Liz! That's great news! And no, we are not getting sick of your updates! If the rest of the girls are like me, we are checking this blog more often now to see what's going on with you and with everyone else. You guys have all kept me praying a lot more than I was used to, which is probably a good thing :-) All of us, it seems, are going through "stuff" right now. I just love to see how God is bringing us all through it.
Just a quick update on us - I am still planning on going back to school, but not until October. We are still seeking direction on buying a home. We both want to, but are really waiting on God's timing. We're keeping our options open. We looked at a house that a friend is selling - its not even on the market yet - so if that ends up to be in the right price range, we may pursue it. The only other thing we are doing is paying off debt, finishing our taxes (yippee) and saving for our trips this spring and summer.
Shawn's been a little sick again with something weird, who know what, but I think he's starting to feel a little better. Anyway...that's what's going on here. Not too much compared to the rest of my Sapphire world. Julie - I just saw your pics on myspace of the kiddos and cannot believe how HUGE they are getting! They are so cute! And I LOVE your hair!!! Kimmie - you're in my prayers keep us posted on the move when you have a minute! Love you all!
Sunday, March 30, 2008
Getting sick of my updates yet?
First of all, congrats Jen and Kim! What big news for both of you. You will both have to keep us posted. And you'll be in my prayers. I get lots of prayer time in these days while I pump for Katie:)
The latest news on Katie is this...she's doing pretty awesome with her feedings. She's gone from 3cc's to 10 cc's to 20 cc's to whatever she will eat. Now, she will not eat much more than 20 cc's though right now. We're wanting her to consistently eat at least 30, which is about an ounce. They were waiting for her to do that to take her off of the IV, but decided to cut the IV tonight in hopes that she will be more hungry and nature will take it's course (they've been steadily decreasing the IV until now). So tonight is a big night because she needs to eat more. Also, she sleeps so much and is so darn content that she doesn't much care to eat:) But she is doing pretty well. Just continue to pray that she eats enough and keeps it down.
Also interesting news...another prayer of mine has been just that God takes this situation that I can't understand in my own human nature and uses it to glorify Him. We did meet the couple in the room next to us whose son has Cystic Fibrosis. So we're praying for them and hoping maybe God can speak to them.
Thanks again for all the prayers. Keep them coming as we're hoping for her to get well and strong and come home where she belongs.
The latest news on Katie is this...she's doing pretty awesome with her feedings. She's gone from 3cc's to 10 cc's to 20 cc's to whatever she will eat. Now, she will not eat much more than 20 cc's though right now. We're wanting her to consistently eat at least 30, which is about an ounce. They were waiting for her to do that to take her off of the IV, but decided to cut the IV tonight in hopes that she will be more hungry and nature will take it's course (they've been steadily decreasing the IV until now). So tonight is a big night because she needs to eat more. Also, she sleeps so much and is so darn content that she doesn't much care to eat:) But she is doing pretty well. Just continue to pray that she eats enough and keeps it down.
Also interesting news...another prayer of mine has been just that God takes this situation that I can't understand in my own human nature and uses it to glorify Him. We did meet the couple in the room next to us whose son has Cystic Fibrosis. So we're praying for them and hoping maybe God can speak to them.
Thanks again for all the prayers. Keep them coming as we're hoping for her to get well and strong and come home where she belongs.
Wednesday, March 26, 2008
Swallow Test and Beyond
Ok, I think Angie said she was going to get the word out, but Katie passed her swallow test today with flying colors! I was quite thrilled of course, and the surgeon is just awesome and showed me the x-rays from it so I could see everything myself. It's nice because he takes some time to talk to you and check in and stuff. He was on the unit a lot today because he was there for some surgeries as well.
So next, we start feeding. They are starting her with 3cc's of sugar water(basically pedialite) every 3 hours. As exciting as this morning was, this afternoon was just as draining for me. It's very important that she doesn't throw up a lot because this will stretch and strain and could rip her repair. Also, reflux I think as well is something to be careful of because the acid could burn the stitches. And the surgeon said the repair is weakest around a week (we are a week in tomorrow). So after her first feeding she spit up 4 times. However, prior to the 3cc feeding, she had drank 15cc's of the substance containing the dye for her swallow test this morning. So I am hoping and praying that the spit up was mostly from the dye she drank (I think they just get the babies to drink as much as possible since they might not always cooperate....but Katie was quite ready to take food by mouth and drank a lot). But it was still very difficult for me to see her spit up so much, knowing the dangers an knowing I don't want to ruin how far we've come this week. So the doctor's discontinued the feedings for tonight, and we will try again in the morning. The nurse did tell me this happens sometimes, and I know her little digestive system hasn't had to digest anything yet. So I'm trying to be positive, but this entire experience is a rollercoaster.
So basically, if things go better tomorrow, they will have her on sugar water for a little while, then the chest tube will come out (at which point I'll be able to hold her again), then they will ease her into real feedings and wean her off the IV. At that point (which if all goes well will be 5 days or so), the surgeon will release her from his care and we will just be dealing with feedings and normal preemie stuff before she can go home. So please keep us in prayer. I feel like we're past a huge hurdle and maybe even at a half-way point. But I'm so nervous about un-doing what's been done, so please continue to pray for her feedings and come against any reflux and excessive spit up. I appreciate all of your prayers so much! Please keep them coming...Katie needs them.
So next, we start feeding. They are starting her with 3cc's of sugar water(basically pedialite) every 3 hours. As exciting as this morning was, this afternoon was just as draining for me. It's very important that she doesn't throw up a lot because this will stretch and strain and could rip her repair. Also, reflux I think as well is something to be careful of because the acid could burn the stitches. And the surgeon said the repair is weakest around a week (we are a week in tomorrow). So after her first feeding she spit up 4 times. However, prior to the 3cc feeding, she had drank 15cc's of the substance containing the dye for her swallow test this morning. So I am hoping and praying that the spit up was mostly from the dye she drank (I think they just get the babies to drink as much as possible since they might not always cooperate....but Katie was quite ready to take food by mouth and drank a lot). But it was still very difficult for me to see her spit up so much, knowing the dangers an knowing I don't want to ruin how far we've come this week. So the doctor's discontinued the feedings for tonight, and we will try again in the morning. The nurse did tell me this happens sometimes, and I know her little digestive system hasn't had to digest anything yet. So I'm trying to be positive, but this entire experience is a rollercoaster.
So basically, if things go better tomorrow, they will have her on sugar water for a little while, then the chest tube will come out (at which point I'll be able to hold her again), then they will ease her into real feedings and wean her off the IV. At that point (which if all goes well will be 5 days or so), the surgeon will release her from his care and we will just be dealing with feedings and normal preemie stuff before she can go home. So please keep us in prayer. I feel like we're past a huge hurdle and maybe even at a half-way point. But I'm so nervous about un-doing what's been done, so please continue to pray for her feedings and come against any reflux and excessive spit up. I appreciate all of your prayers so much! Please keep them coming...Katie needs them.
It's official
We signed the lease with our new tenants last night, so we are officially moving to California. We're trying to be out by this weekend, but definitely on Monday at the latest. We don't have anywhere to live yet there -- we've got a few places we're keeping an eye on, but since we don't want to commit to anything until we can see it, we're just waiting until we get down there. Adam's company will put us up in a hotel for a few days until we find something.
So we sort of have a plan now -- but there's still a lot to get worked out. I'm sure it will, but right now, the big picture is a little daunting. We'd appreciate your prayers!
Hope all is well with everyone. Jen, tell Chris congrats for us! Jamie, I totally didn't even get your message until we got back to Seattle. I'm so bummed we missed each other! Liz, we are praying for you and Nathan and your sweet little girl.
Love you all!
So we sort of have a plan now -- but there's still a lot to get worked out. I'm sure it will, but right now, the big picture is a little daunting. We'd appreciate your prayers!
Hope all is well with everyone. Jen, tell Chris congrats for us! Jamie, I totally didn't even get your message until we got back to Seattle. I'm so bummed we missed each other! Liz, we are praying for you and Nathan and your sweet little girl.
Love you all!
update on Chris
Hi girls,
This isn't as urgent as news about Katie, but it's weighed heavy on our hearts for some time now. Chris had a final meeting with his contact at "OR" yesterday in Chicago. "OR" is the company based out of Minneapolis that we hope will be fronting the money for 3 years for Chris' proposed new business. ("OR" is not the real name... i probably shouldn't write the real name quite yet) The meeting went very well. We were hoping to get the final YES, and that's what we got from this guy. However, he has to report to someone and instead of him explaining everything to his boss, they have requested Chris go to Minneapolis and do the presentation again next week. We're feeling really good about it though. We celebrated with a nice dinner out last night and purchased some suits for Chris... one black pin-stripe that he just looks amazing in ;) We don't know the exact day next week but will find out hopefully on Thursday this week.
Meanwhile I'm getting chubby! I've started gaining weight in my face, which i hate. Im gaining everywhere else though too...
Liz, Nathan, Katie... we're praying for you in illinois!
This isn't as urgent as news about Katie, but it's weighed heavy on our hearts for some time now. Chris had a final meeting with his contact at "OR" yesterday in Chicago. "OR" is the company based out of Minneapolis that we hope will be fronting the money for 3 years for Chris' proposed new business. ("OR" is not the real name... i probably shouldn't write the real name quite yet) The meeting went very well. We were hoping to get the final YES, and that's what we got from this guy. However, he has to report to someone and instead of him explaining everything to his boss, they have requested Chris go to Minneapolis and do the presentation again next week. We're feeling really good about it though. We celebrated with a nice dinner out last night and purchased some suits for Chris... one black pin-stripe that he just looks amazing in ;) We don't know the exact day next week but will find out hopefully on Thursday this week.
Meanwhile I'm getting chubby! I've started gaining weight in my face, which i hate. Im gaining everywhere else though too...
Liz, Nathan, Katie... we're praying for you in illinois!
Tuesday, March 25, 2008
Praise God for good reports...
Liz, thanks for the update. I am so thankful for the good reports and look forward to hearing that the swallow test went well on Wednesday. Aaron and I are praying for you, Nathan and Katie and can't wait to hear all about how great it is to hold your baby girl and bring her home. Love you guys, and miss you tons. Let me know if I can do anything else; I feel so helpless and wish I could be there.
I also want to thank you all for helping me get the word out.
Love you girls and Happy Easter.
I also want to thank you all for helping me get the word out.
Love you girls and Happy Easter.
Monday, March 24, 2008
Quick Prayer Update
Ok, here's a very quick update so everyone knows how to pray for little Katie. She's been doing well still. Kinda hanging in there and healing the past couple days. She's off the respirator and worked out the tube that was down her nose (she's getting feisty). She's also off the sedatives. She's getting a little cranky from time to time and wants to eat. The tube feeding is not cutting it for her. Her swallow test is Wednesday. They will give her something to drink with contrast(dye) and watch it go down to make sure it goes where it should and not anywhere it shouldn't. This is a very important test and will show how she's healed and if the surgery was effective, which of course we are believing it is 110%. If all goes well with that, the tube in her chest will be removed and they will begin feeding her by mouth. Removing the chest tube also means we can hold her again. So needless to say, we're anxious and excited about Wednesday. Keep everything in prayer please. The surgeon thinks she is doing well, and said some would do the swallow test today or tomorrow, but he'd rather not take any chances and let everything heal up well. So just one more long day to get through from a parental perspective of sitting with our little girl and not being able to do anything. God doesn't give us any more than we can handle. We're believing for more good reports. Katie's proving to be a little fighter. I wanted to give the update so everyone could be specific with prayer.
I also received my shower gifts from my Sapphire girls today:) Thank you all so much! It was very generous and very much appreciated. And thanks to Angie because I know you worked it all out and took care of it quickly for us. I think we plan on applying to our bedding so Katie has somewhere to sleep when she gets home:) Ok, thank you all again for everything. You have no idea how much the prayers, encouragement, and support mean to us right now!
I also received my shower gifts from my Sapphire girls today:) Thank you all so much! It was very generous and very much appreciated. And thanks to Angie because I know you worked it all out and took care of it quickly for us. I think we plan on applying to our bedding so Katie has somewhere to sleep when she gets home:) Ok, thank you all again for everything. You have no idea how much the prayers, encouragement, and support mean to us right now!
Friday, March 21, 2008
Quick update
Hello girls, I thought I'd give a quick update. I can tell Angie has been awesome about disseminating information(thanks again Ang), and Julie gave a pretty accurate description of Katie's condition. If you look at the end of the post to the definitions she pulled up, Katie has the last type of TEF, the most common type. The top of her esophagus ends and is a little larger than normal, and the bottom of her esohpagus attaches to her trachea. They found it right away because she was preterm and them went to insert a tube into her stomach(I think to feed her), and the tube obviously stopped where her esophagus ended. She was also frothing a little from fluid coming back up, although she did well that first night. She has also been checked for many of the things Julie mentioned that can accompany the TEF. So far she has none of them! She's had a bowel movement and everything else checks out well. They only have to check her kidneys (although she is urinating, so that's good) and do a head scan. I'm not sure exactly what the head scan looks for. So we are very grateful for that.
The surgery went exactly as expected, and her type of TEF isn't one of the more difficult ones. Some are more involved with surgery and require more stretching of the parts inside. And some are done on preterm babies as small as 2 pounds, so she was a good size at 4 pounds, 6 ounces. She's recovering well so far. Of course, I'm nervous and it's almost hard to be excited about how well she is doing when there is still so far to go. They've kept her very sedated so she doesn't disturb any tubes right now. She has breathing tubes even though she can breathe normally...I think just in case she needs it and so she doesn't have to work at all. They can't have her moving much or pulling any tubes out (there is also a tube in her chest in case of leakage, which there has been none of so far, Praise God). They're reducing her drugs that keep her sedate tonight by half, and then taking her off of them tomorrow. This is awesome news because she is doing well quickly, but also makes me nervous of course, because i expected her to be asleep all weekend (she wakes a little, but not much). But the hospital is one of the best and the NICU there is amazing, and it was originally designed for gastrointestinal issues for babies, so we're in the very best care possible. Anyway, the nurses all say she is doing very well. The doctors are harder to talk to because they tell you everything that could happen, and they don't all have the best bedside manner, but they are good. And I love her surgeon. And her new pediatrician came in, who I had to choose on the spot in labor without having met him yet (that was an appointment to happen this week). He is really great and actually has quite a few children in his care with TEF, and they're all doing great. God has been awesome and has put so many people in touch who have dealt with this or know someone who has, and they all say children with TEF can do quite well. We of course, are praying for no side affects, no difficulty with the esophagus contracting, and no issues with reflux down the road. And for now, we are praying hard for no reflux during recovery and for the swallow test to go well. They will test her swallowing by about day 6 after the surgery to see how she's doing, and only after that will they think about food by mouth. Please pray for all of this. So far she's done very well and is a fighter, but we want to continue to pray for the recovery and how things go as she is tested and weaned off of support.
I want you all to know how blessed I am at how much you care and to know you're posting info so you all know how to pray for us. I cried when I read Julie's blog and your prayer right now mean more to us than anything in the world. Everything has all happened quickly and things are just now beginning to sink it. And it's immensely hard to be home right now and not in the same building as Katie. Much harder than I thought it would be, and it's hard to not feel guilty. And it's hard to be on a floor with so many sick babies and see mothers crying as they hold their babies. So pray for peace for Nathan and I as well. We feel incredibly blessed that she made it so far and is a good weight and is well, and that this is not life threatening as are the conditions of so many babies in the NICU around us.
Thank you again. For the fun details, we're excited for a baby girl, shocked by a head of dark hair (we of course expected a fair and bald baby), and Nathan's already dreading teenage years and boys. She was 4 lb, 6 oz, 18.5 inches long, and was born 3/19/08 at 9:55pm. She came barreling into the world after maybe 5-7 pushes and 5 hours of labor (probably 3 of which I did not believe I was in labor except for the proof of the contractions on the screen and the testimony of the nurses that they were real and normal labor contractions). So you can see she's causing trouble already and is a fighter, so we have high expectations and are believing God for the best. We don't understand it all, but are truly believing He is going to use this situation for His glory and that soon it was all be just a dream. Thanks again for your prayers!
The surgery went exactly as expected, and her type of TEF isn't one of the more difficult ones. Some are more involved with surgery and require more stretching of the parts inside. And some are done on preterm babies as small as 2 pounds, so she was a good size at 4 pounds, 6 ounces. She's recovering well so far. Of course, I'm nervous and it's almost hard to be excited about how well she is doing when there is still so far to go. They've kept her very sedated so she doesn't disturb any tubes right now. She has breathing tubes even though she can breathe normally...I think just in case she needs it and so she doesn't have to work at all. They can't have her moving much or pulling any tubes out (there is also a tube in her chest in case of leakage, which there has been none of so far, Praise God). They're reducing her drugs that keep her sedate tonight by half, and then taking her off of them tomorrow. This is awesome news because she is doing well quickly, but also makes me nervous of course, because i expected her to be asleep all weekend (she wakes a little, but not much). But the hospital is one of the best and the NICU there is amazing, and it was originally designed for gastrointestinal issues for babies, so we're in the very best care possible. Anyway, the nurses all say she is doing very well. The doctors are harder to talk to because they tell you everything that could happen, and they don't all have the best bedside manner, but they are good. And I love her surgeon. And her new pediatrician came in, who I had to choose on the spot in labor without having met him yet (that was an appointment to happen this week). He is really great and actually has quite a few children in his care with TEF, and they're all doing great. God has been awesome and has put so many people in touch who have dealt with this or know someone who has, and they all say children with TEF can do quite well. We of course, are praying for no side affects, no difficulty with the esophagus contracting, and no issues with reflux down the road. And for now, we are praying hard for no reflux during recovery and for the swallow test to go well. They will test her swallowing by about day 6 after the surgery to see how she's doing, and only after that will they think about food by mouth. Please pray for all of this. So far she's done very well and is a fighter, but we want to continue to pray for the recovery and how things go as she is tested and weaned off of support.
I want you all to know how blessed I am at how much you care and to know you're posting info so you all know how to pray for us. I cried when I read Julie's blog and your prayer right now mean more to us than anything in the world. Everything has all happened quickly and things are just now beginning to sink it. And it's immensely hard to be home right now and not in the same building as Katie. Much harder than I thought it would be, and it's hard to not feel guilty. And it's hard to be on a floor with so many sick babies and see mothers crying as they hold their babies. So pray for peace for Nathan and I as well. We feel incredibly blessed that she made it so far and is a good weight and is well, and that this is not life threatening as are the conditions of so many babies in the NICU around us.
Thank you again. For the fun details, we're excited for a baby girl, shocked by a head of dark hair (we of course expected a fair and bald baby), and Nathan's already dreading teenage years and boys. She was 4 lb, 6 oz, 18.5 inches long, and was born 3/19/08 at 9:55pm. She came barreling into the world after maybe 5-7 pushes and 5 hours of labor (probably 3 of which I did not believe I was in labor except for the proof of the contractions on the screen and the testimony of the nurses that they were real and normal labor contractions). So you can see she's causing trouble already and is a fighter, so we have high expectations and are believing God for the best. We don't understand it all, but are truly believing He is going to use this situation for His glory and that soon it was all be just a dream. Thanks again for your prayers!
TEF concerning Katie

Hey girls, Angie asked me to post a little something about TEF which is the medical condition our newest little Sapphire is dealing with. I asked Josh to explain it all to me and I will do my best to interpret it as best I can. I am also going to post an explanation from a medical journal website that you all are welcome to read through, but it can be a little confusing so I'll try to explain it a bit first. TEF or tracheoesophageal fistula is a birth defect that develops very early on in pregnancy. It is where the trachea (windpipe) and the esophagus (the tube that food goes down into our stomachs) do not develop and separate properly. A connection fuses somewhere between the trachea and esophagus. Consequently, when the baby tries to eat, the food spills from the esophagus into the trachea and then, sometimes, into the lungs, causing aspiration. It will make the baby choke and struggle to breath. It is a pretty serious condition because the baby cannot feed until it is resolved. This is why Katie would have had surgery so quickly yesterday. During surgery, the doctors go in and tie off the fistula (connecting tube) between the trachea and esophagus. Incidentally, the TEF is likely why Liz went into preterm labor. The baby is not able to swallow the amniotic fluid adequately during pregnancy and there develops an excess of fluid in the uterus, causing preterm labor. There are actually several different types of TEF and sometimes it is necessary for the doctors to reattach pieces of the esophagus that have separated from each other. I have posted a diagram below of the different types of TEF. The picture above with the baby is the most common (87% of cases) and is most likely what Katie has. But I don't know for sure. The first tube in the pics is the trachea that goes into the lungs and the second tube is the esophagus. You can see how it connects to the trachea in some pictures and how it is gapped and would need to be reconnected to itself in several pictures.

The good news about TEF is that it can usually be surgically resolved, which it sounds like is the case with Katie. The danger after surgery is acid reflux problems that can cause scarring and ulcers in the little baby. Also, feeding can continue to be difficult because of the challenge of contracting esophageal tissues needed for swallowing after surgery. In some, not all,(approximately 50%) of cases of TEF... the condition can be linked to other birth defects or other physical conditions, usually cardiac disorders. Sometimes it can be linked to birth defects involving vertebra, anus, renal anomalies, or limb anomalies (radial dysplasia). Some of these would have been obvious immediately and can be ruled out already. I'm sure the doctors are looking for any of these possible links in Katie and we just need to be praying that she is perfectly healthy other than the TEF. We also need to be praying for quick recovery for her and that she does not struggle with acid reflux problems or swallowing problems. I hope this info. helps a little. I have posted an article below that explains the condition more medically if you are interested. I'm sure it will fill in any gaps I have missed as well. Love you girls!
WHAT IS TEF?
At the beginning of a pregnancy, the trachea ("windpipe") and the esophagus ("foodpipe") are one single tube, called the primitive foregut*. Between the 23 rd and the 28th day of pregnancy, a time when many women are not even sure they are pregnant, this single tube divides into two tubes – the trachea, which takes the air you breathe to the lungs, and the esophagus, which takes food, water, and saliva to the stomach. If something should ever go wrong with this division, as it does in approximately one out of every 3,500 – 4,000 births, the baby is born with a medical condition known as esophageal atresia and/or tracheoesophageal fistula. The anomalies are thought to arise from 1) a defective division of the primitive foregut into the trachea and esophagus, 2) defective growth of the entodermal* cells leading to atresia, or 3) incomplete fusion of the lateral side walls of the foregut during separation of the trachea from the foregut causing a tracheoesophageal fistula.
Atresia means an absence or closure of an orifice or tubular organ. In this case, the esophagus has a gap between its upper and lower segments, so that nothing can pass through, not even saliva. The fistula is a connection between the esophagus and trachea, which, depending on its position, either lets food or acidic stomach juices into the lungs. When a fetus has esophageal atresia, the inability to swallow and eliminate amniotic fluid may result in polyhydramnios.* This is the first sign of possible atresia at some level in the upper gastrointestinal tract and may lead to premature birth.
Many babies born with this defect have other medical problems – all associated with organs that were being formed during the same period at the beginning of the pregnancy. At least 25% of these babies are premature, and 25% have additional critical problems such as congential heart disease, Down's Syndrome*, hydronephrosis*, duodenal atresia*, and tracheomalacia*. Ten percent of the babies have an imperforate anus*, and one-half have vertebral or skeletal anomalies. Researchers found that it was not uncommon to have vertebral (V), anal (A), tracheo-esophageal (TE), and/or radial limb or renal (kidney) (R) anomalies, which was abbreviated as VATER syndrome (or VATER association) by Quan and Smith in 1973. This syndrome is also currently being termed as VACTERL, the C referring to cardiovascular problems, and the L to limb defects, because of the high percentage of children with VATER syndrome born with these latter anomalies.
How is this anomaly discovered?
In type A atresia, both esophageal segments are blind pouches, and neither connected to the trachea. It maybe termed as pure esophageal atresia and may be considered either short or long gap, depending on the space between the segments. An infant born with pure esophageal atresia may appear normal at birth, but as they swallow, secretions fill the esophageal pouch, causing an overflow into the oropharynx*, and the infant will drool excessively. When the infant is fed, vomiting and respiratory distress follow (aspiration). Continual suctioning temporarily relieves these symptoms. Both the excessive secretions and drooling in a newborn strongly suggest esophageal atresia.
In type E (or H-type tracheoesophageal fistula without atresia) the fistula may occur anywhere between the level of the cricoid cartilage* and the mid-esophagus. However, the fistula is usually higher in the trachea than in the esophagus. A fistula such as this may be as small as a pinpoint. Symptoms that may signal this H-type fistula are repeated episodes of lung inflammation (pneumonitis), infection of the lungs or respiratory system (pulmonary infection), and swollen abdomen (abdominal distention). When a child with this disorder drinks, he coughs, chokes, and becomes cyanotic (bluish discoloration of the skin and mucous membranes). The reasons for this are that excessive mucous builds up in the esophagus, producing abdominal distention. This type of tracheoesophageal fistula may be overlooked, since such a child may appear normal at birth. It is possible for diagnosis to be delayed as long as a year.
In types B and D, the upper portion of the esophagus opens into the trachea, a life-threatening condition since an infant with this anomaly can aspirate saliva or food into the trachea. Both type B (proximal fistula and type D (fistula to both segments) cause immediate inhalation of saliva into the trachea airway and bacterial pneumonitis*.
The most common tracheoesophageal fistula is Type C, which includes esophageal atresia. The upper section of the esophagus ends in a blind pouch, and the lower section ascends from the stomach and connects with the trachea by a short fistulous tract. A newborn with tracheoesophageal fistula with esophageal atresia appears to swallow normally, but soon after swallowing coughs, struggles, becomes cyanotic (skin turns blue in color), and stops breathing since he is inhaling aspirating) fluid returning from the blind pouch of the esophagus through his nose and mouth. In this infant stomach distention may cause respiratory distress. Also air and gastric contents (bile and gastric acid secretions) may reflux through the fistula into the trachea, resulting in chemical pneumonitis*.
Wednesday, March 19, 2008
we're going to joe's wedding!
got our plane tickets today - fly in friday and leave Sunday. We can't stay long because Chris will be in the beginning stages of his company, and we're trying to save money for when the baby comes. Speaking of baby, you can read my blog if you want... but they did an ultrasound on friday because i am getting big so fast! But one baby, and only one baby (unless someone's hiding) is coming in October. Baby Akers just has a lot of room in there is all. looking forward to June!!!
Tuesday, March 18, 2008
Can't wait!
Hey girls - this will be a quick note since I'm at work. Actually, most of the time I write these I'm at work. The problem is I don't have internet at home, unless I decide to use the neighbors internet, but that ends up taking forever cause its so slow.
Anyway, I'm so excited to hear that so many of you are trying to make the trip to DC and PA. And I'm even more excited that Julie & Steph have already purchased tickets. I miss you guys and it will be so fun to see you all again. Just a reminder to those of you who are still looking into coming - all housing is free in PA! There is plenty of room for everyone (including husbands and babies)! Can you tell I really want everyone to come!
Like I said, just a quick note. It has been so great to hear what is going on with everyone lately. Jamie, I loved the 'teacher of the year' story. So funny!
Julie, what is your plan for when you first get into PA? You are welcome to stay with us then as well. Although, since you and Josh don't see each other much, I would understand if you decide to spend a few nights in Philly. Let me know what you decide.
Love you girls and bye for now.
Keep those DC/PA plan updates coming!
Anyway, I'm so excited to hear that so many of you are trying to make the trip to DC and PA. And I'm even more excited that Julie & Steph have already purchased tickets. I miss you guys and it will be so fun to see you all again. Just a reminder to those of you who are still looking into coming - all housing is free in PA! There is plenty of room for everyone (including husbands and babies)! Can you tell I really want everyone to come!
Like I said, just a quick note. It has been so great to hear what is going on with everyone lately. Jamie, I loved the 'teacher of the year' story. So funny!
Julie, what is your plan for when you first get into PA? You are welcome to stay with us then as well. Although, since you and Josh don't see each other much, I would understand if you decide to spend a few nights in Philly. Let me know what you decide.
Love you girls and bye for now.
Keep those DC/PA plan updates coming!
Monday, March 17, 2008
Teacher of the Year
So, I just figured out how to add our blog to my home page and I'm loving that I see your updates right away. :) Here is something that hopefully will make you laugh...
A few weeks ago I had a horrible cold. While I was teaching in a 3rd classroom I was leaning over a boy helping him with something on his computer. When all of a sudden my nose starting leaking... right on to the top of this poor kid's head. Only one drip and then I ran for the Kleenex, but still. Poor kid... his teacher's nose leaked on his head. (And I didn't even tell him what had happened. That's right... I'm up for teacher of the year! )
We are working on getting to Joe's wedding too. We'll let you know what we discover.
A few weeks ago I had a horrible cold. While I was teaching in a 3rd classroom I was leaning over a boy helping him with something on his computer. When all of a sudden my nose starting leaking... right on to the top of this poor kid's head. Only one drip and then I ran for the Kleenex, but still. Poor kid... his teacher's nose leaked on his head. (And I didn't even tell him what had happened. That's right... I'm up for teacher of the year! )
We are working on getting to Joe's wedding too. We'll let you know what we discover.
Joe's wedding
Hey girls! Steph, I'm glad to hear you're heading back to school. That will be an exciting new adventure! I'm jealous, I love school. =) Seriously, I'm a little nerdy like that. Jamie, I'm happy to hear you guys are good too. And I'm jealous you guys hooked up in Colorado. Although I have gotten to see Kim a few times lately. ha! j/k. Anyways, I just wanted to fill you guys in on our plans for Joe's wedding, since people are posting plans. Unfortunately, we couldn't book our trip into July at all because of Josh's schedule. But we still wanted to make a worthwhile trip to see people and hang out with each other too (me and Josh cause we don't see each other much either). So, Josh booked tickets to fly into Philadelphia on Skybus on June 24th through June 30th. So that's it for us. We'll miss most of the fun after the wedding. =( But such is life. love you guys!
Last but not least...



I think I'm the last one to post anything...ooops! :-) Well things here have finally settled a little. We have been so sick this year and it has been so bad! But! I hope that's all behind us now, and we can move on into Spring, healthy and happy. February came with a nice weekend away to Owasso, of all places, for Valentine's Day. We didn't do too much exciting, did some shopping, a movie and dinner, but stayed in a new hotel that was pretty nice. We didn't go to into Tulsa for the whole weekend! :-) Then, as soon as I recovered from the full blown flu, about two weeks later, we had a BIG party celebrating Shawn's golden birthday (28 on the 28th) and his graduation from OSU. All together we had about 45 people come through, either for dinner or bowling. A lot of his family came up to, so that was fun. The stomach flu arrived to visit Shawn the next day, and as I was going to visit Jacqueline the next weekend, it visited me. I wasn't as sick as my hubby, but it was no fun to travel with it! Thankfully, I got to Denver and had a great time with Jacqueline and baby Avery. She just turned a month old when I was there, and had just reach 8 whole pounds. :-) I was SO excited because Jamie came up to have lunch with me and Jac at the Cheesecake Factory down town. It was fabulous to visit with her! (Jamie - you'll have to send me the pic you took of us!). Since I have been back from there, I have been laying low. I've never had to try so hard to be healthy before!
Work for me continues to be an obstacle. There are days when I don't mind what I am doing, but overall, I've been pretty stressed and frustrated. Shawn and I have recently discussed our next step in life, and most of you know that we have been looking into purchasing our first home. Well...I think we've decided that the next step for us is for me to head back to get my Masters degree in Marriage and Family Therapy. We may still be able to purchase a home and have me go back to school, but we've decided that school will come first. It's a pretty big deal since I have been trying to get myself back into school for years. More than likely, when I start school, I may stay here at this job for a sememster but probably no longer than that. That will again mean some big changes for us, but I know it will all work out in the end. Just keep us in your prayers, too!
Ok, I feel like I'm leaving stuff out, but I don't know what else to say! Just so you all know, Shawn and I just bought our tickets for Joe's wedding - we'll be coming in on June 27th and are staying with Ang and Aaron until July 5th! We are SOOO excited about it! :-)
Love you girls!! I like all this posting...let's keep it up!
Saturday, March 15, 2008
Hooray!
Hey girls.
Love the posts too. Jen.. I tried to text you back. I'm so excited for you!! And that you are feeling great is amazing. Liz, you look amazing. I can't wait to see pics of your little one. Send more pics of your prego state... I'm developing a page for the book of all of you having babies and I need some more of you. :)
Julie, I love reading what is going on in your life. Sounds like Columbus is perfect. And the fact that Lilah laughs regularly is a great sign that you are a great mom! I love the idea of vinager on Seth's tounge... way to go Super Mom!
Steph is was so wonderful to see you last weekend!! You looked amazing! Kim... how long are you guys going to be in Colorado? I would love to visit you and meet Violet!! Let me know if that is possible. Angie. thank you for the invite, Nick and I are going to seriously think about it now.
We were going to skip Joe's wedding because we are thinking about buying a new house. We haven't sold or even rented out our current house, we are just itching for change. So, at the moment, we have signed a contingency on a brand new house about a mile east from where we are now. It's a beautiful house with a goregous basement. However the finiancing doesn't seem to be working for us right now. We aren't sure what is next... pray that God really makes it clear.
Nick is finishing up his grad degree in the next few weeks. He has one more class and about 45 pages worth of papers to finish. He graduates May 10!! Hooray!!!
Oh... and we are going on a cruise March 30 to celebrate birthdays and graduation and spring break! We are so excited about taking some time for us. We haven't done that since our honeymoon.
So... My thought is I need to start blogging more often so that these messages aren't so long. I love you girls so much. I'm really starting to enjoy scrapbooking and need more pictures of your lives! Send them soon. :)
Love the posts too. Jen.. I tried to text you back. I'm so excited for you!! And that you are feeling great is amazing. Liz, you look amazing. I can't wait to see pics of your little one. Send more pics of your prego state... I'm developing a page for the book of all of you having babies and I need some more of you. :)
Julie, I love reading what is going on in your life. Sounds like Columbus is perfect. And the fact that Lilah laughs regularly is a great sign that you are a great mom! I love the idea of vinager on Seth's tounge... way to go Super Mom!
Steph is was so wonderful to see you last weekend!! You looked amazing! Kim... how long are you guys going to be in Colorado? I would love to visit you and meet Violet!! Let me know if that is possible. Angie. thank you for the invite, Nick and I are going to seriously think about it now.
We were going to skip Joe's wedding because we are thinking about buying a new house. We haven't sold or even rented out our current house, we are just itching for change. So, at the moment, we have signed a contingency on a brand new house about a mile east from where we are now. It's a beautiful house with a goregous basement. However the finiancing doesn't seem to be working for us right now. We aren't sure what is next... pray that God really makes it clear.
Nick is finishing up his grad degree in the next few weeks. He has one more class and about 45 pages worth of papers to finish. He graduates May 10!! Hooray!!!
Oh... and we are going on a cruise March 30 to celebrate birthdays and graduation and spring break! We are so excited about taking some time for us. We haven't done that since our honeymoon.
So... My thought is I need to start blogging more often so that these messages aren't so long. I love you girls so much. I'm really starting to enjoy scrapbooking and need more pictures of your lives! Send them soon. :)
Wednesday, March 12, 2008
ORU Slim Shady
Hey girls! My brothers and I ran across something this weekend that was pretty funny. I'm sure you all remember the legendary ORU Slim Shady song by the infamous DJ Clay during our time at ORU. Well, in light of the more recent events at ORU, DJ Clay has released a new song that sums up the ORU scandal with his trademark sarcastic and scathing lyrics. It's pretty classic and I thought you guys might be up for some more "scandalous" downloading. =) I pasted the link for the new song below as well as DJ Clay's website where you can find the new song, the original ORU Slim Shady, lyrics for the new tune, and the background and story behind original mix that got Clay expelled. (Also, a secretly recorded soundbite of Clay's meeting with Dean Boyd during the Slim Shady scandal.) Pretty funny. Miss you girls!
"ORU NATION CONNECTION" Page and the Home of the official "ORU SLIM SHADY
http://www.djconnectiontulsa.com/index.cfm?id=110
"RICHARD APOLOGIZES: ORU SLIM SHADY 2"...
http://www.djconnectiontulsa.com/admin/files/files/APOLOGIZETHEORUSLIMPART2.mp3
"ORU NATION CONNECTION" Page and the Home of the official "ORU SLIM SHADY
http://www.djconnectiontulsa.com/index.cfm?id=110
"RICHARD APOLOGIZES: ORU SLIM SHADY 2"...
http://www.djconnectiontulsa.com/admin/files/files/APOLOGIZETHEORUSLIMPART2.mp3
Thursday, March 06, 2008
yea! finally!
I got so sick of seeing my Mexico post up here so was thrilled when I came back from lunch to see all these new posts!
So, Liz and Jamie... i hope you got my text from a few weeks back? If you didn't this will be the first you hear of my news! I'm 8 weeks along tomorrow! Sorry Julie, I'm also feeling pretty good. I only get waves of nausea a few times a week. They are unexpected but last only 10 minutes or so while i force feed myself some soda crackers and lean over the trash can just in case. I feel a little spungy from bloating, water weight, gas, etc. So i had to purchase a few shirts that are a little more forgiving around the tummy area. The whole front side of me is swelling it seems :)
As much as i'd like to believe we're having a boy, i'm drawn to pink stuff in the mall so we will just see!
Chris and I are still undecided about Joe's wedding. We're at the end of our un-planned bathroom re-model so money is a little tight. We really want to go, so we'll try and find a way.
Liz, you look beautiful and I can't wait for you to meet your baby!!
So, Liz and Jamie... i hope you got my text from a few weeks back? If you didn't this will be the first you hear of my news! I'm 8 weeks along tomorrow! Sorry Julie, I'm also feeling pretty good. I only get waves of nausea a few times a week. They are unexpected but last only 10 minutes or so while i force feed myself some soda crackers and lean over the trash can just in case. I feel a little spungy from bloating, water weight, gas, etc. So i had to purchase a few shirts that are a little more forgiving around the tummy area. The whole front side of me is swelling it seems :)
As much as i'd like to believe we're having a boy, i'm drawn to pink stuff in the mall so we will just see!
Chris and I are still undecided about Joe's wedding. We're at the end of our un-planned bathroom re-model so money is a little tight. We really want to go, so we'll try and find a way.
Liz, you look beautiful and I can't wait for you to meet your baby!!
Wednesday, March 05, 2008
'Tis the season for blogging
I love all these updates -- it makes me feel oh so close to all of you, even though we're oh so far away.
Adam and I (and Violet) are in the midst of many travels right now. A couple weeks ago, we went to Santa Monica where Adam worked long hours and I drove around looking for movie stars. Unfortunately, I found none. But I did really fall in love with the area. Violet and I spent some time on the beach and I have to say that all the sunshine there seems to make people a lot happier than those in Seattle. So I'm slowly getting myself worked up to being exciting about moving. Of course, it all still hinges on finding someone to rent our house in Seattle, which has been unproductive so far. We're going to have to drop the price again, which pretty much sucks, but hopefully someone will rent it soon so we can get this show on the road.
Tomorrow we're leaving to go to Ohio to show off the baby to our family and spend some quality time with them, as well as Josh and Julie. Yay! When we get back from that excursion, we have about a week before we leave for Colorado for Easter. Then we'll be done for a while. Violet did great traveling to SoCal so hopefully she continues that trend to Ohio and Colorado.
I'm sitting here writing this right now with my leg propped up on a chair, doped up on pain killers because I took a tumble down the stairs the other night. It seems to be a hobby of mine, this falling down the stairs, and it's really a miracle I've lasted so long in this house of stairs without falling before now. I sprained my ankle and bruised my arm up pretty good. But the good thing is I get to dip into my leftover Percocet, which is lots of fun.
Well, I guess I'll wrap this up and go feed the baby. Love you all!
Adam and I (and Violet) are in the midst of many travels right now. A couple weeks ago, we went to Santa Monica where Adam worked long hours and I drove around looking for movie stars. Unfortunately, I found none. But I did really fall in love with the area. Violet and I spent some time on the beach and I have to say that all the sunshine there seems to make people a lot happier than those in Seattle. So I'm slowly getting myself worked up to being exciting about moving. Of course, it all still hinges on finding someone to rent our house in Seattle, which has been unproductive so far. We're going to have to drop the price again, which pretty much sucks, but hopefully someone will rent it soon so we can get this show on the road.
Tomorrow we're leaving to go to Ohio to show off the baby to our family and spend some quality time with them, as well as Josh and Julie. Yay! When we get back from that excursion, we have about a week before we leave for Colorado for Easter. Then we'll be done for a while. Violet did great traveling to SoCal so hopefully she continues that trend to Ohio and Colorado.
I'm sitting here writing this right now with my leg propped up on a chair, doped up on pain killers because I took a tumble down the stairs the other night. It seems to be a hobby of mine, this falling down the stairs, and it's really a miracle I've lasted so long in this house of stairs without falling before now. I sprained my ankle and bruised my arm up pretty good. But the good thing is I get to dip into my leftover Percocet, which is lots of fun.
Well, I guess I'll wrap this up and go feed the baby. Love you all!
I definitely agree with Julie, it had been way too long...
Things here in PA have been unusually busy. We moved our office this past week, which turned out to be a lot more work than anticipated. We are still working on getting things put into place, but over all the move is done. As I speak, my brother and dad are building a wall, so yea, there will be lots of things to do for a while. At work at least.
I also had a pampered chef party last week and I'm still working on getting things closed out. If you didn't get a chance to shoot me an order, there is still time, but I think I'll end up closing things out tomorrow night. The party went well and it looks like I'll have a pretty good amount for free stuff. I'm definitely looking forward to that. The trick is finding the things that I REALLY want and putting some things off till next time.
I was contemplating becoming a consultant, but I think I've decided not to do that for now. I've been praying about it a lot and every time I do I always get the feeling that its not the right time. So I've decided to put that on the back burner for now and wait to see what God has in store. This was a pretty hard decision for 'cause there are so many good reasons to go ahead with it. Like the extra income, the opportunity to build it up so I can work from home (which would be especially nice for when we have kids); it would give me something to do on the nights that Aaron is at work; it would give me the opportunity to branch out and meet new people. It seems like a good fit, but for some reason I don't have a peace about it. We'll see what happens next. If you think about it, pray that I would have direction in this area. I really would like to do all of the things that I said - meet new people, something to do when Aaron is at work, etc....
Aaron is doing well. Things at work will hopefully pick up this month. February ended pretty well, so all signs say that they will. March, April and May are usually the best months of the year and we are hoping for some pretty big ones this year. We have some goals set and they depend on Aaron having a good year.
OK well, that's the update here, but before I go I wanted to invite you all to my house after Joe's wedding. I've blocked out the rooms at my parents and there would be plenty of space for everyone, including babies. Between my house and my parents everyone would have a room. I know that Steph and Shawn are planning to be here for the entire week after and it would be great to have everyone up. The following Friday is 4th of July, which would make for some fun parties and such. I also heard from Adam and Kim, and it sounds like they will be here for at least a couple of days. I also heard from Julie and they are going to try to make the trip. Nate and Liz will at least be at the wedding (with baby in tow), so that just leaves Jamie and Jen. It would be great to see all of you, at least at the wedding and it would be so fun to have a mini-reunion in PA for anyone who can stay. I would definitely make your stay worthwhile.
Well, Let me know your plans for the wedding. I hope to see you all there.
I love you girls and miss you tons.
Hopefully we can be more faithful with the blog in the future (yea I'm talking to myself too).
Things here in PA have been unusually busy. We moved our office this past week, which turned out to be a lot more work than anticipated. We are still working on getting things put into place, but over all the move is done. As I speak, my brother and dad are building a wall, so yea, there will be lots of things to do for a while. At work at least.
I also had a pampered chef party last week and I'm still working on getting things closed out. If you didn't get a chance to shoot me an order, there is still time, but I think I'll end up closing things out tomorrow night. The party went well and it looks like I'll have a pretty good amount for free stuff. I'm definitely looking forward to that. The trick is finding the things that I REALLY want and putting some things off till next time.
I was contemplating becoming a consultant, but I think I've decided not to do that for now. I've been praying about it a lot and every time I do I always get the feeling that its not the right time. So I've decided to put that on the back burner for now and wait to see what God has in store. This was a pretty hard decision for 'cause there are so many good reasons to go ahead with it. Like the extra income, the opportunity to build it up so I can work from home (which would be especially nice for when we have kids); it would give me something to do on the nights that Aaron is at work; it would give me the opportunity to branch out and meet new people. It seems like a good fit, but for some reason I don't have a peace about it. We'll see what happens next. If you think about it, pray that I would have direction in this area. I really would like to do all of the things that I said - meet new people, something to do when Aaron is at work, etc....
Aaron is doing well. Things at work will hopefully pick up this month. February ended pretty well, so all signs say that they will. March, April and May are usually the best months of the year and we are hoping for some pretty big ones this year. We have some goals set and they depend on Aaron having a good year.
OK well, that's the update here, but before I go I wanted to invite you all to my house after Joe's wedding. I've blocked out the rooms at my parents and there would be plenty of space for everyone, including babies. Between my house and my parents everyone would have a room. I know that Steph and Shawn are planning to be here for the entire week after and it would be great to have everyone up. The following Friday is 4th of July, which would make for some fun parties and such. I also heard from Adam and Kim, and it sounds like they will be here for at least a couple of days. I also heard from Julie and they are going to try to make the trip. Nate and Liz will at least be at the wedding (with baby in tow), so that just leaves Jamie and Jen. It would be great to see all of you, at least at the wedding and it would be so fun to have a mini-reunion in PA for anyone who can stay. I would definitely make your stay worthwhile.
Well, Let me know your plans for the wedding. I hope to see you all there.
I love you girls and miss you tons.
Hopefully we can be more faithful with the blog in the future (yea I'm talking to myself too).
Tuesday, March 04, 2008
Thank you for blogging!!!
Thank you Liz for breaking the silence and blogging something! I've been so bored having nothing new to read on the blog. I'm glad you're doing well Liz. The end does get pretty painful when it comes to sleeping. But good luck with it, hopefully you can get some rest before the baby arrives. Congrats on finishing grad school. Your brothers wedding looked very pretty. But it is hella stressful when siblings get married! Especially brothers, I don't know why, maybe mine are just idiots. But so far every brother that has gotten married has been a full week of lost sleep the week of the wedding and at least a few months of stress beforehand. Not to mention striking that delicate balance of being friends with and supporting the bride through the process without becoming the intrusive, annoying, future sister-in-law. Both of my brothers have married girls with lots of sisters, so I've always kind of felt like the extra sister who has to be included but isn't a "real" sister. I don't know if that makes sense. I'm not complaining, I love Sarah and Lauren and we're very close (especially Sarah... still getting to know Lauren), I just think brothers' weddings can be kind of wierd because everyone's emotions are always running so high. So, enough of that rambling on and on about brothers' weddings.
Anyways, things are all fine and dandy here. The kids are good. They are supposed to be sleeping right now for a nap and I can hear Lilah in her room talking and laughing. I don't know what she could be laughing about because it's not like there's a clown in there or anything, but she is cracking herself up! Seth is actually sleeping. He's always been a better sleeper and generally an easier human. He's going through a pretty disrespectful phase lately though. I'm going to start spraying his tongue with diluted vinegar when he talks back. (Don't judge me, you don't have have two year olds!) It's getting out of control and I don't want to spank all the time (seriously, it would be like every 5 minutes). Plus I want him to make the connection that disrespectful, bitter words are connected to the tongue and are bitter in his mouth. Anyways, the kids are funny and have a pretty good time playing together. They like to hug each other and love to dance together. Josh is doing alright. He works alot and is pretty exhausted all the time. He's going gray quickly and has developed a stomach ulcer. His stress level is high. But we're doing ok and making the most of the time we have together when he's actually home. He's doing his ER rotation this month, so we should get more time together this month than usual. His normal surgery months are rough because he goes in at like 5am and usually gets home around 8 or 9pm. (Sometimes later) He works at least 2 weekends a month and usually has to do rounds on his weekends off. So we typically only have 2 or 3 days off a month. Then he also has to take surgery call overnight at least 8 -10 nights a month. The rough thing about call schedule is that he might be in surgery all night but then he still has to work all day the next day. There are times often when he will literally be working 48 hours straight. He's pretty miserable. But we're just hoping that when we get past the residency phase, it will get a little better and he will enjoy the work more. He loves actually doing surgery, but he's always so tired that it makes it hard to enjoy the time he's at work. Josh could always use some prayers tossed his way to get him through his days (and nights). =) I'm doing fine and have been staying pretty busy with the kids and a little bit of part-time work at home. I went to see Kim in Seattle a few weeks ago and that was fun and relaxing. Violet is adorable and it was cool getting to know her a little bit. We've been getting out as much as possible here in Columbus to get more familiar with the area. I have to say (and I know this sounds stupid), but we love Columbus. There is so much to do here and it's easy to get around. The winter is too long, but the summers are really nice. Columbus is so kid-friendly too, there is always something to do that is realxing and fun. We are really happy about being here and are enjoying it. I've finally come to the conclusion that we are definately mid-westerners and are happy about it. We like the mid-west! Well girls, I will go now and stop writing about nothing at all. I miss you all and hope you are all doing well. Love you girls!
Anyways, things are all fine and dandy here. The kids are good. They are supposed to be sleeping right now for a nap and I can hear Lilah in her room talking and laughing. I don't know what she could be laughing about because it's not like there's a clown in there or anything, but she is cracking herself up! Seth is actually sleeping. He's always been a better sleeper and generally an easier human. He's going through a pretty disrespectful phase lately though. I'm going to start spraying his tongue with diluted vinegar when he talks back. (Don't judge me, you don't have have two year olds!) It's getting out of control and I don't want to spank all the time (seriously, it would be like every 5 minutes). Plus I want him to make the connection that disrespectful, bitter words are connected to the tongue and are bitter in his mouth. Anyways, the kids are funny and have a pretty good time playing together. They like to hug each other and love to dance together. Josh is doing alright. He works alot and is pretty exhausted all the time. He's going gray quickly and has developed a stomach ulcer. His stress level is high. But we're doing ok and making the most of the time we have together when he's actually home. He's doing his ER rotation this month, so we should get more time together this month than usual. His normal surgery months are rough because he goes in at like 5am and usually gets home around 8 or 9pm. (Sometimes later) He works at least 2 weekends a month and usually has to do rounds on his weekends off. So we typically only have 2 or 3 days off a month. Then he also has to take surgery call overnight at least 8 -10 nights a month. The rough thing about call schedule is that he might be in surgery all night but then he still has to work all day the next day. There are times often when he will literally be working 48 hours straight. He's pretty miserable. But we're just hoping that when we get past the residency phase, it will get a little better and he will enjoy the work more. He loves actually doing surgery, but he's always so tired that it makes it hard to enjoy the time he's at work. Josh could always use some prayers tossed his way to get him through his days (and nights). =) I'm doing fine and have been staying pretty busy with the kids and a little bit of part-time work at home. I went to see Kim in Seattle a few weeks ago and that was fun and relaxing. Violet is adorable and it was cool getting to know her a little bit. We've been getting out as much as possible here in Columbus to get more familiar with the area. I have to say (and I know this sounds stupid), but we love Columbus. There is so much to do here and it's easy to get around. The winter is too long, but the summers are really nice. Columbus is so kid-friendly too, there is always something to do that is realxing and fun. We are really happy about being here and are enjoying it. I've finally come to the conclusion that we are definately mid-westerners and are happy about it. We like the mid-west! Well girls, I will go now and stop writing about nothing at all. I miss you all and hope you are all doing well. Love you girls!
Subscribe to:
Posts (Atom)