She looks fabulous!

Our family had a great time at the Houston Children's
Museum over spring break!

That's how we were greeted today by our daughter's dermatologist this morning   He walked in the door, took one look at her, and said, "She looks fabulous!"  It had been 5 months since he'd seen her and he couldn't believe how much she's grown.  He took lots of time to look closely at her face, neck, cheek, and eye and was very pleased with her progress.  She still has hemangioma in all of these places, but they appear stable.  It's been a long time since we've adjusted her Propranolol dosage, but she's gained enough weight that she's now on less than 1 per kilo.  He didn't want to decrease her Propranolol and asked us to keep him informed if we began to see growth again (because he would increase her dose if it is needed).  I feel very comfortable that we're slowly weening her off the medication as she grows, even though we're not adjusting her doses.  What a great plan.

We also talked about several other questions:
 -  When to schedule another MRI?  He wants to consult with her other specialists to help make this decision.  He isn't interested in seeing her hemangioma in this scan, but is more interested to see her carotid artery.  She's has grown a lot in height and weight since her last scan (January 2012), so it is likely we'll scan again in the near future.
-  Is she still one of the oldest children on Propranolol for PHACE Syndrome?  She is still the second oldest child he has had on Propranolol, but he is not concerned.  We talked in depth about some recent consensus meetings regarding the use of Propranolol, and the decreased concern about blood sugar and blood pressure.  He feels very confident that Propranolol continues to be the best medication for her.
-  Do we need to schedule any follow-up visits with our daughter's other specialists?  He did not feel that it is necessary for us to visit the cardiologist or neurologist unless we have specific questions or concerns regarding her development.  We already have an appointment with her ophthalmologist for later this summer to follow-up regarding her vision.

Days like today are encouraging and remind us to be thankful for our daughter's progress!  She truly is a miracle!

Three Years Old!

Her 3rd birthday

This weekend our daughter had her third birthday.  She celebrated with a few of her friends coming over for a princess dance party.  Priceless!

Due to her birthday, we also had an opportunity to visit with our daughter's pediatrician today for her well-check appointment.  Her height and weight continue to increase beyond what any of us ever expected.  She has grown 1.5 inches since the beginning of December and is now in the 51st percentile for height.  Her weight also continues to increase and is now in the 56th percentile.  She skipped a couple of shoe sizes recently and it seems that all of her pants have suddenly become too short.  We are so thankful for these growth spurts!

Her 2nd birthday...
she's gotten so big!

Today, our pediatrician asked if a medical student could participate in our well-check.  I always agree to these scenarios because I want every possible doctor to be exposed to PHACE Syndrome and the tests/medications needed with infants as soon as the segmental hemangioma is noted.  As I listened to our pediatrician give a brief overview of our daughter's medical history, I was once again reminded of how scary our journey was, and how blessed we are to be in such a great place today!  I am thankful for opportunities to use our daughter's story to encourage and educate others!

Our daughter continues to reach the typical medical and developmental milestones.  She is still taking Propranolol twice a day to keep her hemangioma from growing, but we hope the proliferation will stop this year.  We would love to wean her off of this miracle medication before her next birthday...but are willing to continue the medication as long as it is needed.  Our daughter is a blessing to us and is a reminder of God's provision in our lives!