Showing posts with label Physical Therapy. Show all posts
Showing posts with label Physical Therapy. Show all posts

Sunday, March 23, 2014

JACOB'S FUND :: An open invitation to the farm

Jacob's Fund Director and one of the therapy horses
A Jacob's Fund volunteer staining wood
Can you feel the warmth of the sun?
Can you smell the fresh country air?
Can you hear the horses whinnying?
Are you ready to get your hands dirty?
If not, that time is coming!

The Red Thread team is taking the first mission trip of 2014 to McKenna Farms. We’ll be heading to Dallas, Georgia for a 4-day trip April 24 – 27. We’d like YOU to consider joining us. 


The Jacob Beachy Sensory Trail
The horse barn and temporary sleeping quarters upstairs
The Red Thread team will be spreading love to the kids, meeting the horses, working on the Jacob Beachy Sensory Trail, planting flowers, mulching, weeding and anything else that needs doing. We’ll have the opportunity to meet some of the patients and their families, spend time with some of the therapists, and see the magnificent horses that help provide this healing therapy.

The details
  • McKenna Farms is located at 3044 Due West Road, Dallas, Georgia 30157
  • Plan to arrive on Thursday, April 24 in the late afternoon or evening. 
  • Volunteers will sleep in a combination of therapy buildings, in the farm house or above the barn. 
  • Plan to bring your own sleeping bag or air mattress / sheets / blankets, bath towels and toiletries. 
  • Meals will be provided all day Friday and all day Saturday. If you have dietary restrictions, just let us know and we’ll accommodate.
  • Plan on cool nights and warm days. 
  • Horses, hay, dirt, weeds, mulch, paint and wood stain are all part of the mix. Dress accordingly.
  • Departure is after breakfast on Sunday, April 27.
  • The cost is $100 per participant. 
  • Space is limited.

How do I volunteer?
To request an application or learn more, please contact Jacob’s Fund Director, Glenna Fisher at 513.423.0108 or glenna@redthreadpromise.org.

Applications are due April 12, 2014.

We look forward to meeting you in Georgia!


Child receiving therapy
Volunteers bringing in the horses for the night

Tuesday, July 16, 2013

CAMP JAKE: Continuing with physical therapy

During Camp Jake July 2012, with the support of Physicians for Peace therapist, Jake M, we began doing physical therapy with some of the campers. That therapy continues through Camp Jake 2013 with the help of our nurses, Ashly and Danielle. The pair took Marie Line and Christina into the pool for adpated therapy where they stretched and toned muscles while strengthening their cores.
Christina being helped into the pool for therapy (photo credit: Brian Clark)
Ashly working with Christina (photo credit: Brian Clark)

During an interview prior to camp, we asked each of our nurses to tell us a bit about themselves and what compelled them to volunteer. (Read about Danielle.)

ASHLY, RN
Originally from New Orleans, Ashly is a recent graduate of nursing school and sister of Camp Jake Director, Tom. After speaking with her, it was evident that Tom's enthusiasm for camp had certainly rubbed off! Having heard the gritty details of the two previous camps first-hand, Ashly acknowledged that the workload would be huge but she was up for the challenge. "This certainly won't be a vacation, but I am really looking forward to doing things for others. Relationships built with the campers will be hard to break at the end of the week. I'm prepared for this to bring out raw emotions in all of us."

In a more formal statement, Ashly wrote "My underlying passion is caring for others. This passion fuels my search for volunteer opportunities where my compassion and skills can be used to their fullest. I was—and still am—inspired by The Red Thread Promise’s mission to provide for orphans and needy children and positively impact their young lives. As this is my first mission trip, I plan to learn more about Haiti's culture, population end environment to further my involvement in projects dedicated to improving living conditions. Finally, I hope that I will be empowered by the individuals I encounter, walking away with a humbling and satisfying experience that will change my outlook on life."  
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Interested in serving as medical staff during Camp Jake 2014? 
Please fill out the volunteer interest form on our website and we'll get back to you! We're already looking for people for next year's camp.

Monday, July 15, 2013

CAMP JAKE: Medical care at camp

Ashly & Danielle treat Jean for an aggravated lesion received prior to camp 
(photo credit: Brian Clark)
Thanks to our long-term partnership with Physicians for Peace, campers receive medical care during their week with us. Physicians for Peace sponsored our two nurses, Danielle and Ashly, bringing round-the-clock expertise to our team.

We will be keeping our nurses busy! The pair will:
  • provide guidance to campers and caretakers alike on maintaining clean and healthy habits when caring for themselves or others
  • support the camp in any medical situation that may arise, including recommendations for followup care upon their return to St. Vincent's
  • record any medical concerns campers bring to Camp Jake, address them as possible during the week, and follow up with Fr. Sadoni for further treatment following camp
  • continue the physical therapy exercises taught by Jake during the July 2012 camp, encouraging similar practices
To avoid infection, Danielle applies anti-bacterial creme after swimming 
(photo credit: Brian Clark)
During an interview prior to Camp Jake 2013, we asked each of our nurses to tell us a bit about themselves and why they wanted to participate in camp. (Read about Danielle below and Ashly in our next post.)

DANIELLE, RN
Originally from Baton Rouge, Danielle is a recent graduate of nursing school. For her first mission trip, she brings her bubbly positive attitude, deep love of children, and passion for healthcare to the table. When asked how she felt about going to Haiti, we couldn't write fast enough! "Happy. Excited. Nervous. A touch scared. But mostly excited! I know that my perspective on life will be forever changed. I hope I can be a positive influence on the campers' lives."

In a more formal statement, Danielle wrote "I chose to be a part of Camp Jake for many reasons. I want to refine my vision of life, to broaden my thinking based on this experience, and consider new ways of doing things. By serving these children, I hope to learn and refine skills that can be used throughout my life and shared with others. But most importantly, the measure of success will be based on one thing: returning with knowledge that will help me impact the needs of my own community."
Ashly (left) and Danielle (right)
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Interested in serving as medical staff during Camp Jake 2014? 
Please fill out the volunteer interest form on our website and we'll get back to you! We're already looking for people for next year's camp.

Thursday, August 16, 2012

CAMP JAKE :: PT with Maille

Maille during one of her physical therapy sessions
with Jake (photo by Howard Chen)
CAMP JAKE / JULY 2012 :: Meet Maille, one of the sweetest girls at St. Vincent's. She is very caring, often more concerned about others than herself. She is talkative—communicating in Kreyol, English and sign language—with the most memorable smile and hugs to match. Maille is exceptionally bright and has great charisma and love for life, an amazing attitude for all that she has endured in her short life.

Abandoned at the gate of St. Vincent's at the age of 10, Maille is a permanent resident who remembers nothing of her days before joining the St. Vincent's family. She suffers from severe scoliosis and is also an earthquake survivor who suffered a traumatic head wound. Her injuries were so severe that a group of rescuers who had already gone through the debris at St. Vincent's left her for dead. Determined to save everyone, other St. Vincent's residents flagged down some people from the street to pull her out of the rubble. Maille was transported to a boat where her surgery was performed to close the wound on her head.

During camp, Jake McCrowell—a Physician's for Peace physical therapist—worked one-on-one with Maille, teaching her exercises that would build stability and control of her lower limbs. These physical therapy exercises should enhance her core and impact her daily life in significant ways by:
  • easing transfers from the wheelchair
  • improve her function while performing activities out of the wheelchair such as dressing and bathing
  • reducing the stress on her back by sitting more upright and extended
  • education of pressure relief for various body parts caused by prolonged wheelchair use
Maille smiled through the exercises and kept a positive attitude even when Jake pushed her out of her comfort zone. It is our hope that she continues these exercises and strengthens her body. We look forward to seeing Maille's progress during our visits to St. Vincent's throughout 2012 and next year at Camp Jake 2013.


Tom and his new buddy (photo by Howard Chen)

Tuesday, August 14, 2012

McKenna Farms on Animal Nation!

We are so pleased to see McKenna Farms featured on Animal Nation! Wonderful things are happening for the kids engaged in hippotherapy and therapeutic riding. We are so blessed to be involved with such a wonderful organization, supporting kids like Brandon, Cameron and Landon.



ANIMAL NATION / AUGUST 10, 2012: We recently visited a clinic for children with developmental disabilities where therapists are using horses to provide occupational and physical therapy. It's called hippotherapy and at McKenna Farms in Dallas, Georgia, the patients range from autistic children to those with physical disabilities, such as cerebral palsy. 

We met one four year-old boy named Noah, whose cerebral palsy prevents him from sitting upright or fully using his hands or legs. For Noah, doing his therapy while riding on the horse helps him build strength in his trunk muscles that will help him work towards the goal of keeping his body upright and head up. His therapists also say that, since the stride length and pace of the horse so closely mimic the human stride, these hippotherapy sessions are helping his brain and muscles learn the patterns involved in walking. They are also of the the few times he gets to experience what it might feel like to walk. 

Noah's mom says the horses have made a huge difference in her son's life. He loves the animals and finds motivation to work harder. And what's more, he's found something he truly loves doing. 

Thanks, Animal Nation!

Saturday, August 11, 2012

CAMP JAKE :: PT with Marie-Line


Jake working with Marie-Line
CAMP JAKE / JULY 2012 :: Meet Marie-Line, one of the lovely young ladies from St. Vincent's. She is a thoughtful,  observant and very creative girl whose smile lit up Camp Jake every day. Like any typical 18-year-old, she enjoys hanging out with other girls her age and storytelling. She is a pleasure to be around and is loved by many at St. Vincent's and The Red Thread.


Marie-Line was born with congenital birth defects including a right club foot and left leg which had to be amputated beneath the knee. Marie-Line now wears a prosthesis on her left leg and walks with the aid of a pair of crutches.


From left: Gregory, one of our translators, Marie-Line and Jake

To our knowledge, no one had ever formally taught Marie-Line how to use her prosthetic. Jake McCrowell—a Physician's for Peace physical therapist who joined us as a counselor for the week—had the opportunity to work with her on multiple occasions during camp, a blessing for both patient and physical therapist. With the help of Gregory and his translation skills, Jake was able to build a solid rapport with Marie-Line, establishing a level of trust before asking her to perform progressively more difficult exercises. His strategies were sound:
  • begin with easier exercises that can build up over time and become more challenging
  • build the patient's confidence through earlier successes, helping to keep them from getting discouraged later
  • practice the "90 percent rule" - help the patient succeed 90% of the time
Learning new mobility skills
The goals Jake set out for Marie-Line were lofty, but achievable:
  • to give her tools to help her become more independent
  • to teach her to walk more functionally
  • to build her strength, balance and endurance so she can use the least restrictive assistance device to navigate her environment more safely and quickly 
  • to reduce the likelihood of shoulder and back problems, prevent scoliosis and further injury from long-term crutch use
During their many sessions, Jake was able to build a personalized exercise program for Marie-Line to practice on her own following campMarie-Line was receptive to his suggestions and worked very hard during the sessions, often coming away exhausted, but proud of her accomplishments. She left camp having learned:

  • not to fear putting pressure on her prosthetic leg, a step closer to walking freely
  • to balance on the leg so she could take a normal step
  • to use a single crutch instead of two, all great steps toward a more independent life.

We dream of the day when her club foot can be surgically fixed and when she walks with a cane instead of a crutch. With your continued support of our programs at St. Vincent's, we hope to one day share with you that these dreams have become reality for this radiant young woman.



Saturday, July 28, 2012

CAMP JAKE :: Wondrous moments with Auguste



Sonya and Auguste enjoying the peaceful ocean (photo by Howard Chen)
CAMP JAKE / JULY 2012 :: Born without eyes and various other disabilities, Auguste is a handsome wheelchair-bound boy who required special attention throughout the week at Camp Jake. Although he came to Camp Jake with his own caregiver, Sonya—TRTP Vice President—spent a lot of time with him, talking, dancing, swimming and ensuring that he was involved in music at every opportunity.

Jake working with Auguste (photo by Howard Chen)
In the first days of camp, Jake—a Physicians For Peace physical therapist—evaluated Auguste in the pool to get a sense of his flexibility and potential for improvement over the week. Jake expertly maneuvered Auguste's limbs in every manner imaginable, moving from his small hands to arms to his curled up legs, using the soothing water to his advantage for these movements. After the evaluation, Jake handed off Auguste to Sonya and gave suggestions for her to work on straightening his legs that are usually in a tight bent position and ultimately trying to get him to put weight on his tiny legs.


Jake holding Auguste's feet in the pool (photo by Howard Chen)

Sonya exercised his legs for quite some time as Jake had suggested and slowly moved him through the water to a more shallow spot. Holding him under his arms around the chest, she encouraged him to put weight on his legs. To everyone's surprise, he did it—Auguste stood up in the water! Using Sonya as a stabilizer, he stood for at least 20 minutes in the pool that day. 

Little did we know that no one at St. Vincent's had ever seen Auguste stand! Although therapists had been working with him for years, they weren't even sure he was capable.

A group of deaf girls caught sight of this small but very significant feat. They started signing to one another saying "Hey, look at that!" Laura signed back "Yes, we hope to have him standing on both feet by the end of the week" to which they responded "No way!" Then "Very cool!" 

Another evening, Auguste was sitting alone after dinner. Freshly fed, his caregiver was helping another child so Sonya went over to him, stood by his wheelchair and began speaking to him. Auguste quickly wrapped his thin arms around Sonya's neck and STOOD UP on his own two feet, all by himself! 

Someone cried "Look at Auguste!" and the entire dining room turned and gasped. No one could believe what they were seeing! He stood again for more that 15 min that evening.

Auguste nearly jumped into Sonya's arms in one amazing moment
Later on in the week, Auguste began calling Sonya by name and asking to stand up by pulling up on her waist or neck. He stood in the pool, the ocean and on the pavement. On the final day of camp, before getting on the bus, he even said "I love you" in English and Kreyol. 

What a wondrous week with an extraordinary human being. We are so glad to be a part of this young man's life. It is our hope that he will continue to stand at St. Vincent's. Who knows? Maybe at the next camp we can help him WALK!

Auguste saying "hi" with his hands
Diana looking on at little Auguste on his own two feet

Saturday, July 14, 2012

CAMP JAKE :: First day of camp!

Tom helping Miele from the van
Auguste exiting the van in the motorized lift!
Fresh off the bus for Camp Jake
Jimmy carrying his most prized possession: his accordian!
What better way to begin the day than watching the kids pull up to the entrance of Kaliko in the WHEELCHAIR ACCESSIBLE VAN we helped secure for St. Vincent's! The bus finally made it through customs and into the hands of St. Vincent's a few short weeks ago. 


We couldn't have done so without the Rhode Island Conference United Church of Christ Haiti Task Force, Physicians for Peace, St. James Episcopal (Eureka, AR), Episcopal Diocese of RI and all of the Red Thread supporters -- to them we tip our hats and say thank you again. Actually seeing the fruit of our labor in use after months of waiting was fantastic! Just another example of the red thread of destiny connecting us all for the good of others. 


Greeting the van and following bus was our own Camp Jake band, complete with guitar, vocals and percussion. Campers enjoyed the music as they were lowered from the van on the lift and hugged by new and returning counselors. New campers were a bit shy, but the returning ones were exuberant! Their smiles were infectious, their hugs and kisses much anticipated.

Orientation fun
Tom, JoJo and Gregory having too much fun during orientation
The junior counselors all had the same impression of the campers, one that The Red Thread has had for a long time: what an amazing group of kids! They were very touched by the way the campers helped one another. A sighted camper would go to the entrance of the bus to receive a blind friend's hand and guide them to the reception area. A blind camper pushed his wheelchair-bound friend up the ramp to wait with the others. To this day, observing this kindness first-hand amazes us and sets a fine example of how humans should treat one another, regardless of ability.


Following a brown bag lunch, name tags were passed out and room assignments were given. Counselors helped campers retrieve their luggage and find their rooms to settle in and rest after the long, sweaty drive from Port-au-Prince.


Blind campers in the pool
Then the fun really began. We met at the pool mid afternoon and, after reviewing all of the safety rules, it was open for business. Unlike the first camp, where swimming was a new experience and campers needed a lot of encouragement to get in the water, returning campers flocked to the pool. Even the most shy asked to go in. With ample counselors, everyone who wanted to go in, did. Anyone in a wheelchair was lifted out and had their own personal lifeguard. They floated, splashed, dunked, danced, laughed and played. 


Jake doing an assessment (foreground)
Jake, the physical therapist from Physicians For Peace, moved from camper to camper -- focusing primarily on the non-ambulatory ones -- to give an initial assessment of their condition. By doing this in the water, it lessened any anxiety that the kids might experience. He accessed the overall tone and spacicity (amount of rigidity compared to passive motion) of the campers arms and legs. Jake also tried to move their limbs in certain directions to release tension and to see if they have full range of motion. In layman's terms, he was determining how each person was wired for motion. 


Jake then showed Sonya, one of the counselors, how to do weight bearing and stretching exercises with Auguste, one of the wheelchair-bound children whose movement is very limited. When Auguste floated, he didn't respond as well - his legs contracted up to his chest as they often do while sitting in his wheelchair, But when we raised him to his feet in a somewhat standing position, he slowly extended his legs and began to bear weight on one or the other. 


In short, Auguste STOOD in the water, something we had never seen him do! (Sadly, we have no photos since Sonya is the photographer!)


This sparked quite the commotion among observing campers, particularly a group of deaf girls working with Laura. His standing caught their attention and they poked at one another to gain attention. The looks on their faces was pure astonishment. They quickly signed 3 phrases repeatedly:
  • "No way"! 
  • "That can't be happening!"
  • "Do you see that?" 
Laura responded "Yes, he's standing on one leg and then the other. We hope by the end of the week he can stand on both". To which they replied "that is REALLY cool". 


Little did they know that, by the end of our time in the pool, Auguste was already putting weight on both legs! We asked Jake his thoughts on this and he was thrilled with what he observed, stating that Auguste showed lots of potential. We will continue working with him throughout the week, pursuing weight bearing exercises and limb extensions for longer periods of time to improve potential bone and muscle growth. We will also begin training both counselors and caregivers with these exercises so this basic physical therapy can be continued far beyond Jake's time with the kids.


Andy with 2 of our blind campers, Elisme and Markenson
Following pool time, campers returned to their rooms to change and relax before dinner. 


Dinner is another story that we'd like to share. But it is late, we are exhausted and there is time for that story tomorrow. Sleep well, dear readers, and we will talk to you again in the morning.

Sunday, November 13, 2011

Occupy McKenna Farms (part 1)



Eleven volunteers from Cincinnati and Columbus Ohio converged on McKenna Farms for a working weekend at the therapy center The Red Thread has supported through Jacob's Fund over the past several years. What a remarkable experience!

Within minutes of arrival, the team took a tour of the original residence that now houses the administrative offices, waiting room and multiple clinical therapy rooms. In the yard outside the waiting room is a playground and homey seating area against a beautiful wooded backdrop, a space enjoyed by siblings and parents as they wait for their child’s therapy to be complete.

The original farmhouse now used as office and therapy space

Outdoor waiting area and playground

McKenna Farms director, Jessie

While we toured, Jessie, the director, shared some interesting facts about the farm and gave us a rather indepth lesson on hippotherapy, therapeutic riding and how these forms of treatment greatly benefit people with disabilities. Several hours was devoted to these discussions so we’ll do our best to summarize what we learned.

McKenna Farms is a 150-year-old historic site northwest of Atlanta in Paulding County near the famous Pickett's Run battlefield. The original farmhouse was used as a Civil War hospital and later restored back to a residence. Jessie was able to purchase the property in 2006—naming it after her beloved horse, McKenna—and began the lengthy process of converting it into a therapy farm that has been growing steadily ever since.

Currently, the facility serves approximately 200 clients, aged birth through 21, with varying neurological and physical disabilities (including Cerebral Palsy, Downs Syndrome, Autism, PDD, and various genetic disorders that cause developmental delays). Three occupational therapists, two physical therapists, one COTA (certified occupational therapist assistant), eight speech pathologists and 30 to 40 horse handlers provide hippotherapy, therapeutic riding and clinical therapy five days a week.

McKenna Farms has twelve full size therapy and four mini horses who occupy 15 acres. Many of their animals are rescues or have been acquired from people looking for a good home for a horse. All horses are hand selected by professionals since their work requires strong healthy animals that are able to carry unbalanced weight.

Some of the therapy horses

A 2,000 lb percheron appropriately named, TANK

Glenna getting up close and personal with STAR

One of the mini horses

This year, the farm was able to add an 80 x 120' indoor riding arena so children can continue their treatment with the horses year-round. The converted farmhouse includes multiple indoor therapy rooms with a variety of traditional therapy implements.

The new indoor riding arena

So exactly what is hippotherapy?
Derived from the Greek "hippos"—horse—hippotherapy literally means treatment or therapy with the aid of a horse. Not to be confused with riding lessons or therapeutic riding, hippotherapy is the process of administering physical, speech and occupational therapy to the patient by a trained therapist, utilizing the movements of a horse to directly influence the rider. Hippotherapy is best known to improve neurological function and sensory processing.

McKenna Farms patient during a therapeutic riding session

How does hippotherapy differ from therapeutic riding?
Therapeutic riding is often the next step when patients “graduate” from hippotherapy. It is a more independent style of riding that includes various therapeutic exercises and activities, allowing the rider more advanced physical, psychological and social development.

Therapeutic riding teaches riding skills to people with disabilities. Riders must learn to balance in the saddle, equally distribute their weight in each stirrup in order to sit properly during the horses' different gaits, and to use rein and leg aids correctly to communicate with the horse. Strength and endurance is gained by increasing the length of riding time and through the effective use of aides, i.e. hands, voice, legs and seat.

Therapeutic riding's greatest benefit is the gift of freedom. Riding is a freedom often taken for granted by able-bodied riders. To a person with a disability, it takes them from the confines of assorted assistive devices, such as walkers and wheelchairs. Riders become aware they can be mobile and independent of other people and mechanical aids: they are able to show their skills and abilities, leaving behind many of their personal limitations. This type of riding improves attention span and listening skills, enhancing the person's ability to integrate socially. A sense of pride can develop as horse skills increase, leading to greater self-esteem and self-confidence.

Now the more pressing question:
Why are these forms of treatment so effective?
Here are a few key factors that will help answer this question:
  • When a person sits on the back of a moving horse, human pelvic movements are duplicated naturally, without effort on the rider's part, a great benefit for a person who cannot walk. As riders adjust to the changes in the horse’s gait and stride (as well as the uneven ground), these distinct movements help the rider improve his or her strength, balance, coordination and muscle control, while improving posture, range of motion, and stimulating the vestibular nervous and circulatory systems. In addition, the patient improves their sensory integration and organization as well.
  • Hippotherapy and therapeutic riding are very efficient because all systems of the patient’s body can be engaged and "worked" simultaneously. For instance, all of the following activities are happening concurrently in a child’s body during a typical therapy session: the body is stabilizing itself on the horse; the ears are listening to the instructions from the therapist; the brain is processing, organizing and correctly recalling all instructions; the brain sends messages to the body to fulfill these instructions; the mouth forms the words necessary to guide the horse throughout the activity; and so on.
  • Unlike more traditional forms of therapy in a clinical setting, children don't realize how hard their muscles and senses are working during the therapy because they are enjoying their time on the horse. They often experience reduced levels of anxiety when coming to the farm as opposed to a therapist’s office.
After the team got up to speed on McKenna Farms' therapy services, we got down to work.

Sources: American Hippotherapy Association,The Saddle Delight Center, HATS Niagara

Saturday, December 6, 2008

Hippotherapy


Hippotherapy is a physical, occupational, and speech therapy treatment strategy that uses the natural movements of horses. Therapists use the horses' movements to provide sensory input. The horse handler is given specific directions regarding the gait, tempo, cadence, and direction for the horse to move. Hippotherapy comes from the Greek root hippo-, for horse and the word therapy , thus meaning therapy with the help of a horse. The horse's pelvis has the same three dimensional movement of the human's pelvis, at the walk. The horse's three dimensional movement is carefully graded at the walk in each treatment for the patient. This three dimensional movement provides physical and sensory input, which is variable, rhythmic and repetitive

Hippotherapy can only be provided by a licensed Physical Therapist, Occupational Therapist or Speech and Language Pathologist. Adults and children with disabilities can improve their posture, muscle tone, coordination, balance,sensory/motor development as well as speech and language skills when hippotherapy is incorporated into a therapy plan.

Jacob's Story: Told by His Grandmother, Glenna






“We’re having a boy!” Our daughter, Sarah, had written an e-mail, but we could hear her thrilled voice as if she were with us.

She and her husband, Josh, had a little girl. Elyse was four, sweet, playful, and the baby of the family. She had two cousins, our older daughter’s son, Evan, and his sister, Brookie.

Bernie and I had looked forward to having a big happy family, and when Sarah became pregnant the second time, it looked as if we were about to have the perfect family.

Our new grandson was due May 21, 2004. At the end of March we visited a friend in Florida. I kept in touch with both our daughters whenever we traveled. I called Sarah, reached her voicemail, and left a message. We didn’t hear from her that week.

When we returned we learned why. Sarah called and told me she had her sister, Mary, on the line. She had something to tell us and she could only bear to say what she had to say once.

She’d gone for a checkup the week before; during the exam the doctor discovered something unusual about her baby boy’s heartbeat. She’d gone to a specialist immediately and learned that the baby’s heart was malformed.

“But they are sure they can correct it,” she told us. “As soon as he’s born they’ll do surgery.”

When he was born, Sarah held Jacob for a few minutes before he was whisked away to another hospital. We stood in the hallway outside the delivery room. As the little cart with life support attachments that held our baby boy passed us, it stopped and we were allowed a glimpse.

“He’s a good-looking guy, isn’t he?” Bernie said. What he was really saying was much more than that.

Jacob Noah Beachy spent most of the first month of his life in the Neo-natal Intensive Care Unit. The surgery wasn’t done immediately; doctors wanted his heart to grow some first.

When Jacob came home he was receiving nourishment through a tube. Though they didn’t say why, the medical staff had urged Sarah to begin feeding him with a bottle even though he wouldn’t be able to take much. She’d planned to nurse him, but his intake needed to be measured. Only much later did she learn about babies who failed to learn to eat and thus languished when the feeding tube was removed.

Sarah fed Jacob with the bottle, held him, loved him, and handled him with care, as did Josh. Elyse, on the other hand, tickled, played, wrestled and talked to him like the little brother he was. She was never rough with him but treated him as the playmate she’d been waiting for.

His biggest smiles were for her. They were best friends. She looked out for him. And he adored her.

Jacob’s first open-heart surgery came early in 2005. We had no illusions; the risk was enormous for our tiny boy. We held our breath until we knew he was all right.

In spring 2006 Jacob underwent another surgery. We prayed, and through the requests of family and friends, churches across the country kept him constantly in their prayers.

The second surgery was successful; two down and one to go.

Jacob was two then. He began hippotherapy that same spring. Hippotherapy is speech, physical and occupational therapy delivered while a child is riding a horse. It’s a therapy that cannot be reproduced in any other setting. Anyone who’s had a child in pediatric therapy knows that it’s hard work. But the movement of the horse helps children with balance and motor skills.

Two common threads run through parents’ stories about their child’s hippotherapy sessions: they can hardly get the child off the horse at the end of the session, and their child’s speech skills improve dramatically. The kids don’t say much while riding, but after the session, it’s like opening a floodgate. That certainly was the case with Jacob. He’d hold lengthy conversations (for a three-year-old), talking about riding his horse, Major.

My heart soared and swelled to near bursting when I saw him walk for the first time. Once when I came to visit he greeted me at the door with, “Look, Grandma – I run.” And he ran to the kitchen.

His vocabulary grew quickly to include quesadilla and pedometer. And he told me the names of everyone in the family: Sissy Noah Beachy, Mommy Noah Beachy, Daddy Noah Beachy.

Jacob was love itself – he brought joy and laughter into any room he entered.

In June, 2007, Jacob went into the hospital for the procedure that would make the final repair to his heart. The surgery went well and Jacob was recovering on schedule. After a few days doctors removed a drainage tube from his chest. They discovered a small herniated area and decided to perform surgery to correct it.

During that surgery Jacob contracted MRSA, the antibiotic-resistant staph infection. The next six weeks can only be described as a living hell.

Jacob died on July 21, 2007. He was exactly 38 months old.