Thursday, April 30, 2009

More owies :(

Poor little guy had an appointment with the pediatrician today. No big deal right? Except for the fact that he had to get 3 shots. The poor kid is fresh off the synergist shot season (which included 2 shots a month for the past 6 months) & of course he was due for 3 vaccines today. He was rightfully upset the entire appointment, crying "Owie, owie." It's heartbreaking. He also cries out for Abby, his oldest sister, also heartbreaking. I wish for once he could visit a doctor without undergoing pain. This is picture sums up his mood the rest of the day.
Whenever he'd see someone new afterward he'd point to his thighs & say "owie, owie" he just couldn't shake it off today. Normally he gets over it quickly, but he's had it with shots. I have too by the way.
On the other hand, he sure is a good helper in the kitchen...always happy to lend a hand!
18 month
Stats:
Weight 23lbs 5oz - 15th percentile
Height 31.75 inches - 25th percentile
Plus no murmur heard!
He's getting there...little by little.

Tuesday, April 21, 2009

Diaper days...

It's only April & we're already hitting the mid 90's...pretty hot.
So diaper days are back...I love my sweaty little boy!
Now we just need to invest in some sandals!

Monday, April 13, 2009


(Who knew coloring eggs could become so stressful? He took his job very seriously, he's a perfectionist!)

Thursday, April 02, 2009

Monday, March 30, 2009

My little Cowboy...

This weekend Max's Miracles invited our support group to "The Cowboy Way"...a day dedicated to families effected by CHD's. It was the most amazing day, better than Disneyland (no joke)! The day included; horse back riding, buggy rides, horse grooming, roping lessons, tons of animals to pet, bounce houses, a train ride, lunch, barrel races, a hay ride, fun, fun & more fun! The weather was beautiful, it couldn't have been a better day! We were truly spoiled by these generous people who sent each of the kids home with a cowboy hat, a horse shoe, a blue ribbon, a rope, a bandanna, candy and awesome memories! This was a day we'll never forget!

Thursday, March 19, 2009

18 months and going strong!

This week Joshua turned 18 months! In honor of turning 1.5 I thought I'd share a little glimpse into his world.
First and most importantly perhaps, this boy is always busy. Not a moment goes by that he isn't climbing up somewhere he shouldn't, or casing the joint for some trouble. He has become pretty cleaver in his climbing technique. If he can't muscle his way up, then he creates a set of stair out of books, blocks, dump trucks, pillows or anything else he can use as leverage. The boy likes to climb!
Another fun fact about Joshua is how much he loves his Dad. A couple of weeks back Josh realized that when I begin making dinner Jon will be home soon. Now every night when I start cooking he can be found peering out the window calling "Dada, Dada, Dada....." Those of you who know Josh know that the kid has an iron will, but can you believe that he would wait for nearly 30 minutes at a window for his dad? Distracting him is not an option. When he has something on his mind he is more determined than anyone I know to get what he wants. I am hoping that this trait can be somehow used to his benefit as he gets older:)

His vocabulary continues to grow, however "Me!" seems to get the point across in most cases. In Joshua's world "Me!" has a multitude of meanings: "I want that." "I want to play there." "Give me that food you are eating." "I want your toy." etc, etc.
Another trick Joshua is perfecting is his ability to sneak out of the house. Now that he can reach & open the doors he's always hoping we'll forget to latch the top lock & he can make a get away. No such luck yet, but he has been caught in the act several times. He just wants to be outside & luckily he has an interest in the backyard, so that is where he spends most of his day.
It has been so much fun having this little boy in our lives for the past 18 months. In the beginning he kept us on our toes due to medical issues, now he keeps us on our toes getting into trouble!
As I was sitting at Joshua's bedside after his first surgery Dr. Azakie told me that one day I wouldn't be able to keep up with Joshua. The thought of that as I sat next to his sick little body seemed impossible. Here I am 18 months later, exhausted from a long day of chasing my Joshie. What an awesome feeling!

Thursday, March 12, 2009

So long OT!

Josh wasn't too happy with Abby when she stopped spinning for a picture

Yesterday officially marked the final day of OT (occupational therapy) for Joshua. It was only his second, or third session, but he no longer needs OT! He has reached every milestone that he should by 18 months & then some (he's 17 months right now). If anything he's developing too fast for my liking, I want him to be a baby forever. Way to go little buddy!

Monday, March 09, 2009

A perfect Saturday!

This weekend we were able to visit the zoo!!! We met our support group Hearts of Hope for a day of fun!
This is a picture of Joshua & his heart buddy Drew checking out the usually exciting orangutans.
Josh & his big sis goofing around...
And a group shot of Josh & both his sisters. We had so much fun & the weather couldn't have been better!
Thank you Hearts of Hope for making it a special day!

Tuesday, March 03, 2009

Heaven just got a little sweeter


Last night little Gracie returned to heaven. She was blessed to spend her short life with an amazing family who endlessly loves her & fought for her to the end. Their faith has been inspirational to watch and has surely uplifted many people. Please say a prayer for her parents & older siblings as they go through this difficult time. As her dad said; "Heaven just got better." I think he is right.
Read about her here.

Monday, February 23, 2009

Say a prayer for Gracie


Those of you in the 'heart community' already know about Gracie. For those of you who don't, she and her family desperately need your prayers right now.

Gracie is 6 months younger than Joshua. She too has HLHS. Unfortunately, like so many of these HLHS kids she has had a very rough time.

She received a heart transplant yesterday that seems to be failing her. She is currently on life support. Please pray for this sweet family & their little Gracie.

Saturday, February 21, 2009

This baby loves his babies!

Joshua's older sister had me swaddle this little stuffed animal for her several times today. Later in the day I saw Josh wrapping the same stuffed animal in a piece of paper, doing his best to swaddle his "baby". Such a sweetheart!
By the way, I never updated about Joshua's blood work he had done a couple of weeks ago. Everything looks great...of course the over-confident guy with the needle couldn't get a vein & eventually ended up pricking him & then squeezing the blood out for about 10 min (what's new?)...but it's over with.

Saturday, February 14, 2009

Happy Valentine's Day!

Yesterday Cupid baked these delicious treats, decorated with beautiful mended-hearts he made out of fondant & then proceeded to drop them off to the Cardiology team at Kaiser. He's one heck of a baby! With that said, I don't recommend you turn your back on him, he's a sharp shooter!
Happy Valentine's Day!

Thursday, February 12, 2009

I've created a monster!

Little Joshua can do no wrong in my eyes. Seriously, I find everything he does lovable. But I am the only person who feels this way I am afraid.
I made the kids some mini blueberry muffins for breakfast this morning. About a half hour after breakfast Abby walked up to the plate of muffins & screamed! She said "Someone ate all of the muffins!"
I assured her that she must be wrong because no one could have possibly eatten a dozen muffins (come on, Jon was at work). I went to see what had really happened & she was right, someone had taken a bite out of each one! I searched for evidence & found this:
He is a dickens! But really, could anyone else get mad at this boy? He's just too cute! Minutes later I heard him screaming "Momma, momma, momma!" From the front room & found this! I admit, I've created a monster! But I love my monster!
And the set of stairs he created was pretty impressive!

Tuesday, February 10, 2009

One year ago today...

...we walked into Joshua's ICU room see this...
That is right, one year ago today Joshua had his second open-heart surgery, the Glenn. It was a rough one for Joshua (as well as the whole family), but as soon as he was fully recovered we had a new & improved baby on our hands! We were told to expect a 7-10 day recovery...uh, not quite! 6 weeks & a pacemaker later we were home free!

In many ways it feels like the Glenn was years ago because Joshua has come so far this past year! It is unbelievable what a child is capable of in such a short time.

I was told that for every day a baby spends in the hospital, they fall 3 days behind developmentally. 12 weeks in the hospital did not slow him down a bit, what a huge blessing!

Everyone already knows this, but I'll still say it, we couldn't be prouder of our little fighter!

Way to go baby boy!

Saturday, February 07, 2009

Be Aware...

Joshua 3 days old

This week is Congenital Heart Defect Awareness week. CHD's are incredibly common, however, unless you know someone with one, you probably haven't given it a second thought. This is because of the limited media exposure CHD's get. So this week, as a mother of child who was born with one the the most serious heart defects, I'll do my part in spreading awareness.

Not so fun-facts:

*CHDs are the #1 birth defect & #1 cause of infant death related to birth defects.
*1 in every 100 babies born will have a CHD
*1 in 10 of those born with a CHD will have a fatal defect.
*In the US there are nearly twice as many deaths due to CHDs than that of all forms of childhood cancers combined. Yet there is 5 times more research for pediatric cancer than for CHDs.
*Causes for CHDs are still being studied. It is said that both genetics and environmental factors can play a role.
*With advances in medicine, many of those born with a CHD will have their first and sometimes only corrective surgery before age 2.
*Only about 30% of the children who need a heart transplant receive one in time.
*About 40,000 units of blood are used daily & only about 5% of adults who can donate blood do so. Someone needs blood every three seconds in the United States; that someone is often one of our heart children.

Two years ago this week was simply the week of Valentines day. Now it is a time when I am very reflective of the journey we've been on with Joshua & his heart. Joshua spent his 3rd day of life, his heart stopped, laying on an operating table as dozens of people re-built his grape sized heart. He spent 3 of his first 6 months in the ICU. At 4 months he had his second open-heart surgery. While we have been incredibly blessed that Joshua has done so well this far, it has not been easy. He will face his third open-heart surgery within the next 2-3 years. At some point he will need a heart transplant. Help spread awareness! Heart defects don't discriminate...I certainly never would have thought that we could have a child who was less than healthy. Also please, if you are not an organ donor consider becoming one. If the thought turns you off, take a look at little Owens blog. He is in need of a new heart.

The medical world has made huge advances over the past several years, and the hope is that this will continue! With proper awareness comes proper funding of studies, research & so forth...please spread awareness!

Joshua today


Thursday, January 29, 2009

Good News

The picture says it all! Joshua's heart function is great! No problems seen on the echo, the EKG looked great & his pacemaker is doing it's job (nothing at all, just back up)! What a relief and an answer to prayers.
I had an arsenal of food with me, including lollipops (thanks for the tip Gina) and lets just say we made it through the echo. There were a lot of tears, but he just laid there in my arms, didn't fight or squirm. He is such a good boy I hate to see him undergo stress, but it's over with.
Dr. Rivera (the cardiologist) called me this evening and told me that he decided that he'd like to have a full blood draw done :( because it's been a while. I thought we dodged that bullet. So I'll take him in & just pray for only one poke.
Thanks everyone for the prayers & well wishes, it feels good to know that Joshua has a place in so many hearts!

Saturday, January 24, 2009

Any advice?


Joshua has an echo (ultrasound of the heart) coming up this Thursday. The anticipation always causes worry, loss of sleep, etc. for me. Really, he has been doing well lately, but I've noticed on more than one occasion over the past couple of weeks Joshua sweating (a sign that his heart is working extra hard). I also feel like he has been more pale, and bluer than usual. So Joshua's cardiologist decided it was time for a check up. I agreed.

This is the part where I need your advice...in the past Joshua has done pretty well with echos, but now that he's an expert walker there is no chance he'll lay still for an hour. It is hard for me to sit still in that room for so long, so I can't blame him. He doesn't watch movies or t.v. so that is out of the question. I may be able to distract him with food, that's his weakness. He is too young for bribes. So any other tips? I would love to hear them!

And please if you have any spare room in your nightly prayers - squeeze Josh in there!

The hope is that we'll have a good report to post come Thursday evening!

Wednesday, January 21, 2009

How do you know when your baby's spent too much time in the hospital?

When you watch him casually put a stethoscope around his shoulders...just like a pro, & then go about his business. It's a sure sign.


Monday, January 12, 2009

OT appointment

I'll bet you didn't know he has a serious side...

Joshua was assessed by an occupational therapist a while back to ensure that his development was on track. The results of the assessment showed that Josh was right on track for just about everything. His case worker didn't want to close his case, because he's still so young so she authorized six hours of therapy. His OT came last week and she was amazed that he had already accomplished all of the goals that we had hoped he'd accomplish by June. Because he's doing so well, we looked ahead to his 18 month milestones & the OT gave me lots of tips to help him develop these skills. We are really blessed to have a little go-getter who tries his hardest to keep up with his sisters & cousins...and he does a great job at it!
Okay, not serious for long!

Monday, January 05, 2009

Daily medications? Yikes!


I am not going to lie, one of the things that made me nervous about Joshua's condition was the fact that he'd need daily medications. Most people don't give it a second thought- sure the child cries- but they need it, so they get it no questions asked. Josh has always gotten his medicine, don't get me wrong, but it has been very hard for me, even dreadful. I hate causing him stress & discomfort, or upsetting him at all, even if it's for his own good. I am just a total softy I guess.

As much as I'd like to pretend this didn't happen; one time at a support group meeting I broke down in tears asking the other mothers for tips on giving a baby medicine. I am seriously a softy. One of the mothers asked if I had tried his medications in pill form. No, I had not. But I was willing to try anything. I put in a call to the pharmacy & had his medications in pill form by the end of the week. And since my life has been pure bliss! Seriously.

This is our daily routine:

We wake up go downstairs, I get out his pills, cut them to size & say "Time for your nummies!" Josh walks up grabs the first pill from my hand, pops it in! Then he does the same with his second pill. What a good little boy! We have the same routine at night. It is awesome. He willingly takes his "nummies" no complaints. In fact a couple of times he's walked up to the medicine cabinet & reached up calling "momma, momma" I ask "do you want your nummies?" he nods "yes" ....unbelievable! I know it was silly for me to dread giving him medicine, but I really did. I'd push it off as long as I could & just hated forcing that nasty stuff in his mouth, watch him cry, then choke, and spit out what he could. Day in and day out it took a toll on me. Thank heaven for pills!

Wednesday, December 10, 2008

Joshua's first year (life after the Glenn)...

Life after the Glenn has been amazing! Joshua has taken off! He's grown a lot, learned a lot & has lived a very normal life. Two weeks after being released from the hospital he no longer needed the feeding tube that had sustained his life up to this point. It was a miracle! While hospitalized he also had difficulty keeping any feedings down. Yet on the drive home from the hospital he held his food down for the first time in months, & never spit-up again since. Another miracle!

We can hardly believe that our baby's first year has come & gone! Reflecting on the year I feel so many emotions; happiness, love, relief & gratitude to name a few. But my strongest emotion is love. I love that boy so much. Everything about him amazes me. He certainly hasn't had an easy year, but you would never know it. He is as happy as can be, he is sweet, he is silly, he teases his sisters, he looks up to his daddy, he is everything a little boy should be.

It has been a year of trials, worries, fears, but most importantly smiles, laughs, and growth. We don't know what Heavenly Father has in store for Joshua. But we know he was sent to us for a purpose. It feels like it was just yesterday that I got to hold him for the first time & feel his soft little head on my cheek. The memories are all still so fresh in my mind. I have truly cherished every second that I have had with him, which I probably wouldn't have if not for his special heart. It has been by far the most challenging year of our lives, but also the most rewarding. We feel so blessed to have Joshua as our son!

Tuesday, December 09, 2008

The Glenn...(the short version!)


As we prepared for the Glenn we had mixed emotions. On one hand, we knew he needed this next surgery, which would make him much stronger, but we dreaded sending our baby off to the OR again. From all we had learned about other kids who have the same condition, we figured that this surgery would be much easier on all of us. We were told to expect a 7-10 day recovery. This was not the case. Much like his first open-heart surgery, this one was very hard on him. He went into surgery very weak & had a moderate tricuspid valve leak that also needed repaired to improve the function of his heart. The surgery was a success, but the anesthesiologist told us that he had a difficult job keeping Josh stable. He said that Joshua kept him on his toes, the whole time.
When we were taken back to see him after surgery it was very emotional for me to see him in that state again. But I instantly noticed that he was pink! He had been so blue leading up to the surgery, so it was nice to see the results so suddenly. But he hit every bump in the road this time around too. First he had gotten staph a infection, then his rhythm was off, then he had severe anxiety attacks, he had damage to his glads etc, etc. After nearly 5 long weeks of recovery in the PCICU, eventually he was taken back to the OR, his chest re-opened & had a pacemaker placed in him.
Then finally after 6 weeks at UCSF we were able to take him home again! So much for a 7-10 day recovery! But this time we were able to bring home a baby who was stable for the first time in his life & we couldn't wait to watch him learn & grow!

Life after the Norwood...

When we were finally able to bring our boy home, we were excited & a bit nervous all at once. Up until this point he had a crew of medical professionals monitoring Joshua's every move. Now it was our turn. We felt relatively confident about taking him home because we spent every day & night by his side. We were very familiar with everything. He was sent home on oxygen, a feeding tube & 8 medications to be given around the clock. We were trained on how to put in his NG tube, how to administer the medications, as well as the ins & outs of oxygen tanks etc.
As soon as we got home we felt a huge sense of relief. It was so good to show our baby that the world had more to offer. Although we were under "house arrest" as it was cold and flu season. We were warned that if Joshua caught RSV (a respiratory virus...basically a cold) it could be deadly. We weren't willing to risk a cold killing him after all he had been through, so we were diligent in keeping ourselves isolated.
Being home also meant that we now became the nurses; tube feeding every 3 hours, giving 16 different doses of medicine at all hours & of course regular baby stuff too. We had to be very organized & had charts for all of his medications, feeding & spit-ups. Thinking back it was tiring, but after the hospital stay that never seemed to end, we were up for the challenge. Really it wasn't that bad at all. I was also pumping every few hours, which wasn't easy, but very worth it. And I think the hardest part was his reflux which meant he'd spit-up after almost every feed. This was hard because it was clearly painful to him & happened very regularly.
During this time our job was basically to keep Josh healthy & put as much weight on him as possible in preparation for his next surgery. We were successful on both accounts, he never got sick, no medical scares & he was so chubby!
I look back at this time and have many fond memories. Joshua's health was very delicate, but we were able to really find joy in our time at home with him. He was very happy & easy going, it's just his nature.



Monday, December 08, 2008

His birth and the Norwood


Joshua was born on September 17, 2007 at UCSF Children's Hospital. I was induced 2 weeks early as we lived too far from the hospital to wait until I was in labor. The delivery was normal & went just as expected. He weighed 7lbs 4oz. He arrived just before mid-night, he was beautifully pink & had the cutest cry! I got to kiss him, hug him & then he was off to the NICU for tests, IV's etc.

After about an hour I was able to go & see my precious boy. He was as sweet as could be and didn't need held (couldn't be at this time) to be comforted. He was happy as can be just being spoken to & rubbed softly. I was able to hold him for an hour early the next morning. He had a few apnea spells (stopped breathing) while I held him that were worrisome. After I held him he was transferred down to the Pediatric Cardiac ICU. We walked along side him in his bed (and the team of nurses) to his new home. As the nurses got him situated in the PCICU we went to gather our belongings from my hospital room. As soon as we walked in the room the phone rang, it was a PCICU nurse, calling to let us know our son had been intubated because he had stopped breathing on his own again. This meant, (among other things) that we wouldn't be able to hold our baby again until he had recovered from surgery. It was difficult for us because we had been so optimistic, but so far things weren't going too well. By day 3 Joshua was in need of his first surgery because he was progressively getting worse.

Words can't explain how hard it is saying goodbye to your 3 day old baby, knowing that you may not get to see his precious face again. But we had no other choice, so we kissed his sweet forehead one last time, and cried helplessly as they wheeled his sick body off to the OR. It was the longest 9 hours of my life, but I'll never forget the moment when Joshua's surgeon walked through the door with a smile on his face. I felt relief, excitement, and so much gratitude. His surgery was a success, but we were warned how critical the next 48 hours would be. It was a very long week that followed. His chest was not closed after surgery & remained opened for 5 days due to extreme swelling. It was a very scary time. After is chest was closed they told us again that the next 48 hours were critical. To this point his entire life was critical & it felt like we were holding our breath the whole time. Two weeks post op, Joshua was still intubated. When they tried extubating him this opened a new can of worms ( by this point we were on our 5th can). After being extubated Joshua's health quickly declined. He was breathing extremely fast, it was exhausting watching him. Clearly something was wrong. A nurse pulled me aside & told me at that moment he was in an extremely delicate state. She was telling us that we could very easily lose him that night. I prayed & told Heavenly Father that I didn't care how long his recovery lasted, as long as in the end he would be okay...I begged that he would just be okay.
The next morning Joshua was back in the OR. His diaphragm was paralized during his open-heart surgery & needed to be repaired. Four days later, Joshua was extubated again. This time it was sucessful. Finally after about 3 weeks we were able to hold him. It was wonderful. Up to this point we spent every waking minute at his bedside talking to him & holding his hand...you can imagine, we couldn't wait to hold him tight!
His trouble weren't all over. He hit every bump in the road. He spent 5 weeks in the PCICU. Then he was transferred to the step-down unit where he spent another week. He had serious eating issues, his vocal cord was also paralyzed & had no cry. But finally after just over 6 weeks he was released from the hospital & we were homeward bound!
This was a very brief (I know long) picture of our Norwood experience, there was just too much to get into. We never could have prepared our selves for all of the ups & downs. It was endless. But we had great faith that the Lord had a very special plan for our boy & we knew it was all worth it.
Our other children were champs through all of this. They were 2 & 3 years old. They visited us & Joshua several times a week. Grandma and Grandpa, with the help of my sisters, took good care of our girls. We are endlessly grateful to them for devoting months of their lives to raising our children when we couldn't. In the beginning, the thought of spending any time away from them was overwhelming, but if anything went smoothly through this whole ordeal, it was the girls adjusting to a new way of life.

The beginning...

On May 1st 2007 at our 19 week ultrasound we were over joyed to learn we were having a baby boy! I remember laughing and crying all at once when the ultrasound technician said "it's a boy!" I was so excited! Jon was too & as soon as she was done we literally ran out to the car in the parking lot because we just couldn't wait to tell everyone the good news!!! On the car ride home we couldn't help but plan out all of the extracurricular activities he would participate in, & imagine who he would look like. We were on cloud nine.
The following morning I woke up to the phone call that would change our lives forever. It was a woman from Kaiser & she said that she had a couple of questions for me based on findings on the ultrasound. She said that it looked as though part of our baby's heart was a bit small. She wanted me to come back in, in one hour
for another ultrasound. I am not one to jump to conclusions, but immediately I knew that it was serious. As soon as I hung up the phone I lost it. I just cried. I called Jon & hated what I had to tell him. Then called my mom & asked her to watch the girls for me & told her why I needed her to. She told me that she knew everything would be okay for us. I was so scared & prayed the entire drive down town. I prayed that I would be able to at least meet my baby boy, I just wanted time.
Jon & I met in the waiting room & were quickly taken back. It took moments before the doctor had conclude
d that our baby boy would be born with Hypoplastic Left Heart Syndrome. We were absolutely crushed. I had never known the pain that I felt that day. We didn't know what to do, or say we just sat there devastated, for about 2 hours. In that time we had asked the staff to provide us with as much information as they could about HLHS. I almost wish they hadn't. The information tracked about 20 individuals with HLHS and I think 4 were still alive at the age of 5. There was no information about these kids living beyond that age. It was very outdated. But we didn't know that.
As soon as we got home we began to research his condition & it wasn't long before we had some hope. All that we could do was remain faithful that the Lord would grant us time with our baby. I thought continually about my friend Lindsay whose little girl also has a congenital heart defect. I always admired Lindsay because she faced so much with her little girl & has done so with grace. I realized that while her little girl has a CHD she still leads very happy normal life. I hoped that we could be so blessed. But I had no idea if my son would be strong enough after birth to undergo surgical repair.

It is amazing how much has happen in one year. What a roller coaster! I only wish that on the day we learned of his condition I could have seen just how fulfilled and happy we are today. Today I feel like my life is so much richer than I ever imagined it could be. We have the smartest, funniest, most spiritually- curious little girls. And we have the sweetest, most lovable little boy, with a wonderful little heart. Upon learning of his HLHS we wondered why we had such awful luck. Today we wonder why we are so incredibly blessed.
While this journey has brought many, many tears, it has also brought indescribable joy. The pain has helped me to understand what true happiness is. We don't know what tomorrow has in store for Joshua, and never will. But I am continually amazed that one tiny little boy can have such a huge impact on so many lives!