Lingering Just A Moment More

So Thanksgiving is already a distant memory having occurred a whole week ago and the shopping frenzies of Black Friday and Cyber Monday are already left in a big plume of dust!  The Christmas countdown is in full swing and the holiday will be here in a blink of an eye!!  Usually I’m one to stay ahead of the pack when it comes to anticipating and celebrating Christmas…I LOVE Christmas and want to soak it all up…every moment….every cheesy store-inspired tradition…every sacred experience the holiday holds for me as I reflect on the birth of my Savior.  I’d pull out the tree and decorate the house in early November if I could and kind of combine the whole holiday season into one big “ThanksChristmas” extravaganza!!!

But it feels different this year for some reason…I haven’t put my finger on it but I haven’t wanted to take our few Thanksgiving decorations down yet…I’ve wanted to linger a bit more in this season of thanksgiving, linger a bit more in those moments when something catches me eye and I try to take a snapshot of it in my mind, linger a bit more in stillness and peace.  I pray you had a wonderful Thanksgiving celebration and the spirit of that day lingers throughout your whole holiday season as well!

We enjoyed celebrating Thanksgiving with family this year…celebrating a holiday with family doesn’t happen very often for us with both of our families living so far away so we soaked up time with the Boston cousins over the long holiday weekend.  Rudy, of course, loved all the attention and cried pretty much non-stop when everyone left for an outing he couldn’t join in on!  🙂  He’s so aware and soooooo wants to be included in what the big kids do.  🙂

Rudy’s doing well, though, and has remained healthy so far since the cooler weather of a Santa Barbara winter rolled in.  After the slew of over a dozen doctor/ER/UCLA visits in October, he’s gotten a break from doctor appointments this month and we’ve appreciated the reprieve.  We have a handful coming up in December but they are all routine appointments so hopefully Rudy’s health will remain stable in the next few weeks of (more than usual) activities…we need to pace ourselves as we get closer to our Wish trip in January!!!

Here’s a little Thanksgiving photo recap…

 

At Macy’s to drop off our letters to Santa with cousins Mayali and Kyra!
The ceremonial drop!

 

What’s your wish Rudy?
Looks like Uncle Rolf is getting a blessing from Fra. Junipero Serra at the Old SB Mission! Wow!
Swimming with a dolphin at…McDonalds!?

 

Rudy with Aunt Andi and his new buddy John!

 

Just one of those moments Mama likes to linger on…thanks for capturing it Dale. 🙂

Okay, so my favorite Thanksgiving memory of 2012 will go down in the books as the serenade Rudy got at the SBRM feast…Rudy, Max and I spent the day hanging out in the courtyard talking with the homeless guests as they waited to be seated for lunch and there were two gentlemen in particular who were eager to sit down and spin a mile-long yarn!  🙂  At one point, one of them asked me what Rudy’s name was and as soon as I said “Rudy”, they broke out simultaneously into a loud and somewhat off key rendition of “Rudolph the Red-nosed Reindeer”. Rudy’s enthusiastic response encouraged them to sing even louder!  The expression on his face was similar to the picture below…total joy and acceptance.  The scenario was annoying to more than a few people standing around us but for Rudy and the two men who serenaded him, it was a highlight of the day.  🙂

Rudy at the Rescue Mission Thanksgiving feast…

Thank you friends!  Thanks for being the special individuals you all are and for sharing yourselves with us!  Thank you for your prayers and for your concern when we go longer than usual in posting an update.  Thank you for sharing in our love for Rudy and for your friendship to our family.  We all have so much to be thankful for…and I want to linger on those thoughts…always!  Blessings to you today.

 

 

 

 

 

 

 

 

Finding Fun in Vegas

Rolf and I enjoyed a rare gift of getting away for 4 nights this past week in Vegas for our 20th anniversary.  We’ve NEVER been very good at carving out this kind of time together and even less so since Rudy was born but Rolf was inspired by a killer deal on Groupon a few months ago and went for it to celebrate this milestone!  We laughed throughout our Vegas adventure as it’s clear we’re not really “Vegas” people…we’re not big drinkers or big gamblers and it felt like we had huge neon “nerd” arrows hanging over our heads the whole time…BUT we did what we do best and found fun!  We ate our fill, took in a few GREAT shows and won a whopping $30 jackpot at the quarter slots!!!  Most of all we enjoyed days where we got up with no agenda and let the day take us where it wanted us to go…no thinking through if a venue was wheelchair accessible, no making sure we had the necessary enteral supplies, oxygen tanks or meds, etc.  Of course, we thought of the kids non-stop and lamented the fact they weren’t with us every time we saw something we knew they would flip out over (David Copperfield or Cirque du Soliel) but they had a fun visit with Oma at home and Rudy was well taken care of between Oma (a retired RN) and his nurses.

And now, here it is Thanksgiving week (how is this possible?)!!  We’ll take time to write a proper Thanksgiving post later this week but to get a jump start on the theme of gratitude, here’s a little peek at an article by Becky Still that was published in the Fuller Alumni News this week.  Becky interviewed Rolf a couple of weeks ago and we’re so grateful for her effort and the thoughtfully told article that resulted.  We are honored and blessed by her interest in our journey… Alumni in Action Article

We are honored and blessed by your interest in our journey too…thank you for being a BIG part of this journey and for the prayers that have carried us from day one!

All dolled up to see Donny & Marie!
That’s right ladies!!! I heard Donny sing “Puppy Love” AND grasped his hand when he walked by our seats!!!…When Livy asked me who Donny Osmond is and why I was so excited to see him, I replied “Donny Osmond was my Justin Bieber”…she got it!
Rolfi’s big win! Ha Ha
Between the two of us we walked away $40 richer but my only thought was “Where’s the hand sanitizer!!?”.

Joyful Thanksgiving preparations everyone…:)

Wow, Wow, Wow!

Okay, we’ve been boring people on Facebook ALL DAY with campy wedding status updates in celebration of our 20th anniversary so I won’t post much on Rudy’s Beat tonight but we can’t let the day pass without mentioning the special celebration today holds for me and Rolf.  It has been a fun day of reminiscing and reflection over all that has transpired in the last two decades.  We certainly couldn’t have imagined all the “points of interest” in this journey of ours that have led us to where we are today…settled in Santa Barbara with our precious family of four – but there is little I would change if we had it to do all over again.   Each bend, each twist, each adjustment we have faced in our life together has drawn us closer to each other and more dependent on God whose presence has been our hope and our strength.  Here’s hoping for 20 more!

Celebrating 20 years!! November 7, 2012
Our first date included a walk on the beach in Malibu…we’ve got a bit more company on our beach walks now! 🙂

The icing on top of the wedding cake came in the form of a confirmation letter from “Make-a-Wish” yesterday granting Rudy a special visit to “Give Kids The World”!!!!  It’s official…we’re headed to Florida in January!  Yay!!!!  How very humbled and grateful we are…

Very special!

 

 

Happy Halloween 2012

Halloween has always been a fun time in our household but because it was our first holiday in the hospital with Rudy, the significance of celebrating Halloween together under one roof is not lost on me…the memories of that season are still so vivid!

10-31-2008

We are so grateful for how far we’ve all come since then…today’s celebration included the traditional La Patera Hat & Mask Parade and, of course, trick or treating!  Happy Halloween dear friends…and so starts the fabulous season of holidays!!!  Yippy!

Go La Patera 5th graders!!! You Rock!
Amelia and Charlotte!
Thank you Nurse Liz for being Rudy’s temporary school nurse!! You are a gem…
Rudy with Max the Superhero M&M!
What? Obviously he’s Superman Cowboy!
What? I’m a raisin! What’s your problem?
Love my Statue of Liberty and Superman Cowboy!
Superman Cowboy Sheriff and his deputy!
Time to Trick or Treat!
Adaptive Trick or Treating…
Rudy and Stella!
Rudy’s Picasso Pumpkin

 

So much fun!

The Pumpkin Patch 2012

Much to my delight, it didn’t take much coaxing to get Rolf and the big boys to go to the pumpkin patch with me, Olivia and Rudy Thursday afternoon!  Our local Lane Farms pumpkin patch has got to be the sweetest patch around…complete with a corn maze, hay ride and pot-belly pig!  A trip to Lane Farms is a fun fall tradition and it pleased this mama’s heart to have the whole family join in the fun…

1st stop…the corn maze!

 

Wilson is about as tall as the corn stalks! Ha Ha

 

It’s time to pick out a pumpkin!

 

Rudy liked all the tractors!

 

 

 

So we saw Dr. Harake today and Rudy’s heart looks about the same as last month…the leakage is still mild to moderate and the enlargement of the right atrium and ventricle remains the same.  The plan for now is to sit tight, keep Rudy healthy this winter, pray his heart remains strong (essentially what we have been doing for the past two years)…and revisit the decision to pursue the Glenn in a year or so.  Dr. Harake didn’t even mention a timeline for his next heart cath which I think is a good thing…it would be real nice to give him a procedure-free season for a bit, if we can…and continue to embrace each day as it comes.    Happy Harvest dear ones!

Wonder Boy

The Wonder Boy really hasn’t skipped a beat (no pun intended) since losing the trach last week…his stoma is considerably smaller and healing nicely so far.  We keep it covered with a bandaid and he doesn’t mess with it at all.  It’s amazing to watch him move more freely and I see (or should I say, “hear”) noticeable improvement in his ability to articulate consonants.  He’s a little chatter box!

Laying low at home for a few days served Rudy well, but it didn’t really end up being a quiet week for the rest of us.  A string of unexpected things kept us on our toes and kept me OUT of my shop – not any jewelry making going on this week!!!  I’m hoping I can carve out that holiday prep time next week – if I were superstitious, I’d be knocking on wood right about now!

Speaking of the unexpected, we’ve had a couple of unexpected good-byes this week…Rudy’s endocrinologist, Dr. Lifshitz, announced his retirement and it just so happened that we had our routine appointment scheduled with him already…so, Wednesday’s appointment turned out to be our last with him.  Thankfully, we are blessed with 2 other pediatric endocrinologists in town so I’m certain Rudy will be in good hands but it’s hard to say goodbye to a key member of “Team Rudy”.  Dr. Lifshitz, who manages Rudy’s hyperthyroidism, has been one of our more vocal cheerleaders…always affirming and always good for a reassuring pat on the back.  I will miss him and his office assistant Kim!

Rudy and Dr. Fima Lifshitz…

We also got word on Monday that Rudy’s school nurse, Evelyn, was reassigned to another school and so Rudy will be getting a new nurse!  We’ve been blessed with one great nurse after another so I expect Rudy’s new nurse will be no different but it is still hard to say goodbye to “a good fit”.  Evelyn was wonderful with Rudy and we’ll miss her sweet, tender care.  One of the interesting dynamics to my life with Rudy is that I feel like the members of “Team Rudy” (like his nurses, therapists, doctors and the office managers/staff of all the doctors offices we frequent each month) are my primary social community since I see them more than anyone else so when someone leaves, I really feel it much more than I should.  (Ok, that sounds a bit pathetic but it’s true!)

 

 

 

 

 

 

We have an appointment with Dr. Harake tomorrow (Friday) afternoon and Rudy & I head back down to UCLA on Monday for an appointment with Dr. Woo (pulmonologist).  I don’t imagine there will be much to report but it will be good to check in with both docs post-decannulation.    Thank you for praying for Rudy’s adjustment…we couldn’t be more proud of him and the big sibs…they’ve all weathered the past couple of weeks well.  Sleep tight dear friends!

Resting At Home

We were happy to get home safely from LA yesterday just in time to love on the big kids and watch “Modern Family” with the boys before heading to bed but we’re definitely feeling the effects of the adrenaline rush of the past three days today!  Rolf and I woke up groggy and unfocused – unmotivated to jump back into the fast pace of life at home and work – Post Adrenaline Rush Let Down, I guess.

Rudy continues to do well…he, too, is a little groggy today but we both enjoyed a quick trip to Livy’s school during morning recess at Livy’s request. 🙂  Now we’re home again and getting things picked up and put away…a little laundry, alotta paperwork and some reorganizing of medical supplies are on today’s agenda.

Dr. Shapiro warned us that some of her pediatric patients have difficult adjustments after decannulation – almost like losing a binky.  Thankfully, Rudy seems pretty content without the trach and giggles when Daddy tickles his bare neck with his beard but he is NOT very content to keep his nasal cannula on.  I thought he had already made that adjustment but it must feel different to him now so it’s time to bust out the tape again.

So, we’ll rest up, catch up and get back into the swing of things over the next couple of days.  With decannulation behind us, it’s time for me to spend some serious time in the shop building up my “Silver By Trish” inventory for the holidays!  HOLIDAYS?!  YIKES!!

Love you dear friends…grateful for your prayers this week!

Here are a few more pics from our PICU visit…

RT Oscar and Nurse Abigail transported Rudy to his new room – which turned out to be his old room! ha
Quick morning check-in with Dr. Rick.
…And then it was time to be discharged! Dr. Harake was in the cath lab and made it just in time to say “hi/bye”…
“Bye, PICU friends…until next time!”
The ceremonial throwing away of Rudy’s tracheostomy tubes!

 

 

 

 

 

 

 

A Fun Day At UCLA!

Rudy is all smiles heading up to pre-op!

It sure was a different drive down to UCLA this morning…Rolf and I both commented on how strange it felt to be heading to UCLA without a huge weight resting on our shoulders…it was all going to be pretty straight forward…bronchoscopy, removal of scar tissue if needed, decannulation and observation – DONE.  No heavy consult with docs afterwards – just “get in”, “get it done” and “Wha-La! Finished”.  And, thankfully, that’s about how it all transpired today.  Dr. Shapiro said Rudy did well in the OR…he tolerated the anesthesia well and only fussed coming out of it as we would expect.  She didn’t need to remove any scar tissue and the small granuloma present near Rudy’s stoma will heal over time, most likely, without intervention so it was a pretty effortless procedure today!  We are so thankful.

 

Rudy with Dr. Shapiro during her pre-op visit…all systems go, go, go!

 

All done!!!! Rudy has such a pretty neck!!!  Never really seen it without a trach-tie!

 

Within 2 minutes of walking into the hospital lobby on our way to admit this morning, we ran into familiar faces…Dr. Shannon (who is one of many cardiologists at UCLA who weigh in on Rudy’s case during group conferences) and Dr. Reemsten (Rudy’s surgeon) both had really encouraging things to say about Rudy’s status and how great he looked.  (Always fun to hear!)   We ran into Dr. Kelly (CTICU Attending Doc) and Dr. Feinberg (CEO of the UCLA Health System) in the cafeteria while Rudy was in the OR and they, too, couldn’t have been more complimentary of Rudy’s progress.  (LOVE IT!)  Rudy had a relatively short stop in recovery – a bit fussy until Mom and Dad arrived – and was then transported up to the PICU.  Dr. Rick just happened to be waiting for us and he got an update on the big sibs from us while Rudy’s nurse and the attending PICU fellow got Rudy settled comfortably.  For all you long-time Rudy’s Beat readers, yes, that’s RT Oscar in the pic!!!  He was part of the welcome wagon too!!!  It was a fun reunion…

Settling-in in the PICU with Nurse Abigail, RT Oscar and Dr. Rick!!! We LOVE seeing familiar faces!

 

Remarkably, Rudy really hasn’t slept at all this afternoon so hopefully that means he’ll sleep soundly tonight.  Dr. Shapiro has ordered TWO nights of observation instead of one so as it stands now, Rudy will be discharged and we’ll head home on Thursday.   So far, Rudy is handling not having a trach great!  He definitely notices something is missing and is trying to figure it out.  Thanks for all the wonderful blog comments and texts today….so grateful for all the prayer and encouraging words!  Today marks the end of something pretty significant and the start of a fun, new chapter in Rudy’s development, we pray!

 

Fingers Crossed!

It’s Sunday night and a welcomed quiet night at the end of three really full weeks!  In addition to a handful of doctor appointments with Rudy, this past week was also consumed with a bureaucratic tug-of-war that left me feeling exhausted and frustrated.  I’ll spare you the details but it’s situations like this week’s dilemma or battles with crApria that are so stupid in the bigger scheme of things and yet cause the most emotional turmoil for me.  It’s maddening!!  But it’s time now to let it go and look ahead at this week and Rudy’s procedure at UCLA on Tuesday.  Please pray that our plan to decannulate on Tuesday will happen as scheduled.  UCLA Anesthesia called on Thursday to conduct the routine pre-op survey to go over Rudy’s medical history and the fact that he had a couple of seizure episodes last weekend was of concern.  They would like to follow up with Rudy’s neurologist so we’re crossing our fingers that there isn’t any reason to postpone the procedure!  We’ve waited so long for this and another delay would be pretty disappointing.

Rudy had a good week…he slept a little longer each morning and was a bit more mellow than usual but he was happy and active.  He slept through his PT and OT sessions on Monday but made it on Thursday.  Although he was VERY motivated to practice walking with his walker, his physical therapist and I noticed a distinct change in his stability.  His left foot and leg were turned out prominently and pretty shaky when he put weight on his left side.  It seems maybe he has lost some strength as a result of the seizures unlike what we’ve noticed before but it’s hard to know for sure.  He isn’t lacking in desire, though…check out his workout today: (admittedly a long video, but it gives a pretty good idea of how hard and determined our little champ works).

He was also pretty proud to put on a show for us yesterday…this video just isn’t long enough…

Imagine how he’ll be able to sing without that tracheostomy!!!  🙂

We’ll keep you posted on what unfolds tomorrow…hopefully the call from UCLA giving us our call time for Tuesday!!  Thank you for praying us through another trip down south.  Blessings dear friends…

Stella and Rudy got to hang out today while their big sisters played soccer…too sweet!
Moments like these help put all the silly frustrations in proper perspective…

 

 

Follow Up with Neurology

After Rolf and Rudy’s late night return from the ER last night, Rudy slept in to almost 10am this morning!  We skipped his PT and OT appointments and I got a call into Dr. Corazza’s office first thing.  Dr. Corazza ordered an EEG test at 2pm and then a face to face with him at 4:30pm.  After two trips to the ER over the weekend, I was glad we were able to follow up with Rudy’s neurologist right away.  The EEG clearly showed that the seizures are coming from the right central part of the brain which is why the left side of his body is affected.  Sunday night’s seizure didn’t last as long as Friday’s but it was unsettling in that it extended into Rudy’s left arm and leg – not just in his face as in previous episodes.  Dr. Corazza increased Rudy’s daily dose of Trileptal from 3 and 4 mls per day to 4 1/2 mls twice a day (from 7 total to 9 total).  We need to wait for a couple of blood tests to come back from samples taken in the ER…if the numbers are good, then we’ll stick with the current med but if the numbers some back bad, then Dr. Corazza wants to add another medication in addition to the Trileptal.  We’re not super keen on adding more anti-seizure meds as they could leave Rudy feeling pretty doped up but we also need to get these seizures under control…especially since they seem to be getting worse.   We’ll wait and see what the test results reveal and pray, in the meantime, that Rudy doesn’t have anymore seizures!

EEG fun (?)!

Our weekend was yet another manic bundle of really awesome highs and disturbing lows…the Santa Barbara Rescue Mission’s annual Bayou fundraising event on Saturday was a wonderful success and quite inspiring & at the same time our hearts were burdened for Rudy, of course, but also breaking for a Make-a-Wish/Heart family we’ve been praying for all week…their story was covered by their local news.  Caution!  It’s truly heart breaking but also such a vivid picture of grace and strength…Mia McDonald video.  Please join us in praying for this family as they make their way back home to Utah…ugh!

I tell you…everything about this weekend makes us hug a little tighter and embrace the little moments that make a day special even more!  Here’s a few from this past week…

Kickin’ it at Max’s hockey practice…
Watching the DP drum line and cheerleaders at the Bayou!
Livy’s Silent Auction favorite!
Rudy’s contribution to the auction…
Buddies

Thank you for your prayers this weekend…there is so much going on in need of prayer and knowing it’s all in God’s hands is truly comforting to me.  🙂  Bless you friends!