Hi, my name is Tonia, and I am married to Mike. We created this webpage for several reasons. We wanted to update family and friends on our daughter, Nina, who was diagnosed with ganglioneuroblastoma in January 2008. It is such a rare cancer, with less than five out of a million kids diagnosed each year. We wanted to share our experience to hopefully inform others with a similar diagnosis. We also wanted to offer hope to parents. With abundant prayer and God's grace, miracles sometimes happen. God has been good to us..
Tonia, Mike, Lindsey & Nina
On January 24, 2008 our four year old daughter, Nina, was sent for an ultra sound. The doctors were looking for signs of kidney reflux to hopefully explain why she kept getting urinary tract infections. During the ultra sound, we knew something significant had been found, but we weren't sure what it was. The technician kept leaving the room. What was suppose to be a 20 minute scan, turned into an hour. Finally the radiologist came into the room with the technician. She said she had already called our pediatrician and that the second kidney reflux test had been canceled. We would be going across the hall for a CT scan instead. We didn't ask the radiologist too many questions. We figured we would find out what they were looking at during the CT scan. The department was too busy, so they had us come back the next day, Friday the 25th. All the while, I am imagining that Nina has a bad kidney and is going to need a transplant or something. Cancer never crossed my mind. We did not learn anything new during the CT scan, but the nurse told us we would get the results on Monday at our pediatrician's office. It would not take that long to find out. The phone rang the next morning, Saturday the 26th. The pediatrician was asking us to come to his office immediately. I have never been more terrified in my life. Lindsey and Nina were coloring in one room with a nurse, while Mike and I were taken to another room to hear the news. Dr. Kebe did most of the talking as we could barely speak. He said that Nina had a golf ball sized tumor between her right kidney and adrenal gland. Dr. Kebe wrote "Neuroblastoma 5cm" on a piece of paper, and he gave it to us. He said that we needed to take Nina to the Hematology/Oncology Clinic at Children's Hospital first thing on Monday morning. He said they would be expecting us.
Monday January 28, 2008
I am sending this update to just about everyone in our address book, so if there is anyone who hasn't heard, our four year old daughter, Nina, was diagnosed with a 5cm tumor between her adrenal gland and right kidney. This was discovered last Thursday 1/24/08 during an ultra sound to find out why she has had three urinary tract infections since August. We were asked to come back the next day for a CT scan, and we weren't expecting to get any results until today. But then we got that horrific call on Saturday to meet the pediatrician at his office immediately. Here is where things stand today 1/28/08:
We were told by our pediatrician to just show up at the Hematology/Oncology clinic this morning. The nurse who registered Nina said that she wasn't sure which doctor we would be seeing, but that Nina had been discussed during morning rounds. It was sad seeing some children wearing masks and others without hair. Nina didn't seem to notice. She was too busy blowing through all the toys in the waiting room. She was excited to be there. She really doesn't get any of this.
We met Dr. Olshefski and he said that the tumor could be one of three things. Two of them involved Neuroblastoma, an aggressive form of childhood cancer, but the third possibility was a benign tumor. Finally, someone is saying that there is a 33% chance that this is not cancer. Dr. O said that this tumor must come out immediately, and then he let us see her CT scan. Technology is amazing! The scan was in a three-dimensional bird's eye view on the computer screen. It started at the liver and moved down showing the left kidney. We could see the tumor on the opposite side of the screen. Her right kidney was noticeably larger, and it had calcium deposits on it.
Dr. O said they would like to have the golf ball sized tumor out this week, but there is a chance that the surgeon will say that Nina needs to have chemotherapy, before surgery, to shrink the tumor making it easier to remove. Surgery will likely involve slicing off part of Nina's liver and some or all of her right kidney. We will meet the surgeon, Dr. King, at 1:15 tomorrow (Tuesday 1/29) to discuss all of this.
Nina's tests today were minimal. They took urine to look for chemicals that the body produces with neuroblastoma. They also took a blood sample. Nina did amazingly well with the needle. She didn't even blink or flinch when it went in, and she watched the whole time. She's been telling everyone that the nurses took some "Nina Juice" out of her arm. We were out of the clinic by 10:40, which was such a blessing because we were told that we could be there all day and even be admitted.
Dr. O said that our main goal is to get it out. During surgery the pathologist will determine if the tumor is neuroblastoma or benign. If it does turn out to be cancerous, she will need lots of other scans and tests. Some that will begin right then and there, like a bone marrow biopsy. Then, she will start chemo once she is strong enough. If it is benign, they will get it all out, and this nightmare will be over.
For those who are keeping us in prayer, please pray that they can do the surgery this week and not have to put Nina through chemo first. Also, pray that this is benign. What a wonderful possibility to hear today. We are having so much hope. The fact that Nina is almost asymptomatic, she is eating well, and playing hard, makes us feel hopeful. Today was a good day.
Thank you all so much for your prayers. We have really felt them. All four of us were able to get a good night's sleep last night, and that was a huge improvement over Saturday. You have all offered us so much love and support. We are overwhelmed by your spirit of giving and eagerness to help. Thank you to the people we've never met who are taking the time each day to pray for Nina.
God Bless You!
Tuesday January 29, 2008
Nina's surgery is scheduled for Thursday at 8am!!!! Dr. King is confidant in his ability to remove the tumor without shrinking it. No chemo needed prior to surgery!We feel that Nina is in the best hands. Nationwide Children's Hospital is among the best in the country, and we have been so impressed with the way everything has been handled so far.
Dr. King said that he thinks he will be able to leave the liver intact, and he believes he can spare the right kidney. We were smiling after our visit with him. Then Dr. Ranalli, the pediatric oncologist, came up to meet Nina. This is the Neuroblastoma Doctor. He's the one who will be treating Nina if the tumor is not benign. This meeting was a little more tense because we had to discuss the bad stuff. Here is what we learned today about surgery:
The surgery should be finished within two hours, but they have the operating room scheduled for three so that other tests can be done if needed. Nina will have an incision on the right side of her abdomen, above her belly button but below the breast. There is a chance that they will be able to identify the tumor as cancerous just by looking at it. If they are able to make this determination during surgery, then Nina will have a central line/port put in right then and there. This is like a permanent IV on the chest where they can insert chemo and medicine in the future. This will only be done during surgery if they are positive it is cancer.
A team of pathologists will take the mass. They will study it through the weekend to see if there are any cancer cells present. If it is determined to be cancerous after surgery, then she will have to have the central line inserted later. Regardless of whether it is malignant or benign, Nina will have a bone marrow aspiration done during surgery. This will screen for cancer cells in the bone marrow. This can be painful, and that is why they will go ahead and do it while she is asleep.
Dr. Ranalli also touched on some of the other treatment that Nina might have to go through if this is a Neuroblastoma. He mentioned chemotherapy and lots of other scans. He said that much of this would be done as outpatient.
We only heard one new thing we didn't like today. Dr. Ranalli said the benign tumors, called Ganglioneuromas, are usually found in the chest and the ones on the adrenal glands are often Neuroblastomas. Nina's is between the adrenal gland and right kidney. We heard lots of good things today, and we will focus on them for now.
Lindsey is suddenly having a hard time. "Why does Nina have to stay at the hospital after surgery? Why can't she just come home?" She has had lots of questions. Tonight she said she is scared that she is going to miss Nina. She said, "Remember that time, I was home without Nina for only like an hour, and I got bored." Then I thought about it, Nina is home without Lindsey throughout the day and week, but Lindsey is never home without Nina. This will be hard for her.
Nina is doing great. I heard her tell her friend Baxter today, "I wasn't at preschool yesterday because I was at Children's Hospital." She said it like she was bragging about Chuck E. Cheese or something. Later, I told her that we had to go back to the hospital today to meet with some doctors, and she asked "Do I get to have my surgery today?" She doesn't seem to get how unpleasant it is going to be, and she is looking forward to it. We play a game every night before bed, and tonight Nina picked OPERATION. Too funny! It is such a blessing that she is handling all this so well. Tomorrow is Hibernation Day at preschool. The kids get to wear their pajamas, bring in favorite stuffed animals, books, blankets, and flashlights. I am so excited that Nina gets to be there. It will be another regular day, and we really like those.
One last thing, Dr. King noted that Nina's belly button is what they call an Umbilical Hernia http://www.mayoclinic.com/health/umbilical-hernia/DS00655 He said is going to go ahead and fix this during surgery. It's not really a big deal, but I just thought I'd share that too. She is going to have several things to heal from.
If the tumor is benign, Nina will be in the hospital just 3-4 days, and she will be back at preschool in only 10 days. That sounds so awesome! We thank you again for all the prayers and concern. Your outpouring of support is just amazing. Thank you so much for passing on Nina's story to others. Our inbox is full, and we appreciate every message of hope and prayer. We are truly being lifted up.
Wednesday January 30, 2008
This is just a quick thank you, and I should be off to bed. I can't say enough about how wonderful you all are. Thank you for taking time out of your morning tomorrow to stop and pray for Nina. Thank you for asking others to pray. We truly appreciate all you are doing. Thank you to everyone who has offered to help with Lindsey. Mike's mom, Betty, came down from Cleveland today. Lindsey should be all taken care of for a little while, but I will let you know if we need you.
Thursday January 31, 2008 Not Benign, but still hopeful! No central line (port) needed yet!
Not Benign, but still hopeful! No central line (port) needed yet! We felt your prayers today. Although we didn’t get the news we had hoped for, we are miraculously staying positive and holding it together. Dr. King came out to talk with us a little after 11. He said the surgery had gone well, the tumor was out, and that Nina was strong.
Nina had several procedures piggybacked onto each other today, because they wanted to get them done while she was asleep. Dr. Ranalli’s team performed the bone marrow aspiration first. They had to take marrow and samples of bone out of each hip. He said they went ahead and did both sides because cancer can be patchy. Next, Dr. King removed the mass, and then it was studied under the microscope. Dr. King said they found cells that looked like Neuroblastoma. For a second, it felt like the end of the world, but then he said they didn’t put the central line in because he is hoping she won’t need chemotherapy. If this is "staged" low, then sometimes they can get all the cancer out with surgery alone. This is definitely the prayer of the day!
Dr. King also said they had removed a few a Nina’s lymph nodes, and they looked clean. This gives us hope. They will perform the pathology on the mass tomorrow. Also, Nina has a new and improved belly button!
Nina has a tube running through her nose down to her gut. She has an IV in each hand, and a Foley catheter. Her incision is LONG! It goes from one side to the other. She looks and sounds pitiful, and it is hard to see her like this, but she still seems strong. The worst part is when she asks for a swallow of water, and we can’t give it to her. She can’t have anything for a few days. She is also on a continuous morphine drip. Lindsey opted not to visit today as she didn’t want to see her sister like this.
Nina needs prayers more than ever. She doesn’t like it here anymore, and she wants to go home. Also, pray that when the doctors put all the information together that they decide this is just stage 1. That would mean no chemo, and she will only have to follow up with scans every 3 months to make sure it hasn’t returned.
Thank you all so much for praying for our daughter! We are doing so good because of God and YOU!
Mike and Tonia
"Our Sleeping Beauty"
Saturday February 2, 2008
The latest and the greatest on Nina….We are all doing well despite the circumstances. Your support remains amazing. We are hearing stories each day about how churches all over the country have been asked to pray for Nina. You have told your neighbors and family members about her. People who you work with are praying and asking about Nina. We have truly felt like God has been carrying us during this past week, and we thank you once again for your part in this.
Nina's catheter was removed yesterday afternoon, and she is able to get up and use the potty. Her spunk is back. She was quite spirited today walking down the hall with her hiney peaking out the back of her gown, yelling "No, No, No, I can't walk." She screams this as she makes her way all the way down to the fish tank by the elevators. This was quite a little walk as her room is the last one at the end of her hall. Then every time she went to climb back into bed, she would allow no help from anyone. She'd creep slowly onto the bed like a 95 year old woman, making lots of noise the whole time, "Ow, Ow, Ow! I can do it! I can do it!" If anyone tried to help at all she would yell, "I can do it," even louder. It stinks to watch her in pain, but we are glad to see her independence coming back. Getting up and out of bed is the best thing for her recovery, so we need to force lots of walks.
She still has everything else hooked up, and hasn't had a bite to eat or drink of water since Wednesday. They think her bowels are starting to wake up from the anesthesia, and she may get to lose the nose tube tomorrow. This would mean clear liquids. Yay!
We weren't left hanging through the weekend. Both biopsies were completed by yesterday afternoon. Here is what we know. There were three things the tumor could be
1. Ganglioneuroma- Benign tumor (we knew after surgery that we weren’t getting this diagnosis)
2. Ganglioneuroblastoma- Intermediate tumor with both cancerous and non-cancerous cells present
3. Neuroblastoma- most aggressive.
Nina has been diagnosed with #2 a Ganglioneuroblastoma. We are thrilled it wasn't #3!!! What a blessing that this was discovered early. It is amazing this tumor was ever found in the first place. For those who may not know, Nina was sent in for an ultra sound after having 3 urinary tract infections in less than 6 months. Her pediatrician thought she might have a condition called kidney reflux. This is not a fun condition either, but we would have gladly taken it over cancer. So, she had the ultra sound a week ago Thursday, and praise God for the amazing technician, Jenny, who found the tumor. Jenny has already come to our room at the hospital to visit us. She said she has been thinking about Nina and praying for her ever since the ultra sound. I gave her the biggest hug. Jenny is one of our heroes.
Several doctors have said that it is unlikely that the urinary tract infections had anything to do with the ganglioneuroblastoma. They have said this tumor may have been found by chance. We are so thankful for the UTIs.
More good news…The bone marrow biopsy has come back and both samples taken were negative. This is so promising to us. Nina will start many more tests in the coming week. She will need CT scans on her chest and pelvic region, a bone scan, and some tests involving nuclear medicine. They are looking for more cancer/tumors. God has heard and answered all the Nina prayers so far. We ask for prayers now that all her scans and tests come back clean. We hope that once they have all the information, Nina’s cancer will be staged low.
Yesterday started off rough, Mike needed to go in to work for a few hours. Southwestern schools were closed because of ice, so Lindsey came to the hospital with Grandma. The girls hadn’t seen each other since the night before surgery. When Nina and Lindsey saw each other, they both started crying. Nina was crying first because she wanted to go home, so Lindsey started crying because she was so sad to see her sister this way. Seeing both my children hurting, hurt me so bad. Soon we were all three in tears. We miss our old life, but we are doing our best to keep smiling and laughing.
Nina is sitting up to prevent pneumonia.
Bone Marrow Aspiration/ Biopsy
Monday February 4, 2008
Nina is home!!! Nina was discharged from the hospital at 8:00pm. The girls are sleeping together tonight in Lindsey's bed. It is so good to be home!
The testing began today. Nina was awakened this morning by a man from the transportation team. He was there to take her downstairs for her bone scan. She had to be sedated for this one. I was told that they were going to take pictures of every bone in her body. This took nearly two hours. Nina slept the rest of the day.
At 4:30, she was suppose to start drinking these contrasting fluids for her CT scans. She had to drink 4oz every 45 minutes. Then the scans were to begin at 6:30 this evening. She was so conked out from the earlier sedation, that it was a fight to get her to drink the liquid, but we managed. The evening scans were quick, and Nina was finally allowed to eat real food. She had mac and cheese, sweet corn, and french fries. She went to town!
We have to be back at the hospital on Thursday for a meeting with the Oncologist. Hopefully we won't hear anything before then. No news is good news. Then, next Tuesday she will have the test that involves nuclear medicine. We are so glad that we are doing all this outpatient. Did we mention how great it is to be home?
We treasure the emails that you all have sent. I think I am going to print them out and save them for Nina to read some day. It is neat to hear from some of you that we haven't seen in years. Again, they are all treasures. Thank you so much for your continued support and prayer. Nina is thriving, and your prayers have helped in this.
Nina was knocked out after her bone scan.
After 5 days, Nina finally gets to eat.
We are going home. What a blessing!!
Wednesday February 6, 2008
Oncologist appointment is tomorrow at 9:45am. Nina is doing good. Yesterday morning when she woke up after her first night home she said, "Mommy, I had two restaurant dreams last night, and I was eating a cheeseburger." She is glad to be home and back on real food.
The Oncologist's office said that they had set aside two appointment blocks for us as there will be a lot to discuss. I hope and pray that it will continue to be positive news. I am starting to feel a little nervous. Thankfully, Mike is able to take off work to be there. I will definitely be sending out an update sometime tomorrow. Please continue to keep Nina in your prayers as this journey continues.
Thursday February 7, 2008
Your Prayers have been heard…..The meeting with Dr. Ranalli went well. Based on all the information they have so far, Nina's cancer is stage 1 (Isn't this exactly what we've been praying for?) Thank you so much even if you just said one prayer for our little girl. We are very happy with today's news, but we still can't celebrate. Nina still has one more test next week before the final staging can be determined.
The last test is called an MIBG. It is a nuclear medicine test. On Tuesday at 1:30, we will go in to have Nina injected with radioactive material. Then we will go home. The material needs 24 hours to circulate and cling to any cancer/Neuroblastoma in the body. So we will return to the hospital the next day to have images taken. If there is any cancer left in Nina's body it should show up with this scan.
All pediatric cancer is horrible, and we are sorry that Nina had to have any, but we find it miraculous that Nina's tumor was the lesser of two evils. Neuroblastoma is diagnosed in approximately 650 children per year. The kind of tumor that Nina had, a Ganglioneuroblastoma, is even more rare. Less than 5 in 1 million children are diagnosed with these each year. Neuroblastoma is well known for sprouting up on an adrenal gland (where Nina's tumor was discovered). I asked Dr. Ranalli today, "Are you sure it was a Ganglioneuroblastoma? Is all the pathology complete?" He reassured us that Nina was in the minority. She indeed had a Ganglioneuroblastoma.
I know I had promised Dr. Ranalli during our first meeting that I wouldn't read anything on the internet about Neuroblastoma, but I do have some prior knowledge about the disease, and I know the prognosis is very poor for four year-olds. For some reason, babies have a decent chance at beating Neuroblastoma, but kids older than two do not. Ironically, the current (February) issue of Parent's magazine features a day in life of a little boy, named Liam, who is battling "Neuroblastoma." My heart goes out to this family and all the other families we have met at the hospital. So many kids are fighting for their lives. We met one little girl named Hannah today who has just completed 28 rounds of radiation. She is only 6 years old. Even though she was completely bald, she looked adorable in her sparkly black velvet hat. She was very outgoing and her mom, Jessica, and I became instant friends. They are going to have a party this weekend to celebrate the end of Hannah's radiation treatment.
We would love to say thank you for all your prayers. They were definitely answered. We would love to say, "You can go home now. Class is dismissed", but unfortunately Nina still needs you. If this last test keeps her staged at 1, Nina will still have tests and scans every 90 days to see if the cancer decides to return. We will always be looking over our shoulder, but we are thankful for all the good news we have received to date. We continue to feel extremely blessed. Thank you all.
We leave you with some pictures taken of the girls in one of the hospital's many beautiful playrooms. If I ever have to have an opertaion, Children's Hospital is where I would like to stay. Nina had massage therapy, daily visits from "Childlife" who came to play, an "Art Cart" would arrive at her door with crafts to do, and they offered Bingo games down the hall. My friend, Rachel, forewarned me that Children's Hospital is a lot like a cruise ship. There is always an activity scheduled. It was a wonderful place.
Lindsey and Nina playing checkers. This is one of Nina's favorite games.
Playing drums with Becky in the playroom
Tuesday February 12, 2008
Today we had to go to the hospital to prep Nina for tomorrow's test. A few minutes after registering, a nurse came out to the waiting room and gave Nina some medicine. This medicine is used to protect her thyroid from absorbing the radioactive material. I didn't realize that we would have to wait another hour for the actual injection. It takes that long for the thyroid medication to take effect. In the meantime, Nina was taken back for a physical. She checked out good. Then it was back to the waiting room. There was a little girl about 6 years old. Her parents were begging her to drink the contrasting fluids. Something Nina has had to do twice now for CT scans. The little girl was crying and refusing even a sip. This went on and on. Another lady in the lobby went over to the little girl and said, "I will pay you $5 if you drink that." The little girl couldn't be bribed. Nina had been watching the whole time, and she went over to the little girl and said, "It's ok. It isn't that bad." It was a sweet attempt and I was so proud of her, but it didn't work. Finally, the nurse had to tell the girl that if she didn't drink it, it would be going down in a tube through her nose. The little girl became more agreeable. So they changed the flavor from Hawaiian Punch to Mountain Dew, and she started drinking.
Nina went back and got an IV in her hand. Then they injected the radio active stuff into her tube, and we were done. They decided to leave the IV in so that she won't have to get poked again tomorrow. Her right hand is all bandaged up to protect the IV. The scan tomorrow is called an MIBG. The stuff they injected today is suppose to cling to Neuroblastoma to make it show up on her scan. This time they will be photographing all the soft tissue in Nina's body. We pray there is no cancer found.
Nina has been doing so well. She has not complained of any pain since coming home from surgery. At first, we were giving her Tylenol before naps and bedtime, but quickly realized that she didn't need it. Nina cannot get enough food. Last night, at 8:30, after a day of 4 meals, 5 snacks, and dessert, Nina said she was hungry. We said, "If you're really hungry, you'll eat a vegetable." Without an argument, she chose streamed carrots for a bedtime snack. Apparently, she really was hungry. She lost three pounds at the hospital, and it seems like she is trying to put it all back on this week. She is not allowed to eat tomorrow morning, and she can only have clear liquids until 8am. With her appetite, it could be a difficult morning. The scan starts at 10am, and she will sedated. It should be done by 12, so as soon as she is awake, I am sure we will be heading to the cafeteria for some lunch.
I always get nervous when test results come back and my hand holder, Mike, is away on business this week, so the girls and I will take all the prayers we can get. I will update you when I know something.
Nina and Lindsey in their PJs.
Wednesday February 13, 2008
The preliminary results are already in and our girl is CANCER FREE!!
There were a few bumps in the testing today. There was a computer glitch and some of the images had to be retaken, Nina had to be given more sedation medication to keep her asleep longer, and she threw up all over the foyer right when we walked in the door, but who cares? She is cancer free. Praise God!
Here is a picture of Nina smiling BIG in her "Tough Cookie" t-shirt. It was a gift from her Sunday school teacher:-) There's also a picture of today's test. No more scans for 90 days! We are so blessed!
Our "Tough Cookie"
The MIBG Scan
They taped Nina's feet together to keep them still during the scan.
Thursday February 14, 2008
Don’t worry about anything; instead, pray about everything; tell God your needs, and don’t forget to thank Him for his answers. If you do this, you will experience God’s peace, which is far more wonderful than the human mind can understand. His peace will keep your thoughts and your hearts quiet and at rest as you trust in Christ Jesus. Philippians 4: 6-7 TLB
Those words from Philippians have rang so true over the past three weeks. As a mother, this whole scenario was one of my worst nightmares. Were we really called into a separate room from our children to hear the pediatrician say words like cancer and chemotherapy? What happened to the kidney reflux they were looking for? Was this little girl that God had been so generous to give us after two years of infertility going to be taken away? It was scary!
We are thankful to God for each and everyone of you. We cannot thank you enough for all you have done for us. Less than thirty minutes after leaving the doctor's office that first Saturday, a huge quadrant of our church was already praying for Nina and our family. By that evening, more and more of you were already notified and doing the same. The next day at church we were greeted with many hugs and "We love yous!" When people asked how I was doing. I told everyone how exhausted I was. I had only slept from 2am-4am that first night. Every time I had started to drift off, I would get a feeling of panic starting in my chest and sinking down to my gut. Praise God we have been able to sleep every night since. Thank you for those prayers.
We are so thankful to Him for answering every time we asked. He has been so generous....Nina did not need chemo to shrink the tumor before surgery. Dr. King, who was voted one of the best surgeons in America in 2007, was selected to perform Nina's surgery. He was able to spare her kidney and liver. She only lost one adrenal gland. Even though the tumor was cancerous, they decided to forgo the chemo port, in hopes that it wouldn't be needed. The bone marrow biopsy came back negative. The bone scan came back clean. The CT scans of the pelvis and chest were fine. Only one of Nina's lymph nodes was cancerous and that was the one associated with the tumor. The other lymph nodes taken out were clear, and the MIBG showed no cancer left in her body. Nina has been strong and courageous every step of the way, and we have managed to stay calm, and hopeful through it all. Thank you.
You guys have been so awesome. If you are reading this, I am talking to YOU! You wanted to do anything you could to help us. Thank you churches from all over who have been keeping our family in prayer. Thank you friends and family for the emails, phone calls, cards, and the visits to the hospital. Thank you pastors for coming to pray over our daughter. You will never know how much you helped us. Thank you for all the hands that brought our family dinner. Thank you for taking care of Lindsey when we were at the hospital. Thanks to those of you who sent gifts, stuffed animals, activities for the hospital, and stickers. We are so appreciative! Most of all, thank you for the prayers. We stand in awe of what God has done!
If you ever need ANYTHING, do not hesitate to ask.