Saturday, December 11, 2021

Ugly Tuesday

 I am not a fan of Tuesdays.  Just not a fan.  And I believe that Tuesday doesn't care for me either.  There is a karmic list somewhere that entails all of the ugly Tuesdays I've endured.  Sometimes it's a litany of little things.  Other days, it's one big thing that shifts my heart from a waltz to a mosh pit.  This week, the Tuesday shifted me from complacent and determined to sobbing on the phone to our Hospice social worker.  

I've been racing home every day because our gracious caretaker is staying past her predetermined time until I can get home.   Until Grandma Linda gets better, there's no one who can stay with Libby until I get home. Tuesday is usually shower day.   Showering Liberty is generally a time fraught with little dangers.  Because I have slipped a few times barefoot, I have special shoes for showering and Libby pooping; I call them my shower shoes. Just getting her into and out of the shower area is dangerous.  Keeping her safely on her shower chair is dangerous. Not getting her body dried off quickly and completely is dangerous.   Holding her on her potty chair so that we can change the dressing on her feeding tube, get deodorant, bra and t-shirt on is dangerous.  On alternating days, forcing a poop while on the potty chair is dangerous.  This involves a blessed suppository before we get into the shower- keep that in mind.  

This Tuesday was a double-up day: shower and potty. 

This Tuesday, Liberty was stiff- very stiff.  If she wasn't smelling so icky, I would have postponed the shower due to this stiffness.  (I do bed wipe-downs between showers.) We made it through the shower.  Got dried off.  Got her onto the potty.  Got her deo, bra, and shirt on.   ((Deep breath))   Went to cut the dressing and tape off of Libby's feeding tube and the whole damn tube popped out.   This happened simultaneously as Rachael was wheeling Grandma Linda into our house. 

I tried to push that tube back in.  I folded that little anchor balloon and tried to save the tube.  Keeping the feeding tube has been so important.  This is how we have been getting the liquid meds and tinctures into Libby.  This is how I have been getting more liquids into Libby.   This is how we have been able to give her the much-needed high caloric formulas.   

In my mind, I politely asked for Rachael to join us in the bathroom.  I was also calling our Hospice nurse who was in an intake and didn't answer.   I called the Hospice Social Worker which is when I broke down.  I knew that we would not be replacing this most vital tube.  It has been a lifesaver for us.   Some days Libby swallows liquids very well and other days she chokes.   That tube has been a blessing.  Now it is gone.  I ugly sobbed on the phone while trying to dress the quickly closing hole in her belly.  This whole time, Libby is looking at me so weirdly as she doesn't really know what is going on, except that she needs to poop NOW.   This dual-purpose bathroom visit is carefully timed.  Very carefully timed. 

By the time I got off the phone, it was DEFCON level three for Liberty's potty time.  So my shower shoes, old running shoes, became truly SHIT SHOES.     

Good thing we are washable.  R.I.P Tummy Tubaca

We made a few more calls and discussed for the next few hours and decided that we would not be replacing that tube.  I believe her body rejected that damn tube and spit it out.  Libby has been pulling and fussing with it.  Sometimes she has even grabbed at my hands while feeding her through it.   I pray we can continue to add additional calories without the tube.  So far, we've been doing good with the additional little feeds throughout the day.  

This Tuesday literally shit on me and metaphorically on Libby. Little laugh before we continue

Now on another battlefront, it is looking like Liberty's baclofen pump will be refilled next week.  Her pump refills have been every six months at Cook's Children's in Ft. Worth.  That may be too far for Libby to make it in a car.   Then I thought, okay, we can switch to pills.  It's a terrible transition from pump meds to pills. There is the element of the ugly detox as well: big difference between meds through your whole system than meds through your spinal fluid.  


Then there is the cost.  We have an appointment here in Amarillo on the 15th,  but the funding is an issue.  We are talking several thousand dollars.   It is magical what a call from our BELOVED Dr. Hottie, Dr. Acosta, and our Hospice Care team can cure. That is how we got the appointment on the 15th.  

Praying for this appointment to go through.  Wait, I almost forgot the kicker- her pump has an internal alarm.  This will start beeping on Wednesday. That's right, her belly will be beeping at us.  

I cannot express the amount of disparity in my emotions. These last few days of this semester are so important and I will be grateful when we finish this semester just as I have been blessed to get to school most days.    Hoping for the very best non-Tuesday days ahead.  

Whatever is going on, you are enough.




Sunday, December 5, 2021

Flying


Sunday afternoons we try to watch something that we all enjoy. This Sunday we stumbled upon the series on National Geographic, “Dr. Oakley”.  She’s a veterinarian in the Yukon. At the end of one episode Dr. Oakley has rehabilitated two eaglets who each had a complex fracture in a wing. They were born normal, but some trauma had taken their very important ability to fly.  Weeks of rehab and healing and they were ready to be released. 

“We started with two young birds that were quite broken and now they’re being released. Now they can fly.”   

Seeing those eaglets fly off after weeks of healing, reminded me of Libby.   She was once whole and has spent over half of her life with a body that has become progressively more dysfunctional.  

Sadly our medical interventions have not healed Libby, but they have helped to keep her happy and comfortable.  Since earthly healing has not come, she regain her wings through other worldly powers.  
One day, she too will be healed and fly away.  She will fly again because our God will remind her how.  


Monday, November 15, 2021

The Veil

I dream.  I don’t know that I’ve ever dreamt this much, or maybe I am just remembering them more. Or I just want to remember. 

 I’ve continued to sleep with Libby, probably as much for me as it is for her.  Some nights we sleep hard straight through.   Other nights she moves and kicks and fidgets all night long.  It’s like trying to sleep with someone break dancing; that’s an antiquated reference.  It’s taking more and more to knock us both out.

I had one lovely dream of Libby in her fragile little body of today, except her body is working.   She is dancing.  Now she has always been a waltz in a world of two-steppers.  She is dancing in her cowboy boots. She is dancing to a rhythm no one else could ever hear.  Happily stomping in her own way doing her “happy feet” moves that are completely her  own. 

She has this authentically perfect way of ignoring the rest of the world and just dancing.  The only thing in this dance is that she is confused.   She’s looking at me and asking “what’s happening?” More Liberty dancing then “Mom what’s changing?”  Then she was moving those fast little feet again, and I woke up talking nonsense out loud with wet cheeks. 




Three Saturdays ago , Libby giggled throughout the night. Seriously- giggling. The kind of happy, care free little girl giggling that is rare.  The kind of uncontrollable bubbly giggling that cannot be contained. She was giggling and then  would clearly say, “yea” several times.   She was even shaking the bed.  She giggled through the night and into mid-morning.   

I asked Libby what was so funny and she’d get quiet and go on sleeping.   She was sleep laughing. 

It was so random that it was both deliciously creepy and sweet. Luckily, Rachael heard it as well.   Later that evening, we were telling Grandma Linda about our “Giggler”.   I asked Libby what she was laughing at- more giggles.  Then I asked her WHO she was laughing at.   She got serious.  I went down the list of names: Sister, Jasmin, Xavier, Rachael, Betherty, Uncle David, and Jennifer,  to no response. I had a silly hunch, so I asked  if Grandpa Terry was telling her his corny jokes and she said “yes” in the most clear voice.   And she giggled some more.  
 
Don’t know about many things, nor do I understand many things, but I know the love we share in this life bridges to reach the other side. 
It makes my heart smile to think of Terry whispering his goofy “Dad” jokes to Libby. 





What a gift.  My friends this is hard, heart breaking shit, but she continues to bless us with glimpses across the veil.   Some days I feel as if I will suffocate from the weight of it.  Then she giggles or tries to reach out for me.   And I take a breath and keep going.   

Thank you for reading and supporting us.   We are blessed. 

Wednesday, October 20, 2021

The Mostly Short Version of the 12 Year Saga

This is not my story; this is Liberty's story. I am just cataloging her journey. It used to feel like a bite was being taken out of me every time I told her story.  Now, it is a review process that allows me the chance to remember and remind myself of how far we have come. 

(I took three older posts and added the last few years. I apologize if there are still repetitions.)


Libby was born on her due date perfectly normal on January 9, 1997, in Ruidoso.  Her sister, Mariah, was my birthing coach.


She met every cognitive and physical measure early including crawling out of her crib at 9 months.  She was so adventurous that she could have been hurt many times.  Libby loved to climb and hide. She would climb up anything she could, including bookcases, weight racks, and later tops of cars and trees.  She earned the nickname "Eagle Eye" as she is able to see things others miss. 


If there was a way to push the boundary, she would find it. She is the personification of her name in every way.  She didn't care about rules and hated being told to speak to people on command, and Lord help you if you wanted her to hug someone.  Liberty didn't perform on command.  Now, let her listen to a song once or twice and she would memorize it.  By four I could challenge her to see if she could memorize a song faster than me.   I would begin a song lyric and she would finish it. 


We are outside people. We camped, hiked, worked in Palo Duro Canyon, and Geo-cached everywhere we could.   It was no big deal for us to play in the water in the canyon or return from hiking, and then check each other for bites.  It's awkward, but it is what you do, especially when the grasses are taller than your kids.  This is the Texas Panhandle and if the heat and cold don't kill you, then there are plenty of things that'll bite you.  


In 5th grade, Libby was Commended in her Reading. She even earned a phone call home from her elementary librarian with questions as to whether or not Libby needed to read Janet Evanovich and Lord of the Rings instead of her AR books. She was rocking her trumpeting skills in band, singing in front of everyone almost every week at church, and working on her basketball skills. The math and physical coordination genes did miss this kid.  Math and coordination did not come naturally. Socially, she preferred animals to people and would rather play than abide by any girly stuff.  She is our little wolf and LOVES dinosaurs.   


The night we returned from our last big camping trip in July 2007, where we had been to Southern Utah and Libby had what we believe was a massive seizure.   Mariah woke us up and saw Libby mid-seize on the top bunk. This changed everything.  We headed to the nearest hospital by ambulance and our testing trials began.  Even though there was blood taken, there was little analysis and we were only given the advice to get her seen by someone who deals with seizures.  We brought up several times the long camping trip and the land, lakes, and streams we had been swimming, fishing, and hiking in.   


The next morning we were sitting in our pediatrician's office and were then sent with referrals to get the EEG and EKG to see if there was anything neurologically wrong.  Over the next year, Libby had visited hospitals in Amarillo and Lubbock had three more seizures, many EKG and EEG's, MRI's, sleep studies, and lots of blood work.  Nothing.  Everything came back normal.  We carried paperwork that stated she had an Undiagnosed Seizure disorder.  


In November of 2007, Libby's Grandpa, Terry Collins left us.  She didn't cry or sing for months.   She stopped drawing and writing her stories. 


The next year, 2008-2009, 6th grade seemed fairly normal. Her big sister, Mariah, was a senior and the world was changing, so normal may be the wrong term.  Looking back there were many signs that something was affecting Liberty neurologically.  You don't know what you don't know. Her speech showed some weirdness, where she would drop off parts of words.  Interestingly, her singing remained outstanding.  Her ability to play her trumpet at the high level she had before remained static, except for sometimes she showed an inability to sustain the breath needed. Her handwriting got weird, really weird. But this is the kid who invented her own writing that was only to be read by animals with paws when she was three or four, so weird handwriting- eh.  She started sneaking spoons to school in her lunch box instead of forks.  She also started using bendy straws, we call them "sick straws" as well. 

Her shirts had some weird stains and I would find them hidden in weird places. She tried to shave her legs for the first time and called me crying because she had cut her leg, also not unusual.  Now, when she decided to use a razor to trim her eyebrow and called me with a thug-looking brow into the bathroom, I took the razor away from the kid who was starting to shake- alot.  Once we made it through Mariah's graduation and summer hit, we got Libby into singing lessons.  We did elocution practice at home, as well as some handwriting review.  We spent that summer building up Libby's self-esteem.  (I thought she was acting out because of the loss of her Grandpa and her sister graduating.)


I noticed a tremor in her hands and started watching her blood sugars and eating patterns.  Diabetes does run in my family. I noticed that she spilled food a lot and had trouble drinking unless she used a straw.   She had probably been having hand tremors for a while and had hidden it. I didn't catch it.  


In July 2009, she started her menstrual cycle.  In August she passed her yearly Pediatric check-up and we were reminded to keep an eye on her emotions as she may be depressed and reacting to Mariah's graduating and the many other changes.  She also passed her athletic physical to play basketball and tennis.  


We went on a regular hike, a long hot hike, and I basically had to carry Libby back.  She said her left leg hurt and didn't feel right.  I thought she was being a wolf princess butt and was claiming fatigue. 


7th grade started and her teachers began contacting us about changes they were noticing in Libby.  She was referred to a local psychiatrist.  I made an appointment for the middle of October to check in with our Pediatrician. The school's diagnostician did some cognitive tests and called me on October 2, 2009, my 39th birthday.  She said that she thought that what was going on with Libby was biological and that she thought something was wrong.  


By the end of the first six weeks of her 7th-grade year, 2009-2010, Libby was falling a lot, her left arm was curling in whenever she run, she couldn't get a spoon to her mouth, she couldn't rinse out her hair, her handwriting was illegible, her speech was disintegrating and she collapsed one day on the way home from school.  An ambulance brought her to the nearest clinic, her Pediatrician's clinic, and all tests showed nothing.  She must be very tired. 


We saw our regular doctor and then more tests at the hospital in Amarillo, then on to Lubbock.  The Neurologist was in Lubbock, the same one that we had seen for the seizures. We were referred to Cook Children's in Ft. Worth. On Rachael's birthday, November 12th, we arrived on a Thursday evening in November, by now we are helping her shower, dress, and feed herself. That Friday, the first doctor we saw referred us to another and ordered tests.  We were to go home, pack, and return on Monday prepared for a long stay.  

We spent the weekend putting up our Christmas decorations almost as if we had the recognition that the return visit to Cooks would be a more extensive stay. We also had Mariah come home so we could talk to her and prepare her. For what, we didn't know. From Rachael: I can vividly remember being up on the roof of the house with Mariah hanging Christmas lights and talking to her about the very real possibilities of where we might be headed with Liberty and what a diagnosis could bring our way. I didn't even know and now I was having to prepare Mariah that her sister might never be the same again. It wasn't the same jolly time we'd had in previous years putting up lights with Christmas songs playing in the background. 

We were in the hospital for 14 days.  During that time every sort of test you can imagine was run. At first, they thought she had a very progressive form of early-onset Multiple Sclerosis, or Huntington's, or a form of Palsy, or maybe she had gone through multiple strokes, or ALS, Wilson's, Meningitis, HIV, and more that we cannot even remember. Libby had blood tests, EKG, EEG, Lumbar puncture, Liver biopsy, skin biopsies, 24-hour urine catch, more blood tests, and an MRI with and without resolution.


The MRI showed an area in her right frontal lobe the size of a quarter that had undergone either atrophy or necrosis.  Her brain was also smaller than it should be. Basically, that portion was dead and not working.  This area had been missed by all the other MRI machines she had been in.  The one at Cook Children's had more power or resolution.  What our Neuro doctor, Dr. Hottie said, is that something had probably been killing that part of her brain for a long time and that she had slowly been losing her fine and major motor skills for some time.  It had finally reached a critical mass and that is why it seemed like she had fallen apart all at once.  


Her Lumbar puncture showed something, a possible form of Encephalitis. He gathered a crew of specialists, including a Geneticist, who did all of the background testing possible.  Down to requesting the chemical results from our water system here at home in Happy.  They also had Carbon Dioxide detectors placed in our house just to make sure.  We asked again if she could have caught something during our outdoor exploits.  


We were told at a staffing meeting, think of the TV show "House", to start thinking about whether we wanted quality or quantity of life for Libby.  We chose quality that day. We still choose quality. We were released on Thanksgiving Day, 2009, with two more referrals back home, therapy referrals, a prescription for a Parkinson's medication, Sinemet, and follow-up appointments at Cook Children's.  We were told to get her baptized and prepare our family, at the rate her degeneration was progressing we didn't have much time.


After we returned, the first appointment was a basic eye appointment for further testing for Wilson's or other genetic abnormalities.  Christmas happened.  New Year happened.  We were in shock and grateful to be home.  My little wolf cub doesn't do well in captivity.  On January 2, we saw an Ophthalmologist.  After going through the whole background, he performed his regular eye exams and asked if she had been tested for Lyme disease.  He ordered blood tests, didn't know eye doctors could do that, for Cat Scratch Fever, Lyme, and Rocky Mountain Spotted Fever.  


January 10, 2010, the results came back positive for Lyme through the ELISA Lyme test.  I called our doc at Cook Children's and left a message about the results.  He called back and said this could have been caused by Lyme. Our local Pediatric doc and Dr. Hottie agreed to a two-week course of antibiotics to cure her of Lyme.  That is what the American Medical Association, AMA, recommends.  


She wasn't cured. We began researching immediately and found that there are cases worldwide of terrible unexplained illnesses that have been traced back to Lyme. We also learned of governments worldwide not treating Chronic or long-term Lyme. We also learned that there should have been a bulls-eye rash followed by flu-like symptoms. Libby never had a rash.  When camping, we showered in twos.  After hiking we checked each other.  We learned that many, many cases of Lyme go unnoticed because there is no rash and no flu-like symptoms.  We also learned that Lyme was rare in our area.  We also learned that many people die because Lyme likes to attack hearts.  Libby's heart is still good.  Her neurological state has been decimated. 


We have continued to get our main treatments and testing done in Ft. Worth.  Each time there may be a new specialist to meet, different tests to be done, new meds to try, something. In 2012, we met with a Pediatric Rheumatologist and an Immunologist.  They ordered a PIC line and a six-week protocol of heavy-duty antibiotics since that was then what the American Medical Association recommended for tougher cases of Lyme.  She wasn't cured. 


She has never tested positive for anything else.  Most gratefully she has not had any other seizures until recently. 


We have had our genes mapped and there is nothing genetically wrong with her.  She has been diagnosed with Secondary Parkinson's, Spasticity, Ataxia, Speech Apraxia, and my least favorite, Dystonia. On medical paperwork, she has Arthropod-Borne Encephalitis.  


She has had two sets of AFO leg braces, lots of hand braces, and a neck brace.  She has had three official wheelchairs.


She takes Sinemet, Baclofen, and Clonazepam. What started as a turned in left hand, has traveled to her left leg, then foot, then right hand, then right leg, the right foot, and her neck.  Parkinson's has given us an additional gift with swallowing issues that are made worse by the Botox that loosens up the rest of her body.


In 2015-Libby's left foot had reached 90% Achilles contracture and she had bi-lateral tendon release.  We believed after recovery we would work on walking more.  That didn't help much as her body fought back with a vengeance. Liberty graduated from high school where she was active in art, choir, and community service. She was voted Caprock Prom Queen in 2015. 

In the summer of 2015, we completed the required Department of Aging and Rehabilitative services Neuro-Cognitive testing.  They had to prove whether or not she was employable in order to provide services.  We had to go through DARS to help get services for Libby and college.  DARS was the gatekeeper to many services for Libby.   We really still didn't know how life after high school will look for her, but we knew that she will have a life. 


In July 2015- Deep Brain Stimulators were inserted that we charged about every other day.

She has been on a five pill-a-day schedule for years; her main one is the Parkinson’s drug. She had a baclofen pump inserted into her abdomen as of last Thanksgiving 2016.


In 2018, she now had the neurological and muscular diagnosis of Parkinson’s, Bladder and Sphincter Dyssynergia, dystonia, spasticity, ataxia, and speech apraxia.  


We’ve tried lots of things including physical and occupational therapy, clean eating, weighted blanket, and even blessed water.   Libby’s body continued to stiffen and struggle. We fought her spasticity with many, many Botox injections until they stopped working in 2019. We have gone through four different therapy places. 


In November 2019, we pursued getting Liberty. She has been dropping weight for the last three years. We went through three different procedures to get the feeding tube placed. Because of the way her body twisted, her stomach had lodged itself partly under her rib cage and could not be inserted easily. This was the last time she was placed under anesthesia for a procedure.

Our Neuro, Dr. Hottie, couldn't give us a prognosis or any kind of timeline.  He told us that we have been living on “bonus time” for a while.  She was outside of any medical normalcy. As we talked about the progression of her diseases he reminded us that these last years are beyond what he could have predicted.  


In March 2020, we went into COViD lockdown.  Libby was home with us throughout that spring and summer.  When we went back to our classrooms, she stayed safe due to her careful caregivers.   Her body continually declined: her stiffening was ever-present.  We have increased her clonazepam to offer some relief.   Her ability to speak and answer basic questions dwindled away.  Her weight continued to drop. 

In May of 2021, Libby's Parkinson bite caught her index finger in her mouth and broke the skin.  She bit her finger so very hard. She has worn a specially ordered hand mitten since then.  (Now I believe she had a seizure and her jaw locked down.)

As we prepared to finish out the school year, Libby began crying almost every night. By the end of the month, she is crying every evening: uncontrollable and inconsolable. This continued throughout the summer. Liberty's period has stopped.   


In June we were asking her local doctor for guidance.  In July, we knew she was Sundowning.  This is not the quality of life we have focussed on.  We began making plans for Libby to stay at home with caretakers when we started school. Getting her in and out of the cars and into wheelchairs and out take a toll on her very little body. 


In August we went to get her baclofen pump refilled at Cook's.  The next day we got her feeding tube replaced in Amarillo. 


 On August 4th Libby had a full seizure. One of the few things that I have pleaded with God about is seizures. They are terrifying. She has had several more since then. We are now of Keppra to keep the seizures at bay.    


On August 19, we began receiving Palliative Care. This is a blessing. It is a true gift to have support for the caretakers.  


On October 11, we signed Liberty in the Hospice Care program.  She needs more and more eyes on her. More support.  She is changing incrementally and I don't want to miss it. Having this wonderful program in place has given me some peace.  We want her to be calm and happy as long as possible, but most of all I want her to be HER.  Some days it doesn't seem like she is my Libby: my wolf girl.  Then the next day she will smile and giggle and it's like the sun shines again.  


https://music.apple.com/us/album/grit-and-grace/1527828770?i=1527828773


School remains my safe place. We have wonderful classes and could not be more blessed by our campuses and our peers.  Each day I am ready to be on campus and then want to race home as soon as I can.  This is hard.  Loving her through this is hard.  And it is beautiful.   


Every day we are blessed. This continues to be our bonus time with her.  This is not my story to tell, this is hers. We continue to learn Liberty.  

You are loved.

Tuesday, September 21, 2021

“I know how this story ends”

Happy Fall!


If possible, start with this song: 
https://music.apple.com/us/album/his-eye-is-on-the-sparrow/545769471?i=545769542

It has now been a month for our mighty little one to be on Palliative Care, and what a month it’s been. It is also the first of a new school year.  Our new caretaker is doing a great job taking care of of Libby in our home. (It’s been a transition for me being that far away from Libby, but she has been comfortable in her own space.


We have had the chance for many of our loved ones to come and spend some time with Liberty.  It makes my heart smile. Forever grateful for all the people who share their love with her.


At Happy Days


And two of our bonus daughters...

Libby had just been smiling.  


And she made it about 15:00 at the Blank Spaces Art Exhibit  at our Snack Shak warehouse before she started crying and whimpering.  


Her face says it. She was done so soon.  

I have been sleeping with Libby for quite awhile.  Sometimes it’s like dozing on a very stiff and fidgety roller coaster. 


Kittie has been her baby of choice for the last few months. 



About a month ago and after a day where my heart was weighed down, I was given the most beautiful dream.  The kind of dream that you try so hard to get back to when you are pulled away to consciousness.  


It was just as my alarm was going off that I saw Terry, Rachael’s father, walking with my Grandmother. Now, you have to know that Terry is Rachael’s father, but to me he was my Dad as well.  He taught me that I could safely love and trust a man. He was and is one of the very best men I have ever known.  


And, of course, my Grandmother Geneva, is the greatest influence in my life.   I am here because she told me I was worthy. I am here because she pushed and supported me, then  taught me how to weather the storms. I am here today because she loved me so fiercely that I stand tall when I really want to curl into the tiniest ball.  


They have both left this world years ago creating huge holes in our lives. 


Wearing our color, Tudor green, she was holding onto his arm and he was patting her hand. There is water present, but I am not sure how.  It should have been cold, but it wasn’t. I could see tiny birds and little sounds and see very little; there was also music in the background. I wish I could have been clearer or stayed longer in that dream.  


They are walking towards me with smooth, smiling faces and straight backs.  Terry is leaning down to listen to my gentle spoken 4’9” Grandma.  He says, “Now Geva, she is coming, but it’s not quite time yet.” 


My Grandma smiles up to him and responds, “We’ve waited a long while, her body is tired, and we are ready.” And at that they glance behind them and that is when I see the multitude of people walking behind them: smiling.They are there: the loved ones and unknown people who have already left us.  They are there, preparing a place for our girl.  


 I know, more than I have ever known, that there is a homecoming being prepared.  Though we may not be ready, never will be ready, but there is an abundance of love awaiting. They are preparing a place where she will no longer have pain and will be enveloped by love. 


It will break my heart, but it is an immense comfort to know who will be welcoming her home.


Now, we are not going to move in to SAD. I’m not sharing this because I believe the time is very short. I can’t know anything if the sort. This dream eased my tired heart and gave me a better perspective.

I know I will have days, hours, minutes of anger and sadness, but still I know. I will say all the angry words And still, I know. 

Meanwhile I will keep making plans because “I know the plans” that are in place for her and the “Victory” that awaits her and all who live with progressive degenerative diseases.


You are loved.



https://music.apple.com/us/album/see-a-victory/1490613106?i=1490613249



Sunday, August 22, 2021

The Next Best Choice

Happy Back to School and a new normal!

We have had some drastic changes in the last couple of months and with each change, we continue to try to make the next right choice.



Libby is staying at home and an amazing new caregiver is coming to our home to take care of her.  Our previous caretakers have had major life changes, and we will miss seeing Mariah and Jennifer throughout the week. The search began. 

We couldn't find a caretaker that could watch Libby in Amarillo, and it just worked out that this caretaker would drive to Happy.   She is wonderful!  Not getting Libby into and out of the house, the car, and back again is also saving some of her energy.  The only caveat is that Libby has always driven back and forth to Amarillo with me. She has been about 10 to 15 minutes away from me.  Now, she is 36 miles away.  We are adjusting- separation anxiety is real.

Her body has changed in the last four months.  May 4th Libby bit her finger during a spastic episode.  (She continues to wear her safety mitten for her protection.)  By the end of May, Liberty was beginning to cry- a lot. She has been a happy and mostly content girl, so this felt like it was coming out of nowhere.  The crying came and stayed.  Some days it was for less than an hour.  Somedays it was for several hours: almost always in the evening. 

At the beginning of June, I took her to our local clinic to get all the regular tests run. She had a full body check and there was nothing.  She can't tell me what is wrong.  She can't tell me where it hurts. I was so worried that she was hurting and I couldn't fix it.  The tests were all normal; on paper she is healthy. We started trying to find what combinations would help and STOP the crying.  

We believe she has been Sundowning.  This is something common with Parkinsonism's

In July, we went on vacation and the wailing continued.  She has been eating more while we are at home, but I knew she was still losing weight.  Her body is burning up all the calories we can get in her due to her spasticity.  She moves all night long.  She moves all day as well. Burning everything she consumes. She also seemed to be getting so many bruises.  So many. Those who are malnourished tend to bruise easily.  

We did a lot this summer and for that, I am very grateful.

July 27, my mom passed on.

At my annual doctor appointment, July 28, I fell apart on the primary care doctor Libby and I share. I dumped the list of what I thought was happening: weight loss, period irregular, bruising and more.  He told me it may be time for Palliative Care for Libby.  I had never heard of it. He put orders in place for the initial screening.    

On August 2nd, we drove to Ft. Worth to get her Baclofen pump refilled and returned on August 3rd.  She is down almost ten pounds.  Devastating.  The Physician's Assistant we see in Ft. Worth carefully warned me that this will continue.    I said ugly words to God.  Many of them.

On August 4th, Libby got a new feeding tube as prescheduled.  That afternoon Libby had a seizure during our nap time.  It's been almost ten years since she has had one.  Or has it?  She could have had others that I missed.  Seizures are the worst.  (Could it have been seizure activity that brought on the spastic fit where she bit her finger?)   

We started school and I began planning and simplifying where we can.  We wIll be careful with how many times we take her out and about with us.  Although part of me wants to take her everywhere every day, that's not what her body is needing.  We need her to be calm and happy. Both Rachael and I need to teach.  It is such a part of who we are.  It is wonderful to be back in school and have this time with our new loves. Working with my students and peers is a gift.  I will continue teaching until I can't; making the next best choice for all of us.   


So, Liberty is officially in palliative care.  We are focusing on keeping her calm and comfortable. We have more people coming into the house checking on her and adjusting her meds.  We have no idea of a timeline, and I sure wish God would let me get a peek of it.  


When you turn the corner coming home and see this car it is surreal.  And painful.  And scary.  Yet I am
So grateful for the help. We are not choosing Hospice care at this time, but seeing that car made my heart turn over. 

Libby is 24.  She got her diagnosis at the age of 12.  We are at the halfway mark where she was healthy for 12 and fighting for over 12 years.  We had an initial estimate of four years, so these have been bonus years past what the doctors predicted. 

 Our mighty girl's body is tired and rightfully so. We are blessed in that she is waving the red flag at us and we have seen it.  Having this time to prepare the people we love is a gift.  A great gift.   We will continue to try the different meds and dosages to keep her comfortable.  Continue making the next best choice for her.  

We are not going to live in the world of sad. For everyone reading this, please don't focus on the sad.  I may want to hide under the bed for a while, but I can't stay there.  Focus on the joy and triumph of every day.  We have this bonus time to relish.  

 You are important.  You have each blessed us.  

You are loved and are love: Look More Like Love  


Other news, Liberty's chair finally came in after two months of waiting. 



Thursday, July 15, 2021

Making Joy

Happy July 15! 


Today is our 6th Legal-Anniversary! Where we ran to New Mexico and got the paperwork done  after they passed the Marriage Equality Act in that state.  (We had a ceremony over 20 years ago.) 





I am grateful for the way we have learned and grown together through circumstances that are emotionally painful and daunting.  We’ve kept going even when my heart has broken and all I wanted to do was run.  We’ve kept going.  It’s not like relationships are easy, but being Special Needs parents makes it even tougher.  Loving is easy, but staying together can be challenging for many. 


We have a LOT on our shoulders as many couples do, and we have Liberty.  Full time all the time. We have Liberty.   We’ve learned to find ways to hang on. When I am overwhelmed and tired to the core, I look for joy.   

 There is always joy to find. If I can’t find it, I make my own. Everyday I make sure to sing some little ditty.   I just sing. It makes me happy.   It pulls me up.  Another thing I’ve continued to embrace is dancing.  I bust a move at least once a day.   Randomly.   Probably embarrassingly.    Doesn’t matter. There is joy for me and I will claim it.  

Last night we had the beautiful chance to dance at the St. Andrew’s Trucking where they have food trucks, a great band and lots of spiritual community.  I am blessed by this community and how they have open their hearts for us. 



 We danced.   Wonderfully, Rachael danced with me.  All
by ourselves.   We got to dance! Some would be embarrassed.  Others would feel a spectacle.   I don’t anymore.  I HAVE to take those moments when I can.

  You never know when you’ll get another chance to dance. (It’s been over two YEARS since we had a night out without Libby.)  You might think I’m complaining,  but I’m not.  It is exactly what it is.  We don’t have a lot of caregivers available with time to spare, but we’re working on finding and hiring more. 


We have chosen to include family in our vacations and get always. Time is precious and there are no regrets.  Over the years, we have culled out evenings after Libby is in bed.  We just need to find a way to have some get away time together.  


With the addition of Libby’s evening cry-fests, we’re really going to need little breaks.  We have found a tincture that is helping to calm her and we have new schedule that is helping.  

So, today we are going to load up, have a meal, and go grocery shopping.   Ya know that grown up life. 

Keep looking for joy.  And when you can’t see it make your own.  If you can’t then you’re welcome to join me on the dance floor.   

There is always joy to be embraced.