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Naked Neck Club Update

Celebrating the Naked Neck Club!

Things are going fantastic so far. Sam is rockin' the Naked Neck Club. The hole (stoma) in his neck is still fairly open, which means he is still breathing out of his neck, so we are not out of the woods yet, but it has shrunk a lot. Still can't wait for the day that bathtime is not terrifying for us. We are still doing trach cares, but they are taking WAY less time than we are accustomed to. Not suctioning him is definitely hard to get used to, but I don't think any of us miss it. All good things!

One of the things we have noticed the most is Sam's voice is a little louder and the things he tries to say are a bit more pronounced. He is definitely experimenting more with his voice and it's a beautiful thing.

Next week, we will see his ENT and he will determine if Sam's stoma (hole) in his neck needs to be stitched. At this point, it is very likely. This isn't surprising for how long Sam had his trach.

As mentioned, Sam's spinal MRI showed some things that need further investigation. One of the things they were looking for, but thankfully did not find, was a tethered chord. He will have a colonoscopy, endoscopy, and barium enema to further investigate. This could be some answers to questions we have had for a very long time. Only hoping and praying the answers are easily fixable.

This guy doesn't seem to catch a break, but he sure handles it all like a champ. If only we could all look at life like he does on a daily basis.

Dyeing Easter Eggs

The Easter Bunny really has to get creative when you have a kiddo who doesn't eat anything by mouth. : )

Someone was into finding Easter eggs for the first time!

I've got my plates!

One of Sam's home care nurses who has been with Sam since he came home from the hospital as a baby, had her 1st baby. What a special moment.

Happy Easter!

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Home

Only spending one night in a hospital feels a little weird, but man does it feel good. We got home with a naked neck early this afternoon. I cannot stop running my hands over his bare neck!!!

Sam had a fantastic night. He decided to make his already exhausted mama more tired and stayed up WAY past his bedtime, but I wasn’t surprised. His oxygen was 100% for most of the evening. It did get lower throughout the night, but nothing that concerned me or the medical staff.

Sleeping good!

Doing his nebulizer treatments is a new thing for us. He thought it was pretty funny to have the mask over his nose and mouth and not over his neck. He did such a great job. I was so proud of him!

Not suctioning his trach site is another new, but great normal. He’s doing a great job of clearing his own secretions. Sam has always had a good, strong cough, and we are thankful for that.

Sam’s MRI did show something that will need to be addressed, but it was not our focus for this hospital stay. The good news about it is that it gave answers to something that we’ve been looking for a LONG time. Prayers for Sam’s doctor’s and our discernment on this.

Prayers for our first night being at home. Sean and I are a little leery because we are not used to things going smoothly, but that doesn’t mean they can’t! We are SO ready for this new chapter!

Thank you so much for your continued support. It warms our hearts to read your messages and we feel all the love so much.

Faith Over Fear

Sam Strong

I can’t eat the doughnut, but I can lick it!

Waiting for Dad to come get us!

This is so weird!

Naked Neck Club

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Naked Neck Club?!?!

The day started out as a normal day in our house getting ready for a surgery/procedure for Sam. It’s routine for us. It always feels a little different when Sean is coming. If Sean takes off work to come instead of a nurse, that means the surgery/procedure is a much bigger deal to us.

Ready to be part of the Naked Neck Club!

Are we ready for this?!

Sam’s PTSD kicked in as soon as we entered the hospital doors. He continually shakes his head, waves his little pointer finger in the air and says, “Uh, uh!” As you probably guessed that means, no. He does a somewhat fake cry, grabs my legs, and burrows his head into my stomach. He lifts his head, points to his arm, grimaces, and says, “Oke.” That means poke. Poor, sweet boy knows exactly what’s coming. The only thing I can do is hug him and tell him, I’m sorry.

“Poke” No!

I have watched my son roll away to surgery over 70 times in his short life. Watching your child roll away to an operating room does not get easier the more you do it. If anything, for me, it gets harder. I miss the days that he doesn’t remember what’s about to happen.

BUT, today was going to be a good day! And so far, it has been!!!

About an hour after he rolled away, his ENT came to give us the great news that his airway looked good!!! He told us he would meet us in the PICU when Sam was done with his MRI and WE would get the honors of taking out his trach! Taking out a trach is not a big deal to us. We do trach changes every two weeks and sometimes more when it comes out accidentally or purposely. Naughty Sam. It’s the leaving it out part that is completely new. Gulp.

We waited about another hour before the MRI was done. The nurse came and got us from the surgery waiting room and we went up with Sam to the PICU.

He’s always a little groggy after a procedure, but it doesn’t take long for him to perk up. We got situated in our room and waited for his ENT.

“Are you ready?”, he asked when walked into the room. Everything feels a little blurry after that.

No trach!!!!!!

It’s been about eight hours since Sam joined the Naked Neck Club and he is doing great. If he does well overnight, we will go home tomorrow. That feels like scariest and most exciting thing.

It generally takes about two weeks for the hole to fully close. There’s a 50/50 chance it won’t close on its own. In this case, they will stitch it shut. Because Sam’s had his trach for as long as he has, it’s more likely they will have to stitch it.

This has been the weirdest experience I have ever been through. It's so surreal. I don’t even know what my emotions are.

Please pray Sam has a good night and even more for the next couple of weeks while we live at home without a safe airway. You’ve got this buddy!

Naked Neck Club

Sam Strong

Faith OVER Fear

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Reflecting

With Sam’s decannulation approaching next Friday, I am filled with emotions. As I look ahead with excitement at the future post-trach, I can’t help but also reflect on the last seven years. Looking back on our journey, I came across this blog I wrote that I wanted to re-share as encouragement to those who are adjusting to your own “new normal” or know someone else who is.

I am so grateful to all who have supported us along the way both in our personal journey and in our efforts to support others through S3Kit. We appreciate your prayers for Sam next week!

Click the button below to read the article published on the Children's MN Mighty Blog.

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DECANULATION!!!!!

I think it's actually happening this time. Sam is scheduled to get decanulated (get his trach out permanently) on March 22nd!!!!!! We’ve been told Sam will be decanulated in the Spring many times, but they have never scheduled a date. Someone pinch me. It feels real this time.

Although Sam's had a rough almost month now, we had a really good run and we avoided a hospitalization. This is a big deal for Sam. His doctors wanted him to be able to be successful (stay healthyish) in school for a couple of months before they gave the a-okay to be decanulated. I hate to say this out loud, but before now, Sam had never gone more than four months in his whole little life without a hospitalization. He's seven. Do the math. We are now going on eight months! Okay, now knock on wood everyone.

I know I’ve said it before, but one of the hardest parts of having a special needs child who is also medically complex is he can’t tell us what’s wrong. It becomes a guessing game fairly quickly along with consulting with many different specialties, bloodwork, stool samples, x-rays, urinalysis’, etc. Thank you Lord for home care nursing.

He's on day two of being back in school since before the holiday break. Hoping he can stay healthy and continue to stay in school until the big day.

We are ecstatic and terrified for Sam to get his trach out permanently. It’s sounds a bit crazy, but you get used to having a lifesaving breathing tube after seven years. In our world, it's a safe airway. I watched Sam die four times with one of those times needing more than ten minutes of chest compressions. He is alive because of his safe airway. I think this helps in understanding our fears of having his trach (safe airway) removed permanently.

What does this mean though?! It’s literally life changing for us and Sam. It means…

…Sam can swim.

…we don’t have to get terrified every time Sam takes a bath or is around any kind of water.

…I can drive in a car with him by myself.

…he can go to school if he doesn’t have a nurse.

...he won't have home care nursing, which is exciting, scary, and sad all in one. These strangers become some of your best friends.

...traveling hopefully won't be as much work.

...we don't have to do daily trach cares.

There are so many more reasons, but you get the point.

For us, swimming is at the top of our list and I know it will be at the top of Sam's too. Sam LOVES the water. We joke that every time we give him a bath, he tries to kill himself, quite literally. His new thing is to try to lay down in the tub. When he realizes I'm holding his arm a bit tighter, moving quickly to pull him up and away from water, and clearly anxious, he laughs and does it more. Okay, bath time is over now. I can't imagine giving him a bath and not having one hand on his arm the entire bath time and not feeling nervous the whole time. Swimming lessons will definitely be in his future. Is there swimming in the Special Olympics?!

As always, we hold high hopes and low expectations for March 22nd. He will go under anesthesia for the umpteenth time and his ENT will check for a third time to make sure his Laryngeal Cleft is still intact, meaning the surgery he had in Cincinnati worked and there is no hole in his airway. If that's the case, which it will be, his ENT assured me I would get to do the honors of taking out his trach. I have done this a thousand times, but have always quickly put a new one in. This time, I won't.

We will stay one night in the Pediatric Intensive Care Unit and go home the next day if all goes well, which it will.

It’s been a bit since my last update. No news is good news, right? Here are a few things we’ve done since August.

Best thing we ever did.

MN State Fair

Trying to get Sam to look when we're taking a picture is a very tall order. ; )

Love getting to watch Abby play. Thanks for the pics Beth.

Got to take these two girls to the Lumineers concert. Abby's birthday present from April.

Where does the time go? Abby (Sophomore), Will (Junior)

Love getting to watch Will play.

Touchdown!

Thanks again for the pics Beth.

God made this dog just for our family.

Fall fun.

I think Will & Abby are having fun too.

Here's what happens when there is no nurse and mom wants a few more minutes of sleep. Clothes are off and his trach is out. At least his feeding tube is still in.

Apple orchard fun!

We got him to look at the camera!

Halloween

Roar!

We almost got him to look!

BF's

Taking some tastes. Nice job Sam!

Crayola Experience

I think Hank is hugging Sam.

Annual cooking making day was a success.

He wouldn't look at Santa, but as you can see he has a huge smile on his face.

Happy 17th birthday Will!

As always Sam Strong and Faith Over Fear!

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Save the Date!

We are excited to announce our first upcoming fundraiser for Superman Sam’s Survival Kit! Mark your calendars for the 2023 ‘Breath of Hope’ Inaugural Night Out on Friday, November 3rd!

It is going to be a fun night with dinner, stories of hope, a silent auction, and more.

Join us in supporting our efforts to give hope to families and caregivers who will bring their child home from the hospital with a life saving breathing tube (tracheostomy).

Don’t miss out on this inaugural night! Tickets will be going on sale soon!

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Today Was a Good Day

Day one post-op was not great, but anyone who has a major surgery would not be great on the first day. He had a really rough first night. Sleep was at a bare minimum for both of us. He needed a lot of suctioning (his trach) and had a lot of retching (throwing up).

Day two was rough with some good sleep periods, but he was miserable when he was awake. Overall, he slept good that night. Progress.

Day three he showed a glimpse of hope in the morning. He melted some hearts with a few smiles. He went downhill fast later in the morning. At first, it looked like a curve ball, but then as I payed more attention to his symptoms, a light bulb went off. Intussusception. Ugh. Poor guy. I prayed the intussusception would resolve on its own so we wouldn’t have a real curveball.

We tried so hard to stay away from the morphine, but by late afternoon I caved per his nurse’s gentle nudge of encouragement that’s it’s probably a good idea. It was a good idea. It definitely helped. Intussusception comes and goes in waves and is apparently very painful. Your small intestines are not suppose to telescope in and out of each other. The only thing to do is wait and hope it resolves on its own. With a few more doses of morphine that day and throughout the night, he slept really well. It was looking like Sam would hit this curveball out of the park.

Day four, he woke up happy and sat up for the first time! He was playful in bed the whole morning and had fun with music therapy. Music therapy. It gets my heart every time. She started singing the “Hello” song and the tears dripped down my face like a faucet. I couldn’t control them if I tried. It’s the same song I’ve heard the last six years from several different music therapists. Moments of Sam’s little life flash through my mind like a trailer for a movie. I feel every emotion possible in a matter of seconds so deep in my soul, I can’t control the lump in my throat and the tears that follow. After it’s over, they are good tears, the ones that have to happen once in a while to keep me going. I’m thankful for a God who meets me right where I am at.

In the afternoon Sam got a break from all his cords. I decided to try get him out of bed. He didn’t want to. He sat on my legs as I knelt down to the floor, but once I stood up with him and held his hand, he had an ear to ear smile and walked to the door. He played in the hospital playroom for about an hour before he tuckered out. My heart was full and I know his was too. He fell asleep early tonight. Overall, it was a great day.

Here comes the curveball. Sigh. It’s 9:30pm and the nurse is about to start his TPN. I take an overdue shower while there is someone in the room with him. I step out of the bathroom and a few moments later I hear, “It won’t flush.” Crud. A PICC line that won’t flush is not a great thing to hear. Now we hope we can clear the line that is likely blocked by a formed blood clot. The good thing is that it’s highly unlikely we won’t be able to clear the line.

So, prayers the PICC line will clear and flush easily.

I believe it will and I’m also very hopeful Sam will sleep good tonight and we will get to go home tomorrow.

Sam Strong

Faith Over Fear

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MN Neonatal Foundation

Today, the MN Neonatal Foundation featured us on their Facebook page! Check it out!

https://www.facebook.com/NeonatalFoundation

This all started with an idea/dream to help normalize something that is not for families and caregivers who will take a child home from the hospital with a life saving breathing tube (tracheostomy). This dream is now a reality. I am so excited for the next phase of Superman Sam's Survival Kit and share hope with many more families and caregivers now and in the future.

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Starting Feeds

Besides his meds and water, Sam has not had anything in his stomach for over two months. I think it’s safe to say, his gut has had rest. We are going to introduce feeds into his g-tube (feeding tube) very soon. It will be a very, very small amount, and we will slowly add more as he tolerates it. We are nervous and excited.

Sam has otherwise been doing great! “Eating” through his bloodstream doesn’t seem to phase him much. He’s not in school yet, but he’s been able to go to occupational therapy and speech comes to our house once a week. He keeps himself busy organizing and being on his IPad more than he probably should be.

PICC line dressing changes are getting easier each week. He seems to fight less and knows the worst part is when his infusion nurse has to take off the old dressing. Getting his TPN (nutrition) started has become a part of our evening routine and it feels normal. I will be happy though when the PICC line is gone. It’s not the fastest process in the world and let’s face it, not normal.

Please pray Sam tolerates his feeds and he will not need the surgery his surgeon talked about before Christmas.

I hope you and your family had a very Merry Christmas and Happy New Year! I know I got my Christmas wish and very thankful for it.

Sam Strong

Faith Over Fear

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Good News

Sam isn’t doing great, but he’s been off the oxygen most of the day and has no fever. As long as he behaves himself, they will do the procedure (esophageal dilation) tomorrow!

These kind of things are a balancing act when it comes to medically complex kids. It often comes down to a risk benefit analysis. And there are so many factors involved. We are incredibly blessed with the care team Sam has when we are here. It is evident they care so much about our sweet little boy, want to get him better and back home where he belongs.

The smiles are few and far between, but he did sit up a few times today and even played for a couple of minutes. We’ll take it! So far, it’s looking like everyone is wrong about the getting worse before getting better. They are going to be wrong.

Prayers for an uneventful evening for Sam. Pray he can continue to breath on his own and stay fever free. Prayers for the procedure tomorrow and all who will care for him.

Thank you for all the love and continued support for our family. We are truly blessed.

Faith Over Fear

Sam Strong

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We Stayed Home

A few weeks ago, we were very close to a hospital stay. Our normally, very busy little boy was laid up on the couch, miserable for a week. He was blasted with all the hardcore stuff we can give at home and needed some oxygen support at night for a few days.

Poor buddy.

What was the illness that almost landed him a hospital stay you ask? It was likely a cold. That’s right, an illness I wouldn’t blink an eye for with my other kids. We are so thankful we didn’t land ourselves in the hospital. It’s no fun Sam or any of us.

Sam going to school or not, has been an on going discussion in our house. If it were up to Sean, Sam wouldn't go to school at all. He thinks every time Sam goes to school, he ends up in the hospital. There is some truth to that, but there have been plenty of times we've been able to keep him home. Mind you, keeping him home and out of the hospital, is not an easy feat. I see Sean's point, and also don't want to keep him in a bubble.

I have to admit, during this last illness, keeping Sam out school crossed my mind a few times. When a common cold debilitates your child for a week, and keeps him out of school for two weeks, contemplating sending him to school or not becomes a thing. Faith over fear.

Until Sam’s doctors tell us to keep him out of school, we will continue to send him. I believe we were designed for human contact. Keeping Sam out of school might mean I am stealing from him what he can give to others. And Sam makes people better.

You make us better.

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Miracles Still Happen

We went into Sam’s procedure with high hopes and low expectations. After what happened in Cincinnati, the odds of the surgery working were not in Sam’s favor. Here’s my analogy. Let’s say you get five sutures (stitches) in your airway. Within minutes of waking up after surgery, you start throwing up every fifteen minutes. The pressure from throwing up is most likely going break open all of the fresh sutures that were just placed. It makes sense that everyone had very low expectations, that few, if any sutures would stick.

When Sam’s ENT came to talk to us before the procedure, he told us he spoke with the ENT who did the surgery in Cincinnati and heard what happened. I told him, my hope and dream is that at least two sutures stuck. High hopes, low expectations. He responded, ”We’ll see.”

Feeling a little loopy from the Versed, and although more calm, still not excited for what's about to happen.

We’re getting close to seventy times I’ve had to watch my little boy get put under sedation. At this point, we have a pretty solid routine. We see all the staff who need to meet with Sam and I before surgery, they get vitals, we go over ALL his meds and records with the nurse for the umpteenth time, I make sure the right labs will be drawn so Sam doesn't have to get poked more, sign all the paperwork, make sure Sam gets Versed, keep snuggling my poor, very stressed out little boy, and then give him one last kiss before they roll him back to the OR. I take a deep breath, say a short prayer, and the nurse (or Sean, depending on who's with me) and I walk to the cafeteria to get something to eat.

We go back to the waiting room, eat, and depending the the procedure, wait. This time, I look at Sam's nurse and start praying. Let's note, I am not always good about praying before meals. "Lord, bless our food and I pray two of the sutures will stick. It would be really great if three of them stick. And if your having a really good day, please make all five of them stick." Sam's nurse responded, "Amen." We started eating our food.

I think I forgot Sam's previous procedures usually have two to three doctors doing something or a surgery that takes longer, because I had only two bites and Sam's doctor came into the room. He said, "Well...two of the sutures stuck. And actually, three of the sutures stuck. And actually, all five sutures are still in tact." Instant tears from me and Sam's nurse. I had the same feeling in my heart, mind, and soul on the day the doctors told me they were able to attach Sam's esophagus. Pure shock. An absolute true miracle. Thank you Jesus. Sam's ENT had already called the ENT in Cincinnati to let him know, and his response was, "Wow." Enough said.

He has no idea the greatest news we just got!!!!!

Sam always has to throw a curve ball somehow. We were cleared to leave at about 12:30pm. This would have been record timing for a procedure with Sam. We started packing things up and the nurse came into the room. "Sorry, I can't let you leave, his potassium is 8.3." What does that mean?! Apparently, that is heart attack level. If I'm being honest, I had zero worry. Sam. They checked it again right away. It did go down to 7.4, but that is still very high. Lab came to draw blood from his other arm. Even after being put under, it still took three of us to hold him still. Poor buddy. The nurse laughed at me when I put the call light on to show her the new results on my phone. "4.1", I told her, "We can leave, right!?" "Yes, let's get you guys out of here!", she said.

We have been waiting for this since Sam was two months old. He had the surgery done twice here and it failed, likely because of his retching.

We really needed a big win. Thank you Lord.

Now what?

This is the first MAJOR step in being able to remove Sam's trach (breathing tube). LIFE CHANGING. Sam still has A LOT to overcome, but this surgery is a HUGE win. He will have a swallow study and see his GI (gastroenterology), ENT, and pulmonology. And then hopefully, he can start feeding therapy!!!!!!

Thank you for your continued prayers. I truly believe they have brought Sam to where he is today.

SAM STRONG

FAITH OVER FEAR

Psalm 27:14 says, "Wait on the Lord; Be of good courage, And He shall strengthen your heart; Wait, I say, on the Lord!" I find so much peace in this. When I wait on Him, it's not a waste of time. It might be incredibly hard, but it's not a waste of time. The more I wait on Him and not me or others, the more He seems strengthen my heart.

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More on Cincinnati and Update

King Sean and Prince Sam

Before Sam’s surgery, we had some fun at the Cincinnati Zoo again. Sean was nervous about Sam and being around all the people, but it was nice to be able to do something “normal” with Sam since we had to have him in a bubble the month prior. Doing normal things with Sam always tugs on my mamma heart. Sam was more interested in trying to pull leaves off trees, and snatching my sunglasses off my face to throw in the ostrich cages. And, of course, his nose (filter for his trach) went flying too. So, if you go to the Cincinnati Zoo anytime soon and see the ostriches wearing sunglasses...

Okay, this gorilla is pretty cool.

My dad is way cooler than that hippo behind me.

For those of you who don't know sign language, Sam is signing "Daddy". He was telling us the lion was a daddy lion.

Our hotel didn't have a bathtub so we had to improvise. Sam thought taking a bath in the kitchen sink was great. It was a lot less stressful for Sean and I too, because Sam LOVES the water. If he was able, I think he would have his head under the water all the time. He has no idea what would happed if he completely submerged himself in water. He is very brave around water and is constantly trying to put in head under, which makes bath time and water in general, pretty stressful for us. My heart skips a beat when I think of Sam without a trach and the day he can completely submerge himself in water. I think he will be a fish. Oh happy day.

Cleaning my feeding tube.

When we knew we had to cancel our flight home because Sam was misbehaving, I instantly started looking for one way flights. It was not looking good.

We found out on a Wednesday evening, Sam would be discharged the next morning. The soonest flight out I could find was on Friday morning at $835 a piece! Not happening. The flights for the following week weren’t much better and we did not want to be stuck in Cincinnati any longer. Will and Abby were perfectly fine at home with my niece holding down the fort. I think they would have been happy if we were gone longer.

We decided to keep the rental car and drive home. We quickly packed Sean's things at Ronald McDonald House (RMH) after Sam discharged, but couldn't pass up the free toy from RMH for Sam. Of all the toys, he picked the doctor set.

Sean and I had to play a little Tetris to make everything fit in the SUV, but we did it. We were definitely homesick.

Sam does not travel lightly. And there were still six boxes waiting at the hotel for him!

Two days later, we made it home. Sam did surprisingly well with two full days of driving in a car. Sean and I were exhausted and very happy to be home. Sam was happy to see his siblings.

It has been almost six weeks since Sam's surgery. We wait one more week to find out if the surgery worked or not. When I asked the doctor in Cincinnati if he thought it was a zero percent chance the surgery worked because of what happened, his response was, “The only person who knows that, is not in the room right now. We just have to wait and see.” Hmmmmm. Faith over fear, Jamie.

Sam’s ENT trained under the ENT who did the surgery in Cincinnati. Thankfully, we don’t have to travel back to Cincinnati for Sam’s bronchoscopy to get the news. Our expectations are low and our hopes are high for the news. It’s yet another sedation for Sam. Prayers everything goes smoothly next Friday.

Like my friend said, ”I figure no news is good news.” Yes, since we’ve been home, Sam has been doing great. We’re still moving slowly on his feedings, but he started at twenty-four hours a day six weeks ago, and is now down to eleven hours a day! And barely any retching! Progress!

He has had zero signs of intussusception. We’ve all questioned if the intussusception was happening longer than we think. It’s a hard thing to catch because they can only see it on ultrasound or x-ray when it’s happening. It’s likely the other feeding tube (j-tube) is what was causing it, which then makes its less likely to happen again. Continued prayers Sam will not get intussusception again.

And BIG Happy Birthday to my sweet boy today!!!!! We've kept you alive for six years now! Everyday we get with you is a blessing we didn’t think we would get from day one. I’m incredibly thankful we live where we do, knowing in many other places, you would not have made it past the first day. Keep doing what you do best, by making other hearts a little bigger.

Faith Over Fear!

Sam Strong!

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No More Surprises

Thankfully we did not have anymore big surprises and we are home!!!!!

More to come, but wanted to let everyone know Sam is out of the hospital, doing well, and we made it home.

Sam Strong!

Faith Over Fear!

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Another Complication

Sam has intussusception again. I don’t have the energy to go into details of his day yesterday, but if you could guess, it wasn’t great.

We had some hope during the day yesterday we wouldn’t have to change our flight, but by the evening, we knew we would be staying longer. Hopefully not too much longer.

We’ll find out soon if he’ll need surgery or not.

I’m not really sure what to ask prayer for. Whatever will make Sam feel better the quickest and get us home the soonest. And so much more.

Sam Strong!

Faith Over Fear!

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We Have an Answer!!!!!

X-rays showed Sam’s j-tube (the part of his feeding tube that is threaded into his small intestines) is retracted and coiled up into his stomach. As you might imagine, this is very painful. Poor buddy. No wonder why he’s in so much pain and throws up every fifteen to thirty minutes.

At home, radiology does the feeding tube procedure, but it sounds like surgery is the specialty who will do it here. Pray for a quick and smooth procedure tomorrow morning. He gets his feeding tube changed every two to three months and it’s a pretty painful experience for him. This procedure is why he has so much PTSD when he sees an x-ray table. He just had it changed two weeks ago. Poor guy. Hopefully the little bit of morphine he’s on will help.

I feel terrible for him, but this is literally the best possible, fixable answer. This poor guy can barely catch a break. He is the strongest, toughest little boy.

Pray both Sam and I will get some restful sleep tonight and this will be the only complication. We want to hopefully get out of here tomorrow and be able to catch our flight home on Tuesday!

Sam Strong!

Faith Over Fear!

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Rough Go

He had a few moments of slight smiles yesterday, but overall, Sam has been pretty miserable. He threw up and retched about every half hour throughout the night, if not more. It will be a miracle if this surgery works. And it WON’T be Sam’s first miracle!!!!!

The doctors said if he can get the nausea and vomiting under control, we can leave later today. This hospital is awful nice and they do things very well, but it’s not home. I don’t like hospital stays, but when we’re home, I know the system and almost everyone knows Sam. There’s a lot of comfort in that.

Please pray Sam will not have anymore nausea, vomiting, and for no other complications. Let’s get this sweet boy out of here!

Sam Strong!

Faith Over Fear!

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Airway Surgery

Sam is out of surgery and doing well. Pray for a smooth recovery and NO retching. No one knows for sure, but it’s highly likely Sam’s retching was what caused the previous surgeries to fail.

They told us surgery would be an hour, to an hour and a half. We waited for two. This kind of extra waiting is always hard. A half hour can feel like it does to a toddler, which feels really, really long. Breathe.

We weren’t planning on it, but we will be staying overnight so they can keep a close eye on him. Pray Sam will behave himself so we can go back to the hotel tomorrow.

Now we wait some more. Typically, patients come back six to eight weeks later to find out if the surgery worked or not. Sam’s new ENT in Minnesota trained directly under the ENT who did Sam’s surgery in Ohio. Thankfully, we will get to do the follow-up at home. Traveling with Sam is an experience we don’t want to do often.

We will wait patiently until July eighth to find out the good news.

Sam Strong!

Faith Over Fear!

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Medical Christine Pheneger Medical Christine Pheneger

Less Than One Week!

We are less than one week away from surgery!!!! Sam is doing great! He can’t be school, but we are doing our best to keep him busy. With the help of his teacher, his nurses are doing a great job of bringing some aspects of school home. Have I ever mentioned how thankful we are for our home care nurses? Incredibly. And, of course, the beautiful weather helps. Sam LOVES to be outside.

I am so excited and nervous all in one for this surgery. It's THE surgery that’s been in the making for over five years. It’s been done twice unsuccessfully here, but never at the place we were referred to a few years ago. We’ve had it planned in Cincinnati twice, but didn’t make it due to Sam being Sam. He was sick the first time then needed a major surgery the second time, because essentially, his organs were moving up into his chest which ended up being an over two month stay in the hospital for him. We are ready for this surgery!!!!!

If the surgery works, it would mean eventually, Sam could be decanulated (get rid of trach/breathing tube). Game changer. It makes sense why all of Sam’s doctors wanted to keep him in a bubble until this surgery. If you know me, staying in a bubble is not something I do not do very well, but I have been a good girl.

Of course, Sam had to ruffle everyone’s feathers a little bit. Long story short, Sam's pediatrician was concerned about a medicine (steroid) he has been on for the intussusception. There is a low risk it will be a problem, but steroids can hinder the healing process. The surgeon from Cincinnati called me to discuss the situation and still feels because of Sam's complicated history, already having to cancel the surgery twice, and the low risk factor, we should still proceed with surgery, but wanted us to be aware and not have this conversation the day of surgery. Your the expert! What would you do if it was your child?!?! I don't like to ask doctors this question, but in these situations, I usually do. Everyone agreed, we have Sam in a healthy spot so let's do it!

So far, Sam has stayed healthy. Prayers for continued health, flawless travel, and a successful surgery for Sam.

Sam Strong!

Faith Over Fear!

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