Post-Fontan Cath

Asher’s cath was scheduled for today first thing in the morning.  He got put at the early time since he is the youngest, and I was glad because then he doesn’t have to be awake as long without eating.  We had to be up at the hospital this morning at 5:45 a.m., so we left just after 5:00.  Asher wasn’t too thrilled about being woken up and put in the car, but once we got going he was happy and talking the whole way.  I brought some apple juice for him to drink on the way, but he didn’t want any. 

I was amazed at how calm and happy he was going back, knowing all he had been through.  He wasn’t going this time without any understanding of what goes on here!  He walked in, sat up on the bed, and laughed with the nurse and played games on the phone while they took his vitals and asked all the pre-op questions.  I played with the ride-on toys they have in the hallway before it was time to drink the versed and head into the cath lab.  He sat up once and laughed and said, “Mom, I’m dizzy!”  He told us goodbye at the cath lab, and smiled as they pulled him away.  The nurse then started to take us to the cath lab, but we assured her we were all to familiar with where it was. 

 

The wait from there seemed really long.  Dr. Kyser’s plan was to go in, open his fenestration (small pop-off valve into the heart in case pressure gets too high), measure the area where his pulmonaries came back into the heart (the area that looked smaller or like it had some turbulence), and optimize anything else they could while in there.  He told us to plan on a couple of hours.  He went in just before 8:00, so by 11:00 I was getting quite anxious for an update.  I think I was more worried and anxious during this cath than during a lot of his other procedures because I feared what they might tell us they found.  The longer wait wasn’t helping my fears.  Finally, at about 11:45, a message popped up on my phone (the reception in the cath lab is horrible).  It was from the nurse, and she had actually called a bit before 11:00 saying that Asher was doing great, his vitals looked good, and that Dr. Kyser would be another hour or hour and a half. 

A little bit after noon, the pager buzzed, indicating the procedure was wrapping up and Dr. Kyser would soon be coming to report to us.  When he came in, he said things actually looked better in there than on the echo.  Part of the reason it was taking so long was because they couldn’t find his fenestration.  He looked and looked, but it had all closed up.  It had looked small on the echo two weeks ago, and he said sometimes they do that.  He debated as to whether he should open up a new one or not, but after measuring all his levels he felt that it wasn’t necessary, at least for now.  They can go in and open it back up if they need to, but they typically go in after a year anyway to close it.  He also put a stent in one of his pulmonary veins, something he had told us at his last cath they would do next year, after his surgery.  He decided to just do it now and optimize that area, and then we don’t have to do a special cath to put it in next year.  They looked closely at the pressure where the pulmonaries come into the heart, and the area was bigger than it looked on the echo, and while the pressures were slightly different, he didn’t think it was enough to warrant a surgery.  He will meet with the cardiology team on Thursday and review his findings with them, and they will collectively make the final decision, but that is how he feels right now.  It was a relief to hear that things were looking better than expected, and that surgery didn’t seem likely.  He also said they emptied his pleural caths at the end at noon, and even though it was five hours later than it was supposed to be, he only got out 23 ml, so he is pretty confident that he is on his way to them drying up.

 

One of the images the doctor gave us, showing the cath in there, the stent they placed in there last month, and another imaging down his throat. 

It was all a big relief to hear that things looked better than they thought.  We know there is lots in the future with Asher’s heart, and lots of unknown, but we are relieved to know that for now it doesn’t look like he needs surgery.  We are feeling very blessed and grateful that our prayers were once again answered for this little miracle boy.

We waited outside the recovery room for awhile.  I kept assuming they would come and get us any minute because he would be waking up, but after an hour they came and got us just as they were wheeling him back to the room.  He usually wakes up pretty cranky in the recovery room from his caths, so I was glad he was able to rest better this time.  He has to lie flat for four hours, but he slept almost the whole time.  I’m glad that he can rest and not be frustrated with having to lie still for so long.  Dr. Kyser said we are free to go home once he is up moving around a bit after his cath, and we are so thrilled not to have to stay a night or two.  The nurses, bot the pre-surgery ones, the ones during his cath, and the recovery room ones, have all been amazed at how well he handles all of this, especially after having had open heart surgery just three weeks ago today, and leaving the hospital less than a week ago.  He is truly being blessed by all the prayers for him to be patient and calm and brave through all of this.  So many tender mercies!

   

Fontan Life at Home and Recovery Tips

We are loving having Asher home, and he is happy to be here.  I have to remind him to take it easy, as we head to baseball games out side and the weather is nice, he just wants to run and play like before.  I especially have to remind him to be careful and not climb up things or ride things that might cause him to fall on his chest until he heals more. 

 

Happy to be reunited with his buddy Carter.

Landon home from outdoor school, climbing on the playground (I made sure to spot him the whole time!), and taking an afternoon nap.

He has done well with his attitude towards the pleural cath since we got home.  We have to drain them every eight hours, so I adjusted the times to be 7 a.m., 3 p.m., and 11 p.m.  The hardest is the 11 p.m. one because we have to wake him up for it, so he is usually pretty ornery.  We still let him watch a show or play a game while we drain them to distract him, and that seems to help.  Unfortunately, the day after we came home, his total output for the day jumped form 60 ml on Wednesday to 85 Thursday, and 127 Friday. I  called the cardiologist Saturday morning, and while some increase in numbers is fairly common when they go home for a bit, his seemed to just keep climbing.  They scheduled a cath for tomorrow, Tuesday, June 6, exactly three weeks post-op.  Saturday he reached a peak of 165 ml, but then Sunday he leveled out at 155, and today he had 100 ml for the total, so that was encouraging.  They also were dropping a lot throughout the day:  the 7 a.m. was 43 ml, the 3 p.m. was 34 ml, and the 11 p.m. was 23 ml.  We are very anxious and worried that he may need another surgery, but we are hoping that this cath does the trick, and that the lowering output is a good sign.

We also have figured out a trick for his lasix.  We mix it with Hershey’s syrup.  It is luckily fat-free, so we can make it super chocolaty.  He lately likes to have Shane mix it up with a little milk too, and he drinks it right now.  He hasn’t needed any pain medicine since he came home, although he has woken up a few times in the night uncomfortable but I haven’t been able to convince him to take it.

As far as food goes, we are finding several non-fat and low-fat options for him to eat.  I found some chicken nuggets at Whole Foods that are five grams of fat for six nuggets.  We also found some low-fat hot dogs that he seems to like.  It is hard to feed a four-year-old a low fat diet!  He has to stay under 15 grams per day, which is not much.  For dinner, I have made teriyaki stirfry, grilled chicken with egg noodles on the side, BBQ chicken salad with fat-free ranch, and angel hair pasta with chicken broth, chicken, and veggies simmered.  He also loves cereal, which is not super healthy but most of them are very low-fat or even have no fat, and the milk gives him more protein.  He also likes fat-free yogurt, orange sherbet ice cream, popsicles, low-fat graham crackers, and fruit snacks for snacks, and we are in fruit season, so lots of watermelon, strawberries, and cantaloupe.  He even got to go to Menchie’s for some frozen yogurt!  They had several fat-free options, and he put gummy bears on the top.  I also made a frozen yogurt pie for dessert Sunday, with a graham cracker pie crust made with yogurt instead of butter, and fat free yogurt and fat free cool whip.  He really liked it!  He is now always asking if something has fat, but he has been a good sport about it.  We took out all the high-fat crackers, chips, and treats that we had and hid them until he can eat them again. 

We are loving having Asher home, and we hope that he is able to stay home and not have to go back for another surgery.  We don’t know how long we will have to stay after the cath.  It depends on what they find and what they decide.  We are praying it all works out for the best.  We are trying to trust in the Lord and be patient as we wait for His will to be revealed.  Asher handled the news of going back for a cath very positively, and he hasn’t complained or seemed scared.  He is one brave boy!

 

Enjoying some swinging in the backyard before going back to the hospital tomorrow.

Going Home

Asher’s cardiologist came in the morning and said they would do an echo to see if he would be able to go home that day.  His pleural cath output had continued to drop, and we both felt that I could manage the pleural cath aspiration at home.  When he got up, I had him write some cards to some of the nurses that he connected with the most and who helped him for several days.  He was so cute coloring pictures for them and telling me what to write. 

 

They came in to do the echo, and it was probably the longest echo he has had.  He patiently watched a show on the TV while the sonographer and the cardiologist looked in detail at several areas of his heart.  They then left to review those with the surgeon while Asher and I waited to hear if we could go or not.

While we waited around, Stacey brought up Madeleine and her girls.  Madeleine was staying with her for the day, and I was glad she could hang out and have fun with them.  She was happy to see me but find when she left with Stacey.  Asher was excited to see all of them, and although they only stayed a few minutes, it was great company.

A little bit later, the surgeon, Dr. Iguidabashian came in to the room.  He had been gone on vacation since a few days after Asher’s surgery, so I was glad to see him back and hear his opinion.  They had a surgeon there consulting while he was gone, but Dr. Iguidabashian just knows Asher and his case better.  He said he looked over the echo, and in looking at that and at Asher’s declining output totals he felt that Asher would do well and he wasn’t too concerned about this spot of additional flow.  While we know there are still possibilities of another surgery, it was comforting to hear his opinion.

I made a few trips down to the car with the wagon full of our stuff.  We sure had built up quite the stuff there over the last two weeks!  Once Asher realized we were really going home, he was so excited.  He kept asking when we could leave, and he tried to wait patiently for all the discharge paperwork and procedures.  The nurse had me change the dressing on his pleural cath, which he hates, but I will have to do it every four days at home, so now I have done it and feel like I can do it on my own.

By the time we finally left, it was almost 3:00.  We just missed bingo by 30 minutes.  The week before, I had thought there was no way we would be there for bingo day the next week, and yet now I felt like we were lucky to be leaving when we did. 

 

Asher’s victory dance as we left the hospital.

We picked up Madeleine from Stacey’s house and stopped to get some lowfat chicken nuggets at Whole Foods for him to eat.  We then headed home.  Davis and James were at Marnie’s house, and they were excited to be all reunited when we picked them up.  We are just missing Landon, who is at outdoor school for two more days.  It was great to be home and to sleep in our beds again.  Asher was so happy, walking around and smiling and laughing with his brothers. 

A Last-Minute Miracle–Day 14

It’s crazy to think that two weeks ago this day, we were checking into the hospital for Asher’s surgery.  I honestly did not think we would still be here by now.  We have seen many come and go on our floor during our stay, and the few that are still here with us.  I can remember the mom who would push her child around and around the floor halls in his stroller.  I told her the stroller was a good idea, and she weakly smiled and replied yes, but that now that is all her son wanted to do was have her push him around the halls.  There is the child next door with no hair, who has been here since we arrived, and based on the mounds of stuff in his room, has been here for awhile.  The floor has mainly cardiology and oncology patients, and they also take RSV patients in the winter.  Is is actually relatively empty now, with lots of empty rooms.  The nurse told me last night that they only had eight patients, so things were pretty quiet from when we arrived a couple of weeks ago. 

This morning, Asher slept in a bit, which I was grateful for since he couldn’t eat anything after 2 a.m. and couldn’t drink anything after 6 a.m. in preparation for his cath.  I stepped outside at 8:00 a.m. when the cardiology team was doing their rounds.  Our doctor, Dr. Kyser, wasn’t there because he was in the cath lab doing another cath, and Dr. Iguidabashian, the surgeon, was still out of town until tomorrow.  There was still some debate on if Asher needed the cath or not, but they felt it would be worth going forward in case there is some issue with his heart that they could measure more effectively in his cath.  They did say that the first cath patient had already checked in, so I could give Asher clear fluids until 9 a.m., and the would check back once the second one arrived so I could give him fluids until 10 a.m.  I was relieved because going until 1:00 p.m. with no food and no fluids is challenging for an adult, nonetheless a four-year-old!  They came in again at 9:00 and said he could continue his fluids, and I distracted him by letting him play a lot of Wii and watch TV shows while I got ready.  At 10:00, one of the doctors on the team came in and said he really didn’t feel that Asher needed this cath right now.  He said to continue not eating and drinking, but he was going to try and catch Dr. Kyser in between caths, and also the P.A. and get their feedback.  I didn’t get my hopes up, but about an hour later, just before 11:00, he came in and said the cath was cancelled.  I could hardly believe it.  We had been praying the doctors would know what was best to do for Asher and for his situation, and that Asher wouldn’t have to go through anything that he didn’t need.

Can you see Asher curled up in the bed early this morning?

The overall consensus was that Asher was doing so well that even if they did find something in the cath, they wouldn’t do anything about it right now anyway.  There is still some concern about what they call some “turbulence” of the blood flow as it comes back and enters his heart from the pulmonaries, but they said time will tell if that is an issue.  There could be a bit of a membrane that has grown there around where the pulmonaries come in, or it could be that the pulmonaries are angled a bit causing some turbulence.  Either way, these may or may not effect him.  If they do effect him, we will see him with low energy, weight loss, and dropping oxygen saturation levels over the next several months, and at that point they would go in and do a cath and see if they need to do surgery to help repair that area of his heart.  Shane and I were relieved and felt like this was what was best for Asher, even though it means we still have that worry in the back of our minds.  When we first heart of this potential issue with Asher, the section in the Bible Dictionary under prayer kept coming to my mind, that prayer is “a form of work and is an appointed means for obtaining the highest of all blessings.”  I really felt that if we struggled and worked through some true prayers, combined with fasting, Heavenly Father would bless Asher with the blessings He knew were best for him.  I know that there were so, so many people that prayed with us, some even fasting on a non-fast Sunday, that we would see this miracle in Asher’s life.  We were once again truly humbled by the love and support from so many, and the love and blessings Heavenly Father saw fit to give to Asher at this time.

Shane came up to visit for lunch, and we played a round of I Spy Go Fish and ate lunch together before he had to head back to work.  Asher didn’t just get an easy ride today though – they needed to do a blood draw to test his potassium levels since he is taking Lasix, and they had to remove some tape from where his JP drains and other pleural cath were removed.  Someone from child life came in to help him, and she gave him a ball to squeeze when he feels pain, and he seemed to like that idea. 

The nurses have started letting me do his pleural cath drains, and we have changed them to every eight hours instead of every six.  He had 88 mls on Sunday, 67 yesterday, and 59 today, so we will hopefully continue to see progress.  They are prepping Asher to be able to go home tomorrow or Thursday, as long as his fluid numbers continue to decline, so we are hopeful that works out.

Asher and I “escaped” to the Mario hills tonight, and then we walked along the third-floor garden, following some slugs around and playing I-Spy until it was time to go up for his last vitals, pleural caths and meds of the day and to go to bed.  Asher was super happy today, and was even cooperative and joking during his vitals and pleural caths.  He has been through so much and I am constantly amazed at how tough he is and how well he handles it all.

Asher doing his going-home-soon dance.

Memorial Day Monday

This morning, Asher didn’t want to go to sleep again after his 6 a.m. wake up for his pleural caths so we were up for an early start to the day. He had a harder time sleeping last night too, but I think the early sunrise and big windows make it hard for him to go back to sleep. He was happy to see his nurse friend Jess was his nurse for the day, even though he moans and whimpers every time she walks in the room. The cardiologist stopped by and said Asher’s numbers for his pleural cath output were continuing to trend down, and because they had gone so much lower they didn’t think he would need open heart surgery. That was the best news of all! They still are a little high, so they are going ahead with the cath tomorrow at 1:00 p.m. The whole cardiology team will be by on rounds in the morning to make a final decision, but we are prepping him as if he has the cath tomorrow. I was a bit frustrated and fought them as much as I could on the 1:00 p.m. time. That means he can’t eat anything after 2:00 a.m. and nothing to drink after 6:00 a.m. It is going to be a long day for a four-year-old as he waits for his cath. I questioned her on the 6:00 a.m. time because for his previous cath he could drink water up to two hours before, but she didn’t change the order. I will ask her again in the morning.

Today’s pleural cath numbers continued to decline. He had 88 yesterday, and today’s total was 67. The other good news from the cardiologist was that we should be able to go home within a couple days after the cath, by Thursday or Friday. They have been training me on how to do the pleural cath drains, and Asher’s nurse had me do his 6:00 p.m. one by myself today. I’ve watched them do it thousands of times so I already had a pretty good idea of what to do, but it helped to pull on the syringe and get an idea of how it feels when there is more fluid, and how it feels when it is all gone.

The day was spent as usual – playing Wii, reading books, coloring, putting together another Lego set, going to the children’s garden, and watching some TV. Asher came with me to the workout room so I could run on the treadmill while he watched a show. He also walked with me over to the café in the hospital so I could grab something for dinner, but that was a mistake because he saw some donuts in the window and then wanted one, which he couldn’t have with the high fat in those. Luckily he was quickly distracted and seemed content with the watermelon I bought him instead.

My parents came up for a couple of hours before they left to go home, and I hurried home and finished getting Landon’s stuff ready for outdoor school, helped Davis finish his Walt Disney timeline for school, helped James work on some homework, and started a load of laundry before coming back up. I am so grateful for my mom and all that she has done for us this past two weeks. She has taken care of laundry, homework, meals, bedtimes, baseball games, etc. for the last two weeks so that I didn’t have to worry about anything at home. She does it happily without complaining, and the kids all love having her there, and it helps them not notice me gone as much when she is around and keeps the routines and things the same at home. We will miss her the next few days, but Shane’s mom is here and can help a bit, Stacey is going to take Madeleine for a couple of days, and lots of friends have offered to take Davis and James after school.

This evening, Asher wanted to go exploring, so we went to every floor of the hospital. Some we had been to before, but some we hadn’t stopped at. They all look pretty much the same, but he had fun exploring and visiting each one. We especially enjoyed the view of Portland and the sunset from the eighth floor before we headed down for his vitals and last meds before bed. Wish us luck tomorrow with the no eating/drinking and the cath! Hopefully he isn’t too upset about it.

A Difficult Change in Plans

I’ve been a bit MIA here on the blog.  I posted last on bingo day, Wednesday, and it is now Sunday night.  So much has happened since then, but I just didn’t take the time to write it all down.

Thursday morning, Asher slept in until 9:00 (well after being woken up at midnight and 6 a.m. for his meds, vitals, and pleural caths drained).  I had moved him in bed with me at about 3:00 in the morning, and he seemed much more comfortable in the bed by me than in his hospital bed. 

The cardiologist came in and said that she had seen something on the echo that may be a cause for concern.  Basically, where the blood comes back into his heart from his lungs, the flow may be a bit too high.  They can’t measure it great on an echo.  They were wondering if that might be why the fluid is still going so strong.  At that point, his total fluid numbers for the day were over 200 ml per day.  She said that because of this, they wanted to do a cath on Tuesday if his numbers hadn’t gone down significantly.  In the cath, they could measure more accurately, and the could also increase the size of his fenestration, the pop-off valve that they put in the Fontan to help if the pressure got too high.  I asked what would happen if there was an issue in the cath and they fenestration didn’t help. She said at that point they would need to do another open heart surgery to fix it. 

I couldn’t believe what she was saying.  All along, I had thought that the fluid levels were normal and would just go down, which is what they kept saying too.   Asher is finally recovering and doing so much better, and definitely through the worst of the pain and the risk of this surgery.  I couldn’t even wrap my head around him having to go through a cath in a few days, nonetheless a surgery.  She said the surgery would be about a week after the cath.  It all just seemed so risky and so much for Asher to handle.  It was a rough day.  I kept wiping away the tears so Asher wouldn’t know what was going on, and had to sneak into the bathroom many times to cry without him noticing.  Shane was at work all day, and he had a temple trip with the youth (Landon’s first one!) that evening.  I wasn’t even sure he would be able to come up, but he left the temple a bit early and came straight up here.  I was so glad, even though the second he walked in the room I couldn’t keep in the tears and had a good cry.  Shane gave Asher a blessing, and then we walked down to the first floor and outside the building for a bit.  It felt good to get outside, and Asher had fun walking up and down the hills with Shane.  He cheered us up just when we needed it, and I’m so glad he knew that I needed him to come up.

     

Asher at the Mario Hills with Shane, and Landon at his first temple trip with his friends Dylan and Sam

As I lay in bed that night with him cuddled by my side, the tears soon wet my pillow as I read through the scriptures and quotes I had tagged under “trials” in my journal.  Each one, read over and over, slowly brought peace to my soul and reminded me that we are not in this alone, that Father in Heaven has a plan for Asher far better than our eyes can see, and that He sent His Son just for moments such as these.  I knew, like Shane and I have always known, that Asher came to our family for a reason, and that Heavenly Father has been blessing him and sending many miracles around throughout his life.  I knew that we just needed to continue to have faith in Him and His plan, to do all that we could to help Asher, to pray and fast, and then to wait for His will to come forward.

The next morning, while it was still hard and I felt myself tearing up at times, I also felt more at peace and knew that whatever Heavenly Father’s plan for Asher was, we would have faith in that, and He would help us get through it.  The outpouring of love and support from so many family and friends far and near was humbling and strengthening.  We planned a fast for Sunday, and we tried to “cheeryfully go about doing all things that lie in our power”.  All we knew that would help his fluid levels go down was to get him moving around more and make sure he followed his high protein/low fat diet.  He hadn’t been motivated to get up and move around as much the last couple of days, so I made sure the nurses started giving him tylenol around the clock.  That morning, his buddies Carter and Drew came to visit, as well as Stacey with her kids.  Asher was excited to have them here, and he walked clear to the garden, all around, and back by himself.  His fluid numbers on Friday continued to drop, and we saw him go from 170 ml on Thursday to just under 100 ml on Friday. 

       

Friday afternoon, my mom came up and stayed with Asher while I went home.  I went to James’s Author’s Celebration in first grade, where he read me four books that he had written throughout the year.  He was pretty excited to see me there, and he snuggled up close right next to me on the grass while he read me his books.  I sure do miss my other four kids while I am up with Asher!  I took him home from school and spent the rest of the day at home.  I took Davis to his baseball game, and since Asher was doing great with Grandma, Shane came and watched Davis’s game too before he headed up to the hospital to spend the night there.  My dad arrived that evening, and he drove up with Shane to pick up my mom and to see Asher. 

   

The cardiologist was surprised when she came in Saturday morning and saw Asher’s totals from Friday.  She said they would re-evaluate Monday morning if the cath was still needed, but that this was a good sign in the right direction.  His numbers would still need to drop more in order for them to cancel the cath, which she thought would still be a challenge, but it was still a good sign.  Shane ordered Asher some French toast, and it became his new favorite breakfast at the hospital.  It’s been hard to get him interested in eating much of anything!  Shane spent most of Saturday up at the hospital.  He and Asher had a great time going on a walk to the first floor garden, making Lego guys, doing puzzles, visiting with a dog, and of course, getting more pleural caths drained. I got up and ran with friends, then helped Landon get his stuff packed for outdoor school, and helped Davis with his project on Walt Disney.  We also walked down to the Farmer’s Market, and got some ice cream cones.  Davis read his joke book that he had got up at the hospital the entire way there and back, asking us all sorts of jokes and riddles.

       

 

After Madeleine woke up from her nap, we all went back up to the hospital and brought some dinner.  We ate out on the garden, and Asher was happy and walking all over the place, seeming to enjoy all the attention.  We all went down to the “Mario” hills, as Asher calls them, and the kids ran and slid up and down them while we enjoyed the perfect evening weather.  I kept having to remind Asher not to run or be too wild – we soon had to make a rule that the big brothers couldn’t do anything Asher wasn’t allowed to do because he just wanted to keep up with them!  Shane and my dad took the kids home, and I stayed up with my mom and Asher until Asher went to bed.  We played a game of memory and had a visit from the Boyntons before he went to sleep.  Then, I left my mom with Asher so I could go home, sleep in my bed, and go to church in the morning.  It was hard to leave him, but I knew he would do fine with my mom. 

 

Sunday, we all fasted for Asher.  I was once again humbled and amazed at how many people are praying for him and even fasting for him.  He is one special boy, and with all these people fasting and praying for him, we are reassured even more that whatever the outcome is, it is what the Lord has planned.  Asher’s numbers throughout the night and that day continued to be in the low 20’s, with one 28 that made us a bit worried, but then he leveled back down after that.  He has been more in the teens since that one.  They pull his drains four times a day, at 12 and 6, so he really needs to be in the low teens for the cath to be cancelled.

 

Asher having fun coloring, texting, and napping with Grandma.

After church, I quickly gathered my items for the hospital, ate some dinner, and drove up to meet my mom and dad.  My dad had left after Sacrament meeting to come up and be with my mom and Asher.  They hung out with me for awhile, and then Shane came up with his mom and the kids.  She had flown in late the night before to help Shane’s brother Kelly and his wife Jessa with their baby, due to be born any day.  Asher was excited to see Grandma Malan, and he took her on a tour of the hospital, showing her all his favorite places.  My parents left to stay the night at Jake and Stacey’s, and we enjoyed visiting with grandma and relaxing on the Mario hills once again in the nice evening.  While we still don’t know what the future holds for Asher, we were grateful for the peace we could fill today as we fasted and prayed for him. 

     

Grandma showed Landon how to do some family history, and Landon and him already found two names for Landon to take to the temple.  When Grandma Malan arrived, Davis was excited to have someone else to read all his jokes to.