are already a miracle girl!" Amen to that!
As we stood to go, Jerry's time as a POW came up; I told him I read about it as a youth, and that really, as I thought about it, POW life is about the only thing I can compare this journey to..I am not in control of it; I do not have a rewind button to change it nor a fast-forward button to hurry it, I do not know when it is going to change or end...and I wouldn't give it back if I could. As Jerry said, "I wouldn't pay a dime to do it again, but I wouldn't give it back for a million dollars." He also said one other thing that is going to stick with me. Each day, at the end of the day, no matter what kind of day it had been (and I know his "bad" days were much more brutal than mine), he would just think, "I am one day closer." Never any doubt, just faith. One day closer.

Jerry Coffee has long been one of my heroes, and I believe God allowed our paths to cross today to bring that thin white line into fluorescent brilliance. Like a driver on a foggy night, I need only follow that line to reach our destination. Abbie continues to improve each day. The hyperbaric treatments are a blessing, and are helping with varied things like her vision and her muscle tone. Lacking a driver's license, she is already much better than I at following that white line through the fog. She is unshakable, moving ever forward toward being whole again. She humbles me as each day I watch her move one day closer. Never any doubt, just faith. One day closer.

"At some time or another we all get shot down, we are all POWs, "prisoners of woe." Be tough. Bounce back. Learn not just to survive, but to go beyond our survival: finding the purpose in our adversity." -- Captain Gerald Coffee

Wednesday, August 29, 2007

Six Years Old!

What a dilemma..I have not written because so much has been going on, and now I have to try to catch up on all the great things that have happened over the last couple of weeks! But, I do actually have photos to share (please don't faint with surprise). Please go to http://gallery.mac.com/varafamily#10007 to see a collection recent pictures.


Of course, the biggest event of the last couple of weeks was Abbie's 6th birthday. As for so many other moms in my situation, party planning is a tricky, and even painful proposition. We have a profound reason to celebrate, and yet it is sometimes difficult to keep the focus on what we do have rather than what we, and Abbie, are missing. So, that is my excuse for lagging in the party coordination department. I was hoping to get in the party mood by going with Abbie to a party for two of her friends, Katrina and Christa Cheshire, on 8/19. I knew Abbie would have a good time, but I had no idea how deeply both of us were about to be blessed.

We had been at the Cheshire house for only a few minutes when Katrina, Christa and their mom, Katie, told us through grins and giggles that Abbie's birthday was being celebrated too -- it was partially a surprise party for Abbie. I bit my lip to keep from crying. They had no idea the burden they had lifted from my shoulders!! And, moms don't usually get surprised by much, so this was a sweet surprise for me as well.

Abbie got to open presents, wear a princess hat, and blow out candles with the help of all the girls. Just typing about it now is making me weep. I could have never put such a wonderful day together! What gracious and generous friends we have!!

Since then, it seems that it's been one long celebration..there hasn't been a day that Abbie has not received a present. I'm concerned that she may conclude that six-year-olds are on a gift-a-day program! It's so fun now that she can really appreciate and enjoy her presents -- vanity must kick in around now because she is especially partial to the hair accessories and clothes.

Dr. Tennant arrived in Honolulu on Abbie's birthday, so I spent last Thursday - Sunday at his lectures, while my heroic husband held down the fort. A hero you say? Well, he booked me a hotel room on Friday night, where the conference was being held, so that I could sleep all night and be fresh in the morning while he was on Abbie watch all night. So, yes, "hero" in my book.

I learned SO much, yet again. I am hoping to update the "Abbie's Healing" portion of her website in the next several weeks to reflect what we are now doing and using. But, my hope was yet again fortified, and my resolve strengthened.

We started giving Abbie 1/2 tsp of Baking Soda in her overnight drip about 3 weeks ago because it is a powerful anti-fungal. (Why that matters will be in the "Abbie's Healing" update). It kicked her into a major healing crisis -- a nice way of saying good things blooming out of stinky circumstances. We have been getting much less sleep, as she goes through periods of time when she needs a lot of suctioning and oxygen. Fortunately, these periods are tied to the time of day, and Abbie (being part Swiss) is right on the dot. For example, at 8:45pm she's fine, cruising along on no oxygen, very comfortable. At 9:01 pm she crashes, needing up to 6 liters of oxygen and frequent suctioning, until at 11pm she settles down, comes completely off oxygen, and goes to sleep. The time of these periods coincides with the "high phase" of each of the 12 circuits in the body. Unfortunately for us, one of the circuits that has been quite active lately is the liver, which wakes from 1-3am. But, with each day, Abbie looks brighter, more beautiful (I admit my bias), with softer tone, better vision, and quicker responses. She about threw her neck out of joint nodding "no" the other day when Debbie asked if she was still five.
















My birthday on 8/15 also brought a long anticipated present. Abbie's hyperbaric oxgyen chamber arrived two days early. She has been going in the chamber every day by herself. She is very proud of this, because for the 50 previous "dives" I have always gone in with her. We attach an oxygen line to a concentrator that puts out 10 liters/minute, which she receives through a non-rebreathing mask. The chamber is also connected to a compressor, which pressurizes it to 4psi (or 1.3 atmospheres). This is a little less pressure than the commercial chamber we've used here in Hon
olulu, but the convenience of having one at home makes it possible to have Abbie dive daily.

She often com
es out of the chamber babbling, which is exciting. We are also noting changes in her tone and vision. I don't know how much is the chamber, the baking soda, or the recent addition of an iron supplement..I think probably a combination of all three. I am just thankful to have it, especially as we anticipate her surgery. I think diving will help her heal quickly afterwards, and aid in preventing secondary complications like infections.

Ray also gave me a very nice camera for my birthday. OK...well, he paid for it, and my professional-photographer sister helped me pick it (and the numerous accesories) out. Poor Ray:)! But, I am hoping that I will be able to better capture what Abbie looks like and how well she is doing. I think the web gallery is good evidence of the difference between my old camera (the b-day party pics) and the new one (the pics of Abbie alone). With the .mac gallery, I will try to post frequent pictures -- even the ones that are going to be less than beautiful, like Abbie in her cast, so that you can more closely follow her progress and more specifically pray for her as we come up to this challenging time ahead.

So much more has happened, that I must give short shrift to for the sake of my hands and your eyes, but God has been pouring out blessings and grace upon us and we are so thankful! As I type Abbie is at Kahala Mall for storytime with lots of other kids, the highlight of her week. The mall is a couple blocks from our house, so Abbie is officially a mall rat, often strolling over there twice a day. This is one reason her birthday celebration has carried on so long, because even a lady at Zale's gave her a present yesterday!

We are in a good place, relishing her smiles and happy disposition, looking forward to getting the surgery behind us and reaping the benefits of it. God truly is good..all the time!




Tuesday, August 14, 2007

Becoming Real

Ray and I just returned from a long weekend in Oregon, where we attended my high school's 20 year reunion. I don't know about you, but my memories of high school are definitely a mixed-bag, and it was time I would not willingly repeat. So, I was curious to see if the cliques still thrived and the masks remained in full use.

What I found is that in twenty years' time we had all lost something: love or a marriage, a job, a dream or even a child. These losses broke our hearts, and rubbed us raw -- rubbed us until we became like the Velveteen Rabbit. I don't know if I met transformed hearts, or hearts freed by loss from masquerading, but it was a joy reconnecting now that we have all grown up and become real. I have to say that without exception the women were all more beautiful than the dreaded senior pictures on our nametags. It could be because we were no longer sporting those dreadful 80s hairdos, but really I think it's because we grew into ourselves.

What humbled me was how many of them said that they had been praying for Abbie...people who I hadn't seen since graduation! Of course, there was a short list of people I was truly hoping to see, one of whom was my buddy Mark. During our senior year I recall just a few times where we excused ourselves from Marine Biology, and went through the drive-through at McDonald's to order two waters. As I wandered through the high school party scene, and somewhat lost my way, Mark was there shining the light of Christ into my life with a good joke and Chicago playing on the radio.

As Ray and I talked to Mark and his wife, Tiffany, the brokenness of our hearts bridged the years as they spoke about watching their first son die at 2 months of heart complications. Knowing they were veterans of this same pain, we shared many details of Abbie's injury and recovery. At the end of the evening, Mark said, "I know it's hard to tell the story, but I want to really thank you for sharing it." 20 years melted away, and I could almost taste McDonald's water through a plastic straw.

I opened my email this morning to find a short note from Mark, who said he tried to post in the guestbook, which currently isn't working - so he sent his message via email.

"One of the many things that has changed in me in the twenty years since water at McD's is that my vision and practice of prayer has been confused and disoriented. But, I prayed for Abigail tonight and I am thanking God for a timely reunion with an old friend."

The treasure of true friendship is so often revealed when the storms blow away the sand -- yet another reason to praise God for the rain.

Whenever I return home from a few days away, I prep myself for the "reentry phase" with Abbie. It takes a couple days for me to slow back down to her speed and really reconnect with her. Often, it is a little hard on my heart as I realize, yet again, how different our life is and how far we have to go. This time, for the first time, there was no readjustment, just pure joy. She looks SO good, and is so bright and "with-it" that I just had to giggle.

Yesterday evening our friend who kept the twins during the weekend called to check in. He brought the kids to see Abbie on Saturday, and told Ray, "Man, she looked good." Ray responded with, "Yea, we know.." and he came back with something like, "No, Ray, I mean she looked REALLY GOOD, she was tracking with her eyes and everything.." How exciting to have our impressions validated by other sets of eyes!

Going away requires such a team effort on this end...to have the boys taken care of and taken to school, and to have Abbie cared for around the clock. We owe big thanks to the McDaniels, Infantes, Bosgras and Odas, as well as Debbie and Dayna. And then there is Genevieve...She stayed overnight with Abbie on Saturday night. Then, the nurse scheduled for Sunday called in sick, so Genevieve stayed all day until Debbie relieved her in the evening. The nursing agency offered to try to find another nurse, but Genevieve refused this offer saying she didn't want to leave Abbie with someone who didn't know her well enough. Did I already mention treasures revealed by storms...well, Genevieve is one of our gems!!

We'll try to get the guest book at the main site up again, but in the meantime feel free to post at this page...your comments are a treat to us!

Saturday, August 04, 2007

School Meeting

This Thursday we had our IEP (Individualized Education Plan) meeting at our neighborhood elementary school. It was Ray, me and 11 people from the school or school district. The process was...interesting. The PT who assessed Abbie was out of town, so the PT who came up with the goals and gave recommendations has never seen Abbie. She recommended 30 minutes per week of PT, which did not meet our expectations. We were able to get them to raise that to 60 minutes per week "for the initial phase."

That was kind of the flavor of the whole meeting...goals that were not appropriate (i.e. things that Abbie has been able to do for a long time), and just not a clear understanding of her needs. I know Abbie really wants to go to school, and we will continue this process by visiting Jefferson Elementary, which has an orthopedic unit specializing in complex needs kids. However, the therapists at the most recent meeting work at that school, so I don't know what we will see there that will stoke encouragement and confidence in me, but I am praying for something major or else we will have to find another option for Miss Abbie.

On Friday we visited the neurologist. I spoke to her privately first so that I could tell her about the upcoming surgery, as well as the "cortex override" conclusion by the orthopedic surgeon. When she reviewed the seizure activity log, there was a large cluster of them in mid-July. That was the week where Abbie was assessed by a different Dept. of Ed. person each day. She was stressed out, and it showed in her seizure activity. We are going back up to the original dose (5ml) of Trileptal at night, but staying at 4ml in the morning for now, so that we don't make her sleepy. Please pray this works so that we don't have to try other meds. I honestly think the seizures are part of the healing process, as things reconnect. Abbie used her switch very well to communicate during the appointment, which is such an improvement over her usual "evasion by sleeping" approach to the neurologist.

The twins started school this week, and I am thrilled to pieces about the teacher they will have this year...what a difference that will make! Chase started work at Zippy's on Friday. His conclusion after a summer that consisted mostly of lounging: "I've determined that it is much more difficult to stay vertical for 7 hours than it is to stay horizontal."

I've had beautiful days to walk and worship, and all is well here.

Thursday, August 02, 2007

The Way Out

In my last posting I wrote that I was in an emotional freeze about Abbie's upcoming surgery. That strategy works well in daylight, but it was impossible to keep the cooling jets on while I slept. The night after we made the decision I woke up with tears on my pillow, having just had vivid, graphic dreams about the surgery. I knew that I should not be defeated by fear, and that we've walked this road with God long enough to have sustaining trust. But, the now-thawed emotions were just overwhelming, and I wasn't sure how to find my way back to a place of peace.

Fortunately, just a few days before, Ray had surprised me with a new iPod after the untimely demise of my last one. So, I went to iTunes to drown my sorrow with praise music. Once I got there I was stumped about what to download. I then recalled one particular song from Jim's celebration service that I really loved, so I pulled out the program, smiled at his picture and found the song and artist.

"Waters Gone By" by Shawn Lewis was a golden thread that led me to so many other restoring songs. I spent an hour downloading them, and then took off for a long walk with my new music.

"You will lift your head without shame
You will firmly stand with no fear inside.
You will surely forget your troubles and pain,
Recalling them only as waters gone by."
Instead of my normal route, I felt compelled to go to the beach where I sat on a rock as far out in the water as I could get. Finally, I could cry aloud. When words came, I just said to God, "I can't stand the thought of making my daughter suffer, even though it's for her good." I could feel Him smile and heard, "I know exactly what you mean."
As the wind began to gust I looked out to a sacred spot near China Walls and was reminded that God always redeems our pain, always. The sunlight reflecting off the tide began at last to penetrate my soul.
My walk home was joyous as I soaked in the greens and blues of the trees, sky and sea. Worship was my way out of fear and dread. So, I am going to just soak myself in music in these next weeks since it can so often reach places that words alone cannot.
Today we scheduled Abbie's surgery for September 18. We have been trying to minimize talking about it around her, but she is so perceptive. Last night a dear friend was talking to Abbie, who was listening but not all that interested. When Kristin mentioned that her son also sees Dr. O, Abbie flipped her head quickly around to look right at her.
This month will be hectic as we do all the pre-op appointments and preparations. In a way I welcome that so we can stay focused more on what we have to do rather than how we feel. Please just pray for Abbie to get stronger and stronger each day so that she can be in the optimal condition going into the surgery.
As I walked home, listening to my new music, one song summed up my strategy for getting through these next few months. Actually, perhaps it should be my life strategy, if I can remember that I am just as dependent in times of ease as I am in times of distress.

"If I Stand"
There's more that rises in the morning than the sun
And more that shines in the night than just the moon
There's more than just this fire here that keeps me warm
In a shelter that is larger than this room.
There's a loyalty that's deeper than mere sentiment
And music higher than the songs that I can sing
Stuff of earth competes for the allegiance
I owe only to the Giver of all good things.
So if I stand
Let me stand on the promise
That You'll pull me through.
And if I can't
Let me fall on the grace
That first brought me to You.
So if I sing
Let me sing for the joy
That has borne in me these songs.
And if I weep
let it be as a man
who is longing for his home.
There's more that dances on the prairies than the wind.
And more that pulses in the ocean than the tide.
And there's a love that's fiercer than the love between friends
And more gentle than a mother's when her baby's at her side.
And there's a loyalty that's deeper than mere sentiment
And a music higher than the songs that I can sing.
Stuff of earth competes for the allegiance
I owe only to the Giver of all good things.
So if I stand
Let me stand on the promise
That You'll pull me through.
And if I can't
Let me fall on the grace
That first brought me to you.
And if I sing
Let me sing
for the joy that has borne in me these songs.
And if I weep
let it be as a man
who is longing for his home.
So if I stand, let stand on the promise that You'll pull me through.
And if I can't, let me fall on the the grace that first brought me to you."
---Jars of Clay