Well, a whole lot has happened in the last two weeks.
Last week Malachi started sleeping more throughout the day and was clearly exhausted even though our schedule wasn’t very rigorous. He perked up a bit for horse therapy, board games, and soccer practices but then went right back to sleep.
At night he woke up two nights in a row with a tiny whimper of pain, which is definitely not normal for Malachi. When I repositioned him he went right back to sleep so we assumed it was hip pain from the side he was laying on.
My momma radar started flaring a bit more on Wednesday and we started going through our mental flow charts to eliminate causes for the change in mood and alertness. We hydrated extra in case the lethargy was due to dehydration. We did enemas to rule out constipation. We slept upright in chairs to keep pressure off his hips. He didn’t complain, but he was just still so tired and his heart rate started to slow way below his baseline.
On Wednesday evening Levi had his end of the year school play. I was hoping this would perk Malachi up, as he typically loves plays. And he wanted to get into it, but was very much distracted by something happening in his body. My stomach dropped, knowing that I needed to take him in.

We went outside after the play to take photos and I was very hesitant to take a family photo with Malachi not feeling like himself. I wouldn’t want someone documenting me in that state, but this little voice inside of me asked “Is this the last photo Levi will ever get with his brother?” I pushed the thought out quickly, scared a bit at how fast it popped in.
Thursday we decided it was time to head to the Emergency Room. I continued to second guess that decision, nearly turning around halfway to the hospital when Malachi woke up bright eyed in the back seat. But we continued, checked in, and went straight down for a CT. We know that Malachi’s shunt tubing has been disconnected for quite some time, so they started the investigation there. Within the hour they verified that Malachi’s ventricles were excessively full of cerebral spinal fluid (CSF) and he needed to have surgery immediately to relieve his intracranial pressure.


It was too late in the evening to get him into the operating room so the neurosurgeon on call decided to tap the shunt and drained an ounce of CSF from his ventricles to get him safely through the night. We went to the ICU for monitoring while we waited on surgery and settled in for the evening, with vitals being checked every hour.

As soon as the pressure in Malachi’s brain was relieved from the tap his heart rate started to normalize and his eyes were brighter. He went into surgery the next day (Friday) around lunchtime and got settled back into his room by dinner time.

The surgeon verified that the shunt unit itself was still working, Malachi has several feet of tubing that runs from the shunt down into his abdomen that needed to be replaced. They tried to remove the old tubing but it kept disintegrating each time they pulled so he made the decision to leave the old in and add a whole new distal catheter. Malachi has new incisions at the base of his skull, the middle of his neck, top of his chest, and two more on his abdomen.

He is healing really nicely and feeling/acting so much more like himself. We have been trying to even out his new haircut, which has been quite the adventure haha. Interestingly enough, this is the same week 13 years ago that he received his first shunt, and rocked the same hairdo! The white scars above his bandaid are from his original shunt surgery 13 years ago.

They discovered a little blood in his brain post-op which earned us an extra night in the ICU but the bleed self resolved and we were able to go home on Sunday evening. We will follow up with the neurosurgeon on Tuesday but clinically he is doing great!
When I made the decision to take Malachi in I started packing our bags. As you know, we pray for the best case, prepare for the expected case, and pack the car for the worst case. I was trying to hide the bags from Levi as long as possible but as soon as he saw my official “hospital” bag he started crying.
He is already dealing with some big emotions as we get closer to his surgery date, and this unexpected trip tipped his emotional cup over. Jake filled in the gap, taking his final day of work off to attend Levi’s morning awards ceremony and celebrate with him after while Malachi was in surgery. Trying to keep things as normal as possible amidst the chaos is such a balancing act.

Malachi and I had some special moments in the ICU together, finishing a few books, movies, and holding hands when he was scared. Our time together in hospitals is very special to us both…it truly is holy ground and we spend a lot of time singing praise songs to the Lord.


After surgery Malachi was a whole new person, eyes wide open for 3 straight days, just as content and as can be. We have slowly cycled back to a routine with him, and are still catching up on sleep.

On Wednesday we headed to Vanderbilt for his pre-op appointment with the hip surgeon. If I get into all of that this post will become a book so I will save that for the next blog post! But in summary, he is still planning to have his hip surgery on June 23rd and the surgeon expects him to spend some time in the ICU after, planning on being inpatient for about a week.


In other surgery news, Levi heads to Cincinnati for his surgery in 11 days. We have a packed schedule leading up to that trip, and we are hoping that the busyness of it all will help distract Levi from his anxious thoughts.
Levi’s stutter has continued to worsen and his tears flow freely these days. This morning we were a little slow getting into the sanctuary from Sunday School where he was anxiously waiting and he started sobbing, thinking we had left him. Right now he starts sobbing if he doesn’t know what room of the house I am in. It is heartbreaking working through these big emotions with him, as we are most definitely not qualified for that part of this journey.

“Glass Child Syndrome” is an informal psychological term used to describe the siblings of individuals with chronic illnesses or disabilities. The term highlights emotional invisibility- parents can get so consumed with the higher-needs sibling that it can feel like they look right through the other children in the home.
We are very aware of the potential of this with Levi, and try to come up with ways to help him feel seen. He and I planned a day together last week that was focused on just the two of us. And Malachi enjoyed the solo time with dad. But sometimes those grandiose gestures feel like band-aids on a gaping wound. I am going to try my best to make our trip to Cincinnati extra special for he and I.
In all honesty, I am still not fully recovered from this recent round. I feel depleted emotionally and physically. I think our pre-op trip to Vandy so quickly after our emergency was enough to push me into a funk and I am still working through dealing with jumping from one medical drama to the next one on the list.
I spent a lot of time in the Word this week, and the Lord pointed me towards so many needed scriptures that helped calm my heart. I don’t know how to explain it well, but Jake and I keep talking about the graciousness of God with this whole ordeal, putting the right people in the right places to help diagnose and resolve this matter before it became life threatening.
As Malachi was in the operating room I sat in his empty ICU room, staring at the empty space. These times while my boys are in the OR are my most vulnerable, and my brain can lock into God while my body still feels the reality that we are facing.

But this time around I felt a peace that can only come from God. These last few weeks I truly feel that God has been preparing my heart for what our family was about to encounter. It served as such a reminder to me that our “surprises” are still very much God’s plans.
Psalm 112 “Even in darkness light dawns for the upright…
I read this verse during his surgery and audibly let out a noise, realizing this truth is what I was witnessing. When I focus on God and trust in His plans for Malachi’s life I can always find the beam of His light in our darkness.
I have so many things I wanted to share with you tonight but this entry is getting a bit lengthy and my eyes are getting very heavy.
Prayer needs right now are for the many upcoming surgeries and appointments we have this month. We need prayers for health for our family so that everything can remain on schedule. And always continued wisdom and sensitivity to prompting from the Lord when emergencies like these arrive and need decisions to be made quickly.
Sincerely,
Leah
P.S. This has been our laugh for the week. Jake finished pressure washing the house and driveway this week JUST in time for a herd of neighbor cows got loose and came by for several visits…leaving their mark. The comedic timing was the laugh we needed.




















































































