We arrived at NYU around 6:20 this morning. They took Gabrielle back to pre-op holding almost immediately. We completed all of the pre-op paper work and vitals while Gabby slept in my arms. She awoke right before we headed down for a presurgical MRI. She was in a very happy mood and kept asking to go to Mimi and Poppy’s house. We went into the MRI room and they put her to sleep in my arms. She fought this process for about a minute and
impressed me with her feistiness. She was kept under and delivered to the OR suite where I kissed her good-bye and spoke with Dr. Weiner briefly.

The surgical procedure itself began at 11:00am. Dr. Weiner expects to finish around 3:00ish. He will be focusing on the right frontal region where there is some residual tissue that may harbour a missed electrical connection.

This is it. This “redo” will be our final attmpt to stop Gabrielle’s seizures. I explained to Gabby that, “The doctors just need to make a “boo-boo” on your head to stop the seizures and then we’ll go visit Mimi and Pop.” I hope and pray that this is in fact the case.

I have learned a lot about faith over the last two years.
Faith in the midst of suffering. Faith in the midst of heartache. Faith in the midst of death.
Faith when God’s will is carried out instead of my own.

Lord God, I ask you to move this mountain from our lives in the name of your son Jesus. I ask with the faith of a child knowing without doubt that you alone are fully capable of healing our daughter of these debilitating seizures. And Lord, I ask that if this is not your will that you would provide us with all of the strength and endurance necessary to continue on this journey.

I’ll post as I know more..
Thank you for all of your support, prayer, and words of encouragement.
Love,
Kelly

GabbieDancing

Surgery is scheduled for Monday Sept. 14th. Dr. Devinsky and Dr. Weiner presented Gabby’s case at neuroconference where 22 doctors unanimously agreed that Gabby is a surgical candidate. They feel the EEG data, presentation of seizures, and questionable area on the MRI give a compelling reason to go back in and make a final attempt to stop these seizures. Dr. Weiner plans to remove any remaining tissue on the right side effectively turning her functional hemispherectomy into a complete anatomical hemispherectomy. Dr. Weiner will also inspect the questionable area on the MRI for any further connection as well as reassessing all other areas of disconnection. This surgery should not leave Gabby with any further deficits. There is always the risk of nerve damage, stroke, hydrocephalus, and death but it is our prayer that she will come through this without any complications. This surgery will be one stage and should involve a 4-5 day hospital stay.

We are in the process of figuring out the logistics of getting Gabrielle to NYC for pre-op testing and then back again in a few weeks for surgery. At this point we are thinking Duff may stay here with the other children while I fly up to NY with Gabby for testing and surgery.

Gabrielle has felt pretty good over the last week since her discharge home. The doctors increased her dosage of Klonopin at night which really helped reduce the number of seizures we were seeing. She was even able to go to her friend Katie’s Abby Cadabby birthday party. I included the picture above from the party which shows Gabby dancing to her favorite song “Big House”. Thanks Julia! It was just precious to watch Gabby go through her gift bag on the way home. She excitedly pulled one item out of the bag at a time, had me identify it, smiled with glee, and then carefully set it aside so she could reach in for the next goody.

Unfortunately Klonopin is a medication that you quickly gain tolerance to and we are already beginning to see more seizures again. Gabby began clustering yesterday morning and I administered diastat to stop the onslaught. So far this morning she seems good. We are just taking one day at a time…..

I’ll update as we know more.

Love,
Kelly

IMG_1328

We just spoke with Dr. Devinsky, Gabby’s neurologist. He feels pretty confident that these seizures are still coming from the right hemisphere. He stated that if you asked any epileptologist, looking at Gabrielle’s physical manifestations, where these seizures are coming from they would all agree they appear to be right-sided. He said the EEG data coming from the midline isn’t too surprising given the disproportionately small amount of tissue on the right compared to the left. He said if we saw seizure activity clearly coming from the left then he would be concerned. Dr. Weiner (Gabby’s neurosurgeon) and Dr. Devinsky agree there is a small questionable area on the MRI that could be a connection. Dr. Devinsky said it only takes about 100 missed fibers to result in the return of seizures like Gabby is having. Dr. Devinsky would like to present her case to about 25 doctors at the next neuroconference to see if they agree with his recommendation for more surgery. Dr. Devinsky feels are best bet is to go back in and remove any remaining tissue and obviously sever any missed connections.

We still need to speak with Dr. Weiner and get his opinion. We also need to discuss the risks of going back in a third time. Each time they open Gabby’s head back up the percentages for potential complications increase. Please join us in prayer that God would once again orchestrate all of this.

I will update as we learn more…
Love,
Kelly

P.S. I’m thinking Gabrielle will probably be discharged sometime today.

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Gabrielle and Duff arrived safely in NYC Wednesday afternoon. They were admitted into the hospital by dinner time and had all of the electrodes cemented on before bedtime. For the first time Gabrielle really disliked this process.

Thursday they were able to capture 8 seizures all of which presented the same clinically as well as electrically. They are coming from the parasagittal region which is basically over the midline region of the skull. The doctors are unsure of how to interpet this data. They are seeing seizure waves in the left hemisphere but aren’t sure they’re actually originating on the left side. They say because there is such a small amount of tissue remaining on the right side, the amplitude is much smaller compared to the left, which can make it “appear” like the seizures are actually originating on the left.

The neurologists reduced Gabby’s Depakote because it has the reputation for causing an echo effect on the EEG. The doctors want to collect more information over the weekend and put their heads together on Monday in an attempt to decipher the data they have.

I’m scared. I feeling like I’m waiting for someone to deliver a sentence that will foretell our daughter’s future. These seizures are nasty things. What will they rob her of this time? At the same time, I know God is in control even now. I know He knit Gabby together just the way she is for a reason. I know none of this is some cruel mistake. If I could just see all of this from God’s perspective I know it would make perfect sense. I just need to continue to trust God. After all, He declares in Jeremiah 29:11 “For I know the plans I have for you, plans to prosper you and not to harm you, plans to give you hope and a future.”

This journey of Gabrielle’s is part of something bigger. She is in New York right now because that is where God wants her. If you know Gabby then you know she has never met a stranger. She runs up and demands a “hello” from anyone she meets. She always manages a smile and is the first to give a hug to someone in tears. From her perspective, she never has a bad day. She is the first to start dancing when the music plays. “House Mama! House!”, is what she begs of me. She wants me to turn on her favorite song so she can jump and twirl around. Here are the lyrics that she dances to:

“Big House”

I don’t know where you lay your head
or where you call your home
I don’t know where you eat your meals
or where you talk on the phone
I don’t know if you got a cook
a butler or a maid
I don’t know if you got a yard
with a hammock in the shade

I don’t know if you got some shelter
say a place to hide
I don’t know if you live with friends
in whom you can confide
I don’t know if you got a family
say a mom or dad
I don’t know if you feel love at all
but I bet you wish you had

Come and go with me
to my Father’s house
Come and go with me
to my Father’s house

It’s a big big house
with lots and lots a room
A big big table
with lots and lots of food
A big big yard
where we can play football
A big big house
Its my Father’s house

All I know is a big ole house
with rooms for everyone
All I know is lots a land
where we can play and run
All I know is you need love
and I’ve got a family
All I know is your all alone
so why not come with me?

She dances with so much joy……it’s like she already knows there’s a better place waiting for her some day…..her Father’s house.

I’ll update when I know more.
Love,
Kelly

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Gabrielle is still having seizures. We reached the maximum dosage of Trileptal and then started transitioning her onto Depakote this past Thursday. She has had about 50 seizures since we began adding the second medication. They are really beginning to affect her daily routine. She wakes up most days and immediately begins having seizures. The seizures and medications completely wipe her out and she has been taking 4 hour naps. While she is awake she has been less active than normal. Her left arm which is already hemiparetic has grown increasingly toned with the return of seizures. She is no longer able to flex and extend her arm.

Dr. Devinsky thought it would be best if we could head up to NYU this week rather than waiting for our Duke admission date next Wednesday. Duff will be leaving to take Gabrielle up to New York sometime in the next 24 hours. She will have a video EEG completed to determine where the seizures are stemming from. There are basically three possibilities: 1(They’re coming from the left side(good side) 2)They’re coming from the remaining tissue on the right side and a small connection was missed or 3)They’re coming from somewhere deeper in the brain. Please continue to pray for our sweet Gabby.

We will keep you posted.
Love,
Kelly

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Gabrielle continues to have seizures. We have captured several of these episodes on video. It is very sad to watch Gabby have a seizure and breaks my heart but I'm putting it "out there" to help other parents and to increase awareness. If you’re interested in viewing:

Last Saturday Gabby’s neurologist, Dr. Devinsky, recommended we try increasing the Trileptal a bit more over a few days. We made the first increase last Saturday and then increased the dose again on Wednesday. Gabby tolerated the increase well but unfortunately it hasn’t helped the seizures much as of now. She had 18 seizures Saturday and 3 yesterday. I’m communicating with Dr. Devinsky via email right now and we’re in the process of choosing a second medication to add to her regimen. Dr. Devinsky continues to impress me. This is the second time he has helped us out while on vacation.

My hopes of setting up an ambulatory video EEG were squashed. Raleigh Neurology no longer offers video capabilities with their ambulatory EEGs and at Duke I would have to wait until September to schedule an ambulatory so we opted to have her admitted for an inpatient VEEG on August 19th. This seemed a little far off but we grabbed the date realizing Duke would be way more convenient and we could always run up to NYU before then if needed.

We are very much in a waiting mode right now. Waiting to see if the meds help. Waiting to find out where these seizures are coming from. Waiting to find out if surgery is an option. Waiting on God.

I love the lyrics to John Waller’s song While I’m Waiting:

I’m waiting
I’m waiting on You, Lord
And I am hopeful
I’m waiting on You, Lord
Though it is painful
But patiently, I will wait

I will move ahead, bold and confident
Taking every step in obedience
While I’m waiting
I will serve You
While I’m waiting
I will worship
While I’m waiting
I will not faint
I’ll be running the race
Even while I wait

I’m waiting
I’m waiting on You, Lord
And I am peaceful
I’m waiting on You, Lord
Though it’s not easy
But faithfully, I will wait
Yes, I will wait
I will serve You while I’m waiting
I will worship while I’m waiting
I will serve You while I’m waiting
I will worship while I’m waiting
I will serve you while I’m waiting
I will worship while I’m waiting on You, Lord

So I will continue to wait and I’ll upadate when we know more.
Thank you for your continued prayer!
Love,
Kelly

Gabby with Mimi, Gavin, and Luke

Gabrielle went up to NYU for a video EEG in March because we were seeing some small episodes that looked like seizures. We were not able to capture any seizures over the 4 days during which she was hooked up. The neurologists did see some right sided spiking in the disconnected occipital area. We adjusted her medication during this visit and she came home on a slightly increased dosage of Trileptal and we took her off of the Lamictal.

For the 3 months that followed Gabrielle did really well and we didn’t see anymore suspicious activity. Then in mid June we began seeing some seizures again and after about a 2 week period she was experiencing 1-3 per day. We increased her Trileptal more after consulting with her neurologist and they dropped down to 1-2 per week. This past weekend however the seizure monster returned with a vengeance and she had a total of 17 seizures over the weekend. Monday, Tuesday, and Wednesday we had a reprieve but then yesterday and today she had 15 more.

The seizures we are seeing all look the same. They all involve right eye twitching/blinking. They last 15-45 seconds. I have begun using the following application to track them: http://www.seizuretracker.com We had her Trileptal levels drawn Wed. which came back at 32 which is a good therapeutic level. We are waiting to hear back from her neurologist Dr. Devinsky about increasing the Trileptal further or adding a new medication. I am planning to try to get Gabrielle scheduled for an ambulatory EEG as soon as possible. Basically I will bring her into Raleigh Neurology or Duke and have her hooked up and then bring her home for monitoring. They even offer video capabilities for these at home EEGs now. I was reading about it on the following blog: http://jackson-allen.blogspot.com/2009/07/at-home-eeg.html

So in a nutshell we will try to stop the seizures with some med changes and capture some on the EEG so we can get a better idea about where they are originating.

On a happy note, developmentally Gabby has been doing well. Her speech has really taken off over the last several months. She is using two word phrases more and more and she is beginning to vocalize her needs and wants without needing to be coached. Some of her favorite words right now are: seagull, eat, awake, sleep, book, Mimi, Poppy, house, home, and hot cocoa (She is convinced the large cup of coffee that I consume each morning is really hot cocoa.:) Her receptive language has also improved greatly. She is able to follow two step commands and demonstrates understanding of a growing number of things. She is sleeping in a twin bed and is able to climb off of the bed unassisted and into the bed with the help of a stool. She can walk up and down stairs if a railing is present (and a spotter). She continues to love books and can point to and identify many different objects. We watched a movie together Sunday and I was amazed by how many things she was able to identify. The main differences I am noticing with the return of seizures are: acting spacey at times, tired, clingy, decreased attention span, more wobbly at times.

Please join us in prayer that Gabrielle would continue to move forward and that we can regain control of these nasty seizures once more.

Thanks!
Kelly

Tea Party

I just attended a wonderful women’s tea over the weekend hosted by some ladies from church. I was asked to share about my journey over the last two years and thought I would include my ponderings here on Gabby’s blog.

God has taken me on an amazing journey over the last 2 years. Ironically my journey began days after I attended a women’s bible study. A bible study during which we were encouraged to tell about a time in our life when we had an enormous gray cloud looming over our head, a time of sadness and gloom, a time when we were completely downtrodden. I honestly shared that I hadn’t yet experienced such a time but knew a trial or trials would certainly come at some point in my life. It seemed like days later that our life would be turned upside down. Our youngest child at the time began having seizures and this would be the beginning of my journey.

My journey would involve many heart wrenching days. Days when I would hold my seizing daughter in my arms and sob. My journey would lead me to many unexpected places. Places filled with sadness and suffering like the PICU of Duke hospital where we shared a room with a 7 week old infant who had been ejected from his car seat in a motor vehicle accident. My journey would bring unexpected people into my life like a family that had recently lost their 5 year old son in an accident and a 12 year old that survived a 13 story fall from a building. My journey would forever change me.

As I reflect back over this time there were four instances when God communicated to me incredible life changing lessons. The first of these was a lesson in trust. You see my daughter had a malformation in her brain and we learned the likelihood of medications controlling her seizures was very small. We learned her best chance for recovery would be surgery if she happened to be a candidate. So as I drove home from an MRI which would be the first of a series of tests to determine her candidacy for surgery the knot formed in my stomach and worry about my daughter’s future flooded my mind. It was then that the tractor trailer smashed through the median, jack-knifed across four lanes of oncoming traffic, and erupted into flames. My car seemingly steered itself past the fiery wreck and into a grass field moments before the truck would explode. It was as though God spoke to me that day and said, “Be still Kelly and know that I am God. None of this is meaningless. It is all happening according to my plan.” I should have died that day. We should have died that day. He had kept us alive for a reason, a purpose, it was not our time.

The next lesson of my journey would take place at Duke Medical Center as I sat by my daughter’s bed. It had been 2 or 3 days since her first surgery. The surgery that we hoped would stop the seizures and it was then that I saw her first post-op seizure. I went to Gabrielle’s side and then slumped back into my chair. It was then that God spoke to me through the words of John Ortberg. Here are the words that lay on the page before me when I opened my book:

Why does something like this happen? I don’t know. I only know that ultimately, the choice everyone faces is the choice between hope and despair. Jesus says, “Choose hope.” Will you keep going when you don’t know why? When you can’t get any answers that would make the pain go away, will you still say, “My Lord,” even though His ways are not clear to you? Will you keep going with all the grace and grit and faith you can muster and live in hope that one day God will set everything right? Will you trust that God is good?

God wants greatness of soul-people who will endure, wrestle, persevere, refuse to quit, and cling to His goodness even when there is much they can’t see clearly.” Wow. My discouragement melted away and was replaced with new hope. This was my lesson in hope.

That first seizure I saw in the hospital would be the beginning of an onslaught of abnormal electrical activity. Gabrielle’s seizures would again worsen. We began investigating whether she would be a candidate for a very radical brain surgery. It is difficult to describe my faith during this time except to share the lyrics from a song by Mark Schultz which seems to capture my emotions. It is called He’s My Son:

I’m down on my knees again tonight,
I’m hoping this prayer will turn out right.
See, there is a boy that needs Your help.
I’ve done all that I can do myself
His mother is tired,
I’m sure You can understand.
Each night as he sleeps
She goes in to hold his hand,
And she tries
Not to cry
As the tears fill her eyes.

Can You hear me?
Am I getting through tonight?
Can You see him?
Can You make him feel all right?
If You can hear me
Let me take his place some how.
See, he’s not just anyone, he’s my son.

Sometimes late at night I watch him sleep,
I dream of the boy he’d like to be.
I try to be strong and see him through,
But God, who he needs right now is You.
Let him grow old,
Live life without this fear.
What would I be
Living without him here?
He’s so tired,
And he’s scared
Let him know that You’re there.

Can You hear me?
Am I getting through tonight?
Can You see him?
Can You make him feel all right?
If You can hear me
Let me take his place some how.
See, he’s not just anyone, he’s my son.

Can You hear me?
Am I getting through tonight?
Can You see him?
Can You make him feel all right?
If You can hear me
Let me take his place somehow.
See, he’s not just anyone.

Can You hear me?
Can You see him?
Please don’t leave him,
He’s my son.

It was during this time that God granted us a miracle and thereby renewed my faith. He stopped Gabby’s seizures for 4 1/2 months. You see we gathered around my daughter one night and my dad led us in prayer. He prayed,”Where two or three have gathered together in My name, I am there in their midst.”Matthew 18:20 He also said “Your word says that if we ask for things in the name of Jesus, that they would be granted to us. So that’s what we’re doing. In Jesus’ name, we’re asking you to heal Gabrielle.” Beginning the next day she had her first seizure-free day in months. The doctors could not explain it. My faith soared. I was reminded, in a very tangible way, exactly how mighty our God truly is.

My final lesson would be the most difficult. It would be a lesson in surrender. Surrender is the most difficult of these lessons to grasp because it requires that you already have at least a rudimentary understanding of the first three lessons. Without trust, hope, and faith surrender becomes impossible. I would have to leave all stubbornness and resistance behind and surrender myself. At this point I found myself within the walls of NYU medical center. Gabrielle had already endured the first two stages of surgery. She still had electrodes in her brain measuring electrical activity and we had one more day to wait for the final stage of surgery. I left the PICU for the first time in days and went downstairs to update our blog. It was then that I realized the impossible decision that lay before us. Do we close our daughter’s head up and risk the return of seizures or remove the entire right hemisphere of her brain which would result in severe right-sided paralysis? I began crying and praying. Lord, I said please make this decision for me. You who knit Gabby together in my womb. You who knows every hair on her head. You who placed every star in the sky. Not my will but yours be done. I then wrote the following post:

The plan for tomorrow’s surgery is still up in the air. We have not seen any seizures since the resection a week ago. Gabrielle has been taken off all of her anti-convulsants to see how the spiking over her motor-sensory area responds. The doctors are hesitant to remove such an important area if the seizures have stopped. The concern is that spiking could lead to the return of seizure activity in the future. If we see seizures in the next 24 hours we will proceed with further resection if we do not then we will proceed conservatively and remove all the grids and close her up.

This decision is obviously in God’s hands. So many bible verses have flooded my mind over the last several days. Among these:

Proverbs 3:5
“Trust in the LORD with all your heart
and lean not on your own understanding;
in all your ways acknowledge him,
and he will make your paths straight.”

Matthew 6:34
“Therefore do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own.”

Philippians 4:6
“Be anxious for nothing, but in everything by prayer and supplication with thanksgiving let your requests be made known to God.”

Psalm 46:10
“Be still, and know that I am God;
I will be exalted among the nations,
I will be exalted in the earth.”

And so I am constantly reminded to seek God, trust God, and worry not because He is Lord and He knows the path we should take. So we will sit in our room the next 24 hours continuing to wait on God. Waiting for Him to reveal His decision to us and praying the peace that passes all understanding will be ours.

When I returned to the PICU we had our answer. Gabrielle had 3 seizures in the time I was gone and 11 more that followed. God had faithfully answered my prayer.

My journey to grow in God’s image continues. I have no idea what tomorrow holds but I know God is faithful and He will walk me through any storm that comes my way and I know He will continue to amaze me.

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When Gabrielle was discharged from NYU Medical Center last August following her hemispherectomy she was just beginning to take a few steps on her own again. She would require many more months of intensive rehab to regain function. When we walked into Raleigh Neurology and met Anna Romanosky, the physical therapist that would be working with Gabby, we were skeptical. How would she compare to the therapists at NYU? Would she have the skills necessary to work with our daughter?

It wasn’t long before our skepticism was replaced with trust. In a few short weeks I was raving about Anna. After 6 months of 3-4 weekly visits we wrote this letter to Ms. Anna:

Dear Anna,

Thank you for being an exceptional physical therapist. From the first time you worked with Gabrielle following her hemispherectomy we were impressed. You are incredibly dedicated to helping children reach their full potential.

Motivating a child to focus and work on the very part of their body they want to ignore is no small task. You however are obviously gifted in this area because you make it look surprisingly easy and fun. Your energy and creativity have captured our child and we’re quite certain that Gabrielle believes she is going to “play” with Ms. Anna when she attends therapy.

Anna, your commitment to Gabrielle’s rehabilitation is amazing. You are never satisfied with her current accomplishments but always striving for more. You have made calls to coordinate her care after hours, you have researched constraint therapy, electrical stimulation, and splints from home, and you have purchased toys on weekends with our daughter’s next therapy session in mind.

We want to thank you for caring so much. We want to thank you for always going the extra mile. We want to thank you for making an unforgettable difference in our daughter’s life.

May God richly bless you for the difference you make in the lives of so many children.

Love,
The O’Melia Family

Unfortunately for us, Ms. Anna moved to Washington, D.C. about a week ago. She will surely be missed but we wish her the very best!

Just a short video to show you what Gabby is up to these days:

img_9335I know it has been way too long since I updated this blog. At first, I was just surviving the last trimester of pregnancy with an insanely busy schedule of therapy appointments, OB appointments, and life. Then I was just trying to get back on my feet from my cesarean, an infection of my incision, and breastfeeding woes. Next the baby colic set in which was not a good mix for homeschooling and 7 therapy appointments a week. Listening to screaming for hours a day is exhausting. All of this seemed minor though compared to a day with seizures. Then on February 14th we thought we saw a seizure. It was a very minor trembling/shivering episode that lasted maybe 15 seconds but something nevertheless. We began watching Gabby like a hawk. She had 2 more of these episodes about 2 weeks later and we contacted Dr. Orrin Devinsky her neurologist at NYU and Dr. Howard Weiner her surgeon.

Have I mentioned that I love these two men??? They are awesome. They always respond to my emails within the hour, even if they’re vacationing in Colorado! They recommended we get an MRI and an EEG. We had both of these completed locally at Duke. Dr. Devinsky also suggested that we may want to increase her lamictal some. The EEG looked fine but it was only an hour long. The MRI looked good as well. It was negative for hydrocephalus and showed no apparent shifting.

Over the next week Gabby’s behavior worried us. She was acting very moody, the left side of her face was extremely droopy, and both her therapist and myself noticed increased left lower extremity weakness. We became concerned that she was experiencing subclinical seizures or seizures in her sleep that we weren’t seeing. We flew her up to NYC and she was hooked up to the video EEG for 5 days. The neurologists at NYU did not see any seizure-like activity. They said the left side looked great. They reported there is some discharging from the right occipital lobe but it appears to be completely disconnected and has atrophied significantly. We took Gabby off of Lamictal, thinking this may have been related to the worrisome behavior, and she remains on a slightly increased dosage of Trileptal along with her nightly klonopin. She has been doing amazingly well over the last 3 weeks.

Gabby’s talking and her ability to communicate with us has really begun to soar over the last few months. She is saying at least 50 words now. What a gift this has been once you have questioned whether you will ever know your child’s thoughts and needs. To see Gabby enjoying books, and music, and saying the names of each of her siblings is so wonderful. She calls”mommy”, pats me on the leg, and asks for her “bup”, when she is thirsty. I never new if we would get to this point…. Thank you for this, Jesus.

We took a trip to the beach this past weekend and I felt so blessed to be there with our 6 children. So blessed that we didn’t need to bring along a wheelchair or any medical equipment. So blessed that we could set Gabby down in the sand and watch her run with the other kids. So blessed that Gabby ran down to meet each wave and then turned to gallop away before the cold water could catch her little toes. I can not really describe the joy her smile brings to my heart. I can not really describe how far she has comes so I will have to upload a video when I get a chance.

We continue to be thankful for each day…. each moment we have together.

Love,

Kelly

Just a few videos of Gabby’s birthday celebration if you wish to see for yourself how Gabby enjoyed her second birthday.

Eating Cake

Eating Cake


Gabrielle turns two years old tomorrow. She has had a year filled with many ups and downs and much uncertainty.
We really did not know what her 2 year birthday might look like 6 months ago.
Happy Birthday!

Happy Birthday!

Today we watched Gabby’s eyes light up when she saw her cake and she listened attentively as we sang “Happy Birthday”.
We then witnessed pure bliss as she daintily fed herself one bite of cake at a time until the entire slice was consumed.

I love my Trike!

I love my Trike!

She ended the evening with a lot of good walking fueled by the sugar coursing through her veins.
We have so much to be thankful for on this second birthday.

I apologize if you have been wondering how Ms. Gabrielle has been doing over the last month. It has been an absolute whirlwind since we returned home and there has been little time for updating this blog. We have battled the stomach flu for 9 days which meant several sleepless nights and children vomiting on bedding and each other. Gabrielle had two other viruses the first of which landed us in the ER at Duke less than 48 hours after arriving home. We had a CT scan of the head completed which ruled out hydrocephalus and by the time we were discharged she was acting like herself again. We had an OB appointment and ultrasound which confirmed that we’re expecting #6 and that it’s a girl. I began homeschooling the three oldest a month ago in between Gabrielle’s 8 weekly therapy appointments and I still wonder why I can’t keep up with the laundry!

Okay, now for the latest on Gabby. She is doing great! We have not seen any seizures. She continues to take Trileptal, Lamictal, and Klonopin at bedtime. Our neurologist, Dr. Orrin Devinsky, recommended we not reduce any meds for at least one year after surgery. We will return to NYC for follow-up appointments in November at which time they will do an EEG just to take a peek at things.

Gabby is walking pretty well on her own now. She is more shaky just after waking and then as the day progresses her walking becomes more steady and natural looking. The video is from first thing in the morning so she is a bit more unsure of that left leg. As of last week, Gabby no longer requires the AFO(lower leg brace) on her left leg. Her left ankle has regained enough strength that she is now able to walk around barefoot again! Just another thing I have grown to appreciate through all of this…seeing my child prance around with her little piggies showing.

Gabby’s left arm has been slow to show any return. Her therapists have begun using electrical stimulation therapy to see if they can increase function of her left lower extremity.

Back on her feet!

Gabrielle’s speech is still very limited although she is communicating fairly well through signs, pointing, nodding, and shaking her head. She is smiling a lot, laughing, and loves to give hugs and kisses. She is sleeping well again and loves to interact with her siblings.

We are loving being back home together again and the absence of daily seizures is an enormous weight that has been lifted from our shoulders. We praise God for leading us to this point and giving us this much treasured time together.

Hopefully another update will follow soon!
Kelly


Tomorrow is the big day! We will be discharged and should arrive home sometime on Friday. Gabrielle has made amazing progress over the last two weeks. She is walking while holding my one hand and can take steps between people or stable objects. She is able to move fairly well on her hands and knees now and she can independently get herself to a sitting position most of the time. The recovery of her left arm has been slower and she really does not move her left hand at all yet. The symmetry of Gabby’s face has improved and she is compensating well for the visual field cut which resulted from surgery. A CT scan of the head was completed and it showed no evidence of hyrdocephalus. Horray! The doctors say that normally if there is going to be a problem with CSF drainage it would have occurred by now so this is great news.

Overall, Gabrielle is a completely different child than she was 6 weeks ago. I think back to when we arrived in rehab and she couldn’t even maintain a sitting position or hold her head up straight and now she is cruising down the hallways like a little spit-fire trying to keep up with her fellow rehab buddies. I feel so much better about going home. Gabby still has a lot of work ahead of her and she begins outpatient PT first thing Monday morning. They are recommending she receive about 10 hours of therapy per week at this point which will make for a busy schedule. I am excited though to see the milestones Gabrielle can achieve with those nasty seizures behind her.

I want to thank all of our family and friends who have carried us through these last few months. We wouldn’t have been able to come to NY to get the very best care for our daughter without the help of so many of you. You have so unselfishly given to get us to this point. We pray that God will provide us with many opportunities to give as generously as all of you have given. We thank God for His mighty hand in all of this and for the amazing people He has placed in our life.

Thank you!
Kelly

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