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	<title>Amanda Kern</title>
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	<link>http://www.amandakern.com/blog</link>
	<description>Photographer, Educator, Student, Mother &#38; Wife Obsessed with sharing moments through pictures &#38; words</description>
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		<title>The public school system reminded us of their own disability</title>
		<link>http://www.amandakern.com/blog/2016/05/the-public-school-system-reminded-us-of-their-own-disability/</link>
		<comments>http://www.amandakern.com/blog/2016/05/the-public-school-system-reminded-us-of-their-own-disability/#comments</comments>
		<pubDate>Wed, 01 Jun 2016 00:26:23 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[spina bifida]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=9184</guid>
		<description><![CDATA[Nearly six years ago we learned our son would be born with spina bifida. One of our biggest fears had come true – we would have a child who was considered by society as “disabled”. So many fears we once had have come true. But Chance continues to remind us – his disability won’t hold [&#8230;]]]></description>
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<p>Nearly six years ago we learned our son would be born with spina bifida. One of our biggest fears had come true – we would have a child who was considered by society as “disabled”. So many fears we once had have come true. But Chance continues to remind us – his disability won’t hold him back.</p>
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<div><img class="alignnone  wp-image-9185" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2016/05/13116370_1777633782469905_1639630756460137466_o-1024x768.jpg" width="645" height="484" /></div>
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<p>Although he&#8217;s faced so many challenges since birth – we are beginning to sense we have just begun the real struggle to help our son. Those medical challenges he’s faced, the surgeries, the therapies and appointments – we look back now and realize they were nothing compared to the struggle we now face with the public school system. And to think – we have just begun this journey. Don’t be fooled by this ideology that we’re superhero parents – raising a child with special needs is HARD. It&#8217;s so much harder than we realized.</p>
<p>As Mr. Rogers once said, <em>&#8220;Part of the problem with the word &#8216;disabilities&#8217; is that it immediately suggests an inability to see or hear or walk or do other things that many of us take for granted. But what of people who can&#8217;t feel? Or talk about their feelings? Or manage their feelings in constructive ways? What of people who aren&#8217;t able to form close and strong relationships? And people who cannot find fulfillment in their lives, or those who have lost hope, who live in disappointment and bitterness and find in life no joy, no love? These, it seems to me, are the real disabilities. ”</em></p>
<p>This quote has reminded me that the problem isn’t that our son is “disabled”. Sure, he may need help walking, he may need a wheelchair, he may require additional medical care, including being catheterized – but the reality is the real disability remains in the school system.</p>
<p>Today we attended Chance’s IEP meeting before he is scheduled to start Kindergarten this August. We were hopeful and took every measure to clearly outline our requests and even have had every pediatric urologist in the central Florida area who cares for spina bifida patients sign a letter approving our request for a non-medical person to be trained to do his care. Our son’s medical team agrees with our request. Regardless of if we have staff in the school willing to help, the district told us today they are unable to approve our request. Instead, they’d prefer to have him attend school at the center school for medically disabled children. Although they do have a mainstream class that he’d be able to attend – he would be asked to go to a school where many other significantly disabled children are sent.</p>
<p>When we discussed the topic of his cathing support needs, the school refused to consider our request – it was clear their minds were made up before the meeting even began. And as they began to quote district policies and their own stand point – over and over I heard them refer to the “safety” and their “protocols” – not what was in the best interest of our child…but what was in their best interest. Never once did they share these policies with us – and they feel they can supersede the state law to be “safer”. We haven’t even begun school and the school system is more worried about a liability than how much they can support a child who could thrive in the school all of our children have attended. Taking our son away from our home school and from his brother would only harm him socially – and asking them both to relocate to the school the school wishes will affect our entire family negatively.</p>
<p>Most days Chance asks us &#8220;Do I get to go to Riverdale now?&#8221; often followed by &#8220;are you still fighting for me?&#8221; To the school system they don&#8217;t think it&#8217;s a big deal to just send a child to any school – but for years our son and our family has looked forward to the day he would start school at Riverdale. We never once thought of another option – we honestly didn&#8217;t think we&#8217;d have to fight this hard. This is one of the hardest lessons we may need to teach our son&#8230;and just the beginning&#8230;that not everyone will perceive his &#8220;disability&#8221; the same as we do&#8230;and that we are going to have to fight sometimes – not for what is easiest – but for what is right.</p>
<p>Our son hasn’t even begun school and we are in the process of filing a complaint to request a due process hearing. He hasn’t even started school – and we have to go through these measures. There is something so wrong with this. Families raising a child with special needs go through enough – we shouldn’t have to fight this hard just to enroll our child in school. We are working with a school system where many educators within their school system have said they are the &#8220;worst&#8221; at meeting a child&#8217;s special needs – a school system that isn&#8217;t receptive to change or willing to adapt to meet a child&#8217;s needs. Please don&#8217;t tell me about &#8220;policies&#8221; when you can&#8217;t even provide them at a meeting – besides, as an educator I&#8217;ve learned there are rules to be followed – and rules worth breaking for the sake of a better outcome. You can&#8217;t say it&#8217;s not possible – I&#8217;ve learned of countless families who have received the support in other counties. It just makes no sense at all why one of the largest counties in the state of Florida isn&#8217;t receptive to meeting a child&#8217;s needs – not the school&#8217;s needs – but a child&#8217;s needs. Serve a child in their home school when parents request it – it should not be this hard. Cathing is not that hard&#8230;and please, don&#8217;t feel bad for us or our son because he requires cathing – feel sorry for the school system who isn&#8217;t willing to adapt to a child&#8217;s needs&#8230;they are the ones with the real disability.</p>
<p>Five and a half years ago we wanted to give up so badly when we learned about Chance’s spina bifida…this journey seemed like it would be too hard. It is hard. But it&#8217;s also rewarding and so meaningful. We know we are on this journey for a reason. Five + years ago we didn’t think we were capable of raising a “disabled” child. And at the time we were frightened of the thoughts of cathing. We’ve been battling the school system for nearly a year and a half and here we are frustrated feeling once again like giving up might be “easier” – to just do what they wish. But our job isn’t to make life easier for the public school system – the day we promised not to give up on our son’s life – we promised we would fight for the rest of our lives…for everything our son needs.</p>
<p>We will fight – for Chance…and for every single child who may someday need support cathing in school. A change is needed – and laws need to be improved so that schools are held accountable. Instead of worrying about their own liability they should be worrying about what is in our son’s best interest. Someday I am hopeful the school system realizes as Chance tells us – cathing is “no big deal”. I vow to continue to remind the school system just how “disabled” they are every time they make our lives harder because of our son’s disability.</p>
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		<title>Help me support Redefining Spina Bifida + a photo session giveaway!</title>
		<link>http://www.amandakern.com/blog/2015/12/help-me-support-redefining-spina-bifida-a-photo-session-giveaway/</link>
		<comments>http://www.amandakern.com/blog/2015/12/help-me-support-redefining-spina-bifida-a-photo-session-giveaway/#comments</comments>
		<pubDate>Wed, 02 Dec 2015 03:04:46 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[spina bifida]]></category>
		<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=9174</guid>
		<description><![CDATA[&#8220;It&#8217;s not how much we give but how much love we put into giving&#8221; ~Mother Teresa So here&#8217;s the deal&#8230;.it&#8217;s GIVING TUESDAY, right&#8230;and I can&#8217;t let the day pass me by without &#8220;giving&#8221; &#8211; but an even more amazing thing would be encouraging others to help me give. I&#8217;m giving away an opportunity to win [&#8230;]]]></description>
				<content:encoded><![CDATA[<p><strong><em>&#8220;It&#8217;s not how much we give but how much love we put into giving&#8221;</em> ~Mother Teresa</strong></p>
<p>So here&#8217;s the deal&#8230;.it&#8217;s GIVING TUESDAY, right&#8230;and I can&#8217;t let the day pass me by without &#8220;giving&#8221; &#8211; but an even more amazing thing would be encouraging others to help me give. I&#8217;m giving away an opportunity to win a photo session +prints with me or a photo mentoring session. Bear with me as I share my heart as to &#8216;why&#8217; I&#8217;d like you to give first.</p>
<p>If you&#8217;ve been following my photography you likely already know &#8211; just over 5 years ago we learned my son Chance would be born with the birth defect spina bifida. The diagnosis is a pretty scary experience&#8230;hearing he&#8217;d be born with the most &#8216;severe&#8217; type of the birth defect didn&#8217;t help. It was also tough hearing I shouldn&#8217;t &#8220;google&#8221; the topic &#8211; and after receiving information that was 20-30 years old I admit&#8230;I couldn&#8217;t help but search online for information and support. I was more terrified the more I learned from the resources I found.</p>
<p><img class="alignnone size-full wp-image-9176" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/12/spinabifida-outdated.jpg" width="850" height="623" /></p>
<p>Looking back over the past five years its been an observation that resources mostly tell families what is &#8220;wrong&#8221; with a child with spina bifida. While resources may give a medical perspective of the birth defect, they don&#8217;t really share what life with spina bifida is really like.  There&#8217;s little hope or optimism shared after a diagnosis &#8211; but from the moment our son was born that&#8217;s all we&#8217;ve experienced. Chance has surely faced a great deal of adversity in his life – but he&#8217;s proven his life can be amazing and he&#8217;s one of the coolest kids on the planet! I still think back to five years ago and remember it like it was yesterday &#8211; like so many other families &#8211; we were so frightened and we seriously considered all of our options, including termination. Now that he&#8217;s here it&#8217;s hard to believe we nearly gave up on our own child&#8217;s life. Why? Because of the challenges we were scared we could care for? Because we didn&#8217;t want him to suffer? Because we didn&#8217;t know if we or our family were strong enough to care for a child with significant needs? Well we are&#8230;and this kid has proven how remarkably amazing it can be to live through the uncertainty of living with spina bifida.</p>
<p>The past five years of my life I&#8217;ve devoted a considerable amount of time photographing individuals living with spina bifida. I&#8217;ve not only lived with the challenges and triumphs raising our son, but I&#8217;ve been honored with the experience of meeting so many other families who are living this journey. I&#8217;ve seen the struggles and witnessed the happiness that can be experienced. My heart has ached for the many families I&#8217;ve since met who have also received the diagnosis &#8211; knowing they&#8217;ve faced the same tough decisions and fears for their child&#8217;s life.</p>
<p>Over the past year I&#8217;ve teamed up with a group of professional photographers who have also begun to volunteer their time to photograph families affected by spina bifida. Every photographer has a direct connection to spina bifida just like me. We&#8217;ve had several other volunteers also join our group who have a passion for helping the spina bifida community. After doing extensive research we realize so many of the project ideas we have to create awareness of spina bifida and to help improve resources would require funding. In May 2016 we received 501(c)3 status as a non-profit with the hopes it will help us ensure we are able to seek the support needed to make our vision a reality. Just over a year ago we began <strong><a href="https://www.facebook.com/redefiningspinabifida" target="_blank">a facebook page</a></strong> and are currently working on branding, our online presence and other resources such as a resource for newly diagnosed families &#8211; all of which require support.</p>
<p><a href="https://www.facebook.com/redefiningspinabifida" target="_blank"><img class="alignnone size-full wp-image-9177" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/12/fb-page.jpg" width="750" height="507" /></a></p>
<p>In the past year our page has seen nearly 8k fans in more than 45 different countries. Just this past month we&#8217;ve received communication from families in the U.S.,  various countries in Europe, Iraq and Australia &#8211; newly diagnosed families or new parents who all sought support and were praying to find hope. It&#8217;s 2015 and sadly so many newly diagnosed families receive little to no information about spina bifida, receive outdated information, or are encouraged to give up on their child&#8217;s life. It&#8217;s 2015 and its sad to know that prenatal resources primarly share only what is &#8216;wrong&#8217; with a person&#8217;s life who is born with spina bifida. These kids are so much more than their diagnosis and families deserve to hear just how much potential their lives hold. Spina bifida is the most common permanently disabling birth defect yet so many around the world still know very little about it. It&#8217;s time we help improve the world&#8217;s perception of spina bifida &#8211; the team of volunteers I have worked closely with this past year truly believes it is possible &#8211; we hope to be the change we wish to see in the world.</p>
<p>So its time to share my giving opportunity. As many of you know, our son Chance has a surgery coming up &#8211; so we&#8217;ll end this opportunity on December 6th, 2015 so that we can announce a winner on December 7th before he undergoes surgery the following day. Here&#8217;s your opportunity to either win a photo session + prints or a photo mentoring session&#8230;</p>
<p><strong>FREE PHOTO SESSION ELIGIBILITY?</strong><br />
Here’s what you have to do for a chance to win a FREE photo session for those who care to participate.</p>
<ul>
<li>Go to the fundraising page for Redefining Spina Bifida (<strong><a href="https://fundly.com/redefining-spina-bifida" target="_blank">https://fundly.com/redefining-spina-bifida</a></strong>) and <strong>make a minimum of a $10 donation to Redefining Spina Bifida</strong>.</li>
<li>After you&#8217;ve donated if you&#8217;d like <strong>to earn additional entries into this contest you can share on social media</strong> (only if you&#8217;ve made a donation too) &#8211; be sure to email me to let me know you&#8217;ve shared the fundraiser on social media.</li>
<li><strong>Email me to let me know you&#8217;ve donated and shared the page</strong> &#8211; email me here: amanda [at] amandakern.com When emailing me share with me your donation amount, name, contact information and the ages and number of people of who you wish to be photographed so that I can get back in touch with you if you are chosen. If I don’t receive an email from you your name will not be included in the entry. If you donated prior to this announcement I will still honor your donation as an entry &#8211; just send me an email.</li>
<li>You may enter as many times as you like. <strong>For every $10 you donate your name will be entered into the photo session giveaway if you have emailed me your donation confirmation.</strong> (You can make a larger donation and have it counted as multiple entries…for example, a $100 donation would equate to 10 entries).</li>
<li>To be eligible for the free photo session you must <strong>donate prior to Dec 6, 2015 at Midnight</strong>. The names of those who have helped me will be collected and a winner will be chosen randomly. Entries will ONLY be accepted until Midnight on Dec 6th, 2015. <strong>A Winner will be announced on December 7th, 2015.</strong></li>
</ul>
<p><strong>IF YOU’RE THE WINNER</strong>…If you’re chosen as the winner you will have two options.<br />
<strong>OPTION 1: FREE PHOTO SESSION + PRINTS!</strong></p>
<ul>
<li> A free photo session with me that will last 1-2 hours for you, your family, or someone you wish to give the session to.</li>
<li>The session will be valid between January 1, 2016 through December 31st, 2016.</li>
<li>You will receive all edited photos in HIGH DIGITAL RESOLUTION format. Yes, I said FREE. That means I earn NOTHING by giving.</li>
<li>Your session will also include one canvas print 18&#8243;x24&#8243; as well as a print package including (2) 8&#8243;x10&#8243; prints, (6) 5&#8243;x7&#8243; prints, (10) 4&#8243;x6&#8243; prints, and (2) set of 8 wallet prints.</li>
<li>You will be given permission to print and share online all digital photos for personal use.</li>
</ul>
<p><em>*By participating if you win you agree that photos may be used in my portfolio.</em><br />
<em>**You must be in the immediate Orlando area or willing to travel to Orlando if you win.</em><br />
<em>***The value of a custom photo session w/high resolution photos and prints is $1000.</em></p>
<p><strong>OPTION 2: PHOTO MENTORING SESSION</strong><br />
I’ve received a lot of requests and inquiries for me to offer “mentoring” sessions. I’ve lost count of how many people have asked me “how” to I do something or if they could just spend an hour or two with me to see how my photography and/or editing approach. If you are chosen as the winner you have the option to select the mentoring session and it will be customized to meet your needs.</p>
<ul>
<li>A free photo mentoring session with me that will last 1-2 hours. This includes the opportunity to sit in and participate in a photo session with me.</li>
<li> The session will be valid through January 1, 2016 through December 31st, 2016.</li>
<li>The mentoring session will be customized to meet your needs and could include tips on photography, editing or a combination of both.</li>
</ul>
<p><em>*By participating if you win you agree that photos may be used in my portfolio.</em><br />
<em>**You must be in the immediate Orlando area or willing to travel to Orlando if you win.</em><br />
<em>***You are suggested to have a digital slr, photoshop and lightroom. If you don’t a mentoring session can still be offered but it may make more sense if you have access and/or a little previous experience to these things.</em></p>
<p>Whether you’re able to donate or not, perhaps you can help spread the word to others you might know that might be interested in supporting the cause or who might be interested in my photography. Thanks in advance for everyone’s support. Together I know we can improve the world&#8217;s perception of spina bifida.</p>
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		<title>An update as we await surgery #14</title>
		<link>http://www.amandakern.com/blog/2015/11/an-update-as-we-await-surgery-14/</link>
		<comments>http://www.amandakern.com/blog/2015/11/an-update-as-we-await-surgery-14/#comments</comments>
		<pubDate>Sat, 14 Nov 2015 00:55:11 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=9135</guid>
		<description><![CDATA[My dearest Chance, You are still so young and I&#8217;m not sure you&#8217;ll fully understand the news we will have to prepare you for &#8211; but it only seems appropriate to express my heart as we must now also share this news with our family and friends and the many people who have come to [&#8230;]]]></description>
				<content:encoded><![CDATA[<p>My dearest Chance,</p>
<p>You are still so young and I&#8217;m not sure you&#8217;ll fully understand the news we will have to prepare you for &#8211; but it only seems appropriate to express my heart as we must now also share this news with our family and friends and the many people who have come to adore you. There&#8217;s no easy way to share this news &#8211; in a few weeks you will need to undergo your 14th surgery to detether your spine. You and so many of our loved ones probably don&#8217;t understand what that means &#8211; so I pray sharing this update will help our loved ones understand what life has been like this past year &#8211; and what has lead to the need for this surgery.</p>
<p>At the start of the year I recall dreaming you&#8217;d gain strength to walk independently &#8211; but truthfully was just as excited to see you begin to learn to use your crutches independently. By February you mastered them within a week of receiving your own pair &#8211; and we were feeling more confident than every before that you might someday also take independent steps someday.</p>
<p><img class="p3-insert-all size-full aligncenter" title="01-spinabifida-crutches" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/01-spinabifida-crutches.jpg" width="900" height="449" /></p>
<p>Over the spring you began to get stronger and showed a lot more confidence in using your crutches. You&#8217;ve been such a proud little guy who was proud to have improved your ways to move around. You proclaimed often that you wanted to walk all by yourself &#8211; and you wanted to use your crutches just about everywhere we went. But in the spring was also when some of these symptoms first began. We noticed you complain multiple times of back pain and neck pain. We even did an MRI this spring to check on your back &#8211; and things really didn&#8217;t look much different from the past two year&#8217;s worth of MRI&#8217;s. We all agreed that physically you were looking stronger and we agreed to watch you closely.</p>
<p><img class="size-full wp-image-9158 aligncenter" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/02-spinabifida-crutches21.jpg" width="900" height="588" /></p>
<p>You&#8217;ve also had many headaches. A month or two before your shunt malfunctioned we did a 24 hour EEG and it showed your EEG activity has progressed and has begun to show new activity on the opposite side of your head.</p>
<p><img class="p3-insert-all size-full aligncenter" title="03-spinabifida-eeg" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/03-spinabifida-eeg.jpg" width="900" height="465" /></p>
<p>We continued to do therapy and did all we could to help you get stronger &#8211; you worked so hard and looked so strong. You&#8217;re one determined kid Chance &#8211; through all of these challenges you try so hard to do things that are tough for you.</p>
<p><img class="p3-insert-all size-full aligncenter" title="04-spinabifida-therapy" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/04-spinabifida-therapy.jpg" width="900" height="496" /></p>
<p>At the end of May you went through your 13th surgery for a shunt malfunction &#8211; you show symptoms so clearly when your shunt is failing &#8211; but you rebounded quickly. Though you continued to have headaches most days &#8211; they would pass and you would continue to show your spirit to us all. This photo was taken on Father&#8217;s day this past year &#8211; and have to admit it reminded me that you have some very special loved ones in heaven looking down on us &#8211; and my heart was reassured this very day that they will help protect you through every challenge you may face in life.</p>
<p><img class="p3-insert-all size-full aligncenter" title="05-spinabifida-rainbow" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/05-spinabifida-rainbow.jpg" width="900" height="454" /></p>
<p>The toughest part of surgery is that you always have to wait six weeks to be allowed to swim again. We counted down the days after your 13th surgery and exactly six weeks post-surgery we went swimming. Most who don&#8217;t spend their entire day with you don&#8217;t see the symptoms and challenges you&#8217;ve been facing &#8211; and often times they passed within minutes. It has made it hard to help everyone understand our concerns. I still remember your excitement to swim that day and an hour later you grabbed your head in pain &#8211; and cried &#8220;my head hurts&#8221;. The most we can do is reassure you that you will be okay &#8211; we watch you closely and almost always it passes within minutes. For the past few months these headaches have happened most days at least 1-3 times &#8211; sometimes as much as a dozen times in a day.</p>
<p><img class="p3-insert-all size-full aligncenter" title="06-swim" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/06-swim.jpg" width="900" height="546" /></p>
<p>Though you were having headaches just about every day and beginning to make us worry that your shunt was failing again &#8211; you continued to work so hard every time you had therapy. I still remember these two days of therapy so well &#8211; both days you showed us signs that something just wasn&#8217;t right&#8230;you weren&#8217;t feeling well but continued to work hard.</p>
<p><img class="p3-insert-all size-full aligncenter" title="07-spinabifida-therapy2" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/07-spinabifida-therapy2.jpg" width="900" height="454" /></p>
<p>At the end of July you had your bi-annual spina bifida clinic &#8211; it&#8217;s when we get to meet with all your specialists and discuss our concerns. I still remember telling doctors that I feared something neurological was going on or that your shunt might be failing. Over the summer you began to feel more nauseous as well – I recall asking your doctor for anti-nausea medicine because you would feel sick, gag or get sick at least a few times a week. I wished medicine would help you – but it really didn&#8217;t make a difference.</p>
<p><img class="p3-insert-all size-full aligncenter" title="08-20150724-IMG_3697" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/08-20150724-IMG_3697.jpg" width="900" height="768" /></p>
<p>The hardest part was that your symptoms hit you so fast that you would get a headache or feel really sick or tired with such short notice &#8211; and sometimes the moments would pass fast &#8211; usually most of your days you were still so energetic and just as happy as we all know you are.</p>
<p><img class="p3-insert-all size-full aligncenter" title="09-20150815-IMG_3900" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/09-20150815-IMG_3900.jpg" width="900" height="462" /></p>
<p>At times it felt like it was an every day event where part of my day was spent holding you with head pain &#8211; and the next minute you were acting super silly.</p>
<p><img class="p3-insert-all size-full aligncenter" title="10-20150913-IMG_4117" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/10-20150913-IMG_4117.jpg" width="900" height="435" /></p>
<p>We agreed with your neurologist that we&#8217;d repeat an EEG and see if results changed. We were asked to press the event button to alert them if you had any headaches &#8211; I we pressed that button a few too many times and I feared the results. Thankfully your EEG activity has not increased &#8211; and we were reassured that headaches were not happening with EEG activity &#8211; which was great news.</p>
<p><img class="p3-insert-all size-full aligncenter" title="11-spinabifida-eeg" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/11-spinabifida-eeg.jpg" width="850" height="418" /></p>
<p>Over the first few months since your last shunt surgery we saw your neurosurgeon several times &#8211; she even reprogrammed your shunt 3 different times. The hope was that your shunt was only overdraining &#8211; a CT scan confirmed that was the case. Because it&#8217;s a programmable shunt she was able to change how much your shunt was draining the CSF fluid from your head. Your headaches still happen for brief periods of time even after reprogramming your shunt a few times.</p>
<p><img class="p3-insert-all size-full aligncenter" title="12-20150828-IMG_4032" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/12-20150828-IMG_4032.jpg" width="900" height="422" /></p>
<p>In addition to nausea, gagging, and getting sick &#8211; you began to get abdominal pain. We began to grow more worried because there seemed to be so many symptoms happening. In September we did 3 different ultrasounds to rule out a pseudo cyst, to check on your bladder/kidney health, and to take a look at other parts of your stomach. All of the tests were inconclusive but every day you continued to complain of stomach pain, nausea, and somedays you were getting sick.</p>
<p><img class="p3-insert-all size-full aligncenter" title="13-20150909-IMG_4073" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/13-20150909-IMG_4073.jpg" width="900" height="505" /></p>
<p>This September we signed you up to do intensive therapy. We had so many of our friends and family donate to help us pay for physical therapy that is not covered by insurance. You responded so amazing to this therapy and worked so hard. We truly love the therapists at <strong><a href="http://www.believetherapy.com/" target="_blank">Believe Therapy</a></strong> because they&#8217;ve helped you work so hard to get stronger and helped you have so much fun doing so.</p>
<p><img class="p3-insert-all size-full aligncenter" title="14-chance-therapy3" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/14-chance-therapy3.jpg" width="900" height="282" /></p>
<p>During your therapy sessions you continued to work hard but you continued to have random headaches, stomach aches, and you began to complain of other pains. You had moments where you had brief pain hit you in your neck, shoulder, arm, hand and sides. A few times you also complained of knee pain and your little toes began to move more than we&#8217;re use to seeing. You do have some movement in your toes but due to your spina bifida it&#8217;s not a signifcant amount &#8211; but by September your toes began to twitch and move involuntarily. All these symptoms didn&#8217;t prevent you from working hard &#8211; you loved playing blast off, pretending to be a ninja, riding a pretend horse, flying like superman, playing football and basketball and pretending to launch like an angry bird.</p>
<p><img class="p3-insert-all size-full aligncenter" title="15-chance-therapy4" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/15-chance-therapy4.jpg" width="900" height="267" /></p>
<p>The team at Believe Therapy helped you so much &#8211; and by the end of your intensive therapy you were beginning to stand in the therasuit for longer period than you had ever done before.</p>
<p><img class="p3-insert-all size-full aligncenter" title="16-chance-therapy5" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/16-chance-therapy5.jpg" width="900" height="528" /></p>
<p>By the end of your therapy session I began to notice your left leg turning inward slightly. I&#8217;ve said all this time this year that your little legs are growing and that perhaps it&#8217;s just a little harder for you to control your legs and your balance. But before the end of September we noticed you beginning to trip more too &#8211; and on the day we saw your foot turning inward more we took this video. It was the first sign of changes in your mobility that often occur with tethered cord.</p>
<p><iframe src="https://www.youtube.com/embed/nDiyb68J4Go" height="315" width="560" allowfullscreen="" frameborder="0"></iframe></p>
<p>We put you through more tests, your second sedated MRI of the year to check on your brain and spine. Through it all you&#8217;re smiling.</p>
<p><img class="p3-insert-all size-full aligncenter" title="17-mri" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/17-mri.jpg" width="900" height="374" /><img class="p3-insert-all size-full aligncenter" title="19-mri2" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/19-mri2.jpg" width="900" height="344" /></p>
<p>With all the symptoms and pain you were experiencing we were truly expecting to see changes in your MRI &#8211; but really this test looks nearly the same as the last few you&#8217;ve had. Two years ago you underwent a chiari decompression to help improve symptoms you were experiencing &#8211; and we saw great improvements but this year your little body is telling us something is wrong. In this first MRI image you can see your spine and within it is the syrinx we&#8217;ve known has been present since you were a baby &#8211; it&#8217;s a common thing to happen with people who have hydrocephalus and typically isn&#8217;t a huge concern unless a person is experiencing symptoms. The more pressure within your spine in the area of your syrinx could impact how your body functions.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20-mri-3" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/20-mri-3.jpg" width="828" height="630" /></p>
<p>This second image of your spine shows your birth defect &#8211; and also the area where your spinal cord is tethered. Everyone living with spina bifida is considered to have a &#8216;tethered cord&#8217; &#8211; essentially it means your nerves are intertwined in the scar tissue that formed after your birth defect was repaired. Usually doctors don&#8217;t intervene until a person is experiencing symptoms. Tethered cord can impact many functions in a body as a person grows &#8211; and happens most common in children between your age and the teenage years – it happens most when a person goes through major growth spurts. You&#8217;ve definitely grown a bunch this year. We began to suspect you might be experiencing tethered cord symptoms since September but agreed to find out the results of other tests that could help us confirm your body was experiencing a decrease in function.</p>
<p><img class="p3-insert-all size-full aligncenter" title="21-MRI-4" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/21-MRI-4.jpg" width="900" height="598" /></p>
<p>A few weeks ago we had you go through a GI test &#8211; I admit i was fearful to head to a test that was ran by &#8216;nuclear medicine&#8217; &#8211; but we were reassured by your GI doctor that it would help us better understand your stomach issues. This test required you eat food and take pictures several times over the course of several hours to see how quickly your food would move through your upper stomach. This test helped us rule out reflux and we were able to confirm that your stomach is &#8216;emptying&#8217; food from your upper stomach very slowly. From a GI stand point we can give you medicine to help you some &#8211; but it has been one more sign that helps show your doctors that your body is experiencing neurological changes. By this point you also began showing signs of changes in your bowel function &#8211; which has been frustrating knowing we&#8217;ve come so far to help you be healthy and work towards continence and strive for independence in your own care.</p>
<p><img class="p3-insert-all size-full aligncenter" title="22-gi-test" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/22-gi-test.jpg" width="900" height="385" /></p>
<p>This past week we took a trip up to Jacksonville to visit their urology team to do a urodynamics test. We met the most amazing team who truly cared and did all they could to accommodate your appointment in order to help your doctors do one final test to help us determine if surgery is needed. We left learning your bladder function has changed – it has decreased and the bladder pressure has increased. Over a long period of time it is not good for your body to experience the pressure we witnessed during the test and could impact your bladder and kidney function further. I left this test knowing you would need surgery.</p>
<p><img class="p3-insert-all size-full aligncenter" title="23-nemours" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/11/23-nemours.jpg" width="680" height="850" /></p>
<p>We met with your neurosurgeon Wednesday. When we first arrived you walked around in her office for us. I noticed your leg turning inward more – and you began to trip a lot more. I have kept saying maybe you&#8217;re just growing and as your legs are getting longer maybe your just learning to walk with these new changes&#8230;but no, we know now that these are very clear indications that your spinal cord is tethered and that if we don&#8217;t intervene you may experience a permanent loss of function.</p>
<p><iframe src="https://www.youtube.com/embed/1ekYqFHD9bs" height="315" width="560" allowfullscreen="" frameborder="0"></iframe></p>
<p>Your neurosurgeon is the best &#8211; really, she&#8217;s the one who helped us find optimism five years ago through a really tough decision&#8230;and here we have been the past few months suspecting we may have another tough decision ahead of us. Five years ago we were frightened of all of the challenges that may come with spina bifida &#8211; I still remember reading about tethered cord back then and thinking that we didn&#8217;t know how we&#8217;d care for a child who might have such significant medical needs. We prayed none of these things would happen to you&#8230;but Chance the day we vowed to continue your life &#8211; we vowed to love and protect you and make sure you received the care you needed to live the most amazing life possible. We hate knowing you have surgery ahead of you again &#8211; but we know this surgery is needed and may help improve the symptoms you&#8217;ve been experiencing.</p>
<p>We&#8217;re hopeful our family and friends don&#8217;t feel &#8220;sorry&#8221; or pity you for the challenges you have ahead. We trust they will help us show you the love and support you need to know you are loved and that you are strong enough to endure the challenges ahead of you. You were born with the strongest soul I know. Rather than questioning why this is happening or why you have to go through so much &#8211; we&#8217;d rather remind you and our loved ones that you were born with the strength to endure the challenges. We trust God&#8217;s purpose &#8211; even when we don&#8217;t quite understand it.</p>
<p>Chance our family is stronger with you here – and we will help you stay strong and show you all the love needed to see you through the medical moments you have ahead. We love you.</p>
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		<title>Why my child doesn&#8217;t suffer from spina bifida</title>
		<link>http://www.amandakern.com/blog/2015/10/why-my-child-doesnt-suffer-from-spina-bifida/</link>
		<comments>http://www.amandakern.com/blog/2015/10/why-my-child-doesnt-suffer-from-spina-bifida/#comments</comments>
		<pubDate>Wed, 21 Oct 2015 19:35:09 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[spina bifida]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=9106</guid>
		<description><![CDATA[Recently the media shared a story of the Pope blessing a teenager with spina bifida. Seeing the gesture was touching but a short time later when shared by the media I was saddened to see the headlines read, “Touching moment Pope Francis blesses girl, 17, in a wheelchair who is suffering from spina bifida and [&#8230;]]]></description>
				<content:encoded><![CDATA[<p dir="ltr">Recently the media shared a story of the Pope blessing a teenager with spina bifida. Seeing the gesture was touching but a short time later when shared by the media I was saddened to see the headlines read, <strong><a href="http://www.dailymail.co.uk/news/article-3248871/Heartwarming-moment-Pope-Francis-blesses-17-year-old-girl-wheelchair-suffering-spina-bifida-wants-actress.html" target="_blank">“Touching moment Pope Francis blesses girl, 17, in a wheelchair who is suffering from spina bifida and wants to be an actress”</a></strong>. I’ve lost count of the times that the media refers to those living with spina bifida, or most disabilities, as a person who “suffers”. I just don’t understand why we must lead the world to believe that just because a person is born with disability that they are suffering.</p>
<p dir="ltr">Just over five years ago I first learned what spina bifida was when we learned my son Chance would be born with it. For those who don’t know – it&#8217;s a complex birth defect that often requires a lifetime of a medical care. Don’t google it – in addition to hearing that a child may “suffer” from this birth defect you may be horrified to see the images or learn just how many challenges a child with spina bifida may face in their lifetime. Much of the information you find online about spina bifida isn&#8217;t encouraging to anyone trying to learn more about the condition. Far too often society learns what is &#8220;wrong&#8221; with a person living with spina bifida before they are ever able to acknowledge their potential. Most born with spina bifida undergo surgery within the first days after birth and typically spent days to weeks in the nicu. From the beginning they are not &#8220;suffering&#8221; – they are demonstrating their strength.</p>
<p><img class="p3-insert-all size-full aligncenter" title="01-spinabifida-nicu" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/01-spinabifida-nicu.jpg" width="850" height="610" /></p>
<p>Just because a person is born with this birth defect doesn’t mean they will live their life suffering and they definitely don’t need the world to feel “sorry” for them. Often times people learn of the medical challenges that could happen to a person living with spina bifida and they fail to see beyond the challenges to see the beauty that can exist in the life of someone living with this birth defect.</p>
<p><img class="p3-insert-all size-full aligncenter" title="02-spinabifida-baby" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/02-spinabifida-baby.jpg" width="850" height="566" /></p>
<p dir="ltr" id="docs-internal-guid-f8f2a0d7-8bdc-0519-34a5-73935314e6f7">People living with spina bifida – are people just like you and me. They are resilient spirits who have faced adversity. They can lead happy lives and have proven their lives can hold so much promise.</p>
<p><img class="p3-insert-all size-full aligncenter" title="03-spinabifida-chance" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/03-spinabifida-chance.jpg" width="850" height="566" /></p>
<p dir="ltr" id="docs-internal-guid-f8f2a0d7-8bdc-539f-587f-bb83fb819b51">My son has been through insurmountable challenges since he was born – he’s only 4 ½ years old and he’s been through more than many face in a lifetime.  He’s underwent 13 surgeries and has spent 6 weeks of his life hospitalized.</p>
<p><img class="p3-insert-all size-full aligncenter" title="04a-spinabifida-hospital" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/04a-spinabifida-hospital.jpg" width="850" height="478" /><img class="p3-insert-all size-full aligncenter" title="04b-spinabifida-hospital-2" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/04b-spinabifida-hospital-2.jpg" width="850" height="507" /><img class="p3-insert-all size-full aligncenter" title="04c-spinabifida-recovery" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/04c-spinabifida-recovery.jpg" width="850" height="567" /><img class="p3-insert-all size-full aligncenter" title="04d-spinabifida-surgery" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/04d-spinabifida-surgery.jpg" width="850" height="290" /><img class="p3-insert-all size-full aligncenter" title="04e-spinabifida-eeg" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/04e-spinabifida-eeg.jpg" width="850" height="418" /></p>
<p dir="ltr" id="docs-internal-guid-f8f2a0d7-8bdc-8d96-c27b-c7b8bcc9504b">He’s been through hundreds of tests and doctor’s appointments and has spent hundreds of hours in physical therapy.</p>
<p><img class="p3-insert-all size-full aligncenter" title="05a-spinabifida-therapy" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/05a-spinabifida-therapy.jpg" width="850" height="566" /><img class="p3-insert-all size-full aligncenter" title="05b-spinabifida-therapy" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/05b-spinabifida-therapy.jpg" width="850" height="590" /><img class="p3-insert-all size-full aligncenter" title="05c-spinabifida-therapy" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/05c-spinabifida-therapy.jpg" width="850" height="784" /></p>
<p dir="ltr" id="docs-internal-guid-f8f2a0d7-8bdc-d015-af4d-426b40d018c9">But let me make something absolutely clear – our son is not suffering from spina bifida. He is living with spina bifida.</p>
<p><img class="p3-insert-all size-full aligncenter" title="06-spinabifida-walker" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/06-spinabifida-walker.jpg" width="850" height="481" /></p>
<p dir="ltr" id="docs-internal-guid-f8f2a0d7-8bdd-20cc-426c-5e26ee749287">Through every trial he’s faced he shows incredible strength and resilience. My son has endured a lot in life – but if you ask him or anyone who knows him – he’s not suffering from spina bifida. Enduring challenges should never be misinterpreted as &#8220;suffering&#8221;. Through it all – he smiles and reminds us that he is strong enough to live through the challenges he faces in life.</p>
<p><img class="p3-insert-all size-full aligncenter" title="07-spinabifida-walking3" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/07-spinabifida-walking3.jpg" width="850" height="659" /></p>
<p dir="ltr" id="docs-internal-guid-f8f2a0d7-8bdd-74f2-4b38-a9cc5a3797aa">He faces many challenges in his life, but doesn’t everyone? His challenges are just a little different – but he can live through them. He can thrive. He has proven he can survive and live with his spina bifida. Rather than making the world believe that my son is leading some devastating life “suffering” – we need to instead remind the world that he and every person living with spina bifida can live a great life.</p>
<p><img class="p3-insert-all size-full aligncenter" title="08-spinabifida-walk4" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/08-spinabifida-walk4.jpg" width="850" height="645" /></p>
<p dir="ltr" id="docs-internal-guid-f8f2a0d7-8bdd-ba09-836c-daa2da7c5ec4">In fact, thanks to his spina bifida we find we celebrate life a little more. Every single milestone leads us to celebrate the great victories in his life – and yes, it helps us appreciate life a little more. We don’t have time to feel sorry for all he’s gone through or anything else he may endure in the years ahead. No, we are on a mission to help him learn to live an amazing life with this birth defect. In fact, we’re quite amazed that he is capable of doing many things that other kids his age can’t do.</p>
<p><img class="p3-insert-all size-full aligncenter" title="09-spinabifida-swimming" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/09-spinabifida-swimming.jpg" width="850" height="414" /></p>
<p>Yes, perhaps the world needs to hear that those living with spina bifida have become stronger living with spina bifida rather than hearing that they are “suffering” from it. Our kids go through enough in their lives – they don’t need you to feel sorry for them or show them pity or think that their lives are anything less any other person’s life. My son’s life holds amazing possibilities.</p>
<p><img class="p3-insert-all size-full aligncenter" title="10-spinabifida-chance2" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/10-spinabifida-chance2.jpg" width="850" height="567" /></p>
<p dir="ltr" id="docs-internal-guid-f8f2a0d7-8bde-42f5-dc7c-1caeb30ce626">Spina bifida is a diagnosis, it’s not what defines a person’s life. As a society we need to see beyond the struggles they face and recognize their successes that do still occur while living with this birth defect. We need to make sure the world knows that my child and so many others born with spina bifida are not suffering from spina bifida. They are living with spina bifida. And ask any family raising a child with spina bifida – these kids are capable of living pretty amazing lives.</p>
<p dir="ltr">If you&#8217;d like to see how other individuals born with spina bifida are living with this birth defect please visit the <strong><a href="http://www.facebook.com/redefiningspinabifida" target="_blank">Redefining Spina Bifida facebook page</a></strong>. We&#8217;re hopeful to help improve the perception of this birth defect.</p>
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		<title>2015 Spina Bifida Awareness Campaign</title>
		<link>http://www.amandakern.com/blog/2015/10/2015-spina-bifida-awareness-campaign/</link>
		<comments>http://www.amandakern.com/blog/2015/10/2015-spina-bifida-awareness-campaign/#comments</comments>
		<pubDate>Thu, 08 Oct 2015 03:24:05 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[Photography]]></category>
		<category><![CDATA[spina bifida]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=9057</guid>
		<description><![CDATA[&#8220;Hardship often prepares an ordinary person for an extraordinary destiny.&#8221; ~C.S. Lewis Just over five years ago we learned our son Chance would be born with spina bifida. We were told then that he would be born with complications that would require a lifetime of care – and that so much would be unknown until [&#8230;]]]></description>
				<content:encoded><![CDATA[<p><strong><em> &#8220;Hardship often prepares an ordinary person for an extraordinary destiny.&#8221;</em> ~C.S. Lewis</strong></p>
<p>Just over five years ago we learned our son Chance would be born with spina bifida. We were told then that he would be born with complications that would require a lifetime of care – and that so much would be unknown until he was born. I was also told then that God doesn&#8217;t make mistakes – even those moments that seemed so devastating and imperfect at the time – had an incredible purpose. Now that Chance is here and has faced a great number of challenges in his lifetime, including recent challenges that at times leave me feeling broken – I am reminded&#8230;that I don&#8217;t always have to understand God&#8217;s purpose, but instead trust His purpose.</p>
<p>Each year since Chance was born I have devoted time to capture moments with other families affected by spina bifida with the hopes that this would would help our local spina bifida chapter, the <strong><a href="http://www.sbacentralflorida.org" target="_blank">Spina Bifida Association of Central Florida</a></strong>, and so that it would help the world see the beautiful souls I wish I could have met after we initially received the diagnosis. Five years later I still remember the diagnosis so vividly – and I reflect still at that material I was provided. It&#8217;s ashame that in 2015 medical professionals have little to no resources – and that parents can&#8217;t be provided with more hopeful resources that do more than just inform them what is &#8220;wrong&#8221; with a person living with spina bifida. Instead families are left to search google and find horrifying images and medical jargon that only leads people to think of the &#8220;severity&#8221; of this birth defect. Yes, they face challenges in their lives, but who doesn&#8217;t? I&#8217;m a witness to seeing the challenges of those living with spina bifida and can attest to the fact that each and every person I have ever met with spina bifida has their own unique beauty that we all deserve to see – especially those parents who are anxious and nervous to greet a newborn baby with spina bifida. So can someone please tell me why in 2015 prenatal resources are virtually non-existent and that images of individuals living with spina bifida are rarely included in resources provided to newly diagnosed families?</p>
<p>Each year I&#8217;ve spent hundreds of hours of my time and I&#8217;ve traveled hundreds of miles to complete this work.  Over the past 5 years I&#8217;ve photographed more than 70 individuals living with spina bifida (some multiple times) – with the hopes that their sweet souls might help us create change. That somehow, someway&#8230;we could create hope. Has it helped? Have we made a difference? Well, I&#8217;ve lost count of the people who have contacted me from countries all around the world saying how meaningful it was to them to see this work. Now I just pray that in time we can share so much of this work so much sooner so that in the moments following the diagnosis families will see the faces of those who live with this birth defect daily – to help them see that living with spina bifida IS possible. Sadly I still to this day learn of the families who are just so frightened and consider or follow through with termination – and though I believe everyone is entitled to their own choice I fear the lack of resources available and the way in which a doctor delivers a diagnosis can have a strong impact on how a family copes with the decisions they are presented.  Five years later after coming so close to giving up on our baby boy – he is a testament that God doesn&#8217;t make mistakes – his life has had a profound purpose&#8230;little did I realize it then but his life has lead me to volunteer my time, energy and heart to this work. None of this would would be possible if he hadn&#8217;t have entered our lives. Now I can&#8217;t imagine life without him. Nor could I imagine it without the families affected by spina bifida that I have come to know so well.</p>
<p>Five years later I present to you a special reflection dedicated to every family I&#8217;ve worked with – I thank each and every one of you for helping me help our local community redefine spina bifida. In the past five years our community has grown and our families have grown closer than ever before. Thanks to every family I&#8217;ve worked with we&#8217;ve not only helped redefine spina bifida within our local community – so many of these faces have also brought hope to families in more than 45 countries around the world.</p>
<p><img class="alignnone size-full wp-image-9096" alt="spina bifida" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/spinabifida.jpg" width="900" height="600" /></p>
<p>So here it is everyone – the 5th year of this work –  the 2015 Spina Bifida Awareness Campaign. Thanks to every family who has participated this year – I hope you all enjoy it!<br />
<img class="p3-insert-all size-full aligncenter" title="aaliyah" alt="Aaliyah Spina Bifida Awareness" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/aaliyah.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="adam-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/adam-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="ajala" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/ajala.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="andrew-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/andrew-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="angel-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/angel-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="angelina-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/angelina-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="ayani-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/ayani-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="bill-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/bill-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="bill-shannon2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/bill-shannon2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="bradley-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/bradley-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="chance-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/chance-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="cody-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/cody-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="coralie-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/coralie-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="elizabeth-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/elizabeth-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="emma" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/emma.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="gabriel-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/gabriel-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="kendra-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/kendra-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="kennedy-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/kennedy-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="levi-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/levi-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="liam-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/liam-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="lily" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/lily.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="madison" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/madison.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="marcy-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/marcy-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="nina" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/nina.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="noah-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/noah-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="rebecca-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/rebecca-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="sbkids-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/sbkids-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="sbkids2-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/sbkids2-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="sbkids3-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/sbkids3-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="sbkids4-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/sbkids4-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="sbkids5-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/sbkids5-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="selah-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/selah-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="shannon-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/shannon-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="westin-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/westin-2015.jpg" width="850" height="638" /><img class="p3-insert-all size-full aligncenter" title="zac-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/zac-2015.jpg" width="850" height="638" /></p>
<p>A big thanks to <strong><a href="http://www.janetramosphotography.com/" target="_blank">Janet Ramos</a></strong> for photographing Easton and Stephanie for this year&#8217;s campaign – she did an amazing job and I&#8217;m so proud to work with another photographer who is just as passionate about improving the perception of spina bifida.</p>
<p><img class="aligncenter" title="easton-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/easton-2015.jpg" width="850" height="638" /></p>
<p><img class="aligncenter" title="stephanie-2015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/10/stephanie-2015.jpg" width="850" height="638" /></p>
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		<title>To the doctor who believes folic acid can prevent spina bifida and a lifetime of disability</title>
		<link>http://www.amandakern.com/blog/2015/06/to-the-doctor-who-believes-folic-acid-can-prevent-spina-bifida-and-a-lifetime-of-disability/</link>
		<comments>http://www.amandakern.com/blog/2015/06/to-the-doctor-who-believes-folic-acid-can-prevent-spina-bifida-and-a-lifetime-of-disability/#comments</comments>
		<pubDate>Wed, 17 Jun 2015 20:50:41 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[spina bifida]]></category>
		<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=9030</guid>
		<description><![CDATA[I have a child with spina bifida and I admit I’m one of the many parents who has mixed feelings about the folic acid prevention topics – surprisingly this is the first time I’m writing about the topic on my blog. I recently read an article written by Dr. Lance Chilton titled “Folate before and during [&#8230;]]]></description>
				<content:encoded><![CDATA[<p>I have a child with spina bifida and I admit I’m one of the many parents who has mixed feelings about the folic acid prevention topics – surprisingly this is the first time I’m writing about the topic on my blog. I recently read an article written by Dr. Lance Chilton titled <strong><a href="http://www.abqjournal.com/598393/opinion/folate-can-prevent-a-lifetime-of-disability.html" target="_blank">“Folate before and during pregnancy can prevent a lifetime of disability”</a> </strong>and feel compelled to share my thoughts on folic acid.</p>
<p>My son Chance was born a little over four years ago with spina bifida, so forgive me if I&#8217;m passionate about advocating for those who are affected by this birth defect – but this little guy has changed our lives. I took folic acid for years before he was born – but he was still born with the birth defect.</p>
<p><img title="20150507-DSC_1613" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150507-DSC_1613.jpg" width="850" height="567" /></p>
<p>For those who aren&#8217;t aware of what spina bifida is – it is a birth defect that a person is born with. During the first month of pregnancy Chance&#8217;s spine never fully formed. He was born with an opening in his back that was about the size of a silver dollar. This &#8220;defect&#8221; required surgery when he was just a few hours old. Spina bifida has no cure and often requires complex care in various areas.</p>
<p><img class="p3-insert-all size-full aligncenter" title="02242011-chance14" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/02242011-chance14.jpg" width="566" height="850" /></p>
<p>I value the role of “prevention” and think it’s so important. Surely you know about folic acid – its the supplement we pray will prevent birth defects like spina bifida. It’s perceived to be the miracle worker in healthy foods and vitamin supplements – and if taken research has proven it CAN reduce the chances of having a child with a birth defect like spina bifida. Eat your foods rich in folate and take your vitamin with 400mg of folic acid – that’s what women should do before and during pregnancy. <strong>I did take folic acid and I have a child with spina bifida.</strong></p>
<p><img class="p3-insert-all size-full aligncenter" title="02252011-chance" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/02252011-chance.jpg" width="850" height="566" /></p>
<p dir="ltr" id="docs-internal-guid-1165a677-0318-cd89-80c6-dd8686b4fe15">I did everything the doctors said to do – and still have a child with spina bifida – something we tried so hard to prevent. It’s proof that folic acid isn’t the sole way to prevent a child from having spina bifida. But surely every time the topic of spina bifida comes up – many of us parents are questioned and asked why we didn’t take our folic acid. In fact, during my pregnancy one of my own colleagues who is well educated in nutrition asked this very question, “Don’t you know folic acid can prevent spina bifida?” It goes to show that most of society is lead to believe that not taking folic acid is the cause of spina bifida. Well, I have some news for you all&#8230;thousands of mothers took their folic acid just like they were told to do and they have children with spina bifida.</p>
<p dir="ltr">More folic acid definitely couldn&#8217;t have made my child a more adorable child&#8230;aren&#8217;t kids with spina bifida some of the cutest on the planet? Our son shared his sweet personality at a very early age.</p>
<p><img class="p3-insert-all size-full aligncenter" title="02272011-chance4" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/02272011-chance4.jpg" width="850" height="566" /></p>
<p dir="ltr" id="docs-internal-guid-1165a677-031b-f3de-6a37-bda754f9aecf">In Dr. Chilton’s article he notes that another doctor, Scott Obenshain, has shared that fortifying foods with folic acid has decreased the occurrence of neural tube defects like spina bifida – which is very true. He mentions over 5 million children have been born with spina bifida. Currently there are approximately 166,000 individuals in the U.S. living with spina bifida and about 500,000 living with the birth defect worldwide. The article misleads readers to believe that spina bifida is 100% preventable. Although Dr. Chilton does reference that folic acid can help reduce the occurrence of spina bifida by 70% it is disappointing to hear a medical professional refer to spina bifida and disability saying <em>“How much better, though, to not have to head off to college in a wheelchair, to be one of the 22,000 children saved by folate every year around the world from a life hampered by disability!”</em> Folic acid surely can reduce the occurrence of spina bifida by approximately 70%, but it is not a 100% method of prevention of the birth defect. So many causes of spina bifida are still not known and for most women like me. We will never know “why” our child was born with spina bifida. I’ve come to trust that I could not have done more to prevent our son’s birth defect. In fact, raising a child with spina bifida has taught me that some things in life, regardless of how challenging they may be, cannot always be prevented – and what initially is perceived to be a huge burden often proves to be a life changing blessing.</p>
<p dir="ltr">The image below is of our son Chance when he was just one week old after he went through his 3rd surgery to have his 1st shunt placed. Now before you &#8220;awe poor baby&#8221; our boy – lets appreciate the strength of these kids born with spina bifida. They are resilient and bounce back from some of the toughest challenges in life. When most other people would want to give up – they have learned to thrive amidst the most challenging of circumstances.</p>
<p><img class="p3-insert-all size-full aligncenter" title="03022011-chance" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/03022011-chance.jpg" width="850" height="566" /></p>
<p dir="ltr" id="docs-internal-guid-1165a677-031f-2bc3-3e2d-6a8484f237c7">Yes, Dr. Chilton, as you say it’s amazing what the “tiniest dab of an important substance can do!” I’m so thankful folic acid has been able to reduce the occurrence of spina bifida by 70% but have you ever given any thought to the 30%? <strong>You know the 30% of us who DID take folic acid daily for months or years prior to conceiving.</strong> My diet was filled with foods containing folate yet I still had a child with spina bifida. I appreciate you helping educate your community on the value of folic acid supplements, however, for thousands of families folic acid supplements were NOT enough to prevent spina bifida. By no means do I discourage the use of folic acid – but perhaps medical researchers have a lot more work to do to better understand the causes of spina bifida because folic acid supplements alone are not the only solution to reducing the occurrence of spina bifida. So many families affected by spina bifida have spent time wondering “why” and “if” they could have done more to prevent their child’s birth defect. How about doctors do more research into if women conceiving are able to process common folic acid foods and supplements properly? Or perhaps we also place focus on a man’s nutrition and folic acid intake – because surely they have just as much of a role in the creation of their child. Or perhaps there needs to be more research into environmental conditions – there are areas in the United States alone that have a higher occurrence of spina bifida which is evidence that much more than folic acid is to blame for children being born with spina bifida. Folate may help some, but I pray the medical community and those trying to prevent spina bifida stop trying to lead the world to believe that folic acid is the sole way to prevent spina bifida. This article misleads readers to believe folic acid is the magic solution to preventing spina bifida.</p>
<p dir="ltr">My bigger concern is not Dr. Chilton’s mention of the value of folate in a women’s nutrition before and during pregnancy but the references to spina bifida and disability are so disheartening to read. This recent article written by him is anything but heartwarming for a family affected by a disability to read. Yes, I admit – if I had the choice – my son would not have been born with spina bifida. In his four years of life he’s been through so much – 13 surgeries, 6+ weeks hospitalized, and countless medical tests, appointments, and therapies. In fact, his cost of care in four years has far exceeded the estimated lifetime cost to raise a child with spina bifida. The CDC notes that the estimated lifetime cost to care for a child with spina bifida is $706,000 – the birth defect can certainly be costly. I do believe families should do as much as possible to prevent spina bifida because the birth defect typically does lead to a lifetime of medical needs, but please don’t consider individuals born with spina bifida to be confined by their disability or that they will feel “hampered” by their disability. In fact, many born with spina bifida will tell you that the life they lead filled with medical challenges are all they have known and most do not want you feeling sorry for them. Besides, whether or not an individual attends college in a wheelchair – they can still lead an amazing life and I suspect most aren’t sitting there wondering “did my mom take folic acid?” I’ve learned of many people living with this birth defect are leading full lives – attending college and performing jobs such as educators, writers and doctors – certainly proof that their lives are not “hampered” by spina bifida.</p>
<p dir="ltr">Chance may have experienced a significant amount of medical challenges in his lifetime  but I can sense these challenges are strengthening him.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20140628-DSC_4782" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20140628-DSC_4782.jpg" width="850" height="567" /></p>
<p>Our son Chance has proved he&#8217;s capable of amazing things. If you sit and feel sorry for the medical moments he&#8217;s faced you&#8217;ll miss out on seeing the great things he has already achieved. I&#8217;m pretty sure he can out swim most kids his age!</p>
<p><img class="p3-insert-all size-full aligncenter" title="20140727-DSCN1171-2" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20140727-DSCN1171-2.jpg" width="850" height="638" /></p>
<p>And rather than fearing if a child may be &#8220;hampered&#8221; by a life in a wheelchair – I pray doctors sharing information on spina bifida don&#8217;t lead the world to believe that all individuals living with this birth defect will be confined to a wheelchair. In fact, many do walk – they may need the support of braces and assistive devices but nearly 70% of individuals with spina bifida do walk with or without support! Even if they require a wheelchair for mobility – I promise it&#8217;s not the end of the world. Our son also uses a wheelchair for longer distances and if he ends up going to college using his chair – I surely won&#8217;t make him feel like he&#8217;s living a worse life because of it.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150101-DSC_8627" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150101-DSC_8627.jpg" width="850" height="566" /></p>
<p><img class="p3-insert-all size-full aligncenter" title="20150226-DSC_0906" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150226-DSC_0906.jpg" width="850" height="566" /><img class="p3-insert-all size-full aligncenter" title="20150226-DSC_0910" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150226-DSC_0910.jpg" width="850" height="566" /></p>
<p>In so many ways Chance is just like any other kid his age – he loves to color with his brother!</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150313-DSC_8961" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150313-DSC_8961.jpg" width="850" height="567" /></p>
<p>Just like every other kid he has a blast playing at the park.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150328-DSC_0036" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150328-DSC_0036.jpg" width="567" height="850" /></p>
<p>And he&#8217;s an active little guy always on he move – having fun through it all.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150328-DSC_4120" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150328-DSC_4120.jpg" width="850" height="639" /></p>
<p>He may require a little help at times but overall he&#8217;s so much like any other child his age.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150405-DSC_5695" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150405-DSC_5695.jpg" width="566" height="850" /></p>
<p>In fact, put him out in public and we&#8217;re fairly certain he&#8217;ll find his way around on his own. In fact he prefers to move around independently. There&#8217;s no reason to feel sorry for him because he was born with a birth defect. We tried our best to prevent it  – but we&#8217;ve realized he was meant to be in our lives living his life with this birth defect and now we will do all we can do support his needs.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150417-DSC_0406" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150417-DSC_0406.jpg" width="850" height="567" /></p>
<p>There’s one thing missing from Dr. Chilton’s article – and that’s the ounce of hope needed by families affected by spina bifida – for those families who did take folic acid who have or will have a child with spina bifida. Dr. Chilton you are correct, spina bifida is the most common permanently disabling birth defect with complex challenges that often leads to a lifetime of care and expenses are often 13 times greater than an average child’s medical care. We were reminded of that this past month as our little guy underwent his 13th surgery for a shunt revision.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150527-DSC_3323" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150527-DSC_3323.jpg" width="850" height="567" /></p>
<p>Dr. Chilton you forgot to mention that individuals born with spina bifida are among the bravest, strongest, and most kind hearted individuals.</p>
<p>They are resilient and no matter how many medical complications they may endure in their life&#8230;they are loved.</p>
<p>This birth defect our son was born with – it doesn&#8217;t prevent us from loving him. On the contrary spina bifida has taught us just how powerful our love for him is. It&#8217;s also taught us that what we once perceived as an &#8220;imperfection&#8221; has since helped us see that Chance is perfectly made.</p>
<p><img class="aligncenter" title="20150324-DSC_9519" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/20150324-DSC_9519.jpg" width="850" height="567" /></p>
<p>I pray the next time a doctor has an opportunity to educate a community or their patients on spina bifida that they find a way to bring more hope to those who may someday be affected by this birth defect. Prevention is important – but lets pause to think about how these families affected by spina bifida may be feeling. So many of us did all we could to prevent the birth defect and have a child with spina bifida. Our world has created enough stigma against spina bifida and disability. We need more doctors who care to also bring hope and optimism to those who may be affected by spina bifida. Rather than trying to eradicate spina bifida from the planet I wished the world would spend more time finding ways to support those families whose lives are forever changed by spina bifida.</p>
<p>Now take a look at the photos below – they are just a fraction of the individuals born with spina bifida that I&#8217;ve photographed in the past four years. We can sit here and discuss prevention and folic acid – but the reality is that 30% of the population has taken folic acid and they still have children with spina bifida. And guess what? To our community of families affected by spina bifida a more important thing to worry about than folic acid is promoting a community that will support the families affected by this birth defect.</p>
<p><a href="https://www.facebook.com/redefiningspinabifida" target="_blank"><img class="p3-insert-all size-full aligncenter" title="spina-bifida" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/06/spina-bifida.jpg" width="850" height="641" /></a><em>If you&#8217;d like to see more hopeful images and reflections of spina bifida visit the <a href="https://www.facebook.com/redefiningspinabifida" target="_blank">Redefining Spina Bifida facebook page</a></em>.</p>
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		<title>Surgery 13: Reflecting on Chance&#8217;s recent shunt malfunction</title>
		<link>http://www.amandakern.com/blog/2015/05/surgery-13-reflecting-on-chances-recent-shunt-malfunction/</link>
		<comments>http://www.amandakern.com/blog/2015/05/surgery-13-reflecting-on-chances-recent-shunt-malfunction/#comments</comments>
		<pubDate>Sun, 31 May 2015 23:22:40 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[spina bifida]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=8986</guid>
		<description><![CDATA[&#8220;When you refuse to hide your scars they become a lighthouse for someone else.&#8221; ~Jon Acuff A few days ago we found ourselves remembering just how much uncertainty spina bifida can bring into our lives. Over the past few months we had noticed Chance beginning to gradually show symptoms that were concerning. He was having [&#8230;]]]></description>
				<content:encoded><![CDATA[<p><strong><em> &#8220;When you refuse to hide your scars they become a lighthouse for someone else.&#8221;</em></strong> <em>~Jon Acuff</em></p>
<p>A few days ago we found ourselves remembering just how much uncertainty spina bifida can bring into our lives. Over the past few months we had noticed Chance beginning to gradually show symptoms that were concerning. He was having very brief headaches that would last a very brief time. He began to complain of back pain for very brief periods of time. And at times he would get nauseous. Sometimes spina bifida truly frustrates us because we find ourselves trying to guess and figure out which of the areas could be impacting Chance. We moved up all of his tests, and even had more tests ordered, for earlier this month. We had concerns that it could be any number of things that could cause these syptoms&#8230;his shunt, the syrinxes in his spine, tethered cord, a pseudo cyst in his stomach, constipation, or seizures. At the beginning of May Chance went through sedated MRI&#8217;s, ultrasounds, an x-ray, and a 24 hour EEG. Most of his tests were inconclusive &#8211; his MRI showed a very slight increase in his syrinx in his spine but not enough to warrant us to intervene and his EEG showed added activity on the opposite side of his head and for the first time ever I had to press the &#8220;event&#8221; button during his 24 hour EEG. We suspected maybe the new activity was his reason for the brief headaches &#8211; but that didn&#8217;t explain the backaches or sickness.</p>
<p>In his first year of life Chance was always a highly symptomatic child when his shunt wasn&#8217;t functioning. Often times he&#8217;d show symptoms before tests really would show much evidence of a malfunction &#8211; so at the beginning of May we were reassured that we would know if something was wrong with his shunt and that we would watch him closely for more prolonged symptoms and see if the change in his seizures medication helped him. He continued with brief symptoms that made me fear that his shunt might be intermittently failing – Wednesday morning his shunt decided that after 1,325 days of working well to support our son&#8217;s life that it would stop functioning. I recall that morning watching Chance closely because he complained of a headache and then slept – and the few times he awoke he was fussy, clingy and restless&#8230;when he was awake he was not the energetic little boy we know so well. I took these photos and shared my concerns with his neurosurgeon and prayed once his big brother was home that he&#8217;d perk up – a moment later he projectile vomited all over us both and at that moment I knew he was malfunctioning. He was presenting symptoms just like the times he had malfunctioned as a baby. <img class="p3-insert-all size-full aligncenter alignleft" title="01-shunt-malfunction" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/01-shunt-malfunction.jpg" width="850" height="850" /></p>
<p>We arrived at the ER and were taken back to his room quickly – everyone could tell he wasn&#8217;t doing well. He wasn&#8217;t very coherent most of the time in the room. When Chance malfunctions he is often staring off into a daze and it&#8217;s so hard to see him like this. I promised to send his daddy some pictures so he smiled briefly for a photo. <img class="p3-insert-all size-full" title="02-er-shunt" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/02-er-shunt.jpg" width="606" height="604" /></p>
<p>Over the past four years I&#8217;ve met so many parents in central Florida and online and the topic of shunt malfunctions do come up at times – I share some of these photos with the hopes it will help you all understand what a shunt malfunction for our son looks like – all kids are different &#8211; and many are not symptomatic when they malfunction, however, Chance has always been highly sensitive to pressure changes. If you wish to know what it feels like&#8230;think of the worst headache you&#8217;ve ever had – and that&#8217;s what our little guy was feeling this past week as we waited for his neurosurgeon to arrive.</p>
<p><img class="p3-insert-all size-full" title="03-20150527-DSC_3319" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/03-20150527-DSC_3319.jpg" width="850" height="567" /></p>
<p>I share these pictures hoping to help our family, friends and other spina bifida families understand what a shunt malfunction is like for our son so I took photos just like I always do, however, I did nearly have my camera taken from me when I entered the hospital. A security guard questioned my big black bag that I always pack with things that will last me if we stay overnight – and those that know me know that I take my camera with me nearly everywhere I go – especially when my kids are with me. I was told it was &#8220;policy&#8221; and all I could do was smile and tell the security guard respectfully that I have been in and out of the hospital hundreds of times, even for emergencies, and have never been told I couldn&#8217;t have my camera – in fact, I&#8217;ve shared our photos openly with the hospital to share our son&#8217;s story and have volunteered to help many other families. I was warned that it was policy and that I shouldn&#8217;t take pictures in the hospital – all I could do was shake my head and grab my things and escort Chance into the ER. Although I couldn&#8217;t photograph every moment we experienced with Chance because things were just so chaotic – I did take photos to share a glimpse of the moments before and after his 13th surgery. Thankfully the ER and OR team weren&#8217;t bothered by me photographing my own child going through such trying moments. When he grows older I want him to be able to see just how brave and strong of a kid he has been.</p>
<p><img class="p3-insert-all size-full" title="04-20150527-DSC_3323" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/04-20150527-DSC_3323.jpg" width="850" height="567" /></p>
<p>I watched him in pain in the ER for a short time and prayed that maybe it was just a virus or even a UTI &#8211; but he clearly was having head pain and wasn&#8217;t very coherent majority of the time. I had no doubt his shunt was malfunctioning but I continued to pray I was wrong. Chance underwent a CT scan and x-ray to help us check on his shunt.</p>
<p><img class="p3-insert-all size-full" title="05-before1" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/05-before1.jpg" width="608" height="608" /></p>
<p>As we waited for his neurosurgeon he continued to watch TV and zone out – but there were brief moments that he&#8217;d give me smiles.</p>
<p><img class="p3-insert-all size-full" title="06-20150527-DSC_3328" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/06-20150527-DSC_3328.jpg" width="850" height="567" /></p>
<p>Shortly after this photo was taken the ER team came in to tell us the pressures in his head increased a bit and that his neurosurgeon would be in shortly and they anticipated he&#8217;d be going through surgery. We held him down as nurses attempted IV&#8217;s multiple times and so his neurosurgeon could tap his shunt to confirm if it was working. I was praying that maybe she could just change a setting but by tapping his shunt she was able to tell that it was no longer flowing properly. Just as we suspected, his shunt needed to be replaced.</p>
<p><img class="p3-insert-all size-full" title="07-20150527-DSC_3330" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/07-20150527-DSC_3330.jpg" width="850" height="567" /></p>
<p>As we arrived in the prep area for the OR Chance continued to zone out. We remained by his side as the nurses and anesthesiologist prepared him for surgery.</p>
<p><img class="p3-insert-all size-full" title="08-20150527-DSC_3337" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/08-20150527-DSC_3337.jpg" width="850" height="567" /></p>
<p>Although it&#8217;s been over 3 1/2 years since we&#8217;ve taken Chance into an emergency surgery – many of the nurses in the OR area remembered him well. We were greeted with the thoughts, &#8220;oh Chance we were praying this wasn&#8217;t you on our list for surgery.&#8221;</p>
<p><img class="p3-insert-all size-full" title="09-20150527-DSC_3338" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/09-20150527-DSC_3338.jpg" width="850" height="567" /></p>
<p>He still had moments where he would smile for us – there&#8217;s no doubt that he knows he is loved.</p>
<p><img class="p3-insert-all size-full" title="10-20150527-DSC_3339" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/10-20150527-DSC_3339.jpg" width="500" height="749" /><img class="p3-insert-all size-full" title="11-20150527-DSC_3345" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/11-20150527-DSC_3345.jpg" width="850" height="567" /><img class="p3-insert-all size-full" title="12-20150527-DSC_3355" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/12-20150527-DSC_3355.jpg" width="850" height="567" /></p>
<p>Even after 13 surgeries – it never gets easier knowing your child is going through a surgery. Even with all the faith we have in his doctors – it&#8217;s hard not to worry and fear the uncertainty of the days and week ahead as we remain hopeful that this shunt will do it&#8217;s job for a long time. We greeted him after surgery and he was awake but still very groggy.</p>
<p><img class="p3-insert-all size-full" title="13-after1" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/13-after1.jpg" width="603" height="602" /></p>
<p>He had a tough time keeping his eyes open – we stood back and admired our beautiful brave boy.</p>
<p><img class="p3-insert-all size-full" title="14-20150527-DSC_3360" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/14-20150527-DSC_3360.jpg" width="850" height="567" /></p>
<p>And from time to time he&#8217;d open his eyes and smile – clearly looking for the reassurance that we were still there beside him.</p>
<p><img class="p3-insert-all size-full" title="15-20150527-DSC_3362" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/15-20150527-DSC_3362.jpg" width="850" height="567" /><img class="p3-insert-all size-full" title="16-20150527-DSC_3365" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/16-20150527-DSC_3365.jpg" width="850" height="567" /><img class="p3-insert-all size-full" title="17-20150527-DSC_3371" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/17-20150527-DSC_3371.jpg" width="850" height="567" /><img class="p3-insert-all size-full" title="18-20150527-DSC_3375" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/18-20150527-DSC_3375.jpg" width="850" height="567" /></p>
<p>Once he was stable we took him to his room to recover.</p>
<p><img class="p3-insert-all size-full" title="19-20150527-DSC_3376" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/19-20150527-DSC_3376.jpg" width="850" height="567" /></p>
<p>Typically children who undergo a shunt malfunction recover well and go home a day after surgery. His doctor was hopeful to send him home the next day but wanted to watch him closely to see how his recovery went. The next morning he woke up still very tired from surgery.</p>
<p><img class="p3-insert-all size-full" title="20-20150528-DSC_3387" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20-20150528-DSC_3387.jpg" width="850" height="567" /></p>
<p>But he was all smiles – partly because he could order pancakes for breakfast.</p>
<p><img class="p3-insert-all size-full" title="21-after" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/21-after.jpg" width="604" height="604" /></p>
<p>Most of the morning after breakfast he was tired and very quiet. One of the doctors came to visit him – he remembered Chance from when he was a baby and his shunt malfunction history. Now that Chance is a bit older it was awesome to see just how much he interacted with Chance to help get him to smile. The fart app sparked a fun humorous time for them both.</p>
<p><img class="p3-insert-all size-full" title="21-with-doc" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/21-with-doc.jpg" width="610" height="606" /></p>
<p>We&#8217;re so thankful for those who stopped by to check on Chance – though we have family and friends in Orlando it&#8217;s always the families affected by spina bifida who step up to show their love for our son. Though Chance had his own toys as well as toys and gifts brought from others – very little made him want to move or play less than a day after surgery.</p>
<p><img class="p3-insert-all size-full" title="22-20150528-DSC_3394" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/22-20150528-DSC_3394.jpg" width="850" height="567" /></p>
<p>He&#8217;d still smile from time to time but he seemed to not be feeling himself still.</p>
<p><img class="p3-insert-all size-full" title="23-20150528-DSC_3398" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/23-20150528-DSC_3398.jpg" width="850" height="567" /><img class="p3-insert-all size-full" title="24-20150528-DSC_3400" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/24-20150528-DSC_3400.jpg" width="850" height="567" /></p>
<p>More than once during the day Chance crashed and got some rest. He continued to complain of a headache periodically as well – I grew more nervous if this shunt was working. Perhaps it&#8217;s my fear of his first year – more than once we&#8217;ve had a shunt fail within a matter of a day or two. So we agreed with his neurosurgeon that we&#8217;d keep him another night and if he still complained of pain or wasn&#8217;t himself we&#8217;d order more tests.</p>
<p><img class="p3-insert-all size-full" title="25-with-me" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/25-with-me.jpg" width="850" height="424" /></p>
<p>By the evening Chance was happy to have our family visit him – his buddy Jaylen sat and played nintendo with him.</p>
<p><img class="p3-insert-all size-full" title="26-games" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/26-games.jpg" width="608" height="606" /></p>
<p>I had hoped he was doing better seeing all of the smiles with our family but then just before bed he fell asleep crying with another headache – a bit of tylenol helped him rest through the night.</p>
<p><img class="p3-insert-all size-full" title="27-chance-headache" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/27-chance-headache.jpg" width="608" height="607" /></p>
<p>He woke up happy that his big brother called to facetime with him, but still he seem to be feeling pain. He began to feel a bit better at times &#8211; but it was really tough to know if what we were seeing was recovery pain or his shunt beginning to have issues.</p>
<p><img class="p3-insert-all size-full" title="28-facetime-jaylen" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/28-facetime-jaylen.jpg" width="607" height="605" /></p>
<p>By midday we agreed that we would have Chance undergo another CT Scan. The test would help us see the pressures in his head better so that we would know if something was wrong or if we could be reassured to go home. Chance has always cried so hard through all of his MRI &amp; CT tests &#8211; but this week was the first time ever a radiologist took the time to explain what he was going to go through and helped him feel calmer about the test. It was the first time he&#8217;s went through this test without crying.</p>
<p><img class="p3-insert-all size-full" title="29-ct-chance" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/29-ct-chance.jpg" width="850" height="638" /></p>
<p>Once we returned to his room one of the doctors returned to ask him if Chance would like to see his tests. I adore that Chance got to be a part of his medical care – he got to see the pictures of his head and brain and got to see that his test showed that his pressures looked improved. We suspect his headaches are from him getting use to the changes in pressure in his head.</p>
<p><img class="p3-insert-all size-full" title="30-ct-doc" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/30-ct-doc.jpg" width="850" height="723" /></p>
<p>He&#8217;s now went through 13 surgeries – 10 of which have been on his head. We&#8217;ve been keeping a close eye on his incision and keeping it clean and paused to take a picture today. Here&#8217;s his newest battle scar along with his huge smile to help reassure you all that he&#8217;s doing a lot better since surgery. He still has a few minor headaches but thankfully most of the day he&#8217;s doing great.</p>
<p><img class="p3-insert-all size-full" title="31-surg13" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/31-surg13.jpg" width="850" height="385" /></p>
<p>He&#8217;s so happy to be home with his big brother Jaylen.</p>
<p><img class="p3-insert-all size-full" title="32-20150531-DSC_3473" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/32-20150531-DSC_3473.jpg" width="850" height="567" /></p>
<p>The two have been total goofballs!</p>
<p><img class="p3-insert-all size-full" title="33-20150531-DSC_3477" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/33-20150531-DSC_3477.jpg" width="850" height="567" /><img class="p3-insert-all size-full" title="34-20150531-DSC_3479" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/34-20150531-DSC_3479.jpg" width="850" height="567" /></p>
<p>And yes, leave it to Super Chance to be a little rebellious and defy doctors orders. He&#8217;s back to bouncing around like we&#8217;re use to.</p>
<p><img class="p3-insert-all size-full" title="35-20150531-DSC_3494" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/35-20150531-DSC_3494.jpg" width="850" height="567" /></p>
<p>Thank you all for your prayers &amp; support – we&#8217;re happy to have Chance home and doing well.</p>
<p><img class="p3-insert-all size-full" title="36-20150531-DSC_3528" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/36-20150531-DSC_3528.jpg" width="850" height="567" /></p>
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		<title>What happens when a doctor helps a family dream for their child with spina bifida</title>
		<link>http://www.amandakern.com/blog/2015/05/what-happens-when-a-doctor-helps-a-family-dream-for-their-child-with-spina-bifida/</link>
		<comments>http://www.amandakern.com/blog/2015/05/what-happens-when-a-doctor-helps-a-family-dream-for-their-child-with-spina-bifida/#comments</comments>
		<pubDate>Mon, 25 May 2015 22:30:25 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[spina bifida]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=8965</guid>
		<description><![CDATA[&#8220;Kind words can be short &#38; easy to speak but their echoes are truly endless.&#8221; ~Mother Teresa Since before Chance was born so many people have helped us find hope and have helped us dream of our son&#8217;s great future. No words can really explain how hard it is to accept the day you learn [&#8230;]]]></description>
				<content:encoded><![CDATA[<p><strong><em>&#8220;Kind words can be short &amp; easy to speak but their echoes are truly endless.&#8221;</em> ~Mother Teresa</strong></p>
<p>Since before Chance was born so many people have helped us find hope and have helped us dream of our son&#8217;s great future. No words can really explain how hard it is to accept the day you learn your child may be born with such significant challenges that his life may always require support and to learn of all the things that are considered &#8220;wrong&#8221;. Over the past four years I&#8217;ve learned that though this news is tough – it is an amazing reward to raise a child with spina bifida. Yet still today there are families being told to give up on their child&#8217;s life – in fact, in a recent survey I did in central Florida nearly 50% informed me that they were told by medical professionals their child&#8217;s life with spina bifida would be too hard to care for or that they wouldn&#8217;t have the quality of life worth caring for. The world doesn&#8217;t need more doctors telling us only everything that is wrong with our children – but instead ones that help us dream.</p>
<p>I&#8217;ve had so many request I share Chance&#8217;s story and pictures with our own doctors to make sure they know his life is so much more than the diagnosis. However, our doctors, were the ones who brought us so much hope from the moments we learned that he might be born with spina bifida our fears were calmed and we were reassured. We were connected with families who were affected by spina bifida and they&#8217;ve been a tremendous blessing ever since. In fact my own <a href="http://www.wcfobgyn.com" target="_blank"><strong>ob/gyn doctor</strong></a> is among the most influential of all of our friends &amp; family who have helped me dream.</p>
<p>You see the past four years, since even before Chance was born I&#8217;ve been fearing so much and trying so hard to dream. But it&#8217;s hard. I have accepted reality – and I know that there is no cure for spina bifida. Chance is doing amazing right now but there are so many things in his life that will never go away and will always require care. In his first year he had went through so many medical moments and surgeries that I honestly was so frightened for what the years ahead would be like. I still recall being in the hospital as Chance had just went through is 6th, 7th and 8th surgery within a matter of three days and writing my doctor with my worries, not just for Chance – but for myself. After having Chance I didn&#8217;t have the easiest recovery and had continued abdominal pain that lead to me undergoing surgery when he was about six months old due to an infection that was lingering from the c-section surgery I had with him. At the time I was so much more concerned with just trying to keep his shunt working and tried not to think too far forward because I didn&#8217;t want to become emotionally overwhelmed by milestones he wasn&#8217;t meeting. In the moments before I was put under anesthesia for surgery I still recall feeling shaken and cold and just wishing it was over and looking up to my doctor who helped keep me calm in those moments and telling me to dream of great things – like my baby boy walking. &#8220;Dream of Chance walking on the beach,&#8221; she said. Some kids born with spina bifida do walk, but many do not &#8211; so since before he was born it was hard not to fear whether or not he&#8217;d ever walk. Never once did my doctor question if he would walk – instead she helped me dream that he would knowing surely dreams give us something to look forward to. It was a thought that has stuck in my head and has echoed in this head of mine for the past 3 1/2 years. Yes, as I&#8217;ve heard so many other families are told negative things about spina bifida by their doctors – mine helped me dream. Never once questioning his disability but instead reassuring me every step of the way.</p>
<p>Over the past four years as I&#8217;ve been on this journey photographing families affected by spina bifida I&#8217;ve dreamed of Chance on the beach with his friends – praying he is forever reminded that he (and we) are not alone on this journey. Two years ago I joined Chance&#8217;s friends, Grayson &amp; Gabriel, on the beach to capture this moment. I recall feeling so driven to take a beach shot in 2013 and recall going to this session feeling a mix of uplifted and heartbroken, because as his friends were just beginning to walk independently, Chance could only take steps if he had a klunky walker that wasn&#8217;t meant for the beach. Instead his friends joined him sitting on the beach to capture this adorable moment because Chance couldn&#8217;t stand or walk without support. Gabriel &amp; Grayson were the two babies we first met after Chance was born and no matter how many other spina bifida families we meet in the years ahead these two will always hold a special place in our heart.</p>
<p><img class="p3-insert-all size-full aligncenter" title="969260_10152865377665252_478595106_n" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/969260_10152865377665252_478595106_n.jpg" width="850" height="566" /></p>
<p>Fast forward to this spring and Chance is getting stronger – it&#8217;s taken over a year of hard work with learning to use crutches and he finally has mastered the ability to take steps with them. We all agreed to meet up again at the beach with the hopes to capture this moment that has been in my head for 3 1/2 years. We took a series of shots, including this one:</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150522-DSC_2478" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20150522-DSC_2478.jpg" width="850" height="568" /></p>
<p>Now that the kids are mobile &#8211; they were on the go the moment we said they could walk for photos. I admired my little guy – his friends are able to walk without devices and only one uses braces but walking on sand is really tough, even more so for a child born with spina bifida who has mobility challenges. Chance used those crutches to his advantage and took off ahead of his friends.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150522-DSC_2484" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20150522-DSC_2484.jpg" width="850" height="568" /></p>
<p>We captured so many precious moments, even the ones when they were racing and Chance&#8217;s legs gave out and he fell.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150522-DSC_2507" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20150522-DSC_2507.jpg" width="850" height="568" /><img class="p3-insert-all size-full aligncenter" title="20150522-DSC_2508" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20150522-DSC_2508.jpg" width="850" height="568" /></p>
<p>The echoes in my head that have left me dreaming of my son walking on the beach&#8230;are now reality and no longer just a dream. The past four years have seemed so long as I&#8217;ve waited for Chance to progress with his mobility – to be honest, wishing he would take off walking independently like his friends. At times it felt like these moments were never going to happen. But they did. Words really can&#8217;t adequately describe how happy my heart was to capture these moments.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150522-DSC_2577" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20150522-DSC_2577.jpg" width="850" height="568" /><img class="p3-insert-all size-full aligncenter" title="20150522-DSC_2607" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20150522-DSC_2607.jpg" width="850" height="568" /><img class="p3-insert-all size-full aligncenter" title="20150522-DSC_2705" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20150522-DSC_2705.jpg" width="850" height="568" /></p>
<p>Though Chance is now walking with crutches he will likely always need braces to help support his feet. Only time will tell just how stable his legs and feet will be. We&#8217;ve accepted the reality of spina bifida and that he may always need some assistance with walking and though it&#8217;s been hard to accept we are learning how to help him continue to live a great life and do all of the things any other child may experience.</p>
<p><img class="p3-insert-all size-full aligncenter" title="20150522-DSC_2954" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/05/20150522-DSC_2954.jpg" width="850" height="568" />If you are reading this and happen to have a child with spina bifida and are feeling discouraged about the milestones your child may not be reaching – I pray this brings you hope and helps you dream too. As hard as it is to accept when our kids don&#8217;t meet milestones or are experiencing delays – it&#8217;s so worth the wait because we&#8217;ve learned to appreciate these moments so much more once they do happen.</p>
<p><em><strong>To my amazing doctor</strong> – thank you for always helping me dream and bringing me reassurance through so many of the challenging moments that have left me feeling weary since before our baby boy was ever born. I now dream for a world where there are more doctors like you – to give families the hope needed to realize they can dream of the great things their child can achieve despite living a life with spina bifida. </em></p>
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		<title>Awaiting Harper</title>
		<link>http://www.amandakern.com/blog/2015/03/awaiting-harper/</link>
		<comments>http://www.amandakern.com/blog/2015/03/awaiting-harper/#comments</comments>
		<pubDate>Sat, 07 Mar 2015 19:02:09 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[maternity]]></category>
		<category><![CDATA[Photography]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=8956</guid>
		<description><![CDATA[&#160; At the end of last year Aaron &#38; Holly reached out to me with an interest in doing maternity and newborn photos. They are awaiting the arrival of their first baby, their daughter Harper. With less than two months left before her due date we met last weekend at Lake Louisa Park in Clermont. [&#8230;]]]></description>
				<content:encoded><![CDATA[<p>&nbsp;</p>
<p>At the end of last year Aaron &amp; Holly reached out to me with an interest in doing maternity and newborn photos. They are awaiting the arrival of their first baby, their daughter Harper. With less than two months left before her due date we met last weekend at Lake Louisa Park in Clermont. If you&#8217;ve never been there it&#8217;s one of my favorite spots in central Florida with tons of areas to explore. We captured some fun memories to help them hold onto memories from these moments when they were anxiously awaiting meeting their baby girl. Aaron &amp; Holly I hope you both enjoy the photos. Best wishes to you both – I look forward to seeing you and Harper in April!</p>
<p><img class="p3-insert-all size-full aligncenter" title="2015-03-07_0001" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-07_0001.jpg" width="850" height="959" /><img class="p3-insert-all size-full aligncenter" title="2015-03-07_0002" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-07_0002.jpg" width="850" height="1133" /><img class="p3-insert-all size-full aligncenter" title="2015-03-07_0003" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-07_0003.jpg" width="850" height="1417" /><img class="p3-insert-all size-full aligncenter" title="2015-03-07_0004" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-07_0004.jpg" width="850" height="604" /><img class="p3-insert-all size-full aligncenter" title="2015-03-07_0005" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-07_0005.jpg" width="850" height="604" /><img class="p3-insert-all size-full aligncenter" title="2015-03-07_0006" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-07_0006.jpg" width="850" height="1198" /></p>
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		<slash:comments>47</slash:comments>
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		<title>Constantin&#8217;s newborn moments</title>
		<link>http://www.amandakern.com/blog/2015/03/constantins-newborn-moments/</link>
		<comments>http://www.amandakern.com/blog/2015/03/constantins-newborn-moments/#comments</comments>
		<pubDate>Sun, 01 Mar 2015 16:34:02 +0000</pubDate>
		<dc:creator><![CDATA[Amanda  Kern]]></dc:creator>
				<category><![CDATA[newborn]]></category>
		<category><![CDATA[Photography]]></category>

		<guid isPermaLink="false">http://www.amandakern.com/blog/?p=8937</guid>
		<description><![CDATA[Last fall I photographed the sweetest family for the first time for one of my fall mini sessions. At the time they shared the news that they were expecting a baby boy due in February and that they wanted me to capture his newborn moments. He was born a few days before Valentine&#8217;s day and [&#8230;]]]></description>
				<content:encoded><![CDATA[<p>Last fall I photographed the sweetest family for the first time for one of my fall mini sessions. At the time they shared the news that they were expecting a baby boy due in February and that they wanted me to capture his newborn moments. He was born a few days before Valentine&#8217;s day and we managed to meet when he was about 5 days old. They requested a few photos of him in an adorable little hat &amp; tie outfit and his big sister picked out a special mickey mouse set for his newborn photos. She was excited for her little brother to wear the outfit – though he wasn&#8217;t nearly as thrilled with the idea. This newborn session was done at their home which allowed me to take several other lifestyle moments with the family as they showered baby Constantin with lots of love. Lena &amp; Andre I hope your family enjoys the moments we captured – best wishes to you all!<img class="p3-insert-all size-full aligncenter" title="2015-03-01_0009" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0009.jpg" width="850" height="834" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0010" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0010.jpg" width="850" height="762" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0011" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0011.jpg" width="850" height="293" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0012" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0012.jpg" width="850" height="855" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0013" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0013.jpg" width="850" height="636" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0014" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0014.jpg" width="850" height="688" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0015" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0015.jpg" width="850" height="1100" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0016" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0016.jpg" width="850" height="855" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0017" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0017.jpg" width="850" height="576" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0018" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0018.jpg" width="850" height="859" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0019" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0019.jpg" width="850" height="762" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0020" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0020.jpg" width="850" height="762" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0021" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0021.jpg" width="850" height="858" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0022" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0022.jpg" width="850" height="858" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0023" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0023.jpg" width="850" height="604" /><img class="p3-insert-all size-full aligncenter" title="2015-03-01_0024" alt="" src="http://www.amandakern.com/blog/wp-content/uploads/2015/03/2015-03-01_0024.jpg" width="850" height="1003" /></p>
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