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Dad, Mom, and baby Meghan

Dad, Mom, and baby Meghan

Meghan through the years

Meghan's age

Lilypie Kids birthday PicLilypie Kids birthday Ticker

Trisomy 21 trio of cuties

Friday, June 5, 2009

Our little water rats :o)



The girls have a small wading pool for the hot summer days, yes, we sure wish we had a in ground pool, especially for US when it gets hot, but ya know, the stress of keeping the girls safe with one, well, I will pass. Too many kids drown in AZ every year in backyard pools. With this pool, we fill it up every day and then pour it out using buckets that get hauled to the citrus trees and then water the grass with the rest of it. The girls stay safer that way.

We cannot get Amanda out of the pool once she goes in, but she does not like to share, she gets upset when Kara and Meghan join her, and usually neither of them do, so Amanda plays for a couple of hours, as you can see, she gets to wear a tee and hat, as she gets burned otherwise, but the girl is TANNED and it looks so sweet on her. LOL
Kara also likes the pool to herself, but does not like the pool as much as Amanda, and Meghan, with her fear of water, only gets in when she feels up to it. She is getting a little better.

Saturday, May 30, 2009

Some pictures from my phone one year old.

I am one of those people whose children know more about their phone than I do. I have an old LG, takes pictures, plays music, I barely use it, I rarely leave home, who needs it when I have the home phone?

I have been taking pictures with my phone for two years, I am finally downloading them, lots of before and afters, they are not high quality images, but they are special to me.


Look how tiny our girls were last summer. This was before we brought Amanda home, they still get in the car that way, but they do not have as much room. :o)



Meghan climbed in the stroller after we took Amanda out to have her fitting for her SMO's. She is too big for the stroller, now, she seemed to grow overnight, it always sees that way, doesn't it, and Kara is SO BIG now.



Kara was home for 1 1/2 months here, still looking a little shell shocked, she was adjusting slowly to life in our family

Kara today at the orthotists, such a different little girl, so giggly and open. Amazing to be able to see the transformation. She is such goofy little girl, toddles around and smiles and plays. She likes food too much and we have to keep it out of reach, she decided nutter was fun to eat and broke my butter dish the other day, it is impossible to find a replacement and I am a little sad about it. I glued it.

This was taken in September 2008, Amanda had been home for two months. Oh goodness, she was so pale and tiny. Well she will likely always be tiny.


Amanda today, she has a tan! LOL, She is playing in the pool too much, with her Carotenemia, she has a golden tan.

She is such a sweetie pie, but stubborn and can get mean in a blink of the eye, mommy is sporting a scratch on her face, courtesy of Manda Moo.

Tuesday, May 19, 2009

Yea, yea, yea, I know, where have you been?

I know, where have you been? Why haven't you updated? Simple explanation, I did not feel like it, hows that for honestly? I did not think very many folks actually read the blog, it was more for me than them, and it was time-consuming to post in it, so I just stopped. Slowly I realized that I was not keeping record of milestones, I always posted them here, so I had a reminder of them later. I will try to do better.

We are pretty boring; boring is fabulous, as we have been otherwise before, and I do not wish for exciting any time soon (as in illness or strife). Some of my sons are making some serious decisions about their futures. Though we are worried, we will support them in their choices. Julia and her boyfriend broke up, it has been very hard on them, and on Mom, who hates to see anyone in pain. We have another set of kittens in the house, and yes, we know about spaying...5 kittens, two black with boots, two Siamese-looking, and one grey tabby. The kittens are always born between the 25th and the 28th of April. Without an international trip to go to this year, we are wondering how summer will be for us. Though I believed I may go to Nicaragua, I do not think that is in the plans any longer. Personally I wish we were going somewhere exciting, but after paying for two international adoptions, we have no savings to play with.

Our school district, the main one that Tom works for, is cutting music and art classes in an effort to balance their budget. They eliminated my husbands position (choral and general music), though he remained on the job due to tenure and seniority. He got his Masters in educational technology, and guess what he will teach next year? They threw him a bone and let him keep ONE chorus class. When will they realize that the arts contribute to overall intelligence? How many studies will they ignore? There are none so blind and they who WILL NOT see.. Makes me terribly sad for all the children who will miss out in learning to express themselves creatively. Have you seen the ads on TV to bring the arts back into schools? Let me tell you that even if they raised money "for the arts" the schools decide where the money can best be spent, and they may decide to use the "arts" money for new computers or football equipment. Giving money to school districts for programs you want to see in the curriculum will not work. Advocating for the return of the programs will, en mass; but how many parents care enough to try?

Oh well, enough of that, it is a sore spot in our family, two children sing, 5 play musical instruments, two are in musical theater. Two are visual artists like their mom. So yes, we believe in the importance of art in the lives of every man woman and child on the planet. Enriching lives, improving cognition, maintaining attendance in schools? Nah, not important.

We were happy that Meghan was approved for another year of swim therapy, she is terrified of big pool, she also will keep speech therapy once a week. We got a new SC for our girls, I met her briefly, she is an older woman, and because I stink at remembering names, I can't remember hers.

Therapy takes up a few hours a week for us, Kara has speech on Mondays, Amanda had feeding therapy on Wednesdays, Amanda and Meghan have Speech on Friday, and Meghan has water therapy on Saturday. We are still waiting to hear about a physical therapist for Kara and Amanda. I do not know why it is taking so long, time to make another call.

This is the last week of school for everyone, I am so happy Meghan will be done, she had a relatively good year, and of course we are not going to stop teaching her over the summer. We have Handwriting Without Tears and will use it to help her with her writing, got some Squizzers so she can cut better as well. Some fine motor issues need to be addressed with her. An OT from her on-line charter called and began to tell me what Meghan needed, not because she evaluated her in person, but because "All kids with Down syndrome have these weaknesses". I am afraid that statement sends me into anger very quickly, please people, do not generalize, children with Down syndrome are as different as typically developing children. Angry advocate mommy emerged, then I had to apologize... tell me, why does that statement make me so mad?


After seeing Meghan's pictures I realized her swim suit is too small, looks like we need another one. I adore this one she has, maybe I can find a larger one on eBay? She has become such a mother hen to her little sisters, she has also taken to putting the groceries away when we go chopping. Sometimes puts things in the freezer that don't go there, but she does a great job with putting everything in it's place.

I cannot believe that Meghan is close to her tweens. She changes more everyday and we are hoping that her speech continues to improve, though I understand her perfectly, many people cannot. She is a little girl with so much to say too.

Kara was running a fever the night before, not all that well when she got in the pool, the water was not all that cold because the sun had warmed it, but she was not laughing and playing like she normally does. She and Julia both have coughs.

Finally, somewhat of a smile on Kara's face. When she feels sick, there is no denying it. I hope this passes quickly for her. Normally she is like the Tasmanian Devil, she whooshes through the house wrecking havoc. She also giggles the entire time she destroys things. Such a stinker, Kara is always the child people gravitate to, they adore her, and she is endearing and oh so cuddly, she melts into your arms and gives the sweetest hugs.

Kara is such a pretty girl, whereas Amanda is tiny and fragile looking (but is not fragile at all); Kara is robust, a little chubby, wide shoulders, tiny hips, built like a gymnast. She has also grown the last couple of months and moved into 4T's in some clothing. Meghan did not wear them until she was 6. We will have to watch Kara's weight.
Me to our speech therapist; "No Amanda does not put anything in her mouth." Uh hum, and look, she is eating a sucker, can we say blushing crimson, though I admit it, proving mom wrong in this instance is a great thing. It was a icky sucker with artificial ingredients and dyes, and yuck, she loved it, don't kids always love those very things, I buy organic suckers for them all the time, Meghan loves them, but Amanda prefers the icky ones.
Yep, she needs her bangs cut, AGAIN.

Amanda does not like the swimming pool, no way, I put her in the day after we bought it and she had a melt down, but leave her to her own devices and she decides to try it again. She spent two hours sitting outside of the pool splashing,. I guess she decided it looked good after all. She climbed in fully clothed....Meghan and Kara decided it looked like a good time and joined her, Kara took off all of her clothes and got in, whoops, and Meghan put on her suit and joined both of them.

It is fun to see Amanda overcome her fear of the water, clothing dries!

Looks at that hair, please tell me you do what I do and you wash your kids hair when they are in the kiddie pool, Amanda hates baths, so I decided to get the shampoo and have at her in the pool, I also put some Burt's Bees Baby Bath in the water...two birds, one stone...:o)
We took all the girls on a ride to the grocery store last night. I was closing in 10 minutes, so the little girls stayed in the van with me and daddy ran in to get what we needed. Amanda had a fit because daddy did not take her, she began to sob in the back seat and was inconsolable. When daddy came out of the store 8 minutes later, he took her out of her car seat and held her. She slapped his face and yelled at him... hmmm, did I mention those two adore one another, but the slapping needs to STOP. He did calm her down a little, and guess who gets to go with daddy next time he needs to pick up something from the store. :o)
Amanda cried as we drove away from the store, such a desolate little cry, heartbreaking. Her sad cries made Meghan cry in sympathy and Kara joined in because she was already feeling poorly. Tom and I just smiled at each other, the girls love one another, none of them want to see the other one in pain. Though a chorus of girls crying is not a pleasant sound by any means, it was one we were happy to hear.
Julia is pretty petite, check her out on the rocking dog, and yes, she told me not to post this picture, but it makes me smile! Sorry Julia LOL.

Monday, May 4, 2009

Just a picture


I snuck this one of Meghan.

Friday, May 1, 2009

Appeals Court rules DES can trim funding for disabled

This article is from the Daily Star, May 1, 2009, I am so saddened and disappointed in the judges who made this ruling. Can you imagine how many people with disabilities will lose everything they had to help them be better able to live as independently as possible?

Tucson Region

Appeals Court rules DES can trim funding for disabled

By Howard Fischer
Capitol Media Services

Tucson, Arizona Published: 05.01.2009

PHOENIX — Arizona is free to cut services to an estimated 30,000 residents with developmental disabilities, the state Court of Appeals ruled Thursday.
In a unanimous decision, the judges found that nothing in state law bars the Department of Economic Security from reducing services, overturning a trial-court ruling blocking cuts made in response to a legislative order to trim spending.

The three-judge panel rejected arguments that those who have been getting help from the state are legally entitled to the services that have been specifically recommended for them.

The judges also concluded there was nothing illegal about the state reducing what it pays to organizations that provide services to those with disabilities — funding cuts challengers said would affect those services.

Thursday's ruling comes less than two months after Judge Joseph Heilman of Maricopa County Superior Court blocked the DES from cutting services. Heilman said he had reached the "inescapable conclusion" that the haste with which DES acted in cutting its spending "has served to create nothing less than mass confusion, anxiety and uncertainty" among those who receive benefits from organizations paid to provide services.

Heilman also said the DES acted to reduce services even though lawmakers did not relieve the agency of its legal responsibilities to provide care for those with mental-health problems.

Jennifer Nye, an attorney for the Arizona Center for Disability Law, said she was disappointed in the ruling.

"We know that thousands of adults and children with disability are going to be harmed by these cuts in services and rates," she said. Nye also called it "very shortsighted on the part of the state to balance its budget on the backs of its most vulnerable population."

Lawmakers made $580 million in spending cuts in late January as part of a plan to deal with a $1.6 billion budget deficit.

The DES share of that was close to $100 million. But the agency said its total cuts really amounted to more than $150 million, with cash taken from special accounts and the refusal of lawmakers to provide additional needed funds.
The DES, in turn, cut payments to service providers by 10 percent. It also eliminated services for people who are moderately developmentally disabled who, with support, can work in the private sector. And it dropped funding for early-intervention services for 2,000 children, from birth through age 3, who are at risk for developmental disability.

The appellate judges said lawmakers did nothing wrong in making a lump-sum cut to the DES budget and letting the agency decide what services to trim. They said legislators were faced with "a sobering assessment of plummeting revenues."

Monday, April 20, 2009

UNDERSTAND WHY by BERNIE SIEGEL, MD

UNDERSTAND WHY by BERNIE SIEGEL, MD

Many years ago my great grandfather told me of the persecution he experienced in Russia which led him to come to this country. He said the Cossacks would pursue him at night, when he was out teaching, and slash him with their sabers. One night he was on the hill above his village with his rabbi, the Baal Shem Tov. As they looked down they could see the Cossacks riding down and killing their Jewish brethren. They might have felt the same had they seen their loved ones being taken away to become slaves in a foreign land.

My great grandfather heard the rabbi say, “I wish I were God.”

He asked, “Do you want to be God so you can change the bad into the good?”

“No, I wouldn’t change anything. I want to be God so I can understand.”

Remember our present problems are not new to mankind. Ninety percent of the natives of South America died when the explorers brought infectious diseases to their continent that they had no immunity to and forty per cent of Europeans died during plagues of the past. Man made wars and holocausts have taken millions of lives and with today’s destructive weapons we are more of a threat to each other than are infectious diseases, which we can learn to resist. The question is not, will there be difficulties and threats to our existence, but how will we deal with them and what can we learn from them. How can they become blessings to society, as a life threatening disease is to an individual, by teaching us about the meaning of our life and existence?

When I was a young boy several of my friends became seriously ill and one was hit by a car while bicycling to my house. When they all died I asked my father, “Why did God make a world where terrible things happen? Why didn’t God make a world free of diseases, accidents and problems?”

He said, “To learn lessons.” I didn’t like that answer and asked my rabbi, teacher and others. They said things like, “God knows, Why not?, Who knows?, That’s life, To bring you closer to God.” Some were honest enough to just say, “I don’t know.” This didn’t leave me feeling satisfied or enlightened. When I told my mother what they said she answered, “Nature contains the wisdom you seek. Perhaps a walk in the woods would help you to find out why. Go and ask the old lady on the hill that some call a witch. She is wise in the ways of the world.”

As I walked up the hill I saw a holly tree had fallen onto the path. As I tried to pull it aside the sharp leaves cut my hands. So I put on gloves and was able to move it and clear the path. A little further along the path I heard a noise in the bushes and saw a duck caught in the plastic from a six pack. I went over and freed the duck and watched him fly off. None of this seemed enlightening.

Further up the hill I saw five boys lying in a tangled heap in the snow. I asked them if they were playing a game and warned them the cold weather could lead to frostbite if they didn’t move. They said they were not playing but were so tangled they didn’t know which part belonged to whom and were afraid they’d break something if they moved. I removed one of the boy’s shoes, took a stick and jabbed it into his foot.

He yelled, “Ow.”

I said, “That’s your foot now move it.” I continued to jab until all the boys were separated but still no enlightenment.

“As I reached the top of the hill I saw, in front of the old woman’s cabin, a deer sprawled on the ice of a frozen pond . She kept slipping and sliding and couldn’t stand up. I went out, calmed her and then helped her off the ice by holding her up and guiding her to the shore. I expected her to run away but instead of running away she and several other deer followed me to the house. I wasn’t sure why they were following me so I ran towards the house. When I reached the porch and felt safe I turned and the deer and I looked into each others eyes before I went into the house.

I told the woman why I had come and she said, “I have been watching you walk up the hill and I think you have your answer.”

“What answer?”

“Many things happened on your walk to teach you the lessons you needed to learn. One is that emotional and physical pain are necessary or we cannot protect ourselves and our bodies. Think of why you put on gloves and how you helped those boys. Pain helps us to know and define ourselves and respond to our needs and the needs of our loved ones. You did what made sense. You helped those in front of you by doing what they needed when they needed it.

“The deer followed you to thank you, their eyes said it all, for being compassionate in their time of trouble. What you have learned is that we are here to continue God’s work. If God had made a perfect world it would be a magic trick, not creation, with no meaning or place for us to learn and create. Creation is work. We are the ones who will have to create the world you are hoping for. A world where evil is to not respond to the person with the disease or pain whether it be emotional or physical. God has given us work to do. We will still grieve when we experience losses but we will also use our pain to help us know ourselves and respond to the needs of others. That is our work as our Creator intended it to be. God wants us to know that life is a series of beginnings not endings. Just as graduations are not terminations but commencements.

“Let me tell you about people who have been my teachers. The first, a teenager sexually abused by his parents who now has AIDS. When he was about to commit suicide by jumping in front of a subway train I asked him why he didn’t kill his parents instead. He said, “I never wanted to be like them.” Love has sustained him and he is alive today.”

“Another young man with a life threatening illness said, “What is evil is not the disease. Many great creative works will come from individual suffering but what is evil is to not respond with compassion to the person with the illness.”
“An example are parents I know who because they had a young child die are improving the lives of other children and raising funds to find a cure for the disease which took their child so other children will not have to die as their child did.

“How do we turn our afflictions into blessings? How do we use them to help us complete ourselves and our work and understand the place for love, tolerance and kindness? How can we learn as Jacob did from his experience of wrestling with an angel? Justice and mercy must both be a part of how we treat those who terrorize because when you understand you can forgive and when you can forgive you do not hate and when you do not hate you are capable of loving and love is the most powerful weapon known to man. It is not an accident that we say, kill with kindness, love thine enemies and torment with tenderness.

“As Golda Meir said, "The only way to eliminate war is to love our children more than we hate our enemies." When we raise a generation of children with compassion and when parents let their children know they are loved, teachers truly educate them and not just inform them and the clergy let them know they are children of God we will have a planet made up of the family of man where our differences are used for recognition and not persecution. Words and experts cannot be our Lord. Abraham did not bargain or refuse his Lord’s request and Jesus, who was capable of performing miracles, did not jump down off the cross to impress everyone with who he was. Our Creator must be who we have faith in so we can live as Abraham and Jesus did fearing only separation from their Lord. Think of what Noah experienced too. He didn't argue with God over what was about to happen. I think he knew that living was more difficult than dying and that we are all here to learn what it is to hurt and be hurt and only then will we be perfect enough to love and be loved.

In closing let me say that as a surgeon I know something you may not; that we are all the same color inside and members of one family. To paraphrase Rabbi Carlebach, let us hope that some day all the Cains, will realize what they have done, and ask for forgiveness of the Abels they have killed. In that moment we will all rise and become one family accepting that we are here to love and be loved. Until that moment may you accept and learn from your mortality what is truly important in the time of your life. Rather than from further disasters.

It has been rough going around our house lately, maybe yours too? I have not felt like writing on our blogs. Please pray for our family and family friends.

Sunday, April 12, 2009

Happy Easter

We have been busy, still fighting the flu's running through the house, Kara was the latest to succumb to the belly bug. Brian has strep, and mommy is a rashy mess from being exposed to strep too many times, still, none of this is fatal, and we will all recover soon (me in a few months, scratch, scratch)
I took these pictures a few nights ago, we had a spectacular sunset, just breathtaking, I love that part of AZ.
We are excited to have Amanda her for her first Easter, she will like be non-plussed by it, but mommy and daddy are thrilled she is here this year.
All of us wish all of you a very Happy Easter.

Fun games

Meghan's story

Meghan 1 day old
"SPECIAL ANGEL"(Down Syndrome Birth)
As beautiful angels wings were flying over the streets of gold,
the baby angels could only watch since they weren't very old. Then one day God stopped to talk to a little one without wings,
He said, "your day has come....... just listen to the angels sing".
Confused yet excited the little one said to the Lord,
"But I'm different from the others God and not a miracle to behold". "Oh, but yes you are," He said with a hug and smile on his face.
"You're the greatest gift I can give and a loving home you will grace".
You mean, tho I'm different and will never be beautiful or smart
Someone will want me and give me a place in their heart?" "Gee God.....that person must be special to be glad to have me,
Cause most folks would frown and upset they would be."
God said, "your little heart was filled with more love than most.
Cause I knew this family would love you and hold you real close. So go my little angel and take the greatest gift I can bestow.
You're that "special" angel few people have the honor to know."
By Sandy Eakle
Having Meghan changed the course of our lives, we are grateful that she has led us to a new and better world, but it was a painful journey at times.

When Meghan was born December 11, 2000, we saw immediately that she had Down syndrome, we had such a mixture of emotions. While we lie on the bed holding our new daughter; we could see the midwives who were in attendance of her water birth with their heads together whispering to one another. Waiting and watching them, my thoughts and overwhelming sorrow were that perhaps Meghan would never learn to read well enough to read the baby book I brought with me to write in, something I did following the birth of all of our children. I thought of nothing else, perhaps from the shock, but being an avid reader, that was pretty devastating to me.

30 minutes after her birth they approached us and apprehensively told us that they saw signs she had Down syndrome. I said "we know" and their jaws dropped. They then said that the reasons they thought this were a single Palmer crease on one hand, hypotonia (floppy), almond shaped eyes, flat facial profile, and other things I can't remember. Tom began to sob, it was not the same as me saying it, hearing from them broke his heart. We held each other while I held our daughter and I felt the floor drop out from beneath me, I was counting on him to support me through this, but I could see that it may be the other way around. The midwives were so sad for us, we were a little scared because the midwife thought she heard a murmur when she listened to Meghan's heart in the middle of the night. She checked her heart every 30 minutes after that, turned on the lights to check Meghan's color, no one slept except our new daughter.

After that very long sleepless night we got up and I got dressed. We quickly got ready to leave, as we were to go immediately to the doctors office to have Meghan examined more thoroughly. Our family doctor was called we were shocked when he refused to see her, he had never indicated that he would not care for her while I was pregnant, but he said he no longer took infants as patients. Thus began a stressful 3 hour wait while the midwives frantically called every pediatrician in town trying to find one who would see our daughter.

Finally one agreed and we were told to report at 1:00, so we drove home to see our waiting children and let them see Meghan. Halfway down the road from the birthing center, I began to cry; something I had not done so far, Tom pulled over and we held one another once more. We stayed there a long time. After arriving home I walked immediately into our bedroom and sat in the rocking chair with Meghan, I turned on the lullaby music that I played while pregnant and rocked her.

Our children knew something was wrong with their new sister, but they did not know about Down syndrome, their dad did not tell them over the phone. I sat with our oldest and told him his sister had Down syndrome. He talked about a boy at his school with Down syndrome who was the butt of every ones jokes and my son was very sad picturing his sisters future. He said no one was very kind to people with Down syndrome in HS. Each one of the children came into the room while I explained her diagnosis, what I knew at that time at any rate. They held Meghan and they all looked as scared as I felt, we were all worried about her heart.

We left soon after and went to the University Medical Center. After we found a place to park we trudged up 3 flights of stairs to the entrance. I was beyond exhausted and this was the first time I did not have abounding energy after the birth of one of my children. Each stair seemed so high, each one such an incredible effort. (Even today walking up those stairs stirs up the memory of that day) I had given birth less than 24 hours before, I could not believe I was walking up those stairs with a daughter who had a birth defect; Down syndrome and a heart issue, my mind was racing, as was my heart.

Once inside we made our way to the third floor riding the elevator with a few other people. I remember not wanting to let them see Meghan, afraid I would get looks of pity or shock. We checked in and waited for a while before we were called back to the room. Two doctors entered, one older and a very young one, UMC is a teaching hospital. They examined our daughter rather indelicately and then gave her to me and I nursed her.

The older doctor told us he was sorry and immediately told us Meghan would never read or write, she could be severely mentally retarded, most likely would never leave home, and since we were older parents, after our deaths we would burden our older children with her for the rest of their lives. He recommended we give her up for adoption and forget we ever had her. He said we could just leave her there and a social worker would come and get her.

Being the type of mom that falls in love with her babies while I am pregnant, that had never even crossed my mind, I looked at Tom, he looked shocked too. I remember telling the doctor very firmly that she was our daughter, we loved her, and she was staying with us. The old doctor left, I am not sure when, I was so upset with him I would no longer look at him, the young doctor stayed and he began to go over everything we needed to do. Seeing a cardiologist was an urgent need, so minutes later we went to another office and met the cardiologist who then performed an echocardiogram on our daughter and drew a diagram of her heart issues; she had

a PDA, a possible coarctation of her aorta, a VSD and an ASD He warned us of the signs of heart failure and sent us home.

When Meghan was 5 days old she exhibited all of the signs of cardiac failure, she had just finished nursing and her breathing became labored, her face pale, her nail beds bluish. We got in the car a rushed to the emergency room. When we got back to triage, I had to tell the nurse that our daughter had Down syndrome, it was the first time I had said it to a stranger, I began to cry, I thought Meghan was dying, I was so frightened. We sat in the waiting room for over an hour while she struggled to breath, her breath very audible, we learned later that is was a condition called

stridor. We were very upset that they were making us wait for so long. We sat there for over and hour and very slowly Meghan's breathing returned to normal. They placed a pulse OX and it read 86%, they repositioned the probe and it was 90%, and 5 minutes later it was 97% so they assumed it was a bad connection and they said everything was fine and sent us home.

It was not until we saw her new cardiologist at 10 days old that he saw what I had been seeing after she nursed, her ribcage retracting, her color was ashen, he asked how long that had been happening, I said "Since birth" but I could get no one would listen to me about it. He quickly left the room and brought in a pulmonologist

who watched her breath and said we needed a broncoscopy to make sure she did not have any atresias. We left from there and into the hospital where she was admitted for the test. We called our children and told them we would be back later that evening, our sons were older, 23, 21, and 18 and were watching their brother Brian 14, sister Julia 8. Something they had done a lot as we saw a doctor nearly every day, though they talked about readmitting Meghan into the hospital for observation, they felt she was better off at home and away from germs in the hospital, everything and everyone had to stay very clean around her because of her heart condition.

After sedation, we handed her over to the doctors while I cried, it is pretty scary handing your tiny baby over for a test. 30 minutes later they came out and told us Meghan has Tracheomalacia, or a floppy airway, and her windpipe was collapsing after she nursed, dropping her oxygen saturation below 90%. It was not a condition they could help with medication, she would need to grow and get stronger cartilage in order for the condition to resolve, they said it would take years and rarely a tracheostomy may be indicated. They also said she had reflux and prescribed two medicines to control it. The reflux was actually causing the stridor as the digestive enzymes were irritating her trachea. (The stridor continued until she was over 2 years of age).

After the procedure she got very ill, the probe, which was a flexible fiber optic smaller than a spaghetti noodle, fed through her nose and into her trachea and esophagus, had inflamed her trachea. The swelling dropped her oxygen saturation to 65%, she was put on oxygen and a 30 minute test became a 3 day hospital stay. As the swelling went down she was weaned off the oxygen until she was on room air and no longer needed anything. They were going to send us home with a pulse oximeter and oxygen, but they were happy to see her breathing well on her own.

An occupational therapist specializing in breastfeeding met with me before we left to watch Meghan breastfeed. She determined that Meghan had an immature suck-swallow-breath pattern and asked how I managed to get her to nurse. I explained to her that I noticed she had no rhythm while nursing, so I would play her lullaby's and pat her bottom while we rocked, she would suck to that rhythm and would feed well. (It would take 5-6 weeks before she learned to do this on her own), but she loved her rocking chair. She was weighed twice a week to be certain she did not have failure to thrive, but gladly she gained weight steadily and did not need supplemental formula.

We went home on Christmas Eve, and frantically finished shopping for our other children that afternoon, so much had happened and the holidays snuck up on us, thankfully the boys set up the tree days before. That Christmas was bittersweet for all of us.

We visited with the midwives for my post delivery check up in January and the midwife asked if we were keeping Meghan, she said they were afraid we would give her up. When we said of course she was staying with us, she was our daughter, they were visibly relieved. She looked Meghan over, asked about her heart, but that sense of sadness, of pity, was still present, and also something that felt like guilt. I had no prenatal screening for Down syndrome, they had encouraged me, sometimes harangued me to get the tests done. As a mother of "advanced maternal age" it was standard to get amniocentesis, but I refused, I was afraid the amniocentesis would hurt my baby, as indeed I had a 1 in 100 chance of losing her to miscarriage if I had the test, I could not take that risk. We did get periodic blood tests and ultrasounds, which would not harm Meghan. Still I had an uneasy feeling during my pregnancy and kept telling Tom that something was wrong and I felt this baby was going to change our lives. 5 Ultrasounds showed nothing more than a little shorter than average humerus and femur length, which were still within normal ranges.

Meghan's medical issues were minor compared to friends whose children had many chronic and life threatening defects and conditions. Still we had always had very healthy children and everything we went through with Meghan was new to us. As she received early intervention therapies and grew and changed we also grew, we were calmer, more self assured at parenting her, and very much in awe of her strength and her sweet spirit. We adored our sweet angel and she brought out the best in all of us. We were determined she would have the best life we could give her.

Now 8, her heart spontaneously healed, her trachealmalacia resolved, she is very healthy. We are thankful that her only long-standing medical issue is easily controlled with medication. Meghan is an amazing child. A great mimic, talking better daily, very funny, extremely stubborn, and still with that sweet spirit that brings out the best in all of us. It was because of our love for Meghan that we wanted to adopt two more children with Down syndrome.

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