Cate Vs. the Potty

Cate is going on three and a half years old, and she refuses to potty train. We've tried every method known to man: "Potty training in one day," letting her run around without pants on all weekend, scheduled potty sits, bribery, sticker charts...you name it and we've tried it. I have thought since the beginning of these efforts that her refusal had a lot to do with the fact that her older brother, whom she loves and looks up to, isn't potty trained either. She is still too young to really understand that her big brother isn't "normal" and that typically developing six year old children are potty trained. I've tried explaining that to her on a three year old level, but she just doesn't seem to get it. I've mentioned this to some of my friends in the psychology field, and they agree. They also say that she's the baby and may feel like this is her last baby thing to hold on to. Another suggested that she may feel like the time we spend changing Will is special time just for him and that she feels like she's getting robbed of special time by having to use the bathroom. 
It's very frustrating as a mom, and especially as a developmental pediatrician, not to be able to potty train your child. A lot of people look at your ability to potty train your child as an index of how good a parent you are and how smart your child is. I've come to believe that neither of these things are true. Some kids are easier than others to train. And some kids have extenuating circumstances that prolong their training - like having an older brother who is disabled and not trained. I guess I just want those moms (and dads and grandparents and...) who had kids who were super easy to train not to look down on moms who are still working with their kids after the expected age of training. (By the way, three and a half is still considered to be within normal limits for potty training.) Anyway, enough of my preaching and back to the story. 
Cate started preschool last week at our church. She's going two days a week and absolutely loves it. She is in the three year old room, so I'm hoping she's being exposed to lots of kids using the potty. They requested that we send her in pull-ups rather than diapers so she can practice pulling them up and down more easily. I thought, "Sure! I'll do just about anything if you'll help with potty training." So, we changed to pull-ups about two or three weeks ago. The last time we tried this Cate freaked out. This time it was a breeze. She especially likes them because they're pink and have Disney princesses on them. 
Anyway, since she tolerated that well, we've moved on to schedules potty sits. We started Monday with sitting on the potty every 45 minutes. She screamed and cried and screamed and cried! But, she did sit there. She never went in the potty that day, but by the end of the night, she had stopped crying! I give her one piece from a pack of fruit snacks for the initial sit, one piece half-way through (after about two and a half minutes) and a final piece at the end of five minutes. Then she stands up, flushes the potty, and washes her  hands. By the end of last night, she was pulling her pants down by herself! So, no actually going in the potty yet, but definite progress. I count this as potty 1, Cate 0! 
Please pray that she'll continue to progress and maybe even go in the potty soon. It would simplify our lives in more than one way, and any of you who have kids know that the simpler life is the better. I hope to have some more exciting news from the potty front soon!

Home

Our time here in Montgomery has come to an end. We arrived on Thursday evening and had dinner at our favorite Montgomery restaurant, El Rey. The food was delicious, and the company was even better. Friday we went to the hospital to visit my great aunt who is in her mid-nineties and "at the end of life." We then had a delicious dinner at home with my family and my best friend Melanie and her husband Joe. Saturday we went shopping and then went to Aunt Sue's house to swim and cook out. It was really nice seeing everyone and spending time together. Will and Cate had a wonderful time in the pool. They both were able to tread water completely unassisted for the first time. Will walked all over the shallow end by himself too. It was really neat to see. Today we went to church and had lunch with my parents. Then we went to Jeremiah's dad and step-mom's house for a visit. We had a good time. The kids loved watching the chickens. We came back home, dropped off the kids, went and did a little more shopping, had dinner with Melanie and Joe, and then had frozen yogurt with Melanie, Joe, Catherine, and Jessie. It has been a very fun and exhausting day.
I love coming home and seeing everyone. I try my best to visit with everyone who wants to see us (mainly they want to see the kids). It's really hard to get that done in such a short trip. If we'd had anyone else to visit with I'm not sure we could have fit it in. While I love visiting, it is very tiring . We haven't been able to sleep in at all and we go non-stop everyday. I wouldn't have it any other way, unless I could add hours to the day during which I could rest. We'll be heading home again for Thanksgiving and then for Christmas. While I don't have any more vacation time now then I did last year, it's easier to get home and I can take my vacation whenever I want it. I like that! This weekend has been all I was hoping it would be. I hope things are this good when we get back here in November.

God Knew

Thursday we will be heading home to Montgomery for the first time since last Thanksgiving. A lot has happened since then. I've finished residency and started fellowship. We've moved from Oklahoma to Arkansas - slowly making our way back east of the Mighty Mississippi. My beautiful sister has had a baby - the second cutest little boy in the entire world, second only to my Will. Friends are getting married and having babies. Life is definitely happening, whether I want it to or not. 
I can't help but look back and think, "Have I really done all of this?" You see, the last time I actually lived in Montgomery, I had just gotten married and was still in the process of applying to medical school. I had always wanted to be a doctor, and I knew it was God's will for my life. But, it wasn't until after the wedding that He decided to let me in on the plan as to where I would go. I certainly didn't think I'd be moving half-way across the country. I had no idea why we ended up in Tulsa. God knew. Then, surprise! Here comes little Will. I had no idea why we were having a baby so early in our marriage and my medical school career. God knew. I survived medical school and had to decide where to do my residency. I decided to stay in Tulsa only to find out I could have had a spot back in Alabama. Why? God knew.
Will got in to the Little Light House the same summer I started my residency. It was there that Will was able to reach his full potential. Had I not listened to Him, Will would have never had that opportunity. Who know what he would or would not be able to do if he hadn't been able to spend three wonderful years there. God definitely knew.
Then the decision came to do a fellowship. Oklahoma City or Little Rock? (Okay, that was an easy one!) Why couldn't I find a good private school for special needs kids for Will? Why did I have to send him to public school, where I had heard bad things about the special education system? God knew. He blessed me with a smooth IEP process and wonderful people to work with. He blessed Will with an amazing teacher who has personal experience with Angelman Syndrome. He's blessed us with support that we wouldn't otherwise have had. God knew. 
Now, we're heading home for a little rest and relaxation. We're heading home to some things that are happening and I don't know why. But, God knows. He is in control of every situation. I'm praying for a peaceful time with our family - time to catch up and enjoy each other. God knows my heart, and I have a feeling that this is going to be a very special weekend.

Totally a God Thing!

We moved to Little Rock just about two months ago. We had come to town over spring break to look for a house. It seemed like we weren't going to find anything we could remotely afford that would meet our minimum needs. Then, the evening before we left town, we found a house in North Little Rock - a house that we thought had just been rented. We later came to find out that we are ONE street inside North Little Rock and one street away from Sherwood. What this means for us is that we are in the North Little Rock school district, which has a better reputation than the Pulaski County Special school district (the schools that serve Sherwood). I kept hearing good things about Will's school, Indian Hills Elementary. This got me a little excited. But, even though the IEP process had gone smoothly thus far, I was still worried about how this all was going to go. You see, we came from The Little Light House in Tulsa. It's what I like to call "heaven on earth for special needs kids." If you meet anyone who has a child there, they'll tell you, they dread the day that their child has to graduate. 
What I knew before tonight was that Will would be in the self-contained special education class. He would have six total students in his room with one special education teacher and two paraprofessionals. This student to teacher/para ratio thrilled me. Indian Hills is also the only elementary school in the district with a full-time nurse, and they have the district's lead speech and occupational therapists. I definitely liked all of this. But would the teacher be as nice as his had been at The Little Light House? Would they be as understanding? Would they let him have a snack (the boy likes to eat!)? Question after question filled my mind. Finally, I sat down and prayed - novel idea, huh? I told God that this was my son, my child who I had dedicated to Him and I know has a devine purpose on this earth. I want the best for Will and desired that all his needs be met at school without too much difficulty on my part. 
Tonight was back to school night. We went up to the school and met Will's teacher, therapists, and principal. It was AMAZING! His teacher is fresh out of college and has such a fire for life and passion for our special kids. When we walked into the room she said, "You're Will. I am sooo excited to meet you! I had a dream about y'all last night. " At first I thought, well that's kind of weird. Then she went on to tell us that she has a niece who is five years old and also has Angelman Syndrome. She even spent a year and a half living with her and taking care of her. God put this wonderful young woman in place at this moment just for Will. She seemed so honestly interested in him, what he can do (which she was amazed by), and what his needs are. If he's hungry, she'll let him eat. If he's tired, he can lay down. Need help eating? No problem. Every time I asked her what I needed to do in regards to things like diapers or sippy cups, she would say, "Whatever is easiest for you. " She even plans on sending home daily notes with progress reports, etc. I couldn't ask for more. His therapists all came into the classroom to meet him, find out more about him, and see what our goals for Will were. Finally, when we met the new principal, we found out that she got her start as a self-contained special education teacher. She said to us, "Well, isn't it a coincidence that his teacher has a niece with the same condition and that I taught special ed?" I know it's no coincidence. It's totally a God thing!
I don't know why I'm so amazed by this. He promises in His Word that He'll supply all of our needs. He also promises that He will give us the desires of our hearts. 

"Delight yourself in the Lord, and He will give you the desires of your heart."  - Psalm 37:4

This happens over and over again. I think it goes back to the whole fear thing. I'm afraid things won't go the way I want them to or that I'll be disappointed. God shows me over and over again that there is no reason to be afraid or worry. The best place in the world that you can be is in the center of His will. When you dedicate yourself to Him and "delight yourself" in Him, He really will give you the desires of your heart. The key is, when you're fully delighted in Him, your desires become His desires. Give it a whirl sometime. You'll be amazed at all the "God things" that happen in your life.

Fear Not !

This world can be a very scary place. Scary things happen to everyone - even good people. I know that I often look for some sort of reason why these things have happened. Let me give you a few examples. My nephew Gage was diagnosed with Asperger's Syndrome. Then they found some chromosomal abnormalities. As if this wasn't enough, he was recently diagnosed with Fanconi anemia, a disease that has the potential to be devastating. Just when I thought, why in the world did this great kid and his wonderful parents have to be dealt this hand, the hand got worse. They just found out their younger child, Stella, also has Fanconi anemia. This is a very scary situation. You have the tendency to think, "Why them? They're good people." I have another friend from college who is serving the Lord with her husband and three daughters in India. One of her daughters has been very ill and may possibly have a genetic condition. It seems like if anyone would be blessed, it would be missionaries, right? My best friend's daughter is plagued with frequent UTIs. This may not seem as big of a deal in comparison to the others, but it caused them pain and worry, and it's a big deal to them. Our son is disabled and can't do most things a person always dreams their son will do. It seems like there is nothing but badness and scary-ness (if that's a word) everywhere you turn. It doesn't seem fair, but, as my dad told me as a little girl, "Life isn't fair. It's a magazine." (Let's see how long it takes some of you to get that one!) It seems like all of these families are fighting in the battle of their lives. 


"Though an army besiege me, my heart will not fear; though war break out against me, even then will I be confident."  - Psalm 27:2-4

Every time you turn on the TV, radio, or computer it seems like all you hear about is financial ruin,  the terrible economy, and the unemployment rate. Good people (and bad) have lost their jobs, their home, their cars, and even some, their families. My family is not currently in the greatest financial situation. Being a fellow, my salary is basically the same as that of a resident. For those of you who don't know what that means, it means I'm payed pennies on the dollar for what an attending physician would get. Part of my "pay" is getting to learn, which I am very grateful for but does not pay our bills. We currently do not receive medicaid or SSI even though Will is disabled and have a lot of out of pocket medical expenses. Plus, everything here in Little Rock costs more than it did in Tulsa. Pastor Rod has been preaching a sermon series on fear (check out the sermons at www.firstnlr.com) over the past month. It feels like he's preaching directly to me and that I'm the only one there. Last week he talked about being financially faithful to God. He talked about people who don't tithe and give offerings to God for the fear that they will not be able to pay their bills and provide for their family. I am ashamed to say that I have been that person once or twice in the past, but I am proud to say that I have been faithful in my giving for several years now. I do, unfortunately, still sometimes wonder, "What if I still had that money? I could pay this bill and that bill with it." Then I get a gentle kick in the pants from the Lord (lately in the form of Pastor Rod's sermons!) saying, "Don't worry! I will take care of you!" And He always does.  It hasn't been in the form of a check in the mail, but we have never done without life's necessities. 

"Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more important than food, and the body more important than clothes? Who of you by worrying can add a single hour to his life ? And why do you worry about clothes? See how the lilies of the field grow. They do not labor or spin. So do not worry, saying, 'What shall we eat?' or 'What shall we drink?' or 'What shall we wear?' Therefore do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own."  - Matthew 6:25-35

I guess what I'm trying to say is that bad times are going to come. Scary things are going to happen. It's our human nature to be afraid. But, God doesn't want us to be afraid. He promises He will ALWAYS be with us, NEVER leave us or forsake us, and that He has a plan for our lives. We may not always understand His plan or know the next step, but that's where our faith comes in. We have to trust Him. We have to believe His promises. It's not always easy to do - I'm the first person to admit that - but as I spend more time with Him, I'm learning to trust Him more and to slowly but surely put aside my fears and find the joy He wants me to have. While the situations I've written about are anything but joyful, I truly believe that no matter the outcome, God will bring joy out of it. His plan is not necessarily always to heal or provide a check, but the blessings will come...if we let them. I know it's hard to have faith when you're afraid - that's why we have to stop being afraid. I hope that whatever your fear is, you can learn to "Fear not!" Put all your trust in Him, let Him lead you, and your fear will be replaced with abundant joy. 

"The LORD is my strength and my shield; my heart trusts in him, and I am helped. My heart leaps for joy and I will give thanks to him in song."  - Psalm 28:7

"Be strong and courageous, and do the work. Do not be afraid or discouraged, for the LORD God, my God, is with you. He will not fail you or forsake you..."  - 1 Chronicles 28:20





My Wish List

I'm not really sure why I'm writing about or posting this other than the fact than it's been on my mind for a few days now. There are several things (many small, but some more expensive) that I want (do not need, but would be nice to have and some would make my life a little easier). I guess it's just kind of an FYI. Anyway, here it is:
1. 2-drawer filing cabinet
2. 2011 day planner
3. New dining room table and chairs
4. Curtains for my bedroom
5. A night out with my husband (and no children)
6. An "m" button for my laptop that works (and is attached to the keyboard)
7. The new Mercy Me CD ("The Generous Mr. Lovewell")
Not sure what you're wishing for, but I hope you get it - at least some of it. Everyone ought to get something they're wishing for every once in a while.


I Love Fellowship!

So far so good! Fellowship is quite a change from residency. I'm lucky in that my fellowship is much lower in stress and hours worked each week than my residency was. Not all fellows are that lucky - it totally depends on your specialty. Developmental/behavioral pediatrics is a very laid-back specialty that so far has allowed me to get home everyday before 5:00. Can you believe it? I really don't know what to do with myself. I've gone from working an average of 65 hours a week (some weeks as much as 80 hours) to working about 40 hours a week. I told Jeremiah he may get tired of me! I am looking into moonlighting - not because I want to, but because I have to. My health insurance here is costing me five times as much as I paid in Tulsa. Our rent and several other bills are also more than they were in Tulsa, so I really don't have a choice. At least my work hours are low enough that I can moonlight and still not work as much as I was just a few months ago. I'm looking into an opportunity in the fast-track pod of the ER at ACH. It's more like an after hours clinic with lower acuity than the main ER. The pay is good too. I'm just waiting to find out if they'll pay my malpractice insurance. That will be a big part of whether or not actually do it.
Jeremiah and the kids are doing well. They've totally adjusted to life here. I think the only thing Jeremiah is having a hard time adjusting to is getting up to be at church my 8:30. That's an hour earlier than we had to go in Tulsa. We didn't plan on going to the first service, but Will's class (Cool Kids for special needs kids) only meets during the first and second services. Our Sunday school class meets during the second service, so we're trying to make it to the first service. The third service would be nice though because we wouldn't have to get to church until 10:00. Oh well. I definitely think it's worth it for Will to be able to be in his class during church and Sunday school.
Will starts school in about 6 weeks. I'm nervous about it, but I am happy with the way his IEP has turned out so far. We're still waiting to meet with PT and OT because they weren't there for the initial IEP meeting, but everything else is awesome. He's getting 90 minutes per week of speech therapy and 60 minutes per week each of physical and occupational therapy. He's going to be in a self-contained class with 5 other children, one special ed teach, and two paraprofessionals. I think it's a pretty good student to staff ratio. He will also have the school district's lead ST and OT and the only full-time school nurse in the district. The Lord is definitely answering prayers in that area.
I do have one major prayer request that I need you all to be in prayer about. Will was receiving SSI payments until April when they were discontinued. About a year ago, the Social Security office said they'd overpaid us and that we were required to pay them back around $5000. Well, the waived around $1000 and collected some more from his checks (until we stopped getting them a few months ago). Now they're saying they overpaid us again. I've done everything they've asked as far as providing information, participating in phone and person-to-person interviews, etc. but they're still actually saying we now owe just over $6000. Please pray that my application for waiver and/or appeal will be granted. We obviously don't have that kind of money, and besides, I didn't deceive them to get the money. It was their mistake, and I'm praying they will own up to that fact. Thanks for your thoughts and prayers. I feel them everyday. You guys are the best!