Just wanted to let everyone know for sure that Ricky got to go home on Monday. His PFTs in the morning were improved, though not back up to baseline, but they were willing to let him come home as long as I was comfortable with that. I said "YESSSS!!!" and he got some oral antibiotics and orders to start back up on the inhaled ones and we were on our way by about 2. Hooray!
Now we are in the Portland, Oregon area visiting Misty's dad's parents (aka the kids' grandparents). On Friday we're driving to Seattle and then on Saturday out to Quincy, WA to visit my friend Kat and her family. Then hooommmme 14 hours though I'm contemplating stopping partway back (in a place we can visit more friends -- Redding!).
Ricky has been more tired since he came home... He did sleep much of the way here in the car... But he overall seems to be doing BETTER now that he is out of the hospital. Who wouldn't, really?
Goodnight -- I'm exhausted!
Tuesday, August 4, 2009
Friday, July 31, 2009
well, darn it. :(
He is NOT going home on Saturday. Probably not on Monday, either.
His PFTs today were bad, down at least 10%ish in the areas I was told about.
The resident was alarmed to find out that Ricky had not been doing his vest treatments all week (since being on the NG tube; he says it hurts to do the vest with that in). This likely caused the drop in his PFTs and his need for oxygen for several days.
It is so frustrating that she just realized this. Everyone else has known this all week.
So yeah, he can't go home Saturday. He is having more PFTs Monday and then IF those are good, he MIGHT go home on Tuesday. The resident is not optimistic about him being well enough on Monday.
I am so, so disappointed. Crushed. No Ricky home. More hospital. Delayed, or no, vacation.
This disease SUCKS.
Just feeling sorry for myself tonight. :(
Ricky was a little disappointed but mostly said... "The vest hurt me." "I was sitting down when I did my PFTs so they weren't very good." "I got dizzy when I stood up so I had to sit down." I think he's resigned already. I'm just disappointed. :(
I know the picture above looks dramatic, but it's not really. It was taken last night (Wednesday); Ricky was sleeping and Misty was just making sure he was okay. :)
Thursday, July 30, 2009
Ups and downs!
Hi everyone! Ricky's had some ups and downs the past few days.
On Tuesday I got to the hospital at about 2:00, ready to re-access Ricky's port (it can only stay accessed for 7 days at a time). The nurse told me that by 4:15 his meds should be finished infusing and I could do it. At 7:00 I asked her again and she said it would be another 20 minutes or so. At 8:30 I was getting really frustrated because I wanted to get Misty home and put her to bed at a reasonable hour so I asked the night nurse what was going on. Turned out that Ricky was infusing on maintenance (saline)! Which meant that he could have been disconnected already! So she disconnected him from the line and by 9:30 he was finally deaccessed and reaccessed. We got home late that night.
On Tuesday, Ricky was also able to stop having Go-Lytely but then he was put back on it yesterday because he's still a bit plugged up. The doctors have been reluctant to pull the NG tube because they want to make sure Ricky will still drink his Miralax and Mucomyst. Yesterday I tried to convince them to take it out -- because he always drinks his Miralax at home -- and does he really need to have Mucomyst still? It is nasty and he really won't drink it. The lead resident was reluctant to do this, still wanted Ricky having Mucomyst, and finally decided to keep the NG tube in until Saturday -- but the good news was that they planned on discharging him on Saturday.
Fast forward to today... Ricky called me to tell me that they're taking out his NG tube today. A little while ago he called me again to tell me that it's out!!! Yay!!!
The new therapy vest arrived last week and we're going to be trained on how to use it today when I go see Ricky. Then we can take it with us on vacation when we leave on Monday. Hooray!
That's all for now...
On Tuesday I got to the hospital at about 2:00, ready to re-access Ricky's port (it can only stay accessed for 7 days at a time). The nurse told me that by 4:15 his meds should be finished infusing and I could do it. At 7:00 I asked her again and she said it would be another 20 minutes or so. At 8:30 I was getting really frustrated because I wanted to get Misty home and put her to bed at a reasonable hour so I asked the night nurse what was going on. Turned out that Ricky was infusing on maintenance (saline)! Which meant that he could have been disconnected already! So she disconnected him from the line and by 9:30 he was finally deaccessed and reaccessed. We got home late that night.
On Tuesday, Ricky was also able to stop having Go-Lytely but then he was put back on it yesterday because he's still a bit plugged up. The doctors have been reluctant to pull the NG tube because they want to make sure Ricky will still drink his Miralax and Mucomyst. Yesterday I tried to convince them to take it out -- because he always drinks his Miralax at home -- and does he really need to have Mucomyst still? It is nasty and he really won't drink it. The lead resident was reluctant to do this, still wanted Ricky having Mucomyst, and finally decided to keep the NG tube in until Saturday -- but the good news was that they planned on discharging him on Saturday.
Fast forward to today... Ricky called me to tell me that they're taking out his NG tube today. A little while ago he called me again to tell me that it's out!!! Yay!!!
The new therapy vest arrived last week and we're going to be trained on how to use it today when I go see Ricky. Then we can take it with us on vacation when we leave on Monday. Hooray!
That's all for now...
Monday, July 27, 2009
holding steady
Ricky's GI cleanout is nearly complete. He will likely get the NG tube out within the next day or two.
He was still needing oxygen yesterday so he had another chest x-ray, but it still looks pretty good. So the doctors weren't sure why he was still requiring oxygen to keep his O2 saturation up. Today, however, he was able to be weaned off of it, quite suddenly! Yay Ricky!
He's getting to the point that he's a bit stir-crazy. He wants to do stuff, eat real food (still on clear liquids right now), etc. Hopefully soon!
As long as things continue to improve, Ricky should be able to be discharged by the targeted two weeks that is a usual CF hospital visit. Keep your fingers crossed!
I have more photos, from yesterday, but I'm pretty tired so they'll have to wait. Thank you all for your good thoughts for Ricky!
He was still needing oxygen yesterday so he had another chest x-ray, but it still looks pretty good. So the doctors weren't sure why he was still requiring oxygen to keep his O2 saturation up. Today, however, he was able to be weaned off of it, quite suddenly! Yay Ricky!
He's getting to the point that he's a bit stir-crazy. He wants to do stuff, eat real food (still on clear liquids right now), etc. Hopefully soon!
As long as things continue to improve, Ricky should be able to be discharged by the targeted two weeks that is a usual CF hospital visit. Keep your fingers crossed!
I have more photos, from yesterday, but I'm pretty tired so they'll have to wait. Thank you all for your good thoughts for Ricky!
Sunday, July 26, 2009
yesterday was rough
Andrew and I got to the hospital (after a fairly restful night) at about noon. The nurse kept us out of the room because Ricky had just had umm, just started to unplug, and there was a mess being cleaned up. She told me that Ricky's blood oxygen levels had started to drop overnight, into the high 80s, so he had gone for a chest x-ray in the morning. Since then the saturations had gone up into the low 90s, which is still low for him.
Eventually we got to go in and see Ricky, who was all cleaned up (along with his room). We hung out with him for a while, but as we did his oxygen saturation was dropping and dropping. 90, 89, 88, 87... As far down as 86. Nobody did anything. I finally went and talked to the nurse. Were they going to do anything about his oxygen levels dropping?? The nurse finally paged the respiratory therapist.
The respiratory therapist came and did a treatment. Ricky had been feeling too poorly to do his vest but at least he did the treatment. Problem was, though it did bring his sats up to the low 90s, they dropped back to 86ish right after that.
I went and asked the nurse to page the resident so I could ask about the x-ray and the plan for treatment. I waited for the resident for almost an hour before I had to go get Misty from her dad's.
We got Misty and came back... The resident had just left. D'oh. They paged her and she came to talk to me. She said that his chest x-ray was actually much improved. She thought it was possible, though, that he had aspirated during the traumatic NG tube placement the night before and the resulting congestion just wasn't showing up on the x-ray yet. He also had a small portion of possibly collapsed lung on the lower left. She said it was okay for him to be on oxygen if he needed it.
I asked whether the NG tube could be pulled soon. She said they wanted his stools to be clear before they'd take it out. He has a long way to go before he gets to that, it sounds like... He was very full of poop the last time they did an x-ray of it.
After the resident left, Ricky's O2 saturation continued to deteriorate. It never got about 90 after awhile (before that, it had been fluctuating a bit). He had fallen asleep and a nurse came in and put the oxygen mask on him. He doesn't like cannulas even under normal circumstances, and especially when he has the NG tube in. The problem with the mask is that they have to crank the O2 up to 6 liters or it isn't effective.
Ricky slept for several hours. He slept with his brow knit into a wrinkled expression -- he was clearly not feeling well. When he woke up he was still drowsy and looking uncomfortable. He lay there looking sad and in pain for the rest of the time we were there. He had another breathing treatment as well.
When it was time to go, it was really, really hard to leave Ricky. I gave him a hug and a kid and told him I love him. He said he loved me too and squeezed my hand. My poor guy. I hope he got good rest last night.
This morning I spoke with Ricky and he sounded cheerful. Yay. :) He is still on O2 and still has the NG tube but it sounds like maybe he did get that rest.
Going up to see him shortly.
Eventually we got to go in and see Ricky, who was all cleaned up (along with his room). We hung out with him for a while, but as we did his oxygen saturation was dropping and dropping. 90, 89, 88, 87... As far down as 86. Nobody did anything. I finally went and talked to the nurse. Were they going to do anything about his oxygen levels dropping?? The nurse finally paged the respiratory therapist.
The respiratory therapist came and did a treatment. Ricky had been feeling too poorly to do his vest but at least he did the treatment. Problem was, though it did bring his sats up to the low 90s, they dropped back to 86ish right after that.
I went and asked the nurse to page the resident so I could ask about the x-ray and the plan for treatment. I waited for the resident for almost an hour before I had to go get Misty from her dad's.
We got Misty and came back... The resident had just left. D'oh. They paged her and she came to talk to me. She said that his chest x-ray was actually much improved. She thought it was possible, though, that he had aspirated during the traumatic NG tube placement the night before and the resulting congestion just wasn't showing up on the x-ray yet. He also had a small portion of possibly collapsed lung on the lower left. She said it was okay for him to be on oxygen if he needed it.
I asked whether the NG tube could be pulled soon. She said they wanted his stools to be clear before they'd take it out. He has a long way to go before he gets to that, it sounds like... He was very full of poop the last time they did an x-ray of it.
After the resident left, Ricky's O2 saturation continued to deteriorate. It never got about 90 after awhile (before that, it had been fluctuating a bit). He had fallen asleep and a nurse came in and put the oxygen mask on him. He doesn't like cannulas even under normal circumstances, and especially when he has the NG tube in. The problem with the mask is that they have to crank the O2 up to 6 liters or it isn't effective.
Ricky slept for several hours. He slept with his brow knit into a wrinkled expression -- he was clearly not feeling well. When he woke up he was still drowsy and looking uncomfortable. He lay there looking sad and in pain for the rest of the time we were there. He had another breathing treatment as well.
When it was time to go, it was really, really hard to leave Ricky. I gave him a hug and a kid and told him I love him. He said he loved me too and squeezed my hand. My poor guy. I hope he got good rest last night.
This morning I spoke with Ricky and he sounded cheerful. Yay. :) He is still on O2 and still has the NG tube but it sounds like maybe he did get that rest.
Going up to see him shortly.
Saturday, July 25, 2009
we have an NG tube
Two enemas on Thursday. One on Friday. A moderate amount of poop Thursday and a ton on Friday morning. But the doctors told me that it wasn't enough. A KUB (abdominal) x-ray on Friday morning showed even more stool than the one from a few days ago. It had moved around some but it wasn't coming out.
Many hours after this afternoon's enema he still hadn't had any poop. Or anything else (the Mucomyst enema didn't come out either, which was weird). Around dinnertime the resident started talking to me about an NG tube to run Go-Lytely through and make things move along. Apparently they had wanted to do it on Thursday but held off. She said that even if he pooped, or we did more enemas, he'd still need the NG tube. I told her I wasn't sure what to do. I had convinced Ricky to do the earlier enema by promising him he wouldn't have to have an NG tube if he did it, which I thought was the truth. I felt like a big meanie.
After 8 the resident came to ask me what the decision was. I told her I guessed the should do it, but I didn't want to be involved in holding him down. I did say I would hold his hand and/or be there if he wanted me. I just wasn't happy about the situation.
I held off as long as possible to tell Ricky that he was going to have the NG tube placed. He started covering up his nose and protesting. Close to midnight, the nurses finally came in to do the NG tube placement. With three of them and me (yeah, they asked me to help hold him) we did not have enough strength. Ricky scrambled and squirmed and buried himself under his blanket. A nurse called for help from another unit and a big male nurse and another strong nurse came. So in the end I did not have to hold him and there were four people holding him down and one placing the tube. Ricky kept asking if he could just drink some Mucomyst so they wouldn't have to do this, but we all knew that would not work for him. It was all or nothing. Finally he started pleading: "Mommy, help me!" :(
Finally, the NG tube was in. Of course, then they couldn't tell if it was placed correctly. They listened and listened and didn't hear the proper sounds. But finally... It was in the right place. And now his nurse just came in and started the pump with the Go-Lytely.
Ricky is tired and sweaty and Andrew is playing Wii. I think Andrew and I will lie down soon; he's not supposed to stay overnight but I'm going to see if we can swing it anyway. I have nowhere else for him to go as my mom is still recovering from surgery and she is really our only option. At least Misty is with her dad overnight.
Exhausted. :(
Many hours after this afternoon's enema he still hadn't had any poop. Or anything else (the Mucomyst enema didn't come out either, which was weird). Around dinnertime the resident started talking to me about an NG tube to run Go-Lytely through and make things move along. Apparently they had wanted to do it on Thursday but held off. She said that even if he pooped, or we did more enemas, he'd still need the NG tube. I told her I wasn't sure what to do. I had convinced Ricky to do the earlier enema by promising him he wouldn't have to have an NG tube if he did it, which I thought was the truth. I felt like a big meanie.
After 8 the resident came to ask me what the decision was. I told her I guessed the should do it, but I didn't want to be involved in holding him down. I did say I would hold his hand and/or be there if he wanted me. I just wasn't happy about the situation.
I held off as long as possible to tell Ricky that he was going to have the NG tube placed. He started covering up his nose and protesting. Close to midnight, the nurses finally came in to do the NG tube placement. With three of them and me (yeah, they asked me to help hold him) we did not have enough strength. Ricky scrambled and squirmed and buried himself under his blanket. A nurse called for help from another unit and a big male nurse and another strong nurse came. So in the end I did not have to hold him and there were four people holding him down and one placing the tube. Ricky kept asking if he could just drink some Mucomyst so they wouldn't have to do this, but we all knew that would not work for him. It was all or nothing. Finally he started pleading: "Mommy, help me!" :(
Finally, the NG tube was in. Of course, then they couldn't tell if it was placed correctly. They listened and listened and didn't hear the proper sounds. But finally... It was in the right place. And now his nurse just came in and started the pump with the Go-Lytely.
Ricky is tired and sweaty and Andrew is playing Wii. I think Andrew and I will lie down soon; he's not supposed to stay overnight but I'm going to see if we can swing it anyway. I have nowhere else for him to go as my mom is still recovering from surgery and she is really our only option. At least Misty is with her dad overnight.
Exhausted. :(
Thursday, July 23, 2009
today's update
Ricky has had a rough time of it these past couple of days. He started off on Tuesday night (after I had returned home from going there to re-place his port needle) refusing to take his meds or do his vest treatment. I went up there to see him yesterday after work and together with the child psychiatrists, we worked out a plan for him to earn video games if he does his treatments and meds like he's supposed to.
Ricky has pretty much lost his appetite, and has had a couple of uncomfortable procedures yesterday due to the fact that he is now also developing a bowel obstruction. Argh!!! These treatments continue today and hopefully things will improve soon. I'm going to talk to the resident about getting Ricky home on home IVs soon so we'll be able to go on our vacation starting August 3. He also does better with his eating at home and doesn't develop these pesky bowel issues.
To see the photos I'm uploading during this hospitalization, you can go here.
If you'd like to send Ricky a virtual card, you can go here and do it for free. You will need to give his name, Richard Whicker, and room number, 3341.
Did you know that Ricky has a Facebook fan page? You can find it here and become a fan. :)
Finally, Ricky's doing a Tupperware fundraiser for CFRI and Packard Children's Foundation. ALL of my consultant profits for this fundraiser are going to those two organizations in Ricky's name. If you're interested in helping out, you can go here to shop.
Ricky has pretty much lost his appetite, and has had a couple of uncomfortable procedures yesterday due to the fact that he is now also developing a bowel obstruction. Argh!!! These treatments continue today and hopefully things will improve soon. I'm going to talk to the resident about getting Ricky home on home IVs soon so we'll be able to go on our vacation starting August 3. He also does better with his eating at home and doesn't develop these pesky bowel issues.
To see the photos I'm uploading during this hospitalization, you can go here.
If you'd like to send Ricky a virtual card, you can go here and do it for free. You will need to give his name, Richard Whicker, and room number, 3341.
Did you know that Ricky has a Facebook fan page? You can find it here and become a fan. :)
Finally, Ricky's doing a Tupperware fundraiser for CFRI and Packard Children's Foundation. ALL of my consultant profits for this fundraiser are going to those two organizations in Ricky's name. If you're interested in helping out, you can go here to shop.
Tuesday, July 21, 2009
back in the hospital :(
Ricky's back in the hospital.
It all happened rather quickly, actually. Sunday night after he had done all of his breathing treatments, he informed me that he was wheezy and his chest was tight. I put my ear to his chest and I could hear whistling and rumbling. This should not have been the case after his treatments. I called the CF doc on call and he told me to give Ricky treatments every three hours all night. I had Ricky sleep next to me (he has a loft bed, which would have been difficult to deal with) and I did the treatments throughout the night.
In the morning, things were not much better. I called in sick, and called the CF nurse to let her know. She called back a while later and, to my surprise, said they would be directly admitting Ricky. This hasn't happened in a long time. Usually we have to go through the emergency room first.
I packed a bag for Ricky and we headed up to the hospital. He fell asleep on the way and was still sleepy and woozy when we got there, so I put him in a wheelchair. He was definitely short of breath. He got admitted fairly quickly and then it was so much hurry-up-and-wait.
It was nearly impossible to get him to wake up. I had to hold him and stand on the scale. Yes, he weighs about 100 pounds. Urgh! Because he came in with a cough (duhhh... He has CF) they had to do a nasal swab to test for "flu A" which I understand includes swine flu. We couldn't get him to cooperate, and he was still sleepy, so I had to help two nurses and a CNA hold him down so another nurse could swab his nose. That was tough. :(
After that he was moved, still sleeping, to a double-doored isolation room just in case he did have the flu. I still think it's unlikely since he didn't have a fever (though he rarely does) or any other flu symptoms...
When he woke up, after several hours, I accessed his port (these days he only likes me to do it, sigh) and he started being infused. I left to get Misty from her dad's and Andrew from home, and brought them back up to see Ricky for a while. Then we headed home at Misty's bedtime.
Today I went to work and I got a call within the first hour to tell me that Ricky's port had been contaminated, and they couldn't risk infection by using it any longer. He would need to be reaccessed, but he apparently still only trusted me to do it. *sigh* So after my 10:00 meeting I drove up there and took care of getting him deaccessed, numbed (found a new numbing patch that is GREAT, works way better than the topical ointment we use at home to flush the port), and accessed.
The nurse informed me that Ricky had refused to use his chest therapy vest this morning. *sigh* So I hung around and made sure that he used it for his afternoon treatment. Then I left, because we were celebrating Misty's birthday (which was yesterday) at my mom's.
I got a call as the other two kids and I were leaving my mom's, from Ricky's nurse. She informed me that he had been sleeping since approximately 3:00 and was refusing to take his evening meds. I talked to him on the phone and he just kept saying he was tired. *sigh* The nurse said they'd try at 8 to give him all of his evening meds and that she'd call me if there were any problems. It's almost midnight and I haven't heard a peep so I guess that's good news.
Tomorrow I need to ask about the flu test, yesterday's and today's chest x-rays, and today's pulmonary function testing. Just wondering if this will be a short stay or a looong stay. Or maybe somewhere in between.
So far he is taking his Miralax okay, as far as I know. So hopefully no bowel blockage this time...
Guess that's all for now.
Saturday, July 18, 2009
Update
Us on the fourth!
Hi everyone! Sorry it has been so long since I updated.
Ricky has been in summer school so I've had to get him back onto an earlier bedtime schedule. I am lucky that he has agreed that this is a good idea. He has been really good about his treatments, etc. Speaking of which... He's getting the new Respirtech vest system! He already has the Hill-Rom version but it's old and (and analog). The Respirtech vest is digital and automated and COMPACT! We will have it in time for our vacation the first week of August! Hooray! Look at how small it is! Here is more info about how this machine helps people with CF.
By the way, Ricky is still dizzy-spell-free! We have maxed out the Topamax dose... He was on 3/4 dose and still had very occasional spells so we went up to the max we are allowed to use. Hopefully this does the trick. I am just so relieved that he doesn't have to go through those anymore!!!
Still fighting those stupid insurance battles. It seems like every other med for Ricky requires a prior authorization. It is incredibly frustrating.
Ricky's gearing up for bipolar camp at the beginning of August. This will be his fourth year going and they've had it for five years now. He missed it two years ago because he was unstable.
Guess that's it for now!
Thursday, July 2, 2009
long-overdue update
I know, I know, I've been bad about updating! Had a little staycation at home when my BFF from Washington came to visit.
Last Tuesday, Ricky had his appointment with endocrinology. The good news is that he has grown an inch and is showing signs (I'll spare you the details) of puberty. The endocrinologist checked the computer for the MRI results and found that there were some interesting things found, but nothing significant to the growth issue... Which I suppose is now a non-issue! I got a copy of the neurology report. We did not need to make a follow-up appointment but we're following up with the CF doc of course, and she'll refer us back to endocrinology if Ricky shows signs of CF-related diabetes or anything else of concern.
A couple of days later I got a call from the neurologist's office saying that his MRI was essentially normal... Nothing to worry about.
Good news on the neuro front... Ricky's dizzy spells have STOPPED. That's right. No more. He is at 3/4 of the total dose of Topamax that was prescribed to him. I hesitate to be hopeful because my hopes have been struck down so many times. But... This IS hopeful stuff.
Ricky has still been tired a lot and has the chronic cough going on... But he is still healthier than he has been in a long time. Yay, Ricky!!!
He had an orthodontist appointment last week. We have been going back periodically because Ricky's teeth have been around 5 years behind. The last time, we went back to the dentist and Ricky had four teeth pulled. Luckily (?) after that he lost a bunch of teeth in quick succession (including one a couple of weeks back), and now in fact he is about to lose the last baby tooth he has.
The problem with the teeth is that he is already growing in permanent teeth that have nowhere to go because his mouth is so small and his teeth so plentiful. It is possible to see permanent teeth under the surface trying to come in. So in a few months he'll have to have some permanent teeth pulled and move into orthodonture (oh joy). The dental coverage we have right now doesn't cover orthodonture, so we'll have to cross that bridge when we come to it.
In case you're wondering about the picture attached to this entry... That's not some sneaky surprise of mine. That baby is Elliot, new baby son of our friend Rachel. Ricky still remembered how to hold a little baby without being shown! :)
Guess that's it for now...
Last Tuesday, Ricky had his appointment with endocrinology. The good news is that he has grown an inch and is showing signs (I'll spare you the details) of puberty. The endocrinologist checked the computer for the MRI results and found that there were some interesting things found, but nothing significant to the growth issue... Which I suppose is now a non-issue! I got a copy of the neurology report. We did not need to make a follow-up appointment but we're following up with the CF doc of course, and she'll refer us back to endocrinology if Ricky shows signs of CF-related diabetes or anything else of concern.
A couple of days later I got a call from the neurologist's office saying that his MRI was essentially normal... Nothing to worry about.
Good news on the neuro front... Ricky's dizzy spells have STOPPED. That's right. No more. He is at 3/4 of the total dose of Topamax that was prescribed to him. I hesitate to be hopeful because my hopes have been struck down so many times. But... This IS hopeful stuff.
Ricky has still been tired a lot and has the chronic cough going on... But he is still healthier than he has been in a long time. Yay, Ricky!!!
He had an orthodontist appointment last week. We have been going back periodically because Ricky's teeth have been around 5 years behind. The last time, we went back to the dentist and Ricky had four teeth pulled. Luckily (?) after that he lost a bunch of teeth in quick succession (including one a couple of weeks back), and now in fact he is about to lose the last baby tooth he has.
The problem with the teeth is that he is already growing in permanent teeth that have nowhere to go because his mouth is so small and his teeth so plentiful. It is possible to see permanent teeth under the surface trying to come in. So in a few months he'll have to have some permanent teeth pulled and move into orthodonture (oh joy). The dental coverage we have right now doesn't cover orthodonture, so we'll have to cross that bridge when we come to it.
In case you're wondering about the picture attached to this entry... That's not some sneaky surprise of mine. That baby is Elliot, new baby son of our friend Rachel. Ricky still remembered how to hold a little baby without being shown! :)
Guess that's it for now...
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