Sunday, July 05, 2009
not a dog person
Saturday, July 04, 2009
they call this fun?
I'm not sure how often I'll post in the coming days. I may be a bit preoccupied - hopefully effectively training this dog and not gaining another 12 pounds!
* his name is Buddy, he's about a year old, we got him at our local animal shelter, and they say he's a Shetland Sheepdog (Shelty) mix....and he's actually a very good dog - I just have no clue what I'm doing. His most attractive feature is that he slept through the night last night.
Tuesday, June 30, 2009
control
And so tonight we hit on an oldie and a goodie (though to really be an oldie and a goodie, it would have had to go away at some point and it never has).
Brownies. Avi does not like brownies. Won't eat them. But he simply cannot bear if others have brownies and I don't give him one - even if I give him something in it's place that he does like. He will whine and pout and dramatize up a storm trying to convince me that he does like brownies now. He will let himself be truly unhappy and miserable because I won't give him a brownie. And if he somehow convinces me (which does not happen any more) that maybe he does indeed like brownies now, he will then lick it or do some other thing that makes it completely unappetizing to anyone else who might decide they want it - then he refuses to eat it. Because he doesn't like it.
I felt so justified when I read this week in an adoption attachment book about kids who ask for food that they don't like. It's wacky behavior. Makes no sense. Happens over and over. Makes me nuts.
But I breathed a sigh of relief tonight when we had friends over and I served brownies and ice cream. I gave Avi ice cream (which he also doesn't prefer but will eat in small amounts if there is nothing else available for a treat). He came over and asked me for a brownie. And I mentally kicked myself for making brownies. And I said "No. You don't like them."
I waited for the pouting, whining onslaught.
Instead, all I got was, "Oh. I forgot."
Thank you Jesus!
Thursday, June 25, 2009
home again, home again
morning update
Of course, I'm eager to get going and see the results of the x-ray and study this morning - when you read about esophageal perforations, the risks are pretty significant. Studies I've read show the mortality rate to be 10% to 40%. Hard to believe since we could actually be going home late today or tomorrow. But we caught Jaso's right away which means the risk of sepsis is minimal because she started IV antibiotics quickly and was already NPO (nothing to eat or drink) which minimizes the risk of accumulation of foreign "stuff" in the chest cavity.
She was shaking in post-op yesterday as she was coming out from the anesthesia which she's never done before. The nurse said it sometimes happens with anesthesia, and I said "But this is her 37th time - she's never done this before." And when they did the first chest x-ray in there (which is regular procedure for her after a dilation for just this reason), she was screaming, spitting, hitting, and crying, saying she couldn't breathe. I thought she was just mad - her mood is really unpredictable in post-op. So thankful we have such an amazing hospital - I'm amazed over and over at how resourced we are here - and reminded, as I was last time, that this would have been disastrous in Liberia.
Wednesday, June 24, 2009
and another one
room 633
37
Jaso is in good spirits. Today was her first tears in six weeks over her swallowing! It has been such a joy! Praying that Mitomycin C is available today!!!
* note: the Mitomycin C is in!
** another note: another rude staff person! our nurse practitioner in admit was running through the typical admit questions (lots of medical history stuff which I repeat over and over and over) but she threw in several personal adoption questions in the midst of them as though they were part of the admit procedure. Seriously. Like "does she have any contact with her birth family?" Um. The child sitting next to you does speak English, and we'd appreciate it if you not casually ask deeply personal questions when you have a list of prescribed questions you're supposed to be asking. I don't mind getting conversational at all with staff here - we have friendly relationships with quite a few actually. And I don't mind talking about adoption stuff - but I appreciate tact. I really, really do.
Tuesday, June 23, 2009
one more
Sunday, June 21, 2009
Friday, June 19, 2009
summer birthday


Monday, June 15, 2009
I really like the "throw up. then do it." part
33
Wednesday, June 10, 2009
it could be you
port
Sunday, June 07, 2009
today
I've also found that walking around our lake is a great de-stressor for me....which probably explains why I logged 12 miles between yesterday and today. I might even need new sneakers soon (for the first time in well over five years).
I dreamt last night that Jaso stopped swallowing. Today is day 25 since a dilation - the longest she's been able to swallow normally in a year. I'm trying to keep my hopes in check - because we did use Mitomycin C before and had good results the first time and so-so results the next two times. But this surgeon does apply it differently so I keep getting these glimmers of hope that perhaps this will be the thing that will lengthen these intervals to a place where we will choose ongoing dilations over surgery. I prayed for exactly that this morning. I realized I've been hesitant to ever pray anything too "bold" for Jaso's healing, but I'm getting bolder.
She has to go in to the infusion center to have her port flushed on Wednesday - mediports are supposed to be flushed and heparin-locked every 28 days and, til now, she has been in at least that frequently for dilations since her port was placed, so they have always done it while she's under anesthesia. But since she isn't needing a dilation yet, we have to go in for a flush while she's awake. Praying it goes well - she hasn't been "stuck" while she's been awake for anything in a very long time - all pokes are generally after she's been put to sleep with the mask. We've got our numbing cream and the promise of Sonic afterward.
Other than that, life is rolling along well. Greg started his new job last week and is in the middle of a long weekend (hoping for lots of those this summer). The kids start up their rec center summer sports this week (swimming for all four - two in lessons and two on swim team, baseball for Noah, junior golf for Mia and Noah). And lots more bike rides and walks around the lake.
Saturday, June 06, 2009
better
Avi and I reconnected after his rest time - and he wanted to reconnect. And I did too. Sometimes it's like something getting stuck in a gear. It just grinds and grinds and grinds. We (mostly he and I) just get more and more off kilter with each other. And we have to find our way back. And sometimes it's messy. It used to happen a lot more often. It's not pleasant, but I am pleased that he feels safe enough to come back to a settled place. Somehow he is able to shake off all that self-pity and entitlement and just get back to being settled again for a while.
Anyway, he and I then headed off to the park together so he could ride his bike around the lake a few times. Then a good evening with friends at small group - he managed beautifully. And we ended the night with he and I bouncing on their trampoline together.
Whew. I think we're finding our stride. At least our stride for now. Forward, back, forward, back. And God keeps being so good to us.
how does this work again?
He's in bed resting now to get strong. I'm needing to get strong myself here and gear up for what's ahead. Hoping it's one of our four-day patterns and not nearly a month to make up for the pleasant month we've just had!
Now if I could just remember what it is I'm supposed to do next....
Wednesday, June 03, 2009
they did it!
Tuesday, June 02, 2009
what would you do?
I know there are other mommies out there who are further ahead on the speech therapy road than we are. What do you think? Does my plan sound like a good one? I know some families take therapy "time off" anyway, and summer seems like a good time to do it overall. But I'd love to hear from people who have taken time off and people who have found good home resources as well.....you can comment here or email me at gjisaac at gmail dot com.
Thanks!
Sunday, May 31, 2009
oh happy day
Noah was so sweet cheering them on - very big brotherly (Mia was at a movie with a friend).
Saturday, May 30, 2009
things i like about today, part 2
Also, another mom of a caustic ingestion child came across a treatment idea that I passed on to our surgeon. It's called electroincision and involves making incisions internally around the strictures but doing it all through an endoscope (so no body incisions). The surgeon wasn't super hopeful that it would be successful for Jaso, but in my mind it's one more thing we can try before major surgery and that makes me very happy.
In other news, Greg is now the Assistant Principal at Kunsmiller Creative Arts Academy (http://kunsmiller.org/ - a new arts school in our disadvantaged part of the city - very exciting stuff!) and yesterday was his last day as a 4th grade teacher (at least this time around!). He officially starts his new role full-time next Tuesday.
We had our annual last-day-of-school ice cream yesterday. Even though we kind of stopped doing school about two weeks ago.
Our 6-year-old neighbor just asked Noah "Why don't you have a digital TV yet?" And I piped in "Because this one will be a collector's item one day!" And the little neighbor nodded solemnly and said "Yeah."
Thursday, May 28, 2009
things i like about today
Wednesday, May 27, 2009
battling for the broken heart
I am hopeful that we have peeled back a layer and are working down at a deeper level now. We continue to have good days. We have had several bumps in the last couple of days. New attempts on Avi's part to regain control. More lying. More pouting. More angry eyes. But they haven't overtaken the day yet. We've been able to pull out of it.
One thing I love that this mom says. RAD (reactive attachment disorder) isn't a disorder - something internally wrong with a child. It's a reaction - a natural and expected reaction to what life has dumped on a child. Wouldn't we all want to do everything we could to test this love? Make sure it can handle you and not leave you broken again?
Tuesday, May 26, 2009
finally!
Avi is very much aware of all the things that the other kids have experienced that he hasn't experienced yet as the youngest. And he doesn't like waiting much. But today he finally got to cross a biggie off the list!He lost his first tooth - he actually really lost it because it seems it fell out while we were walking around the lake today, and we don't know where it is. So we wrote a note to the tooth fairy to explain (he insists he's seen her and she's about the size of a Barbie).....
.
So here he is - down one tooth with another soon to follow!
Sunday, May 24, 2009
the good life
We've had about eleven days in a row (so far) of normal life! Avi is doing so well! I'm doing so well! We've had our moments here and there - but they have been in the realm of normal moments. Only a few blips here and there (like a major under-reaction to a very nasty head bump the other day and then not letting me really take care of him afterward). Yesterday, he even scooted up next to me in the booth at a restaurant to sit close for a moment before running off to play. He is playing so well with the other kids (he and Noah are playing cars and legos for hours on end together - a major development for both of them!). He lets me touch him without saying "ouch!" and isn't constantly glaring at me. I can't tell you HOW good that feels. It's hard to explain how those things affect you emotionally even though you know on an intellectual level why they are happening. It's still grueling to be rejected day in and day out - even when the person doing the rejecting is tiny and hurt.
Who knows where we'll be eleven days from now, but this is definitely the longest stretch of good days that I can remember in a long time. And it gives me so much hope!
We also began our kid date nights on Friday with Mia. Each kid gets to go out with mom and dad on their own. We've never done this before (we do often take individual kids with us places, but rarely as a couple). She chose Johnny Carino's for dinner (and got to order dessert which is a rare treat). We then went to get her new bike - everyone has been moving up a step in bikes and hers was in great condition and ready for Jaso to move into, so instead of waiting til a birthday we decided to start summer with a new bike. It was a great evening, and Noah is already looking forward to his! I had been thinking one kid date each month but I think they'll need it more often than three times a year each, so I'm leaning toward every two weeks. It adds a bit of expense to the budget (which is already running a little tight with therapies, medical stuff, etc.) but it nearly counts as an individual date when there's only one child there - so it's double the bang for the buck!
Thursday, May 21, 2009
updates
We also had clinic this week - Avi's numbers are good (he had a blip in his viral load a couple of months ago but it's back down which we're happy to see as it means he can continue to stay on his current meds). We got a bit of feedback there from the staff neuro-psychologist after some assessments she did with Avi. More food for thought. More research to do. More adjusting the whole paradigm of parenting for this little guy who has simply been through too much. But we've had a stretch of several good days this week, so I'm thankful for that. Though the more we try to accomplish outside of our at home schedule, the more off track we tend to get.
Sleep study - we won't know anything for 1-2 weeks. Jaso did great. She is such a pro at all this stuff. I can say that I came home far more exhausted than I have after typical hospital stays. Not sure why. I think it is probably simply that May is a really busy month in our family and it's been a bit compounded this year with Greg's responsibilities spanning two schools. He has been stretched thin, and we've had so many medical and therapy appointments lately on top of the normal crazy May schedule. I crashed this afternoon for about a two hour nap. I rarely let myself nap because my body just wants to stretch every sleeping opportunity out to 9 hours or so. But it was inevitable today.
Dilation - Today is day 8 since a dilation, and we generally start to notice deterioration around day 9. Hoping that doesn't happen and we see some results from the MC application!
That's about it I think. Starting to think about the summer schedule. All of the kids will be in rec center activities: all in swimming, Noah in baseball, Mia and Noah in junior golf. I am hoping Greg can manage one at-home morning each week so I can get out to coffee with a friend or two. I tried to meet with a friend today at McD while all the kids played and I came away......well, let's just call it "not relaxed." I definitely need to find a few little pockets of time to get through the summer in one piece.
Hmmmm. This has quite the negative tone when I re-read. Why do I post when I'm this tired?
PS - If I've generated any pity, feel free to send me cake. :)
Wednesday, May 20, 2009
sleep
Monday, May 18, 2009
advanced level
Friday, May 15, 2009
ouch
It was kids she'll probably share a school with next year.
Ouch.
Wednesday, May 13, 2009
hazy
So because we want to give this a shot, surgery is off for June. We'll wait and see if we can do a couple of applications of the MC with any improvement. It's a slight bummer to postpone because timing will be difficult with a later surgery. But at the same time, we hated that we were going to have to move forward with surgery without being able to give the MC another chance and now we don't have to!
So, tomorrow will be a jammies day (the MC can result in nausea and fatigue) and then on to some lo mein!
Now to share one more "awkward" moment with a medical professional: our recovery room nurse was telling me about when she worked in ICU and a little boy came in after a lye ingestion and died. Nice. Thanks for sharing that with me while my own lye ingestion child is lying here semi-conscious between us. They should make these comments to bolder moms. I'm way too nice.
sunny tomorrow
Next week she has a sleep study to see if we can sort out her night-time breathing situation. There are a couple of possibilities - either reflux irritating her airways or her airways could possibly be damaged by the same injury that damaged her esophagus (there is no way to know until they scope the airways and they'll decide whether to do that based on her sleep study).
Still waiting to determine whether the "big" surgery will take place next month...
Thursday, May 07, 2009
he might be a little Dutch
Wednesday, May 06, 2009
one more thing...
I've always wanted to ask right back "Do you have any deeply traumatic experiences that we can cover during this short, casual conversation?" And "Did you notice that they're tiny children and you might want to choose conversation topics with a bit of care?"
But I'm only that bold on my blog.
what she said....
the hard places
"Sometimes we put up walls not to keep people out, but to see who cares enough to knock them down."
- unknown
Monday, May 04, 2009
make hope
You can give a gift in someone's honor this Mother's Day while making hope for HIV+ orphans! Go here to donate - and receive this beautiful e-card to send to your recipient!monday
There was so much at the conference and in the many conversations to process. I don't think I can do it here - it's all too much. I met inspiring and amazing people. I heard incredible stories. I came away knowing without a doubt that I want my life to be about God's heart for the orphan.
Yesterday, a verse jumped out at me from Isaiah about God giving "a crown of beauty instead of ashes." I would love to be a part of that story for more children - and I pray that He continues to show me ways to be a part of that.
Monday, April 27, 2009
just saw this
Sunday, April 26, 2009
time off
I have three nights at home now, and then I'm away again for the Christian Alliance for Orphans summit. Very much looking forward to this but a bit intimidated by the prospect of dealing for three days with the topic of orphans. It feels like too much to let in right now. My boundaries are high these days - trying to make lots of room for all that tiring and intense living! But I read a great thing on someone's blog this week about how she hopes that at the end of her life she's tired. I really like that. I'd like to end my life tired too. But I don't particularly want to be tired tomorrow morning.
That is why I'm ending this post so I'll be in bed by 10. Night-night!
Friday, April 24, 2009
blessing
I can only begin to imagine how discouraging this is - even to get to a place of moving forward with this surgery generally is at the end of a long, discouraging course of other attempts to repair the child's damaged esophagus, then the surgery itself is so complicated, and the recovery can be so difficult (as Blessing's has been), and the results at the other side are completely unknown. Pray that Blessing would come out of this surgery with a quick recovery, a short hospital stay, and a healed body!
Some of the other kiddos who've had the surgery are still requiring frequent dilations - pray that they would heal too and be able to move forward with no more dilations! And pray for one more little boy who will be having his surgery next month!
Thursday, April 23, 2009
only Jesus
"Therefore, since through God's mercy we have this ministry, we do not lose heart...But we have this treasure in jars of clay to show that this all-surpassing power is from God and not from us. We are hard pressed on every side, but not crushed; perplexed, but not in despair; persecuted, but not abandoned; struck down, but not destroyed. We always carry around in our body the death of Jesus, so that the life of Jesus may also be revealed in our body. For we who are alive are always being given over to death for Jesus' sake, so that his life may be revealed in our mortal body. So then, death is at work in us, but life is at work in you..."
I honestly think that, quite simply, 2 1/2 years of chronic medical needs together with attachment stuff - and all of the constant research and decisions they both entail - has caught up with me. And in the midst of it, I want desperately to serve each of my kids - with all that they need. And I'm not enough for that. Only Jesus is.
So, I'm trying to remember that today. Only Jesus. This doesn't mean that I didn't order a big old box of fish oils, kava kava, and other miracle herbs this morning. Or that I won't be wearing the reminder bracelet I ordered last night that says: my life is not my own (you'd think the four small people would be enough of a reminder - but they can't hang on my wrist, though they try).
But hopefully, those will both help me to remember. Only Jesus.
Wednesday, April 22, 2009
erratic
The rocker has been highly successful so far. See? Great moments. Horrible moments.
I'm getting a bit better at keeping things fairly level for the other kids in the midst of it all. And we nearly have an official respite situation for one night a month (thank you J! you're a hero!) - the other kids already know that they'll be getting us all to themselves each month for a day of fun! And the beautiful weather helps so much too.
I've also made some decisions about how to limit and organize my time with FHTH. There are some exciting things happening, but for myself and the other staff (all moms with lots on their plates), we need to keep a realistic view of how much we can accomplish in the midst of our family lives.
Now I'm out of town for the next two weekends, which isn't going to help things much (though it WILL help ME much!). And I am putting a date on the calendar a few days after the weekends to kick things up a notch. I'm gonna need to gear up!
Sunday, April 19, 2009
Noah
labels.finally.
Now to label this post - it gets "attachment, RAD, fun" - hey I'll tag that one on the end as often as I can!
Saturday, April 18, 2009
step forward, step back
And the last two rages have quieted when I prayed over him - "Jesus, please help Avi with all the sad and mad inside his heart. Please help him to remember how much we love him and will always love him and how much you love him. Please fill his heart with peace and love." He stops to listen!
Also want to share one more link - this organization was founded by a guy I went to college with - he and his wife have adopted three children with RAD - she keeps a blog here - I love reading it!
Thursday, April 16, 2009
the methods to my madness
I thought it might be helpful to list out some of the attachment things that we've implemented around here - I've kind of taken a "that one sounds sensible - I'll try it" approach as I've found that if you read five different books on attachment, you're likely to encounter five different philosophies. And your brain starts to sizzle. These are the things I've found helpful so far....
- Started circulating on the blogs - my favorite is Christine's and she has links to others - you can follow the trail and find all sorts of real-life experiences.
- Found a newsgroup - I tried a couple, but the one that seemed the best "fit" was attach-china.
- Found and started seeing an attachment therapist (went off the recommendation of a trusted friend).
- Realized that "RAD" isn't a scary acronym. Just learned to sit with it. I don't think we're dealing with an extreme RAD situation. But it is what it is. May as well embrace it. Started to think the term "RADish" is very cute.
- Started to understand more the significant effects of disrupted attachment and trauma on the brain. Gathered ideas of complementary therapies to try - about to start Neuro-Reorganization. Would also like to try Targeted Amino Acid Therapy but need to wait for additional funds. :)
- Honed in on some nutritional supplements (we all take these - Omega 3, melatonin, daily multivitamin - and Tension Rx for me).
- Checked out all the books I could find on RAD and attachment. Found that the two I like the most are "When Love is Not Enough" by Nancy Thomas (she is pretty stringent in her implementation, but we have gleaned quite a few ideas from her) and "Parenting the Hurt Child" by Gregory Keck. Have also heard that the Healing Trust DVD's are good - ours just arrived and I will be listening soon!
- Scheduled neuro-developmental assessment to provide insight as to whether there are other issues we're dealing with.
- Started trampoline jumps and strong sitting in the morning (though we miss some weekend mornings). There are brain chemistry reasons for both of these. Started adding in affirmations while jumping (repeat after me while you're jumping: I am strong, I am smart, my mommy loves me, my daddy loves me). Earn stickers for trampoline jumps. Earn a small candy for strong sitting. All the kids do these. Sometimes do "tapping" (ask me to show you this one if you're interested - but be ready to suspend your disbelief).
- Realized that if we start the day with compliance, things go better. Avi now knows that he is supposed to come to my room as soon as he wakes up (he is generally the first awake). He earns a sticker if he doesn't wake up any of the other kids in the process (it's so fun to be disruptive!). Some mornings go better than others. But the days we stick to this really do go better. It's as if he is waiting to see if I am going to be the same mommy I was yesterday.
- Started verbalizing a lot of truth to him. "I'm so glad you're in our family! I am going to love you forever! I'll never give you away!" We said these things before, but not nearly as often.
- Stopped spankings and time-outs altogether.
- Started giving him 10 tickets every morning. That's how many questions he gets to ask me that day. When he asks a question, I ask him if he wants to pay a ticket and he takes time to think about how much he "needs" the answer. This means he actually gets a chance to think through whether he can simply "trust" that me knowing the answer to some things is enough. His questions were non-stop before. And I understand the need for this in adopted children. But he has been home 16 months and it had moved over into "I need this control and I'm not letting it go" when the healthy thing for him is to let go of that control and learn that he can trust us to know the answers for him.
- Became very thought-out about social settings and very limited about times that Avi can be "away" from mom (he doesn't go to Sunday School anymore, we limit playing over at others' houses, he has controls on what he can do in social settings such as not being allowed to ask any grownup for something until he's asked mommy if he can ask them).
- Started limiting choices - more often simply give a direction rather than a choice. Totally antithetical from everything we've all read about parenting. But really important and effective for attachment disordered kiddos.
- Started to keep him physically close to me for most of the day - he is generally in the same room as me most of the time. Sometimes I'm exhausted and I let this slide. But I always pay in the end.
- Began trying to be really creative and intentional with every interaction.
- Finally realized that I'm not the wrong mommy for him. That he's not willful. He's hurt. He would be hurt no matter who his mommy is. He needs a mommy who will do everything she can to battle for his heart.
- Also realized that my secret thought that there was a birth order "mistake" and he should have been placed as an oldest child was foundationally wrong. All of his need to be in control of everyone isn't because he has an oldest child's disposition. It's because he's been hurt so much that he can't trust anyone else to take over the job of making sure his world is OK. And the very best place for him is in a family where he will (maybe very slowly) learn that. And the youngest child spot is probably a very good one for him. And probably the safest all around.
- Began thanking God profusely for my marriage and my strong husband who is so committed to me and to our kids and is willing to take a backseat and watch me do the hard work. That's not me being sarcastic. It's not easy to take the backseat when your five-year-old son claws his mother. It takes real strength.
- Realized the impact of stress on myself and started a few things to address it. Realized the impact of stress on the other kids and started a few things to address it.
So, we are only at the very beginning of this whole new world of information, a whole new style of parenting. But we have already seen significant change. Avi is far more settled, far more responsive to me, far more comfortable with me (even laying on my lap at grandma's house today and easily coming over to give me a hug after a day away with Jaso at the hospital). And I am far less angry, frustrated, and tired (it makes me laugh to read the signs of attachment disorder because my favorite is "parents appear angry").
Next on the list is the rocking chair - I've started talking it up and Sunday is the day!





