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Surgery Day

This is Christopher guest posting. Today Robert is having his surgery and we’ll be using this post to try to keep everyone updated. As we learn more, we’ll append updates here, so refresh every so often.

They took Robert back to anesthesia about 10 minutes ago, so he is now in the doctor’s hands. More importantly, he’s in God’s hands. So please keep praying for us and him.

More to come, news as it breaks…

10:04 AM: The nurse just came in to say that they are just now starting the surgery. Robert went to sleep without incident and everything is going well so far.

11:01 AM: Robert is on bypass now. They’re using a heart & lung machine for this surgery. He’s still doing really well.

12:08 PM: Just got an update. Nothing new to report. They’re still working on him and he’s still doing great.

1:01 PM: Same as before. Still working, still doing great. For the record, I am expecting the next few updates to be along the same lines. This is a 7-10 hour surgery and the surgeon told us he won’t give us details until he’s finished.

1:40 PM: Well, I was wrong. This update is not going to be the same as the last one. The nurse just came in and told us that the surgeon got inside and found that the diseased aortic valve is actually in better shape than anyone thought. So he repaired it instead of replacing it. Going into the surgery, the only question really was which procedure would he use to replace the valve. As it turns out, he didn’t have to replace it at all. This was an outcome no one ever told us to expect so obviously we’re happy.

The nurse said that the surgeon is closing right now and that he should be in to talk to us in about 45 minutes. I’m not sure now long after that it will be before we can see Robert, but I don’t think it will be long. Thank you all for your prayers. There’s no question that God has been gracious to His little one.

2:50 PM: We just got finished speaking with Robert’s surgeon, Dr. Salazar. He told us about Robert’s bicuspid valve and the repair that he did. He also said that he discovered an aneurysm forming in the aorta above the valve, so he removed it and it is no longer a threat. Robert’s prognosis is very good. He now has a trivial leak, though the tradeoff was slightly more stenosis. But this is in an acceptable range and, in Dr. Salazar’s words, “I think you’re going to be very happy with this valve.”

As far as long-term outlook, Dr. Salazar literally guaranteed us that we will be here again, needing another surgery. He told us that Robert’s valve will last him at least until is is five, which is good because older children have a lot more options when it comes to valve-replacement surgery. To put this in context, we were already expecting another surgery again in the future, and this way, there are fewer possible short-term complications, plus the pulmonary valve was left alone.

Robert has been transferred to the PICU and we’ll get to go back and see him in about 20 minutes. More updates later.

5:40 PM: Robert is now resting comfortably in the PICU. He’s under sedation so he’s still asleep, but they’ve taken him off the paralytic so he is moving a bit. We’ve gotten to hold his hand and talk to him. He’s doing great. We expect that they’ll wean him off the sedative some time tomorrow. For tonight, the plan is for everyone to get a good night’s sleep, so this is probably the last update for this post.

Thank you, everyone, for praying. There’s no question that it works. God hears His people and He has been kind to our little boy.

Here’s a picture of our sweet child.
image

8:03 PM: Well, I was wrong again. Shortly after my 5:40 update, Robert started to fight against the sedative. And since he was off the paralytic, he started to roll around and reach for things. So they called us back in to help calm him down and decided to go ahead and let him wake up and take out his breathing tube. But that has to happen on Robert’s time, and by 7 PM (when visitors are no longer allowed in the PICU), he still had not woken all the way up. So Rashell and I went home to get some dinner and try to sleep. They will call us once Robert wakes up and has the breathing tube out. He’s doing so well. It’s borderline corny to say “he’s a fighter,” but he really is. I put his stuffed owl (which he can’t sleep without) in his hand and told him he was holding his owl. Robert started to lift up and tried to throw it, his typical “I’m-not-going-to-bed!” reaction. So Robert is really doing great and we’re confident he’ll be up stressing the nurses out very soon.

We survived the pre-op! (And Alex survived a fall)

Well, it was bound to happen one day.  Alex fell off the couch head first and got quite the bang up.  As far as I can tell, he landed on his forehead and slid a bit.  He has a very red nose from rug burn.  Poor thing.  Good thing he is a tough little guy.  He bounced back pretty quickly, but it looks like we have a little Rudolf in our home.

We had Robert’s pre-op appointment today.  Robert did so well and it was not as bad and Christopher and I dreaded it would be.  Robert played most of the time with his cars and had a grand time bouncing around and acting like a frog on the exam table.  He got an x-ray, a short physical, and some blood drawn.  The blood was definitely the worst part.  Four people had to hold him down and Robert kept turning his eyes up at me (I was holding his head) and begging me to hold him.  I admit it- I cried.  But then I realized that I needed to be strong for my little guy so I started trying to encourage him.  It didn’t really help him calm down any but it was definitely the better attitude for me to have in the situation.

We spoke with several different doctors about Robert’s surgery and were told what to expect on Wednesday, the day of the surgery.  We have to be at the hospital at 6:30 in the morning.  Ugh.  It’s going to be a really rough day and then a difficult week after that, but once it is all over, God willing we will have an active, happy, healthy boy.  I’m really looking forward to that.

Thank you everyone for your prayers and support.  People say all the time that they “feel” the prayers of others and I get to experience that once again during this week.  I truly do feel everyone’s prayers.  God is keeping me calm and somewhat peaceful about all of this.  I still have my fears but they currently are not ruling my emotions as they were a week ago.

Christopher and I will try to keep everyone posted on this blog throughout the surgery so be sure to check it often this Wednesday.  And keep praying.  :)

The New Year

We had a wonderful Christmas this year.  It was Alex’s first Christmas, but at 10 months old he’s still pretty clueless about how the presents thing works.  He was more interested in playing with the packages or the paper or his big brother’s presents.  But Robert had a great time.  He was interested in each individual gift and wanted to play with each item.  It took four days to convince him to open all of his presents because he was more interested in playing with what he already had!  That’s definitely a good thing, although I have never seen a kid do that before.

Now that Christmas is over, we are looking toward the New Year with fear and hope.  In October we took Robert to see a surgeon and the surgeon said that Robert needed surgery within 3 to 6 months, although 6 months would be pushing it.  Christopher and I were shocked to hear that news.  We thought that we still had a year or two before the dreaded surgery.  But now it is on the calendar- January 12.  Two weeks from tomorrow.  Next Friday we will bring Robert to the hospital for his pre-op appointment and the following Wednesday we will bring him back for his surgery.  This is the scariest thing I have ever had to deal with.  I was terrified when, hours after birth, the doctors told me that Robert had a heart condition that may need surgery and I was terrified when he actually had that surgery, but looking back, that surgery was nothing compared to what he will face on the 12th.  This is serious business.  The surgeon will take out Robert’s aortic valve, replace it with Robert’s pulmonary valve, and then use a donor valve to replace Robert’s pulmonary valve.  Ideally, this surgery will get Robert through the next 10 to 20 years, but he will need another surgery in the future.  We’ve been told by all of Robert’s doctors that this is the best heart condition to have but that doesn’t make it any less scary for Christopher and me or any less stressful for Robert.  We are blessed and grateful that this heart problem is the only problem Robert has- usually patients with heart disease also have problems with their lungs or other organs- but when the doctor looked at us and told us that our son was in the beginning stages of heart failure, those things were very difficult to think about.  So this New Year we are scared, but we are hopeful because we know that God is good and that all things work together for good to those who love God and who are called according to His purpose (Romans 8:28) and that is the promise that we are clinging to.  We beg you for prayers for our son and for us as we go through this with him, and we thank our family and our friends who have been our support and have been offering up prayers for our son every step of the way.

Maker of Heaven and Earth

We have kept Robert in the worship service since the first time we brought him to church.  He has only stayed in the nursery once or twice since he was born because Christopher and I firmly believe that our children need to be taught early how to sit quietly during the sermon and how to participate in worship.  It’s really difficult at first as a little baby just can’t sit still or quietly for that length of time but we learn by doing.  Christopher and I persevered and worked with Robert even at home, and now he is two years old and actually participates in worship.  He strives to repeat the congregational responses (like the title of this post) and he adds his little “amen” to the end of prayers.  He turns to a random page in the hymnal and tries to sing along.  And at the end of the service when the congregation stands and joyfully sings The Doxology with arms raised, Robert raises his arms too and it warms my heart and brings tears to my eyes.  This is what we are working for.  This is what we are striving for.  To teach our precious children how to glorify God and enjoy Him forever.

Robert and Food

I am super paranoid about Robert’s eating habits.  He eats very little food, seems to be extremely picky, and meal times are battles each and every day.  I force him to eat because he is tiny and has not gained more than a pound in the past year.  These past few days I have learned a lot about Robert and about the amount of food a toddler should be eating.  First, because of Robert’s heart disease his appetite is probably a little bit diminished and most of his energy is spent playing all day long.  So when it is time to eat, he doesn’t have much energy for it.  Second, I’ve learned that a toddler really only needs about two meals a day and it’s normal for a toddler to eat only a tiny bit of food at dinner or to skip dinner altogether.  According to www.wholesometoddlerfood.com, a toddler serving is only about “one tablespoon per year of age”.  I was shocked to learn this and to realize that Robert really is getting enough food each day.   I have spent so much time and energy worrying and fighting with Robert to eat and I’m seeing more and more that I need to relax- Robert is not going to starve himself.  Thank you, you wonderful and more experienced mothers for helping me and for all of your great advice.  I am working hard to relax and make meal times pleasant for Robert instead of a constant struggle.

Happy Birthday, Robert!

Two years ago on this day we welcomed our sweet first son into the world.  That day was filled with so much joy as my family gathered around me to welcome Robert Joseph.  He was a beautiful baby with a full head of black hair and the most gorgeous deep blue eyes I have ever seen.  The joy of the day quickly turned to fear and sadness and confusion but we won’t talk about that now.  What I will say now is Robert is a special precious gift from God to us and I am so glad that God has blessed us with him.  Robert is the best little son a mommy could ever ask for.  He is sweet and loving and obedient and he brings such joy into our lives each and every day.

And now for some pictures!

I believe in Home-Cooking 2

Alex will be 8 months old on Sunday and it is high time he gets used to eating good wholesome fruits and vegetables.  Since Robert didn’t start eating baby food until around 9 months or so (I had my reasons), I had no clue where to begin with Alex.  A friend told me about a wonderful website: wholesomebabyfood.com.  This site is amazing!  It tells what kind of foods baby should be eating and at what age, and it tells how to make these foods at home!  I poured over this site for about an hour and made an initial plan for making my own baby food.  I have a good stash of butternut squash and sweet potatoes in the freezer and I make fruits (bananas, pears, etc.) as I need them.  I need to make a batch of green beans and peas and then venture on to carrots at some point but so far my efforts have been wildly successful.  Alex happily eats what I offer and then cries for more when his portion is gone.  I am so proud of myself for making food for Alex!  I can’t believe how easy it is, and it is so much cheaper than buying baby food from the store.  I bought a squash for $.69 and made somewhere around 20 ounces of food or so from that one squash.  It costs at least $.50 for 2 ounces if you buy squash already packaged.  If you are desperate to cut corners and save money like I am, this is the way to go!

Lessons in Motherhood

I love being a mom to these two precious boys of mine.  It is so much fun watching Robert learn and understand new things every day.  Lately, he loves pointing out the moon and identifying when things are on or off.  I love it that I can ask him where something is and he’ll show me.  I love being able to tell him to put his toys away or to put his books back on the shelf and he obeys.

And Alex. The sweet chunky little thing.  Alex is trying to learn to crawl and it is so funny to watch him get up on his hands and knees and rock violently back and forth.  And then he cries and cries and cries when he can’t quite figure out how to move his hands and knees to make himself move forward.  Poor baby.  And I love his wet, slobbery, incredibly messy baby kisses.  Heart treasures.

One thing I find hard to deal with, though, in all of this, is what my boys are teaching me about myself.  The other day Robert was trying to put a spoon in a hole in one of his toys and it wouldn’t fit.  He made this really loud sigh/growl and I told him not to get frustrated but to be patient.  Then I immediately realized that he learned that sigh/growl from me!  I’ve realized that I do that a lot when I am upset or frustrated.  There are also times when I stop and yell to let off steam and Robert has done that, too, a couple of times.  Is this really how I want my children to learn how to deal with frustration and anger?  I want my boys to be composed and polite and to learn how to deal with their anger in a godly manner- not throwing a fit, yelling, or growling.  But in order to teach them to behave in a godly manner, I have to model this godly behavior.  Which means that I have to redouble my efforts to be a godly mother and read my Bible and books that can help me grow as a wife, mother, and woman of God.  I am responsible for raising these boys to be godly men, and this is a HUGE responsibility for which I feel completely inadequate.  I pray that God gives me the wisdom and grace to be a good godly mom to my children and, to you more experienced and godly moms, I am more than happy to listen to your advice.

I believe in Home Cooking

When I got involved in Immanuel Presbyterian Church I was surrounded by mothers who breastfed their children.  I was weirded out by it at first because I never grew up around that, but the more I was exposed to breastfeeding, the better I felt about it and the better informed I became about it.  I will never speak badly of someone who chooses to formula feed her baby because it’s her decision and none of my business but I became a huge supporter of breastfeeding.  When I found out I was pregnant with my first child, I knew that that is what I would do.  And then when I found out that Robert was born with a heart defect, I was adamant about breastfeeding him.  Of course, I couldn’t breastfeed him often since he was in NICU but I was given a pump which I used faithfully every three hours and then delivered my meager supply to the NICU nurses.  Robert had one nurse who fed him formula one time and Christopher threw a fit (or something more manly).  Each time after that, when it was time to feed Robert, if I had not managed to get a bottle to the nurse, she would call me to ask what she should do.  When Robert was flown to CHOP at three days old I was in no condition to fly with him so Christopher and I sent Betsy with Robert and we flew to Philly several hours behind them.  I had to keep up my milk supply which meant that I had to pump in the airport.  I couldn’t use my electric pump discreetly in public where there were outlets so I had to use a manual pump, and Christopher was kind enough to help me.  We went into one of the family restrooms and were in there for 30 minutes or so, I’m sure.  About 10 minutes before we were through, there was knock at the door.  Christopher said “Just a minute” or something like that, we finished pumping, cleaned up the equipment, and then opened the bathroom door.  There outside was an older lady in a wheel chair, her attendant, and her husband, looking at us very angry and horrified.  Can you guess what they thought we were doing?  One part of me got very angry but the bigger part laughs every time I think about that.

When Alex was almost three months old, we took the boys to Christopher’s school to meet some people.  Everyone was commenting on how big Alex was and one man actually asked me what kind of formula I used.  I told him I used good, old-fashioned breast milk and I believed in feeding my child the natural way.  He became obviously embarrassed, but it didn’t bother me a bit.  I know I am doing the right thing for Alex, just as I did for Robert, by nursing him.  See how fat and happy he is!

Brothers

I have always wanted a daughter.  Several daughters, in fact.  I have three girl names picked out and I could easily come up with more.  God has, however, decided to bless us with boys.  Boys whose names we agonized over and took weeks or months to agree on.  Active, silly, precious boys who have stolen their mommy’s heart forever.  I’ve decided that being a mom of boys is a pretty great thing.  I still hope to be blessed with a daughter some day but, for now, I am more than content with my two boys.  And they seem to be pretty happy with each other.  Robert loves his baby brother and Alex adores Robert.  Robert sweetly shares his toys and hands Alex his paci and pats his head and kisses his face.  Alex watches Robert’s every move and smiles and laughs at him.  Both boys share my lap as I read them a story and Robert sweetly tolerates Alex’s flailing baby arms and unbalanced little body.  They are brothers who seem to already have a special bond and who I pray will grow up as very best friends to one another.

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