Ryan woke up at 6am and skipped the morning meeting to "sneak" over to the hospital. He arrived in time for the hospital's 7:30a meeting.
Note: ALL hospitals in Port-Au Prince cost money. There are no handouts for medical care! After the Earthquake, healthcare was free so part of the reason the hospitals and clinics are so packed it that EVERYONE is trying to take advantage of the free healthcare. That is part of the reason why there is a triage tent outside the hospital so that patients could be evaluated for need. Not everyone was admitted depending on the severity of their condition.
Ryan thought it was very sad at the hospital because he could see/hear people who had been discharged begging to stay because they had no where to go; however, the courtyard was already full of campers.
Ryan worked the whole shift (7:30a-9:30p) in the post-op unit. The nurse Ryan relieved was extremely tired because she had been on duty for over 24 hours. Only 1 nurse had come to relieve 2 nurses and she did not feel okay with leaving 24 patients for 1 nurse so she stayed for another shift.
The room smelled so bad!! The bathroom kept overflowing and poop kept leaking into the recovery room. They had someone mopping as often as possible but it was not enough to keep it clean or oder free. An American plumber was called in to fix it and he also made two more showers for the volunteers. Up to that point there were only 2 showers for over 200 volunteers and at the end of the day you NEEDED a shower. Plumbing is a huge issue in Haiti even in the mansion they later stayed in. Ryan wondered if there weren't any plumbing schools in Haiti :-)
Ryan found it very hard to accomplish as much as he wanted because their supplies were just stacked on a small cart in the corner of the room. It took a lot of extra time to find what you needed.
Patient 1 in Bed Zero:
It was a mom who had just had a C-section. The baby was born at just 34 weeks gestation and was having a very hard time suctioning to the mother's nipple so her milk wasn't coming in and the baby wasn't being nourished. Infant formula is very difficult to get and expensive so it was very important that this baby learn to eat fast. Everyone was very worried the baby would starve to death, which is where her fate was appearing to head. One of the OB nurses was able to make a breast pump type device for the mother to use so hopefully the baby was able to survive (Ryan does not know the outcome).
Patient 2 in Bed 1 (weird bed numbering system):
An 8 year old girl with a bone infection of the tibia. It was a puncture wound caused during the earthquiake. Bone infections are difficult to treat even in the US. Her first round of antibiotics did not work so she had to have surgery to open it up where there was tons of puss. They drilled a hold in her bone and left it open so they could constantly rinse and wash out the bone. It smelled horrible. The following day she had her leg amputated. They used a "flap" procedure where they pulled the skin over and sealed it up. So sad.
Miracle:
In Haiti they do not use safety needles (needles that are covered after they are used to prevent dirty sticks). Ryan took blood from a lady and the room was so full of people and stuff that he did not have a safe place to put the dirty needle so he laid it on the lady's leg. It was knocked on the floor and when Ryan picked it up it poked his glove (5%+ of Haitians have AIDS). He was so worried and felt so stupid. He thoroughly examined his hand and there was no puncture to the skin and no open sores on his hand!! From that moment on, he would immediately carry the dirty needle above his head to be disposed (he had to carry it above his head because there were so many people in the room that if you carried it anywhere else you risked bumping into someone and accidently sticking them).
Ryan said the staffing during the first half of the day was good but the second half was very short-staffed. A general surgeon came with the Union group and had been doing lots of surgeries all morning so then all those additional patients were brought down to the unit.
Ryan found that it was a lot harder to start IVs in "darker skin" because you can't see the veins like you can in "lighter skin."
Patient 4:
An adult lady who was screaming in pain so loudly that it was scaring the younger patients so they gave her morpheine (sp?) for her pain and to make her sleepy.
Interesting: Ryan worked with the Korean nurse he had met the previous day. She told him that in Korea people are expected to tolerate more pain and she was more reluctant to give pain medicine (in Ryan's teaching and experience, the US administers pain medicine like candy). She taught Ryan some other methods to allieviate pain without medicine. Such as...the little girl was complaining of a stomach ache and so the nurse taught her how to massage it which kept her busy and helped her pain and made her feel better.
Patient 5:
An 8 year old boy who had testicular torsion (twisted testicles). He had one testicle removed the previous day and they were going to remove the other one but thankfully a Eurologist (sp?) arrived and was able to save the 2nd one. The doctor jokingly offered free vasectomies to the volunteers.
The little boy needed to use the restroom but didn't want to go to the icky bathroom. I guess he had some problems with the catheter or wanted to avoid one, not sure but...he leaned over to pee in a cup and Ryan said no no he needed to stand up so gravity could help him. Ryan told the little boy he would wash his feet when he got back. The little guy went to the bathroom and was pretty pleased that he was able to do it. When he got back, Ryan washed his feet and play tickled his little toes. They had a "bonding" moment and the little boy asked Ryan if Ryan could give him a tent for his family to live in. So sad. Ryan was not able to for several different reasons: he didn't have one, they were instructed not to, etc.
Ryan had to briefly come back to camp for a meeting. They learned that they were leaving at 4am the next morning to go on a 3 day mobile clinic and they needed to get ready and go to sleep early. Ryan was super excited but said he couldn't leave his patients to go to bed early so he went back to the hospital to finish his shift.
He was done at 9pm. It had been a long/hot day. We went to the break room and filled his water bottle with "cool" water (like the culligan cooled water). He had only gone to the bathroom once that day.
When he got back to camp he had to help go through the supplies to make sure they had enough and the correct pills for the mobile clinic.
12am his day was finally over. He was sore and exhausted. He took some "drugs" and went to sleep.
Tuesday, April 20, 2010
Haiti Day Two
Ryan slept horribly because of all the noises depite having ear plugs. He had brought a double mosquito net and so had to share it with his neighbor who snored like a bear. The roosters began to crow at 3am. After a day or two the group jokingly put up a poster for a vote to either kill or spare the rooster. The rooster was voted dead but no one really killed it. Ryan did have a thermarest mattress that kept him off the ground and he said it was very comfortable.
They had to be up to make their own breakfast at 6:45am and then the morning meeting began at 7:30a. There was a meeting every morning to discuss the plan for the day and to hand out assignments. It was during this meeting that the Union group was informed that there was a rumor that two Americans had been kidnapped and so their safety was in question and they did not want to plan any mobile units until they were sure it would be safe.
Their compound was across the street from the Adventist hospital but there was a clinic held in a house right next to the compound. It was discovered that the Haitians begin lining up for the clinics between 4 and 5am.
The clinic was staffed so the medical people from the Union group were used to organize the pharmacy- combining bottles to make more desperately needed space. The medicine is dispensed to the Haitians in old bottles or in zip lock baggies. There was a big tent filled with different supplies so the rest of the Union group organized those supplies.
The pharmacy was a mess! There was no pharmasist and so the pharmacy was left in the hands of a Nurse Practitioner who left early for a meeting, a PA and Ryan but the responsibilty was mainly left to Ryan.
Ryan noticed that there were some medicine that was exactly the same but looked different. He wanted to keep the pills separated by how they looked but he was instructed by the PA to combine all the same medicine into the same container regardless of how they look. Ryan commented at that time, "That would make a pharmasist cry." The PA laughed but still wanted them all combined so Ryan did. Thursday a real Pharmasist arrived and yelled at Ryan because he had to spend hours resorting all the combined pills. That was a little frustrating for Ryan.
In the house where the clinic was held, it was extremely hot. Ryan had on his camel pack and drank liter after liter of water- probably 2 gallons worth but he only had to go to the bather about 1 or 2 times throughout the day.
Ryan spent all morning in the pharmacy and tried to teach nonmedical Union group members how to help sort and organize the clinic. Those people were glad that Ryan taught them how to help.
For lunch they were served rice, beans, and tofu all week long! Ryan said it wasn't too bad the first couple of days.
After lunch, one of the group leaders took Ryan over to the Adventist hospital to meet one of his family members who was a pediatrician there. It became apparant that there is some sort of conflict between the hospital and the clinic and they are not working very well together. In fact, later on Union was instructed that they were not able to work in the hospital unless they had a signed paper from the ACTs group (even though the hospital is extremely under-staffed and the clinic was adequately staffed). Ryan broke the rule the next day.
On his tour, Ryan met a great Korean nurse who was working in post-op/recovery unit (like a PACU plus surgical short stay) who told him that if he was interested in working he needed to be back at the hospital at 7:30am the next morning.
The hospital sometimes has armed security and is enclosed by a security gate. There are tons of tents in the courtyard . To the left of the courtyard people were hobbling around without limbs and other injuries and illnesses. They were people who had been hurt in the earthquake and had no home to go to after being released from care so the hospital allowed them to camp in the courtyard. To the right, there was the triage tent where they do initial assessments on patients before they are sent into the hospital.
The hospital is in an old worn down building. It is two stories high and in the shape of a t. They squeezed as many patients as possible into a room. There were 10 people on cots squeezed into an American double room.
The volunteers slet on top of the hospital in tents. The best part...the break room was air conditioned!!
Ryan was sad after the tour because he wasn't sure if he would get to help there or not. He went back to the clinic pharmacy and worked there until supper at 6pm
7:30p is their day closing meeting where people gave testimonies on what they did and say. It wasn't just the group from Union in the compound. It was all volunteers with ACTs. There was a big group of people from Iraguay. During this meeting, it was announced that the group would be taking a trip to the beach the next day (the clinic and hospital are closed on Sundays). Ryan was very disappointed. He wanted to work!
Ryan felt proud at the end of the day with how much organizing they had accomplished and how he had helped some nonmedical volunteers get involved.
A lot of the nonmedical Union group were taken on a sight-seeing tour but Ryan didn't feel right about doing that when were was so much work to do in the pharmacy and so he stayed back and a few of those who he had taught stayed as well and they made IV kits (Ryan's idea) and the healthcare providers LOVED the kits.
At bedtime Ryan took a sleeping pill and a very stron pill for his back. He slept like a baby and didn't hear a thing that night.
They had to be up to make their own breakfast at 6:45am and then the morning meeting began at 7:30a. There was a meeting every morning to discuss the plan for the day and to hand out assignments. It was during this meeting that the Union group was informed that there was a rumor that two Americans had been kidnapped and so their safety was in question and they did not want to plan any mobile units until they were sure it would be safe.
Their compound was across the street from the Adventist hospital but there was a clinic held in a house right next to the compound. It was discovered that the Haitians begin lining up for the clinics between 4 and 5am.
The clinic was staffed so the medical people from the Union group were used to organize the pharmacy- combining bottles to make more desperately needed space. The medicine is dispensed to the Haitians in old bottles or in zip lock baggies. There was a big tent filled with different supplies so the rest of the Union group organized those supplies.
The pharmacy was a mess! There was no pharmasist and so the pharmacy was left in the hands of a Nurse Practitioner who left early for a meeting, a PA and Ryan but the responsibilty was mainly left to Ryan.
Ryan noticed that there were some medicine that was exactly the same but looked different. He wanted to keep the pills separated by how they looked but he was instructed by the PA to combine all the same medicine into the same container regardless of how they look. Ryan commented at that time, "That would make a pharmasist cry." The PA laughed but still wanted them all combined so Ryan did. Thursday a real Pharmasist arrived and yelled at Ryan because he had to spend hours resorting all the combined pills. That was a little frustrating for Ryan.
In the house where the clinic was held, it was extremely hot. Ryan had on his camel pack and drank liter after liter of water- probably 2 gallons worth but he only had to go to the bather about 1 or 2 times throughout the day.
Ryan spent all morning in the pharmacy and tried to teach nonmedical Union group members how to help sort and organize the clinic. Those people were glad that Ryan taught them how to help.
For lunch they were served rice, beans, and tofu all week long! Ryan said it wasn't too bad the first couple of days.
After lunch, one of the group leaders took Ryan over to the Adventist hospital to meet one of his family members who was a pediatrician there. It became apparant that there is some sort of conflict between the hospital and the clinic and they are not working very well together. In fact, later on Union was instructed that they were not able to work in the hospital unless they had a signed paper from the ACTs group (even though the hospital is extremely under-staffed and the clinic was adequately staffed). Ryan broke the rule the next day.
On his tour, Ryan met a great Korean nurse who was working in post-op/recovery unit (like a PACU plus surgical short stay) who told him that if he was interested in working he needed to be back at the hospital at 7:30am the next morning.
The hospital sometimes has armed security and is enclosed by a security gate. There are tons of tents in the courtyard . To the left of the courtyard people were hobbling around without limbs and other injuries and illnesses. They were people who had been hurt in the earthquake and had no home to go to after being released from care so the hospital allowed them to camp in the courtyard. To the right, there was the triage tent where they do initial assessments on patients before they are sent into the hospital.
The hospital is in an old worn down building. It is two stories high and in the shape of a t. They squeezed as many patients as possible into a room. There were 10 people on cots squeezed into an American double room.
The volunteers slet on top of the hospital in tents. The best part...the break room was air conditioned!!
Ryan was sad after the tour because he wasn't sure if he would get to help there or not. He went back to the clinic pharmacy and worked there until supper at 6pm
7:30p is their day closing meeting where people gave testimonies on what they did and say. It wasn't just the group from Union in the compound. It was all volunteers with ACTs. There was a big group of people from Iraguay. During this meeting, it was announced that the group would be taking a trip to the beach the next day (the clinic and hospital are closed on Sundays). Ryan was very disappointed. He wanted to work!
Ryan felt proud at the end of the day with how much organizing they had accomplished and how he had helped some nonmedical volunteers get involved.
A lot of the nonmedical Union group were taken on a sight-seeing tour but Ryan didn't feel right about doing that when were was so much work to do in the pharmacy and so he stayed back and a few of those who he had taught stayed as well and they made IV kits (Ryan's idea) and the healthcare providers LOVED the kits.
At bedtime Ryan took a sleeping pill and a very stron pill for his back. He slept like a baby and didn't hear a thing that night.
Haiti Day One
Sorry it has taken so long to get a report of Ryan's Haiti trip posted. Ryan's school work has kept him extremely busy and hasn't even really had time to tell me all the details of his trip. We would have more time except we try to discuss Haiti after Jaimee goes to sleep so I can take notes and he can talk uninterrupted. I will add pictures once I have the trip blogged and will add captions to explain the pictures.
The Union group arrived in Port-Au Prince around 12:30pm. As the were near the city, Ryan was looking out his window expecting to see tons of collapsed buildings and destruction; however, he was surprised that he wasn't able to see much damage. Apparently, the worst damage was not around the airport. He was able to see a temporary US military base and and industrial area close by the airport. The only thing he thought looked pretty was the blue ocean and green mountains. He was able to tell that the buildings all looked very shabby (even from the sky).
Off the plane, the first thing Ryan thought was how very hot and humid it was! They didn't go into the actual airport because it had cracks in the walls and broken glass/windows all over, it was condemned. The group was bussed to a garage where they picked up their bags and went through Customs.
Ryan thought Customs was way different than what he had expected. The officials did not have any computers, they did not search any bags, did not ask the group why they were there. All they did was stamped the passports and sent them through.
The group waited in a gated courtyard for 3 hours waiting to be picked up. Apparently the group (ACTs) got a flat tire and it took some time to get it repaired.
The courtyard where they waited was surrounted by people. Some of the people were waiting for family but most were standing around hoping to be hired by someone to taxi them or carry their bags.
When they exited the gates, they were swarmed by people and their bags were torn from their hands by the Haitians. About 5 Haitians actually helped carry the bags to the van but suddenly there were 15 or more people demanding money. No one in the group had any small bills. The Haitians grew loud and began cussing (some in English). One jumped into the back of the van with the group and would not get out until he was paid. Finally they discovered that the one in the van was the leader and Union group was to pay him and he would divide up the money so that's what they did and they were finally left alone.
Ryan said the group was in shock and he was a little on edge from the experience as well but he commented to the group, "I have had similar experiences in Chicago."
One the drive to their camp, they saw many collapsed buildings or empty lots where buildings had once stood. Ryan thinks that the Haitians were able to resell the bricks from the destroyed buildings. They passed many "tent" cities and and tin shacks.
The pollution was HORRIBLE. The mess of disel was so overwhelming that it burned Ryan's eyes. The smell of sewage was just as overwhelming. Men were spotted relieving themselves in the street and the women wore long skirts with no undergarments so they could squat whenever/wherever they needed.
They passed a man laying in the street who had just been shot to death and was surrounded by police. The guide explained to the group that the man was probably stealing and if people don't stop when the police tell them too, they have the order to shoot. Ryan wondered what if he or his family were just very hungry and he was trying to provide for them? Very sad.
The compound where they stayed was guarded by unarmed security civilians, surrounded by an iron gate and cement with barbwire. The facility was okay. They camped in a military tend with the sides rolled up for ventilation and put their mosquito nets up around their beds. They had two showers and three modern toilets that smelled like outhouses. Ryan expected worse.
They then had an orientation and pep talk from 6-9pm and then it was off to bed for some much needed sleep.
The Union group arrived in Port-Au Prince around 12:30pm. As the were near the city, Ryan was looking out his window expecting to see tons of collapsed buildings and destruction; however, he was surprised that he wasn't able to see much damage. Apparently, the worst damage was not around the airport. He was able to see a temporary US military base and and industrial area close by the airport. The only thing he thought looked pretty was the blue ocean and green mountains. He was able to tell that the buildings all looked very shabby (even from the sky).
Off the plane, the first thing Ryan thought was how very hot and humid it was! They didn't go into the actual airport because it had cracks in the walls and broken glass/windows all over, it was condemned. The group was bussed to a garage where they picked up their bags and went through Customs.
Ryan thought Customs was way different than what he had expected. The officials did not have any computers, they did not search any bags, did not ask the group why they were there. All they did was stamped the passports and sent them through.
The group waited in a gated courtyard for 3 hours waiting to be picked up. Apparently the group (ACTs) got a flat tire and it took some time to get it repaired.
The courtyard where they waited was surrounted by people. Some of the people were waiting for family but most were standing around hoping to be hired by someone to taxi them or carry their bags.
When they exited the gates, they were swarmed by people and their bags were torn from their hands by the Haitians. About 5 Haitians actually helped carry the bags to the van but suddenly there were 15 or more people demanding money. No one in the group had any small bills. The Haitians grew loud and began cussing (some in English). One jumped into the back of the van with the group and would not get out until he was paid. Finally they discovered that the one in the van was the leader and Union group was to pay him and he would divide up the money so that's what they did and they were finally left alone.
Ryan said the group was in shock and he was a little on edge from the experience as well but he commented to the group, "I have had similar experiences in Chicago."
One the drive to their camp, they saw many collapsed buildings or empty lots where buildings had once stood. Ryan thinks that the Haitians were able to resell the bricks from the destroyed buildings. They passed many "tent" cities and and tin shacks.
The pollution was HORRIBLE. The mess of disel was so overwhelming that it burned Ryan's eyes. The smell of sewage was just as overwhelming. Men were spotted relieving themselves in the street and the women wore long skirts with no undergarments so they could squat whenever/wherever they needed.
They passed a man laying in the street who had just been shot to death and was surrounded by police. The guide explained to the group that the man was probably stealing and if people don't stop when the police tell them too, they have the order to shoot. Ryan wondered what if he or his family were just very hungry and he was trying to provide for them? Very sad.
The compound where they stayed was guarded by unarmed security civilians, surrounded by an iron gate and cement with barbwire. The facility was okay. They camped in a military tend with the sides rolled up for ventilation and put their mosquito nets up around their beds. They had two showers and three modern toilets that smelled like outhouses. Ryan expected worse.
They then had an orientation and pep talk from 6-9pm and then it was off to bed for some much needed sleep.
Friday, April 2, 2010
Growing Up too Fast 2
Aahh! The whole reason I started my blog yesterday and I forgot to include it!
I was feeding Jaimee supper and she was playing with one of her spoons. She was doing a good job not shaking it and putting it up to her mouth so I decided to put a dab of food on the tip and see what she would do. She looked at it and then put it in her mouth. I would then feed her a big spoon full and then it was her turn to feed herself. I only gave her teeny tiny globs on her spoon because you just never know when it might go flying but it never did. She did so good. What a big girl!
I was feeding Jaimee supper and she was playing with one of her spoons. She was doing a good job not shaking it and putting it up to her mouth so I decided to put a dab of food on the tip and see what she would do. She looked at it and then put it in her mouth. I would then feed her a big spoon full and then it was her turn to feed herself. I only gave her teeny tiny globs on her spoon because you just never know when it might go flying but it never did. She did so good. What a big girl!
Thursday, April 1, 2010
Growing Up too Fast
It was a wonderful 80 some degrees here yesterday. Time to pull out the summer clothes!
A while back I had bought Jaimee a cute little outfit- white capris with a little purple flower top and she finally was able to wear it. To go with the cute outfit, I put pigtails in her hair and little white flip flops. She looked so grown up, like a 2 year old :-)
We spent a lot of time outside yesterday. We took the dogs for a walk and then we went to the grassy area and I hooked the dogs on their steak and Jaimee and I walked around looking at the grass, sticks, dirt, birds, etc. She enjoyed pushing her stroller around and trying to walk the dogs. Probably not the best day to dress her in white capris.
Later after Ryan came home, we took Jaimee on her 1st trike ride outside. She's had plenty of rides in the house but its so much more exciting outside. Little dare devil kept standing up on the seat while riding and she would rock her body forward trying to make it go faster. Then she tried to climb off so we stopped and let her walk. She wanted to push her trike so we walked really really slow. We decided to cut our walk short and take her to the playground. She went down a few slides and had fun trying to walk between toys. She did so good. Her balance and steps were so controlled. She seemed pretty proud.
She was pretty tuckered after such a busy day and went to bed a little early. For about the past week, she's been waking up EVERY night at least 1 time. In the beginning I was sure it was due to teething so I was pretty attentive but now she has been perfectly fine during the day minus a little runny nose. She cries like she's in pain.
Last night was no different. She started fussing but not real bad so I just waited hoping she'd go back to sleep. Her fussing gradually escalated and I figured she was just wanting attention so I waited a bit longer. Finally I went in and decided I wasn't gonna rock her so I just laid her back down and left. I waited 1 minute while she screamed. Went in and laid her back down. Waited 2 minutes while she screamed. Went back in and laid her down. Waited 3 minutes and I couldn't take it anymore. She was standing holding her little bunny and sobbing...I gave in and picked her up. I know I know but its so hard to let your little one cry especially when I'm not 100% convinced she isn't still teething some.
I snuggled her and she was almost asleep when she popped up. I thought oh boy we get to start the fight over. She pointed to her crib and jabbered so I put her in her crib (I just KNEW she would scream bloody murder when I put her down) and she just laid down and went right to sleep. She told me she wanted to go to bed!! She's only 1! Smart little girl.
Its so amazing how much babies grow and learn in 1 year. Its so fun to watch her grow and change but I sure wish she would slow down. I looked at my pictures last night and there was one wearing jeans. I remember when I took it that she looked so big but last night I couldn't believe I thought she looked big because now I think she looks so tiny.
A while back I had bought Jaimee a cute little outfit- white capris with a little purple flower top and she finally was able to wear it. To go with the cute outfit, I put pigtails in her hair and little white flip flops. She looked so grown up, like a 2 year old :-)
We spent a lot of time outside yesterday. We took the dogs for a walk and then we went to the grassy area and I hooked the dogs on their steak and Jaimee and I walked around looking at the grass, sticks, dirt, birds, etc. She enjoyed pushing her stroller around and trying to walk the dogs. Probably not the best day to dress her in white capris.
Later after Ryan came home, we took Jaimee on her 1st trike ride outside. She's had plenty of rides in the house but its so much more exciting outside. Little dare devil kept standing up on the seat while riding and she would rock her body forward trying to make it go faster. Then she tried to climb off so we stopped and let her walk. She wanted to push her trike so we walked really really slow. We decided to cut our walk short and take her to the playground. She went down a few slides and had fun trying to walk between toys. She did so good. Her balance and steps were so controlled. She seemed pretty proud.
She was pretty tuckered after such a busy day and went to bed a little early. For about the past week, she's been waking up EVERY night at least 1 time. In the beginning I was sure it was due to teething so I was pretty attentive but now she has been perfectly fine during the day minus a little runny nose. She cries like she's in pain.
Last night was no different. She started fussing but not real bad so I just waited hoping she'd go back to sleep. Her fussing gradually escalated and I figured she was just wanting attention so I waited a bit longer. Finally I went in and decided I wasn't gonna rock her so I just laid her back down and left. I waited 1 minute while she screamed. Went in and laid her back down. Waited 2 minutes while she screamed. Went back in and laid her down. Waited 3 minutes and I couldn't take it anymore. She was standing holding her little bunny and sobbing...I gave in and picked her up. I know I know but its so hard to let your little one cry especially when I'm not 100% convinced she isn't still teething some.
I snuggled her and she was almost asleep when she popped up. I thought oh boy we get to start the fight over. She pointed to her crib and jabbered so I put her in her crib (I just KNEW she would scream bloody murder when I put her down) and she just laid down and went right to sleep. She told me she wanted to go to bed!! She's only 1! Smart little girl.
Its so amazing how much babies grow and learn in 1 year. Its so fun to watch her grow and change but I sure wish she would slow down. I looked at my pictures last night and there was one wearing jeans. I remember when I took it that she looked so big but last night I couldn't believe I thought she looked big because now I think she looks so tiny.
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