Wednesday, February 11, 2009

Color Us Amazed!

After just five half-doses and a day-and-a-half, we have been amazed by the physical changes we've seen. Exhibit A is a picture from her birthday on January 18th. Her appearance in that picture is fairly consistent with how she looked normally. We'll call it "Before."





And prepare your eyes for Exhibit B. We'll call it "After." For the first time, we could see the whites of her eye to both the east and west of her retina. We're just amazed at the progress. Hopefully the doctor will be amazed tomorrow as well.

Tuesday, February 10, 2009

Medical Update

Most people with eyes who have fully exercised their Facebook curiosity muscle have noticed that my wife and I have a daughter who looks a little different from the others. Not only does this little girl have my darker complexion, narrower eyes, and keener fashion sense, but she has a little something extra going on around her eyes. It is undoubtedly because of these "masses" that she was abandoned by her birth parents and placed by the Chinese government on the special-needs list. The Chinese doctors diagnosed her as having hemangiomas, and she was given the treatment they could offer, which was minimal.

When we were presented with the opportunity to adopt her, her condition was described as one that typically goes away on its own over time. With that being said, we knew we were not dealing with something as simple as a "special-needs" label applied to someone with an unsightly birth mark. Whatever the case, it didn't really matter because we saw our daughter when we looked at the pictures. We appreciate that biological parents are never guaranteed healthy children, and we would treat her as our own. Getting her well is our priority.

It began with a pediatric visit who was quick to refer us to the FACES Clinic at Cardinal Glennon, which specializes in international adoptions. Their team of doctors expressed - without officially diagnosing - that it probably wasn't hemangioma and that her right eye probably has some degree of trauma as a result of the mass impinging on that eyeball. They referred us to an imaging doctor at a different hospital who is apparently the only doctor who could produce the images necessary to make the right diagnosis and determine the best method(s) of treatment. The consultation there resulted in an MRI with no subsequent specialized imaging. During that appointment, options of outpatient alcohol injection treatments and surgical removal were discussed with another medical consult on the horizon.

That brings us to yesterday. There we sat in a 8' X 10' room with a full-sized examination table, an extra chair, and sink area. In walked four doctors and two residents. While I had held out hope that the surgery would not be the preferred option, one of the first things out of his mouth was that they think surgery is necessary for th removal. The good news is that they think what she has is hemangioma. I had figured a surgery was going to be necessary cosmetically, so I was able to get over the surgery revelation surprisingly quickly. But to say that surgery is the solution is nothing more than the tip of this iceberg.

Before we get to the surgery stage, they have prescribed a beta blocker drug in the hopes that the masses will shrink in size. Ideally, the masses could shrink almost completely, making the surgery much more manageable. No matter how it is sliced, to see this through to completion, some degree of surgical removal will be necessary, no matter how small the masses get. In three weeks, the dermatologist will assess the progress of the prescription. In three days, another specialist will try to assess the realities we face in terms of her vision and ocular function.

You see (because I didn't), right now has nothing to do with aesthetics and cosmetics. We are not at the stage of worrying about and addressing what she looks like and how people will look at her. The doctors are single-mindedly focused on her vision and the functionality of her eye. It is a real possibility that if this condition persists as is that she could be blind in the eye. It is a real possibility that the mass has compromised the muscles in the eye lid, the muscles surrounding the eye itself, and/or the bone around the orbit. Reconstructive surgery in the future will not just be about cosmetics but potentially about reconstructing functionality to her eye. Worst-case scenarios involve resetting her eye should it shift out of position once the mass is gone and dealing with an eyelid that does not properly close or open. The prospect is multiple surgeries taking place five and 10 years down the road.

That is what we are looking at. Whether it ends up being a minor surgery to remove masses that are 99.9% gone and a relatively minor cosmetic surgery to further beautify our little cutie or ten surgeries to restore bone, muscle, vision, and cosmetics compromised by resistant masses, we are going to go the distance with it, time be damned, cost be damned.

On the one hand, we are absolutely 100% honored to do this and endure the process. On the other hand, we love our baby, and we are only doing what any other loving parent does for their own.Thanks for your prayers and well wishes.

Thursday, February 5, 2009

Canary in the Coal Mine

Cassidy provided an unexpected benefit recently. I had been feeling back a couple weeks ago, and then Shari, Zach, and Katie got sick. Their symptoms seemed pretty varied, so it was tough to diagnose anything across the board. On Monday, Shari told me she was going to take Cassidy to the doctor because she breaking out in a horrible rash. Her chest and back looked sunburnt, and it was on her face, behind her ears, and around her hair line. The second the pediatrician saw her, he diagnosed her without running a single test or taking a single sample: "Strep."

He then took a look in Zach's and Katie's mouths, and he proclaimed: "Strep."

He was then nice enough to prescribe antibiotics for all four kids.

Cassidy is still pretty snotty, but she's handling it okay. Her appetite is fine, and I don't think she's been any more persnicketty than normal. The good news is that she is now just under 22 pounds in weight, which means she has gained four pounds since we've had her. (On her tiny frame, that's a LOT...)

Saturday, January 31, 2009

Someone Turned Two on the 18th!

Cassidy really enjoyed her first birthday at home! She made out like a bandit and really enjoyed having visitors. After she opened her presents, she quickly became possessive of everything she got. She kept everyone on a short leash but was nice enough to let me put her new baby stroller together. She is definitely all girl.





Thursday, January 15, 2009

Dancing Machine, Dancing Machine

The last 30 seconds of the video make the whole thing more than worthwhile. Observe the rhythmic stylings of the next Beyonce - albeit a modest, fully-dressed version.


Sunday, January 11, 2009

New Experience

Yesterday was a big guys' day out for the Yeager boys because we had to go make our pinewood derby cars for upcoming races. While I was looking forward to it on the one hand (as evidenced by the fact that I still have the derby car from my scout days), I was also concerned how taking that time away from the house would impact my relationship with Cassidy. I didn't know if she withdraw and distance herself or excitedly greet me (didn't really care how the boys fared with her). I was also concerned about compounding things by going straight from hours away from home to plugging directly into the Cardinals' NFL playoff game.

I can happily report that Cassidy was happy to see all of us, and she even seemed very intent to spend time with me. As I sat on the floor watching the game, she hovered around me, rarely leaving the room. While that was all well and good, I was concerned that if she remained in my proximity, I might inadvertently scare her. You can try to contain the emotions, but you never know when a slip up might occur. I had been very mindful of that over the last 10 weeks... but last night's game was exceptional!!

It's one thing for your team win a game, but it's another thing for your team to embarrass the opponent. Arizona just destroyed Carolina, and in the process of annihilating those poor Panthers, I slipped... with Cassidy sitting two feet in front of me... as she was looking directly at me. I yelled, "YEAH!" and threw both of my arms in the air as if to signal "touchdown." I then came back to my senses and remembered that my sensitive little Cassidy was sitting so very close. Before my eyes could pan down from the screen to see her, I heard her yell gibberish and experienced the joy of watching my little girl raise her arms as I had! She had the biggest smile on her face, too.

Of course, it was also great because my boys love to hear me get into a football game. To date, the hardest Zachary has ever laughed was when Arizona played Dallas earlier this season. After I was done going crazy and the laughter died down, Zachary said, "Do it again..." So now it's kind of fun for me to listen to the hardy guffaws outlast my emotional outbursts. So I had the additional joy of listening to Jake laugh two rooms away.

What a great day! Derby cars with the boys and then football watching with Cass.

Tuesday, January 6, 2009

I Have Arrived!

You now see what I've been waiting for! I couldn't hope for more - besides her being free of the "vascular anomalies." I'm pretty close to being exactly where I've wanted to be with her. Truth be told, I don't care if I ever reach that mountain top. This is good enough for me. As of last night, I was able to send her to dream land by laying her on my chest. She knows me by name. She freely gives me hugs and her version of fist bumps. She actively seeks to wrap me around her finger. What more could a daughter's dad ask for?!

So what if she doesn't want to lay on me or near me at 2:00 in the morning...?! I don't want anyone laying near me at that time of night anyway!