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August 2004
Hello everyone,

Natalia is now four years old. Another year has passed and I am happy to say it was wonderful. I was thrilled to come back to school in September to tell her teacher that she was now pulling herself up on everything. The sofa, the chair, the play pen, and whom ever might be near her. She appears more alert than ever. While on vacation I noticed her making her usual AH -AH -AH sounds...but when I listened more carefully, I was amazed to hear her singing the tune to Twinkle Twinkle Little Star.--or the ABC song (they are the same!) We were thrilled!!! She sings to us daily and brings a smile to everyone she meets.

Natalia enjoys walking in her walker, being pushing on her tricycle, rocking on her rocker, singing songs and wrestling with her brother's and sister. She loves to kick her legs over her head and touch her toes to the carpet. Occasionally she does a complete backward roll only to land up right in amazement. She has done two forward roll overs with a great surprised look as she came back upright! :)

There are moments when she acts very appropriate for her age... Like--when not wanting to be put down, she'll grab my hair, or stiffening up so she doesn't have to go in the car seat or wheel chair. She likes to whack the syringe while we are trying to feed her(formula goes flying-UG!-this is not my favorite trick!!)) The most comical one is the fantastic leg lifts she kicks when you are trying to change her diaper. Sometimes it gets downright annoying, however, she is so clever, she smiles and laughs as she is being difficult so it is clear she knows exactly what she is doing. Sometimes it is hard not to laugh.

For the most part Natalia has had a healthy year. She has had several ear infections probably due to swimming, or getting water in her ears at bath time. A few colds and urine infections have kept us on our toes, but we are getting very good and jumping on these symptoms and we have avoided any hospital visits for over two years...Having nurses to help with Natalia's care is a blessing! I couldn't do it without them. :)

Natalia is still G-tube fed hourly- 2oz of Pedisure formula. We have avoided another fundoplication with the hourly feeds and it seems to be working fine. From time to time we try to introduce soft foods but she is just not interested in anything in her mouth unless it is a toy. We will continue to try from time to time as she is not a drooler and she can swallow. Over the summer it appeared that she would get ear infections right after we tried oral feeds...with summer and all it was hard to tell exactly the cause, but we will try oral feeds again and see if there is a pattern of this new problem.

When describing Natalia I usually say she is 4 years old, but acts more like a 1 year old. She is happy just playing on the floor with her toys, but gives a little cry if she gets too lonely. She only fusses when she is uncomfortable or in pain. She doesn't go too far as she is not crawling. Although she has learned how to roll and sit up to get to where she wants in the den. Recently we have noticed that she is beginning to use her knees and elbows more so we'll see what the next year will bring.

Most of her medical issues are the same as last year so refer to the 2003 Birthday letter to see where she is medically.

Thank you all for your continued prayer. It is through your PRAYERS, FAITH, HOPE and LOVE that Natalia is thriving. We continue to TRUST that God has a special plan for our little angel and know he will surprise us each day with growth.

God Bless You ALL,
Love,
Stephen, ThereseAnn, Jacqueline, Nicolas, Jacob and Natalia


Natalia's family celebrating Grandpa & Grandma Miller's 50th Wedding Anniversary, June 19, 2004. Grandpa & Grandma have 6 grown children,21 grand children & 3 great-grand children.

 


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