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throwing up

about a month ago lucia started throwing up again, something she’s not supposed to be able to do since her surgery last september. in the beginning, her surgeon and, consequently, we attributed it to some antibiotics she was on for an ear infection, but she has continued to throw up her feedings more and more each passing day - very similar to the constant vomitting we dealt with in the months before her surgery. i spoke with the surgeon again this past saturday and he believes that her nissen procedure may have come undone. in fact, he is hoping to find that it has come undone and that it can be fixed by a second surgery. the alternative, he said, is that lucia is vomiting despite her procedure and we would have a complicated situation trying to find ways to keep her fed. i, personally, don’t like either scenario. based on her diagnosis, lucia is at high risk when it comes to general anesthesia. on the other hand, the nissen was a miraculous procedure for her and a huge burden lifted in our lives when she could eat without throwing up. she needs her nutrition not only to survive, but to be strong enough to grow, develop and thrive. (which, by the way, she is developing beautifully!)

so, therein lies our need for prayer! we have an appointment with the surgeon tomorrow as well as an upper gi study to see if the nissen is still intact or not. please ask God that His healing hand be all over lucia and all over this situation. please ask Him to heal our baby girl from throwing up. most of all, please ask that we can feel Him surrounding us and obey Him FEARLESSLY as we take this next step in our journey.

i have so much more i want to say and write, but i will save it for another day in the very near future. there are so many thoughts and feelings tangled around my heart and brain that need to be freed soon before they start to strangle. :) in the meantime, please please pray for our lucia.

in exchange, i leave you with these pics of the girls because, come on! how can you not pray for such sweetness?!

abundant life

adam, the girls and i have been enjoying the normalcy of life this past month – no doctors, no testing, no waiting for results. the girls have kept us busy being sick with colds, unwrapping presents and playing from morning til night. i love normal. i cherish the normal moments when all seems right with the world – ive been soaking them in, hence my lack of blogging. i knew it wouldnt be long before wed have to head to austin and meet with the metabolic genecist and get submerged back into the oceans of medical information. our appointment was originally scheduled for february 28th, but they called me two weeks ago to ask if we could make it on january 3rd instead as theyd had a cancellation. so this appointment that id been so anxiously waiting for was suddenly upon us. i was anxious because i had imagined that wed either be given good news (lucia didnt have mitochondrial disease) or bad news (she did). and after an hour of an in-depth lecture by the doctor on mitochondria and its elaborate function as well as another half hour line-by-line interpretation of lucias muscle biopsy, he told us what ive been most dreading to hear – lucia has mitochondrial disease.

i may be imagining this, but the way i remember it the doctor stood up, walked over to me and punched me in the stomach as he said those words – a punch for every syllable.

but, perhaps thats just how it felt.

the truth is that not only is this doctor extremely knowledgable, he is also extremely kind. our first question, of course, was what is the prognosis? his answer: he cant give us a prognosis. every child with mitochondrial disease is different. he has treated babies who dont live past a year as well as young adults who live to tell their story in front of conference rooms full of doctors. he is a believer that no one can put a limit on lucias life or how much she is able to accomplish. he went on to tell us that he would become lucias primary doctor. he was also going to add an audiologist and a cardiologist to our already long list of mds. he wants lucia checked by these doctors every 18 months to 2 years to make sure the disease is not affecting other organ systems.

so, my initial desire as we walked to our car that afternoon was to break down and cry, but (have i mentioned that i have the best husband in the world?) we got in the car and adam and i had the nicest talk weve had in a long time.

we understood that we had just been told that our daughter was going to die, BUT we were not told when or how much time we had left with her. AND that sounded strangely familiar because that is the exact same prognosis for every single person that has ever been born, is being born or will be born. even before our first breath God already knows which will be our last. that goes for me, for adam, for lucia and anyone else currently living. it was kind of exhilerating to realize that we had not been told anything new. and that we dont sit around living in fear each day wondering how much longer we have with those we love and we will not allow ourselves to live in fear with lucia. we will take every precaution we can as the doctor urged us to do, but we will not sit around wondering when the end will be. it could be 80 years from now and boy, would we have wasted many days of worry for nothing.

now, that doesnt take away from the fact that this hurts – diagnosis or not – its hard to watch my baby work for every milestone she meets. nothing is easy. nothing is ordinary. it just plain hurts.

in the very beginning of lucias life, a very wise woman (who had had two very ill children) once told me to realize that this journey God placed me on begins with the grieving process. she told me to allow myself to grieve the loss of a normal baby experience with my daughter. she told me that it was okay to mourn over the radical changes taking place in our lives. that it was okay to cry because i felt so alone with such a burden to carry.

but, i did not believe her.

what i believed was that i had failed.

others around me intending to help kept telling me that if id only try a different kind of bottle, gentler formula, a new medicine, another doctor, a new kind of food – lucia would suddenly get better. mothers from the beginning of time had the ability to feed their children – what was so wrong with me that I couldnt even accomplish such a simple task? i, myself, kept thinking that if i had taken better care of myself during the pregnancy this would not have happened to my baby. if i had only stayed better hydrated, not picked up my two year old, eaten healthier foods – had not had that one cup of coffee – perhaps i would not have brought this on my child. i did not have any right to grieve or mourn – because i was somehow to blame for this. i believed that and it seemed the world around me did too. how could i sit down and cry about this situation when i had caused it to happen?

this diagnosis changes nothing about lucia. she is still the vibrant, charming cuddly little girl shes always been. it doesnt change Gods purpose for her life or what challenges she will overcome. it does, however, change something. it gives me permission to cry without feeling ashamed or unworthy. it gives me the freedom to say that i am sad and to feel some peace that this was not my fault. that i am the right mom for lucia and isabella – the kind of mom God wants them to have.

i can say now that i am somewhere in the grieving process – who knows where! but i can also tell you that grief is only a part of this journey. it is not the whole.

i had been racking my brain all day to figure out what to say in this post and how to say it. how do you describe the feelings attached to a diagnosis? or to developmental delays in your baby? how do you attach words to the massive uncertainty of the future? i dont know. i feel wonderful and horrible things all at once.

crazy as this sounds – tim tebow was my answer from God today. (yes, i am a tebow-ist) my husband has gotten me into his story, his courage and his radically out-spoken life. so we went online tonight to listen to his parents tell the story of tims dramatic life before and after birth. and at the very end of their talk they repeated john 10:10. and it became clear as day that this verse is the true purpose of my post.

here it is:

the thief comes only to steal and kill and destroy; I (Jesus) have come that you may have life, and that you may have it more abundantly – to the full, till it overflows.  john 10:10

i ask that you would pray this over our little family. that we learn from this journey to live life abundantly in the fullness, love and supernatural peace of Jesus.

and i will pray it for you (my sweet friends) and any other mom out there of a medically fragile child who is searching for joy and purpose along this path of life.

 

1 on 11.11.11

our tiniest princess turned one today! what was possibly the longest year of my life has actually come to a close. who would have believed it? now we enter what i hope is a new beginning. out with the old long, exhausting doctors appointments…in with the new, long exhausting therapy appointments. okay, okay – i need to be more optimistic. yes, we will have two days of therapy a week, but hopefully a lot less doctors to visit and a lot less testing to do. i’m counting on this. so, if this next year looks anything like the last i hereby promise to start a riot. i’ll do it all by myself. i will loot and turn over cars until all doctors call and cancel our appointments. i mean it. you hear me, medical community?!! don’t test me.

unfortunately, if the rest of her second year looks anything like today – it does not bode well for our local authorities (i’m crashing store windows and stealing radios as i type). today was what i would deem - a bad day. her g-tube started malfunctioning yesterday so i begrudgingly (and by begrudgingly i mean you could hear me swearing from here to guatemala) took her to the hospital to get it replaced with her more permanent, smaller mic-key button. this is something we had scheduled to do two weeks from now – not on her birthday. her birthday was supposed to be a light and cheery day: therapy in the morning, then park, then a happy lunch followed by naps, and in the evening a fun family dinner. but alas, i’m starting to get the notion that life doesn’t tend to happen on my terms. it has only taken me this entire year to finally get that lesson beaten into my head…one of many hard lessons God is waiting on me to learn. *sigh*

did you know that they don’t use local anesthesia when taking out a tube from a A PERSON’S STOMACH and pushing in a new one? they don’t. that’s right – our little lucia cried and screamed for the better part of the day. did you know the x-ray contrast they use to to check placement of the g-tube causes diarrhea? it does. so she was crying and pooping the day away.

before i delve into a rant of how lucia’s birthday did not go as planned – let me tell you something else. she is finally asleep…happily snoozing away in a motrin-induced slumber. and i’ve spent a long time staring at her.

this precious angel, this sweet beauty.

and all i can think is – how in the world did i get so lucky? who am i to be so blessed? don’t get me wrong – it has been a ridiculously hard year. as much as i want to pretend to be strong and holy and tell you it was a piece of cake with God at my side - i can’t. this year has tested and tried me and has found me to be weak. frail. needy. tired. it is a truth i can’t mask or pretend away.

i am weak.

BUT…i am blessed.

ridiculously undeservedly blessed. with this child lucia. with this child isabella. with my husband. with our great families. with you – our friends. and most of all this year has brought me face to face with the unshakable, undeniable reality that God exists and that i can rest my heavy heart on Him day after day after day. and i can rise up each morning and lift my hands up and thank Him and praise Him and love Him and laugh at the crazy notion that my weak self is so loved by the Creator of life.

PRAISE YOU JESUS for this year. for my daughter. for her weakness. for mine. what a beautiful story you write. i am in awe and am left completely in love with You. and i give my word to rise up and praise you in the brightest of days and the darkest of nights.

happy, happy first birthday lucia!

loving God

tonight isabella and i went outside to look at the moon and the stars. it’s one of our favorite things to do right before bedtime. this is one of the greatest conversations i’ve had with her to date:

isabella (looking at the stars): they look like glitter!

me: they do! God took them in His hand and threw them up into the sky and spread them all around like glitter just for you. He knew you would love it.

isabella (staring intently at the sky) yells at the top of her lungs: I LOVE YOU GOD!

she turns to me and whispers: did He hear me?

me: yes, isabella, He heard you perfectly and (pointing to her heart) deep down in your heart He is whispering “I love you too, Isabella”

isabella (pointing at her own heart): He’s in my heart? Can you make a little hole right there so i can see Him?

me: i can’t make a little hole but i promise you that He is there. let’s say goodnight to the moon and the stars now.

but instead she chose to yell this: THANK YOU GOD!

best praise and worship i have ever experienced in my life.

i would give anything to have the guts to call out to Him like that – to yell out that i love Him and i thank Him with everything that i have. that He is beautiful and wonderful and perfect and that i desperately need Him in my life. someday – i’ll get the courage to do it. i might get arrested, but i think it will be worth it.

i do love you and thank you my God – with every piece of my heart

thank you, friends, so much for praying and checking in on lucia yesterday. i’m sorry to just now be updating you! lucia didn’t have her MRI yesterday. it turns out that the doctor doing this anesthesia (an ICU doctor and not a pediatric anethesiologist) was surprised to find out that lucia had a mitochondrial disorder. it was not communicated to him via our other doctors mostly because this MRI was ordered long before we even thought she would be tested for mito dysfunction, but thankfully we kept putting the MRI off. it turns out that because of this mito dysfunction lucia can’t have the most common type of anesthesia (propofol) given for surgeries and other procedures. this doctor was planning on giving her the exact anesthesia that would have most likely stopped her heart because he was not privy to her medical issues. thankfully, we were adamant to let the nurses know that lucia was being tested for mito dysfunction and eventhough they didn’t understand the danger the ICU doctor himself understood and was shocked that this was not communicated to him ahead of time. he told us he would feel better if a pediatric anesthesiologist would administer lucia’s anesthesia since she is considered high risk. he also said to try doing the MRI another day while she naps and maybe she won’t have to be put under at all. he was very knowledgable of mitochondrial disorders and gave us good ideas and suggestions on how to go about her care in the future.

so, praise God that He is constantly watching over us and directing our steps. thank God the doctor was aware of the seriousness of it and listened to our concerns. adam and i both agreed that had the doctor insisted that the propofol was ok (without knowing it wasn’t) we may have second guessed ourselves and moved forward with the procedure.

praise God for literally caring for lucia each step of the way. yet another stone of rememberance for my heart to treasure.

yesterday we also received a third lab report on her muscle biopsy confirming what the other 2 tests suggested – that lucia does have mitochondrial  dysfunction. our geneticist spoke to the specialist in Austin and he confirmed it as well. neither of them could confirm yet if this is the full blown progressive mitochondrial disease or if it means lucia’s mitchondria just don’t function at 100% capability. we may know more once we actually see the specialist in person – but there’s a possiblity we may never know how this will affect her in the long term. she’ll be starting a vitamin treatment this week that should help improve her mitochondrial function.

every conversation (especially lately) with a doctor gets me pretty down for about a day or two, but thankfully God is always there to pick me up and help me not just catch my breath again -  but even dance, laugh and enjoy my precious family. 

thank you to those of you who are willing to help catch my tears and offer a shoulder for me to lean on.  i hope that i can be the same kind of friend to you if you were to ever need one.

 

almost two weeks ago our pediatrician handed me the preliminary results from lucia’s muscle biopsy. the report read that lucia’s biopsy is “suggestive of mitochondrial dysfunction”. i burst into gushing, sloppy tears. you see, my heart has been tightrope-walking for the past 11 months. trying hard (understatement) to maintain itself on a line of composure and balance. it’s not been easy when every test, every waiting period and every result ringing in from a doctor’s office pushes and shoves my frail heart from the side to side – from hopelessness to pure bliss. its attempts to not step(or jump) off this line have often failed me miserably. sometimes my heart allows me sing and dance my way through the day – imagining that all is right with lucia – that she – in the end will be just fine. other times – it has forced me to kneel in my closet and sob. i hold my hand to my chest to help keep my lungs from failing…the very next breath seemingly impossible. and the questions come all at once. will she ever run? will she ever dance? will she get to fall in love? will it get harder than this? will she suffer? will i be strong enough for her? and then all i can do is look to heaven and give out a silent scream of “WHY?” but, in God’s mercy, the sun once again rises and once again God lifts my heart up to renew its commitment to stay on the line.

this limbo – this unknown – is a lonely place to be. something is not right with our little girl’s health but no one knows exactly what that is or just how mild or severe it will be. there are no support groups for the undiagnosed. there are no walks. no runs. people don’t wear any ribbons. and, in all truth, people don’t understand just how heavy the weight of this “nothingness” can be.

the weight of it, in fact, felt unbearable when i read and reread the results of the biopsy. i tried to convince myself that i was misreading; that in actuality they said “your little girl is in perfect health.” but as i squinted and desperately tried to see past the blurriness of my tears – the words didn’t change – they were hard. ugly. cold. they elbowed me off the line.

the doctor patted me on the back and reminded me that these results were just preliminary. that, really, they didn’t mean much without the other tests we were waiting on.

so why am i concerned? why can’t i just brush off those words as if the pages had been blank? well, because mitochondrial disease is serious. and by serious i mean it would be like saying the biopsy is “suggestive of an incurable cancer.” not something i can easily brush off – not about my daughter.

on a long phone call with our geneticist who recieved more results that day - she explained that lucia’s results are not indicative of “textbook” mitochondrial disease, but they do not rule out the possibility that she may have it. this could also be part of her chromosome deletion causing metabolic problems. or it could be both – symptoms from her deletion as well as mitochondrial disease. either way, the results show some metablic dysfunction. we have gotten to the point that is beyond our geneticist’s scope of knowledge and she is referring us to a specialist in austin to see if he can further clarify or do further testing to obtain a more clear diagnosis.

lucia has an MRI scheduled for nov. 1st. she will have to be put under general anesthesia for this so please once again keep her in your prayers. this MRI may help us get closer to a diagnosis.

regardless of what lucia has – God is still the ultimate healer. and i stand firmly on that truth. no matter how mild or not this may be – God can heal my daughter. i do see and feel His beautiful presence in our life every single day – whether i sing or cry. no matter what, He is doing a much needed demolition and rennovation within my heart.

for now i leave you with this video. it is sad – i’ll tell you that upfront. but it’s the only way i know how to explain why this “suggestive” report weighs so heavily on my heart…

dear isabella

dear isabella,

this morning your daddy was watching you twirl around our livingroom as you often tend to do – singing and rapping (you get your rapping talent from me) at the top of your lungs. he looked over at me and asked –

“are all kids like this or did we just get lucky?”

is that not the sweetest question ever? i am making sure it is recorded as part of your history – one of many sweet, kind things your daddy says about you – so that you realize and remember how much he’s always loved you and how blessed he feels to be your dad.

and to answer his question -

i’m sure there are a million kids singing and dancing in the middle of their homes. but none of them – not one – have your sweet, tender voice. none of them have your funky dance moves. and for sure none of them have that fantastic smile that you flash in our direction as you let yourself get lost in the music playing *loudly* in your head.

there are a gazillion kids in this world, isabella, but not one of them is you.

yes, we are that lucky.

i love you.

mama. mommy. mommy poo poo on the face.

Isabella getting lost in song!

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