Well - it's been a quiet couple of days. That's GOOD! I did get a courtesy call from CHOP. The person down there said that they wouldn't be able to give us a date until sometime next week, but that the doctor was looking at June. In the meantime, Katie is on her medication, has felt fine, and is slowly resuming her normal activity.
We had a surprise delivery yesterday for this "fruit bat"......
She suffered through the whole thing - even shared a piece or two. And the twins made mini salads out of the lettuce. They generally don't ask to eat salad, so I am thinking I may need to invest in some florist foam and skewers..... : )
Today we had our annual cleft clinic for Christopher. This was a pretty important appointment (for me anyway!!). Chris has been on quite a road himself since he was born. I have some pictures to kind of explain where we have come from and where we are going.....
This picture was taken in the NICU when Chris was born. He was born with a unilateral cleft lip wide (UCL), and a bi-lateral cleft palate (BCP) - which began as a unilateral, then branched into a bilateral half way back through the palate. So - in "cleft talk" terms, he was UCL/BCP. The "wide" distinction is added because, as you can tell from this picture, his lip was cleft to the point where his left nostril was functioning as his upper lip. Believe it or not, that "bulby looking" thing next to that is his upper lip.

Because Chris was wide, he had to have his lip repair in two surgeries. The first, called a lip adhesion, was performed at 6 weeks, and was really meant to stretch out the tissue and skin, and begin to put pressure on the gums to set them into position. We had an awesome surgeon that the Lord lead us to in NICU - has was just back from Children's Hospital in LA, and had just finished a residency with one of the top surgeons for cleft repair in the country. Here is Chris after his first adhesion.... And ALWAYS smiling!!
.jpg)
About 4 to 6 weeks later, Chris had to have his final lip repair. He had his at around 12 weeks. Here you can see the surgeons markings on his nose and you can also see the "cinching" they did to his nose to make his nostrils even. They also did a wonderful job on the "cupids bow" (the little "valley" we take for granted under the middle of our noses) - a lot of kids with clefts do not have one because of the way surgeries used to be done. He was stitched and derma-bonded....
Still derma-bond - you can see it lifting off now - and the stitches have dissloved...
After the derma-bond finally fell off......
Again - here's Chris!! Loving life and ALWAYS smiling!!!!!!
Next up was his palate surgery at ten months. Up until this point, the palate remained open. That meant Chris could not use a bottle - he had no ability to suck. The doctors have 3 tries to seal the palate. If a fistula (opening - even pin sized!) opens up after the third attempt, generally there is too much scar tissue to do another surgery. Chris' surgeon did it the first time - and it held - PRAISE GOD!!! However, during recovery, he had to wear these arm braces to keep him from putting things into his mouth for a while. Here he is sporting them at the shore.....
And here is a better picture of them back at home at mealtime. Again - he is smiling. God has been SO merciful to him over the course of all that he has gone through! Chris really is a trooper!
After that we had a break for, well, around 7 years. And now, the time is rapidly approaching. Since November, Chris has been wearing one of these every night. This is to move his jaw forward. What you can't really see is his rapid expander which is making a space in his jaw for his next repair. When they do the palate, they leave the jaw alone. Chris' jaw has never been complete. If you look into his mouth, his upper gum-line
looks like it goes all the way across - but there is no connection in the bone. So, the expander had to go in to push them away from each other to make room for the surgeon to do his work. That meant a risk of fistula (opening) in his palate (which we were blissfully unaware of!!), but again, praise God!!, his palate remained closed. The head gear allows us to "skip" a surgery - it is moving his upper jaw forward as it develops. That way it will not have to be done surgically later.

I was hoping for a general idea as to when we would be traveling out to Lancaster for this next surgery while I was at the clinic today. Unfortunately, that will have to wait. His surgeon is really liking what his orthodontist has done. That is good. He does have a tooth in sideways which will have to be moved and which she is planning to start working on on Monday when we see her. We will have x-rays then as well. They will be sent to the surgeon, and then we should have a better idea. I am on the edge of my seat here. It was going to be March, then April, then July. Still hoping for July. That way by August (and our trip to the shore) we will be finished with all of the medical appointments and can really enjoy our vacation! One thing Chris, his orthodontist and his surgeon decided on today.... He can do this really cool trick where he shoots water out his nose. After the surgery, well, that hole will be sealed off. So all three have decided it should be video taped for posterity. They just all have to convince mom......

Please pray we get some dates soon.... : ) In the meantime, that I would be patient and REST in God's PERFECT timing!!! And smile - just like my Kate and Chris?? : )