“God Says Julianna is Not Tired”

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Sept 2015 – FaceTime with Kindergarten class.

Sometimes her one-liners are lectures.

Oct 2015

Fall mornings can be a bit rushed. After her respiratory treatment, she gets dressed and does FaceTime with her kindergarten class. This morning, Grandma is doing her best to get dressed in time for circle time.  It’s apparently not fast enough for J.

J: I need bottoms. Do you know anything about modesty?

Patience is not J’s thing. 

March 2015

I’m getting J ready for bed, and she keeps asking for a toy. I ask her to be patient.

J: I don’t like patient.

M: why?

J: It’s boring.

M: But God wants you to be patient.

J: Don’t worry. It’s still boring!

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age 2

J is very thorough.

Oct 2015

J has been playing with her toy nativity scene. She knows about the wise men with their frankincense and myrrh. Her amazing nurse (the same one who helped her fly a kite) somehow produces real frankincense and myrrh and presents it to Julianna. She just happened to get it from a monastery in Eastern Europe. Impressive, right?

J: Where’s the gold?

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Oct 2015- J with her nativity scene.

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Wise men with frankincense and myrrh. J decided that the gold top on the myrrh bottle was sufficient.

Bedtime is also not Julianna’s thing. 

March 2015

Just before bedtime, J asks for a sip of water. I am reluctant because I’m afraid that she’ll choke. She persuades me, takes a sip and chokes. I feel awful. J insists that she’s OK.

We move on to bedtime prayer. At the end, she says:

J: Julianna is OK even though she choked. Tell God.

M: Ok. If you say it’s OK, , it’s OK.

J: God helps everyone. He tells everyone the truth.

M: You’re right.

J: God said Julianna is not tired.

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Jan 2015. Never tired.

Manners are important. 

April 2015

Bedtime with J. I’m on my laptop ordering a Mother’s Day present.

J: Mom, can you exercise my legs?

M: OK, can you hold on a minute while I order something for Homie?

J: Not order. You have to say please.

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Summer 2015. Leg exercises

J’s dream

May 2015 – Julianna tells me about her dream

J: I’m big, I can walk and I tell people what to do.

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Bossy is beautiful.

“Will You Make Me Strong?”

Since February, Julianna has needed BiPAP almost 24/7. She takes it off for ten minutes each day during her bath.

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Sept 2015. Done with bath & back on BiPAP.

About a month ago, I walked into our bathroom while Steve was giving Julianna a bath. J was leaning back in the bath chair with her BiPAP on. She smiled at me, happy as a clam.

She looked so pleased with herself for sneaking some extra time on BiPAP. I couldn’t help but acknowledge the obvious.

“The BiPAP makes it easier to breathe, doesn’t it?” I asked.

She corrected me. “It makes it easier to talk.

In other words, Julianna needs to breathe because she needs to talk.

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Sept 2015. A rare photo without BiPAP. I miss seeing that cute nose.

Julianna’s words. I would not have had the courage to start writing had it not been for her words. They are funny, profound, encouraging, heartbreaking, en pointe. Her words reveal her enormous heart and sharp intelligence.

Just this week, there’s been a change. Her voice, already softer than it’s ever been, has taken on a high-pitched, forced quality. I don’t know what this means, but I suspect that it’s not good. Nothing about this stupid disease is good — it takes and takes and takes. What if it takes Julianna’s voice?

At another time in my life, I would have tortured myself while trying to come up with a solution. I would have stayed awake (even later, I mean), wondering what this would do to Julianna, and to us. I would have made a mental flowchart and researched devices not covered by insurance and shed bitter tears over yet another loss.

I’m not doing that anymore. The events of last year forced us to acknowledge that Julianna’s disease will ultimately win the physical battle. It’s a devastating reality, but once accepted, everything was lighter, sweeter. Julianna is so much more than her physical body, and these things are now our focus.

Julianna’s voice may be weaker and softer – but it hasn’t stopped. If fact, she talks even more these days. There seems to be a sense of urgency: she can’t keep quiet because there are too many stories to tell, too many opinions to state. There’s no time for sadness or self-pity, so we follow her lead.

I started writing so that I could share Julianna’s words with the world.  God willing, I will continue to share, regardless of what happens to her voice.

These are some of Julianna’s words. I want to remember them forever.

Sept 2015:

When I’ve had a bad day, I sometimes seek advice from J:
M: What would you say to someone who’s being mean?
J: “Go AWAY.”
M: What if that doesn’t work?
J: Then I would kick them.
M: You would?
J: Yes, although you would kick them for me.
PS —  She really said “although”

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Sept 2015. Relentlessly happy. The solution to all my bad days.

April 2015 — Note to Julie, dictated by J:

Miss Julie — Am I a little girl always? I love you. Wish for a unicorn. Remember Julianna always!

April 2015 — note to Homie, dictated by J:

Homie — I love you. I have a loose tooth. There is something weird. Do you know what is weird? It is glue. Love, Julianna.

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Summer 2015. Julie (our hospice angel/volunteer) with J.

April 2015 — J’s prayer:

Dear God,

I love you.

You are good.

You are very good.

Will you make me strong?

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June 2015. Photo by Aubrie LeGault, Capturing Grace Photography

“I Can’t Walk, Remember?”

Julianna is highly quotable. She has the gift of finding the right words at the right time — and with the right delivery.

This is a collection of her best one (and two) liners, in rough chronological order.

18 months (approximately)

Like most kids, Julianna learned to talk by mimicking. She’s still really good at this.

Age 2:

We moved to Arizona when Alex was two years and Julianna was 4 months old. We hit gold with daycare providers again. For over two years, a wonderful woman named Margi cared for our children. Her home was as clean as it was warm, and it housed four generations of her family.  Her husband, Frank, also helped. As Margi said, J had him “wrapped around her little finger…tight!” There were many arms to hold and love Julianna. For a while, Margi worried that this was the reason that Julianna didn’t walk.

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Jan 2012. “Frankie” (this is what J called him. She is first and only person to call him this.) is sitting behind her. Just two days ago, J asked if she could go back to Margi’s house.

As you can imagine, J’s verbal skills did not lag. She was a chatterbox from the beginning. One day while I was driving her and Alex home, she said:

“Frank says I talk too much. That’s not fair!” 

Ages 3-4:

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The journal. It took a while to find one that matched her room.

I started recording Julianna’s words in a journal shortly after she turned 4. This is a list of one-liners that she used starting at age 3. I think that she learned most of these from her favorite TV shows.

— All right, all right, girlfriend.

— Relax, princess!

— Sing it, baby!

— Don’t freak out.

— What the heck?

This one is a Julianna original. She still says it a lot

“I love everyone – except for bad guys.”

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June 2015. For Julianna, “bad guys” are toys who do naughty things. Typical offenses include not sharing or rolling in mud puddles.  She puts them in “jail” — fancy ones, of course.

Nov 2014:

Julianna really hates bedtime.

Me: It’s bedtime, Julianna

J: No it’s not. Bed, with a circle and a line through it!

(She was verbalizing a prohibition sign for “no bed”. I was not able to find one on the internet – such is the stuff of her imagination).

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Drawing by Steve

Feb 2015

J is in her room. She sneezes.

J: I must be allergic to chandeliers.

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Jan 2015. J sees her chandelier for the first time. She is most definitely not allergic.

May 2015:

J does not like messy hair. Hair is not my priority.

J (to me): Your hair is unpleasant.

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June 2015. Photo by Aubrie LeGault, Capturing Grace Photography

May 2015

J is with Steve. She is being impatient about something.

S: Hold your horses!

J: I don’t have horses. I have ponies.

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Summer 2015. J and two of her ponies. And matching hair extensions.

Shortly before her 5th birthday:

J’s nurse: So Julianna, what are you going to wear for your birthday?

J: My birthday suit, of course. Naked!! (pronounced NAY-ked…)

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Aug 2015. Princesses wear birthday gowns, not birthday suits.

Age 5

(This is my personal favorite. She said it just a few days ago.)

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This morning. I can tolerate feather boas. Alex, not so much.

I know that it’s weird, but I can’t be around feathers because I am scared of birds. Julianna knows this.

A few days ago, I find some feathers in her room. I ask her where they came from.

J: It wasn’t me! I can’t walk, remember?

Remarkable

In medicine, being “unremarkable” is good. We want our brain scans, nights in the hospital and test results to be unremarkable. Unremarkable means no tumor, code blue, or infection. It sounds boring, but when your child is medically fragile, unremarkable becomes your dream.

As I shared in a previous post, Juliann’s fourth birthday was difficult for me. 2014 was an all out battle against her disease, and we were failing miserably. We tried so hard to do everything right, but we simply could not keep her out of the hospital.

On her fourth birthday, I made a white Hello Kitty cake with pink sparkles. It was my attempt to give Julianna something “normal.” She took one bite, choked and threw up. We shifted from celebration to oral suction and worrying about another hospitalization. We had been battling this all summer. Julianna was losing her ability to swallow, and she wasn’t tolerating feeds through her G-tube (catheter into the stomach that delivers nutrition.) In that moment, I felt defeated: I couldn’t even give Julianna a taste of birthday cake. Was it really too much to ask?

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Fall 2012. Before all her hospitalizations, she could eat cake.

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Aug 2014. The calm before the storm.

Fast forward one year. Things are so different now. In some ways, they are worse: Julianna has lost all ability to swallow, and she is weaker. Her disease still has the upper hand in the physical realm. Her spirit, though, is thriving. She is strong, fearless and happy. It was this way all along, but because I focused all my efforts on attaining “unremarkable”, I lost sight of what is truly magnificent.

Julianna turned five this week. There were a few cakes, but no expectation of achieving what is “normal” for others. This is what happened during Julianna’s remarkable fifth birthday week.

  1. Julianna told her own story, and, in her mind, she has no limits.

When Homie is in town, she sits with Julianna at night. This week, Julianna told a story about their perfect day together:

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Summer 2012. A perfect day with Homie would start with fabulous outfits. I think that this is the inspiration for Homie’s flower dress in J’s story.

  • They share a bunk bed. Homie gets the top bunk, but she is scared of heights, so J must help her up the ladder.
  • In the morning, J puts on a blue dress with a bow around her waist. She wears a blue tiara, feather and bow in her hair. Homie has on a flower dress.
  • They go to the shoe store and each buy two pairs of shoes. J gets pink high heels and blue “low heels”
  • They go to Red Robin for lunch, and J has mac and cheese.
  • Last stop – chandelier store!

In real life, Julianna cannot scratch her nose without help. She has never worn “normal” shoes and it has been at least two years since she has been in a restaurant. In her world, she wears high heels to Red Robin, helps Homie climb a ladder, and she has managed to find a store that stocks just chandeliers. Her world is pretty great.

The future belongs to those who believe in the beauty of their dreams.

— Eleanor Roosevelt

2) She got to play in the sand.

J isn’t able to get out into the world, but she has people who bring it to her. E, her wonderful nurse, brought back some sand from the Oregon coast.

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Oregon coast in a box

You don’t need to be the tide to rise and fall,

you don’t have to be a wave to touch the shore;

just be a little sand-grain and feel them all

― Munia Khan

3) She was extra fancy and completely fabulous

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Aug 2015. Birthday. This was her evening outfit. (Yes, she had an outfit in between her day clothes and PJ’s). 

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Aug 2015 – Day after her birthday. Princesses can have tattooes, as long as they are sparkly and temporary.

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The inspiration of this birthday bouquet was Fancy Nancy. Because all floral arrangements should have feather boas. (Courtesy of J’s incredible palliative care volunteer).

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Aug 2015 – Day after birthday. Princess casual includes rose colored specs.

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Aug 2015. For the party, she had tiara, sash and statement necklace.

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Sometimes it’s enough to just have your cake. I know it seems strange to get cake for someone who cannot eat it, but J appreciates fabulousness.

More is more and less is a bore.

— Jean Arpel

4) She brought people together.

Social lives and travel are casualties of J’s condition. We’ve accepted it, but we miss spending time with loved ones.

This year, we were far from alone. All week, people blessed Julianna (and us) with their presence. In this busy, increasingly technology-dependent world, they gave her what is most important: time, love and attention. And, as always, good conversation. I believe that these are the things that Julianna lives for.

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Aug 2015. J and D, our favorite PICU nurse. She helped gets us through some of our worst days.

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Aug 2015. J and one of her handsome baby cousins. His onesie says “Tough guys wear pink.”

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Aug 2015. J with C, her “best friend” from the PICU.

Friendship is unnecessary, like philosophy, like art…. It has no survival value; rather it is one of those things which give value to survival. – C.S. Lewis

“I’m Bossy but a Little Bit Polite”

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Summer 2013. Grandpa made this for J because it just fits. Says J: “I’m bossy, but a little bit polite.”

I hope that we’ve established by now that Julianna is wise beyond her years. Her remarkable words about heaven are what started my quest to share her with the world. She teaches me to embrace joy instead of giving into fear.

J’s wisdom is not limited to the profound. This girl knows that there is a certain way to do things, and she is not afraid to deliver her opinions. For example,

Be direct but kind

Julianna tells us she loves us at least ten times per day. Sometimes it’s tactical.

Background: Moving J from sitting to laying down is complicated – there are tubes and lines to watch. It’s one of the main things that a new caregiver has to learn.

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June 2015. Moving Julianna takes practice. (Photo by Aubrie LeGault, Capturing Grace Photography)

March 2015

Today I moved J from the chair to the couch. It was awkward.

J: Are you training?

Later that night, I ask her about  her comment. She avoids eye contact and says:

J: Mom, I love you!

Take care of your face

April 2015

I try to wipe Julianna’s face with a baby wipe. She refuses.

J: They’re for bums. And trash cans.

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June 2015. Washcloths, not baby wipes. (Photo by Aubrie LeGault, Capturing Grace Photography)

And Don’t Forget your Neck

Dec 2015. Bedtime with J. I’m bent over her at an awkward angle.

J: Your neck is wrinkled!

M: I can’t help it. I’m old.

J: You have to help it. Help it!

M: How?

J: Don’t bend your neck.

Sometimes cute requires sacrifice 

Everyone in our house has a big cranium.

(High school flashback: It’s a few weeks before graduation, and I’m being fitted for my cap and gown, and it’s not fun. The principal tries to make me feel better. “Some football player” has a cap size bigger than mine.)

There’s no way around it: the headband and tiara industries are sizeist. Julianna refuses to be excluded.

Last week, I picked up a cute headband for J.

J: I love it!

M: You won’t be able to wear it for very long, Julianna. It’s tight.

J: C’mon mom. I’m tough!

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Aug 2015.

Accessorize!

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Dec 2014. Channeling Rudolph, not Bozo.

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Oct 2014. Numchucks elevate the dreaded hospital gown.

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July 2015. Who said BiPAP has to be boring?

“The Claws are for Bad Guys”

Banner photo by Aubrie LeGault, Capturing Grace photography

Last December, Julianna told Make-A-Wish that she wanted 1) a white kitten named Snowflake and 2) a pink princess room with sparkle. Make-A-Wish came through big on the second wish:

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Jan 2015. Make-A-Wish princess room.

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Jan 2015. Kitty corner (Steve’s creation)

I was in charge of the first wish. I got the kitten part right: this is George.

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Dec 2015. Humane Society meet and greet.

Julianna wanted a cute and cuddly friend. He has turned out to be a good therapy cat.

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Dec 2015

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Dec 2015

George was just three months old when he came to us, and had a lot to learn.

Dec 2014 – journal entry

First day with George. He jumped on the couch while I was trying to do J’s treatment. I put him down. He jumped right back up. Down again. After the third time, Julianna turns to me.

J: Mom, I think George is stupid. Don’t tell Dad

(She really wouldn’t let me tell him for a while. I think she was afraid that George would be sent back. And she knows we don’t like that word…)

We tried to teach George through positive reinforcement, and asked Julianna to reward him when he was being good.

Jan 2015 – journal entry

George comes into J’s room and is calm:

J: Welcome, George, welcome! I love you. You’re so kind. Thank you. Welcome to my room!

Another time.

J: Welcome to my room, George! You’re so beautiful. I mean, handsome. Thank you. I love you.

As George become more of an established presence in our house, he showed up in Julianna’s imagination and role-playing:

26 Feb 15 – journal entry, conversation with Steve

J: I am a kitty. A brown kitty.

S: You are a cat with brown fur and cute eyes. And soft paws

J: I have claws.

S: You have claws? But you never use them, right?

J: The claws are for bad guys.

S: Oh.

J: The biting is for really bad guys.

“Don’t Worry. God Will Take Care of Me”

June 2015. Forehead to forehead. One of my favorite nighttime rituals. (Image by Aubrie LeGault, Capturing Grace Photography.)

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March 2014, Woodland Tulip Festival. It’s hard to believe, but heaven will be even more beautiful.

Sleeping is not Julianna’s forte. Bedtime is 8 but she rarely falls asleep before 9:45. She has very little movement below the shoulders now, so someone sits at her bedside until she drifts off. Steve and I are supposed to take turns, but I volunteer for most of the nights. I know that my time on this earth with Julianna will be far shorter than I want, so these hours are a luxury.

She needs me to take care of all of her physical needs. I turn her, suction the saliva that she cannot swallow and I keep her clean. She also needs me to engage her mind. It is always active, and she needs to share.

Her physical body is profoundly weak, but, verbally, she is like an elite gymnast. Her words are rich and precise. She uses them to entertain, engage and to show her love. Above all, she wants to be understood. This is harder now. Her disease has also taken away volume and enunciation, but those who invest the time and effort are rewarded abundantly.

Her words about heaven  prompted me to submit a story to The Mighty, a site that features many touching stories about people living with disease and disability.  Before this, my only attempt at mass communication was the occasional group e-mail. Sharing this story was way out of my comfort zone, but I felt that I needed to share Julianna with the world.

The conversation posted on the Mighty occurred in May 2015, and it was not the first time we talked about heaven. The original heaven conversation took place several months earlier. I remember being overwhelmed by hearing my four-year-old daughter speak about her wish to go to heaven. I thought I was so stunned that I didn’t write it down. (This is how I documented it in my second story for the Mighty, “How Our Daughter Helps Us Face Our Greatest Fear” .)

Happily, this is not the case. As I went through my e-mails in preparation to start this blog, I found the conversation that started everything. It was all in an e-mail.

9 Feb 2015 – e-mail to my mom

Today was a little hard b/c J needed BiPAP so much. And she was upset for the first time in a while – it didn’t last that long, but it’s hard for me to see her upset at all. She said she was upset b/c George licked her foot (he has a rough tongue)… She was OK and playful after she got over everything.

Yesterday we read the heaven book. I’ve been wondering about our plan to take her to the hospital if she gets sick again – b/c it’s even harder now to imagine her suffering. So I decided to ask her. Her answers were fast and clear.

Me: Julianna, if you get sick again, do you want to go to the hospital again or stay home?

J: not the hospital

M: Even if that means that you will go to heaven if you stay home?

J: Yes

M: And you know that mommy and daddy won’t come with you right away? You’ll go by yourself first.

J: Don’t worry. God will take care of me.

M: And if you go to the hospital, it may help you get better and let you come home again and spend more time with us. I need to make sure that you understand that. Hospital may let you have more time with mommy and daddy.

J: I understand.

M: (crying) – I’m sorry, Julianna. I know you don’t like it when I cry. It’s just that I will miss you so much.

J: That’s OK. God will take care of me. He’s in my heart.