Sunday, September 13, 2009

August 28, 2009

Friday, August 28, 2009 4:04 PM, EDT

Showers of blessings! We are so happy that Geneva's oxygen levels are high even though she has fluid around her lungs still. Unfortunately she is back up to two doses a day. Thankfully she seems to respond to the diuretics. We are praying the pleural effusion clears up completely and soon. It would be wonderful if she was clear by the first of October. Avonlea's 11th birthday is on the 6th of that month and that is what she wants more than anything for her birthday. Our next follow-up to check fluid levels is next Tuesday.

I just received a phone call from her neurologist and he was concerned after reading her EEG from Vandy and requested she have another done last Wednesday. However, after reading her EEG from this week, he is very optimistic about a complete recovery. He said it's not uncommon for young babies having heart surgery to have a small blood clot and stroke with seizures happening 3-4 days post-op, which fits right in with when I first noticed Geneva's. She appears to be very alert and responsive so I'm thankful and encouraged by that. She is going to stay on a 2/3 dose of her meds until her next check-up in about six weeks. At that time, if all looks good, she'll probably be able to stop that one. Of course now that it's grape flavored she doesn't mind it so much. It's the Lasix diuretic that she loathes.

As I watch Avonlea hold Geneva, it reminds me of when I held my baby sister. We are also 10 years apart and I can still see her now as that little precious baby. Ginny and her husband, Ryan, are getting ready to celebrate their first anniversary on Monday. Last week they discovered my brother-in-law, Ryan, has cancer and they need to operate quickly to remove a tumor the size of a fist. He has surgery scheduled for Wednesday. Please pray for them and that the Lord would continue to comfort them during this time as only He can.

August 20, 2009

Thursday, August 20, 2009 11:58 AM, EDT

I will enter His gates with thanksgiving in my heart! How I've tried to remain focused on the Great Physician during this time. During times of trouble we lean on Him but I want to do that all the time and pray my children will watch the example of their parents and remember this time as a time of faith.

When we left the hospital, I thought we would only be looking at outpatient procedures unless there was a problem. And, I thought once the pleural effusion cleared up, it stayed away. Well, I was wrong. But, the Lord in his infinite wisdom knows our limitations and I think it's a good thing I thought that. : )

Two weeks ago Geneva had a follow-up echocardiogram which showed some fluid around her lungs and heart and she was placed back on her diuretic (which she LOATHES to take). As I was speaking with her doctor, she mentioned possible future surgeries. Lord willing, she won't need those if her valves continue to function properly. Our prayer has been that they would grow and even become normal sized. That day Geneva's oxygen was at 90% and I was trying not to panic.

After being on the diuretic for a week, she lost about 7 oz or so but her oxygen was back up and at 97%. Thankfully her doctor is wonderful and I felt comfortable calling this week when I was concerned about her coughing a bit more and just being "off". So we went in yesterday and I am so thankful I did. It's a long drive. There and back is just under 6 hours and yesterday was my husband's 40th birthday, but it was worth the trip. I started crying tears of joy when I saw her oxygen level hit 100%!! This was the first time since she has been weaned off oxygen at the hospital that her sats were that high on her own, that I have witnessed! And, during the echo, Dr. Bremer showed me that the fluid is looking better AND her valves have grown some! They are still small and I realize it could change if her heart works too hard BUT I am going to hold on to this hope and encouraging news! Thank you Lord!

This has been a busy month as our entire family adjusts to a new baby and we make some modifications of how we normally would hold our little girl and are extra cautious around her wounds. If she peeps, she has many siblings running to tend to her every need. : ) Apparently nobody has explained to her yet that she has Turner's Syndrome and is supposed to be shorter because she keeps growing. : ) Again, I realize she could slow down later but she's adorable and a blessing no matter what. Also, she just rolled over from her back to her tummy today and didn't care for being on her tummy yet. It's so exciting to watch her discovering her fingers and images around her.

We meet with her neurologist next week for the first time and have another echocardiogram that day. We're praying for that fluid to go away, oxygen levels to stay up and valves to continue to grow and amaze everyone!

Thank you all so very much for your faithful prayers!

Today is Dabney's birthday (Geneva's big brother). He's my middle little man and six years old so I better get busy finishing up his cupcakes.

Many blessings to you all!

July 25, 2009

Saturday, July 25, 2009 7:12 PM, EDT

It's hard to imagine it was just three weeks ago that we were waiting on Geneva's arrival and all that has transpired since then. I told Harry today that it seems like a horrible nightmare and if he hadn't taken so many pictures and video and Geneva didn't have any wounds, I wouldn't be certain it was real. Although we are trying to "normalize" our lives, I know they will never be the same. I shared with a friend today that as Christian parents we often speak of trying to be wise stewards with the children the Lord has entrusted us and to cherish our moments with them but somehow it's more real now. If Geneva sleeps too long, I ask myself if she had a seizure that I missed and is now sleeping it off. I check her breathing often to make sure she's still breathing but not too fast. I pray she does well and lives a long, healthy and prosperous life but the fact of the matter is, we don't know how long she will or any of our children will be with us and I want to make wiser use of our time together then I have in the past.

I'm fairly certain that everyone that has followed Geneva's journey is aware of a wonderful organization I've mentioned in the past, Kari's Heart Foundation.

http://www.karisheartfoundation.org/

We are so thankful for the generosity for the hotel room our family was able to use for the two nights before we all came home together. Those were such precious moments to me. I wasn't fortunate enough to meet little Kari but I had an instant connection to her and her family the moment I heard of her life story. Many of you know of them because I posted links to her website and asked for prayer for her while she was in the hospital during her second surgery. Mary Grace is another precious little lady I look forward to meeting some day in glory. Their lives on this earth were so brief but they both touched so many. Please continue to pray for their families when you pray for ours. They mean so very much to me and have been on my mind often.

July 23, 2009

Thursday, July 23, 2009 5:45 PM, EDT

I'm sorry I'm just now updating. We had some modem problems for a few days. We left the hospital Monday afternoon close to 4pm CST and arrived home just after midnight ET. It took longer because Geneva needed to stop and get out of her carseat and eat and stretch. Everyone was exhausted but it was so nice to be back in my bed in our home in the mountains. Thank you Lord for a safe trip and for bringing us back here together. Now we just need our oldest, Dawn, home from her job in Europe and take some pictures of the entire family together.

Virginia saw the ortho docotor on Tuesday and she's feeling better. No surgery needed. We'll go back in two weeks for a recheck.

Wednesday was a long drive but we were so happy to see Dr. Bremer again. Geneva was able to drop one med and will have her last dose of another tomorrow!! That leaves just the seizure meds. We are so thankful for Dr. Bremer! She is a perfect fit for our family.

Today we saw our family doctor and weighed Geneva. Now we have base weight to use. We are going to try and breastfeed only this weekend and see how that goes. I'm keeping an eye on her output to see if she'll have enough wet diapers and go from there.

Thank you all for the prayers for us during this difficult time. Our prayer requests now are that she'll gain weight and grow with exclusively nursing, no infections or colds, no more seizures and no more surgeries.

Many blessings to all!!

July 19, 2009

Sunday, July 19, 2009 4:39 PM, EDT

Oh how my heart rejoiced seeing my family yesterday. Many tears were shed as I tucked them in and sang them all to sleep while snuggling with my beloved. Preparing to say goodbye this morning was not easy. Just as Harry was checking out with the boys, the doctors made their rounds and said we were ready to go home tomorrow as long as we don't have any setbacks. Oh Lord, please let it be true!

July 18, 2009

Saturday, July 18, 2009 12:19 PM, EDT

Family should be here in about an hour. I'm so delirious that I can hardly breathe! Geneva has a rash all over her body. It could be a contact dermatitis issue or she could be having a reaction to some meds or the formula. It's worse then it was last night. By tomorrow, if she continues feeding and gaining, we could go home if she were off oxygen. We are going to try again this afternoon. I'm not comfortable going home without her being at at least 90% (prefer 95%) for 24 hrs before we leave for home. She'll have another quick echo to see if there is still some pleural effusion around the right lung and see if that is preventing her from getting off that last little bit of oxygen. Very tired but ready for a new day

July 17, 2009 (post 2)

Friday, July 17, 2009 11:15 PM, EDT

I JUST found out that Geneva gained 8 oz in the last 24 hrs.

(EDIT: I started thinking a little clearer and realized there wasn't likely any way she was going to gain 8 oz in 24 hrs. Turns out someone made a mistake in the numbers they gave me last night. She actually gained about 2 oz. LOL That makes more sense. : D)

What is particularly interesting is that she ate a little over half what she ate previously but she was able to nurse a few times. I am very encouraged by that news and with some helpful advice from others, I'm going to dig in and stick to wanting to wean off the formula soon. I think it's upsetting her tummy and we're wasting too much energy just fighting trying to get her to eat the stuff and it makes her diapers stink. ;-)

We just need to get feeds down, gain some weight and wean off that last smidge of oxygen. Then we can pull the final IV line and go home.

Thank you for the prayers, love and support. I thought you'd like to hear a praise report tonight.

Please pray for safety for our family traveling tomorrow and back on Sunday. Also, Geneva seems to be developing a rash and likely hives. I suspect two things but we are keeping an eye on her to check it out. Thank you!!

July 17, 2009 (post 1)

Friday, July 17, 2009 9:31 AM, EDT

One thing I highly recommend for mothers, especially of young children, are two CD's from Serene and Pearl from Above Rubies. Life can be hectic with little ones and you're trying to have a nice home that runs smoothly and then perhaps add in homeschooling on top of that. The music helped me keep things in perspective as I went about my hecticness. I've always tried to remind myself that their are seasons to our lives and to appreciate each season to it's fullest. I think of that during this time when my heart is torn. I want to be with my family and comfort my Virginia Pearl (7yo) and give her extra lovin' and help her stay comfortable with a broken collar bone. I want to snuggle with Dabney (almost 6) and hear him tell me how pretty I am like he likes to do every morning. I want to smell Weston (4) after he has a clean bath and see him sleep with his little bottom in the air and see him show me some of his new dancing or kung fu moves. I want to watch Avonlea (10) take care of Virginia and dote on her like a loving sister and have one of her drawings and hear one of her stories. I want to watch Jay (12) work with all the other children on the 10 commandments and teaching them Latin. I want to feel my husband's arms around me and have him pray with me and assure me that everything is going to be all right. And I want to be here with Geneva and love every second we spend together, getting to know her personality, reading the Bible with her, praying over her, fixing her hair and cheering her on as she makes progress...just cherishing our moments together.

Geneva was supposed to have her MRI last night at 7pm. I was concerned about the dye they use for the contrasting images. Girls with Turner Syndrome will often have kidney problems and the dye can be hard on them. However, I also wanted to have the MRI done before she was 8 weeks old because I didn't want her to have to be sedated for that testing. We want to know if there is a tumor causing the seizures but they appear to be managed right now and we were told the plan of action would be no different for the moment even if they did see a growth. I prayed and asked the Lord to not let it proceed if it wouldn't be the right time or unhealthy for her. As we pulled up to the MRI department, we were told the day shift didn't put Geneva in the schedule and we would have to come back in an hour. The problem with that is that I adjusted her feeding schedule so she would be snug as a bug at 7pm for the MRI. We didn't get back down there until after 8pm and by that time, she was rearin' to go and it was getting closer to time for her medicines and next feeding. Needless to say, she was squirmy. It wasn't long before the radiologist came out and said she wasn't going to proceed with the MRI because she didn't want to inject the dye in her and have her squirm and not get any good pictures just to have it repeated. Also she had just met the bare minimum level required that morning for kidney function and she didn't want to chance it. We should find out this morning what neurology said about what they saw. I've been told second hand that there was nothing that jumped out at everyone right away so we are thankful for that.

Since Geneva had to be transported and she couldn't quite stay off the oxygen, she had to be put on a tank whose smallest amount of oxygen was over 4 times the amount she was on before trying to wean her off. So, last night the nurse tried weaning her down to point 5. Now she is down to point 25 and the monitors keep beeping but I don't think she's dipped below 85%. She needs to stablilize again at that level and then try to get off completely.

Yesterday she was able to breastfeed and we were both so relieved to have that special bonding time. She was feeding okay on the "enriched" breastmilk before then. Well, now that she's had some of the good stuff, she is boycotting the bottle. It takes around 30 minutes for me to get 17cc in her whereas before she would get 60cc in less than 20 minutes. I put the bottle in her mouth and she spits it out because it doesn't taste good. One of the staff said tastebuds aren't developed yet and she shouldn't be able to taste it but that is clearly not true. I tried telling them I think she is burning more calories fighting me with the bottle than she is taking in! We are going to try seeing if she will take the bottle from the nurse at the next feeding at noon. Meanwhile, a supplemental nursing system has been ordered to see if she will take the formula while she is nursing. Jennifer, I may have tossed in the towel with the pumping by now if you wouldn't have encouraged me, along with Christine, Katherine and others. Thank you. I really am completely wiped out with pumping and bottles but I see an end in site. It might be several weeks yet but I do see an end. I was reminded that I'm not getting enough calories either. If all the above fails and we can't feed with a syringe, they want to put in a feeding tube.

Since she's still on oxygen, they can't remove her final IV. I hate to have it in there because of risk of infection but it's better than having to poke her every time for a blood draw. Poor baby. Since it's uncomfortable for her to nurse with that against my body, she's only nursing on one side until that is removed.

I'm excited to see my babies!!! Please pray for Virginia and all while they travel tomorrow. Virginia is taking Tylenol with codeine and rotating that with Motrin. Even between the two, she is still in so much pain that she has had on the same dress since Tuesday. She's getting sponge baths and fresh unmentionables but she can't even take off the dress. She said she is okay traveling in the car but that is going to be 12 hrs for her and I want her to be so careful and not hurt any more. If it hurt her to sit in the carseat then I would ask them all to stay home as I couldn't bear the thought of having her there with friends by herself while I saw the others but she insists she's okay. It's just walking and sleeping that hurts so we'll have them come and then get her a wheelchair while she comes to see us in the hospital. From what she and Harry are describing, it's hard to imagine that she will be healed in just about 2 1/2 more weeks but that is what we are being told.

Cherish your moments with those you love.

July 15, 2009

Wednesday, July 15, 2009 10:22 AM, EDT

Isaiah 58: 8-9a

Then your light shall break forth like the morning,
Your healing shall spring forth speedily,
And your righteousne
ss shall go before you;
The glory of the Lord shall be your rear guard.
Then you shall call, and the Lord will answer;
You shall cry, and He will say, 'Here I am.'

I was reading in James 1 yesterday when Geneva and I had our quiet time and I had previously made a reference to Isaiah 58.
When I read this I just broke down. He is there for us always. I know that but sometimes I have to quiet myself down even more to be able to get closer to him. Yesterday was one of those times and I was so encouraged and blessed by His Word above.

Geneva has such sweet nurses and staff. Yesterday her nure made me prop my feet up and sleep all day after I had my ultrasound. I'm very thankful because my blood pressure went down and so did the swelling in my ankles. They are about 1/4 the size they were previously. Although not normal, they are much, much improved, as is my blood pressure. I found out that the numbness in my right leg is likely a side effect from my spinal and may take some time to go away but that isn't a top concern as long as I know there aren't any immediate health risks that would prevent me from taking care of everyone.

We had a pleasant surprise last night when the other chest tube came out 12 hrs early! Oh, what joy I had when I could pick up my baby girl without as much fear of pulling on that and I could stand on my feet and not think they were going to collapse under me. I know she is so much more comfortable now. Geneva has been doing great with her feedings (except when she was on morphine) and we think we have a formula that will work. She'll need to put on some weight and have some extra calories while she is recovering from surgery and then we can gradually try switching to breastfeeding over a couple of months. I'm thankful for those that rallied to get me a breast pump here at the hospital. That really means a lot to me.

Oxygen levels are around 98 to 100% on the point 1 level so she is going to hopefully be weaned off this morning.

Her diurectic will begin to be given by mouth this morning now that the chest tube is out. I'll have to learn how to give her all of her medications but I'm not sure how many that will be. I think there are four or five of them.

Our main concern right now are her seizures. They seem to be under control but every time she moans, I run over there to check on her and see if she is having one or if she's just making normal baby noises. I have so much to learn. If it weren't for the seizures, I would be comfortable leaving. The goal is to get a contrasting MRI to see if there is a growth anywhere but that is something that could be done at home if not here but our preference would be to know something before we go home. They could be nothing or a tumor or effects from going on the bypass machine or any number of reasons. We may never know. She might need to be on medication her entire life or she might be weaned off this year.

One of Geneva's incisions is still weeping a little and I'm trying to be extra cautious to make sure that doesn't get infected.

She is sleeping peacefully next to her new toys and one that sings her a lullaby she particularly likes already. Thank you Karen and family. That was a nice surprise.

Our 7yo daughter, Virginia, did break her collar bone when she fell off the swing. We don't know yet if it is the same one she fractured 5 years ago. She's in a sling and I need to find an orthopedic doctor in our town where she can get it examined next week.

Another blessing is that we are so happy with our pediatric cardiologists. One of the nurses said she's never known people to be so crazy about two cardiologists as much as the two we know who will be joining practices next week! Thank you Lord for that sweet blessing too. : ) I feel so much more comfortable knowing they will be providing care to our little angel.

I'm feeling a bit more like a normal "new mom" in that I am still terribly sleep deprived but giddy about our baby! I need to try and rest as much as possible because there will be plenty to do when we get home. Thank you to those who've stopped by. I'm sorry that I don't even remember everyone's names or maybe even who I've spoken to. It just seems like everything over the past 9 days have been a big blur to me. Again, please know how much we appreciate all your prayers and support.

July 14, 2009

Tuesday, July 14, 2009 10:07 AM, EDT

Hi all. I want to thank everyone so much for your outpouring of love and support. We had a rough night last night. Oxygen leevels continued to drop and fluctuate. It's amazing to me how much a decimal point can now mean to me. We are going to wait on the feeding tube for 24 hrs and see if Geneva can pick up feeds. I think I saw her have a seizure around 2am but can't say for certain. Neurology came in and said they want to rule out some things. When I asked about it further, I was told they want to rule out a possible tumor but need to do a contrast MRI to find out. Because of her poor current kidney function, they have to wait.

I'm waiting for a call from doc for me as my numbness in right leg is now up to my hip and I'm not sleeping at all.

Please also pray for our 7yo, Virgin
ia Pearl. She may have broken a bone yesterday while playing at cousin camp. She's having a great time but very homesick, as we all are.

I can't really talk to anyone right now on the phone as I'm just physically and emotionally drained. Thanks for the love, prayers and support!

Pressing on,
Stephanie

July 13, 2009

Monday, July 13, 2009 1:17 PM, EDT

Many praise reports today! Neurology came in and we found out that sedation is not needed for the EEG. They want to do an MRI after her other chest tube is out. She is sleeping through the EEG right now. She has made a couple of moaning noises and I don't know if she was having a seizure or not but something changed on the screen and her oxygen levels dropped. I should have some kind of consult this afternoon with the neurology department.


Platelet levels are beginning to stabilize. They are convinced that she shouldn't have a lifelong problem since I had such low platelets during pregnancy and she had surgery, hopefully all will stabilize within the next two weeks and she won't need any more platelets but might need a couple more.

Pleural tube is getting better. Still has output but not as much, chest x-rays are clearer today than they were yesterday. She is going to switch back to enriched breast milk again and see if she can maintain those levels. If all looks good, pleural tube could come out in 2 days! Thank you Lord! I would rather it come out when safe then have to go back in again but that is a huge milestone and one I very much look forward to seeing.

Harry was so thankful for the meals from our homeschool friends. Thank you. The boys might have eaten waffles and cereal all week had they not had something else there. : )

And to add to all the blessings, some of our sweet neighbors did more yard work for us then I think the yard has ever seen before. My mother-in-law said there were three mowers and a weedeater going all at once. I hear it looks beautiful so I told Harry to take a picture. Thank you all so much!

July 12, 2009 (post 4)

Sunday, July 12, 2009 10:25 PM, EDT

The new seizure medicine seems to be working. Thank you Lord that we haven't had any seizures since 1pm!! I just had the most precious "coo time" with Geneva since she's been born. She's alert, swaddled, looking at me with both eyes and I prayed and prayed that she would just give me a little sound and then we started having some chat time. Oh how that encouraged me so.

EEG is scheduled for the morning. I didn't know it required sedation. The good news is the new meds stopped the seizures. If I understand correctly then that means the bad news is that she likely won't have a seizure during the EEG which means we won't know what type of seizure she is having. I'm so confused.

Also a blessing that sweet Amy stopped by with some real food and even cookies. : ) I had never met Amy before but thank you Jennifer for asking her to come see me. : ) And you were right, I do have to continue hoping.

July 12, 2009 (post 3)

Sunday, July 12, 2009 5:59 PM, EDT

Thank you for all the kind words of encourageme
nt and support. So many friends and family have asked what they could do for us. I know and I've been in your shoes and read about these precious heart babies and want so badly to do something for those families that are hurting. The fact is that only God can heal her or take away her pain which is all I want right now. Just please continue to pray for our entire family. If we are here much longer then we will have some physical needs that I could use help with but I just can't allow myself to go there yet.

Geneva's chest tube won't be out for awhile yet as there were three pediatric traumas that came in since I met with the surgeon. It should be some time tonight if nothing else happens. We are praying that by changing her formula and using some kind of diuretic (if I understand correctly) that some of that will be drained away from her lungs. The long chains of fatty acids need to break down into smaller ones. The only way I can think of describing it is that right now they are like pieces of spaghetti and they need to be like pieces of rice to be assimilated by the body and not pool up around the lungs.

I heard some odd noises come from her last night and again today that I mentioned to the nurse. X-Rays came back fuzzy and confirmed my fear that fluid might be developing around the lungs. This could very well be from knicking the lymph node.

She is up from .3 to .8 and now 1 liter for oxygen which is not good and she has had low saturation levels. We're trying for .5 now to see how she does.

I'm going to put my feet up again and seek some comfort from the Lord. Harry has been so wonderful and reminds that we need to just take one step at a time and sometimes that means just taking a minute at a time.

July 12, 2009 (post 2)

Sunday, July 12, 2009 12:39 PM, EDT

One chest tube will come out in the next hour. The pleural chest tube hit a lymph node in the thoracic cavity. It could take days, weeks or they could have to go back in to fix it and she likely wouldn't fair well. I can tell by the vagueness of the doctors that this could be a potentially grave situation. Seizures about once an hour almost with regularity. Please pray for comfort for her, whatevever that might be.

July 12, 2009 (post 1)

Sunday, July 12, 2009 7:41 AM, EDT

When we first began this journey, I used "if" often. "If" she has a genetic disorder, "if" she has to have surgery, "if" we make it home together. I knew the Lord was the only one who had the answers to those scenarios.

It seems so long ago that Geneva was born and yet it was a mere 6 days ago. Will I ever stop hearing alarms in my head from oxygen levels dropping? Will I ever get to hold my baby without tubes all over her body? Will I get to take her home? Will I know if something is wrong if she does come home?

Again, I don't know but I trust the Lord and His perfect plan and yet my heart aches. I ache when I hear the baby on the floor cry with no one to console him. I just want to grab his bed and move him next to us so he can get some love. I want to stand up and be next to my baby without leaving her side. I ache for those on the medical transports when I hear the helicopters fly overhead day and night and I pray for those patients and their loved ones, the pilots, crew and doctors. I ache to hold my other children and be with them. And I ache so longingly for my precious little girl. How I long to have her cuddled snuggly by my side.

It's difficult to imagine that just two short days ago everything looked so optimistic and it appeared as though our family would be reunited by Tuesday or Wednesday at the latest. Geneva was not only meeting but surpassing all goals set for her. And then everything changed.

I mentioned before that I saw her make some startle type movements her first night on the new floor. I noticed again in the middle of the night and then once more in the morning. Now that I know what she sounds like before beginning, I'm guessing she had several more episodes during Friday night. I thank the Lord that she had one when all the doctors were outside her door yesterday. Things seemed to go downhill from there. The "episodes" continued all day yesterday. After several hours of requesting a consult, the neurologist finally showed up. She was started on anti-seizur
e medication even though we requested she first have an EEG. The neurologist isn't convinced she is having seizures and told us she would have an EEG today and hopefully we would catch one of these episodes and know if it was a seizure. However, right before I went to bed last night, I was informed one wasn't ordered and they don't know if they will be able to reach someone since it's a Sunday!! Needless to say, I'm not happy right now and am going to rest a little more so I can throw a fit if necessary.

We did have some good news yesterday and that is that the CT scan showed no blood on the brain! Thank you Lord. Her electrolytes and other blood tests came back good and her platelets doubled after her transfusion. I was also able to bathe her, put on a little shirt and some new hairbows in her hair after it was washed. I love the smell of a clean baby.

Prayer requests:

Originally, we thought the chest tubes would be out yesterday but the one around her pleural cavity is having a lot of output. That needs to slow down so they can come out and we don't want any extra fluid around the lungs. Our cardiologist informed us that this could be a potential problem, especially with girls with Turner Syndrome.

Oxygen levels - her oxygen level has been doubled since yesterday. She was so close to being weaned. Now she is up to .7and yesterday was on .25 and .3. Her oxygen levels are difficult to maintain above 90%. Once the chest tubes come out then I heard it's easier to get off the oxygen because usually children take deeper breaths when the tubes are out but it's not a good sign that her levels continue to drop.

My cankles - Feet have been up all night but after just pumping then holding her and feeding her, they are almost back where they were hours ago before elevating them. Also, I broke out in hives on my feet last night so I had to take Benadryl which meant dumping two pumpings of breast milk as well. Then I woke up 2 hrs later literally shivering and chattering my teeth and it was just about 75 degrees here. I suspected I had a fever yesterday and might be developing mastitis so that might have been from a fever breaking.

We will find out if these are seizures and if not, what they are as everyone is baffled right now. I mentioned to the doctors that if it wasn't an infection or something that could have started because of days post-op, they needed to look at what changed from the PCICU to this room because that's when I started losing a connection to her and she began to have them. I suggested they start with changing the pain meds which they did and she is much more alert and making eye contact again!! But, she's also still having these "episodes". Oh it is so painful to watch. The most difficult part of all is that she knows right before they are starting and it's either painful, scary or both because she let's out a moaning cry and then moans or cries occasionally through them. And she's helpless and there is nothing I can do to fix it for her so I stand by her side and cry and pray.

My sweet little Geneva, Mommy wants to just take all these tubes away and take you home with me. You are our strong little girl and have been through so very much in your short little life. I'm so sorry I can't help you any more than I have.

Oh Father, I want to love on this precious baby and raise her to love You but all I ask is that she not suffer. I will miss her so if she's not with us but please, please don't let her hurt like this. I really don't know how much more I can handle.

July 11, 2009 (post 2 and 3)

Saturday, July 11, 2009 3:40 PM, EDT

Geneva received her platelets. We should be speaking with neurology soon. She had 4 episodes in the past one hour. Hopefully the CT scan will be clear.

Saturday, July 11, 2009 4:03 PM, EDT

Since the episodes are happening more frequently and lasting longer, the doctors are going to give Geneva an anti-seizur
e medicine, Keppra, to see if those control the episodes.

July 11, 2009 (post 1)

Saturday, July 11, 2009 12:13 PM, EDT

We do need some prayers as the jerking movement I've seen her make very well could be caused by her brain bleeding. She will have a ct scan likely today. We're very thankful because she had an episode while the doctors and students were standing outside the doors during morning rounds. Until then I was the only person present during them except towards the end of one with night nurse. We appreciate the prayers so much. Also, Geneva will be receiving some platelets today. About 30 seconds after it dawned on me that she might have an inherited blood clotting condition, my mother called and mentioned it herself. (Thanks Mom.) I mentioned it to the nurse and asked her to notify hematology to test her. If so, that could explain the low platelets perhaps. If she is able to maintain and stabilize her count, we can get the chest tubes out soon. At least one would have come out today except for the platelet issue. Once those tubes are out, we can hold her and try getting her to start nursing after her bottles. Praise the Lord for all things. Although it might seem like a small answer to prayer, it is huge to me. I am now getting twice as much milk from the breast pumping and it equates to almost exactly how much she is currently taking in for her feedings!! I'm ecstatic.

July 11, 2009

Saturday, July 11, 2009 8:40 AM, EDT

Geneva was moved to her new floor and new room yesterday and out of ICU! Praise God! I was able to move in with her. I got virtually no sleep but it was such a blessing to be near her and to comfort her and change her diaper when she needed. One hour she was particularl
y fussy and nothing I did seemed to console her. The nurse walked in and pointed out her diaper was dirty! We had to chuckle a little. I mean, how many children do I have? You would think I could have thought to check! :-)

I am concerned about something else. Three times in one hour last night, she began to have an odd "shake" to her. It looked somewhere between hiccups and a seizure. She did it one other time during the night but stopped when she was swaddled and the nurse thought it might be because she was cold. She just did it again right now. Each time she does it, her oxygen levels seem to drop slightly and it's only her left leg that shakes and not the right and she moans right before it happens. Something in my mommy instinct is just telling me it's not right.

She also has a tendency to not make as much eye contact as she used to. They've changed her pain medicine to oxycodone and it might have something to do with that. However, she only received 2 doses yesterday and she could have received 12. We don't want her to be in pain and the chest tubes are very painful but at the same time, we want to be careful that she only receives as much medicine as she really needs.

We were told that we might be going home as early as Tuesday or Wednesday. Our next major obstacle is for her to have her chest tubes removed. It appeared as though one might have been removed today but I was just informed that her platelets have always been very low. They were hanging out around 35 but have dropped to 25. Once they hit 20, she'll need a transfusion. Until those are more stable, the chest tubes will remain. After those are out, we can hold her and I can begin to try and allow her to breastfeed. Despite all the wonderful help from friends, I'm just not very successful at getting the milk from me to the bottle. Right now every other bottle is breastmilk and every other one is formula. That is really frustrating. I've only used bottles one time and that was for our baby goats and lasted less than 48 hours before turning them loose to their mothers to feed them. I don't know who ever said bottle feeding was easier than breastfeeding but that is so not true. I think I'm going to ask if perhaps we give half the bottle breast milk and half formula.

I've been asked by several how I'm doing personally. Physically I'm a bit of a mess. My feet are so swollen that I can't feel them, even after keeping them elevated. The incision area hurts from the c-section and I have a couple of other issues. Emotionally? Well, that is really difficult to answer. I am so thankful that she is doing so well. Scared of what the future might hold. Hopeful because I trust in the Lord and His perfect plans. Sad for others we've known recently whose daughters are no longer with them. What if I do something wrong? What if I have to perform CPR on her? How long will she be with us? What kind of obstacles will she face? All of these are real and genuine concerns. No, I'm not perfect. I'm not a perfect Christian either but I've never claimed to be. And yet there are some who might read this and not understand this is coming straight from a mother's heart who is simply being honest and real.

The outpouring of love for us has been overwhelming and very much appreciated. We can never thank you all enough.

July 10, 2009

Friday, July 10, 2009 12:25 AM, EDT

This was a good day. Geneva's breathing tube was removed, and though her throat is sore, she is eating quite well. Her stomach is only the size of a marble, but she swallowed an ounce in one feeding. The doctors are so impressed with this that they say she might have a room of her own tomorrow and could be released to go home by Wednesday!

July 9, 2009

Thursday, July 9, 2009 8:23 AM, EDT

I spoke with the nurse at 2:30 this morning before I doing my middle of the night pumping. She said Geneva is a little fighter. Although that is a good thing, we need her heart rate to stay down. Poor precious thing is just so young and doesn't understand. My heart just aches for her.

She is being weaned off the ventilator to see how she does and whether or not it will come out today or tomorrow. She has a CPAP for 1 hr and then on the ventilator for 3 hrs. So far she's doing great with the CPAP and oxygen levels are good. I think they will now try half and half and see how that goes. I would rather we take things a smidge slower so we don't have to take out the breathing tube and then reinsert it. After her tube is out, we need to keep a close eye on her to make sure she doesn't get fluid around her lungs or develop pneumonia.

N
ormally when a person has a ventilator in, no noise comes out. They can still cry but no sound is heard. Well, I said normally. Geneva is above normal. :-) When she cries sometimes a little squeak will be emitted. Watching her little eyes and seeing her mouth open and trying to cry puts both of us in distress. Oh Lord, what I wouldn't do to take that pain away from her. Please show me how I can comfort her best. Please be with us all and comfort us as only You can.

I was confused about her lactates (and still am to some degree). We needed those to be lower, not higher. They are doing better and were 2.5 at 7pm last night and were down to 1.8 by early this morning.

Yesterday morning I noticed her belly looked distended and mentioned it to the nurse. The doctors made their rounds and said she was swollen and they would need to put in a PD drain if it continued. Her urine output needs to be higher on it's own. As of last night, she was processing about 4ml/hr and it would be great if that could climb to 6ml without a diuretic.

I'm doing fairly well but my legs, particularly my right, continue to swell. There is a concern for blood clots developing. I'm trying to balance a need to be moving around and a need to keep my feet elevated and off my feet.

Thank you for your continued prayers for us. I miss my other children and want our family to be all reunited soon.

Wednesday, July 8th 2009

Wednesday, July 8, 2009 7:40 PM, CDT

Today has been a difficult day. Geneva's not as sedated as she was yesterday. When we saw her this afternoon, she kept trying to open her eyes when she would hear my voice and she opened her mouth as though she wanted to cry but couldn't. I tried soothing her as much as I could but her heartrate continued to accelerate to close to 180. After that, I thought it best to just hold her hand a little and sit down and watch from a distance. It just absolutely breaks my heart to see her in pain. Oh how I wish I could take it all away and comfort her and make it all better. I pray the Lord will comfort her as only He can right now. We did receive good news this evening that she is no longer on a Dopamine drip and she may start being weaned off the ventilator. Once that happens, she can again have her pacifier which brought her some comfort the first 24 hrs of her life.

Harry has been a trooper, walking over 2 miles every day to take me to see her. Even though I haven't been walking that much, I'm starting to swell quite a bit.

We aren't sure where we will be staying after I'm released tomorrow. Praise the Lord, a sweet person came to my rescue and is getting a breast pump for me to use while in the hospital. Amazingly an email was sent out to the homeschool group asking if anyone was headed this way (about a 6 hr drive) and lo and behold, there was a couple headed this way just shortly after it was sent out. Praise the Lord for His provisions and for sweet brothers and sisters in Christ. Harry is meeting them now.

I miss my other children immensely and they all want to be here to help and see their baby sister. Lord, please protect them and comfort them also. Keep everyone safe while traveling and please allow us to be together very soon.

Prayer request: She has a distended belly right now and if that doesn't improve, she may have to have a PD drain to get the fluids off her belly. I pray that improves on it's own.

Thank you all so very much for your love and support!

Tuesday, July 7th 2:30 PM CDT

Tuesday, July 7, 2009 2:30 PM, CDT

2pm - just as I was getting ready to send this email, we recieved a call that surgery was faster than expected! Praise the Lord, they were able to close up her chest and it appears as though both chambers and all valves are doing their jobs! : ) The next few days will be touch and go and we'll pray through one hurdle at a time. : )

Tuesday, July 7th 11:55AM CDT

Tuesday, July 7, 2009 11:55 AM, CDT

I just got off the phone (11:55am CST) with the OR and she is doing very well. The next hour is crucial as they will try and take her off the bypass machine and check her bleeding to see if she will have to have her chest left open or it will get to be closed back up.

We were told that it is very likely she has the Turner syndrome. If all goes well with the surgery then there is a good likelihood that I will still have to be here with her for possibly several weeks to get her to learn how to eat. Babies with Turner syndrome have a tendency to have extra fluid buildup around the lungs and also have a harder time eating, resulting in a feeding tube for some time. Please pray that all goes smoothly. There is still a wait and see period to know whether or not this surgery will correct her problem and be the only surgery she will have to have. If not, we will have to evaluate with the surgeon as to whether or not to attempt the 3 step surgery. It appears to be the consensus that the doctors agree that babies with Turner Syndrome do not fair well with those surgeries and we will have to make a decision as to whether or not attempt it or just love on her for the time we have her with us. As always, we cherish your prayers!!

Tuesday, July 7th 9:30am

We were orginally told it would likely be Wednesday afternoon before Geneva went in to surgery. However, we were informed last night by one of the NICU nurses that she was scheduled for 1pm today. Our original plan was for her to be baptized this morning and we could spend some snuggle up and cuddle time with her and then she would be off to surgery. Thankfully the pastor was coming out this morning. Just as they were preparing to take out my IV and we were headed over for her baptism, we received a phone call that surgery was moved up to this morning and we rushed over to see her. The surgery was delayed for a short time so we could hold her and get her baptized. Harry didn't even get a chance to hold her but I held her during her baptism and we snapped a few pictures.

She was born yesterday morning (July 6th) and was our smallest baby weighing in at 8lbs 9oz and 19 1/4" long. She has beautiful long, dark hair that has a little curl to it.

July 6, 2009

Friends, we just received some wonderful news from the cardiologist, but first I'll give you our status.

Steph got through the c-section like it was nothing, and was up and walking around once the morphine wore off. It was her first, and I got to watch, but the doctors didn't want my help, even though I told them that I've helped deliver goats. Since I did watch, I'm in awe at how tough my wife is.

The hardest part was having the baby whisked away after only a kiss on the cheek. It took about 12 hours to get an IV in her umbilical cord, x-ray her, get an ecocardiogram, get another IV in her forearm, and finally clean her.

It was evident at birth that there are at least markers of Turner Syndrome, which is only found in girls (missing X chromosome). We're still waiting for the results of the chromosome test to verify this. If she does have this, it's a miracle that she survived, because 98% of such cases end in miscarriage.

Turner babies don't have a likelihood of success with the triple or quadruple heart surgeries that we anticipated. So when the call came in just now that her aortic valve, mitral valve, and left ventricle are borderline acceptable, it was a tremendous relief. I know God heard your prayers, and I owe you more than I could ever repay.

So the only problem remaining, as far as we know, is a repair of the aortic arch, which is a one-time open-heart surgery in a couple of days from now. Since the valves won't be touched, she has a good likelihood of success. Right now we have a concern about plural effusion, which is excess fluid around the lungs. If she has Turner's, she won't grow very tall and might have some vision and hearing problems. There are a lot of unknowns in how she can turn out, depending on whether she got her X chromosome from me or Steph. At any rate, she'll never be a world-class athlete, but neither are her parents.

We'll just continue to pray for the best, and we thank you all for your support and friendship. Pictures will follow. Geneva will be hospitalized for weeks still, and this is very hard on all of us, but we eagerly await the day when the family can be reunited.

With love,
Harry

Friday, June 26, 2009

Overdue Update

I'm sorry it's taken so long to update. I've been busy packing and preparing the children for various activities, selling some of the farm animals and scheduling appointments, all while "taking it easy". First of all, I have to say how terribly blessed I am. My husband has been so supportive and encouraging during this time. He's been strong for both of us. All the children are pitching in to help in their own little way and we are thankful for my in-law's help with childcare.

Just 9 1/2 days or so until our scheduled arrival date. I had an appointment yesterday and the OB came in and asked some questions then looked at the sonogram. He asked the sonographer if there was anything he needed to know and she said, "Yes, she has a lot of hair. Look at this." He chuckled and looked then stated he would make a note of it in his charts. ;-) Thankfully her Great Aunt Jeannie sent some hairbows so she should be all set. I need to pack a little bag to keep by the door with essentials like hairbows, hats and blankets. Perhaps I should include a camera and cell phone too. :-)

I was informed yesterday that I only had trace protein but now am throwing ketones. My last platelet count was dropping and about 130. They are supposed to check again when I go in for the section and they do a CBC. (Let's see if they get the results back faster than my other OB office. ;-D) Hopefully the ketones aren't serious. After doing some research, I found I need to have a later snack (ick), up my calories and get more protein. I've only gained about 9 - 10 lbs in the past 8 weeks and almost 5 have gone to the baby. Those sound like good numbers to me. I'm heavier than I've ever been in my life and feeling every ounce of it. Dr. B said my placenta was getting old which struck me as humorous. He was glad we were delivering no later than 39 1/2 weeks. (Him and me both.) I can't seem to convince anyone here that I'm only having one baby and I'm not past my due date. I carry mostly all out front and from my neck to my thighs. I said I'm feeling a bit like a bullfrog with skinny legs but huge everywhere else.

I met a sweet little lady here that reminds me of my grandmother, Ma. When I told her I was supposed to eat more food, she told me she couldn't believe that because she's never seen such a little girl put away as much food as I do! LOL Oh yes, her bluntness definitely reminds me of Ma. :-) I love it.

My sleep has been very limited these days. Although I'm trying to rest there is simply too much on my mind to really get any rest. I decided to deal with my insomnia by doing a background check on the OB that is scheduled to perform my c-section. I was neither pleased nor disappointed with what I found really but would feel better if there were more positive reports. While doing that, I looked up the OB in charge of my care and was pleasantly surprised to read some of his published essays. I was pleased to find out that he traveled to 8 different states speaking out against partial birth abortion.

I braced myself today for a visit with the heart surgeon. My prayer was everyting would go smoothly and yet in my preconceived notion, it wouldn't be a pleasant experience. Boy was I ever wrong. Geneva's surgeon has to be one of the nicest and most humble doctors I've ever met, especially for a surgeon. Praise the Lord! He came in with a med student and spent an hour with me explaining all he could. Our prayer request right now is that her aortic valve and mitral valve would each grow at least 1-2mm. If they do then we are looking at most likely one surgery involving just repairing the aortic arch. He did tell me that it was possible but unlikely that would be the case. Geneva's valves are both borderline in size right now and if they get larger then we could try to do just the one arch repair. But, if they don't, we have to decide if we are going to try the less invasive procedure or go ahead with the Norwood procedure for Hypoplastic Left Heart Syndrome (HLHS). HLHS is basically connecting everything from the left side to the right side. The first procedure is done during the newborn stage. Second step is done around 4 months of age (Thanksgivingish). And the last stage is performed at 1 1/2 to 2 years of age. This is obviously a more involved procedure with the first surgery being the riskiest. By the time the procedure is finished, we are looking at her having a 2 chamber heart instead of a 4 chamber heart and an increased likelihood of needing a heart transplant later in life.

Please pray for her valves to enlarge and for us to have a very obvious decision to make. The worse case scenario would be for us to attempt the less invasive procedure, have it fail and then have to go right back in and try the Norwood procedure. This hospital performs 20-30/yr on average. The success rate is typically about 80%. Praise God they've done 10 this year with a 100% success rate.

Thank you God that I was able to get into the temporary housing ministry and save money on some food and lodging. We are still looking at at least $6k in expenses we still need to raise but it could have been much, much worse. Two days before I signed in and two days after, the place was full. God is good. There was someone here who hugged me my 2nd day here and sat down next to me for supper. I found out the next morning that she just got over a horrendous cold and her husband was in the hospital with pneumonia. There was also a teen girl here who was stuffy, visiting her aunt. Now my nose is running and I've started to cough just a smidge. I'm praying it's nothing. There is a smoking deck right outside my window. There was a couple here that was smoking all day and one time I was sleeping and awakened and coughing because the smoke smell came through my closed window and woke me up. Yes, I am that sensitive to smoke. I was nauseous for two days from it. The people are very friendly here and I'm thankful for meeting them.

My philosophy has always been to pray for the best but prepare for the worse. I completely trust her surgeon. I completely trust the Lord. As a mother though I am scared for my baby and I just want to wrap her in my arms and take her home and not have to deal with any of this. I want to nurse my baby and watch her coo and grow and pretend this never happened. And yet, above all else, I want my children to depend on the Lord and trust in His perfect plans. Father, I pray you will heal this precious child. Please let me be an example to my children and others of resting in Your arms. Thank you for my husband, my family, this baby and for your son.

Thursday, May 21, 2009

May 14, 2009

We've decided to have the delivery and surgery at Vanderbilt in Nashville, TN. Although we loved the doctors and staff in Philadelphia, the location was not a good fit. They told us that they thought Vanderbilt would be a fine place to have the surgery. In addition to all of that, once they found out I might have some health issues of my own, I was told they were equipped to only deliver healthy mothers and I would have to deliver at another hospital in the area and have you transferred to their hospital. I've never been separated from my babies except for one time when I took a shower and Jay went to the nursery for just a short period of time. This isn't going to be easy for either one of us, but the Lord will see us through.

The hospital is very nice and we really liked the staff. We have to be there by June 20th and your delivery is scheduled for July 6th, if you make it that far along. We were told you were in the perfect ICU right now. God created this womb for your protections and Daddy is trying to help me stay off my feet so you can stay in there as long as possible. Your father is such a hard worker so I'm trying to work hard at home and work at plans for your care and where we might be able to stay. We received a call yesterday with permission to have the fundraiser at a church in town to try and raise some money to pay for our expenses. We don't know how many surgeries you will need or how long we will be in the hospital but we've been given some estimates.

Prayers needed: We would like to see Geneva's mitral valve and aortic valve enlarge. The pulmonary valve looks good. Although Geneva is over the 90% for size, those valves are in the 5% or less category. We would also like to see a correction of the coarctation of her aortic arch and for there to be NO MORE PROBLEMS, including no genetic disorders. Thank you all for your prayers!

Wednesday, May 20, 2009

May 11, 2009

It looks like we have some other things to consider. My blood pressure is rising and platelet levels are dropping. We now have to consider a safe place for both of us when you are born. Mommy and Daddy are leaving to visit another hospital this week. Grandma Joann is coming to stay here on the farm and help with your siblings.

April 29, 2009

We have decided to visit two hospitals to consider for your care, CHOP in Philadelphia and Vanderbilt in Nashville. Our first appointment was made for Philly. Most of your brothers and sisters are with us and we are going to meet the doctors together. Mommy had to have an MRI and I wasn't sedated. I've never had one of those and since you are so big, I had to lie down in a funny way and stay still for a whole hour! Soon you will find that it's hard for me to hold still for 5 minutes, much less an hour. I used that time to pray for you and continued to ask the Lord to heal you. After our MRI, we went to have a sonogram and a fetal echocardiogram. The sonographers were so sweet and they were laughing because you kept moving so much and every time they tried to get a picture of your face, you would try and grab your feet. Your legs were over your head, along with an umbilical cord and one hand. We finally were able to see you and you are just beautiful. You are a Seabrook for sure with your little button nose and perfect rosebud lips. Every sonographer keeps commenting on how much hair you have! And you are already more than 4 lbs!! Way to go! If you continue at this rate, you might beat Daddy's record of 11lbs 4 oz!

April 22, 2009

Below is an email I sent to the Schoondyke family. Their little girl, Kari, just passed away 2 weeks before I wrote this. They were very gracious in their response. We found out that you and Kari have the same heart condition and Dr. Bremer was her doctor too. They told us you were in good hands with her care!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Hello. I have never met your family but have been crying to the Lord and praying for you all since the beginning of April when I first heard of Kari’s struggles. She touched me so and I prayed for her so often and was terribly distraught at her passing. Since then I have prayed often for peace and comfort for your entire family.

Perhaps because of ignorance or perhaps because the Lord knew I needed some peace in this pregnancy, I never really thought our new little blessing, Geneva, would ever need heart surgery. Maybe I did know in the back of my mind that was a possibility and why I felt so connected to Kari. Although there has been concern that Geneva might have Trisomy 18 earlier on and her left ventricle was about 30%smaller at one time, I was naïve. She has shown no signs of Trisomy and her heart is now a normal size so I wanted to believe that she might just have an innocent heart murmur that would require no treatment and there would be no problems.. Even though we live in Lebanon,VA, we chose to travel a distance for her fetal echo as I wasn’t comfortable at all at the office I went to in Kingsport. I had an appointment yesterday with a wonderful pediatric cardiologist in Knoxville, Dr.Bremer. It was after that fetal echo that I was first told of Geneva’s heart condition and understood the gravity of the situation. She has VSD, aortic stenosis and an interrupted aortic arch. I am already 29 weeks along tomorrow and we are trying to decide where to have surgery, what questions to ask and where we will stay. We homeschool and I will likely have the children with me before delivery as we don’t have any family close by that could stay with them. We know after recovery, I will want to/need to be with our newborn and will have family members staying at that time with the children. I’ve been told there are sometimes furnished townhouses for rent for situations such as ours so we are going to try and decide by the end of next week to go to CHOP or Vanderbilt so we can begin preparations for a short term stay there.

I know Kari has just passed away recently and I hesitated to contact you but was encouraged by a few families on our homeschool list to do so. Please know that if this is too difficult for you then I’m so sorry and have no desire to add to your pain at all.

May the Lord continue to comfort your family during this time.

Thank you so much for any help you can give.

April 21, 2009

Through a very fortunate series of events, we were able to get in to see a wonderful pediatric cardiologist today, Dr. Bremer. I, Stephanie, went alone thinking (praying) there would be no problem and we would be told Geneva had an innocent murmur and it would be something she would outgrow quickly and she would be a healthy baby. I wasn't prepared for the news I received that day. Dr. Bremer said you have an interrupted aortic arch, VSD and aortic stenosis and Geneva will require heart surgery soon after birth. It was a long 3 hr drive home but I was thankful for the time to be alone and pray and cry without worrying about upsetting others. Most people find out about these situations when they are about 18 weeks pregnant but I am 29 weeks already. We have a lot of research to do and decisions to make. Geneva, your days have beeen numbered before we even knew of your existence. I wish I could take away the pain and suffering you are going to experience but I am going to do all I can to be right next to you and Daddy and Mommy will ask the Lord to please give the doctors wisdom and for you to be as comfortable as possible. We all love you so!!

Tuesday, May 19, 2009

April 13,2009

Hi. I was hoping to send an update with our baby’s heart but I fear I can not, as of yet. I was scheduled for a fetal echocardiogram today but when I wouldn’t give my husband’s social security number, I was refused treatment. I tried explaining that the insurance company doesn’t require nor do they even refer to social security numbers any more, I was told that was too bad but the company policy was that they had to have it for billing purposes. Once the EXTREMELY RUDE receptionist spoke with the insurance company (on my cell phone and per my pleasant request), she told them “I don’t care. I’m not going to deal with this any more.” Just prior to this I was told I had 10 minutes to decide if I was going to give my husband’s social security number or pay for the fetal echocardiogram (which you can imagine would be expensive) and get reimbursed from the insurance company what I could, which would be less than what the doctor’s office would get for their UCR. My co-pay was supposed to be $15 and the insurance company verified the office and doctor were in network and would be reimbursed but they didn’t care. I offered other forms of ID if that is what they wanted but they insisted on a social security number for billing. They even had mine on file because someone gave it to one office in a network years ago and it’s been in there ever since so they weren’t concerned about my identity. I asked if the doctor had other appointments and the reply was, “No, he has other things to do today.” Even though my apt was supposed to be from 11-12 I was told that I had to give them the number by 10:45 or could leave and not be seen. It’s one thing for me to be treated unkindly or rudely in a grocery store but it’s another when you are dealing with the sensitivity of a pediatric cardiologist’s office. Needless to say this has caused much stress as I need this information to know whether or not my baby might need heart surgery when she is born in order to survive. It could be that we would need to have a surgical team close by if needed for her to continue living.

If anyone has any advice (besides to give them a social security #), please email. I’m sure there are people without these numbers that still receive medical care. I have no desire for a lawsuit but I would like to receive the medical treatment I believe my daughter needs and they are contractually obligated to give us through the contract they have with our insurance company.

Most importantly, please continue to pray for our newest little blessing and family.

Many blessings,

Stephanie

Psalm 128:3

Fruitful Vine to Harry

Olive Plants around our table:

Dawn (21 yrs)

Jay (12yrs)

Avonlea (10 yrs)

Virginia (6 yrs)

Dabney (5 yrs)

Weston (4 yrs)

and Geneva Marie (due to debut this summer)

February 23, 2009

Thank you so much to everyone for all of the prayers for Geneva Marie. They mean so much to all of us. I’m trying to keep a journal I pray she will one day be able to read and see how so many people prayed on her behalf. have more details about the ultrasound findings below and also have addressed some questions that have been asked by some people over the past few weeks.

Her head is looking better and her heart appears to be symmetrical. The nuchal fold is still slightly thick and there appears to be some swelling. This could possibly be due to the fact that she still might have a heart condition that requires surgery immediately after birth, it could mean nothing or it could be something more serious. However, her spine still appears to look great. Many times a “scallop” or “lemon shape” to the head is an indicator of neural/spinal problems. We still don't see any evidence of a cleft palate, club feet or clenched fists which are often associated with Trisomy babies. She has been dubbed "Drama Queen" at the office because she wouldn't hold still AGAIN and it appeared as though she kept touching her head and trying to grab her non-existent hair. : )

We have definitely decided against an amnio unless it is much later and we can be told some information that would help determine where we would deliver, in case she needed heart surgery right away. However, we should be able to tell that with a fetal echocardiogram. At this point an amnio would just be a peace of mind piece of information and there would be no benefit to her at all. There is about a 1 in 200 chance of infection and/or miscarriage. If I had one done now and had the membrane of amniotic fluid ruptured, she would not survive. So, to risk her life for our peace of mind just wasn’t worth it to us. Even though we’ve had some ask if we would find out to “terminate” the pregnancy, this would never be an option for us. Most people who know us know very clearly where we stand on that issue and I am extremely offended at that suggestion. I recall very distinctly driving in my car one day and hearing a young man give his testimony about how doctor after doctor shared with his parents that they should abort him because he had no brain and would only live a few minutes. This young man is now studying to be a neurosurgeon!

According to the lab, they have less than a 5% false positive rating. Essentially that means that odds are against her by a mile, but we are praying that she is one of those 5%. I still have to take the baby aspirin but I guess that is fairly common. I go to my regular OB on Monday and back for another level 2 and fetal echo in 4 weeks. The perinatologist said USUALLY babies with Trisomy 18 show some kind of physical deformity at this stage and she hasn't but that since we are foregoing the amnio, it is a wait and see game. From what I understood, sometime by week 28-32, growth would significantly slow down so a baby that is 32 weeks will measure around 27 weeks. Our babies have been in the 9 1/2 - 10 lb range except for one who was 8lbs 10 oz. Needless to say, my prayers for a normal sized baby have stopped pronto and now I'm happy to have a big baby. So for now, we are going to wait, pray and try to be patient. For those not familiar with Trisomy, it is my understanding that 2/3 of the babies aren’t born alive and for those who do survive birth, less than 10% make it to a year old. (I'm sure there are other statistics but this is what I recall.) Many people refer to this condition as “imcompatible with life” however that really isn’t an accurate term. There are so many different types of Trisomy and different degrees of it. Some children run and play and besides a slight speech impediment, you wouldn’t even know they had any type of medical condition. Some live into their 20’s and I believe the oldest known woman was just over 40 when she recently passed away. Most of the surviving children have speech delays and perhaps need assistance walking. Some participate in normal classrooms but some require special education classes. Each of our children are given a little nickname before they are born or before we know the gender, if we find out ahead of time. Interestingly enough, Geneva's nickname was Baby Who. We've always loved Horton Hears a Who, especially the line, "A person's a person, no matter how small." This seemed perfect for our pregnancy, especially now. The perinatologist's office stated they would no longer continue sonograms and follow up care if they found any disorder from the amniocentesis. Our new OB assured me he would give us the best care possible and that our little angel is a blessing for as long or as little as she lives.

Although it is my sincere desire that Geneva is born a healthy little lady, I also appreciate the fact that if she is not to survive, I have this time to prepare and think about preparations. I have made lists of burial information, checked into laws for burials, thought about her baptism should she survive long enough to have one, etc. These aren’t things I’ve been dwelling upon but simply trying to think about a little now so I wouldn’t have to make split decisions later. I would rather have researched information ahead of time if given the opportunity so my husband and I can discuss our wishes with plenty of time to think about it ahead of time. Everyone handles these types of situations differently and needs to decide what is best for them but these decisions are not up for criticism and something only a person faced with a similar situation might understand. I would never wish this upon anyone and certainly have a new understanding of the processes others face in these situations. I have heard and read about dear families that have had to make last minute decisions and have regrets and it has been overwhelming. Many people are thankful for advance notification their child might have a terminal illness.

I'm not on complete bedrest as of this moment but that could change when I go back for my apt on Monday afternoon. I was specifically told I had to hire out cleaning as I'm not to do any laundry, vacuuming, lifting heavy pans, etc and stay off my feet for too long. At first I thought it was a joke but they weren’t kidding. It looks like I've either had contractions or I might have a fibroid tumor as well. That could be a potentially large problem, but hopefully it will go away. : ) It's important that I not go into labor until as late as possible for many reasons. Most importantly, we need Geneva to be as mature as possible to help her health risks stay low, I have a tendency to bleed a lot anyway and the aspirin could increase that problem so I will probably have to stop taking it closer to delivery. I can't remember the other reasons because I'm so tired. .

Bed rest – I have had some insinuate that perhaps I shouldn’t be on bedrest because if there was something wrong with the baby then I should have a natural miscarriage. I actually appreciated more the person who actually asked me about why I was on bedrest so she could understand better than those that insinuated I shouldn't be trying to stop a miscarriage. : -) Again, this is a very personal decision and something each family has to decide for themselves. When we were expecting Weston, it was suggested I take progesterone cream as my levels dropped to 9 and you usually miscarry at 8. Ideal levels are around 15 and they don’t like you to be below 12. We decided not to take the cream as this sometimes prolongs inevitable miscarriages. Had he been our first pregnancy, we probably would have decided otherwise. However, knowing that we had 4 other pregnancies and none needed progesterone supplements, we know my body usually produced enough on it’s own. However, a friend of mine in college had several miscarriages before it was determined she needed progesterone supplements to have healthy babies. As of now, I was primarily put on bedrest not because of contractions but because of bleeding for other reasons. I had surgery about 1 ½ years ago and was told at the time that it would not be a problem for us to have more children after the surgery. I told my doctor if it was a problem then I would wait until after menopause because although we weren’t actively trying to get pregnant we knew it was a possibility. Most doctors look at my health history and are amazed that we have any children, much less seven. I have had endometriosis, PCOS and other conditions that would all make it difficult to conceive but we’ve been very blessed. We were assured there wasn’t a problem with the surgery. At the time, we were selling one house, buying our farm and living in an apartment closer to my husband’s new job. With all of the expenses, we cut out the internet for about 2 months and I did not research the surgery like I usually do. We planned on having surgery and it wasn’t until my pre-op visit, the day before surgery, that he recommended having the surgery with a mesh. I was told that if I didn’t have the mesh then I would likely have to have it redone in 5-10 years. Well, hubby and I knew that we didn’t want me to go in every so many years for surgery, so we opted to use the mesh. Normally I would have researched it but with no internet, the day before surgery, I didn’t and I SEVERELY regret that decision. I have not been completely comfortable since the surgery. When I did get pregnant and went to the doctor’s office, I was told, “Oh, you are my first patient to have the surgery and then get pregnant. I’ll have to do some more research.” !!! Needless to say, I was very upset. The time for research was ahead of time and now I was feeling like a guinea pig. I have since switched doctors and he never said anything bad about the first doctor but did tell me that some OB’s won’t even perform the surgery unless a woman has her tubes tied. When I told the perinatologist how uncomfortable this pregnancy has been he proceeded to tell me that it is much more uncomfortable for women and I can expect it to only get worse. So, as the baby grows it pulls on the mesh in my body and causes pain and could cause me to possibly bleed. This is mostly why I’m on bedrest and why we have to have a scheduled c-section. I really don’t know what kind of complications there could be from this and why this will have to be our last baby.

And, since I know it will come up in the minds of some, let me just say that the reason I had to have the surgery was not because of how many children we had, it was because I had complications after a pregnancy induction. That’s why I tell women to never have one of those unless it is life threatening. I’ve since learned sooooo much from my wonderful midwives in FL and learned how to prepare my body for labor and delivery, so much so that my first birth with them resulted in Virginia being born in the van. I was painting my nails and had a baby in my arms less than 45 minutes later. Although it wasn’t a part of any of my birth plans, it was the best and funniest labor and delivery I ever had. If any woman wants to know more information about that, I would be happy to share my notes. Now, the only problem with that is that I usually don’t know I’m in labor until I’m pretty close to pushing. With the last three births I’ve had a baby in my arms in less than 2 hours after I know it’s about time to head to the hospital/birth center. Since I have to have a c-section this time and the hospital is over an hour away, I need to be monitored more closely to make sure I’m not going into labor without being aware. My OB has assured me that I very likely will be able to tell this time as I will be much more uncomfortable because of my surgery. l tell you all of this not because I particularly get excitement out of sharing such personal information but because I wish I had known about the problems associated with this mesh surgery and if I can help even just one person then it is worth it to me. : -)

Thank you again so much for your prayers and continued prayers for both of us. We do have peace and comfort knowing the Lord has numbered our days before we were even formed and that His plans are always the best. We are so thankful for this precious gift and pray our lives will be honoring to Him.

Stephanie

Psalm 128:3

Fruitful Vine to Harry

Olive Plants around our table:

Dawn (21 yrs)

Jay (11yrs)

Avonlea (10 yrs)

Virginia (6 yrs)

Dabney (5 yrs)

Weston (4 yrs)

and Geneva Marie (due to debut this summer)

We are excited that Jay will be participating in the Regional Spelling Bee tomorrow! Avonlea came down with a fever so it looks like I will probably be staying home with some children but I’m sure he’ll do great and Daddy will get lots of video! : )

February 13, 2009

Thank you for the prayers for our precious little girl, Geneva Marie. I just received a call from the perinatolgist's office and the news is not very encouraging. As of now, her risk for a genetic disorder is at least 1 in 2. They are recommending an amniocentisis so we will know if and what. My AFP results were the only good results which means the likelihood that it would be a neural tube defect are 1 in 62,000. However, the risk for Down's Syndrome and any of the Trisomy disorders is at least 1 in 2. Please pray for us for peace and wisdom and specifically for her health. Some of you may recall that Weston was given less than a 2% chance for survival much less a healthy baby so we have seen what can happen through prayer before. My desire as of now would be to have an amniocentis after 30 weeks but I just don't know what to do. Thank you so much for your prayers, love and support.

Love,
Steph

Just after sending this email, Mommy had some bleeding and we spent the night in the emergency room. The sonographer did a sonogram and found out the bleeding wasn't because YOU were having complications but Mommy's body was having some trouble since I was having complications from my mesh surgery. Daddy and Mommy celebrated the news and Valentine's Day morning by eating at the Waffle House around 5AM on Valentine's Day. We are so thankful you are alive and well.

February 6, 2009

We are so excited!! Today we are going to find out if you are a boy or a girl. You are the tie breaker you know. You have three older sisters and three older brothers. Dawn was in Switzerland for her job as au pair. Daddy and the rest of your siblings (Jay, Avonlea, Virginia, Dabney and Weston) were all there to see you and find out who you would be. We affectionately referred to you as Baby Who. One of our favorite books is Horton Hears a Who. We know babies are important no mater how small they are. Our favorite line from the book, "A person's a person, no matter how small."

After the sonogram, Mommy sent out the following email:

Hello. We had our sonogram and saw our beautiful baby girl!!! : ) I have to go back for another level 2 sonogram as there were a few issues of concern that we would ask you to join us in prayer about...

1. Left ventricle is visibly smaller than the others. We would like to see this a normal size. As of now, her heart in relation to her body is the right size but this one chamber is smaller than the rest. Even Avonlea asked as to why it was smaller. This is the biggest concern right now. If this were to not improve or get smaller, it could be an indication of a heart defect that would need to be corrected by surgery immediately after birth. The only sure way to know of that would be an amniocentesis which we are opposed to doing unless absolutely necessary and we would want to do it as late as possible. If she in fact needed surgery then we would need to deliver at the hospital several hours away. This is the worse case scenario but we are praying for the best case which is that it will clear up on it's one, which is a possibility. : )

2. Fold thickness - measuring a little thick right now.

3. Amniotic fluid - measuring borderline too much.

4. Head shape - although brain looks good, the shape is an odd shape from certain angles and is just going to be checked again in three weeks at next sonogram.

5. Blood flow to baby - I have to take a baby aspirin once a day to try and increase those vessels.

Again, we are praying all is well and these could all be nothing and we pray that will be the case. We LOVE the perinatologist and his entire office staff today was absolutely fabulous. The little children were all with us and asked tons of questions that were patiently answered. It was a very educational experience for all of us. The doctor told me that he has seen women who have had the same surgery as me before and there is much more discomfort in those pregnancies than others which explains a lot of what's going on with me.

Thanks so much for your prayers. And, a dear friend sent me the name of a chiropractor that I'm going to contact next week to see if I can get some relief.

Blessings,
Stephanie Seabrook

News of my arrival

November 1, 2008

Mommy is suspecting that there might be a new beautiful life inside her. We were out of town, visiting Grandma Joann and PaPa Ron when we decided to take a pregnancy test. It would be very early to find out but Mommy is so excited to tell Daddy once he's home from his meetings. Surprise! Mommy was right! You are coming. She writes a note to Daddy telling him how blessed she is to be his wife and the mother of his SEVEN children!! Will you be a boy or girl? We don't know but you are a tie breaker! :-) Thankfully Mommy started her vitamins weeks ago since she had a hunch that she might get pregnant soon.

My beginning

Psalm 139:15 - 17

My substance was not hid from thee, when I was made in secret, curiously wrought in the lowest parts of the earth.

Thine eyes did see my substance, yet being unperfect; and in thy book all my members were written, which in continuance were fashioned, when as yet there was none of them.

How precious also are thy thoughts unto me, O God! how great is the sum of them!


October 2008

My precious Geneva Marie, you are being formed in your secret place and only our Lord knows of your life.