Tuesday, December 27, 2016

Deployment debrief

It's already DECEMBER and I haven't blogged about life in well... a YEAR. I feel like I don't even know where to start quite honestly because we've just been trying to keep busy.  But for the sake of using this blog as a life journal as well, I'll pick up where I left off in November. Andrew left for deployment to Bahrain on November 19th (2015). Prior to leaving we got a 4 day weekend away to DC at the end of October while his mom watched Beau.  We also pre-celebrated Thanksgiving and Christmas! And now gone and home from deployment!  Time went by more quickly than I had originally imagined it would. It has been a blessing to be able to Facetime almost everyday and I have several beautiful friends who have helped me pass the time.

To keep busy... I had my discipleship group every Tuesday night, Refuel mid-week service at church on Wednesday and then one Monday a month I go to a Special Needs Moms group. Then of course we tried to stay busy with events around town which was easy to do especially during the holiday season. In January, I started watching a friend's lil girl which has been a nice way to bring in a lil extra money while I stay home with Beau.  It still allows me almost 2 hours of me time between when M goes to school and Beau gets home. I also try to utilize respite care as much as I can to do social stuff. We have had lots of play dates, lunch dates, and more sickness than one would like so we've spent a fair share of days visiting the hospital.  I've re-learned to jump-start a car and even changed both car batteries (with my own two hands) this winter too!  If you keep up with my instagram you have seen my photo a day since Andrew left which has been a fun way for me to find joy each day while he is away. If you haven't, here are some picture highlights of those 7 months aaprt.

November 2015: 

Deployment Day - I could hardly open my eyes this early, and I wasn't even crying yet!


 Botanical Gardens Holiday Lights with Ashley
 

 

Thanksgiving fun - pudding paint turkeys with T, hand turkeys with P, Thanksgiving dinner with the M family, and Friends-giving

Beau's first movie in the theater - The Good Dinosaur; he stayed awake about 45 minutes

Holiday Photos to surprise Daddy


December 2015:
Busch Gardens "Twinkle Town" with Ash and the M family - Beau's first amusement park ride!
  




Three unsuccessful visits to Santa - USO holiday party, Down Syndrome Christmas Party and Santa's Village




Holiday Program at Preschool - Jingle Bell Rock, Beau with his preschool teachers


Santa's seaside village with the Barrie Family


Christmas - we went to church and then Ashley's for dinner.  Christmas day we opened presents on Facetime and Beau took 5 minutes per package!  He wasn't so sure about his dinosaur slippers! We got Andrew a Teddy Bridgewater jersey!

  
 

  


Dec 29th - Cardiology appointment went well.  There were no significant changes to Beau's heart since his appointment in September.  The doctor is closely watching his aorta as it has a mild leak and the pressure in his ventricles. So at this point no medication or surgery is needed at this time.

January 2016:



 Giving Dada kisses <3
  

Playing at the library with new friends.

 I started watching Macie; the kids love to play together! And Beau is finally taking some independent steps!

Getting to smart and trying to attach his g-tube extension to his milk line.

 Attended Music Together classes at the beginning of January for 9 weeks.
January 17th SNOW

  

Making Dada's valentine


Enjoying a walk on a gorgeous day after some professional photos for daddy!



Jesus loves me this I know, for the Bible tell me so. Little ones to him belong, they are weak but He is STRONG! 

Love these photos of Luna and Ty in the snow!
  

 Andrew's Birthday gifts


February 2016: I currently can't find my whole digital photo album for the month of February?!
5/6 IF gathering
6th - Prestons birthday party
14th Valentine's Day with the girls
25th  rehome dogs (see previous blog)

March 2016:
8th - Beau ate a whole fruit pouch!

12th - easter Egg hunt #1


15th - I go to a discipleship group once a week and Katie leads me and 3 other beautiful women of God to go deeper and grow stronger in the Lord.

March 15th - Beau had professional pictures taken for his 2.5 years!



Happy St. Patrick's Day!

19th - Beau had his first day of swim lessons

Lauren and I went to the homefront celebration to honor military spouses

21st - World Down Syndrome Day!

23th-29th Jilayna came to visit!  Here are just a few photos!  We did some serious mermaid hunting, went to the Botanical Gardens, the zoo and an Easter Egg hunt #2


Easter morning at church
 Dying Easter Eggs


31st Zoo trip with both kids and got to see the baby tigers!

April 2016:
8th - Botanical Gardens with Carrie and kids



13th - 19th Mom came to town! Beau was sick part of the time (go figure) but we still had fun and she helped me fix up the backyard for Andrew's return! We took her to the botanical gardens, Hermitage gardens,




Beau in his hip-helpers!  This one makes me laugh :) And a bi-annual dental visit - never fun!

19th - Norfolk International Tattoo


29-30 Went to Beth Moore's Living Proof Live with Jess, Ashley and Katie (Can't find pic)


30 - NICU reunion with Nurse Leah and his first successful time in a bounce house!

May 2016:

Playin at the park with Preston

2nd Beau got new ear tubes


3rd - Field Guide for dinner with the girls to send Jane off to New York

8th - Mothers day after church.  Then Beau and I met Lauren and her kids at the beach.  And I lost my wedding/engagement set.



Sweet smiles from these two cuties in peach! <3

27th The Rink family stopped by for breakfast and a short visit to play and catch up!

28th - Strawberry picking with Laura and Macie

29th Botanical Gardens with Ashley and the roses were in full bloom and smelled AMAZING!

30th Memorial Day Upward

June 2016:
4th Botanical Gardens splash pad with Barries


9th Beaus preschool hosted a special olympics

This boy <3

11th Mommy morning out at Harborfest with Laura



15th  end of school

19th father's day beach day with Laura and Macie & gifts for daddy




22nd W2G Grace girls afternoon at the pool

24th Botanical Gardens with Beau, Macie, Jess (and baby)

25th peach festival and picking with Laura and Macie

26th Down Syndrome community summer pool party


July 2016:
4 - We tye-dyed shirts for 4th of July and watched fireworks at Mt Trashmore


5th Our 8th anniversary and he comes home TOMORROW!


JULY 6TH HOMECOMING DAY! (See next post!)







Saturday, February 20, 2016

My Ty Guy and Luna Girl

After months of Beau being sick, we are thinking that all the dog dander and hair as well as the dirt and dust they bring in from the backyard is contributing to his addition airway "distress." He has literally been sick since July... he'll be sick for a few weeks and then healthy for 1-2 and then the cycle begins again. I'm sure the school germs don't help either. His pulmonologist doesn't believe he is allergic to the dogs since Beau has been around them his whole life but it's hard to believe that him inhaling all those "allergens" isn't effecting him. He is on his second round of antibiotics, steroids and albuterol treatments this month. :(

Andrew and I have debated about re-homing the dogs for a long time for other reasons as well and each time my heart would just sink.... "I just love them"... Luna especially... "she is my girl"... we are her family.... oh it breaks my heart to think of saying goodbye to them.....but Beau comes first.

After MUCH deliberation and tears and tears and tears, I reluctantly messaged the amazing breeder where we got Luna 3.5 years ago, and Ty through a year after, and told her we were looking to re-home. She comforted me in knowing that she had the same allergy issues with the shepherds and once they were out of the house she was a new woman! She assured me she'd help find a loving family for my fur babies. Within hours of messaging her, she replied to tell me she had a family in mind! WOW! God is so good. After talking with the family the last few days, we set up a meeting today to introduce the dogs to their family. They live on 3.5 acres of land/woods, have 5 children, and love Jesus! They actually own Luna's mom who is a security dog at their missionary site in Haiti. I instantly knew that this could be a perfect fit for my babies. They would have plenty of room to play and endless attention from a family of 7!

We pulled up to the park and Luna was literally crying with excitement to go walk, trying to crawl behind me out the door of the car. I thought we were in big trouble if she has this much energy meeting them! Boy was I wrong! I think the kids were instantly in love. Their sweet soon-to-be daughter from Haiti LOVED Luna and kept repeating her name! <3 The parents were not at all concerned with some of their puppy behaviors or Luna's heart condition and thought they would be a wonderful addition to their family. Thank you Jesus! Though my heart hurts, I am truly excited for both the family and the dogs. Here they are!




So now I have a few more days to enjoy my time with them before they come to get the dogs on Thursday. We took our usual neighborhood walk this afternoon since they didn't get much at the park and enjoyed the 65 degree weather! Beau had to get his few minutes of smiles on the swings!


 Ty Ty and Lu Lu

My babies

Best friends 

  

 

  
He could swing for days!

   My girl <3 



God made the wild animals according to their kinds, the livestock according to their kinds, and all the creatures that move along the ground according to their kinds. 
And God saw that it was good.  
Genesis 1.25
.

Friday, February 12, 2016

I'm No "Tubie Newbie"

February 7-13th is recognized as Feeding Tube Awareness Week.  Did you know? It is also Congenital Heart Disease Awareness Week.  I don't believe this is a coincidence in Beau's life and you'll find out why.  So with this awareness week upon us, Beau decided it only fitting to pull out his GJ tube for the first time since he got his g-tube in April of 2014... that's almost 2 years so I'd say we had a pretty good streak going!  

My mommy instincts were in high-alert this morning.  For the last few mornings Beau has been unzipping his jammies and taking off the gauze and tape that keeps his GJ-tube dry and secured. I had been getting in there "in time" but knew I needed to start having him wear a onesie under his jammies but I just hadn't implemented the new practice yet, clearly one day too late.  I woke up and after laying in bed for a few minutes listening to Beau talk to himself, I hopped in the shower since we I had a full morning of appointments so then I could focus my attention on getting him ready and off to school before tending to myself.  I got out of the shower and I just KNEW. I went into his room with the lights still off but enough shine from the hallway light to see he had undressed himself from his jammies.  I immediately grabbed his stomach to feel his bare skin and NO TUBE.  Oh yes.... I did know it....  I'm no longer a "Tubie Newbie" as Bethany once coined me and I knew immediately to grab our backup G-tube (just the simple "button" with a balloon back) and insert it in his tummy hole (called a stoma) to keep it open until we could get to the hospital. 


I called interventional radiology (IR) to give them a heads up that we were on our way to the Emergency department in hopes that they could get the ball rolling... or not! :) We waited in the ED for 6.5 hours before finally getting a room up in the pediatrics ward where they could officially admit Beau for the procedure. They had to coordinate with peds, IR, and anesthesia which is why it took so long. Once up there, we almost immediately turned around and headed down to IR.  We had to wait over a half hour for some equipment from the OR to get down before they began.  I cannot tell you how thankful I was that Beau was happy and cooperative the ENTIRE 7 HOUR WAIT! Songs and cuddles for this boy of ours. 


This next part is one of the hardest things as a mommy... and we've had some HARD and scary times but this one is in the top 10... watching Beau be put under anesthesia.  I only help in hopes of keeping him a bit more calm but holding his helpless hands back from the mask as I sing "This little light of mine" was heartbreaking to me today.  It always scares me when they tell you the risks to the procedure and even though this is "rountine" for Beau every 4 months, something about today was a bit more emotional to me.  The "thought" crossed my mind (as I'm sure any parent) when I whisper the words "Mommy loves you, Daddy loves you, and Jesus loves you so much" as his eyes get weak and drift to sleep. 


So after 2 hours of waiting (this should not have taken this long) I finally get word that they're finished, it all went well ,with a little trouble getting it through his pyloric sphincter, and he's in the PACU coming off sedation.  After getting him back to my room for mommy cuddles, we had to wait an hour to make sure he was handling his tube feedings before heading home.  So thankful they were able to make time for him today and even more thankful for The LORD's hand of protection over our favorite lil guy. <3 


People commonly ask me three questions about Beau's feeding tube. 1) Why does he have it (beyond the obvious that it feeds him)?  2) How long will he have that? (I hate this one!) 3) Does he eat anything by mouth?  So here's a little g-tube information, his-tory and some illustrations to help you understand this "button" of his. 


Being a preemie it is not uncommon for children to use feeding tubes (typically inserted in the nose, called Nasogastric (NG) tubes) to help with nutrition until they are able to feed completely independently.  Beau was definitely a preemie who needed this tube due to his poor muscle tone and minimal suck and when he came home from the hospital at 3 months old, he was still using the NG tube.  Andrew and I learned everything we needed to know, changed the tube weekly on our own all the while teaching Beau to bottle feed.  After 3 months of OT in the hospital, proper mouth support, help from our awesome therapists Donna and Tracey, and finding the right bottle.... a month after being home Beau was COMPLETELY bottle fed and had reached his goal weight of 12 pounds for heart surgery.  It was a JOYOUS day taking out that NG tube for what we thought would be forever. 


Heart surgery was on the 4th of February 2014 and immediately after heart surgery he was unable to consume all his feeds by mouth due to energy levels and muscle tone, and then this formula got put in the mix. A week or so after surgery, a heart complication forced Beau to be put on a non-fat formula that tasted DISGUSTING and medications that were equally horrific.  He WOULD NOT take either by mouth well and what we did force down, he ended up refluxing back up. All the while, he was learning that what he was putting in was making him feel awful, so why would he want to do that?! "The initial eating instinct that most children have was destroyed, by what's known medically as an "oral aversion" or "oral defensiveness."  [Beau] had made a connection between eating and pain."


So he went back to being NG tube dependent after all our hard work prior to surgery. :(  He was hospitalized for another month in March of 2014 and this hospitalization and the chronic reflux set him back more and more in the feeding department.   In April, we decided to insert a g-tube into Beau's belly to remove the hassle that the NG tube had become. He was constantly ripping it out and the tape was an obvious irritant to his cheeks. Beau also got a procedure called a Nissen Fundoplication done to tighten the sphincter between the stomach and esophagus in hopes to eliminate his ability to reflux.  Here is a lil diagram of the g-tube: the small plastic piece (less than two inches long is inserted into his belly and then a water-filled balloon on the end (inside) holds it in place. The connection tubing hooks up on the outside and feeds him directly into his belly. And so we learned this too... :) I was becoming quite the nurse by now!



  
The G-tube was unfortunately, not a problem solving procedure for Beau. Within a month, he was refluxing with so much pressure that the Nissen procedure he had done was no longer functioning to "hold down" his milk. He would still have terrible reflux (I compared it to a sick person dry-heaving) and then was now aspirating on his milk (it was going into his lungs.) He would be forced to sit upright for the hour of his feeding and then another hour afterward while his stomach would try to empty.  Even the slightest movements or picking him up would trigger an episode where he would heave, reflux, and aspirate his milk.  It was a VICIOUS cycle and we knew we needed to look at other options. The reflux meds were not enough to help. It was painful to watch and quite honestly, embarrassing when we were in public.  So in the fall of 2014, the doctors agreed the next option was to try feeding Beau beyond his stomach and into his intestines, his jejunum.  It sounds weird but it would ensure that Beau was not able to reflux the milk.  So we went ahead and inserted what he now has, the GJ-tube. This tube has a double port, the G-port which goes into his stomach and is used for his medications and the J-port that runs down into his jejunum which is used for his milk feedings.  This has been a LIFESAVER for him but presented a major setback, he wasn't "allowed" to take liquids by mouth due to his chronic aspirations, thus adding Beau's oral aversion. 


We would give him minimal amounts of water by mouth just to cleanse his palate. We would "hold" water at the end of a straw and drop it onto his tongue and he LOVED IT. He worked with our therapist Serena but for MONTHS Beau would NOT even open his mouth.  He would clench it shut with his tongue sticking out in refusal.  If we could even get the spoon in his mouth it was a good therapy session.   We would do feeding attempts 1-2 times a day, enough to get him regularly trying but not too much to intensify the hate.  And I'll be honest, I grew to hate feeding sessions because they became to frustrating to me.  I felt unsuccessful as a mother, daily (as if it was my fault which I know it's not) and would just want to scream and cry because we were not seeing any progress. But slowly, very slowly he would open his mouth more and show more interest. By 2 years old, a year after not being fed milk to the stomach (only meds), he was actually tasting some puree by mouth.  And by some, I mean MAYBE an ounce! On really good days he would actually swallow but most of the food would go in and come right back out.  I just continually had to remind myself that even getting the taste and textures in his mouth with the spoon was successful.  

Beau started school in the fall so our therapies through the Early Intervention program ended and we had to get new referrals for therapies, thus leading us to a new therapist Kathy. She started in November and within 10 minutes of coming to our home, she told me what his problem was.  He did not know how to move his tongue properly to push the food to the cheek (where we chew) and then back to the middle to swallow.  She has oodles of tricks and strategies that she bi-weekly comes to share with me! I have seen more success in the last 3 months that we have in 2 years.  He is opening his mouth for EVERY bite and actually swallowing some!  He is also fed weekdays in the lunch room at school which I also think has been helpful for him to see his peers eating and realizing that food is a social activity! 


We know we have a long road ahead and one that we will be taking slowly....  People often ask me "How long will he have that tube?" and I cringe inside.  I know they mean well and are just showing interest but it hurts to say, "I don't know, he has to be able to eat everything by mouth and it could be years." We have good days where he'll eat 2 ounces, and other where if the spoon gets in his mouth 10 times we are finished. He is biting into fruits now which is another success! His feeding tube has been a blessing and a curse quite literally.  It has saved his life, obvious blessing!  He gets all the calories and nutrition he needs without question (setting aside his malnutrition scare in Nov of 2014, see post Unwell if you'd like to read about it).  I won't list the burdens for the sake of staying positive! I'll say I'm more thankful than burdened.


My mother-in-law posted an awesome article this week that gave a lot of insight on oral aversions and I felt it fitting to share some of that information:


"It turns out that the instinct to eat is surprisingly fragile. Only around 100,000 children in the United States have problems severe enough to require the use of a feeding tube, according to estimates by the Feeding Tube Awareness Foundation. But 25 to 45 percent of all children develop the kind of habits that pediatricians and therapists see as the hallmarks of a ‘problem feeder.’" We are not alone!  And quite honestly, Beau feeding pump and backpack are so noticeable that is has opened doors to conversations with strangers I would not have otherwise had.  What an opportunity to share God's miraculous story of Beaus life!


"A baby with an oral aversion can lose those digestive reflexes and instead feel nauseated at the sight of a breast or bottle. He/she might not ever feel hungry, especially with a feeding tube supplying all her nutrition."  This personally was one area of switching to the GJ tube feeds that I was primarily worried about. Beau has NO sensation of being hungry because he is fed on a continuous "drip" for 16 hours a day that pushes a lil milk every minute (just like an IV). We tried two different attempts in the fall to feed back to his g-tube but both times resorted in getting respiratory irritation which confirmed that reflux was still present. So the plan in the spring once flu season is over is to begin doing some large volume (4 ounces) feeds to the stomach when he is upright and move forward from there.  He is able to take 4oz of liquid during the hour he receives meds with all the water flushes so that's our starting line!


"Jennifer Berry, an occupational therapist and founder of the Spectrum Pediatrics Tube Weaning Program, based in Alexandria, Va. said she resists the term ‘‘aversion’’ altogether because it implies a dysfunctional behavior. ‘‘It’s not a problem,’’ she told me, ‘‘it’s an adaptive skill to know when eating isn’t safe.’’ To restore balance, Satter says, a parent need only take responsibility for deciding what kinds of food to offer and, as children reach the end of their first year, when and where meals take place. She leaves children in charge of how much and even whether they eat. Satter believes the preservation of that ability to self-regulate is at the crux of solving both childhood obesity and pediatric feeding disorders." So I need to make eating enjoyable and safe for Beau. I let him initiate all "meals" by testing the food with his fingers before I introduce the spoon,  and then I have to wait for his mouth to open before putting in the spoon. Often now he actually leads forward for it with a tongue out, ready to try and even helps hold the spoon! He will use the mesh popsicle looking gadgets where I put soft fruit in the mesh for him to chew. Many things with strong texture he licks once and throws right of his tray. He shows a lot of interest when I'm eating (which isn't always his meal time) by coming to the table and sticking out his tongue and I let him try anything I have; usually it's just a quick "kiss" to realize he's not interested!  



And so here we are, Beau is almost 2.5 and we keep praying, keep trying and keep trusting.  

For you know that the testing of your faith produces steadfastness. - James 1.3


All bold words are from the following post: http://www.nytimes.com/2016/02/07/magazine/when-your-baby-wont-eat.html?emc=eta1&_r=0.

Wednesday, November 11, 2015

July, August, September, October... where has the time gone?

I have been TERRIBLE at prioritizing my blog so I'm going to try and give a synopsis of the rest of summer and into fall...  here goes!

July:
We started July by heading to Minnesota for our annual family vacation.  The first week was spent with my family.  We enjoyed 4th of July together at mom's house, a baseball game for our 7th anniversary, indoor play area, Minnesota zoo, seeing an old friend from Colorado, and horse races at Canterbury.

Week two was spent with Andrew's family. We did lots of hanging by the lake, celebrating Beau's cousins who are due in November and January, and seeing college friends with their kids.

Unfortunately, Beau was sick our whole vacation.  We made an ER visit on day 5 of vacation for an ear infection and returned the following week with a miserable cough and he was treated for croup. :( He slept terrible the whole two weeks which didn't give us a very relaxing vacation. We were all happy to be home and slept like a baby!

We spent much of the rest of the month having play dates.  Beau also had a swallow study and was cleared to start liquids and any foods by mouth at his tolerance!

August:
We spent most of the month trying to keep Beau healthy for his urology surgery at the end of the month.  We did enjoy a baseball game with the local Down syndrome community, we had a few play dates (not as many as I would've liked being that it's summer) and celebrated Beau's "graduation" from the early intervention program! This means as soon as he begins preschool in September, his at home therapies through the EI program will stop.

After having a persistent cough since our ER visit, in mid-August we saw his pediatrician who confirmed he has reactive airway allergies (asthma).  She gave him a course of albuterol and put him back on his daily inhaler and voila!  No more cough and sleeping sweet :) Thanks to those of you who mentioned allergies to me!

Beau had his urology surgery on August 28th.  The surgery was a long 4+ hours but it all went well.  The management of his "site" was a little unbearable at first and definitely a two-person job but Andrew and I handled it as best we could.  He also got ear tubes and a hernia repaired which both went perfectly!

September: 
We celebrated my 31st birthday on September 2nd and Beau's 2nd birthday with friends on September 6th.  We had a small gathering at our house and celebrated Very Hungry Caterpillar style!  We opened presents as a family before Andrew headed to Florida for the rest of the month.  Beau and I tried to keep busy with play dates, doctors appointments, Down syndrome community picnic, and the international sandcastle festival!

Beau had his urology appointment two weeks following his surgery and bad news, the entire site of his reconstruction busted open.  I was crushed.  I was set on this being his last surgery for a while, when in fact, he will now need two more for complete reconstruction. :( So he needed another two weeks of healing before preschool can begin!  I'll be honest, we've gone through a lot of heartache at the hospital but this was one of the few times that I left the hospital in tears, so devastated.

We spent Beau's actual 2nd birthday having a morning brunch date with some of our favorite girls Elizabeth and Helena.  After naptime we met Laura and the kids at the zoo!

Beau had his 2-year well check with his pediatrician.  He is 33.5 inches and 26+ pounds, growing into a big boy! He had his yearly cardiology check as well.  We didn't get the greatest of news, a pre-existing defect causing trouble and a new heart complication.  She assured us it was nothing to worry about just yet... trusting the Lord will protect his heart until his cardiologist gets another look at the end of December.  I walked out of the clinic and headed to our second appointment that day with a quiet prayer of "This is in your hands, God"... the same prayer we have used for 2.5 years over our sweet miracle boy.  Of course no mother (or father) wants to hear that more heart surgeries could be on the horizon but we serve The Awesome God, Our Protector and Our Provider.

At the end of the month Beau had another sedated hearing screening (ABR - auditory brainstem response) and GUESS WHAT?  He can hear PERFECTLY in BOTH EARS!!!  HALLELUAH!!  I can't be thankful enough for those ear tubes. Within a week of placement back at the end of August, he was willingly walking with us or with a push toy (which he used to fight us on)! Makes us wonder if he was dizzy or unbalanced before?!  He also screams now when the vacuum is on (which he'd never done before!) so we knew something was working!!!

And the biggest news of the month, Beau started PRESCHOOL!  My 2 year old took the school bus to the preschool!  He is in a class with 6 other students ages 2-4, two of which are model/"typical" students and 4 with special needs. The first day on the bus was brutal, he stared back at me with sad eyes and once the doors closed it was all out sobfest! Day two was better with no tears and by day three he was happy as a clam to go! They transport him around the school, to and from the bus, in an stroller, he has special seating to keep him safe, and the classroom assistant attempts feeding him daily at lunch time. He comes home happy, often paint covered, and ready for a nap each day!

October: 
October has been filled with FALL!  We enjoyed some fall festival events, the annual Step up for Down Syndrome Awareness Walk, Beau got his 2-year/famly photos taken, family apple picking, and Nana came to visit so Andrew and I could take a weekend to DC as a couple. We said our goodbyes to our dear friends Andrew, Laura, Isaac and Siena as they move to California. Our month ended with Halloween festivities - a school fall festival, truck-or-treat at church, and trick-or-treating at a few houses in the neighborhood.

On the medical side, Beau has a busy month as well.  We had an ER visit for flu-like symptoms on the 10th which kept him from fall fun and school for a few days. He saw his aero-digestive team (ENT, GI, and Pulmonary) and they gave us the OK to start feeding him milk back to the stomach by adding on an hour each day! baby steps :)  Beau had ANOTHER sleep study.  This time we slept in the adult bed together and he did so much better, lots of moving but not crying all night like last time. (Still waiting on results)  Lastly, Beau had his first dentist appointment.  As expected, he screamed much of the time but they said he did awesome, haha! He has 9 healthy lil teeth, x-rays show he has adult teeth - woohoo, and now he just needs to learn to like the toothbrush!

It has been a fun four months.  I am thankful for all our time with friends and family, soaking in every moment before this next season. :)

I will add photos later but I'm done for tonight!