Dan continues to make progress each day. he is walking more, drinking more, taking less pain medication because he is having less pain! So great news! Ashley gets you up to date on the rest:
monday, january 11, 2010
Stanford and Family Care
Good things are happening today.
Dan's foley came out, his IV fluids were decreased, he's drinking more fluids (without stomach cramping), and he's walked 3 times already today. His labs are improving also, especially his liver function tests. His hematocrit is still low (24), but the surgeon is pretty sure it's due to the amount of fluids he's received the past few days. McGreeky was actually happy with Dan's progress, which was great to hear. He lowered his PCA dose to try to wean him down slowly. Now, we're just waiting for bowel sounds to return.
I just got back from the Sizelove's house where I took a shower and a nap. Thought I should reassure our friends and family that yes, I am taking care of myself, too. Dan is sleeping right now. He seems to have tired himself out from all the walking. When I left, he was going to sleep. When I got back, he was going to sleep again. All part of the healing process.
Stanford is a great hospital, but Dan and I have discovered a bone to pick with them...they do not like family staying overnight.
This is odd to me because the hospital where I work has couches built into the wall that fold into cots. Throughout nursing school, we have been told that caring for the patient means caring for the family also. Well, Stanford is struggling with this a bit.
Last night, I made up my "bed" and went to sleep. At 11:15p, the new nurse told me I had to leave. Dan got upset and told her why I needed to stay. She checked with the charge nurse who agreed to let me stay. I'm not sure if she agreed because it was late or if Dan had made a good point. So, it looks like it's going to be a fight every night. I think (think) I could handle leaving late and coming back early before the docs arrive, but Dan really doesn't want me to leave. Keep that in your prayers please, for Dan's sake.
Prayer Requests:
* Continuing improvement of labs, pain and movement
* Appearance of bowel sounds
* Understanding charge nurse who will let me stay with Dan throughout his hospitalization
* Quick recovery...much more quick than the doctors expect
Col 1:9-12 And so, from the day we heard, we have not ceased to pray for you, asking that you may be filled with the knowledge of his will in all spiritual wisdom and understanding, so as to walk in a manner worthy of the Lord, fully pleasing to him, bearing fruit in every good work and increasing in the knowledge of God. May you be strengthened with all power, according to his glorious might, for all endurance and patience with joy, giving thanks to the Father, who has qualified you to share in the inheritance of the saints in light.
Monday, January 11, 2010
Sunday, January 10, 2010
sunday afternoon update
Dan did just make a complete circle around the unit and walked faster and took longer steps. He is sleeping now. Our friend Chris who is in his surgery residency emailed a note to Dan: walk walk walk and use your incentive spirometer (device that helps you breathe more deeply) while in bed.
Here are Ashley's updates this afternoon:
sunday, january 10, 2010
Slow and steady wins the race
So, the surgeon allowed Dan to have clear liquids today. What? That wasn't supposed to happen until day 4 or 5. Dan was thrilled to be able to drink some water, but quickly discovered that ice water has the tendency to make your stomach cramp up. Bummer. He's taking things very slowly where food is concerned.
I spoke to the nurse a short time ago and Dan's labs seem to be holding steady. No great improvement, but no discouraging trends either. We'll need to see how tonight and tomorrow morning's labs look to make sure everything is alright.
It seems as though Dan's fever is back, but no one seems very worried about it. Apparently, younger patients with this surgery get fevers frequently. Just makes Dan miserable.
Oh, and the nurse and housekeeper are trying to find me a sleeper chair. It would be lovely!
Prayer Requests:
* Fever and cramping go away
* Labs continue to improve or stabilize
* No more complications (bleeding, infections, etc)
* Endurance for Dan to keep moving
Bleeding?
A day with Dan in the hospital wouldn't be the same without some kind of worrisome problem.
Though Dan says he feels much better than yesterday, the surgeon does not seem to believe him. Additionally, some of Dan's labs are troubling. His liver function is not as good as the surgeon would have expected with this type of surgery. McGreeky was especially concerned about his hematocrit (a blood measurement), as it dropped from 35.3 to 27.5 since yesterday. This drop can be a sign of bleeding and has the docs and nurses on alert. There are no signs of external bleeding, so the concern would be internal bleeding in the surgical site. Accordingly, poor Dan is being bothered by all kinds of check-up questions to monitor for symptoms.
I'm anxiously awaiting the "noon" labs ordered by the surgeon, though he forgot to put the orders in so they might be "afternoon" labs. Please pray that Dan's levels stabilize and that there is NO internal bleeding. This would be a bad complication that set him back significantly.
Other than those concerns, Dan is doing well. Went for a walk, got cleaned up and is using his PCA far less than he was. Those things are very encouraging.
Prayer Requests:
* Blood levels stabilize AND no internal bleeding
* Pain remains under control with less medication
* Surgeon gains confidence in Dan's recovery
* Liver function begins to improve
* Dan remains confident and his endurance remains good
pray without ceasing
Here are Ashley's updates this afternoon:
sunday, january 10, 2010
Slow and steady wins the race
So, the surgeon allowed Dan to have clear liquids today. What? That wasn't supposed to happen until day 4 or 5. Dan was thrilled to be able to drink some water, but quickly discovered that ice water has the tendency to make your stomach cramp up. Bummer. He's taking things very slowly where food is concerned.
I spoke to the nurse a short time ago and Dan's labs seem to be holding steady. No great improvement, but no discouraging trends either. We'll need to see how tonight and tomorrow morning's labs look to make sure everything is alright.
It seems as though Dan's fever is back, but no one seems very worried about it. Apparently, younger patients with this surgery get fevers frequently. Just makes Dan miserable.
Oh, and the nurse and housekeeper are trying to find me a sleeper chair. It would be lovely!
Prayer Requests:
* Fever and cramping go away
* Labs continue to improve or stabilize
* No more complications (bleeding, infections, etc)
* Endurance for Dan to keep moving
Bleeding?
A day with Dan in the hospital wouldn't be the same without some kind of worrisome problem.
Though Dan says he feels much better than yesterday, the surgeon does not seem to believe him. Additionally, some of Dan's labs are troubling. His liver function is not as good as the surgeon would have expected with this type of surgery. McGreeky was especially concerned about his hematocrit (a blood measurement), as it dropped from 35.3 to 27.5 since yesterday. This drop can be a sign of bleeding and has the docs and nurses on alert. There are no signs of external bleeding, so the concern would be internal bleeding in the surgical site. Accordingly, poor Dan is being bothered by all kinds of check-up questions to monitor for symptoms.
I'm anxiously awaiting the "noon" labs ordered by the surgeon, though he forgot to put the orders in so they might be "afternoon" labs. Please pray that Dan's levels stabilize and that there is NO internal bleeding. This would be a bad complication that set him back significantly.
Other than those concerns, Dan is doing well. Went for a walk, got cleaned up and is using his PCA far less than he was. Those things are very encouraging.
Prayer Requests:
* Blood levels stabilize AND no internal bleeding
* Pain remains under control with less medication
* Surgeon gains confidence in Dan's recovery
* Liver function begins to improve
* Dan remains confident and his endurance remains good
pray without ceasing
Day 2 post op
Dan is up and walking again, ever further! Plans to walk during half time too. (NFL Playoffs on today) The fever is down and the pain is still present, but he definitely looks better today. Every day, a bit better. Thanks for praying- keep up the good work! Here is Ashley's blog this morning:
sunday, january 10, 2010
New Address
For some reason I didn't want to say for sure that Dan was being transferred until he really moved (I'm just a little stitious). Today, I can officially say, Dan is out of ICU! He is now in the transplant/surgery unit in a semi-private room with a very talkative neighbor. He and Dan talk over the curtain pretty often. They both had fevers last night, so they decided to turn down the thermostat...I froze but they were happy!
I was able to stay the night last night and will continue to do so as long as I get the "right" nurses. Apparently there is a charge nurse who might kick me out, but we'll see what happens. Perhaps, I can be persuasive. I had to be creative to make my "bed" out of two chairs, a pillow and some sheets. Yet, it felt nice to be able to help Dan at night time.
More excitingly, Dan went on his first walk last night. He did phenomenally! He said it hurt, but felt great to get up and moving. He went twice as far as most patients do on their first trek and impressed the nurses. His abdominal muscles have been spasming on and off due to trauma and lack of use, so he wants to walk as much as possible today.
Dan had a fever all day yesterday and it spiked last night up to 104. Around 2am, his fever broke! He's still a little warm, but walking around definitely helped. His pain is more under control, but the PCA had to be increased again. We'll ask the rounding team about getting an extra pain med ordered just in case.
Plan for the day: walk around a lot, clean up, and maybe find a sleeper chair for me.
Prayer Requests:
* Pain management
* No complications or infection
* Rest for Dan and myself
* Good reports from the doctor
* Continued improvement
Rom 5:1 -5
Therefore, since we have been justified by faith, we have peace with God through our Lord Jesus Christ.
Through him we have also obtained access by faith into this grace in which we stand, and we rejoice in hope of the glory of God.
More than that, we rejoice in our sufferings, knowing that suffering produces endurance,
and endurance produces character, and character produces hope,
and hope does not put us to shame, because God's love has been poured into our hearts through the Holy Spirit who has been given to us.
sunday, january 10, 2010
New Address
For some reason I didn't want to say for sure that Dan was being transferred until he really moved (I'm just a little stitious). Today, I can officially say, Dan is out of ICU! He is now in the transplant/surgery unit in a semi-private room with a very talkative neighbor. He and Dan talk over the curtain pretty often. They both had fevers last night, so they decided to turn down the thermostat...I froze but they were happy!
I was able to stay the night last night and will continue to do so as long as I get the "right" nurses. Apparently there is a charge nurse who might kick me out, but we'll see what happens. Perhaps, I can be persuasive. I had to be creative to make my "bed" out of two chairs, a pillow and some sheets. Yet, it felt nice to be able to help Dan at night time.
More excitingly, Dan went on his first walk last night. He did phenomenally! He said it hurt, but felt great to get up and moving. He went twice as far as most patients do on their first trek and impressed the nurses. His abdominal muscles have been spasming on and off due to trauma and lack of use, so he wants to walk as much as possible today.
Dan had a fever all day yesterday and it spiked last night up to 104. Around 2am, his fever broke! He's still a little warm, but walking around definitely helped. His pain is more under control, but the PCA had to be increased again. We'll ask the rounding team about getting an extra pain med ordered just in case.
Plan for the day: walk around a lot, clean up, and maybe find a sleeper chair for me.
Prayer Requests:
* Pain management
* No complications or infection
* Rest for Dan and myself
* Good reports from the doctor
* Continued improvement
Rom 5:1 -5
Therefore, since we have been justified by faith, we have peace with God through our Lord Jesus Christ.
Through him we have also obtained access by faith into this grace in which we stand, and we rejoice in hope of the glory of God.
More than that, we rejoice in our sufferings, knowing that suffering produces endurance,
and endurance produces character, and character produces hope,
and hope does not put us to shame, because God's love has been poured into our hearts through the Holy Spirit who has been given to us.
Saturday, January 9, 2010
post doc & mom & wife visit
Dan looks like DAN-THE -MAN! What incredible endurance he has to come through his difficult day yesterday. His main issue today is pain and a fever. He actually got up and walked down the hall and back! He is using his medication button and getting antibiotics. His labs are fairly normal, with a few that are a little out of normal range. The tubes are steadily being removed (a good sign), but a few do remain. It does appear that he will be moving out of ICU to the floor today which is great news, especially for Dan. He can get much better rest and have Ashley with him to care for him and love him.
Thanks for all your prayers for Dan.
Ashley's latest blog:
saturday, january 9, 2010
Better
Dan is doing a bit better. His pain is under control now, though he still needs to use the PCA religiously. He has lost a lot of the tubes and lines he had after surgery. No more NG, no more art-line, no more central line (happening now). Strangely, his hand is numb from the art-line possibly hitting a nerve, but the doctors aren't too concerned. Also, he has a fever that has persisted since early this morning. Again, the doctors are just watching it.
As of now, we are waiting to hear from his nurse about when he is getting transferred to the med/surg unit. Yay! Dan is very excited to be out of the ICU. He'll get some sleep and we'll be able to see him for more than half an hour at a time.
Prayer Requests:
* Dan is moved safely and is received by a good/understanding nurse
* Pain management!
* His fever goes away and is NOT indicative of infection
* Dan can start moving around and walking tomorrow (big request, but possible)
* I can start staying the night in Dan's room (he really wants this to happen)
* No complications arise
* Recovery is speedy
I would add too that we all remain patient as the patient's body heals. It can be a long process and will probably be slower than we think it should be! BUT then again, Dan is an amazing young man and may surprise us all and Jehovah Rapha, the LORD our Healer, may surprise us too. We praise the LORD for His great mercy shown to Dan and us.
Lam 3:22-24
The steadfast love of the Lord never ceases;
his mercies never come to an end;
they are new every morning;
great is your faithfulness.
“The Lord is my portion,” says my soul,
“therefore I will hope in him.”
Thanks for all your prayers for Dan.
Ashley's latest blog:
saturday, january 9, 2010
Better
Dan is doing a bit better. His pain is under control now, though he still needs to use the PCA religiously. He has lost a lot of the tubes and lines he had after surgery. No more NG, no more art-line, no more central line (happening now). Strangely, his hand is numb from the art-line possibly hitting a nerve, but the doctors aren't too concerned. Also, he has a fever that has persisted since early this morning. Again, the doctors are just watching it.
As of now, we are waiting to hear from his nurse about when he is getting transferred to the med/surg unit. Yay! Dan is very excited to be out of the ICU. He'll get some sleep and we'll be able to see him for more than half an hour at a time.
Prayer Requests:
* Dan is moved safely and is received by a good/understanding nurse
* Pain management!
* His fever goes away and is NOT indicative of infection
* Dan can start moving around and walking tomorrow (big request, but possible)
* I can start staying the night in Dan's room (he really wants this to happen)
* No complications arise
* Recovery is speedy
I would add too that we all remain patient as the patient's body heals. It can be a long process and will probably be slower than we think it should be! BUT then again, Dan is an amazing young man and may surprise us all and Jehovah Rapha, the LORD our Healer, may surprise us too. We praise the LORD for His great mercy shown to Dan and us.
Lam 3:22-24
The steadfast love of the Lord never ceases;
his mercies never come to an end;
they are new every morning;
great is your faithfulness.
“The Lord is my portion,” says my soul,
“therefore I will hope in him.”
deep sigh after a longgggggggggg day
As always Ashley says it best in her blog which I have copied below. Only the young can think clearly after an exhausting day and a few hours sleep! We have not yet seen Dan today but the 5:30 am report was that he was doing okay. The dr has not been in yet. I hope he was able to sleep in today. He is young (the dr) but 14+ hours of surgery is still a long time, don't you think? Dan is young and "robust" as the anesthesiologist told us. We all know that prayer has proven to scientifically make a difference in patient outcomes and yesterday and the days to come will prove that to be true. We have really felt all your prayers carrying us along on God's sea of grace. For specific requests please read Ashley's blog. Our verses today:
Isa 40:27 -31
Why do you say, O Jacob,
and speak, O Israel,
“My way is hidden from the Lord,
and my right is disregarded by my God”?
Have you not known? Have you not heard?
The Lord is the everlasting God,
the Creator of the ends of the earth.
He does not faint or grow weary;
his understanding is unsearchable.
He gives power to the faint,
and to him who has no might he increases strength.
Even youths shall faint and be weary,
and young men shall fall exhausted;
but they who wait for the Lord shall renew their strength;
they shall mount up with wings like eagles;
they shall run and not be weary;
they shall walk and not faint.
saturday, january 9, 2010
A very long day
After nearly 15 hours, Dan came out of surgery last night around 2230.
Dr. Poultsides looked exhausted when he came to talk to us. Apparently, the Whipple part of the surgery was done quickly, but the liver resection became very tricky. The tumors were surrounding major blood vessels in the liver, so the surgeons had to very gently and slowly remove the tumor tissue. Also, the surgeon used radioablation on the margins where he resected to try to kill off remaining unseen tumor cells. He said Dan's liver was very sticky from previous radiation treatment. Thus, the liver resection took 9 hours! Due to the length of time Dan was under general, the surgeon has left the last part of this surgery (ligating the portal vein) to be done a little bit later. Dan doesn't know it yet, but he has another procedure to undergo before he can go home.
The surgeon wants the second surgery to be in 2-3 months, which gives Dan a lot more time to recover. That was a sweet bit of news to hear. Though, he said the next surgery will also take an enormous amount of time. Yet, McGreeky (as I have named him), said Dan got the Cadillac surgery. Lots of time, care and attention. He deserves it!
The entire surgical team was very impressed with how well Dan handled the surgery. His "robustness" required a lot of extra narcotics to keep him sleeping. The anesthesiologist told us that he has never been able to extubate a patient after 15 hours of surgery...but with Dan, he could.
By 2300, Dan was breathing completely on his own. The pharmacy failed to fill the order for the PCA, so Dan was quite upset by the fact that he couldn't push a pain button. However, his first complaint was the oxygen mask...then the NG tube...then his dry mouth...then his 8/10 pain. Only Dan could prioritize his needs like that. Gotta love him.
The nurses allowed us to come back and see him in the ICU. After a day of helplessness, it felt good to be able to DO something. Dan was glad to see me, but far more happy that I could swab his poor mouth with some water. That made him smile a bit. It was terrible to leave him alone in the ICU, but rules are rules. Hopefully, he got some sleep with all of the ICU noise. He has 3 neighbors! Yikes.
McGreeky wants Dan to be walking and using incentive spirometry before he transfer to a med/surg floor. Everyone else thinks that's kinda crazy to expect. Dan's nurse last night said usually whipple patients leave the ICU the day after surgery. I hope so.
Jamie, Mom and I all stayed with the Steins in San Jose. As much as I hate to admit it, I really needed the sleep and the shower. Everyone has been telling me to take care of myself so as to better care for Dan...so, I'm working on it.
Now, the 3 of us are sitting outside of the ICU keeping guard ready to jump the surgeon for information. We can't be in rounds, so McGreeky said he would call my phone (ha maybe). Rather than wait all day for a phone call that might be forgotten, we're gonna try to catch him as he's leaving.
I'll keep updating through out the day.
Prayer Requests:
* Pain management, comfort, alertness for Dan
* Transfer to a normal med/surg unit TODAY so he can begin recovery (ICUs are not good for recovering, walking, etc) (no one except McGreeky thinks he should be in the ICU. Grr)
* Peace and endurance for Jamie and I (and Mom while she's here)
* A quick recovery...far more fast than everyone expects
* No complications: no leaky surgical sites, no infections, no fevers, no pneumonia, nothing that will keep Dan from getting out of the hospital "on time"
* Wisdom and guidance and compassion for the doctors
Isa 40:27 -31
Why do you say, O Jacob,
and speak, O Israel,
“My way is hidden from the Lord,
and my right is disregarded by my God”?
Have you not known? Have you not heard?
The Lord is the everlasting God,
the Creator of the ends of the earth.
He does not faint or grow weary;
his understanding is unsearchable.
He gives power to the faint,
and to him who has no might he increases strength.
Even youths shall faint and be weary,
and young men shall fall exhausted;
but they who wait for the Lord shall renew their strength;
they shall mount up with wings like eagles;
they shall run and not be weary;
they shall walk and not faint.
saturday, january 9, 2010
A very long day
After nearly 15 hours, Dan came out of surgery last night around 2230.
Dr. Poultsides looked exhausted when he came to talk to us. Apparently, the Whipple part of the surgery was done quickly, but the liver resection became very tricky. The tumors were surrounding major blood vessels in the liver, so the surgeons had to very gently and slowly remove the tumor tissue. Also, the surgeon used radioablation on the margins where he resected to try to kill off remaining unseen tumor cells. He said Dan's liver was very sticky from previous radiation treatment. Thus, the liver resection took 9 hours! Due to the length of time Dan was under general, the surgeon has left the last part of this surgery (ligating the portal vein) to be done a little bit later. Dan doesn't know it yet, but he has another procedure to undergo before he can go home.
The surgeon wants the second surgery to be in 2-3 months, which gives Dan a lot more time to recover. That was a sweet bit of news to hear. Though, he said the next surgery will also take an enormous amount of time. Yet, McGreeky (as I have named him), said Dan got the Cadillac surgery. Lots of time, care and attention. He deserves it!
The entire surgical team was very impressed with how well Dan handled the surgery. His "robustness" required a lot of extra narcotics to keep him sleeping. The anesthesiologist told us that he has never been able to extubate a patient after 15 hours of surgery...but with Dan, he could.
By 2300, Dan was breathing completely on his own. The pharmacy failed to fill the order for the PCA, so Dan was quite upset by the fact that he couldn't push a pain button. However, his first complaint was the oxygen mask...then the NG tube...then his dry mouth...then his 8/10 pain. Only Dan could prioritize his needs like that. Gotta love him.
The nurses allowed us to come back and see him in the ICU. After a day of helplessness, it felt good to be able to DO something. Dan was glad to see me, but far more happy that I could swab his poor mouth with some water. That made him smile a bit. It was terrible to leave him alone in the ICU, but rules are rules. Hopefully, he got some sleep with all of the ICU noise. He has 3 neighbors! Yikes.
McGreeky wants Dan to be walking and using incentive spirometry before he transfer to a med/surg floor. Everyone else thinks that's kinda crazy to expect. Dan's nurse last night said usually whipple patients leave the ICU the day after surgery. I hope so.
Jamie, Mom and I all stayed with the Steins in San Jose. As much as I hate to admit it, I really needed the sleep and the shower. Everyone has been telling me to take care of myself so as to better care for Dan...so, I'm working on it.
Now, the 3 of us are sitting outside of the ICU keeping guard ready to jump the surgeon for information. We can't be in rounds, so McGreeky said he would call my phone (ha maybe). Rather than wait all day for a phone call that might be forgotten, we're gonna try to catch him as he's leaving.
I'll keep updating through out the day.
Prayer Requests:
* Pain management, comfort, alertness for Dan
* Transfer to a normal med/surg unit TODAY so he can begin recovery (ICUs are not good for recovering, walking, etc) (no one except McGreeky thinks he should be in the ICU. Grr)
* Peace and endurance for Jamie and I (and Mom while she's here)
* A quick recovery...far more fast than everyone expects
* No complications: no leaky surgical sites, no infections, no fevers, no pneumonia, nothing that will keep Dan from getting out of the hospital "on time"
* Wisdom and guidance and compassion for the doctors
Friday, January 8, 2010
Finally out of surgery
After 14+ hours of surgery Dan is out and in the ICU! The tumors were very difficult to resect, (cut out) and the doctors had to take it very slowly and carefully. They removed about 10% of the liver in the left lobe plus doing the Whipple procedure. The doctor said the next surgery will also be long, probably in 2- 3 months to let him fully recover. He lost very little blood. The anesthesiologist who left around 4:30 said Dan was taking the procedure very well and is very robust. Please pray that there will be NO post op complications like pancreatic enzyme leaking. Remember to keep Ashley in your prayers too. It is hard for her not to be with Dan tonight. Pray he will get out of ICU and she can be with him.
In Surgery Still!
Dan is doing fine, still in surgery!
They graciously give us updates periodically.
Dan and Ashley arrived 5:15 a.m.
We (Ashley, Bob & I) left the pre-op area at 7:15 a.m.
Terry, Russ, Nick, Peggy (Ashley's family) met us in the waiting area
Surgery started 8:15 a.m.
We got an update at 10: everything is fine and the surgery is continuing (good news since if the cancer had spread they would have opened and shut);
2nd update at 12:30p.m.: everything fine;
3rd update: 3:00 p.m.: everything fine, we are in the middle but many more hours to go;
So continue to pray my friends. This is a long haul for Dan.
We are doing fine (tired, of course, but well fed & encouraged by the blessing of visiting friends)
Blessings to you all!
Isa 26:3
“You keep him in perfect peace
whose mind is stayed on you,
because he trusts in you.
Isa 26:4
“Trust in the Lord forever,
for the Lord God is an everlasting rock.
For Ashley's blog see www.footballsandstehscopes.blogspot.com
They graciously give us updates periodically.
Dan and Ashley arrived 5:15 a.m.
We (Ashley, Bob & I) left the pre-op area at 7:15 a.m.
Terry, Russ, Nick, Peggy (Ashley's family) met us in the waiting area
Surgery started 8:15 a.m.
We got an update at 10: everything is fine and the surgery is continuing (good news since if the cancer had spread they would have opened and shut);
2nd update at 12:30p.m.: everything fine;
3rd update: 3:00 p.m.: everything fine, we are in the middle but many more hours to go;
So continue to pray my friends. This is a long haul for Dan.
We are doing fine (tired, of course, but well fed & encouraged by the blessing of visiting friends)
Blessings to you all!
Isa 26:3
“You keep him in perfect peace
whose mind is stayed on you,
because he trusts in you.
Isa 26:4
“Trust in the Lord forever,
for the Lord God is an everlasting rock.
For Ashley's blog see www.footballsandstehscopes.blogspot.com
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