Monday, January 19, 2009

A Little More Christmas

Last week, I tried to upload some pictures from our New Years trip to Atlanta, but Blogger was having issues so it didn't work. Today, my brother Scott emailed me some pictures he took during our Christmas visit in Dallas, so I'll share those with you first.


Bella and Grampa


Gabi serving Gramma Jane's cookies


*full modeling credit to Uncle Scott ;-)


Uncle Scott giving Gabi horseback rides


My new wall decoration


Michael's martial arts display case


Reading with Gramma Jane
(This pop-up book provided [a bit] more than
seconds of non-ripped apart fun.)

Thanks for the pictures, and btw -- Happy birthday, Uncle Scott! He turned 27 yesterday.

Saturday, January 10, 2009

Ophthalmology

Bella had an ophthalmology appointment on Thursday afternoon. She woke up Thursday morning with relatively dry eyes, so I thought that her ophthalmologist might not recommend anything further. However, her doctor said that if that was a good day, then she definitely needed to have something done. Apparently clear basal tears mostly confined to her eyes, although great compared to her recent goopiness with caked eyelashes and water dripping down her face, is still not normal. At least I feel confident that she honestly does need a procedure, knowing that the doctor saw her on a good day and wasn't just judging her from an excessively goopy-eyed day.

Her Pediatric Ophthalmologist is referring us to an Oculoplastic Surgeon who will start out with a probing of the nasolacrimal ducts (like what she had done last June in Atlanta, but this time under general anesthesia) and if it doesn't appear to work as well as he'd like, then he will insert stents to drain the tears. The benefit of using this other doctor is that, if the stents are necessary, he will do that surgery under the same anesthesia, whereas her regular ophthalmologist would wait a few weeks after the probing before determining that stents might be necessary.

I'm not upset to hear that she is now too old to be able to hold her down and perform the probing in the office like they did in Atlanta. While we would all like to avoid anesthesia, I think this approach will be much more humane than strapping her to a board fully conscious and forcing her to watch as your come straight at her eye with a probe that you shove down her tear ducts to break the membranes blocking tear drainage.


Bella signing bear

The bear sign is supposed to be with arms crossed over the chest such that the hands are at the shoulders, but Bella crosses her arms down like this instead. It gets the point across.


Bella signing bird

To indicate many birds, Bella uses two hands. It's cute.


Bella signing elephant

ASL for elephant traces an imaginary trunk from your nose out-down-out with your hand, but using your arm as a trunk is more concrete and easier for babies to understand/remember. Besides, she loves to raise her "trunk" and trumpet like an elephant (or watch/hear me act it out).


Bella signing fish

Bella has learned Lola's name; she calls her "Lala." She thinks Lolo looks like Daddy and used to call him "Dada" as well. Now to differentiate between Daddy and Lolo, she says "La-dada" for Lolo (because he's the "daddy" that goes with Lola).


Bella so happy to read a book with Lola

Since Bella's ENT is contemplating a supraglottoplasty and possibly tubes in her ears, we will coordinate the procedures with both doctors so that Annabelle will only have to undergo general anesthesia once. Now that she will need anesthesia anyway, I'm less reticent to consent to another procedure and in fact might even call to get her next ENT consult moved earlier in order to combine everything. Plus, a doctor friend mentioned that if we are concerned that she might be having sleep apnea, then even though her oxygen saturation is 98%-100% during the day (we check it at most regular doctor visits because of her laryngomalacia), it might be dropping down to only 60% at night, which would not be good for her brain. So I'll talk to her regular pediatrician at her next check-up to see whether we need to take a pulse-ox monitor home. First, though, we'll wait to see when her Oculoplastic Surgery consult is scheduled.

Wednesday, January 7, 2009

Christmas 2008

I am finally able to upload some Christmas pictures!


The Christmas card shot


Looking at the tree (and Daddy)


Gabi's dance pose


We celebrated with Michael's family the Sunday before Christmas because his dad and uncle had to work Christmas Eve (and Christmas Day), and both his parents worked Christmas weekend.


Our family sitting in our new chairs


Annabelle learned to say "tree"


Annabelle giving Lola a kiss


Gabi's princess chair


Gabi trying on her hat and gloves


Bella cuddling her leopard


My stylish coat


Bella wrapped in a ladybug towel


Christmas Eve we drove to Texas in time to watch Notre Dame [finally] win a bowl game, and then to celebrate with my family on Christmas Day.


Family portrait at church on Christmas Day


Gabi examining the poinsettias


Gabi admiring the nativity scene


Our girls slept in on Christmas morning until about 9 AM. Gabi was excited to see that Santa had come, and she was very careful not to step on Santa's snowy footprints. Gabi pulled out Disney princess stickers from her stocking and proceeded to make up a very imaginative game based on the characters in the stickers which involved much narration and occupied all her attention such that I don't think she even looked in the rest of her stocking until after church.


Our family at my parents' house


Just like last year, once she opened a present, Gabi wanted to play with her new toy and could not be coaxed to put it down, even to open another present. You'd expect most children to show interest when you offer another present, but it's great that Gabi likes to enjoy each gift. Additionally, Gabi decided that her name is "Gabriella Christine" and not "Gabi" -- and she absolutely refused to open any present addressed to "Gabi." We had to get out a pen and write "Gabriella Christine" on each tag before she would even consider giving it a second look. So we ended up with a few presents left unopened (even a few days later).


Now that's a real box!


Michael needed the drill to open his big present (while Annabelle sat on it) -- a display case for all his martial arts belts.


Bella's box of block books
(small board books that can also be building blocks)


Bella reading one of her new books


Bella's smile


My brother Stephen and his wife Alicia moved to the Dallas area this summer. Alicia (and her sister) are excellent interior decorators, so their apartment is super-cute.


Visiting Stephen & Alicia's apartment


We also met up with my cousin Jennifer and her family (parents, husband, and six children) to go bowling one evening.


Bella saying "ball"


Our cousins Kaitlyn and Timothy


Cousin Benjamin


Cousin Jonathan


Bowling Team 1
Scott, Jennifer, Jonathan, Ryan, and Timothy


It was down to the last frame, and these guys won. Ryan had the highest score overall, but Michael was just 3 points behind him. The last team was at a disadvantage because they only had four players, although Bella did join them for their team photo. (Bella and Kaitlyn didn't actually bowl, obviously.)


Bowling Team 2
Jessica, Benjamin, Melissa, Michael, and Gabi


Bowling Team 3
Harvey, Josh, Jane, and Karen (plus Bella)


The night before we left Texas, Scott's girlfriend Amy drove into town and spent some time with us.


Amy reading with Gabi

Monday, December 22, 2008

Snow Day!

After working two weekends in a row, Michael finally had a weekend off the weekend before last. He spent most of the daylight hours Saturday and Sunday raking leaves, a chore which Gabi thoroughly enjoys because she gets to jump in all the piles. Both girls love to be outside, even though it has been extremely COLD here. Michael managed to bag about half of the leaves before it started raining, and it was time for evening church, anyway, so he just moved the rest next to the fence where the wind would be less likely to blow them into our neighbor's yard.


Bella helping rake leaves


The girls raking just like Daddy


Bella had her ENT appointment this morning. In taking the history, the doctor asked, "So, you're here because your pediatrician referred you, but how do YOU feel?" We admitted that we aren't really concerned because her condition has greatly improved since her birth, but it would be nice to get his opinion since Bella's laryngomalacia has persisted longer than expected. He explained that laryngomalacia typically disappears before 24 months if it'll go away on it's own (so we're still in that range), but he's seen it in 5-year-olds and 12-year-olds. He asked if Bella had any episodes of sleep apnea, and we do not think she has. However, she STILL doesn't sleep through the night (and she'll be 16 months old on Thursday!), so that could be a sign of sleep apnea. At this point, I am attributing her waking up to her cold and teething, so the ENT doctor said we'd just wait for her cold to go away and then note whether she is able to sleep all night. Then the doctor looked in her ears and found fluid (but no infection). For her language development, he wanted to schedule a recheck to make sure that the fluid didn't persist more than 3 months.

The doctor offered to scope Bella's throat so we could look at it, and I thought he was just offering it because we were there and might like to go home with some extra piece-of-mind, so I was about to decline. However, he was actually recommending the scope, so we ended up doing the procedure. We were told that the anesthetic nasal spray didn't taste good; however, Bella smiled and laughed and asked for more. Silly baby! She did, however, cry during the scope. A nurse held her still while the doctor snaked a long cord with a camera and light on the end through one nostril and down into her throat. Her crying should have made everything move and open up more, but it did not. Bella's aryepiglottic folds are so tight that we couldn't see past them, so we didn't get a view of the vocal chords. Also, her mucosa was thicker than it ought to have been, which is a sign of her reflux. So we definitely need to continue the Prevacid, but that should help both her reflux and her laryngomalacia.

All-in-all, nothing serious, but the ENT wants to see her back in 2-3 months. The treatment (if needed) is a very simple surgical procedure called supraglottoplasty to clip the aryepiglottic folds -- just cut each one a couple millimeters so they can open. With as severe as Annabelle's is, he would have done the procedure if he had seen her as a baby. With babies, it dramatically improves quality of life by helping the baby sleep better and eat better and calming down parents (who are already worried about SIDS). However, Annabelle definitely eats well, and we've made it through the worrisome newborn phase, and she doesn't seem to have any symptoms besides stridor, so he is not recommending the procedure at this point. Good to know!


Gabi: "I'm skating in my shoes!"


We awoke last Tuesday morning to a world of white. School was canceled, so Gabi got to sleep in. (My little alarm clock - Bella - doesn't sleep in.) The girls and I spent some time outside enjoying the winter wonderland in our front yard. Our mailbox was frozen shut, and the grass appeared to hold patches of snow. However, Gabi asked why she couldn't pick up the snow, and we realized it had turned into ice.


Bella spies our neighbor's puppy out for a walk


Bella venturing back from our neighbors'


Gabi skating on the icy snow under the tree


Bella enjoying the snow day


It was very cold, and eventually Bella walked back to our front door, knocked on the door, then turned around and looked at me and pointed inside. I took the girls inside (against Gabi's protestations), and Bella was immediately ready for a nap. That baby girl knows when she's tired and is very easy to put down! Gabi and I then went to check out the snow on the deck.


Gabi making footprints next to some cat pawprints


Gabi loves being outside


I didn't stay outside nearly as long as Gabi would have liked. I sat down inside by the sunroom window to read and watch her play, but Gabi decided it wasn't as fun playing by herself and soon came inside.


Tiny icicles hanging from the deck rail


This past weekend, Lolo and Lola asked to take Gabi to see Despereaux so they could give Gabi some individual attention. We agreed, but we didn't set a time because of a busy weekend. We met up with Lolo & Lola for dinner Saturday evening following Grant's birthday party, and after dinner Lola asked, looking at her watch, "Do you think we can still go to the M-O-V-I-E tonight?" Immediately animated, Gabi started cheering, "Yay! A movie! We're going to see a movie!" We were all shocked to hear how quickly our smart little girl picked up on the meaning of the spelling.


Alex is just a couple weeks younger than Annabelle


We've had a few playdates since we've moved, but I haven't been good about taking pictures. This time I made a point to grab the camera.


Bella still waking up from a long nap


Bella and Alex putting together the puzzle


Feeding the baby dolls


Bella resting on the slide


Annabelle's fourth tooth (the other top front tooth) is poking through the gums. It looks like she'll get her two front teeth for Christmas this year!