Tuesday, May 01, 2007

It's Tuesday morning ...

and there is absolutely nothing new to report. Kristi can't work until noon today, so I'm at home with Jack and attempting to get some work done (yeah, right!) It is nice to have the house all to myself, with Jack of course ... but, he is certainly not demanding and he's a complete joy to just hang with. Here are some pictures from this morning - sorry, it's all I've got for today.

Jack and mom checking out mom's favorite websites

(I set the timer on my camera for the picture of me and Jack and quickly jumped in bed to get the "live" shot)

I was sitting in Eric's room this morning waiting to get him ready for school and just had to snap this picture. Classic picture of sibs sharing a bathroom in the morning. You have to look real closely to see Eric!

ENJOYING THE MOMENT ...

Sunday, April 29, 2007

Home from Vegas

I made it home from Vegas with a few dollars left in my pocket. I only gambled (and lost) $5, but as anyone who has been to Vegas knows - it ain't cheap. We saw a show, ate a lot, drank a lot and spent a lot of time sitting in traffic on Las Vegas Boulevard! I was amazed at the number of people in Vegas. Definitely, "Disneyland" for adults. I had a lot of fun . . . so much fun I didn't have time to document it in pictures. So sorry! It was a great time spent with some great friends. I wouldn't say it was a restful time (except for Friday morning when they called and asked where I was ... it was 9:30am and I wasn't up yet ... whoops!!) But, it was nice to be away from the stresses of home and work for a few days.

My kids were happy to see me, or should I say - they were happy to see the gifts I brought home. The first words out of Eric's mouth were "What did you bring me?" Of course, Jack was just happy to see his mommy.

The nursing saga continues. The new nurse who was supposed to start this coming week decided she didn't want to work our case because she wasn't comfortable working with Jack (at least that is what they are telling me). We are now back to square one with Kristi being our only nurse. May is going to be an extremely busy month with Mary's graduation from 8th grade and all the events that go along with that and with me leaving for New Jersey in a few weeks for my sister's graduation. I REALLY need more than one nurse! This whole nursing thing is so frustrating at times.

That's my lame update. I've got loads of laundry and tons of housecleaning to get done before the start of another week. Hope you all have a good one and thanks for checking in and thanks for your Vegas well wishes.

Wednesday, April 25, 2007

Heading to Vegas


I'm flying to Las Vegas tomorrow for a girlfriends' rendezvous. Believe it or not, I've never been to Las Vegas! I'm not much of a gambler, but I am looking forward to spending time with my friends, eating, drinking, shopping and, most importantly .... sleeping two full nights without having to listen to a ventilator. Yippee! Jack is fantastically healthy and Kristi will be working the majority of the time I'm away - so, I'm very comfortable leaving for a few days. As painful as it will be, I'm not taking my computer with me. I am taking my camera and will share pictures and all the details when I return (well, maybe not ALL the details :-)

Until then ... ENJOY THE MOMENT.

Sunday, April 22, 2007

Comments to the Comments

I have received so many responses to my "Perfection" post, both in the comments posted and in emails. I am amazed and truly humbled that I "speak" for so many of you. I was actually hesitant to post the entry because I thought some people might see me as this horrible mother who doesn't love or appreciate her children. But, as most of you have hopefully figured out, the issues I've had to work through reside with me, not my kids. Thank you to those of you who shared with me that you too have the same struggles.

To my friend Kerry . . . filet mignon, eh? Funny thing is, I can't stand red meat! (but, I do appreciate the analogy.) As for not being "happy enough" -- that's a tough one. There are those who will tell you that happiness is a choice, that all you have to do is choose to be happy and voila -- Happiness! However, I know better. It's exceptionally difficult to be happy when you are living with chronic exhaustion, worry and stress. For myself, I'll settle for contentment. Contentment is good . . . albeit transient. As simplistic as it sounds, it really is about trying to live one day at a time and enjoying one moment at a time. Anything beyond that is just too overwhelming. It's the moments of contentment that sustain you. If it's any comfort Kerry -- most of my days are sloppy joe days too :-)

To Jen - who left a comment asking if I've ever written about my journey with Hilary. In so many ways, my journey with Hilary ended when Jack was born. 100% of my time and attention turned to Jack and, for the most part, remains with Jack because his very life depends on my time and attention. Ironically, the year Jack was born was the year Hilary started talking. Up until that year, she hadn't made much progress and it was suggested that Hilary might not make any further progress and she might be better off in a total communication environment. However, the year I was completely out of the picture (literally) was the year Hilary "took off" with her speech. Okay, what does that tell you? Without question, Hilary's early years were a journey worth writing about. We experienced all of the same challenges and dilemmas that parents of newly diagnosed deaf children encounter -- total communication or oral? Mainstream or school for the deaf? Hearing aids or cochlear implant? Interestingly, we've tried every one of the above .... so, I guess, we do have a lot of experiences to share. The biggest and best decisions we ever made were to give Hilary the cochlear implant and to move to St. Louis. Today, Hilary is 16 years old, she is completely "oral" - she communicates by talking (although she is difficult for many people to understand) and she relies on her implant and lip reading to understand her speaker. Hilary is a sophomore in high school, she is fully mainstreamed without any support services and she just started her first job. Yes, Hilary is doing okay! Hilary's success is due in large part to the incredible teachers, speech therapists and audiologists at the Moog Center for Deaf Education* in St. Louis, which Hilary attended for five years. It is a remarkable school that achieves remarkable results with deaf children. As we sit here today, I'm not sure there is much about Hilary I could journal on. However, I am always willing to share our experiences with other parents of deaf children whenever asked.

(*long story short - we moved to St. Louis to attend the Central Institute for the Deaf (CID). Two months after Hilary started attending school there, CID fired the Director of Deaf Education (Jean Moog). It was a huge fiasco and the bottom line is that Jean started her own school and took with her the majority of the teachers and therapists from CID. We made the decision to leave CID and follow Jean Moog.)

Okay, I've rambled on long enough. Until next time . . . ENJOY THE MOMENT.

Wednesday, April 18, 2007

Update?


I feel like I should post something new and bump my latest "confession" down a notch. I have to share with you that it took many, many hours and a few glasses of wine to draft the last post. If I was ever to write a book, I'd have to take a sabbatical to get it done (which doesn't sound like a half bad idea right about now!) Thanks for all your comments ... they are much appreciated.

Anyway, not much going on. All is quiet, all is well. We have Kristi all this week which makes life so much less stressful. We have a new nurse who oriented last week and will orient again on Friday and then work one day a week starting next week. She doesn't have any vent experience, but ... not to worry. As long as she knows how to keep the trach clear of secretions and use an ambu-bag - we'll be fine. It's been my experience that the nurses who come in "fresh" actually end up working out better because they don't have preconceived ideas of how things should be done. They get to learn how to do things "Jack's way". Fortunately, Jack is healthy and doing well, so it's a good time to find another nurse to bring on board. We wish Kristi would just move in with us, but she does have a family of her own (darnit!)

I'll try and update with something of substance - but not too "deep", soon.

*In case anyone is worried ... I should add that the new nurse will be trained on the vent and I'm sure she'll pick it up quickly -- it's not rocket science.

Sunday, April 15, 2007

Perfection

No child is perfectly whole in mind, body, spirit, ability ... nor can any child meet all of a parent's expectations. Yet, there is a wholeness of each and every child that is unique and brings with it a unique set of possibilities and limitations, a unique set of opportunities for fulfillment.

Fred Rogers, Mister Rogers' Neighborhood

************************************

“Must be nice to be perfect."  If I heard this once, I heard it a hundred times growing up. Apparently, I thought highly of myself and I didn’t hesitate to profess to the rest of my family that my way was the right way ... the only way ... the perfect way! I am told that as early as first grade I was re-doing my class work because it had to be perfect. A speck of crayon outside the lines was simply not acceptable. While I don’t claim to be perfect, I do confess that I am a perfectionist.

A friend of mine tells me that nothing in life happens by chance; that each of our lives is a carefully orchestrated series of events designed to teach us specific lessons catered to our individual weaknesses and flaws. Any guess as to which flaw of mine precipitated the events of my life?

Sixteen and a half years ago, I anxiously awaited the birth of my first child, anticipating nothing less than a healthy and perfect little girl. Hilary was born without complication and our first year was uneventful. Hilary was an easy baby – almost too easy. At thirteen months of age, Hilary was diagnosed with a profound hearing loss – Hilary is deaf. I was devastated, but took some comfort in the fact that she was a beautiful and bright child and, at least to the rest of the world, she looked perfect. We learned sign language and Hilary picked it up quickly. Yet, it wasn’t good enough for me. I wanted her to talk. I wanted her to be like everyone else. I wanted her to be perfect. Because Hilary received no benefit from hearing aids, the decision was made to give Hilary a cochlear implant when she was four and a half years old. After being implanted, it became clear that the services Hilary needed to maximize the benefit of the implant were not in Arizona. I did my research, talked to several other parents of children who had cochlear implants and decided that if Hilary was to ever learn to talk, she needed to attend one of the best oral schools for the deaf in the country – the Central Institute for the Deaf located in St. Louis, Missouri. Without hesitation, we put our house on the market, left our family, friends and jobs behind and moved to St. Louis. For the next three years, I was consumed with Hilary learning to hear with her implant and speak with her voice. I was the parent of a deaf child who attended an elite school for the deaf. I was surrounded by other parents who had also relocated from all over the country and who shared my same concerns, worries and passion to have their child talk one day. None of us could imagine a worse fate in life than having a deaf child.

Apparently, there was more I needed to learn.

My world and my focus came to an abrupt halt on November 4, 1998, when John Michael (“Jack”) came storming into this world seven weeks ahead of schedule. Jack had a bumpy start, but came home after six weeks on oxygen only. I breathed a huge sigh of relief, thinking we had dodged any major complications from his premature birth. Jack’s stay at home was short-lived. He bounced between the hospital and home for two months before his final stay that lasted three months. I distinctly remember during Jack’s first PICU stay, standing in the hallway looking at a bulletin board with pictures of PICU graduates and the one thing that caught my attention was that there was a lot of kids on that board with trachs. One day, Jack’s cardiothoracic surgeon came walking by and I made the comment to him that seeing all the kids with trachs on their bulletin board didn’t give me a warm fuzzy feeling. He told me he didn’t think I had anything to worry about. (Ha!) During those many months Jack was in the PICU, I prayed like I have never prayed before and my only request was … please, no trach. I didn’t have any experience with trachs, but I knew enough to know that my definition of perfect did not include a child with a hole in his neck. Not only did Jack come home with a hole in his neck, he came home with a hole in his stomach and a whole lot of equipment that I wanted nothing to do with. My mission from the minute Jack came home was to get rid of it all – post haste. I was relentless. I had Jack off that vent 8 or more hours a day, I gave him food by mouth and I had him in his stander several hours a day. I was bound and determined that this was all temporary and that someday Jack would be a typical little boy running around the soccer field. He would be my perfect son, he just needed time.

Jack’s first year quickly faded into his second year and his second year into this third and, despite the fact that he had made little progress during this time, I refused to give up. I continued to push Jack and I continued to be disappointed. After several years, one of Jack’s doctors gently suggested that maybe it was time I made peace with the ventilator. How could I admit to him that the issue wasn’t a matter of accepting a machine, it went much deeper than that – it was facing and accepting the reality that Jack would never be the perfect little boy I dreamed he would be . . . the little boy I needed him to be.

I am a perfectionist and I am the parent of two children with disabilities – a tough combination to reconcile. Without reservation, I love my children with all my heart -profoundly and unconditionally. My greatest challenge, however, has been to reconcile my mind with my heart. My mind is always in overdrive, it relentlessly confronts me with the decisions I have made and with visions of what could have been, what is, and what will be. I am not only a perfectionist, I am a thinker of the first order. It is a constant struggle for me to turn off my thoughts and simply allow my heart to rule.

Author, Anna Quindlen made the following observation: “The thing that is really hard, and really amazing, is giving up on being perfect and beginning the work of becoming yourself.” Indeed. I am learning to measure perfection in relation to my child’s capabilities rather than by my standards. I am learning to allow my children to be who they are, not who I would have them be. I am learning that happiness is not achieved through perfection but through acceptance. With a bit more difficulty, I am learning that to give up my demand for perfection does not mean that I have failed. Yes, I am learning to accept things as they are, rather than as I want them to be. However, there are still those days I wish I was spending my Saturday mornings on the sidelines watching Jack kick a soccer ball around the field instead of spending it suctioning his airway and giving him tube feedings; and those days I wish my vacation time was spent on the beach with my family instead of in a Children’s Hospital. There are still those days I feel completely cheated. Some may think that because I have other children who can do the things that Jack cannot, that somehow this should lessen the pain and loss I feel. It does not. I’ve also been reminded on occasion that “it could be worse.” For the record, I’m acutely aware that it could be worse. On the other hand, my response to that comment is “it could be better.”

I would agree that nothing in life happens by chance. I have been blessed with four incredibly unique children each of whom came into my life in a “perfectly” orchestrated sequence. Hilary is my ice breaker; she opened me up to change and she prepared me for what was coming. Mary is my respite; she was the calm before the storm and she continues to be a calming force in my life. Jack is my storm; he is the storm from which has sprung a rainbow of life’s lessons - lessons of courage, hope, strength, patience, perseverance, acceptance and a love deeper than I ever thought possible. Eric is my bonus; he is everything I dreamed of, but never expected to get.

While I may not have the “perfect” children I once dreamed of, I have four beautiful children who are perfectly happy being who they are. I can’t ask for anything more than that. I have learned.





My children - each at one year of age.

Friday, April 13, 2007

Happy Friday

Cheers!




(I promise my blog thought I've been promising for two weeks by the end of the weekend. It's turning into a thesis! Don't get your hopes up too high though, I'd hate to disappoint)

**Carrie, the Blue Moon is for you ;-)


Tuesday, April 10, 2007

On a positive note


While I recognize that it's okay to share all my feelings, I prefer to move past the negative as quickly as possible. Negativity is toxic. I try to avoid toxic people and the last thing I want is to become one of those people I'd want to avoid!

So, on a positive note, I thought I'd share some of the good things in life right now:

~Mary is on Spring Break this week which means one less hour of driving in the morning (yippee!)

~ We've made it all the way to April and Jack has not had one single respiratory illness the entire winter.

~ Jack hasn't had to see his pulmonologist since last June or his pediatrician since last May (remarkable!)

~ Everyone who has seen Jack lately raves about how GOOD he looks!

~ In a few weeks I will be enjoying a couple of days in Las Vegas with some of my real cyber-friends.

~ In a month I will be going to New York for my sister's graduation from Columbia (all by myself).

~ It's no longer dark when I leave the office in the evening so I've been able to enjoy beautiful sunsets on my drive home.

I'm sure there is much more I can add to this list, but I need to get to work ;-)

Have a wonderful day my friends!

Sunday, April 08, 2007

An Illusion?

I went to Easter Sunday mass this morning with my kids (sans Jack, of course). This last year, it's become more and more difficult for me to attend mass at our church for a multitude of reasons. Today's sermon pretty much sealed the deal for me. For reasons I cannot understand, the priest used his platform to discuss the "evilness" of the internet - an appropriate topic for Easter Sunday, don't you think? He stated more than once (because this guy really likes to repeat himself) that the internet is just an "illusion". An illusion is defined as: "something that deceives by producing a false or misleading impression of reality."

If you were to believe him, then the last 8 months of Jack's life that I've chronicled on this website is false, misleading and deceptive. Perhaps I should forward him the link and then invite him over for dinner and then ask him if everything he read is an illusion. No, this life you are reading about is all too REAL! All the incredible love and support I receive from my internet friends is REAL. There is a website for a little girl named Annie who is fighting for her life right now in the PICU at St. Louis Children's Hospital as she awaits a second lung transplant. I check Annie's website several times a day for updates on her condition. I know Annie and I know Annie's mom ... Annie is REAL. I also check in several times a day with my internet support group - other parents of children with trachs who are some of the most supportive, informative and compassionate moms I have ever met. These people are REAL, their children are REAL and the struggles and joys they share as parents of medically fragile children are REAL.

Yes, bad things can happen because of the internet and, yes, there are many occasions where people pretend to be someone other than who they really are. However, there are also many good things that come from the internet and many more occasions where the people really are who they say they are. To make the blanket statement that the internet is evil and an illusion is irresponsible and total b.s.

Sorry this is such a pisser of a post, but this guy really made me angry and there was no reason to even "go there" in what should have been a sermon focused on celebration and positive things.

So, to all my "illusory" internet friends ... I hope you all have a REALly wonderful week.

Love ya!

***********
Just to clarify - I haven't given up on my faith, just this particular church.

Friday, April 06, 2007

Gone Shopping


Jack took a trip to one of his favorite places this evening ... the mall! We picked up his new glasses and did a little shopping. I'm looking forward to a quiet weekend - our only plans are Easter dinner at my sister's house.

Have a great weekend and a joyous Easter.

*************************
Kari -- oh, the pressure!! Hopefully soon .... lately, I've been choosing sleep over writing. I hope to catch up on both this weekend.

Wednesday, April 04, 2007

Thank you

Thank you all for your kind and supportive words and for giving me permission to tell it like it is. As Kari correctly noted, it's emotionally draining to confess (and write) the truth. It's much easier to pretend "it's all right as rain" (I really like that expression!) Many of my posts, except for those that are simply recaps of our day, require much introspection and take some time to write. I don't just sit down at the computer and pound out a post in a matter of minutes. I do a lot of thinking, writing, re-thinking and re-writing. I respect the fact that so many of you can relate to my feelings and I am humbled by your comments. Just know that you all are as much my inspiration as I am yours. I'm no more "super" than the rest of you.

I've been working on a "blog thought" for several weeks now but I'm having a heck of a time translating my thoughts into words. It's a tough subject for me, which is no doubt why I'm struggling with it. I hope to finish it soon ... not that you are all waiting with bated breath for my next "confession".

Have a great rest of the week!

Ciao.

Sunday, April 01, 2007

My Mantra

God grant me the serenity
to accept the things I cannot change;
courage to change the things I can;
and wisdom to know the difference.

*****************

I carry these words in my wallet, in my Daytimer and even taped to my computer to remind myself that I have very little control over things in my life and that sometimes I just have to let it be. It's so much easier to say these words than to live them.

I feel uncomfortable and somewhat guilty when I draft posts that are downers - it goes against the persona people have of me, or perhaps the persona I want to believe people have of me. I really dislike it when I allow myself to be overcome with negativity and I dislike it even more after I've let the world in on my negativity. Part of me is not sure this blogging is a good thing as it allows people see a side of me they wouldn't likely see if they only knew me in person (thankfully, the majority of the people I see on a daily basis are unaware of this site.) It's not to say that I'm always happy and chipper in person, but I'm fairly good at pretending things are "just dandy" for the most part.

I just have to remember that this journey Jack and I are on is long and arduous and it must be enjoyed or endured -- as the case may be -- one day at a time. Some days are better than others, but at the end of the day, all I have to do is look into those incredible eyes and I know that if he can keep on going, so must I.

Saturday, March 31, 2007

Melancholy Day

It looks like our new nurse is not going to work out. He is a good nurse, just not a good match for Jack -- he's a bit too high energy and did some things that have us concerned about Jack's safety. I've been so fortunate with nursing over the last 8 years, yet when issues do arise . . . it gets me so down because I'm reminded that I'm in this for the long haul and the realization that my child's comfort and life is in someone else's hands every day is overwhelming at times. I then worry about what would happen if I died before Jack, I mean how many parents hope their child dies before them? But, I can't imagine not being here to watch out for Jack and make sure he is taken care of. I can't even fathom Jack being placed in a facility because we are no longer around or not able to care for him.

Anyway .... as you can see, a simple thing like an issue with a nurse just resurrects my deepest fears and then I get all melancholy about the whole Jack situation. Needless to say, I've been in a lousy mood today. It doesn't help that I've been stuck in the house because Mary was in a basketball tournament that lasted most of the day and Mark took her. Just another reminder of how my life is so much different than most -- if Jack was a typical 8 year old, we all would have been at the basketball tournament and spent the day together as a family.

To top off my mood, I made the mistake of looking through a CD we got from St. Louis Children's Hospital last summer that has a bunch of Jack's x-rays loaded on it. Another reminder of how "fragile" Jack really is -- his bones are the size of twigs:


A CT Scan from the summer of 2005


I'm getting up early tomorrow and going hiking with my friend -- which is usually good for an attitude adjustment.

Thursday, March 29, 2007

Wanted!

Eric came home from school with this ... I thought it was too cute not to share (so humor me and tell me you agree :-)



Jack has recovered nicely from my deviation from the acceptable standard of care. He's appropriately humidified and back to his happy ol' self! I can't imagine anything worse than having to rely on other people and/or machines to provide for every single need in your life - especially when a mistake by the people you rely on can be devastating. It breaks my heart ... but, I just tell myself that Jack doesn't know any different (that is about relying on others, not about mistakes being by people he depends on - fortunately, those are few and far between.)

Have a great Friday my friends.

Tuesday, March 27, 2007

A little humidity is a good thing

It's only Tuesday, but I swear it feels like Thursday. How can I be so tired already and it's only Tuesday? Jack had a rough day today -- which doesn't surprise me. I had noticed over the weekend that Jack's secretions were really thick and, last night I figured out why. I remember changing the bag of water that fills his heater chamber (the chamber that heats the water that humidifies the air that he breathes) some time on Saturday. Last night I noticed that the heater chamber was completely dry and the bag of sterile water was completely full. I'm guessing that when I changed over the bag, I didn't make a complete "connection" and the water couldn't flow from the bag to the heater chamber. Bottom line ... Jack went over 2 days breathing dry air. NOT A GOOD THING! Those of us who breathe the way nature intended add moisture to the air we breathe when the air passes through our nose. Because Jack doesn't breathe through his nose, we have to create artificial moisture by running the air received from the ventilator through a heated water chamber. Anyway, after I noticed the problem last night, I spent several hours (well past midnight) giving Jack saline nebs and suctioning quite a bit to get what was essentially concrete out of his lungs. When our new nurse showed up today, I gave him a heads-up. Apparently, Jack's day was just as I predicted. I say "apparently" because Paul called Kristi when he became concerned about Jack's high heart rate and breathing. Of course . . . no call to me. Kristi then called me to give me a heads up. Long story ... long ... Jack looked completely wiped out when I got home from work. And those eyes he gave me . . . they spoke volumes about how his day went -- they are so tired. He's not sharing any smiles with me right now either.

I guess there's a reason they call kids like Jack "medically fragile". They can turn on a dime and when they do, it's not something you can fix with a kiss and a bandaide. It's this constantly being either in crisis mode or on the verge all the time that is so wearing. I'm worn out . . . but, this time it's my own fault ... I created the crisis!

Tomorrow will be a better day, I'm sure of it. Onward we trudge ...

Monday, March 26, 2007

Friday, March 23, 2007

What's in a number?

Jack's week can be summed up by the following numbers:

Translation: F-A-N-T-A-S-T-I-C

For those of you who don't monitor your kids on a regular basis .... the number on the left is Jack's oxygen saturation (it doesn't get any better than 100% - and Jack is not on supplemental oxygen) and the number on the right is his heartrate (for him to be below 100 is great.)

It's been a good week for Jack and thus, a good week for mom! We are having a birthday party on Sunday with family and friends to celebrate Eric and Mary's birthdays; I'm NOT going into the office this weekend; and the weather couldn't be better. We are looking forward to a great weekend to top off a great week. I'm also working on a blog-thought .... stay tuned ....

Have a great weekend my friends

Thursday, March 22, 2007

The Lost Art of Conversation

Whatever happened to people talking to each other to pass the time? I took these pictures this morning on the way to school - no sooner do the girls (Mary and her friend, Nicolette) get in the car and on go the iPods and out come the video games and/or books. I suppose it's my own fault . . . afterall, I did supply my kids with all the latest and greatest gadgets. I'm not without any conversation however, Eric is sitting in the very back of the car talking non-stop to whomever will listen!

On the Jack front -> Jack is having a fantastic week. The botox has kicked in and the drooling has slowed way down. In addition, because Jack doesn't have as much saliva, he doesn't aspirate it (which he tends to do because he doesn't swallow well) and he needs very little suctioning during the day - always a good thing. The new nurse is great -- to say he is high energy is an understatement :-) Mary thinks he is "cool" because he shows up with a bag full of great DVDs for he and Jack to watch. He is so good with Jack and always has him laughing. It's been such a refreshing week to have nothing to worry about.

Monday, March 19, 2007

Lift off!

I finally learned how to use Jack's lift this weekend. It's not exactly rocket science -- it was just a matter of finding the time to sit still for 5 minutes and listen and learn! (you'd think I was a 5 year old with ADHD). Anyway, Jack loved swinging in the sling and we were able to sit him back in his throne (the couch) for the first time since last July. Wow! There are a few adjustments that need to be made to the track, as it is too low to allow us to lift Jack completely out of his chair (we have to manually lift him over the armrest of his wheelchair) but we should have that issue resolved within the next week or so. I also don't like the fact that he has to sit (or lay) on the sling until we get him back into bed. Oh well ... there is always something to be bothered about, I suppose. At least this one is a small bother.

The nursing drama continues. We've got a different nurse starting tomorrow and he will be working every Tuesday and Thursday. I did not ask our Friday nurse off the case, it just so happened that this new nurse was just freed up from a case and Kristi really wants to only work 3 days a week at our house. They asked me if I'd be comfortable with a male nurse and I am (I think ... kinda, sorta ... I don't know?) I hear this guy is just wonderful with kids, very high energy. My concern is that he will become bored with caring for Jack because, we all know that Jack is anything but high energy. Wish us luck that this nurse works out.

We hope all is well with our friends out there in cyberland who check in on us regularly. We love you guys!

Happy to be back on his "throne"

Lift off!

Friday, March 16, 2007

Happy St. Patty's Day

May green be the grass you walk on,
May blue be the skies above you,
May pure be the joys that surround you,
May true be the hearts that love you.

**********

Some may say the glass is half empty,
Some may say the glass is half full,
But the Irish will forever say
"Are you gonna drink that?"

**********

Mary and a couple of other girls put on a short Irish dance show for their school yesterday. Here is a video clip of one of the dances Mary performed. She is not wearing the traditional dress and wig because it was too hot outside. Mary has a full day of performances today - she is dancing at 5 different events - starting with the St. Patrick's Day parade and ending tonight with a performance at a private party. I haven't seen Mary since yesterday morning (she spent the night at a friend's house). However, tomorrow is her 14th birthday, so I'm guessing she'll find her way back home for that!


Wednesday, March 14, 2007

Do it Anyway

The other day I was hanging out in bed with Jack, holding his hand and I got to thinking that not many of you have met Jack in person and really have no idea how much his disease has affected his ability to move his body. The decline in Jack's physical strength has been fairly rapid over the last few years. Jack is able to move only his hands, and even then, his hand movement is very limited. So, I got out my camera and shot some video clips of Jack in "action". As I was looking through the video clips, the thing that struck me the most was not Jack's limitations, rather it was the patience and persistence he displayed as he worked to achieve the task at hand. Although Jack doesn't always "succeed", he always gives it his best effort. After watching this video, I hope you can get some sense of what a special little spirit Jack is ... he truly is my life's teacher. He keeps me grounded and he reminds me daily of what really is important in life. I hope you enjoy the video and if Jack can teach you anything, it's to "do it anyway".

*****************************

My sister just called to tell me that every time she watches one of Jack's videos that I put together she feels like she is attending his funeral. That certainly isn't how she (or anyone else) should feel. My point in sharing these glimpses into Jack's life is becaue I feel Jack can teach all of us a thing or two by the way he lives his life. Jack still has a lot of life to live and I still have a lot to learn from him. My videos are not intended to evoke emotions of sadness. I truly believe that Jack eas sent to deliver a message -- perhaps a message directed only to me, but this forum allows me to share what I learn from Jack with all of you. So, when you think of Jack ... think happy, not sad thoughts.


Monday, March 12, 2007

HAPPY BIRTHDAY ERIC

The birthday boy and his bugs!

Birthday sundae at the Cheesecake Factory






Eric is still into bugs and he added more to his collection this birthday. We took him to the Rain Forest Cafe to do some bug shopping, but decided to each lunch at the Cheesecake Factory. In the video clip, Eric is naming all his bugs for you!

Jack tolerated his botox injections fairly well, although not without tears. He had a great time at the Cheesecake Factory and then walking around the mall afterwards. Kristi called out sick today, so Mark had to take the day off - which was nice because we spent the day together with just the boys.

Sunday, March 11, 2007

Another Busy Week


Jack got a much needed hair cut this weekend. Thank you, Michelle. We have another week of appointments. Jack sees the neurologist tomorrow for botox injections into his salivary glands ("OUCH"). This is done to help reduce Jack's oral secretions and thus, his drooling. He is supposed to have the injections every three months, however, Jack hasn't had the injections since last June, for obvious reasons. The appointment is at noon, so I'll be heading into work before the rooster crows so I can get in a few hours before I have to leave to get Jack to his appointment. On Tuesday, Jack sees the dentist, so there is another 1/2 day missed of work. Now you understand why I work late and on the weekends ... working in a profession that lives and dies by the billable hour is not compatible with having a medically involved/special needs child. While I do have the flexibility to take off when I need to, the number of hours I have to bill each month is not as flexible. Needless to say, I'm always playing catch up and ... I've yet to catch up!

Tomorrow is Eric's 5th birthday. The plan is to go to lunch at the Rain Forest Cafe (terrible food, but a fun place for the kids) after Jack's appointment. Hopefully, Jack will be up for it. I'll be sure and bring my camera.

Hope you all have a grand week.

Thursday, March 08, 2007

Quiet Week

The Thinker

Not much to update as this week has been relatively quiet and I have no words of wisdom because I haven't taken the time to sit down and put my thoughts into words, and God knows, I've always got thoughts! I was talking to a friend of mine last week and we've both decided that I do too much thinking. Everything is always so "deep" and I spend so much energy analyzing and pondering the meaning of life. My time would be better spent living life! It's such a challenge for me to just "let it be". I've tried to keep myself out of deep thought this week and, consequently, I have nothing to write about ... imagine that! I'm sure it won't be too long before I come up with some rambling, meaningless, wordy post. After all .... I AM a thinker.

We did take the plunge and put Jack in his sling/lift this week. The guy who helped us pick out the lift system came by the house and gave Kristi an inservice and she has been using it the last two days. Now we need Kristi to give us an inservice. Once I figure it out, I'll post pictures. I hear Jack really enjoys the ride!

Tomorrow is Friday ... new nurse day. Wish Jack luck, please.

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Friday update: When I got home from work, Jack had the deer in the headlights look ... I don't think it was a great day.

Monday, March 05, 2007

Happy Monday ...

Well, almost Tuesday for some of you. We had a very busy weekend re-arranging and organizing Jack's room. He got a bunch of new furniture to help me organize. With a little help from Target and Ikea -- Jack's room looks pretty cool - he loves the big canopy leaves over his bed. I'm thinking of having someone come in and paint a "headboard" on the wall. Mark had to assemble all the furniture and said he needed a walker to get around today because he was hurting so bad! It was quite the challenge to make Jack's room look as "normal" as possible given all the medical equipment he has. I hid most of the stuff, but couldn't find a place to hide the cough-assist machine (or the vent :-) The pictures aren't very good because of the nightime lighting -- but, as you can see, Jack isn't the only one who is enjoying his new environs.

Not so sure about the Friday nurse yet -- I found out from Kristi that she called Kristi on Friday because Jack's heart rate was over 170! Not sure why she didn't call me instead? (actually, I'm quite certain why she didn't call me :-) Jack had a rather crappy weekend ... not sure how much was related to Friday. I'm not particularly looking forward to this Friday. I just hate this ... *Sigh*




Friday, March 02, 2007

TGIF

Jack's new nurse did fine today ... Jack was alive and happy when I arrived home! I'm a little more "alive" today as well. Thank God it's Friday ... Saturday is my day to sleep in. Have a GRAND weekend everyone!

Thursday, March 01, 2007

Jack's New Bed

Jack's new bed arrived and it's wonderful. Even though it's a queen, it doesn't seem that big. We both love the massage feature! Here are some pictures from this evening. (Yes, I'm as tired as I look!)



Jack's other bed was a captain's bed with lots of shelves and drawers ... we will be running around this weekend trying to find replacements for those items since he doesn't have anywhere to put his clothes, stuffed animals, books or medical equipment now.

Eric has been sick with some respiratory crap, so I have been giving him breathing treatments. Jack is getting the biggest kick out of the fact that it's Eric and not him who has to be "attended to". Jack was laughing out loud while Eric was getting his treatment.

Eric having fun with Jack.

Tomorrow is our first day with a nurse other than Kristi since Jack got home from his surgery last summer. Wish us luck.

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HAPPY BIRTHDAY PEGGY!
Hope you had a wonderful day.

Wednesday, February 28, 2007

Hope

Today's food for thought:

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HOPE

Often others seem to feel a special responsibility to puncture our hopes. They say things like “You know he will never learn to read” or “You need to accept he doesn’t know what is going on around him” or “He’s doing well now, but he will reach a plateau.”

They would say we are in denial, that our dreams are “false hopes,” from which we must be protected. God forbid anyone should go around entertaining false hopes! But, in a certain sense, what other kind of hope is there?

Hope is the thing that is willing to take a chance on the future. And who is audacious enough to say what the future will bring? Hope is the capacity to see something on the horizon that we are willing to move toward. If our hope gets us from today to tomorrow, and in that new day we are ready or able to deal with something we thought we couldn’t face, then hope has done its job.

There is a worse thing than false hope. It is no hope.

Changed by a Child

Monday, February 26, 2007

Today's appointments

Today's appointment with the orthopedic doctor went well. Our local ortho (Dr. White) told me that Jack's St. Louis ortho was in Phoenix last week with the group of orthopedic docs from St. Louis Children's who were here to put on some continuing education presentation. Dr. White attended the presentation and talked to Jack's St. Louis ortho - he told him not to worry - that Jack was in good hands here in Phoenix. Dr. White said the St. Louis ortho just laughed (not sure what to make of that???) My dilemma, however, is that the St. Louis ortho says we can't flex Jack's back -- which we would do if we put him in the sling. Dr. White says we are 6 months out and it's okay to resume "normal" activity and it's okay to use the sling. On one hand, I have the ultra-conservative St. Louis surgeon and, on the other hand, I have the "not-a-care-in-the-world" Phoenix surgeon. It is so frustrating that I can't ever get two doctors on the same page. I guess it's my job to find the appropriate middle ground. The other thing is that I asked Dr. White what Jack's curve is post-surgery -- he measured it and got 40 degrees. The St. Louis ortho told me 52 degrees. How can there be such a difference in their measurements?! Who is right? Does it really matter?

The meeting with the school district was fine, for the most part. Jack has a good team, although I think some of the therapists are a bit defensive. PT is still on hold (Karen - I'll be in touch). I find it a bit ridiculous that they can't understand why Jack is having a difficult time doing all the things he was doing pre-surgery. Here are the facts, figure it out .... Jack was flat on his back in bed for 4 solid months. Presently, he is only out of bed 1-2 hours a day. I don't know about you, but I'm thinking the 1 or 2 hours he is sitting in his chair, it is taking a LOT of energy just to adjust to sitting. You can't expect him to jump right back into his normal activity when his head is probably spinning the majority of the time he is up in his chair. They revised his goals and basically set goals appropriate for a 2 year old and, quite frankly, I don't really give a s#%t! Jack is smarter than anyone will ever give him credit for. I know that, and that is all that really matters.

Today is over and, as they say ... tomorrow is another day! Onward we march.

Thanks for checking in.

Sunday, February 25, 2007

Busy (and Stressful) Week Ahead

We have lots going on this coming week. Tomorrow Jack has an appointment with the local ortho for an x-ray. I don't expect we'll see anything of concern, but it will be the first x-ray since we've had him up in his chair ... so, I'm a little nervous. Per the instructions of the St. Louis ortho - we still can't do anything with Jack that will flex his back (while I don't like the guy, I do heed his advice, as long as it makes sense to me). This means we can't put him in the sling for his lift system yet because that will clearly flex his back. The bummer about this is that Jack is a two person lift and unless there is someone at the house to help Kristi put him in his wheelchair (like a therapist), he is still spending the majority of his day in bed. The recovery period for a spinal fusion is one year - so it won't be until this summer until we can start using the lift system.

Speaking of his bed .... I decided it's time to get rid of the hospital bed. I like the fact that we can elevate Jack's head and move the bed around the room to give him different views, but I hate the fact that I can't lay in bed with him. Plus, it makes me nervous when we turn him on his side to change diapers, clothes, etc. that there is so little room between him and the edge of the bed. I have the fear of him falling off the bed. This week Jack will become the owner of a queen size sleep number bed from Select Comfort (they deliver it on Wed). It's got all the bells and whistles - we bought the adjustable frame so that we can still elevate his head and his feet too. It's got a built-in massager (I'll be checking that out!) and, of course, the ability to change the firmness of the mattress. I also feel like this is the best thing for managing the areas on his back that are susceptible to pressure sores. The added bonus is that it's a queen with dual controls, so Jack gets one side and I get the other! Just so you don't get weirded out with the thought of me sleeping with my kid ... I usually only sleep with him when he is sick ... much easier to suction 100x a night when you are right there as opposed to traveling up and down stairs as many times. It’s also nice to hang out with him in bed and watch T.V.

The stressful part of the week is that Jack will be getting a new nurse one day a week, starting this week. Kristi has always worked 4 days a week for us and we had a different nurse one day a week. Our one day a week nurse has been a revolving door the last 4+ years and we've had, at best, one or two nurses that I've been comfortable with. Due to Jack's fragile state following his surgery, we chose not to have any nurses in our home except Kristi. Since the agency won’t pay a nurse to work more than 50 hours a week, Kristi has been working 4 1/2 days during the week and Mark has worked from home one afternoon a week (Mark’s employer – Edward Jones has been very supportive of Jack’s situation - kuddos to them for being such a family friendly company). However, Kristi is getting burned out (understandably) and she needs to cut back her hours here. Jack is a helluva lot of work and he is still (in my opinion) very fragile. The nurse we have starting this week is someone who has been here before and someone who I am fairly comfortable with. I just hope she appreciates what Jack had done this summer and understands that she must be extremely careful when she moves him. I'm so incredibly protective of Jack since his surgery. That kid went through hell and he deserves to be treated like a king as far as I'm concerned. I only want nurses in my house who genuinely care about Jack, not nurses who are just here to collect a paycheck. Jack is too precious to settle for anything less. It is with great apprehension that we open our home to a new nurse. She orients with Kristi on Tuesday and she starts Friday. I am sick to my stomach nervous leaving Jack with someone other than Kristi. Wish us luck!

I also have an IEP meeting with the school district tomorrow (after the appointment with the ortho) . . . oh joy! These meetings are such a complete waste of time. Part of me wants to sever all ties with the school district and just take the position that Jack is home-schooled. I’m sure they wouldn’t mind … it would save them a lot of money. But, occasionally we get a good therapist and I don’t want to deprive Jack of the experience just because it’s easier on me. I’m not even at home when the therapists are here, but I have to sit through these meetings and listen to people who don’t have a clue as to who Jack is or what his potential is tell me what they think he can and can’t do or what he does or doesn’t need. Having already been through the “process” with Hilary, I’ve learned to take everything they say with a grain of salt. As I recently told a friend of mine, I’ve come to realize that if you randomly took people out of the general population and subjected them to the testing our kids have to undergo – a whole hell of a lot of the population would qualify for services. I don't really care what label the “professionals” attach to Jack . . . as far as I'm concerned . . . he is PERFECT!

Have a great week everyone.

Thursday, February 22, 2007

Sadness

As many of you know, I am active on a message board for parents of children with trachs. One of our moms just posted that her daughter unexpectedly passed away today. Her daughter was a twin. This is the third child on our trach board who has passed away within the last 6 months. I never met this mom or her daughter, yet I sit here tonight feeling such profound sadness. It's a reminder of how fragile our children really are. Life is fragile all the way around . . . but for our kids who rely on medical technology/intervention to keep them alive, the line between life and death is so very fine. We work so hard to create the appearance of normalcy; we make things look easy and under control. The fact is, there is nothing normal, easy or within our control when it comes to caring for a medically fragile child. I realize there is nothing easy about being the parent of any child. This isn’t about “my life sucks more than yours”. It’s just about being sad over the loss of a child that hits way too close to home. Hug your children, appreciate life and remember that none of us is guaranteed tomorrow.

Sunday, February 18, 2007

Brothers






Today was another GORGEOUS day! We took the boys out and did some shopping, went out to lunch and finished off with a walk around the neighborhood. Jack tolerated being in his chair wonderfully. It's so nice to be able to get out and about more with Jack.

Although I hate to spoil everyone's image of the "brothers" ... in the picture where Eric is talking to Jack ... Eric is actually yelling at Jack because he has "slobber" all over his face. Jack just laughs at him. (If you are wondering what they are looking at ... there are baby ducks in the water.)

Saturday, February 17, 2007

Quiet Weekend

I'll take this ....
(Chandler, AZ - today)

over this . . .
(St. Louis, MO - Tuesday)

any day . . . which is why I live in Arizona ;-)

There is absolutely nothing to report. All is well, the weather is fantastic ... life is good and I am enjoying the moment ... and it doesn't hurt that this is a 3-day weekend. Enjoy!

Tuesday, February 13, 2007

Home ... just barely!

The wind-up

The throw

Eric, Peggy & Lucy (the dog)


Airline tickets to STL - $500
Visit with the eye doctor - 20 minutes
Flight delay due to snow - 5 hours
Money spent in STL airport waiting for flight - $too much
Eric's first time playing in the snow - PRICELESS

*************************************

We were only the second or third Southwest flight to get out of STL and that was at 5pm. Most flights heading East were cancelled all together. We were lucky to get out. I would have been okay staying another day if I had known before I got to the airport that my flight was cancelled! Eric did very well hanging out in the airport most of the day. Note to self: do not schedule doctor's appointments in STL in the month of February!

Hey "ME" .... you can come stay with me anytime!

Warm and Sunny .... Please

On the plane on the way out .... looking a little nervous
Starbucks before we left for the airport.


So far ... no snow, but it's been rainy, cold and miserable. I almost forgot how awful Winter could be. Edit: it's now snowing and our flight is delayed. I just hope we get out of here today!

Eric's eye appointment went extremely well. Eric went from seeing the first row on the eye chart (you know ... the BIG letter on top) with his "bad" eye to seeing the second to last row. He also went from having no depth perception to regaining it completely -- all this just by wearing glasses for 5 months. The doctor told me that everything they want to see happen -- happened. Gee, that's a first for one of my kids!

It's been great spending time with Peg. We've stayed up late - talking lots and polishing off a few bottles of wine in the process. We are heading to the airport soon - I'm anxious to see Jack's sweet little face. I'm so glad you all have enjoyed "Jack's faces" - it means so much that you can "see" what I see in his eyes and face.

Have a great day and those of you who live where you actually get Winter .... stay warm.

Saturday, February 10, 2007

Faces of Jack

At night, before I turn off the lights, I ask Jack to show me his sleepy eyes. The fact that he can do this is of great significance to me. Before Jack's anoxic event, he made the best faces ... we would ask him to show us his happy face, sad face, sleepy face, mad face, etc. and he was great. It took over a year after his anoxic event for him to be able to show me his sleepy eyes again. He is still unable to show us his other "faces" on request. However, the fact that I can ask him to show me his sleepy eyes and he can do it, is an affirmation that he is still "here" following his event. You can see him processing the information and the delay before he can get his body to do what his mind tells it to do. I ask him to show me a second time just to make sure (in my mind) that it was a conscious act and not just happenstance. You can also hear how excited I get over such a simple gesture. I just wonder what Jack could tell us if we could translate what's in those eyes to words.



Here is Jack this morning when I mentioned putting his DAFOs on. Obviously, he did not like the idea! There's a bit of acting going on as he tries to keep himself from smiling while giving me the pout. (btw, he will get his DAFOs on sometime today - much to his dismay.)



(DAFO = Dynamic Ankle-Foot Orthosis - braces for Jack's feet/ankles)

Got a call from the ophthalmologist's office Friday afternoon telling me that the doctor unexpectedly had to go out of town and he wouldn't be there on Monday. I told them I still plan on coming, so could they get us with someone else, which they did. Mark and I both think Eric will probably need surgery because his eye still wanders, so it's a bit disappointing that our doctor can't see Eric. Oh well ... trying not to sweat the small stuff. If nothing else, it's a much needed break away from the stresses of work and Jack.

Have a great weekend.

Tuesday, February 06, 2007

80 and Sunny --> 30 and Snow

"Winter" is officially over here in the Valley of the Sun. Today was a gorgeous 80 degrees and sunny. Eric and I leave this weekend for St. Louis for a follow-up appointment with the ophthalmologist on Monday. The forecast is for SNOW on Monday and Tuesday. Yikes! It probably seems crazy to go all the way to STL for a follow-up eye appointment but, I am 100% comfortable with the ophthalmologist in STL and I'm less than 100% comfortable with the ophthalmologist here. Plus, it's a chance to get a couple nights sleep without having to listen to the blasted baby monitor and, best of all ... a chance to visit with my dear friend, Peggy.

Jack's definitely got some intestinal virus going on. Let's just say diaper changes send everyone running while exclaiming "I'm outta here" (Eric) or "Oh my God" (Mary). We now have candles burning in Jack's room to freshen up the place. He's also full of snot and his heart rate has been above 100 for a week (unusual for him). Naturally, he gets sick before I'm scheduled to leave town. I just don't want another phone call from Mark like I got last June when Jack was sick and I was in STL for the trach conference. I answer my cell phone to be asked this question: "When do you know if it's time to take Jack to the emergency room?" My answer ... "not unless he is a full code!" (and I'm completely serious ... I don't do ERs with Jack.) Hopefully, Jack will just behave himself the 2 1/2 days I'm gone.

Saturday, February 03, 2007

Doctors

At the ripe old age of eleven, I had my life planned out. I wrote these plans on a piece of paper that I still have in my possession today: “When I grow up, I want to be a doctor. I hope to also get married, have ten kids and live a happy and long life”. For as long as I can remember, I wanted to be a doctor. I couldn’t wait until I was old enough to put on the red and white striped dress of a junior volunteer. My job was primarily filling patients’ water pitchers and running specimens to the lab. Not very exciting stuff, but I was thrilled simply to get an up close and personal glimpse into the life of a doctor. I eventually traded the striped dress in for a blue jacket worn by the senior volunteers. I asked to be assigned to the emergency room - where I spent most of my weekends throughout my college years. It was an eye-opening and amazing experience. I completed my undergraduate degree in Biology, took the MCATs and applied to medical school. It is here where I encountered my first detour on the road of life that I had so perfectly planned. I was not accepted into medical school.

Over the last eight years, I’ve had the opportunity to spend a great deal of time in the presence of doctors. Unfortunately, I find myself on the wrong side of the white coat, and that is a very difficult place for me to be. After Jack was born, I was thrown into the world of intensivists, pulmonologists, neurologists, surgeons, fellows and residents. Jack spent close to five months in the PICU and during that time I encountered a legion of doctors, as the attendings and residents rotated through. I saw doctors do a lot of great things. I saw kids get new hearts and lungs and kids who were much sicker than Jack get off machines and leave that PICU. Yet, these same doctors couldn’t help me. They couldn’t “fix” my kid no matter how hard I pressed them and pleaded with them. I fought traching Jack for months because I needed answers. I needed to know “why?” The answers never came. I was worn down and eventually had to concede. From my perspective, the profession that I had so admired and aspired to belong to, had completely failed me. Jack left the PICU with a tube in his neck, a tube in his stomach and connected to a machine to support his breathing. He also left with a very terrified, confused and angry mom. I was so disappointed with doctors that I wanted nothing more to do with them … an impossibility when you have a medically fragile child.

I’ve encountered the good, the bad and the indifferent when it comes to doctors. But, by and large, I’ve had the privilege of dealing with an exceptional team of doctors who have provided the best of care to Jack. I’ve also had the opportunity to get to know several of Jack’s doctors on a more informal level. These doctors have been an incredible source of support to me by taking the time to talk me through things, by allowing me to see things from their perspective and by simply listening to me vent. One of my biggest fears the day Jack and I left the PICU was that of being abandoned by the people who – from my perspective – put me in this position in the first place. I’ve been very fortunate. I’ve not been abandoned, I’ve been embraced by several very special doctors who have done, and who continue to do, everything they can to ensure that Jack and I have the best quality of life under the circumstances.

Over the years, I’ve managed to temper my anger and disappointment towards doctors. I now have realistic expectations as to what doctors can do for Jack and what their limitations are. I’ve given up the dream of finding a doctor who can “fix” Jack. However, I still struggle with the fact that I’m on this side of the white coat and every time I sit in a room with one of Jack’s doctors, I am reminded of what I failed to accomplish. Perhaps my disappointment is not so much with the medical profession as it is with myself.

I close with the following quote from a book of companion notes for parents of children with disabilities. I believe this sums it up perfectly:

Doctors are human beings who have some information or knowledge that will help our children. Some are very skilled, and many are average. They have strengths and weaknesses. They make mistakes in their work. If we don’t put them on pedestals, we won’t have to knock them off.

Changed by a Child