Tuesday, September 30, 2014

Lake House

 A couple weeks ago our friends invited us to spend an evening with them at a lake house that is only about 20 minutes away from our house. I spent the evening sitting in a camping chair enjoying the ideal weather and atmosphere as I watched my kids run around with friends, jump off the dock, swim in the lake, bury each other in the sand, and fish. The whole night felt pretty perfect - minus the extreme guilt I felt the entire time. I found myself keenly aware of the excessive amount of bugs, the smoke from the tiki torches we used for light, the sand getting absolutely everywhere - basically all the things that were not compatible with Ellie's trach. This was exactly the kind of outing we couldn't do with Ellie. It's moments like this that now cause me the most pain. How am I supposed to move forward and enjoy these moments knowing they are only possible because Ellie is gone. Isn't being happy and enjoying them saying that I am happy Ellie is gone? The truth is I would trade every single one of these outings for never being able to leave the house again if it meant having Ellie here with me again. But I can't.
It really was a great night full of wonderful memories and I am so grateful to our friends for inviting us.

Mason has been begging for us to take him fishing all summer and was thrilled we were finally doing it. The fishing we did was the real deal using live worms for bait and all. Mason and Brynn each caught a fish or two while Miles' caught more weeds than anything, but he didn't seem to be disappointed at all.



Saturday, September 27, 2014

Special Needs Spotlight

Ellie has been spotlighted over on the blog This Little Miggy this weekend. Read below to check it out. If you head over to her site, I highly recommend reading some of the other special needs spotlights. I have been fascinated reading about all of these amazing kiddos and their families.  I was especially excited to see Presley and Maaike spotlighted since they both played a special part in Ellie's story.
Presley was our neighbor in Orem. My kids knew and loved her long before Ellie was born (Mason totally had a crush on her when he was younger). When Ellie got her trach Mason and Brynn didn't bat an eye. They were thrilled their baby sister was as cool as Presley. When they would pretend like they had trachs (which was a common occurrence), I would overhear one say to the other, "You can be Ellie and I'll be Presley." Presley and her mom Mindy are both total and complete rock stars and if more people shared their complete optimism the world would be a better place.
We didn't know Maaike before, but when her mom heard about Ellie getting a trach through a mutual friend of ours she offered to give us all of Maaike's old trach equipment. If you know anything about all of the expensive equipment a trached child requires then you understand what an amazingly generous and helpful thing this was.
Thanks to Miggy for letting us share a little bit about Ellie and trisomy 4p.

Hi, my name is Rachel. My husband, Scott, and I have been married for almost 10 years and have four beautiful children – Mason (7), Brynn (5), Miles (2), and our little angel Ellie who last month, at 15 months old, returned to heaven. I want to thank Miggy for letting me share a little bit about Ellie’s story today. Ellie was born with an extremely rare chromosome abnormality called trisomy 4p. After struggling with eating and breathing –kind of important functions- for the first two months of her life Ellie ended up with a trach and g-tube. I stopped working as an ICU nurse and spent the next year trying to balance providing around the clock care for Ellie with being the mom of three other healthy and active kids. I never would have been able to do it without the help of my amazing husband and mom. Ellie had global developmental delays and at 15 months old she was the size and development level of a 6 month old. Despite all of her challenges she was the happiest little girl and was always ready to greet everyone with a smile and clapping hands. In August she got sick and was admitted to the hospital with pneumonia, nothing new or out of the ordinary for Ellie, but the day before we were expecting to take her home she unexpectedly passed away during the night. We are left with a huge void since our whole life literally revolved around Ellie. We are grateful for every single memory we have of Ellie and look forward to the day we will be with her again, in heaven. I have shared a lot about Ellie’s story on my blog bubblesforellie.blogspot.com if you would like to know more.
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Miggy:  Rachel I'm so honored to have you here today and to be talking about your sweet Ellie. A few weeks ago I linked to your blog as your family and friends had set up a fund raiser for the recent passing of your sweet daughter Ellie. I'm so glad you reached out and talk about Ellie and her condition it today's spotlight. Thanks you. First, can you take me back to the day you found out about that Ellie had trisomy 4p?  Do you remember how you felt?  Can you compare those first thoughts and feelings with how you feel now?
Rachel:  I will always remember the pediatrician coming in to examine Ellie after she was born and asking us if she looked like our other kids. I thought he was just making typical newborn small talk until I looked at his concerned face and I realized he was really asking us if we thought she looked normal. He went on to point out all of the abnormal features Ellie had that were consistent with many genetic disorders – low set ears, thick and flat upper lip, high arched palate, thick tongue, short and thick neck, simian crease, and underdeveloped pinkies were a few.
We didn’t receive the exact diagnosis of trisomy 4p until she was 3 months old. After 3 months of unanswered questions about Ellie’s health and development we were so relieved to finally have a diagnosis, but soon found out there were very few answers because of how rare it is (there are only about 100 documented cases in medical literature). We never worked with a single doctor, including our geneticist, who had ever even heard of trisomy 4p let alone knew anything about it. We felt so alone and so scared of what the future would or wouldn’t hold for Ellie. As time went on we learned to live without all of the answers and just let Ellie lead the way.
Initially, I went through a grieving process over the loss of all my hopes and dreams for Ellie’s future. Now as I grieve the loss of my child I am surprised at how similar the emotions I felt a year ago are to what I am currently feeling. Only now it is much harder because she isn’t here in my arm.



Miggy:  Please educate us about trisomy 4p. As you stated in your email this is a very rare condition--what are the hallmarks of this condition and is there any treatment? How did Ellie's needs affect your day-to-day life?  
Rachel:  Trisomy 4p is the same type of chromosomal abnormality as trisomy 21 (Down Syndrome), but the duplication involves the short “p”arm of the 4th chromosome. Trisomy 4p has its own characteristic pattern of features, birth defects, and medical problems but just like in Down Syndrome there is a very wide spectrum of how severely each person is affected. Some of the more common problems include global developmental delay, feeding difficulties sometimes resulting in feeding tubes, difficulty walking with most kids not walking until they are 3-5 years old and requiring assistive devices and braces, speech delays with children ranging from non-verbal or non-conversational to being able to eventually talk like a toddler does, epilepsy (seizures) that can be very difficult to control, small size and stature, many orthopedic issues including severe scoliosis, prone to frequent respiratory illnesses, eye and vision problems, unexplained sleep issues, sensory processing disorders, autism spectrum disorders, and dental issues like extra or missing teeth. These children require full care throughout their lives.
Because Ellie was trach and feeding tube dependent she required specialized care 24 hours a day that me, my husband, and my mom were trained to give. She was always with one of the three of us. Our entire day and life revolved around the cares and therapies she required. We were limited on where we could go and what we could do with Ellie, but we learned how to make the best of what we could do.

Miggy:  Although Ellie's condition was rare, her passing was completely unexpected. Is there anything you'd like to share about her passing? Anything you want your friends, family or others to know?
Rachel:  Ellie had been in the hospital for a week with pneumonia, but that was not the cause of her death. From the information we currently have (we are still waiting for the autopsy report) it appears that her cause of death was a perforated bowel. We have no idea what caused it. She had been upset for several hours, but her vital signs never changed and she did not show the typical signs of a perforated bowel. I think that was always our greatest challenge with Ellie, her body rarely responded in a typical manner and problems were often undetected or misdiagnosed because of it. She was in a hospital hooked up to monitors and being observed around the clock by medical professionals and yet no one saw this coming until her heart had stopped and it was too late. Until you have had a child with a rare disorder you will never understand how helpless you feel when no one, including you, know how to best help your child.
Miggy:  Piggybacking on the previous question how can people best approach respond to your family now you are grieving the loss of Ellie? Is there something you wish other people knew so as to avoid awkward or hurtful situations? What about advice for people who want to do something but don't know what to do?
Rachel:  I have always said that I want people to feel comfortable talking to me and asking me questions about Ellie instead of avoiding me for fear of saying or doing something that would offend me. That remains true now that she is gone. I appreciate the people who aren’t afraid to talk openly about Ellie and ask me how I’m doing. I appreciate the people who are okay when I start crying and don’t quickly try to change the subject. I don’t have a list of things people should or shouldn’t say because honestly, it doesn’t matter what they say, I know they have good intent when they say it and that is all that matters to me. The most meaningful thing for me is when people share a specific memory or something that they remember about Ellie.
Miggy:  Will you share with us something you love about Ellie--a special story, a personality trait or just something others might not know?
Rachel:  While Ellie had pretty significant developmental delays all around, her greatest strength was always her social development. She had a very special connection with everyone around her, especially our family. I will never forget the way she would looked at me and smiled the day after getting her trach and knowing that everything this new path would require would be completely worth it. Nothing brought me greater joy than watching her brothers and sister interact with her. They delighted in making her smile and laugh, and she loved their never-ending attention. She lit up when Dad got home from work and always seemed to be in her most playful moods with him. But at the end of the day she was a mama’s girl. The way she looked and smiled at me left absolutely no doubt that she knew I was her mom and she loved me completely. That connection was the greatest gift I was ever given with Ellie.

Miggy:  Many parents joke that we wish our kids came with a handbook. Never does this feel more true than when parenting a child with special needs. Often special needs parenting can be a lonely road, but even then many of us find our support through families who are dealing with similar conditions. You talked about the lonely and scary feeling of parenting a daughter with such a rare condition, what advice would you give to parents on a similar journey whether with trisomy 4p or another super rare condition?  What would you say to yourself if you could go back in time?
Rachel:  Shortly after Ellie was diagnosed we found a facebook group for families of children with trisomy 4p. This group saved me! Even though we were few in numbers and spread out across the globe, for the first time I wasn’t alone. I don’t think enough can be said about having someone who understands the unique challenges you are facing. My advice to anyone who has a child with special needs is find a support group that works for you. Some of the most meaningful connections I made outside of that group were not even parents of other 4p kids, but moms of a child with a trach or feeding tube that could relate to the lifestyle we had to adapt because of those things.  I briefly participated in some other special needs support groups, but for whatever reason the interactions in these groups seemed to weigh me down and stress me out more than they lifted me up. You have to find the right support group that bouys you up and gives you strength. For me that was our 4p group.
Miggy:  Lastly, what is the biggest lesson you’ve learned since becoming Ellie's mom?                                                                                                                           Rachel:  Ellie taught me what was really important in life. Our family had to give up a lot of things we previously enjoyed in order to care for Ellie and we were happy to do it. Now that Ellie is gone and now the opportunity for those things are back, I realize how insignificant it all is. Our relationships with our family and others around us are all that really matter. While my heart feels like there is a gaping hole that will never be filled, Ellie taught me to make the most of every day I have been given, so I am doing my best to move forward and enjoy every minute I have with my young family.

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Rachel, thank you so much for that sweet and tender spotlight.  Ellie's smile and that little sparkle in her eyes are priceless.  Speaking of priceless, as I read your words, particularly your last paragraph I can't help but think about what a priceless gift your Ellie gave you in seeing things as they really are--seeing what is most important, valuable and worthy of our time, which is of course people.  That answer should always be people--our family and loved ones--but it's not always easy to remember.  Thanks for the reminder.  Your love and dedication to Ellie and your family on the whole is beautiful.  Thanks for sharing your story and your Ellie with us today.  God bless you and your family.  

Thanks for reading these important and beautiful stories you guys.  I appreciate the love and support.  We have some great spotlights coming up, but please continue to spread the word and email me with more spotlights at thislittlemiggy at gmail dot com.  We're closing in on 100 and that feels pretty remarkable to me.

Have a great weekend.  

Tuesday, September 23, 2014

Bubbles for Ellie

Ellie loved bubbles.
Her love for bubbles began early on when she was intubated in the hospital and waiting out the weekend until she was scheduled to get her trach. She was uncomfortable and would stare up at us with heart wrenching eyes and her face would scrunch up in a silent cry around her breathing tube. Listening to music calmed her so we started playing different lullabies and classical music for her on the iPad. My mom found a video on youtube that played the "Lullaby" song (Ellie's favorite) over and over with bubbles floating and bouncing around the screen. Ellie would calm down the instant she heard her song start and would start jerking her head around looking for the bubbles until she found the screen and then she would lay still, completely entranced by the bubbles. This became Ellie's lullaby and rarely a day (or more accurately night) went by that Ellie didn't watch her bubbles for a little bit.
We discovered how to use her love of bubbles for good when a speech therapist started blowing bubbles in an attempt to win Ellie over and get her to cooperate with a swallow evaluation (remember her intense stranger anxiety). It worked! As soon as she saw the bubbles Ellie was mesmerized and stopped crying, but as soon as the bubbles stopped she started crying again. We began using bubbles as a way to distract Ellie and keep her calm when we needed her cooperation for different tests and procedures.
At home, Ellie was always full of squeaks and chuckles when I held her in my arms and the big kids ran around us blowing bubbles. On the long winter days when it was too cold to go outside, we would sometimes squeeze into our tight, little bathroom where Brynn and Miles would stand in the bathtub and I would sit on the toilet with Ellie on my lap and we would fill the bathroom with bubbles.
When her first birthday rolled around I decided it would be perfect to have a big bubble bash full of different bubble activities for her party.
This summer during therapy we used bubbles as motivation to get her to sign "more".  We would blow some bubbles and then ask if she wanted more. We would help her sign more and then blow more bubbles. She was starting to pick up on it and I was so excited to see what other signs she would learn.

The day after Ellie passed away my best friend, Stacie, took a picture of her girls blowing bubbles in memory of Ellie and posted it to instagram with #bubblesforellie. The pictures above are just a small sample of the many pictures of friends, family, and even complete strangers blowing bubbles for Ellie that flooded my facebook and instagram feed over the next week. It was such a simple thing, but it really meant so much to us. Thank you to everyone!

 My amazingly talented friend, Ali, made this darling bubble wreath that we hung at Ellie's viewing and now have hanging in our home as a fun and cheerful reminder of Ellie. Thanks Ali and Katie.


 My aunt Marilyn made this adorable cake for the luncheon after Ellie's graveside service. It was perfect for Ellie since bath time and bubbles were at the top of her favorite list.



Last, but definitely not least, when we returned to Omaha our ward had organized a "Bubbles to Heaven" event for our community in Omaha to show their love and support for us. It was a cold and windy afternoon, but that didn't stop a large group of people from coming. I was amazed at the amount of people there, after all, we have only lived here for 3 months. There were families from our ward, neighbors, the missionaries, Brynn and Mason's teachers from school and some classmates, even their school principal was there. I had been so scared to come back to Omaha where not many people knew Ellie and I feared she would be completely forgotten. This amazing show of support reassured me that her memory will live on in Omaha.
Thank you to everyone involved.



I'll finish with the banner my aunt made for the luncheon.

* In November 2014, bubbles were inducted into the National Toy Hall of Fame for being a classic, inexpensive and safe toy that has been around for centuries and sells over 200 million bottles a year. It seemed fitting and timely that bubbles were recognized for their greatness the year Ellie died.*

New Blog

Seven years ago, when our family consisted of just Scott, Rachel, and Mason, I started this silly little blog as a place to record and share little pieces of our life with family and friends across the country. I have always enjoyed writing and anyone who knows me knows I am always ready to tell a story or two...or ten, so blogging turned out to be a fun hobby for me. Our blog was private with a very small audience and honestly everything I wrote was for myself and if someone else cared to read it, then so-be-it. Over the years there have been times I don't have much to post (or more likely no time to post) and other times I can't seem to crank out the posts fast enough. Some stories I can't wait to share and other stories are better kept to myself. I have always tried to be real and not sugar coat my life to make it out to be something it is not. I have, however, tried to focus on the good and keep things positive. Writing can be very therapeutic for me but sometimes I am surprised at the power of revisiting my happiest memories when life has got me down. Over the years and with the addition of three more kiddos, we outgrew our blog address of scottrachelandmason.blogspot.com, but it never bothered me enough to change it.

After Ellie was born I made our blog public and started posting updates on Ellie because it was the easiest way to let everyone know how she was doing and saved me from spending the whole day on the phone giving updates. As Ellie's story unfolded it became a way for others to get to know and understand Ellie. There were many times I considered making our blog private again, but after I had gained so much strength and knowledge from others who were willing to share their story, I felt that if sharing Ellie's story helped just one person know they were not alone then it was worth keeping it public. I debated creating a new blog just for Ellie's posts and keeping our family posts separate. But Ellie's story was our family's story and our family's story was Ellie's story. There was no way to distinguish between the two. So I continued on with despite the ill-fitting title of scottrachelandmason.blogspot.com

Now, I once again find myself wondering where I should go with this blog. It feels a little strange to think about posting a tender thought about Ellie and then following it up with the fun we had on our latest family vacation. But truthfully, that is now our life. We are learning how to continue forward making new memories while cherishing each and every one we made in our limited time with Ellie. She is engrained in who we are and there is no way to filter her out. So this blog will continue on just as it always has before. A smorgasbord of my thoughts and memories as I see fit to share. Only now it will be under a more meaningful name...


Thanks for joining us on our journey.

Monday, September 22, 2014

Graveside Service


 Ellie's graveside service was beautiful.
We met with just our immediate families before the service and we were all able to see Ellie and say goodbye one last time before the family prayer and we closed the casket. 
Once at the cemetery we were joined by close friends and family as we had a sweet service honoring Ellie's life. At the end of the service we released little balloons and everyone blew bubbles for Ellie.
Thank you to everyone who came.











Wednesday, September 17, 2014

The Viewing

I can't seem to find the words to describe Ellie's viewing right now. 
I think I'll just let the pictures tell the story for now.
A million thank yous to Kacie and Whitney who literally worked around the clock all week to make sure everything was perfect - and it was!










  





 At one point I turned to the next person in line and was shocked to see some of our 4p family, the Rodgers. Sarah, Stetson, Brooklyn, and baby Jett made the drive all the way from Idaho to be there. I was so happy to see them. My family absolutely loved meeting Brooklyn and Stetson and are still talking about how darling they are. I will never forget the way Stetson and Brooklyn loved on Ellie when we first met them. I am so grateful to Sarah for coming.


 It was a wonderful night spent honoring Ellie and how victoriously she lived her life. We were blown away by the number of people who were there. It was amazing to hear how Ellie had touched and inspired people's lives with her story.