Last week little Levi and I packed up and headed north for his annual surgery at Cincinnati Children’s Hospital. Packing for just Levi and I always surprises me, as I have way less medical gear to think through than a typical family trip somewhere. I do have to remember unconventional things like his feeding tube bags, pump & charger, ice packs, extensions, formula, meds, syringes…but that is a drop in the bucket of what I have to remember for Malachi!

Right before I jumped in the truck to head out I grabbed a spare g-tube just in case we had any incidents. We are supposed to carry one with us at all times, and typically do as I have a spare for each boy in the van. In true Carroll fashion we made it to Florence, Kentucky and his g-tube randomly popped. We found a Kroger gas station, bought a bottle of water, and opened the new kit to pop a new g-tube in at the gas station and continue our journey. We can never do things the mild and boring way haha.
We stayed with my dad while in Cincinnati and Levi got to play with family leading up to surgery day. It was a great distraction for him, and grandpa made Levi an epic pre-surgery meal.



We were so excited when we got the call with an operating room (OR) time of 8:08am, arrival at 6:30am. Usually when he is one of the first cases of the day they aren’t behind schedule yet and things go quickly.

We woke up bright and early and checked in right on time. We spoke with all the necessary surgeons and 15 minutes prior to his OR time they administered “silly juice”, a medicine they can give to children to help calm them and give them a temporary amnesia for what is about to take place. Levi settled right into his silly meds and we waited to head down the hall.

Unfortunately the case before us in the OR had a very sudden emergency that kept them from leaving the room. As time ticked on Levi’s medication started to seem to wear off a bit and I was anxious that we had missed the window for reducing his anxiety. We went back to the OR about an hour later than expected and out to the surgery waiting area I went.
Both departments were able to meet with me together afterwards and discuss the results. We knew based on last year’s post-op report that there would likely be some trimming this year, but the needed trimmings are going to be a bit more advanced than what we had hoped, requiring an inpatient stay. As you may remember, we sign off on all interventions as needed that do not require an overnight stay and if they find more complicated things to fix we postpone for a later date to help with Levi’s anxiety.
Levi’s vocal cords are growing with him and still holding their open shape. But the area around his vocal cords is growing up and covering the airway and needs to be laser trimmed off. He has had several of these trimmings before and typically does well, but this round will need some significant trimming and it may permanently affect his voice quality and volume. We are going to try to wait another year to do this and have already booked the OR spot and stay for summer 2027. If his breathing worsens or becomes dangerous we will move that date up.
He has also been having some issues choking on his food, like it gets stuck in his throat and won’t easily go down. They thoroughly looked at his esophagus and found some bumps that are catching food, and lingual tonsils that need to be shaved off. Next summer we will be bringing in a GI doc to the operating room to see what they can fix with this issue.
Levi was very sore after surgery and have some trouble eating when the numbing medicine wore off. The anesthesia also stayed in his system an incredibly long time this year. But by the next day he was mostly back to himself.
With the help of some very sweet friends and family, we were able to snag a free ticket to visit the Ark Encounter in Kentucky on the way home. I wanted to do something special with Levi and create a memory, and we did just that!




He also got to pick out some souvenirs for Malachi in the gift shop- a job he did not take lightly. We were both very excited to make it back home late Friday night and have been catching up on all the family game nights since.
This was the best Levi has ever done on a surgery trip and I am so proud of how he is growing. We had some sweet conversations on the way there and back, and he at one point told me “You know mom, there have been three things in the last year that have really helped me grow closer to the Lord.” I asked him what they were and he said “Grandpa’s situation (various health issues), Malachi’s surgery last year, and my Great Grandma dying”. I asked him how those things helped him in his walk with God and he said “They make me think about God and heaven.”
Levi had a sore throat for a few days and ran a fever (the bodies immune response when they clean/sample his lungs). But he is back to his chatty, silly self.

Next week Malachi and I will head to Vanderbilt for his hip surgery. They will be removing his femoral head in his left hip and attaching the bone (the greater troch for all you medical nerds) into the “C” cup to create a hip joint. They are also going to do some tendon lengthening in his hamstrings as well as remove some pieces in his kneecap to help with comfort in that leg. They are only able to do this surgery one hip at a time due to the amount of inflammation response it creates in the body.


He will be in a significant amount of pain post-op, and we will be staying inpatient until his pain is managed and he is safe to come home. A typical situation is a 2 night stay, but he told us to expect at least a week and hope he bounces back faster than that timeline.
As much as it breaks my heart that he has to endure more pain and surgery, we are told that many verbal kids that have this done are so happy from the arthritic relief after surgery and have zero regrets. I hope that is the case for our sweet boy. Malachi has a good attitude about this one and we have already picked out some movies and books for us to tackle while we are there.
WHEW the mental triggers lately have been a battle. Three different surgeries in three different hospitals over the course of 1 month. Each of those hospitals hold a bundle of hard memories for our family, and a lot of hard conversations and decisions. I have been emotionally exhausted and am stuck in survival mode right now….not really enjoying life but instead focusing on getting through each 24 hours. I am hoping July brings some predictability and joy back into our days.
Last week was our 18th wedding anniversary, but with the chaos we are dealing with we decided to postpone celebrating until July!
It is in these harder seasons where I catch myself getting a little more apathetic in my walk with the Lord. I have a harder time forming prayers, as each surgery feels like the result of unanswered prayers. I trust that God’s hand is upon us, and he is the author for each of our lives but sometimes that next chapter isn’t written the way I want it to be and I get nervous to read it.
A few weeks ago I did a personal study on the different valleys in the Bible and the spiritual significance of each. I remembered reading a chapter about valleys/troughs in C.S. Lewis’ The Screwtape Letters so I grabbed a copy off the shelf and read it again. I had marked up this particular copy and spotted a chunk I had underlined the last time I read the book. This book is written from the perspective of demon, so when he talks about “He” it is a reference to God and the “creature” is us.
“Sooner or later He withdraws, if not in fact, at least from their conscious experience, all those supports and incentives. He leaves the creature to stand up on its own legs- to carry out from the will alone duties which have lost all relish. It is during such trough periods, much more than during the peak periods, that it is growing into the sort of creature He wants it to be. Hence the prayers offered in a state of dryness are those which please Him best….He wants them to learn to walk and must therefore take away His hand; and if only the will to walk is really there He is pleased even with their stumbles.”
This was an encouraging reminder to me, as this has become a season of bumbling and thumpy steps of faith. Our faith walk doesn’t always have to look crisp and polished to honor God. Worship can sometimes come through tears and honesty with the Lord.
Please pray for Malachi next week, and for prayers of peace over each of us as we all deal with a version of hard.
Sincerely,
Leah





























































































