Wednesday, August 20, 2008

Camper Boy

While Elias and I were out on our special date Carson has been out at the campground with my parents having a fantastic time. Elias went out and joined them for one night since he still deals with some separation anxiety issues and gets very homesick and out of routine if he is not in his bed for more than one night. Carson has been living it up at Dillon Dam. Gigi and Bobpop have let him ride his scooter all over the campground chasing them and small woodland creatures. He has learned to play t-ball and is going to be our all star south paw. When not scootering (is that actually a verb?) around or knocking back home runs, the C-man has built some incredible construction sites with his diggers, cranes, and 18 wheelers. He is the embodiment of a boy and is eating up every spare minute of free time before Kindergarten starts on 8/28. What a huge milestone that will be.







Tuesday, August 19, 2008

The "Bee" Store



Elias and I went on a Mommy-Son date tonight. Carson is camping with my parents and Al was at class so we had some special one-on-one time. I asked him where the two of us should go to dinner and his reply was, "The bee store Mom!". When I looked at him quizzically he said, "You know, APPLEBEES!!!". I couldn't help but laugh. If you know Eli in person you know he is an incredibly enthusiastic kiddo that is full of expressions. His entire body speaks when he is talking, walking, or playing. Anyone around him knows his mood and intent right off the bat and this time he was completely conveying the "Mom, how could you NOT know the exact restaurant I was talking about when I said the bee store even though we never eat there and I called it by a completely different name" expression. Three years old is fun (and exhausting at the same time!).



So, the two of us headed off to the bee store for dinner. Elias toted along his new 18 wheeler truck from Target and his little Curious George monkey stuffed animal. He ordered a green grasshopper for his drink and grilled chicken with applesauce for dinner. Typical preschooler. I opted for the smaller portion of orange chicken and a diet coke. The various wall decorations thoroughly entertained us until dinner was served along with "honk-honks" accompanying his 18 wheeler play. He hardly ate due to his *$@#** GERD that has been driving him (and us) batty the past two months but a little extra tube fed Peptamen Jr. solved that tonight.




After dinner he wanted to head over to Barnes and Noble to look at books and play with the Thomas the Train sets. We had a blast and Elias was the only kid in the whole store. I found two drawing books to surprise the boys with for our trip to TN the first week of October. Eli didn't notice because he was too enthralled in the trains and then the cupcake decorating book he discovered. When he started yawning I scooped him up and we headed home for bath. Bathtime was a blast and Eli stayed in the bubbles until his fingers and toes were wrinkled up prunes. After getting dried off, new jammies on, and a bedtime story it was time for tube feeding, meds, and bed. Our date was wonderful and it was nice to have some individual time with Elias since Carson has gotten the last two special date nights.

Sunday, August 17, 2008

Another ED visit

Elias was in the ED for yet another episode of respiratory distress last night. I came home after a 12 hour shift and he had been wheezing all day even on q4hr Albuterol treatments. He had a 100.4-101.2 degree fever on and off and was getting his characteristic retractions and nasty cough. Throughout dinner he coughed but remained stable but within 30-40 minutes after eating he was struggling to catch his breath so we headed back down to work to the ED.

They took us right back after hearing Elias hacking while coming through the automatic doors. Thankfully his sats weren't terrible on room air at 91-92% but that is not where a 3 year old child should be at resting. He earned x-rays, Decadron, and two more breathing treatments before I convinced the attending that I was capable of taking him home since this was probably the twentieth time we have dealt with the same situation. The attending agreed since aspiration pneumonia was ruled out and we were home before 1:30am. Good thing too.....I had another 12 hour shift starting at 6:45 that morning!

Mark one more compromise down for Eli's slowly healing BPD, asthmatic, chronic aspiration lungs. Caught up by age 2? Funny.

Saturday, August 09, 2008

We Sprung a Leak!

For the first time in our entire MIC-Key button using history, Elias' button sprung a leak today!! He went to bed last night with it looking fine and this morning when he walked into our room his button was sticking out way too far. I tugged on it a bit and there was almost no resistance from the balloon inside his stomach. Carson was carefully watching our whole interaction as he is known to do so intently. I asked him to run downstairs and grab a 10ml syringe and a bottle of sterile water and bring it back upstairs. He was happy to help and was back within a few minutes with the right stuff. I checked the water level in Eli's balloon which should have been 5mls and there was only 0.5mls left!! No wonder his button was loose and about to fall out. There was nothing holding it inside his stomach.

Elias helped me take it out and fill it with 5mls of sterile water to check for any leaks. The balloon looked intact and the three of us couldn't find any water leaking from anywhere. Since we only have one spare button and one spare g-tube available at all times, the old button was going back in. I put 5mls of sterile water back in the balloon, checked placement, and that was that. When we came home from our day trip Eli's button was loose again and when I checked the balloon there was only 1ml of water left. Al grabbed the new button kit and we replaced as Elias calls it, "his old stinky button" with a "new shiny, clean button". So, Eli is the proud owner of a new 14Fr 1.7cm MIC-Key g-button which has already been used to feed him 1.5 cans of Peptamen Jr. since his GERD is driving him nuts and he isn't eating much right now.


Elias with no MIC-Key button


Elias with a new MIC-key button


This week has been fun from strep throat with him in the very beginning of the week (third time since the end of May) to questions about mitochondrial disorder again because they never received the official results of his muscle biopsy to knocking his teeth loose on Monday to needing a new referral to Physical Adaptive Medicine to get braces for his hypotonic cerebral palsy and falling all the time. It has been a hard week. But this smile makes each day brighter and his laughter is infectious. He is certainly one tough cookie.


Down on Young's Farm



Today the boys and I met one of my best friends at Young's Jersey Dairy Farm for some good food and fun. We hadn't seen Mandy for almost six months and we were well overdue for a visit. After the long drive and hearing Carson and Elias yell, "Honk! Honk!" at every 18 wheeler we passed on the freeway, we sat down to a scrumptious meal at the restaurant on the farm. I splurged and ordered a 1/2 slab of ribs and they were worth every messy bite. The boys both ate pancakes and couldn't stop looking at all of the John Deer tractor items displayed around the store. They were in heaven.



After stuffing ourselves we headed over to the animals. The boys wanted to pretend to drive the old tractors first so we bypassed the poor hungry goats for some farmer time. They had a blast. The farm has a little cow statue for kids to play on so Carson took on the role of bull rider and Elias soon followed. Eli then got scared and wanted down off the "stupid cow". Please remind me to thank Carson for teaching Elias that lovely word!



Finally we made it to the goats. The boys both received a dime each to buy food. They had fun putting it in the machine and getting out a handful of food. The goats (who were certainly not starving) gobbled up the food and then kept following the boys up and down the fence line looking for more handouts. Elias tried kissing them on the lips. Carson would run up to them, pet them on the head quickly, then run away even more quickly. It was cute. We had to visit the pigs, turkey, ducks, hens, and cows in the barn in addition to the overfed goats. Carson just repeated, "Mom, they don't smell too bad this time".



The day wrapped up with a trip to see Mandy's new house which was wonderful. Then off to her parents' farm to play on their playground. Carson and Elias begged Mandy for a ride on the Gator around the farm and to go see the piggies. Mandy happily obliged and we trekked our way around the fields having a fantastic ride. The pigs were excited to see us but mad that we didn't bring food along too. Unfortunately we had to leave to drive home and have nap time but the trip was perfect. The only thing missing was Al (he was at clinical for the day).


(no, Carson didn't get to actually drive the Gator)

Monday, August 04, 2008

Thank You Godiva

Today was my day off. I wanted a quiet, relaxing, fun-filled day with my three boys. Sometimes we don't get what we want.

The morning started out with Carson and Elias waking up wired. If I hadn't known any better I would have sworn they had stolen some of Al and my Starbucks Espresso Roast. During one of their more than rambuncious wrestling matching in the family room, Elias accidentally nailed his teeth into the top of Carson's head. This in turn knocked his left front and side tooth loose producing lots of blood. Carson also started screaming like he was dying even though there was hardly a bump on his head. Elias sat there, looked at me, and said, "Mommy, there is blood on my face. Can you get a towel?". I guess not feeling pain normally has it's moments.

Off we go to the dentist to be told that there is nothing they can do since they are baby teeth. We are to watch them for abscesses and drainage around the gum line and bring him back in if either occur. The teeth might loose color and die if there was nerve damage but since they are baby teeth they won't do anything to save them. Eli's mouth is a bit swollen and bruised but he's happy about the soft diet for a few days.

The boys continued to be wild and crazy (as most 3 and 5 year old boys are) so we tried to distract them with a trip to the store to pick up craft supplies for later. They found many treasures and I can't wait to start creating with them. Pictures of their masterpieces will follow in the coming weeks....

Al left for school around 5 and I swear that demons possessed my children. I could not get them to sit still or listen for anything. Playing outside didn't wear them out. Distractions weren't working. Time outs were laughable. It was "penis head" this and "booger butt" that, followed by boat loads of unstoppable laughter and running in circles. I was at my wits end when The Tigger Movie and some snacks finally saved the day.




Once the munchkins were f-i-n-a-l-l-y worn out, exhausted, droopy eyed, and in jammies, I tucked them in and kissed them goodnight. Then my defeated mommy self walked downstairs and cracked open my savior -- a brand new clearance box of Godiva truffles. I needed a perfect treat to end an imperfect day. And what a treat it was. Thankfully I only ate one truffle and carted the remaining 35 decadent pieces off to work in the morning so 18 nurses could divulge in Godiva calories with me. :)


Saturday, August 02, 2008

Titletown, USA

It's about that time again....BUCKEYE FOOTBALL season!! ESPN has a short segment at the end of July looking for THE town in America that is deserving of being named Titletown, USA. The segment was all about The best city and our hometown heroes, The Ohio State Buckeyes!! We bleed scarlet and grey here and can't wait for the season to start. Check out the clip...

Titletown USA clip

Wednesday, July 30, 2008

The Ohio State Fair

Today was opening day at the fair and I just happened to have a day off. We packed up the boys and headed out of the house looking for some good ol' fashioned fun. I had a dermatology appointment in the morning and unfortunately it took a little bit longer than expected due to them needing to biopsy a place on my left arm. The boys were FULL of energy the time I was done being sliced, diced, and stitched up. We pulled into the fair and you would have thought the boys were in heaven. They couldn't figure out what they wanted to do first. Thankfully Daddy was there to direct us towards the Budweiser Clydesdale horses. Carson and Elias loved looking at them (so did mommy). They were beautiful and gigantic.



Next up was the sheep showing arena where poor Carson almost threw up due to his sensitivity to smells. Elias on the other hand was trying to pet and kiss every sheep we passed. He said they were "nice sheepies". The craft area was next door to the sheep area so we made a quick run through the shops. The BMV had a drunk driving display and seat belt demonstration. Carson was very interested in seeing the car that was completely totaled and then hearing that the state trooper driving the car that was hit, lived because of his seat belt use. He kept reminding Al and I that we should "always, always wear our belts because that is the SAFEST thing to do". My little safety boy.



We finally made it over to the agriculture barn and the boys were able to pet baby chicks and ducks, see soy bean crops, puppies, and ride little John Deer tractor tricycles. They had so much fun in this building. There was a giant play train set up here and the boys just watched and watched it go around forever. It may have been the highlight of the day.



We ended the fair with a stop by the dairy barn for cheese sandwiches and chocolate milk just like I had as a kid. Carson gobbled his up and asked for seconds while Elias picked at his and finally ate just the cheese with no bread. I treated myself to a funnel cake on the way out and the boys nibbled around the edges too. The fair was a lot of fun and Carson and Elias both were worn out by the time we walked back to the car.

Friday, July 25, 2008

Touch-A-Truck 2008

Today was our town's annual Touch-A-Truck Day for kids of all ages (well, okay...it's really just for the little kids). The boys have been waiting all week to go and could barely wait until 10am this morning to get there. Enjoy the slideshow of pictures from our adventure. Carson and Elias had a fantastic time and I think it even trumped last year.

Monday, July 21, 2008

Camping Preview

We've been busy with fireworks, camping trips, and summer life in general. Here's a quick preview of some of our fun until I can get a proper post put up. I hope everyone is enjoying their July like we are!







Monday, June 30, 2008

Adoration

Just look at how Elias is smiling at Carson in this picture.



You can just tell how much he idolizes his big brother and wants to be just like him. It's great to finally see the boys playing with each other and getting along (for the most part). I think three and five are going to be a lot of fun, excitement, and learning for all of us.

Thursday, June 26, 2008

Elementary School and Assessment Results

Today Al and I had a meeting to go over the results of Carson's comprehensive developmental assessment that was completed throughout the month of May. This program was fantastic and very thorough, covering all aspects of Carson's life: social, behavioral, intellectual, medical, psychological, and adaptive. They tested him from one end to the other as well as interviewing us, gathering data from his teachers and doctors/psychiatrists, and observation. Carson did splendidly during the hours and hours of exams and even told his pediatrician on Monday that the tests were "fun and like playing". Al and I were relieved to to hear him voice those feelings because most kids would be bored to tears with the academic hoops they had Carson jumping through for four days.

Overall we weren't shocked by anything the assessment found. They are not going to change any of the diagnoses he currently has in his medical record because the assessment confirms each one of them. He will still be listed with anxiety, ADHD, mania, and OCD. The only label they feel could possibly change in the future out of these 4 would be the ADHD due to overlapping symptoms from the anxiety and OCD causing ADHD-like behaviors at a young age.

The IQ testing only gave official proof for all of us that Carson is one bright little man. Most people who know Carson could have told you that years ago but it is always wonderful to hear professionals praising your child's intelligence. He excelled in pre-academic, academic, and verbal areas over all others and his lowest area was non-verbal communication which was also not a huge surprise. They found that Carson should definitely be in kindergarten this year and not in a third year at his special needs preschool program. He mastered all the pre-academic skills and almost every one of the kindergarten skills. The psychologist felt that Carson's behavior would spiral downhill if left in preschool again due to severe boredom. Their recommendation is a typical (YAY!) kindergarten classroom for this year. They want a specially modified IEP with a custom fit behavior plan incorporated into the schedule that is followed strictly. An aide for classroom redirection when Carson's anxiety and OCD kicks into overdrive will also be instituted into the IEP recommendations (hopefully the school will provide since the multi-factored evaluation has found it medically and psychologically necessary). A new speech evaluation will also be requested due to Carson's problems with pronunciation and articulation. They feel that since his vocabulary is very advanced, he is verbalizing complex words and gets frustrated when the sounds don't come out quite right. Hopefully some speech therapy will be instituted this year at school.

Carson is overjoyed to be going to kindergarten this year!! We came home and told him the great news and he was grinning from ear to ear. He couldn't wait to call his grandparents and tell them about becoming a big, grown-up kid. Al and I loved seeing him excited over education and such a large step in life. What a unique and special kiddo we are blessed to have.

The team also is doing a direct referral to a great psychiatrist here that works with behavioral therapy. He will work one-on-one with Carson and with us as a family to develop a plan to direct Carson's OCD and anxiety compulsions through behavior modification. He will help Carson learn how to redirect his energy and try to break the chain of OCD when he is *stuck* in a cycle. They will also give us tools to work with when he gets into a manic phase to help bring order and calmness back into view. This therapy is not a quick fix and will take a lot of hard work for Carson and for our family but this doctor is well known for his work. The team knows that Carson's intelligence and verbal skills will help him learn and utilize the behavioral therapy at a younger age because he is able to verbalize his feelings and thoughts more than most 5/6/7 year olds. We can't wait to get started.

Al and I won't have the official written report from all of the testing for a couple of weeks but the whole experience has been more than beneficial for Carson and our family. The assessment didn't really give us a lot of additional information on top of what we already knew about Carson based on observation and current diagnoses. However, the plans and connections we've made on top of the confidence Carson, as well as Al and I as parents, gained was more than worth the time and effort. Time to go hug our bright, sweet, KINDERGARTNER!!! (and then battle the school district for all of the new IEP conditions and the aide!)

Wednesday, June 25, 2008

Last week of June through the years

I thought it would be fun to see pictures of the boys as they have grown up and since it just happens to be the last week of June.....I picked pics from that very week of each year. Genius, I know. It was so much fun browsing through our archives and watching Carson and Elias grow from teeny weeny neonates into the crazy, rambuncious five and three year olds that they are today. Enjoy the trip down memory lane.


Carson at 2 weeks, 1 year, 2 years, 3 years, 4 years, and 5 years all in the last week of June.








Elias at 2 weeks, 1 year, 2 years, and 3 years in the last week of June.





Tuesday, June 17, 2008

Birthday Peek


Just a quick update and a few pics before I head to bed. Happy Birthday to our two amazing boys!!! Five years ago Carson arrived at 30 weeks gestation at 11:47 am. Three years ago Elias arrived at 25 weeks gestation by emergency c-section under general anesthesia at 1:48 pm. They are exactly 2 year, 2 hours, and 1 minute apart. And look at them now!!


Happy 5th Birthday Carson!!!


Happy 3rd Birthday Elias!!!


I can't believe they are growing up so fast. They both have strep throat today but we had a great day together anyway. I have TONS and TONS to update on. IEPs, developmental assessments, ER visits, two birthday parties, new height/weight stats, end of school wrap ups, and a vacation to TN. But for tonight I am going to leave you with a few sneak peeks of the birthday madness.


I promise I will get to the updating once the strep throat and doctor appointments settle down. Plus I have so many pictures to share that I'm busting at the seams to get them out to everyone!


Wednesday, May 28, 2008

Bark, Bark, Bark

After working exhausting 12, 12, 16, and 8 hr days in a row this weekend I pulled in the garage last night at 1145pm to find Carson in severe respiratory distress from croup. He had terrible stridor and was really struggling to get the air in and out. I grabbed him up and we headed back down to work to the ER. They took him right back to a room and started racemic epi on him because he was satting 87. His temp was 101.2 so he was loaded up with Tylenol for the fever and then Decadron to help reduce the swelling in his airway. Carson's subglottic stenosis makes any additional swelling in his upper airway very severe but last night was one of the worst times I have ever seen him. His asthma was acting up also so he had two rounds of Albuterol to help calm the wheezing. Once they had his sats back in the 93-95 range we were off to x-ray. Thankfully it only showed croup and no pneumonia so they didn't need to add antibiotics to the list of meds for the night.

Carson started to have some rebound stridor around 2am so they kept us until 0430 to make sure he was not going to go into distress again and need intubated. Several popsicles and cuddles later, Carson and I finally made it home with q4hr Albuterol, Orapred, Tylenol, and a much more milder form of stridor. It was a long night and we both slept in until 0930 this morning. Carson saw his regular ped at 1145 today and they said just to continue the Orapred (steriods) for 4 more days, keep him on the Albuterol, and watch the stridor for the next two nights.

Al and I were just talking yesterday about how the kids hadn't been in the hospital for a few months. I guess we should have kept our mouths shut. The very long arm of prematurity keep extending it's reach year after year and touching our lives in so many ways. It is amazing to me that almost 5 years after Carson's birth the intubation and ventilation that saved his life, is still having a negative impact. He is our first little wonder but I wish he didn't have to go through these trials so frequently. It never gets easier to see him struggling to breathe during an asthma attack or when he gets croup. Please send prayers that our little wildman gets well soon.

Tuesday, May 20, 2008

Backseat Ramblings

On the way home from picking up the boys from Gigi and Bobpop's house tonight the boys were chatting up their futures in the backseat.


E - "Mommy, I want to say goodnight to the moon tonight."
C - "Eli, the moon is not out now! There are clouds! Mommy, why can't you see the moon when there are clouds?"

Me - "The clouds are between us and the moon so they block our view of the moon."

C - "Oh, I see, so the moon is really high up in the sky where astronaut go -- I want to be an astronaut when I grow up."
E - "I want to be a moon when I grow up!"
C - "Eli, you CAN NOT be the moon when you grow up because you are a h-u-m-a-n b-e-i-n-g!!"
E- "Can I be a dinosaur?"


I just love listening to their little minds work. The play-by-play between brothers is priceless as well.

Sunday, May 11, 2008

More Mother's Day Pics




Gifts from the Heart



"Happy Mother's Day!" rang out from the hallway this morning at 6:50am from two overly excited little boys. Carson and Elias jumped into our bed and showered me with kisses and hugs. What a blessed mommy I am. Once Al and I were able to wake up, stretch, and convince the boys that fitting the dog and four people in our bed was not the best choice for the morning, we made our way downstairs to open up handmade preschool Mother's Day presents. The boys could barely contain their glee as they ran to get the cards and crafts all their energy and hard work went into. Of course I made a HUGE spectacle over how wonderful each handwritten name, molded clay, and painted wooden box were because as every mother knows......these are the best gifts you can receive (aside from kisses and hugs!).


Carson crafted a wooden jewelry box that he painted with green and blue paint. He added glitter on top and pink hearts on the front because, "he loves me SOOOOO much". The bag it came in was also a Carson creation complete with a hand print tulip with fingerprint stem and leaves. He said I can keep my wedding rings and bracelets in it for when I go to work so they don't get lost. What a smart, sweet boy I have.


Elias molded a textured clay paperweight with all kinds of different designs on the top. It was wrapped in blue tissue paper and then had a white, lacy, dyed card attached that said "Happy Mother's Day 2008" on the front. Etched in the back of the paperweight was his name and the date. I think I'll keep it on my nightstand upstairs.


Both boys also made me cards and bought me a Snoopy card as well. Daddy cleaned my house top to bottom while I was working the past few days. This included cleaning our carpets and re-organizing my closet! I also received an amazingly sweet card from him as well. We are heading over to my parent's house for an indoor cookout (of course it rains today) this afternoon. Happy Mother's Day to all the mommies we know, especially Mom, Mom, Great Granny, Grandma Helen, Aunt Ty, and Connie. I hope you all have a fantastic day full of love just as we are.


Friday, May 02, 2008

Precisely

Stolen from Liz

To You, My Sisters (and Brothers!)
by Maureen K. Higgins

Many of you I have never even met face to face, but I've searched you out every day. I've looked for you on the Internet, on playgrounds and in grocery stores. I've become an expert at identifying you. You are well worn. You are stronger than you ever wanted to be. Your words ring experience, experience you culled with your very heart and soul. You are compassionate beyond the expectations of this world. You are my "sisters."

Yes, you and I, my friend, are sisters in a sorority. A very elite sorority. We are special. Just like any other sorority, we were chosen to be members. Some of us were invited to join immediately, some not for months or even years. Some of us even tried to refuse membership, but to no avail.

We were initiated in neurologist's offices and NICU units, in obstetrician's offices, in emergency rooms, and during ultrasounds. We were initiated with somber telephone calls, consultations, evaluations, blood tests, x-rays, MRI films, and heart surgeries. All of us have one thing in common. One day things were fine. We were pregnant, or we had just given birth, or we were nursing our newborn, or we were playing with our toddler. Yes, one minute everything was fine. Then, whether it happened in an instant, as it often does or over the course of a few weeks or months, our entire lives changed. Something wasn't quite right. Then we found ourselves mothers of children with special needs.

We are united, we sisters, regardless of the diversity of our children's special needs. Some of our children undergo chemotherapy. Some need respirators and ventilators. Some are unable to talk, some are unable to walk. Some eat through feeding tubes. Some live in a different world. We do not discriminate against those mothers whose children's needs are not as "special" as our child's. We have mutual respect and empathy for all the women who walk in our shoes.

We are knowledgeable. We have educated ourselves with whatever materials we could find. We know "the" specialists in the field. We know "the" neurologists, "the" hospitals, "the" wonder drugs, "the" treatments. We know "the" tests that need to be done, we know "the" degenerative and progressive diseases and we hold our breath while our children are tested for them. Without formal education, we could become board certified in neurology, endocrinology, and physiatry. We have taken on our insurance companies and school boards to get what our children need to survive, and to flourish. We have prevailed upon the State to include augmentative communication devices in special education classes and mainstream schools for our companies the medical necessity of gait trainers and other adaptive equipment for our children with spinal cord defects. We have sued municipalities to have our children properly classified so they could receive education and evaluation commensurate with their diagnosis.

We have learned to deal with the rest of the world, even if that means walking away from it. We have tolerated scorn in supermarkets during "tantrums" and gritted our teeth while discipline was advocated by the person behind us in line. We have tolerated inane suggestions and home remedies from well-meaning strangers. We have tolerated mothers of children without special needs complaining about chicken pox and ear infections. We have learned that many of our closest friends can't understand what it's like to be in our sorority, and don't even want to try. We have our own personal copies of Emily Peri Kingsley's "A Trip To Holland" and Erma Bombeck's "The Special Mother." We keep them by our bedside and read and reread them during our toughest hours.

We have coped with holidays. We have found ways to get our physically handicapped children to the neighbors' front doors on Halloween, and we have found ways to help our deaf children form the words, "trick or treat". We have accepted that our children with sensory dysfunction will never wear velvet or lace on Christmas. We have painted a canvas of lights and a blazing Yule log with our words for our blind children. We have pureed turkey on Thanksgiving. We have bought white chocolate bunnies for Easter. And all the while, we have tried to create a festive atmosphere for the rest of our family.

We've gotten up every morning since our journey began wondering how we'd make it through another day, and gone to bed every evening not sure how we did it. We've mourned the fact that we never got to relax and sip red wine in Italy. We've mourned the fact that our trip to Holland has required much more baggage than we ever imagined when we first visited the travel agent. And we've mourned because we left for the airport without most of the things we needed for the trip.

But we, sisters, we keep the faith always. We never stop believing. Our love for our special children and our belief in all that they will achieve in life knows no bounds. We dream of them scoring touchdowns and extra points and home runs. We visualize them running sprints and marathons. We dream of them planting vegetable seeds, riding horses and chopping down trees. We hear their angelic voices singing Christmas carols. We see their palettes smeared with watercolors, and their fingers flying over ivory keys in a concert hall. We are amazed at the grace of their pirouettes. We never, never stop believing in all they will accomplish as they pass through this world.

But in the meantime, my sisters, the most important thing we do, is hold tight to their little hands as together, we special mothers and our special children, reach for the stars.