FINALLY....an Explosion in Speech!

For anyone who has followed me, or my journey with Jacob, you know that speech has been one of our biggest struggles.

Getting ready to go to speech therapy! 

Not only is he getting 30 minutes of speech at school each day, but he has another 30 minutes per week at a private agency.

Jacob's progress has been excruciatingly slow.  But there's been progress, nonetheless.  When he started at Youthful Horizons, he was essentially mute.  He didn't even grunt much.  We had him using Geminii system, but he got bored quickly.  And I think that's because the Geminii system is geared more towards people with Autism.  There was very little emotion in the programs, and it relied heavily on repetition.  All good things, don't get me wrong.  But he was bored. So we topped out on his progress pretty quickly, then backslid for a while. And, at $99/month for the program, we couldn't afford to keep using something that wasn't working.

About that time, we found Debbie at Youthful Horizons She and Jake have been an awesome fit.  She's mellow, nice, and she has all the best toys--at least Jacob seems to think so!

I've learned to appreciate the process of learning to talk.  First there is learning to push out air forcefully enough to make noise. Then you must learn to control your muscles enough to manipulate your lips enough to create specific sounds. And don't forget about placement of the tongue, jaw, and awareness of the cheeks, face, and other muscles.  All of these things had to be addressed in proper progression, while concurrently teaching him other means of communication via the PECS system and more sign language to enable communication RIGHT NOW.

Jacob is nearly 6 1/2 now.  Sign language is still his primary language, but now he's added a few words to his vocabulary.  He can say things like purple, bye, dad, mom (pronounced ba), Elisha (pronounced uheesa), he calls Courtney (seesa), bus, please (pronounced psss), blue (boo), there it is, that, dog, Craig (his PT), and occasionally, when he's in a good mood, I'll here his say Debbie.  13 words and 1 phrase. 

I'll TOTALLY take it!

And on those days when I'm frustrated that he still prefers to yell rather than use his words, I remind myself that we couldn't understand his older brother (who is normally functioning and actually quite smart) until he was 12! 

Patience, grasshopper.  Patience.

Gemiini Update: Jacob's Speech is Progressing

This is my monthly post on Jacob's speech progression using Gemiini.

Admittedly, we haven't been using Gemiini as often as I'd like.  Jake's older sister had heart surgery three weeks ago, so our focus was on her for much of April.  However, whenever possible, I would sit down with Jake and go over the videos.  Plus, they have an app that we've downloaded that Jake can click on without requiring me to log into their system to watch the videos.  I've caught him several time with his Ipad watching those videos and making the sounds and signs to the words.

I've seen a lot of progression in Jake these last several weeks.  He's progressed from using signs and a series of grunts to babbling with consonants, and even trying to use words.  This last week he pointed to an object and said "there!" (which sounded more like 'dehyr', but whose complaining?), and last night he was doing the da-da-da thing.  What a leap from absolute silence. 4 1/2 YEARS we've been trying to get Jacob so say SOMETHING, and now it's happening.  Is it bad to say there are days I want to shed tears of joy at this development?

This morning we were on again.  He only managed to watch for 10 minutes, but he did all the signs, all of the sounds associated with the animals, and was attempting to say the words.  He'd either manage to say the beginning or the end, but not the entire word.  They're baby steps, but for me they are HUGE.  I have hope.  And there's nothing better in the world than having hope for your child and his ability to communicate.

Update on Gemiini.org - It's been a long time coming!

What does a crab say?

Holy cow!  I did NOT intent to go six months before returning Jacob to the Gemiini Program. But, life, being life, threw us a curve ball and we've been knocked flat on our butts for the last four months dealing with test after test, blood work and doctors appointments for our oldest daughter (age 19) after it appears she had a TIA (a mini-stroke) at Christmas. 

Come to find out she has a hole in her heart and a macro adenoma (tumor) on her pituitary gland in her brain.  But....that's a story for another blog :)

During that same time, we discovered that Jake's T-tubes had fallen out.  How can that possibly be? Those buggers are sewn into the ear drum and don't fall out. They're surgically removed. 

Yeah, well.  This is Jake we're talking about.  If it can't be done, he will do it. 

So, in January, he had his second set of tubes put in, and the ENT said this ears had looked horrible when he did the surgery - pieces of flesh were removed, both ears were highly inflamed, lots of fluid behind the eardrum, etc.  Yeah, all sorts of nasty fun. 

But, when the surgery was done, he began to hear.  How do I know?  Well, he'd walk into the ENT's entryway, which was basically a stairwell, and yell to hear his echo.  It was adorable - in a cute sort of way.



What does a Lizard say?

We took him to an audiologist twice to make sure that he could hear and were told that he can hear down to 2 decibels (he's in the range of normal).  Wahoo!

Now, we begin playing the game of catch-up.  Still, at 4 1/2 years old, Jake is basically non-verbal.  Occasionally (as in once every 2 or 3 weeks) he will say a one or two word comment, which his hard to understand unless you're looking for it.  But other than that, life is all about a series of grunts, hand gestures, and pulling on my hand to show me what he wants.

Last week we were finally able to start Gemiini again - after nearly 7 months.  I figured we'd be starting all over again.  But you know what?  It wasn't like that at all. 

As soon as the videos came on, it was like he'd found his long lost friend.  Jake looked at me and his eyes lit up, then he began mimicking the animals and the sounds he'd learned previously.  It was like he'd never stopped!  I can' tell you how nice it was to know we hadn't lost all his hard work. 

We were able to get about 20 minutes in that morning.  And another 10 in during the afternoon. 

The big issue we're having right now is that I'm using the Ipad and he likes to play with the buttons - hitting play, then rewinding, then fast forward, etc.  I think it's a universal thing for kids his age.  I hear there's a way to lock the screen, which is my goal to figure out tonight. 

But I know that people were waiting on an update.  So this is the first.  I'll add a video of him watching Gemiini in a couple days so you can see where he's at in the process. Then I'll give you more updates as we progress.

Thanks for your patience!

Boo Boos and Buses

Today is a short entry...thank goodness.  

It's not my favorite, but it's part of life. 

Yesterday was picture day at the school.  Wahoo!  It's always fun to see how much Jake has changed from year to year.  

He chose out his own shirt, we put mousse in his hair to keep the cowlicks at bay, and he was stylin' by the time we were outside waiting for the bus.  

Three minutes before the bus was to arrive, as luck would have it, he was running up the driveway and tripped.  This isn't one of those oops-I-tripped-now-I'm-going-to-get-back-up kind of trips.  Oh no.  Not my Jake.  It was more like a trip over your own feet, skid for 3 feet, and check to see if any teeth are missing kind of trips.  

When the bus arrived, I had a white washcloth that had blood all over it, my T-shirt was bloody, and I was still picking debris out of his mouth from the roadway.  Plus, he had a road rash the size of a silver dollar on the bottom of his chin.  Yeah, school pictures are gonna be fantastic this year.  Not. :|

On the upside, Jake is beginning to really start babbling.  I'm hearing tons more consonants coming out of his mouth, and he's trying to say entire phrases (yes!!!!!).  This morning it was "I did it!" and this afternoon, he said "buh..." as a school bus drove by.  I squealed.  It's the little things when it comes to speech for him.  And progress is still progress.  It's great to finally see some coming out of his mouth!

But, of course, we couldn't leave this little entry on a good note.  Because it's important to see that Jake is multifaceted.  He's smart, he's feisty, he's funny, he's clumsy, and...he's a runner.  

Today when the bus came (and I silently celebrated a no-trip day), I walked four steps to get his back pack.  I kid you not.  FOUR steps. In those four steps, he decided that standing still was not enough.  After all, he saw the bus and he wanted to get on!  So when I turned my back, he put on the gas, and ran out into the middle of the street to great the bus.  GAH!!!!  I don't think I've ever ran so fast as I did trying to drag him from the middle of the road.  Luckily, the bus was still 1/2 a block away and she slowed the second she saw him step foot on the street.  But it's scary nonetheless.  And the driver and her aid had a good laugh about the situation - thank goodness!

The Holy Grail of Speech Therapy - Gemiini.org

For those of you who know me, or have spent any significant amount of time with Jacob, you know that at nearly 4 years old, he is still pretty much non-verbal.  No seriously.  Not a word.  Barely a syllable.  Or a SOUND.

For a child who is at, or above age in nearly every other aspect of his development, his speech has been the bane of my existence.  

Now, don't get me wrong.  The boy communicates JUST FINE.  He just doesn't talk.  He nods and shakes his head for yes and no, uses several dozen signs, grunts or screams when he wants my attention - depending on where in the house he is in relation to me, and he will come, grab my hand, and direct me to anything he wants - pointing to the offending object.  

But me, being the crazy stickler that I am, insist on wanting him to talk.  I understand how important speech is to his development, and his ability to communicate with the general public as he grows.  In my book, stubbornness and laziness are not a good enough reason not to talk. 

I have worked tirelessly with the speech therapists over Jake's little lifetime to get the boy to say something. And on occasion, he will get excited and say a word or two, but never anything consistently.  Why go through the hassle of talking if you can communicate just fine in other ways, right?  Gah!

In my quest to find a way to get the little boy to talk, I stumbled across a website called Gemiini.org.  I think I talked about it on a previous post and said I'd follow up.  Well guess what.  I'm following up.  Because the program is FREAKING AWESOME!

In the 3 weeks since we started Gemiini, Jake has progressed more than he has in nearly all of his lifetime.  Seriously.  No joke.  (I am not being paid or compensated in any way for this review, by the way). 

So, after 2 weeks, I began to notice that Jake had picked up on several of the new signs (animals) shown on the videos.  I also noticed that he was starting to try to say some of the words. This is HUGE for me.  Because up until now, he wouldn't even try to talk. 

Now, 3 weeks later, I can actually discern a couple of the words he is learning as he watches the videos.  What's even more important than the fact that my little boy is trying to talk, is the amount of noise coming out of his mouth!  Jake has gone from a few occasional grunts, to babbling constantly.  He's working those mouth, cheek, and tongue muscles, which for those who don't have children with Down syndrome, is a BIG thing.

Children with Trisomy 21 are notorious for having big tongues and low muscle tone in their mouths.  So the babbling is a HUGE step.  And an important step in the speaking process.  Think about it.  Non-Trisomy 21 kids start out babbling before anything truly coherent comes out of their mouth.  Which means Jacob has taken the next step in speech development and is well into the beginning phases of speaking.  Wahoo!  Can you tell I'm excited? :)

So, are there any cons about Gemiini?  I only found two things that gave me moment to pause.  First off, it's kind of expensive.  At $50 - $90 per month, I balked a bit.  But it only took me a few minutes to talk myself into the price tag.  Specifically because Jacob's speech is so doggoned important to me.  Secondly, because Gemiini has a sliding pay scale, and third, because this was the expense I decided to use Jake's Developmental Disabilities reimbursements on for the year.  To me, Jacob's speech is the single most important factor in his development right now.

Secondly, the videos are a bit hokey.  With that being said, Jacob DOESN'T CARE.  He's 3 1/2.  He doesn't care about the quality of the video.  He just likes looking at the pictures of animals, and talking to the older kids on the videos.  There are no bells and whistles to the videos, and it did, admittedly, take a week or so for Jake to sit still long enough to get anything from the videos.  But I sit him down in front of the computer at breakfast and let him watch the video while he's eating and it seems to work just fine. In fact, now he gets pretty excited when I turn it on.  So, does it really matter?  No.  

Plus, we're only talking 10-15 minutes of video per day.  It's not very long.  His attention span can't handle much more.  

So, in a nutshell:  Gemiini.org.  Worth the investment?  Absolutely.  I'd recommend it to everyone.  

I'll keep you posted on his progress!!!

UPDATE (03/16/15)  We're finally back onto Gemiini!  Check out our latest post: http://upsanddownsoftheallreds.blogspot.com/2015/03/update-on-gemiiniorg-its-been-long-time.html

Stretching the Limits

This week my son turns three.  THREE!!!  How can that be?  It seems as if just months ago we were in the hospital fighting for his life, trying desperately to get him to gain the few precious pounds he needed for his heart surgery.

Now, we're beginning to transition from our early-intervention program, which consists of 2 hours twice a week to pre-school through the school district, which is 4 hours four times per week.

This move entails testing to see how far he has progressed in the three years of early-intervention.  It also allows the school district an opportunity to see where he's at developmentally, and how far he must progress in order to reach the capabilities of 'normal' children his age.

When I arrived at my 'meet the staff' meeting where we would establish his IEP (Individualized Education Programs) for the next couple years, I came prepared to be told that my son, Jacob, needed more therapy to keep up developmentally with the 'normal' kids.  And, although these well-meaning individuals come equipped with degrees and years of experience working with children with disabilities, none of them had met Jacob.  All they knew about him was based on predispositions and what was written on paper.

When I sat down at the table for our meeting I was faced with six staff members who would be caring for my child in one capacity or another for the next 2-3 years.  Each of the ladies were wonderful, personable, and truly had a desire to better Jacob's life.

The first person to speak was Jacob's new Physical Therapist.  She took out his test results based on the Peabody system and proceeded to tell me that there were many things they'd be working on with my son to get him 'up to speed'.  Then she asked me,

      "The test says he walks forward and backward.  Does he run?"

     "Yes,  he was running in the hallways on the way into class.  And he's really quite fast.  I need to work to keep up with him."

     "Oh."  She flashes a confused look on her face, and writes something on her paper.  "Does he walk up stairs?"

     "Yes.  Yesterday he was walking up the stairs one foot per stair unassisted.  He walks down the stairs with the help of the railing, putting two feet on each step, before proceeding to the next."

     "Really?"  the therapist comments, before scribbling on her paper again. "How about jumping?"

     "Take him out to the parking lot and he'll jump all over the parking blocks without effort.  He gets more air than his 4 year old sister does when she jumps."

     "It says here that he can throw a ball 3 feet."

     "Actually, he throws it across the room.  I'm trying to keep him from breaking windows right now."

What this therapist had forgotten is that although Jacob has Down syndrome, he is also a boy...a child.  And like every other child in this world, he has a personality and his capabilities differ in some degree from every other child whether that child has Down syndrome or not.

In this case, he just didn't like his previous Physical Therapist.  Not that she was a bad person; their personalities just clashed, so he refused to test for her for nearly a year.

I had to explain to the new Physical Therapist that Jacob is strong as an ox.  He can do pull-ups on our kitchen table, opens doors, runs, jumps, and does all the things a normal little boy does. In fact I'd hazzard a guess that he can do more.

I had a discussion with the Occupational Therapist about the fact that Jacob tested within the limits of 'normal' in his progression.  The previous OT suggested NO OT for him. At ALL.  This is absolutely unheard of for a child with Downs because they typically have low muscle tone and have a hard time with fine motor skills.  I ultimately agreed with their suggestion that he continue OT because I'd noticed that he cannot work his fingers independently for sign language, and it would ensure he doesn't fall behind in the future.  Besides, can you really have too much therapy?

Even speech therapy came with a few surprises for the ladies.  Up until 2 months ago (that would have made Jake 34 months old - nearly 3), Jacob could not/would not say a single word.  Part of it was due to hearing difficulties - he's had 3 sets of tubes, finally the T-Tubes they put in 2 months ago have stayed and we're seeing progress - and part of it was out of sheer stubbornness.  Now, in the past 2 months, we've seen a massive break-through in speech.  He now knows more than 30 signs, and has voiced 12 words.  This week alone he's said three new words.  That revelation elicited gasps and ooh!'s from the staff. This is in addition to the fact that he points to anything he can't sign or say, shakes his head yes and no, and is perfectly capable of making his wants and needs known in one way or another.  The progression is coming fast and furious!

'So what is the moral of this story?' you ask.

It's simple.  These ladies came into our meeting expecting, based off of predispositions and the statements of others, to see a child who was completely different from the one I presented them.

I, on the other hand, have never had a child with disabilities before.  And I refuse to assume that because of an extra chromosome, he is destined to be an un-thinking, barely-functioning part of society whose role will never be any more important than bagging groceries at the local grocery store, or being the 'happy boy'.  For that reason, I do not give him limits.  In fact, I try to defy them any chance I get.

When they told me that the earliest a child with Downs had ever learned to walk in their program was 16 months, I worked with Jacob until he could walk at 14 months.  When he failed to progress with his PT evaluations at age 2, I went out and bought all the toys needed to help him reach his missed goals.  It was that day, after 2 hours of play time and watching him achieve each of his 'missed' goals that I realized he was just fine.  He was merely stubborn.  Just like all the rest of my children.

That's not to say that I expect Jacob to be the next Einstein, or a neurosurgeon, or an 8th grade English teacher.  But when there are people with Down syndrome in the world who are world-renowned musicians, mayors of cities, music teachers, and a bevy of other roles in society, I have hope.  I remember that my child, though different, is still important, and has a purpose here on this earth.  The range of abilities for people with Downs syndrome is just as broad as the range of abilities of those without an extra 21st chromosome.  Our job as parents, caretakers, and service providers, is to take those abilities or preconceived notions and to give our children a chance to defy them.

If we give our children an opportunity to defy their 'limits' we enable them the chance to experience a better life for themselves.  Society once thought those with developmental disabilities should be institutionalized.  I still believe we are limiting our DD population by not expecting more of them.  It is my hope that we will treat each person as an individual, challenge them to stretch and progress to the best of their abilities, and only then, be satisfied with the end result.

Leaps and Bounds

People often ask me if I ever sleep.  And, quite frankly, I don't much.  Partly out of habit from the 10+ years I used to work nights running my online business. And partly because I've found that I can get so much more accomplished when the rest of the world is asleep and not distracting me from my long list of things to do. 

As the world quietly sleeps, I've been able to revel in the blessed silence of my home and reflect upon the many things that has occurred in it since my last post in July. Wow! What a busy life we've led!

In July, at 8 1/2 months, Jacob was rolling.  Soon afterward, his physical therapist told us we needed to buy him a toy that he could play with sitting up, so we chose the toy shown below: 

Little did we know what an impact this toy, and it's annoying little dancing teddy bear on top would have on Jacob's development. He fell in LOVE with his toy.  All of the sudden, we began to see progress in Jake so substantial, that the physical therapist would be taken aback.  One week he was rolling around, the next week he was frog-hopping, and doing one or two army crawls on his belly.

Soon, he was up on all-fours grabbing for that dumb dancing teddy bear.  Then, he'd crawl 1 or 2 steps to get better positioning, and before we knew it, he was sitting upright for minutes at a time...

crawling from object to object exploring every square inch of our home and everything in it.  Then he toyed with the idea of bear crawling - on his hands and feet, and was crawling the entire length of the house...FAST!!

Out came the high chairs because his back was finally strong enough for him to sit upright for several minutes at a time.  Out came the stair gates because he discovered the stairs...a couple of times.  Up went anything and everything that could possibly be thought of as small enough to fit in his mouth, etc.  Because if he could grab it, it was going in his mouth!

In spite of the fact that he still had no teeth, we began feeding him solids - and he LOVED it!!!  He'd just gnaw to his heart's contents on anything he could get his hands on. 

Jacob discovered that he needn't just let life pass him by.  He decided that he was going to grab that bull by its horns and ride it into submission!!!  He literally wakes up around 6:30 in the morning and go go go's constantly all day long, stopping just long enough for one or two 20 minute power-naps along the way.  Every other minute of the day, he explores, follows his big sister, Courtney (she fears him! - she runs screaming in the other direction whenever he gets close - I think he secretly likes this), and constantly continues to test the boundaries of his abilities.  Crawl faster, sit longer, and even climbing upward and the start of furniture walking. 

The physical therapist swears that she's never seen a child with Downs start walking before 17 months of age.  At this rate, we estimate he'll be about 14 months when he takes his first steps. 

But until then, we have speech therapy which will begin here in the next few weeks, and we just sit back and watch Jacob embrace life and all it holds for him. 

His infectious smile seems to draw everyone to him - even strangers. 

Tonight we went to a Gonzaga vs. BYU volleyball game and he caught the attention of one of the Gonzaga basketball players.  We spoke for a moment as he goo'd and gaa'd with Jacob and talked of how he missed his own niece on Oklahoma. And as the game ended, another stranger passed us by and told us how adorable he was and so much fun to watch.  This seems to be the norm every time we go out into public with Jacob.

Of course, Jacob is no fool.  When the smiles do not help him get his way, he has mastered his puppy-dog sad face which almost always gets him what he wants.  He IS the baby of the family, you know!

But right now, we are just happy to see him happy, healthy, and progressing like crazy! Including the fact that he FINALLY cut his first tooth tonight!!  Thank heaven for life's small miracles!  All is right in my world today !

4 Things Things to Be Happy About When My Child is Fighting For His Life in the Hospital

There's a long-standing joke in my family that one must NEVER EVER EVER pray for patience.  Because when they pray for patience, God decides the best way for us to learn patience is to give us some massive trial in our lives that we have no control over until we're beaten down enough to realize that the only thing we can do is PATIENTLY endure. 

Hmmmm.  Apparently I've been talking in my sleep again. 

I apologize for last night's ranting.  I should never blog at 4 in the morning.  What was I thinking?!

Yes, a few hours under my belt DID do me some good.  I was able to get about 3 1/2 hours of sleep before heading back to the hospital and relieving KC of his all-night shift with Jacob.  And when Jacob was in my arms, it only took seconds for me to realize that ultimately, all was right with the world again when we were together - regardless of where we were.  Having him snuggle up to me and contentedly sigh and fall asleep has a way of sapping all of the anger and frustration away.  We spent the entire day just sleeping and snuggling with the occasional interruption of those pesky medical workers earnestly trying to find out what was wrong with my baby boy.

We met with Ultrasound, where they strapped Jacob to a board, had him drink barium - laced sugar water (which he LOVED by the way - he had a fit when they took it away from him before he finished!) as they watched the flow of the barium down his digestive track to make sure that all of his anatomy was in tact, not twisted, and working properly.  Clean bill of health!

We then met with Radiology where they laid him on a table and gave him more liquids to check for reflux and to see if the liquids were coming out the "other end" in a timely manner.  Anatomically, Jacob looked fine, but the radiologist said that Jake had reflux all the way up to his mouth.  Soooo, to add to baby Jake's list of ailments we now have reflux.  But I'll take reflux ANY DAY over something like a twisted colon, or misplaced intestinal tracts, etc. 

With a diagnosis of reflux in hand, we met with a speech therapist (yep! the infant got to meet with the speech therapist!) who sat down with me during several of his feedings during the day to assess his current feeding habits and then to show me a modified feeding regimen will help inhibit all of Jacob's reflux so that he can keep his food (and medicines) down and his weight up.  The result? We now have Jacob on a prescription formula (who know that they even had prescription baby formula!) with a page-long description of how we are supposed to feed Jacob (How to mix the formula, position to feed him in, position for burping, when to change his diaper, position he's supposed to sleep in  and so much more!) They brought in a wedge and sling for his bed (If I can ever figure out how to download pics from my cell phone I'll download the picture of him in his sling - he looks like he's in a straight jacket!!) for sleeping. So, it looks like rather than waiting till Christmas to kick Courtney out of her Crib (she's getting a "big girl bed" on Christmas) - we'll have to kick her out early because the wedge and sling definitely won't fit in his cradle. 

Through it all though, I just try to remind myself that this visit isn't really life-and-death.  It's a little hiccup that can be quickly addressed, managed, and we'll be back on our merry way in no time.  In fact, once we'd met with the speech therapist the next two feedings were spit-up free!  That is until the night shift nurse came in, listened to us give her the run-down of what we were doing to manage his vomit, then ignored us and gave him his full dosage of Dijoksin and Zantac rather than giving him mini-doses to help him digest better.  Who'dve guessed that he'd throw up EVERYTHING 30 seconds after she squirted it into his mouth all at once? (sigh)  Luckily that will be the only dose she gives him before the next shift change. Hopefully we can get someone who will listen to us, what we are doing to deal with the vomiting, and try to work with us rather than doing it their way and having Jacob reap the consequences.  Plus, we now know what's wrong, and have the tools necessary to manage this problem at home.  Its just a matter of him gaining enough weight and keeping enough formula down to get him out of the hospital so we can begin doing what we know works for him rather than having to fight all of the various medical personnel at each shift change.

OK, so I REFUSE to end ANOTHER blog on a negative note, so it's important for me to say that yes, life right now is hard.  Yes, Jacob is going through a rough patch.  Yes, this has been an incredibly emotional experience.  But I've got to look on the bright side too.

1. I've got an incredibly supportive husband who has done nothing but take care of our family, advocated for Jacob time and time again, and gone above and beyond the call of duty when it comes to taking care of me, our children, our home, and everything else that's been in upheaval the last 6 weeks.  I'm so blessed to have him as my rock right now. 
2. KC's work has been such a tremendous blessing. He's had the ability to take almost a month off of work to help out  and be there for Jacob while he was in NICU and PICU.  Where else could a person do that and know that he will still have a job when he comes back?  We've been so blessed to have Avista, the support of their employees, as well as the incredible insurance that we will be making very good use of in the upcoming months and years. 
3. I'm so blessed to have the family that I have - both on my side and on KC's side.  What a huge support system we have - both physically, emotionally and spiritually.  I am speechless at the outpouring of love and help that I've received from my family through prayers, babysitting, transporting, helping out around our home, meals, phone calls, blessings, e-mails and so much more!  The support we have received from our family has been unparallelled.  We've been so blessed!
4. Where the family left off, my ward and our friends kicked in.  All I can say is "Wow!".  The meals, the phone calls, the rides for the children, the help around the house, gifts, friendship, shoulders to cry on, prayers, cards, and so much more.  I'm speechless. 

I've had more than my share of opportunities to see the other parents in the hospital visiting their children.  How lucky I am to be able to care for my child and not worry about the other three at home, or my home, or my husband, or any other responsibilities.  We have such a massive support system that we can rely on when necessary.  And so many people have little or nothing to rely on in their times of need.  I feel almost guilty for being blessed with so much by so many.  For all of you I am abundantly thankful.