UGH!

Jack woke up Saturday morning with a high fever and vomiting -- this is after he's been FINE for several days after being dxed with an ear infection. As soon as he started his meds for that he was totally back to normal -- had an awesome week at school and BAM, hit AGAIN on Saturday.

His fever was 100-102.5 on and off through the night and so far today it seems to be responding to Motrin/Tylenol. He also hasn't vomited since Saturday. He was coughing early this morning -- so maybe he's got something viral on top of the infection.

DH and I were paralyzed with fear -- we thought he would have another seizure for sure and yet he didn't (thank GOD). It was a very low key day yesterday and today for that matter. One of us has kept an eye on Jack the whole time.

I am not sending him to school tomorrow and I plan on calling the ped to get her thoughts. I don't think she'll see him quite yet, but who knows. Please keep your fingers crossed he can get through this illness without seizures.

He used to be such a healthy kiddo! 2007 has NOT been his year...

Thanksgiving 2006 -- Ear infection

Christmas 2006 -- Ear infection

First week in January 2007 -- MRI shows deep ear infection

Second week in January 2007 -- Apnea/Brady during sedation/Botox

Last week in January 2007 -- High fever, vomiting, grand mal seizure, pneumonia -- 911/ER trip

Second week in February 2007 -- Low grade fevers, kidney infection, admitted for several days of antibiotic treatment/tests

Mid March 2007 -- Fever, vomiting, grand mal seizure

Last week of March 2007-- Ear and throat infection

Last weekend of March -- Fever, vomiting possible cold/viral illness

Let's hope Spring and Summer are kinder to him. I can't believe he's been so healthy in spite of being a 25 weeker and now at 4 years old he comes down with EVERYTHING under the sun. I can't fully blame it on school either because he was fine last year?

Anyway, just wanted to vent a little. I'll keep you posted.

Happy Jack!!!!

Jack had his 4 year check up on Tuesday -- not much to report...he's 31 lbs and somewhere around 38 - 40 inches long....he just would not straighten his leg for anything! He's growing, at that's the important thing! There wasn't much else to the visit. He did get 3 shots and needs to go back in 6 months for second dose of one of the vaccines. It was funny -- Dr. C said to just bring him along to the baby's 4 month check up. Boy did that sound strange! At first I was thinking "What baby??" Ha ha!! Sadly Jack did end up getting our bug -- he has an ear infection and sore throat. She gave us an Rx for Augmentin. Jack had been cranky over the weekend but he's like a new kiddo now -- I haven't seen him so happy in almost two weeks.

Jack now has a nurse at school -- though she won't be our permanent nurse, she's just filling in until the agency gets someone on the schedule. It's sad because we really, really like her! Hopefully we'll like the next one just as well. I think it was really the right decision to make. I am relieved that someone's there just in case. Plus she takes all of these nifty notes and I know exactly what went on during Jack's day play by play! She wrote down what he ate, what they did in PT, which words he used, his mood, and a few other goodies! We do get progress reports from time to time, but it's usually much less detail -- so I'm liking this. It is nice to know that we can use nursing if need be after my c-section -- but I feel a little strange about having a "stranger" in my house. If anyone has used nursing at home, I would love to hear about it. Thankfully we do have a lot of family and friends so maybe we won't even need to use nursing! (ATTENTION FAMILY AND FRIENDS -- MAKE NO PLANS MAY 22 until JUNE 22! Hint, hint!!)

We also decided to take Jack's wheelchair to school for the first time too -- now that there's someone to help do the lifting! He loves it...he looks wonderful and all of the kids were excited to see his new wheels. We decorated the back with his name in fancy letters and the PT put red and blue tape on the pegs for his right hand. We were originally waiting for a lift-bus to become available but since we canceled transportation it's not an issue any more. The nurse takes the wheelchair out of the back of our van and gets Jack from the car and does the same when it's time to go home too. I walk them into the building and say my goodbyes.

I am still really sick. It started Thursday with a sore throat and by yesterday it had gone to my chest and I was having a hard time getting a good breath...feels very much like an elephant is sitting on my chest. The family doc said it's an upper respiratory infection and gave me an Rx for antibiotics and instructions to take Musinex (1200 mg extended release) and that's about all he could do. I am miserable. I already lack lung capacity due to a very big bean who likes to keep her feet under my ribcage (okay, so I don't know this for sure but that's EXACTLY what it feels like) then with the tightness, irritation and congestion forget it, I can't sit, or sleep very well at all. I can get my best breaths standing up. I alarmed Jason this morning because I was wondering the hallway at 4 am...I didn't go back to bed until 6 and Jack was up shortly after.

30 Weeks and 1 day today. It's amazing -- the time is simply flying by. After I dropped Jack at school I went to Taco Bell for lunch (fast food is rare for me -- I'll blame the Bean...hee hee). I saw Jack's old bus driver and she asked me if I was ready to "pop this kid out yet?" I keep forgetting just how pregnant I look. I am not used to it -- I get questions everywhere I go! It's amazing to think I missed FIFTEEN WEEKS of my pregnancy with Jack. So no, I am not ready to "pop" yet -- but I am getting used to the idea that May is really around the corner!!!

A Little Update...

Jack's doing well -- here he's going fishin' in his closet!


The scheduler from the nursing agency came by this afternoon -- very nice woman! Our nurse will meet us at school tomorrow! I had no idea it would start so quickly. She wrote a care plan that includes administering meds if needed.

We also discussed some nursing care for Jack after my c-section due to lifting restrictions. I think it may be a good idea.

Jack has his 4 year check up tomorrow! Does anyone know, do they get shots at 4 years old? I'd like to prepare Jack if I have to.

I had a check up with maternal fetal medicine and all looks great! I am 29 weeks, 5 days. Bean's heart was up to 155 bpm -- sounded good! I have a fetal growth scan scheduled for 32 weeks.

Jason and I both have had sore throats since Thursday -- this morning I had some congestion too. Let's hope Jack DOES NOT GET THIS BUG!!!

The neurologist was happy with Jack's levels of Tegretol. He's not going to change anything at this time. We will follow up with more blood work in a few weeks. I am still trying to process all of this.

I hope to post more soon -- and hopefully I'll be able to put my thoughts together a bit more fluidly! : )

School and Seizures

Thanks everyone for keeping Jack in your thoughts.

I believe it's safe to say at this point it was not his shunt -- he's been totally fine, thank goodness! He's eating well and very happy -- not whining and crying like he was.

As for the seizure -- our plan right now is to get more labs and get different levels (he called it a trough level?) and see if we should give Jack his meds 3 times a day instead of twice a day (he gets 7 ml twice a day -- but we could go to 4, 4, and 6). We'll see after we get the lab results. We just got back from the lab and the results should be faxed over tomorrow for the neuro to read on Monday.

I spoke to Jack's teacher and while she couldn't tell me what to do -- she told me all of my "options" so to speak. We could get a private duty nurse for Jack for 2.5 hours while at school through our insurance. We could do home based therapy, I could come to school with him, or we could train the staff how to administer diastat. I told her I would discuss these things with Jason and with Jack's neuro.

The neuro said not to train the staff to use diastat and if he were to have a seizure at school they should call 911 right away. He said he feels this is best since Jack is such a "little fellow" -- and with older kids he may suggest something different. I would sit with Jack in school -- but I am going to have a baby in two months and I think Jack does benefit from going without me! Home based therapy seems like a temporary solution, and again he loves school and I would not want to pull him out unless it was really, really necessary. DH and I think we'll get nursing for Jack while in school. Jack's little friend has a nurse due to seizures, and another little guy has a nurse for his g-tube and there's another little girl with a nurse for I believe seizures and a g-tube. So he won't be the only one. That way the nurse can administer diastat if needed and watch his breathing, etc. while they call 911. Also, a nurse would be able to give him Motrin at the first sign of a fever and therefore potentially avoid a febrile seizure.

I spoke to a local nursing agency yesterday and they checked with our insurance -- we are approved for 240 hours of nursing per calendar year -- then medical assisance should pick up the rest. The woman I spoke to on the phone said when it comes time for MA to pay they may require a letter of medical necessity. They may only pay for an LPN which would not be able to administer meds which would make it pointless. But I calculated coverage for an RN would last 96 school days (240 hours, 2.5 hour days)...so we'd be covered for quite some time. They are supposed to call back today to set up an intake on Monday. So far they've been nice and helpful.

The nurses are in the classroom and they keep an eye out for their assigned kiddo. They aren't right on top of them and the kids don't realize that they are there for them. To them it's just another adult in the room. The teachers can then concentrate on teaching and not worry so much about looking for seizures.

I HATE that this happened but we have to go on from here. I never expected Jack to need nursing for seizures. I hope he never has another, but at least now if he does have one at school there will be someone medically trained there to help him.

He's doing great today -- he's napping now and we'll probably take it easy this weekend (no date like I had originally thought, but that's absolutely fine by me). We'll be working in the bean's room too -- 7.5 weeks to go!!!

Quickest Pregnancy Update Ever!

My 3 hour glucose test results:

NORMAL! NORMAL! NORMAL!

I do NOT have gestational diabetes

We're Home...

Jack perked up and was totally "normal" when we got to the ER. The doctors examined him and decided he did NOT need a CT scan especially since there's always risk with sedation...on one hand I am thrilled Jack's better but on the other hand it still feels like we're waiting for the other shoe to drop. In neurosurgery's opinion he would be worse by now, not better.

They called the lab and got Jack's Tegretol level results. They are actually perfect, not low at all. This bums me out because we can't blame the seizure on a low level of medicine.

Jack's sleeping now and I am going to go eat dinner!

I am thankful his shunt seems to be okay for now -- I will keep you posted.

Heading to ER

We're heading to the ER for a CT scan. The neurosurgeon's office thought this was the best thing to do at this point in time.

Please keep our little man in your thoughts and prayers.

Quick Update...

Thanks so much for your replies. It really did so much to boost my spirits. I have a feeling all of this is going to hit me later -- I haven't done much processing at all.

Jack vomited last night before bed and so far hasn't yet this morning, although he's only had a few syringes full of pedialyte. Thank goodness last night and this morning he managed to keep down his seizure meds! Giving 1 or 2 ml every 10 minutes over an hour worked!!!

We went for a "stat" Tegretol level this morning and should have the results by 1:00 pm. The ped checked him out and thinks he looks very ill and not like the Jack she knows. They gave him 1 tsp of pedialyte every 10 minutes for a half hour to see if he could keep it down and he did...which is good.

If the results of the blood test come back with a low level of Tegretol we know where the seizure came from. It's unlikely though. So our next step would be a CT scan to check his shunt. I am going to call neurosurgery again -- and the ped will do so as well after the labs come back. They will also have to call his neuro with the results too. We've got a lot of good people looking out for Jack right now.

He's been very groggy and cranky -- he's napping now in his bed. When he gets up he's allowed some pedialyte and crackers -- no fat, no milk.

I really, really hope this is just a tummy bug with a lowered seizure threshold due to being sick.

I will try to update again this afteroon.

UPDATE:
The Tegretol level will not be available until tomorrow morning -- someone made an error by telling us it would be ready today at noon. ARG! More waiting. The pediatrician called neurosurgery and I am waiting to hear what the plan of action will be.

Another Seizure...NOW WHAT?

This morning Jack and I were on our way to the NEUROLOGIST'S office and about half way there he vomited all over the car I pulled over at a very unsafe location -- so I checked him breifly and drove a little while longer until we got to Wal-Mart's parking lot. I kept looking at him and he seemed fine just a little green in the face. I started cleaning him the best I could and didn't know whether or not to cancel the neuro appointment. I called Jason and he said to reschedule that no one wants to be out when they're throwing up and if it happened again on the highway Jack could be in trouble.

I called the neuro and talked to the front desk -- I asked the neuro to call back with instructions on re-dosing Tegretol if Jack vomits after getting his seizure meds. When we were walking in the phone was ringing. Had a nice conversation with the neuro told him no new seizures, levels looked good (last month) and he said we could slowly give Jack his Tegretol over an hour or so tonight so he won't vomit it all in one shot. I thanked him and told him we'd see him in a few weeks since we had to reschedule.

Jack helped me sort laundry and even helped vacuum (MAJOR SENSORY MILESTONE!!!) and then he went to play in his room. I sat down to check the forum and email -- I heard him playing on his bed. Then I heard some gutteral, gurgling sounds and thougt he was throwing up...when I got to his room I saw that he was having a seizure. His arms were held tight in fists and he was shaking and purple/blue looking. He was breathing better than last time so I had to snap to it and make a choice. I grabbed the phone and the diastat (emergency seizure meds) and ran back to Jack. I had my finger on the 9, almost dialing 911 -- but I thought "No, I CAN handle this" and gave him the diastat rectally. He stopped seizing immediately. He was post-itcal for about a half hour...whithin that time i called the neuro's nurse and she said I did everything right and I should watch his breathing and call emergency services if anything changed.

I hated seeing him so unresponsive. His eyes were open but he had no idea I was there. He slowly came out of it and said an (unidentifiable) word or two and touched his wall and played with his blanket a little. I called my mom to come over and I also called the ped. I gave him a bit of pedialyte which all came back up instantly...

Our plan right now is to stay home today, give him small amounts of fluids as tolerated. Tomorrow morning our neuro wants a blood level -- and he wants our ped to check him out. So we'll head to the lab and then to the ped.

Since this wasn't a febrile seizure and his levels should not be too low WHY ON EARTH DID THIS HAPPEN?? We'll know for sure about the levels tomorrow but we just increased his dose 6 weeks ago...I am hoping that's all it is. But if not I have so many questions.

Sorry if I rambled.

My mom and Paul were here. They brought me lunch and sat with Jack in his room. They also carried my laundry and went to the store for Tylenol suppositories (just in case he needs fever reducer but can't keep meds down). They are going with me to the lab and the ped tomorrow as well. Thank goodness for family!

I am thinking this could be the very reason Jack's been so out of sorts the past few days. I don't think ALL of the behavior can be explained away -- but maybe the particularly cranky days we've had recently.

I will update soon -- hopefully tomorrow.

Cranky Jack...

I think Jack has entered a new phase...he's been overly cranky and whiny and will not give me a moment's rest. I have been trying to get to the source of the problem but it seems I am only supplying band-aides!

For example instead of his usual cheery self this week he's crying before he's even out of bed and whining that he wants a banana...over and over. When I tell him cheerfully, "Yes, let's go eat a banana for breakfast" he cries harder...even though I've just said yes! So by the time we get to the kitchen and I get him in his chair he's now shouting "BACON" "NANA" "BACON" "NANA" and all through tears. (A side note -- Jack's a HUGE fan of Veggie Bacon which luckily only takes a minute in the microwave). He settles enough to eat and then goes on the rampage again usually as soon as I sit with my cereal...it's as though he lacks all politeness and takes offense to the fact that I can't produce things instantly! Almost as though as soon as he says something or thinks of something I should already have it available. Please, someone tell me this is a phase!

He's also started hitting and pinching -- neither of which we've ever taught him! He loves to play with my hair but lately he'll pull hard on purpose. I believe this is all related to the reaction. He sees my sad face and starts to make a sad face too. I always firmly tell him "NO" and most times he'll test me again. I do not want him to do this to others! Right now it's only me...

I sliced his banana through my own tears this morning -- I had a moment of panic -- how on earth will I cope with TWO? I may never eat or rest again!! I understand that of course I will be fine -- we all will, but because we've had several of these rough days in a row it stressed me out a bit this morning.

I have to learn to be okay with needing and wanting a break...it's no one's fault but our own we haven't had a babysitter in forever....and before that it was another forever ago. I think this weekend we'll arrange to have a date. Maybe dinner? Maybe a movie? Perhaps both? I'll let you know how that works out.

GO! LAY DOWN!!

We must tell our dog Bridget to "GO LAY DOWN" a thousand times a day -- she's always under our feet. Jack's first three word sentence...he's been telling the poor dog this over and over and over...I believe she may get a complex. I blogged about it last month.

Here's a short little video of Jack saying "GO LAY DOWN!"

27 Weeks, 5 Days...

Oh wow, where to even begin! Another "milestone" moment for me...my mom hosted a beautiful baby shower this weekend in our little bean's honor! The house was filled with everyone I love and haven't seen in so long. It was so good to see everyone! I never made it far enough along with Jack to have a traditional shower -- I know now why everyone LOVES baby showers!!!!

Seeing all of the tiny outfits and smelling the baby lotion really made this baby REAL to me. Now all I can picture is the sweetest little girl nestled in a blanket smelling of that yummy baby smell. I haven't stopped smiling. I organized all of the gifts and for now they are stacked in the crib in Jack's room. Hopefully Jason will make even more progress on the room this weekend!

The First coat of primer...


BABY NEWS!

This morning I had a check up at Maternal Fetal Medicine. I am not sure if I mentioned they are keeping several of their patients that they released two weeks ago. Something I am not upset about! I have become attached to the staff and Dr. B. and Dr. A. So I am very glad they'll be seeing us till the end.

Unfortunately, I failed my glucose tolerance test and need to have a 3 hour glucose tolerance test completed this Friday. I am hoping for good results because I know gestational diabetes can be very serious. I of course will keep you posted as I learn the results.

The baby's heartrate was great and my belly is measuring just as it should. I will have another ultrasound at 32 weeks to check the size of Miss Bean. At 36 weeks they will do the routine Group B Strep test and treat with antibiotics if need be.

I have officially scheduled my c-section!!!! MAY 22, 2007!!! Dr. B. will do the surgery. It will be in my 37th week. Monday, the day before the c-section they will do a lung maturity test via amniocentesis -- to make sure the baby has fully developed lungs.

Oh, and most exciting -- as of Wednesday I will be in my THIRD TRIMESTER!!!! That's an amazing feeling!

"This"

A few days ago Jack was eating breakfast and he turned to me and asked "This?" and I was confused. It was a word he's never used before. I asked him "What's this?" and he pointed toward the counter and said "THIS?" again. I normally wouldn't carry him around the kitchen (in my condition) but something was very important to Jack and I didn't want to lose the communication string we had going! So I picked him up and he directed me towards an oven mitt I had sitting on the counter next to the stove. He exclaimed "This!!!" Still confused and not sure I handed it to him and he trotted on his merry way and played with "This" all morning. I am sure at some point Jack asked me for the mitt and to clarify I probably said "You want this?" and pointed to the mitt. I guess we take for granted the nondescript words we have in our every day lives. So Jack must have assumed when I labeled the mitt "this" that's what it was called.

I forgot about the this/mitt and when it came time for dinner I served spaghettio's to Jack's dismay. He asked for a banana instead and I looked him square in the eye and said "No, we're having THIS for dinner." (Meaning the spaghettio's) He looked confused and seemed to want clarification so he asked"this??" and then it struck me. Now he thought I wanted him to eat the mitt!!!

(Jack, "this", and Daddy later that same evening)


I love that he has ideas and is able to communicate even if it's the tiniest bit! He still loves to play with "this" and I haven't spent too much time correcting him -- it's too cute!

Test Results!

Jack's kidney scan looks normal, the VCUG looks normal AND the nasty pseudomonas is GONE, GONE, GONE!!!!! The dr. sees no cause for concern. She said not fully emptying his bladder is also not cause for concern at this time and could be "a lot worse."



I am so relieved!!! This is one thing I am crossing off my list of things to stress over. It feels good! Thank you for your thoughts and prayers!

The birthday boy is napping and I must get on the ball and do some things around the house. I am cooking a roast in the crockpot and I must get it started or we'll be eating at midnight!!

Happy 4th Birthday Jack Riley!!!

Happy 4th Birthday to my sweet, sweet Jack Riley...
Mommy and Daddy love you very much!

The Nursery...

Over 4 years ago I fell in love with the "John Lennon Collection" nursery decor. I had it picked out from the time I knew I was expecting. It was so fun -- I knew it would work for a boy or a girl and looking at the set online brought me sheer joy!

About 2 weeks before Jack's NICU discharge we had the nursery completed. It was beautiful!

Jack's room at our old house May 2003.







As Jack grew older I started packing away the baby-ish things like the mobile, and baby bedding. Until recently I had no idea if we were ever going to try for more children. Over the years I had given away most of Jack's baby gear (high chairs, strollers, car seats, etc.) but always held on to the nursery box.

As soon as I found out we were expecting again I was so overjoyed that I could use the same nursery decor as I did with Jack. It survived the move and it's in pristine condition. The baby will also inherit Jack's crib that currently just taking up space in his room. Jack will keep the dresser because the baby's room has a built in chest of drawers and shelves...

The baby's room:


I picked out paint samples last week and hope to get some painting completed this weekend (fingers crossed!!)

It's something simple but it makes me smile. Sometimes it's the little things that mean so much.

Kidney/Bladder Studies

This morning I took Jack to the GSH for a renal ultrasound and a VCUG (Voiding Cystourethrogram) which involved placing a catheter and injecting dye into his bladder and taking a series of X-Rays. Jack hated both the ultrasound and the VCUG. They had a difficult time getting a urine sample from the catheter -- I'd say it took over 5 minutes for any urine to come out.

Once that was done they started the dye drip and I had to leave the area due to being pregnant -- (I could see in through the tech's window). It took quite some time for the study (maybe an hour) and Jack screamed the entire time. I felt so horrible for him and he didn't see his mommy anywhere either.

The second part of the test is voiding (peeing) all of the liquid they just filled the bladder with. This is where it gets interesting. Jack's bladder was at maximum capacity and he would NOT pee. They told me I should get Jack dressed and take him down for lunch and come back in about 45 minutes. We did just that -- Jack had a yogurt (or as he would say shoshurt) and a banana. He had plenty to drink too. Then we walked over to the lab to drop off Jack's urine sample.

When we got back and they took another picture of Jack's bladder it was still totally FULL. We had to go away for another half hour. We went to the lobby and watched the cars go by. I had to call school to tell them to cancel the bus for Jack because he'd be in late today. When we returned to radiology his bladder was still partially full but he had wet his diaper pretty well.

We won't have the results for a day or two but from my brief conversation with the Radiology Dr. it's apparent that Jack doesn't fully empty his bladder. This is not good because that's how bacteria grows and can infect your bladder, kidneys or urinary tract. They are also going to rule out any other issues (like Kidney Reflux, etc.). The likely reason Jack doesn't empty his bladder fully all of the time is spasticity.

I hope to get an idea of what should/can be done for this (if it's even an issue since he's only had one infection to date). Hopefully the urinalysis comes back okay and we can just put all of this behind us. I'll let you know when we hear.

Idol, the Men...

I wasn't totally shocked at last week's results show -- now it's getting interesting! This week 2 from EACH group will be cut. I don't know who to say is going home!

1. Paul sang "Missing You" -- I know others like this guy but there's something about him that doesn't appeal to me. I just can't picture him as an American Idol.

2. Jared sang "Let's Get it on" -- ugh, another song that makes me cringe. I thought it was safe and solid...however the whole sexy hand down the face thing is lost on me...

3. AJ sang "New Dawn" -- I loved it!! I want EVERY contestant to sing songs like this!!

4. Sanjaya sang "Steppin' Out" -- Ugh. This poor kid. He may end up going home. If he doesn't he HAS to get smarter about his song choices...for real dawg. lol

5. Chris's song was sweet -- I loved his dedication to his wife. He has potential!!

6. Nick sang "Fever" -- I liked his voice on this song. I can see he needs a little work on his stage presence but I liked it overall.

7. Blake sang "Virtual Reality" I liked it. He's probably my favorite guy. He has a mix of things going for him. I hope he stays!

8. Brandon sang "Time After Time" -- it was sweet...but this guy blew me away during auditions. I still haven't seen him do that on the big stage!

9. Chris sang "Geek in the Pink" -- I have never heard this song before but I liked it. Wasn't my all time favorite but I hope he sticks around too.

10. Sundance sang "Mustang Sally" he can sing, that's for sure. I don't care for the song though...I am hopeful that he'll surprise us like he did in the auditions.

Wednesday on Dr. Phil...

Special Needs Triplets...

Most parents find raising a child overwhelming enough, but imagine if that child could neither see you, nor hear you. Now imagine having three children like that. Liz is the mother of the only known deafblind triplets in the world. Her three daughters are now 6 years old, but one of the girls is able to communicate at a 2-year-old level, and the other two at only 10-month-old levels. Liz's world is consumed with their 24-hour care, plus the care of her oldest daughter, who is 10 and often times overlooked among the chaos of the triplets. After years of dealing with the girls on her own, a new man stepped into Liz's life to fill the shoes of her ex-husband. George thought he could become Liz's hero, but their relationship has been strained from the start and the stress is tearing them apart. See what a day in Liz and George's lives are like, and the surprises Dr. Phil has in store for them. Plus, meet an inspirational woman who says her world turned from light to dark at the age of 15. She's got a message for George and Liz. Don't miss this heartbreaking and heroic story!

http://www.drphil.com/shows/

I don't often get to watch Dr. Phil but tomorrow I am tuning in for sure. I am sure this will bring me to tears!

February Pictures!

ARE HERE!