Yo soy La Lay

adventures in family, faith, and Down syndrome

How Great Thou Art

My faith has always been quiet.  

Please don’t mistake my quietness for weakness.  While I tend to be am bossy in most other aspects of my life, for me, my faith life is one of quiet example rather than outward and vocal evangelism.  I don’t prefer to reference my faith in conversations with friends or strangers.  It’s not uncomfortable for me… I could probably write a thousand words trying to explain my behavior.  Suffice it to say that it’s just not my style.

However, as I sit in the early morning light of a peaceful Holy Saturday morning, I feel the itch to share one of my favorite hymns.  How Great Thou Art was one of my grandma’s favorites also.  In my memory, she (the woman for whom Tessa was named) also lived a devout, but quiet, Christian life.  I vividly remember this song playing in her home, surely recorded onto one of her millions of cassette tapes, though by which artist I have no idea. Today, I’m feeling so very blessed for these memories.

O Lord my God, When I in awesome wonder,
Consider all the worlds Thy Hands have made;
I see the stars, I hear the rolling thunder,
Thy power throughout the universe displayed.

When through the woods, and forest glades I wander,
And hear the birds sing sweetly in the trees.
When I look down, from lofty mountain grandeur
And see the brook, and feel the gentle breeze.

I haven’t been on a nature walk lately, but in my own home, I can see all of the blessings that God has provided us.  Dusty picture frames with captured memories of loving, joyful times… dirty dishes with remnants of delicious meals shared with each other… the lingering sweet smell of a bonfire on the back patio.  Every rowdy visit from the tickle monster and every cuddle on the couch with a sleepy child… None of these moments are guaranteed to us and yet, our life is full.

Where my heart dwells today, on this Easter weekend, is here:

And when I think of God, His Son not sparing;
Sent Him to die, I scarce can take it in;
That on the Cross, my burden gladly bearing,
He bled and died to take away my sin.

When Christ shall come, with shout of acclamation,
And take me home, what joy shall fill my heart.
Then I shall bow, in humble adoration,
And then proclaim: “My God, how great Thou art!”

I am overwhelmed today by the gift that God has given us.  To send His Son to die so that we may eternally live with Him in Heaven… what pain must have filled His heart to see His own sweet child suffer and die.  And still, what joy that we may all share in the bounty of His love!!  The blessings of my earthly home are countless and I cannot imagine what is in store for all of us when we are called home with Him. 

Then sings my soul, My Savior God, to Thee,
How great Thou art, How great Thou art.
Then sings my soul, My Savior God, to Thee,
How great Thou art, How great Thou art!

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Belly Sleeper

I just went in to check on the girls and found Tessa asleep on her belly.

We did not put her down this way.

We knew that she could roll from back to belly, but she hasn’t ventured into the world of tummy sleeping until tonight.

Sweet Jesus, how am I going to get any sleep?!

I realize that all you moms with kids around my age are chuckling at me right now. My own mother always tells me “all YOU kids slept on your bellies and here you are today!” Yeah, yeah, yeah. But modern advances in medicine have changed a LOT of our ideas about infant safety. Take car seats for example. Have you ever seen a car seat circa 1985?? Yeesh.

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It seems to me that now, medical professionals subscribe to the idea that if you put your baby flat on her tummy and do not watch her every breath, she will die. And being a mother who wants the best for my child, I believe them… which is why this whole evening is so agonizing for me.

I did the same amount of agonizing with Ellie, but still feel like Tessa is different. Because she is less interested in rolling the other way. Because her breathing is loud still. Because dang it, I’m not ready for her to make this decision for herself! Ha. Leave it to my daughter to ignore her mother and do as she pleases at the ripe old age of not-quite-four months. Karma.

Parenthood is not for the weak-hearted.

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Normalcy?? I hope not.

Well, we thoroughly sucked at this week.

This was the first week since before Tessa that both John and I have been working.  I’m sitting at my kitchen table, surveying the disaster that has been created by the tornado of our life.  Strewn across the surface of our table are the remnants of not one, not two, but three McDonalds Happy Meals… there are empty Chinese cartons, a Chili’s To Go bag, a couple of squeaky styrofoam boxes from our favorite sushi restaurant…  and I haven’t touched my weight watchers app in seven days (thanks for sending me the lovely reminders, Weight Watchers App.  No, I haven’t tracked my weight lately, I know.  I don’t even want to know where that number stands after this week).

I often measure the stress level of our week by the number of meals we eat as a family, at our table.  We shoot for five.  This week, we were at one.  I think.  Then again, that may have been last week.   

After a weekend full of way-past-your-bedtime events, Ellie was in a funk.  There were lots of tears and sulking by the door to our garage, waiting for Daddy to come home to save her from Lord knows what.  Me, I guess.  One day, she spent 45 minutes carrying on about how she had no toys anywhere and how she wasn’t going to play ever again.  One night, there was vomit.  That was awesome.

If you are an unmarried reader… my unsolicited advice to you is that you find the partner who will laugh through the 1 AM, 2 AM, 3 AM vomiting toddler/hungry infant extravaganza and will thank you for being awake with him (as if there were really a choice).

There were meetings that ran long, a  list of school events to supervise, two therapy sessions, several hours of crying toddler to survive, a house to clean…

I actually broke down and called for an estimate on how much it would cost to have my house cleaned by professionals.  Sooooo not in the budget.  

In any case, we have learned the importance this week of my monthly meal plan (which was not in place this week… hence, the struggle… or so I tell myself) and our shared iPhone calendar.  While I don’t think that we will ever not be busy, we will get better at the adjustment to two in the working world, two in daycare.

Right?

Before I forget to record them, there were some fabulous bright spots to our week.  And I mean fabulous.

1. Tessa took almost all of her feedings today in an upright position.  HOLY Guacamole!!!!  Yes, yes, yes, THIS is what we have been praying for most.  

2. Ellie took a bath with zero tears.  I haven’t written much about this (it’s a “coming soon” post), but suffice it to say that bathtime has been a terrible experience for quite some time and we are finally getting our little fish back.

3. Tessa figured out how to roll from back to belly today.  She’s been on her side and aaaaaaalmost over for a little bit, but she finally got her shoulder to cooperate.  I’m SO proud of her… and SO terrified to walk into her room and see her sleeping on her belly.  I’m not ready for that!

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The Diagnosis

I follow a group online called the Down Syndrome Diagnosis Network, which exists to support families when they have received a Down syndrome diagnosis.  While I have written extensively about Tessa’s Birth here, it’s worth dissecting the process of the actual diagnosis.  I promise I’ll be totally honest.

When John and I talk about family planning, I’ve always said that I want to “finish early.”  Actually, what I have said is something along the lines of “it’s so risky… waiting until I’m older… that’s why I’d really like to stop having kids before I’m 32.”

Foot. In. Mouth.

I told you I’d be honest.  And where did I get the number 32??

At Tessa’s 20 week ultrasound, our tech told us that the baby was the most wiggly baby she had ever measured.  This was my fourth ultrasound of the pregnancy.  Most of my friends have these sweet ultrasound pictures of their little one lying nicely across their belly, face up, sometimes sucking a thumb or waving hello.  Ours is a face, smushed up against the uterus wall as if to say HEY, DO YOU SEE ME IN HERE??  ‘CAUSE I’M ABOUT TO GIVE YOU THE SURPRISE OF YOUR LIFE!   Perhaps her insane movement is why no markers could be seen?  Or maybe not…

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In any case, I’m telling you about the diagnosis, aren’t I?

I feel like my husband is the best person to tell this story.  After all, he is the one who actually received the news, not I.  That is really how it went.  NICU was called to the delivery because of dropping blood pressure.  As she was delivered, John told me it was a girl and my jaw dropped to the floor.  She cried and it was beautiful.  As NICU examined her across the room and I continued the delivery process, they started talking about strong markers for Down syndrome and did we have prenatal testing?  The silence of the room was thick.  It was cramped with people and yet my husband and child were so far away… My nurse wanted to know if I knew and I was telling myself that this woman was surely mistaken because this would have been seen on my ultrasound.  Wouldn’t it?  People don’t just get a diagnosis like this.  Do they?  I’m not prepared.  Someone should have prepared me.  In any case, she was probably wrong.  My doctor (whom I adore) very quietly said to me “you know, who is to say they aren’t just as happy… even happier than we are?”  And I waited.

When they handed me Tessa,  not exactly sure what I would see, my shell-shocked husband attempted to explain her “strong markers” to me.

I didn’t see them.  It was only Tessa, my sweet girl.  In that moment, Down syndrome was everything and nothing to me at the same time.

Later in the afternoon, once Tessa was off in the NICU and John and I were alone in our room, the geneticist came in to tell me more about my girl.  She was not cold, nor was she discouraging or overwhelmingly positive either.  She took a very brief history.  Intrigued by my past miscarriages, she explained the different types of Down syndrome and asked about the genetic testing on the other babies (both had been “normal”).  She said something along the lines of “look, I’ve seen your baby.  She has it.  I’m as sure as I can be without seeing the test.  But I promise, we’ll call you as soon as we get the official results.”

Later in the NICU, I examined every little bit of my baby.  I didn’t get it.  Something about a line on the hand?  A flat nasal bridge?  Her neck was different?  But she looks just like Ellie!

John and I went back and forth about when and how to tell our families.  I insisted that we wait until we had official results.

You know, in case they were wrong.

And we waited.

Tessa was born on a Wednesday afternoon and the call came on Saturday morning.  I didn’t pick up the phone, though I knew who it was.  The results were in and she was positive for nondisjunction Trisomy 21, the most common (and random) type of Down syndrome.

I just didn’t see it.

I kept waiting to fall apart.  The moment never came for me.  It does for some.  For me, there was a lot of information and tests, then she was home and it was Christmas and New Years and on we went.

I still don’t see the Down syndrome in Tessa most of the time.  I still look at my little girl a lot and try to find what they tell me is true.  I still wonder if our tests got mixed up and they were wrong.  (And if they were wrong, are we going to get in trouble for all the Early Intervention that we have used??)  When I take her in public or show her picture to strangers, I wonder if people know.  I’m not in denial.  I know she has it.  Sometimes, I take her picture and I see it.  But mostly she’s just this beautiful, wiggly little thing.  She’s my girl.

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Will Run for Beer?

I am not a runner.

John participates every year in a half marathon at the end of August and it kind of makes me crazy.  I’m glad he takes the time out to keep himself healthy and moving, but the race at the end of the training costs money and I hate paying money so that he can do something that he could do for free.

But tonight, John found a cause.

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Here is his letter to our family and friends:

Hello Everyone,

I want to let you all know about a charity race I have decided to join.  This summer on July 20th I am running the Rock “n” Roll Chicago Half Marathon for the Ups for Downs Down syndrome foundation.  As many of you know, my daughter Tessa was born with Down syndrome earlier this year.  Since Tessa was born, Maggie and I are on a mission to help people see the ability in all people with Down syndrome and not just the disability.  Needless to say, I thought this race is one small way I can help the cause (and maybe lose a few pounds while I’m at it).  
 
How can you help?  Well, I’m glad you asked!  There are three ways you can help.  
 
1) Prayers, encouragement, and well wishes.  You can even go watch the race if you want! 
 
2) Financial support for the Ups for Downs Organization.  Think of it this way: Any small contribution you make (from $13.10 and up) is like paying to put me through 13 miles of running! It’s almost like getting back at me for being a smart aleck all these years by making me run for two hours and supporting a great cause at the same time!  Below is the website you can use to make donations if you are moved to do so.  
 
http://www.active.com/donate/ufdrocks/2014JLay
 
3) Join the team!  You may also sign up as a part of our running team (Team Tessa) and do some fundraising of your own.  I have a feeling this option will get the least positive response, I mean who would be crazy enough to run 13 consecutive miles? 🙂 I digress, but let me know if you want to run and I’ll give you some information. Just know that the sooner you sign up, the less expensive it will be and the more time you have to raise funds, so let me know sooner rather than later. 
 
I can’t tell you all how much Tessa has taught all of us in just a short time and she can’t even really do anything yet except smile!  Let’s help spread the love and start to change the way we think!  God’s blessings to all of you! 
 
John

Now there is a race that I can throw money at.  🙂

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Progress – Month 3

(Typing on an iPhone is still terrible. Would someone please tell my husband to stop goofing around on his Spring Break and fix the computer??) 🙂

Our marathon week of doctors and therapies left us with far fewer answers than we were hoping. As always, Tessa continues to progress, but we are still trying to get to the root of what might be making the feeding process so challenging for her.

Medical
Tessa is our little peanut, weighing in now at 11 lb 6 oz. It’s a good gain though, 2 pounds in a month. Overall she looks really great. She has been battling a cough for awhile, but it seems to be clearing up finally. Her clogged tear duct hasn’t resolved itself yet, but the idea of someone sticking a probe into a hole that tiny has me so freaked out that I’m massaging the heck out of her little gland every chance I get. So far, she’s pretty easygoing, so I can do this without much of a fight.

We also took Tessa to see an Ear/Nose/Throat (ENT) doctor for a variety of reasons, but mostly because she continues to make a gaspy, high-pitched squeak on a fairly regular basis. We had attributed this to the laryngomalacia (floppy vocal cords) that we believe she has, but want to be sure that she isn’t aspirating on her food when she squeaks. Unfortunately, the ENT was running late and we had to feed our child, which meant that he couldn’t stick the camera down her throat. Boo hoo. I wasn’t terribly disappointed to delay that experience!! He did notice that Tessa has some fluid in her ears and if it doesn’t resolve in a month with some nasonex, she’ll be having surgery to have tubes put into her ears. If she has the surgery, he’ll just do the scope at the same time. If not, I’ll have the joyful experience of trying to hold our squirmy worm still while he does it. Eek.

Physical and Developmental Therapy
The bobble head is still present, but Tessa is showing great improvement! She loves to look over my shoulder, so she practices holding her head up a lot. Just like Ellie, she loves to see what is going on in the world around her. We have gotten better at getting the arms to come to her center (midline), but it is still a battle. We have expanded our use of kinesio tape to be used not just on her abs, but also on her chest/pectoral muscles. It looks goofy, but it seems to be be working well to help her lift her head and chest up. Now that we are teaching her to use the correct muscles to roll (not the head and neck), she can get up onto her side pretty well, but does not flip. This might seem like she has regressed, but it’s actually much more important for her to use the right muscles! We also have a pair of “hip huggers” for Tessa to wear. They are tight pants with the legs sewn together (like a mermaid fin) so that her hips align better. Unfortunately, the wiggly legs have found a way to wiggle right out of the pants, so our PT is working on making a new pair that she can’t get out of!

Developmentally, we are getting lots of smiles and coos from our sweet girl. She has been very vocal for the past couple of weeks and I am loving it!!! While her absolute favorite is still the ceiling fan, she mostly prefers to look at people and looks for faces to match the voices that she hears. We are now working on getting her to track 180 degrees (follow an object all the way from left to right) and would like to see her show more interest in grabbing objects. The rough estimate is that she is about 30% delayed right now. Not huge!!

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On a positive note, I can get Tessa to eat about one ounce a day in an upright position. One ounce out of about 25 per day sounds terrible, but please understand that two weeks ago, just putting the bottle in her mouth while upright caused serious gagging. I’ll take the small victory.

I’ve been back to work for two days now. It was so nice to have such a warm welcome back from my students and coworkers. They were actually so nice that my perfect April Fool’s Day trick was a total flop!! I had planned to tell my classes that Tessa had a really bad day at day care on the first day and that I was going to take the rest of the year off to be with her. Every time I tried to work up the courage to joke with them, I couldn’t do it!!! It really is good to be back, but I do miss these girls (and guy!) while I’m bringin’ home the bacon…

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The Fine Line

(Typing on an iPhone is obnoxious.)

As we sat down to dinner last night, we wanted to talk to Ellie about the fact that I was going back to work in the morning. The conversation went as follows:

Me: El, Momma is going to work tomorrow, so I won’t be here in the morning.

Ellie: You’re gonna go be a teacher?

Me: Yup, I sure am!

Ellie: and Daddy’s a teacher and when I’m a person (the word she uses instead of adult), I’m gonna be a teacher too! And Tessa’s gonna be a teacher too!!

John and I exchanged a pained glance and inwardly, I cringed. Outwardly, there was a forced smile and a “yup, she sure could be a teacher!”

Can she?

There is a fine line that we dance around as parents of a child with Down syndrome… the line between being realistic, based on what history has shown us and being optimistic… unwilling to create some self-fulfilling prophecy that keeps Tessa from her full potential. That line is blurry. What is her full potential?? And while all parents think about this with their children, it’s different when the child is toting around an extra chromosome. It just is.

The truth is that I don’t care what job Tessa has, that’s not the point. A person’s job or income is not the measure of their success in my world. What I want is for her to have choices. I tell my students almost every day that their education will give them choices. And I want the same for my own child. Happiness and choices.

The words “fair” and “deserve” are two that often make me cringe. Life certainly isn’t fair and when it comes down to it, I don’t know that any of us deserve anything, good or bad. That doesn’t keep me from wanting or hoping for my girls. We’ll continue to walk that line between realistic and hopelessly optimistic… praying every day that we wind up on the side where the glass is half full.

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Back in the Game

Three. Two. One……

Go!

It’s back to work time for this momma. 14 weeks have passed since Tessa’s arrival (seriously.) and I have a boatload of students waiting for me to teach them again.

I go back eagerly, though slightly unsettled. This was a monster week of appointments for Tessa and the rest of the family. Three therapies (plus one supervisor visit), two doctors, one “let’s get acquainted with day care” visit, a broken car, a seminar on Inclusion (tomorrow), a visit to the store to buy some pants that fit my postpartum body… The list goes on.

And did I mention that both of our computers crashed this week?

I will soon write an update on Tessa’s progress. The iPhone is not so conducive to the amount of information that I would like to share. Suffice it to say that while progress is slow, it is steady… But we also have more questions than answers today. This is why I’m unsettled….

I miss my classes and my work. Really, really. I am one of those working moms that loves working. But I don’t know how to do all of the searching and learning that I feel like I need to do without my nice two-hour afternoon stretch while Tessa naps. Soon there will be grading and meetings and students who have needs to be met and then there are lesson plans to be written…. And that 4:45 alarm makes me tired just thinking about it. Normalcy is returning to the Lay household. A new normal.

Please wish us luck. And send wine.

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Three

These are three things that people have said about Down syndrome since Tessa was diagnosed.  All three have been bouncing around in my brain for a little while now.

1. “You treat your child with Down syndrome like all of your other children – you just expect less.”

This statement came from an elderly woman who had raised a child with Ds many years ago.  God bless her for doing her very best with the information they had back then.  One of the greatest blessings so far in Tessa’s life is that she has been born into a world that has learned a lot (and is still trying to learn) about the potential of a child with Ds.  We are seeing more and more that there are FAR fewer limits to their potential than we thought.  My years in education have taught me that you can be firm, fair, and consistent with your expectations, but that you cannot treat all of the children the same.   My expectations for Tessa are consistent with what I expect from Ellie, but the approach to get her there will be different.  And like all of us in the Ds community, it is now our life’s work to break down the antiquated ideas  of what our kids can and cannot do.

2. “Every parent of a disabled child says they wouldn’t change their child.  But that doesn’t mean that you wouldn’t have chosen to terminate had you known before she was born.  It’s selfish to have a child like that.”

No.  Just, no.

Apparently, I made someone mad when I wrote about Tessa’s beautiful life and how I was so glad that she was born.  I didn’t ever think I would get a response like that… My only answer is no.

3. “I’m afraid that you guys won’t be fun anymore.”

A dear family member wanted to express the concern that we might become so wrapped up in the hard part of Down syndrome that we would lose our “zest for life.”  John and I really like to have fun.  We joke around approximately 96% of the time and generally find joy in most of what we do.  Clearly, not everything we go through with Tessa will be joyful.  But laughter is our lifestyle, we don’t go one single day without giggling about something.

When we got married, John and I vowed to have a strong marriage first, a strong relationship with our children second.  We believe that it is vital for our children to see their parents in a loving, committed relationship… we joke about our “united front” in our decision making all the time, but it really is something that we take very seriously.  And while life isn’t always easy and we don’t always agree and sometimes our kids take a lot more and we are left with only a few moments, those moments are important.  We aren’t willing to give up fun.

So to my dear family member, while our family might be a little different, so too will yours be when your family grows again.  However, in our house, priorities are priorities, and fun will be had.

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On Being Two and a Half

Here is a conversation that I literally just had in the car with Ellie:

Ellie:  Oh man, I lost my booger.

Me:  What?  What booger?

Ellie: My booger from my nose.

Me: (silently pray that it’s gone, long gone… or better yet, that it was just imaginary) umm…. How did you get a booger?

Ellie: Oh I got it.  From my nose.  (pause)  It’s not on my hand.  And it’s not on this hand either. (pause, then squeal)  HERE IT IS.  On my cheek!  I have my booger!!  My stupid booger.  Mom, do you know the “stupid” word?

Me: (in my head: oh yes, I know it well.  As a matter of fact, I probably taught it to you.  Crap, she pays way too much attention… I need to stop gossiping in front of her.)  Umm…..

Ellie:  It means you die.  And you have a stinky shirt and you don’t take a bath.  Can we go to Mimi’s house? 

I will miss two-and-a-half someday.

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