Hospital Stay - Week 3

We are approaching week three of this hospital stay and are all exhausted. I truly do not know how we did this the first 15 months of Kyra's life. I'm so proud of Kory. He stayed with Ky for 5 straight days, no breaks, so that I could go to work. Honestly he deserves a metal of courage and rewards for his patience. It is not easy being in the hospital for that length of time without someone to relieve you. I am climbing the walls after two days. Kyra requires constant supervision and stimulation. HE IS A GREAT DAD!!!

Kyra is slowly making progress and yes, the bowels are working. Only those parents with a short gut child can truly appreciate and understand the celebration of poop. Kyra is having bowel movements every 1 1/2 - 2 hrs again. She is still in alot of pain from the surgery. The surgeons reported that there was a large amount of scar tissue that had to be brought down and the small bowel was manipulated alot so we should expect this pain response.

We have managed to keep Kyra busy with several projects that are transforming her hospital room into a zoo. Kyra can be bought with stickers, as her physicians and nurses have figured out. She also enjoys music therapy daily during the week. You would not believe the number of volunteers that give of their time to play and entertain with the kids here.

Thanks Aunt Cher for all the projects. We can always count on you, for the crafts and EVERYTHING else we need. You always know before us what that need is.

From Daddy

Kyra

by Kory Conrad on Thursday, June 23, 2011 at 11:40pm

For the past two months we have been in and out of the Cleveland Clinic. Today they decided to go in and fix a stricture at the top of Kyra's Colon. The surgeons were reluctant to go in because the bowel can be damaged easily, it's fragile, with no guarantees that a new stricture wouldn't form from the scar tissue that is left over from the operation.

Two years ago on this very date Kyra had her first surgery. Through the skillful hands of Dr. DiFiore he was able to attach 5 separate pieces of small intestines together. One piece was about a cm long. He managed to accumulate 9 cms of intestine. We were told that a child needed 70 cms to live.

Kyra's Neonatologist Dr. D'Netto never let our family lose hope. There were many dark hours throughout the first years of Kyra's life, but Dr. D'Netto was a beacon of light especially for my wife. Kyra's guardian angel walks on Earth. She goes by Marita. I would be amiss if I didn't mention the skilled work of Kyras gastrointestinal team led by Dr. Radhakrishnan. They formulated a plan for Kyra and it's surpassing my family's dreams.

To make a very long story short. After today's surgery the surgeons informed us Kyra has 70 cms of small intestine and 30 cms of large. I asked the surgeon if you didn't know Kyra's back story, what would be your prognosis. He said "a normal life". I never thought I would ever hear those words considering Kyra. I am a blessed man.

Now anyone who knows my family. Kyra has had many ups and downs. I'm always cautious talking about the future for Kyra because we are reminded daily there are no guarantees for a tomorrow. I now have "hope" for a tomorrow.

I apologize for not updating the blog for such a long time. Our lives have been so busy lately and by the end of the day I am utterly exhausted. I am happy to report that Kyra is doing wonderful. She is developing a pretty charming personality and knows just how to work you with that charm. She keeps us busy that is for sure. Developmentally she is improving everyday. Kyra still refuses to walk on her own but she willing to walk with the pediatric walker without our assistance now. I still say the only thing holding her back is the fear of falling. Her vocabulary is amazing. She is constantly chattering. Kyra can fully express all different emotions. Her "surprise face" is too funny. Along with knowing the different emotions also comes the understanding that maybe we are not reacting appropriately to her cues. She will begin to throw a fit about what she does or doesn't want. If you ignore the outburst she will politely get your attention and tell you, "Kyra crying" as if questioning whether you heard her or not and helping you to realize your have not responded as she would like.

Her favorite thing to do lately is to go outside. She loves her walks and enjoys feeding the neighbor's horse. Kyra gets a bit of a grizzly voice when she calls for them. Well actually orders them to come over is more like it. "Come here Maggie! Come here Oliver!" Kyra still believes she controls the world. She says their names so clear and will inform you that they like apples, carrots and "graaase"

Kyra also enjoys greeting the contractors working next door on our new home. She yells out "Hi" each time I take her out. They usually cannot hear her from where we are but never the less Kyra's determined spirit keeps her yelling until one of them notices her. Daddy spent several LONG days digging a basement for our family. Digging a basement on the "rock" is a somewhat impossible task but he did it. Now we will have a greater peace of mind knowing we can get Kyra into a safe environment in the event of severe weather. There were far too many times this past summer when I worried about what we could do to keep her safe with little options. Now we know that we can seek shelter and not compromise her health in the process.

Kyra also learned about the equipment Daddy used. One day her nurse took Kyra outside and as they walked by the bobcat machine Kyra announced, "Bobcat" Later that day the nurse wrote in her notes the development Kyra was making: "Kyra said "horse" when she saw the horse, "digging" when she say Daddy digging in the ground and "bobcat" when she saw the bobcat." I'd love to know what on earth the person reviewing the notes thought about Kyra seeing a bobcat. Or better yet, why wasn't there a concerned phone call made?!

We still go to the Clinic every two weeks for IVIG. Kyra enjoys her visits with the staff there. She is especially fond of one of the nurses, Dan. The last two times we have pulled into the parking garage, without a word from us, she announced "Coming Dan!" She greets people as we walk onto the elevator and two weeks ago before I had the chance, Kyra thanked the gentleman that made sure to hold open the doors so we could make it on the elevator. She is a polite little one and so appreciative of the attention given to her.

For many of you this blog and our stories are all you know of Kyra. Most of you have not even physically scene this little miracle yet you know her and her beautiful spirit. So often I have expressed my sincere gratitude for everyone associated with Kyra's blessing, the nurses, doctors, family, friends, everyone. Daily I recognize how much we have and how far we have come together. The moments and the memories our family gets to create and cherish are more than we thought possible. I could never say enough about each one of you and how your continued support lifts us, drives us and blesses us. I pray each of you recieves the same blessed gifts as this:

A week ago I was sitting across the room from where Kyra was playing. She was content, leafing thru her books and making the noises for each animal on the page. The next thing I knew she had made her way over to me, reached her hands up, hugged my legs, sweetly said "I love you mommy" then lifted her head up with puckered lips. Upon recieving her kiss she simply turned and scooted back over to her books. Nothing more. You can only imagine the tears that came flowing ... .what an amazing gift when you recieve love.

Walking, Driving and going to work...

Kyra is a busy, busy girl. She loves to go outside and watch Kaden & Mikahla play basketball. She enjoys taking walks to talk with the birds or watch the neighbors' horse graze. She has become a little bossy too. The other day we were watching the horse, as he headed toward the barn, Kyra shouts in a somewhat demanding tone "Stop, horse, come back here!" I believe she understands that she controls our world so why not everything else?!

Kyra has a car now. What a great way to distract Kyra from her therapy sessions. Little does she know that this activity helps build up her muscles and will provide her the skills for walking. She is able to push the car up and down the driveway now. She moves very slowly but she is determined. Too cute... she gets into the car and says "I'm coming" over and over about 12 times before she makes it to you. I applaud her determination and focus.

We also found a pediatric handicap walker at a local goodwill store. What a find. It is in excellent condition. When I brought it into the house Kyra was all over me. "Wow Mommy Wow" she exclaimed several times as I scubbed it down. It is shiny and she was very curious to see what I had - that is until I stood her up to it. Not as much enthusiasm. We keep after her with this, she does not cry as much as she did that first day. But not 100% sold on the exercise either. The walker allows us to let go of her hands and gives her the control. It has been a great way for her to build the confidence she needs. I truly believe our biggest battle is the fear of falling. I hope we can overcome this soon - she is getting heavy.

Ok so if I haven't said it before, Kyra is remarkable. I am in awe of what she is able to understand. Two nights ago, Kyra emptied out the toys of her "purse" ( a clear bag with a long handle.) I watched as she struggled to pull it up to her shoulder. Once in place, she scooted across the floor heading toward the hallway and yelled "Bye Mom" I asked her where she was going and she sweetly replied "work" rounded the corner and stopped at the wall that still displays her "artwork." She put down her purse and carried out a display of coloring on the wall. Moments later, she picked up the purse, pulled it to her shoulder and proceeded to come back into the room "Hi Mom." Now how amazing is that. Kyra has no concept of where we go each day. Her knowledge of the world consists of our home, our neighborhood and the Cleveland Clinic. But apparently the girl pays attention to more things than I know. I always tell the nurse each day where I am heading, to work or to the store. At those moments Kyra is usually playing or browsing thru her books and only seems to interrupt her activity to say "bye, bye" and blow me kisses. Who knew she was paying attention the whole time.

Other moments that have taken place over the last few months.... Kyra's vocabulary is expanding. She is putting sentences together. I heard her call for her "sis-sis" last night. When Mikahla came running down the hall Kyra asked her "want to play with me?" They have a hand-jive song called "double-double" they enjoy singing together.... At Kyra's last Cleveland Clinic visit Kyra said her doctor's names. Ok, Radhakrishnan is hard - she calls him "Krishnan" but she says Marita (Dr. Marita D'Netto) as clear as can be.... Kyra is also working on her nursing/doctoring skills too... she has a Doctors Kit and checks the temperature, heart rate and blood pressure of her teddy bear 3-4 times a day. She always reports he is "35" degrees and doing "good." Check out this photo, she wanted a cap and mask too.

Happy Birthday Kyra - Wow 2 Years Old!

Well it is official Kyra is 2! This past week she crawled twice on her own, quickly recovering into a sit once she realized we were watching her. I guess she wants to keep this a big secret. Kyra also pulled herself up to her feet at the ballet bar yesterday. AND the true test that she is 2 - Kyra drew a masterpiece on the wall - so proud saying "Did this - BLUE"


It hardly seems possible that it has been two years already. This tough little girl has blossomed in so many ways. She has become "Miss Manners" using her "pease" and "t-ank you" All day today she was saying "t-ank" you to everyone for all her gifts. And early this morning she tossed Nurse Becky a toy and told Becky "welcome." Kyra got a surpise this morning with a BIG, BIG birthday cake from Becky's husband, Jason. He made this amazing Mickey Mouse Club House 3-D Cake. Thank you Jason and Becky. We managed to get some icing on her lips and she announced "Mickey!" She loves her Mickey Mouse.

This week has been a bit emotional for me. My heart has been filled with happiness and excitement reaching this milestone. Early this week I had an opportunity to visit with Dr. Marita D'Netto and speak with a few nurses from the NICU. I have also become more aware of the friendships (actually family relationships) created with our home health nurses, Becky, Barb, Kris and Diane. All of these individuals have forever changed our lives. So today marks a birthday for Kyra but it also marks a "win" for all those who have been a part of her progress. I can only hope that each one of you understand that they are so much apart of our family smiles, not just today but everyday. Everything you have done, everything you have given, and everything your dedicate yourself to MATTERS!

Our friends and family have been remarkable and a great source of strength. Someone once asked me "How do you do it?" My answer was "anyone can do this just as long as they have OUR family and OUR friends behind them." We have an amazing support system.

Today I recieved a beautiful bouquet of flowers from my sister with a card that read: "Miracles happen for those who have the strength to believe." So true, Thanks Cher!

Check out these Miracle Moments:

Calling "Tweet-Tweets"



Excited to see Mikahla & Kaden roll the ball to her





Birthday Girl blowing out her candles
She DID IT!!!

Happy Easter - check out my bunny face

Sorry for the delay in updating the blog. Kyra is doing great. It has just been very busy in our house lately. Mikahla has been involved with basketball, Kaden with Boy Scouts, and Kyra is busy pulling out all her toys, leaving them thru the house. Yeah a regular family!!!!

Kyra is still going to The Cleveland Clinic every two weeks for IVIG and checkups. She is remarkable. Her replacement fluids now run at 80cc/hr for nine hours and her IV supply company has divided the fluids into two bags to allow Kyra to wear her backpack during the day. This helps free her up and allows her to explore. She is now rocking back and forth with one knee in a crawl position but still apprehensive and will not get up on the other knee. She is recieving physical therapy one day per week. The therapist is surprised at how quickly she is responding and improving. We also put up a ballet bar and mirror to encourage her to pull herself up. Although it takes ALOT of encouragement she will stand for a good 8 minutes and is no longer locking her knees.

Kyra's vocabulary is ever expanding. She repeats nearly everything she hears. Kory and I put on music for her entertainment when we change her broviac dressing. She enjoys the Jersey Boys and now sings along (with actually words matching) to "Sherry Baby" and "Big Girls Don't Cry." Afterwards she dances to the rest of the CD. So fun to watch. She is definetly a Conrad - LOVES, LOVES her music!

Kyra enjoys ALL her toys!

Hanging out with Sis-Sis

HAPPY EASTER - LOOK AT MY BUNNY FACE

Since my last post, Kyra was hospitalized again. This time for six LONG days due to a gram-negative bacteria. Trying to keep her entertained in the hospital was a job in itself. If I didn't already appreciate our home nursing now I definetly know just how much I could not make it without them. Whew! I quickly realized that Kyra has been constantly engaged with activity and entertainment from at least one person. I guess we were trying to make up for lost time during her stay in the NICU. Now, I make sure she spends a little time playing by herself. I have actually warned Mikahla "no I am watching her and she does not need anyone to play with now." Mikahla doesn't get it yet, but she is approaching pre-teen years and will appreciate my strategy later. As for Kyra's bug, no need to replace the line. She recovered and we put good use of our time in the hospital. Kyra began taking water out of a bottle - now we are transitioning to a cup. She is actually asking for a bottle now. She is also eating a bit more. We are seeing her throw a fit if we do not get the cup or food in fast enough - ahh a typical toddler emerges.

I have realized I have not added photos of Kyra in a while. She is growing so fast and learning so many new things. She is our little greeter. Anytime we walk in the room, we hear this sweet little girl say "hi." and if not acknowledged quickly enough you hear a very loud and stern "HI!" She makes her presence known. Here are some big girl photos.


SOOO BIG!


FEEDING HER BABY


BABY HAS A G-TUBE TOO. THANKS NURSE BECKY!

"IT IS A WONDERFUL LIFE"

I have watched the movie "It is a wonderful life" so many times. I hold back tears and smile everytime I hear the bell ring.

It has been one year ago when we spent our holidays huddled around Kyra in prayer as she struggled to get thru two neurosurgeries back to back. I held onto hope but honestly I did not know if she was going to make it thru those days. To look at her today, you could never imagine the path traveled. She is a bright child, an amazingly forgiving child and a loving child. Her smile captures you and reminds you how simple it is to achieve happiness in this "wonderful life."

This is not an easy journey by any means, but what meaningful journey is? There are challenges and mountains but they are matched with wonderful rewards. I have been given a true gift this Christmas. This gift - you cannot wrap, contain it in a box, no need to put a ribbon on it - it is simply the most beautiful blessing - to be home with my family, in our home, filling the house with love and laughter. It is the magic of Christmas that reminds us how truly valuable family and friends are in our lives. So as we set by our tree I will smile all the more for I know there are many, many bells ringing for all the angles in our lives... This journey has never been traveled alone. Our family and friends are our Angles, you have been tremendously supportive and we are grateful. It is your thoughts, care and prayers for our family that help provide us these blessings. Today I wish you all the same blessings of close family, good friends and joy this holiday season and all thru the New Year. And may I just say I marvel in how you so brilliantly hide your wings.

Merry Christmas!!!

We love our OWN bed!

Kyra has been hospitalized twice since our last post. The first time was due to a high temp, which lead us to the emergency room with a blood draw and a dreaded possible line infection. After three days in the hospital it was determined that the positive blood draw was a circumstance of cross contamination. The fever was due to an ear infection, which was easily treated during her stay. THANK GOODNESS! We are fortunate that Kyra has been able to avoid hospitalization this long (thanks to great nursing care at home!) Her absent immune system makes life difficult, especially with school age children and a teacher in the house. I can tell you I have a heightened awareness, I am quick to exit an area if I hear a sneeze or cough. I can sympathize with someone from a distance!

A week ago we spent time in the hospital because Kyra's broviac line had a tear. Her line was able to be repaired without surgery. Kyra's broviac was cut in two pieces (which made mom very nervous) the bad was disgarded and a new piece was threaded into her existing line and glued together. We had to wait 48hrs for the adhesive to dry and hope that she had an open line when we were able to access it again. Who knew you could glue together a broviac line?! I was skeptical to say the least - I was thinking "it's rubber, like trying to glue two rubber bands together." So we waited and prayed... please no infection

When you have a child with a compromised health condition, your life changes in more ways than you can imagine. Not only are you aware of the coughs around you... you learn more about how fragile life can be and how one thing can turn your world upside down in a single moment. Kyra's broviac line is truly a life line in every since of the word. The fact that she had a tear in the line with no immune system is dangerous. Kyra requires 20 hours of fluid a day thru her broviac to keep her nurished and hydrated - not to mention the medications running thru this line. If nurishment and hydration were not enough to age mom and dad then we add the fact that bacteria could have gained access due the tear in the line. But that is not enough... if the line is not open, Kyra would need a new line = surgery. Kyra will require long term IV support and we need to preserve her access points, surgery should be avoided at all costs.

Happily we can report, Kyra's line was open and we went home. We went home, feeling at least five years older, sooo tired and ready for our own bed. Kyra was just as happy to be home as she spread all out in her bed, rubbing the sheets!

Since our last posting, Kyra's replacement fluid was turned down to 90 cc/hr and we started bolus feeds. Entral bolus feeds are still given thru the g-tube but differs from a continous feed. A bolus feed involves using a syringe to give a quantity of food into the feeding tube at regular intervals. In th past this method was not successful. We would get maybe 20 cc in and clamp her g-tube only to have her bring it up within the hour. Now I am happy to announce Kyra tolerates 60cc in a two hour time frame. This is wonderful for Kyra - we are able to disconnect her from one line and provide Kyra with more time for mobility. Kyra has become very aware of her tubes and their limits. When she comes off of them even for a few hours ... she is all over the room exploring and playing with her siblings. We are even trying to get her used to wearing her backpack. She tolerates this some days - others she is annoyed by the bag.

The last couple days Kyra has decided she is going to eat again. She had regressed, fighting us for every bite. However, Nurse Becky, has found that she can get her to eat by bargaining toys with Kyra - no bites, no toys. It is working. Today Kyra enjoyed a small taste of a sucker - a halloween treat! She said "yum-yum" as she licked the sucker..... Speaking of Halloween - check out our lil' pumpkin!

Kyra's vocabulary is growing every day. She attempts to repeat every word and every sound she hears. She can tell you what a cow says. So cute to watch her position her lips first then make the sound. She can say "pa-pop" and calls Kaden "Bubba" Just today as Mikahla was rushing by her she called out "Ta-ba" Mikahla stopped in her tracks. "No, no" has also been perfected while she shakes her finger repeatedly.

We have been working on her tummy time. Not a fan of this position, but she is beginning to tolerate this a little more each day. I was concerned with Kyra's mobility due to her reluctancy to go into a crawling position, but Kyra always finds her own way. She has mastered the "scoot" She crosses her legs indian style and maneuvers across the floor on her bottom.

Almost three months at home now. I have to say our routines have provided me with more time with all three children. I am so pleased to announce Kaden has joined flag football and I actually get to see a few games. Kory and I went to a class reunion a few weeks ago. First time I have been more than 10 minutes away from home without a nurse in place. ( Thanks Cher!!!) Prior to Kyra's discharge the Clinic nursing staff told us, we would get home and wonder why we were ever so nervous. Well, I still hold my breath every now and then, but I honestly believe I could mix TPN with my eyes closed.

Good News - Kyra gained weight! Before turning down the TPN and replacement fluid rate Kyra weighed 21 lbs. 10.5 oz. She is now at 22 lbs. 7 oz. WOW! WOW! WOW - check out her bowel! I know it seems I am bit too excited and I am. But when you get good news of ANY kind it is cause for celebration.

We have been working with Kyra on using sign language to communicate. She has successfully mastered the words "dad" and "more." Yesterday afternoon Kyra and I were able to take advantage of a beautiful day and went for a walk around the neighborhood. She was startled a bit by the breeze but that soon passed as she looked at the trees and birds with wide eyes. It is always an renewed sense of innocence when you watch a child smile and take in the little things we sometimes fail to appreciate. As we ended our walk Kyra was growing pretty tired, rubbing her eyes. It was clearly time for a nap. As I leaned over to pick her up from the stroller, Kyra repeatedly tapped her fingers together and verbally attempted the words "more, more." Once again Kyra so simply reminded me of the little things that turn into BIG moments in our lives.

On Monday we turned down Kyra's TPN and replacement fluid rate. Our hope is that she will maintain her weight or have very little weight loss. This is a good move for Kyra. TPN is hard on the liver. We must keep Kyra's liver in good shape in order to ward off a need for a transplant. We are very happy to know that Kyra is doing well enough so soon after discharge that we have this opportunity to turn down her rates. On our next visit to the Clinic we will find out how Kyra has tolerated this change.

Kyra has been receiving OTPT at home for two weeks now. It is so amazing how quickly her vocabulary is progressing. It seems each day she is saying a new word. She makes me laugh watching her hold her little phone while waving at the same time and babbling "he-yo" and "ba-bye" She is also beginning to use sign language to communicate with us.

Kyra is off of ALL pumps for three hours a night and is utilizing her time moving down the hall in her walker. She has not mastered moving foward but she is fast to push backwards. It is cute to watch her go to the end of the hall, she yells out and Mikahla turns her around. They repeat this several times a night. I am not sure who enjoys this game more - (them or me)

IVIG Today

We are sitting at the hospital waiting for the IVIG. The infusion runs for four hours and makes for a long day. But we are fortunate that Kyra is also able to see her specialists during her infusion. Kyra has a GREAT TEAM dedicated to her care. Kyra's conditions are extremely complicated. She is not a regular order of "fries and a small shake." There are so many factors to think of when examining her care. The collaboration of her "team" is REMARKABLE!!!!

As a mother of a "sick" child you are always pleased and yet somewhat terrified to hear the words "let's try." But today Dr. Radhakrishnan said "try" turning down Kyra's TPN and replacement fluid rate. I am so eager to try this approach. With this step we will see how she fluctuates in weight. If all goes well we may find that we can try to turn the TPN down again. Great relief for Kyra's liver. Kyra will have to prove that she is ready for this and hopefully keep taking oral feeds. These are small steps that have big rewards!

Kory is Kory. During Dr. Radhadrishnan's visit today he utilitized the time to get some advice on the anatomy class he is teaching this year. I just took my notes on Kyra's changes and smiled remembering a moment that brings me to laugh now but at the time I am sure it was seen as inapproriate, especially for the physicians involved... During the discovery of Kyra's hydrocephalus Kory and I were in the waiting room, awaiting the arrival of the neurosurgeons to explain Kyra's condition and the surgical procedures available to hopefully eleviate the fluid causing pressure to her brain. The tv was on in the waiting area and it was just announced that Obama was looking at Dr. Steven Nissen, Cleveland Clinic Cardiac Surgeon, as the Surgeon General. Kory was blown away. Now in walk the Neurosurgeons, they sit down and delivery what is devistating news to us about Kyra's "new " condition. I get very emotional wondering what more can she endure. And well Kory is Kory. He is in the same room, he just heard the same news, but he copes with his emotions VERY differently... He asks the surgeons if they know Dr. Steven Nissen. They try to cover but I can see them looking at Kory like "is this guy for real. We just delivered frightening news to a parent and all he can do is ask about Dr. Nissen." We can laugh now but I'd be willing to bet they were wondering where on earth is this guy's head.

CELEBRATE - WE HAVE NIGHT NURSING!

YEAH we have night nursing! Just in time for Kory and the kids to head back to school. Things are falling into place. Kyra is doing wonderful. She has been back to the Clinic twice for her IVIG infusions and her physicians are very pleased with how well she is doing. We are hoping that soon we will be able to cut back on her TPN. Our hurdle to overcome - solid foods - we are working hard on this.

Kaden and Mikahla are getting more comfortable with Kyra. On any given night I can find Mikahla heading to Kyra's room (after I put her to bed) to play. I just can't bring myself to stop her. I watch outside the door listening to the two of them laughing. I cherish every little giggle. I have been pleasantly surprised with the way Mikahla is with Kyra. She has never been the "touchy, feely" type - getting a hug is sometimes a chore. But when she is with Kyra there is this gentle, nurturing soul. Kaden is always the entertainer. He gets out his guitar and plays a little toon or dances for Kyra. Just last night he was performing magic for us. Kyra enjoyed watching him shuffle his cups around.



Kaden & Kyra playing "peek-a-boo"

Good times with our "She-Ma" & "Pop-Pop"

Not since Kyra's birthday party at the hospital have we been able to have all grandparents in the same room with all three children. This photo is worth a million smiles!

Kyra has been home nearly three weeks now! We are so pleased with her oral progress. She is now grabbing the spoon to put the applesauce in her mouth (finishing a jar a day.) We are trying to get her to take carrots and chicken, but she prefers the applesauce. We will keep at it. I consider this a personal victory to get her eating. I never would have thought we'd be this far.

I am encouraging Mikahla and Kaden to get more involved with Kyra. When she first came home Kyra was startled when they would get too close. There has been progress - a couple days ago I found Mikahla head to head with Kyra watching a movie. Kyra had discovered a typical "brother and sister game" - she is fascinated with pulling their hair. Ahh, the joyful sounds of siblings. Kaden is quite the germ watcher lately. I find him going from one santizer bottle to the next as he enters in and out of rooms, all so when he comes close to Kyra he can gently pat her head. I think this is his way of saying he cares and is happy she is home.

I have returned to work. It is difficult to leave each day, but what a reward at the end of my day.... walking into my home and seeing the beautiful smiles of all my children. Sometimes we all take for granted the "little" things that make a BIG impact on our lives. I still shake my head in amazement at where we are today. What blessings we have!

Applesauce is not so bad

It has been a struggle to get Kyra to take anything by mouth. It would usually take 20-30 minutes to get her to eat one-half teaspoon. But today she took applesauce without much resistance. I was actually able to get Kyra to eat 2-3 tsp in approx. 10 minutes. BIG PROGRESS! She even willingly opened her mouth a few times - no need to sneak the bites in. In the end she was all smiles.

KYRA IS HOME!

Kyra was discharged from the hospital on Thursday, July 9th. We have made it one week... WOW what a week it has been. Kyra is adjusting nicely to her new surroundings. She truly enjoyed her ride home. I would have loved to know what was going through her mind as she gazed out the window of the van all wide eyed, absorbing all of this new world.

Our home has been turned into a pharmacy and we are all trying to find our way into a "normal" routine. We have had a some bumps in the road understanding the new equipment and protocol for administering tpn. Dr. D'Netto is on speed dial to help save the day. Kory and I comment at least three times a day, how fortunate we are to have Dr. D'Netto. She is an amazing, giving person and always seems to help find a way to keep us laughing thru challenging moments.

Currently Kyra has two nurses, Diane and Becky, that cover our day shifts. Both are easy going individuals who have helped tremendously in our transition. I am delighted with their care for Kyra and their ease in joining our "family." We are still struggling for night nursing and hope that this will be resolved before Kory and the kids go back to school!

To our NICU Family:
We could never fully express our sincere gratitude. We have all been thru difficult moments along this road and this journey home is a reward for everyone. Your hard work, effort and relentless determination has given our family opportunities that we never imagined. Your talented hands and hearts help make miracles possible. It has been our pleasure to come to know each and everyone of you. We will never forget your commitment and your beautiful spirits that will remain with our family always!

Ma-Mom loves this!

Need I say more...