Christmas & Surgery

Well Christmas with Galyna part deux was a bit different from last year. It's amazing how much has happened in only one year. For one thing, Galyna now speaks quite a bit of English. For another, she now is very well aware that Christmas includes gifts - which she absolutely loves. Apparently it crosses cultures that it's harder to get kids to understand that Christmas is about Jesus than that Christmas includes gift giving. Either that or Galyna has assimilated too well into American culture!

She enjoyed the time of visiting family and unwrapping gifts. She also took part in her very first kids Christmas program and appeared to remember all the words. Unfortunately, she ended up on the far side of the choir from where I was sitting so I ended up not being able to see her as much as I'd have liked. (Her sisters did a bang up job too, which I sha'nt forget.)

Now that Christmas has passed, though, we came upon Galyna's second surgery date - yesterday. For those of you new to the story, Galyna had four tissue expanders inserted into her scalp a few months back in order to help grow some new hair-follicle-containing skin which can replace some skin grafts on her head. Yesterday they removed the insert, and stretched the skin out to cover the graft area. The surgery went very well, and although we can't see her scalp for the turban of gauze covering her head, we trust the surgeon did quality work. There is still a chance the tissue won't have good blood flow, but for now things are pretty good. Her spirits are up, she has energy and the pain is non-existent.

She'll be on restricted activities for another six weeks to let her scalp heal, which should take her up to the mid-February trip to Florida. That didn't stop her from playing Candy Land and basketball with some teenage boys who came up with a group of Iowans bearing new toys/games for the hospital. She enjoyed showing them how to do sand art, and throwing an inflatable ball around. She pretty much has the run of the place (not many other kids on the floor) and the boys pretty much loved her to death. Typical for a Stewart gal, actually:)

It was interesting, and a bit creepy, to hear that some of her initial grafts were placed directly onto the skull, with none of the tissue between graft and bone which would normally be there. It was a reminder that there is still so much we don't know about her former trauma or treatments. It raises a few risks of the tissue not "taking" as well as it should, but we'll just let God take care of that.

As always, thanks for the thoughts, prayer and encouragement. The challenges remain (albeit in reduced or different forms) and the benefits are growing. Our next focus is going to be working on getting her to understand that this family thing is permanent. She still seems fearful of having to go back to Ukraine after some amount of time. It's not fun, but I can certainly understand how someone who's been abandoned multiple times might be waiting for the other shoe to drop. It's amazing how many challenges resolve to reveal another set, all of which are understandable based on what she's been through.

That's the latest; I hope your Christmas was merry, and your New Year is a blessed one.

Summer Wanes, Procedures Continue

The past few weeks have been full of more ups than downs, and I'm sure some of you are curious as to how Galyna is dealing with both first grade and post-operative procedures.

Since we last spoke (ha!) here we've had a few new experiences for Galyna. Aside from the needles and saline (more below) we introduced her to the following:

• Camping: Okay, she's been camping before, but this was our annual family camping trip to the Wisconsin Dells' Jellystone Campground. Yeah, it's campy (pun intended) but it's fun. Also, when you go over a September weekend you pretty much have the joint to yourself. On a side note, Tierney appears to be getting too "old" for this campground. I've been doing a bit of photo labeling and sorting of late, and watching how much the girls have grown...better stop now before I get eye moisture on my keyboard.


• First Grade: this is Galyna's first year in everyday school. Last year she was in a couple of school-based programs the days she wasn't in kindergarten, but this year she has all-day/everyday class with the same teacher and classmates. Conferences come up Thursday evening, so we'll see how she's doing. She was fairly nervous about homework, although why that would be we don't know; her sisters rave about homework and want to get lots. Maybe she's hearing things from other kids!


• The Great Minnesota Get-Together: I'm not sure Galyna has yet recovered from the incessant over-stimulation that is our state fair. From games and rides to food and animals, she saw more of pretty much everything than she ever had before.


• Church: Yeah, she's been going since we adopted her, but this summer she was in the service on Sunday mornings since children's programming was a "one hour or the other, but not both" option for us. It'll be interesting to hear, as she gets better at expressing herself, how she perceived this.

I'm sure there are other things I'm missing, but this is already looking to be one of my (in)famously verbose posts.

On to the medical portion of our show. We've had the opportunity (challenge? distress? stress?) of a lifetime, twice since our last hospital visit, to inflate Galyna's tissue expanders. It can't be a good sign when she starts crying hard and tightening up long before I even pull the needle out of the packaging. What is hardest for her is the inflation of two ports on her neck (which inflate expanders on the sides of her head) and the discomfort caused by her stretched skin over the two days or so subsequent to each expansion. All of which I completely get. The last time, she even said she wanted to have them removed and forego hair for the rest of her life. Fortunately, the two ports on the top of her head don't cause her as much trouble, so by the end of the procedure she's generally calmed down.

Aside from the obvious pain/discomfort, there are also starting to be some aesthetic concerns. The expanders lift the scalp tissue, which makes Galyna's head look very "lumpy" and not round. She sees this as "gross" and "ugly." Which, again, I understand. It has to be so very hard for her to see what we do, which is the end game. Her immediate pain is the hard part, and knowing she won't fully grasp the benefits of this until months (or years) from now is difficult on all of us. But. We persevere.

We do this because the procedure is a blessing from God; Shriner's care has been excellent, and the gift of free procedures is humbling. We're not "fixing" a broken doll, but Shriners is helping us heal a hurt child. We don't minimize the pain she feels now, but we know she'll at some point have part of her past healed from this. We also persevere because we want for her the best life possible, and although we'd like to think she'd always be treated normally despite having physical differences we're not so naive as to believe that's reality. She's always been beautiful to us; we want her to be beautiful to herself too.

So as you go through your Thursday evenings these next few weeks, please remember us in a prayer. I'm sure Galyna will appreciate it, even if she doesn't know it's happening.

God bless,
Ron

Post-Op Update

Lots going on, so it's probably about time for an update. Medically, we took a big step today when both Shannon and I were taught how to inflate Galyna's expanders. That's interesting. I spent some time working at a plasma donation center when I was in college, and as part of that job stuck needles into many people. It's a different experience sticking a needle into your own daughter. But I marvel at the creativity of medical researchers who came up with this entire process for dealing with trauma-induced hair loss on children.

Galyna was not thrilled, to say the least, with the whole needle part of the experience. She hung in there, though, and the tears flowed more slowly (and quietly!) once she realized it wasn't as bad as she feared it might be.

The process is to add more saline to her implants each week, then revisit the hospital in a month to gauge progress. Then we'll discuss when to finish the procedure by taking the expanded tissue and using it to cover the areas of her scalp which are currently covered by (non-hirsute) skin grafts.

In the meantime, she's on full restriction of physical activity at school. Both gym and recess will have to be monitored for her as she can't do anything to risk head injury. The playground, anything involving objects flying through the air, running, jumping, etc. That could very well be the hardest part for her, and it will last 2-3 months. Fortunately, the teachers at the local school are great, and will be helping to give her options that keep her engaged with the rest of the class, yet protect her head from injury.

Speaking of school, last night was open house night. Galyna (and her sisters) met teachers, hugged people not seen in months and displayed a bit of apprehension at the thought of homework. Well, Tierney and Amissa weren't at all nervous about that, but Galyna is. Her speaking is coming along well. She's to the point we understand what she's trying to say, but are correcting grammar and vocabulary. Her reading is behind, and she still struggles with focus on certain words and letters. But even there she's further along than she was before the summer. (Honestly, with a pseudo-writer/avid reader/grammar geek for a father - not that you can tell from this blog - and avid reader mother and sisters, Galyna has zero chance of getting through life unable to read and write. Whether she likes it or not!) We're looking forward to seeing her blossom this year as she gets into the swing of things.

There are other concerns we're dealing with, naturally, due to the nature of adopting a previously abused, different cultured, institutionally raised child into a family like we've done. The good news is the issues are new, meaning many have been resolved. Life continues to be an adventure, and even in the tougher spots (squabbles with sisters, etc...) we wouldn't change a thing. The blessings outweigh the pain, and even the pain is a blessing at times.

I could go on about how pain can be used for evil, or it could be a necessary part of restoration, healing and redemption. But that's a bit deep for an 11:00 pm post. As always, thanks for prayers, support and love.

It's greatly appreciated. Always.

God bless,
Ron