09/04/2009

Spotlight Family: Knox family of GA

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A picture named M2 The China Team thanks the Knox family of Georgia for sharing their story!

We were a family of five when I felt God press upon my heart the idea that we had more than enough resources – emotionally, financially and physically – to bring another child into the fold.  Our two sons (11 and 7 at the time) were somewhat hesitant but still excited about the idea of a new sibling.  Our daughter, then 6, was especially eager to be a big sister.  Leah had been adopted as an infant from South Korea and had grown tired of being the youngest, the only girl in a sea of Star Wars, and the lone brown child on the block.  My husband, although enthusiastic about another child, had only one stipulation:  no infants.  Adopting another Asian daughter seemed a natural solution – surely there was a need to match our want.

We agreed on China and began the long paper route to parenthood for the fourth time.  We studied Bethany’s COP list month after month, searching for the face that would complete our family portrait. We did our best to prepare our children for the coming changes.  We read books on bonding and attachment with older children.  We bought new furniture for the girls’ room.  But mostly, we waited.  We waited for a year.

Then one day, finally – I mean suddenly - she was there!  A little five year old girl with Hepatitis B and bowed legs:  our daughter, Sarah.  She was (and still is) just about the cutest thing you’ve ever seen.  Obedient, polite and sweet as pie, we all lived “happily ever after.”  Well, almost.

For the most part, adjusting to life with our “instant daughter” took very little effort.  Sarah was lovable and loving.  She was eager to learn and eager to please.  We delighted in watching this child experience life – a real life - for the first time.  There was a giddy sense of benevolence in our labors:  we had changed the world by changing her world.  Sarah embraced every new adventure she was offered, from language to food to American culture.  If I squinted really hard, I might have thought she’d been with us all along.

I wish I could say that, as experienced parents and mature Christians, it was all easy.  I wish I could say that, due to an overwhelming sense of gratitude for her new life, Sarah appreciated everything we did for her.  The truth of it is that there were moments when I thought, perhaps, I’d made a mistake.  I wondered if there was enough of me to give.  I feared I may have wrecked the good thing we all had going.

Because, mixed in with all the good feelings, there was grief.  Jealousy.  Temper tantrums.  There were heart aches I could never have foreseen, such as the rejection Sarah showed to her new sister because she didn’t see a need for a sister (she’d had 300 sisters in the orphanage), she just wanted a mother.  Sarah’s insatiable need for affirmation of my love and her own self-worth awakened a sense of insecurity in my older daughter.  Time and again, Sarah’s physical age belied the immaturity trapped within.  She took on an air of self-entitlement and blustery bravado that wore on all of us.

Were the troubles really so big?  I don’t know, certainly they were different than the ones we had anticipated.  But after awhile it didn’t matter, because something happened.

It’s called Time.  And it’s crazy, but the sheer passage of it is enough to heal wounds and form bonds.  A little over a year has passed since Sarah joined our family.  A busy year of “newness”…for her and for us.  The best part of that year passing is, quite simply, it’s passing.  Now we’ve done it all at least once together – the big things like birthdays and Christmas, sure.  But also the little things like a game of Crazy Eights and sharing a bag of Skittles.  To our delight, Sarah and Leah have found firm footing as sisters and often look to each other as playmates.

Oh, don’t get me wrong, we still have our bumps and there’s more up ahead for us - that’s just the nature of life, parenting, growing up.  We’ve learned to accept, or at least to expect, the unexpected.   In the more challenging moments, we remind ourselves that time is a trusted friend.  That sacrifice, unconditional love and forgiveness is what this life is all about - this truly is Kingdom work, and can’t be entered into lightly.  But as all parents know, the effort poured into these little people, whether adopted or biological, is worthy – so worthy! - of the endeavor.  In fact, lately I’ve been noticing there are still two more unclaimed chairs around the dining table…

09/11/2009

Friday, September 11, 2009: Finding a Pediatrician

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A picture named M2Finding a pediatrician...


Finding a good pediatrician during your wait is an important task.  It is the search for a physician that you will entrust the health of your child(ren) to.  When we search for a physician for ourselves, we are looking for specific aspects of professionalism, experience, knowledge, specialty, and accessibility, among other things.  

What questions do you ask when searching for a new physician?
-When searching for a gynecologist, do you prefer a woman or a man?
-When you are having difficulty seeing, do you search for a doctor that specializes in optometry?
-When you have a known medical condition, do you identify specialists in the field?
-Location and hours of operation?
-Medical training and/or area of specialty?
-Health Insurance coverage?
-Bedside manner?
-Overall mission and practice values?

Here are some thoughts to keep in mind while researching pediatricians for your Chinese child:
-Is the doctor familiar with international children?
-Does the doctor have any patients that are adopted from China?
-Will the doctor be accessible to review your child's referral and medical information quickly?
-Does the doctor have privileges or connections to the local Children's Hospital and/or International Adoption Medical Clinic?
-Does the doctor have awareness of the Chinese culture, nutrition, and institutionalization system of orphans?
-Is the doctor familiar with "flat-head" on institutionalized children caused by being laid down for long periods of time?
-Is the doctor familiar with and use "Chinese growth charts" when charting the child's growth?
-Does the doctor test for existing immunizations?  There are blood tests (titers) which can measure how much the child has already been vaccinated for, rather than starting over or repeating immunizations.
-Is the doctor familiar with adoption related behaviors and concerns such as: abandonment, trauma, attachment/detachment issues, grief & loss, sleep issues and night-terrors, food related issues (hoarding, digesting & rejecting) body rocking & self-soothing, post-traumatic stress disorder, etc?
-If the child is "older" and speaking their native language initially, does the doctor speak that child's language or welcome translators?
-Is the doctor familiar with medical conditions that are common among Asian children?
-What are the doctor's opinions and suggestions for males that are not circumcised?
-Is the doctor aware that Asian children may appear "cross-eyed" in photographs due to the symmetry of their face?

Here is a link to the "Families With Children from China" website.  There are multiple growth charts by gender and age.  When charting the Chinese children and their growth, it is appropriate to initially chart the children's current height & weight according to Chinese standards, not American growth charts.  Some professionals even say that the children should continue to be charted on the Chinese growth charts for one full year after placement in the U.S.

Chinese Growth Charts

Some common medical conditions among the Asian race are:
-Mongolian Spots (see our China Blog Post from 6/30/09)
-Lactose-intolerant; milk or dairy allergy.
-Asian "sweet blood."  Many Asian children have a bad reaction to mosquito bites & bee stings.
-It is common for Asian children to have a build-up of ear wax due to the head, face, and ear canal shape.  This may affect the child's hearing and even balance, at times.  

A picture named M3

Tip: If you have the resources in your community and all else is equal, why not identify an Asian doctor for your child?  Please note that Bethany Christian Services is not suggesting that you select your child's physician based solely on their race or ethnicity.  For example, a woman may choose a female gynecologist as their gender preference if they feel more comfortable with her.  In turn, you may also select a physician for your child based on your preference for their ethnicity and/or knowledge of the above mentioned topics.  This physician could also potentially serve as a successful Asian role model for your child and your family.

09/18/2009

Friday, September 18, 2009: Orphanage Visits

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Many families ask if they will be able to visit their child's orphanage while in China.  They also inquire about visiting the reported abandonment/
"finding place" site.  An adopted child's past can be very mysterious.  As adoptive parents, we try our best to gather information for our children.  We realize that when they grow older, they may have questions about where they are from.  Thinking about these issues now is a great start!  Whether visiting your child's orphanage is possible or not, what is critical is that you are in their birth-country experiencing things that you can share with them later in life.  You can take photos of daily life, tell your child what China looks like, smells like, and your experiences with the people are like.  You can purchase things that represent China.  You have also breathed the same air as their birth-parents...


There are some Provinces in China that do not allow for families to visit the orphanages.  In other Provinces, the decision lies with the orphanage director.  Sometimes it just depends on the day.  

A few reasons why orphanages do not permit visitors:
-Very honestly, some are embarrassed by their facilities.  They may not be clean or luxurious.  In the past, there have been some families that made rude comments or showed their disgust in reference to the orphanage standards.
-New visitors bring new germs.  Children in orphanages are vulnerable to health risks.
-They may not have time to entertain guests.  The caretakers priority is to care for the children.  Oftentimes, there is a lot of preparation for visitors (cleaning, preparing foods, etc.).
-They may not have the funds to entertain guests.
-The orphanage may be too far away from the capital city of the Province you are staying in.  
-There may not be safe roads to travel to the orphanage from your hotel or the weather may not be conducive to country traveling.
-When families have visited in the past, it is difficult not to want to hold the babies/children in the orphanage.  Although this may be temporarily satisfying for the visitors and the children, it leaves the caretakers with many screaming children after the visitors leave.  Children can oftentimes be terrified of foreign faces, smells, sounds, etc.
-Some Provinces simply do not allow for adoptive families to visit or have direct contact with the orphanage.

Should you be a family that is privileged to visit your child's orphanage, there are a few things to keep in mind:
-It would be appropriate (and sometimes expected) to bring additional donations or money along to the visit.  Please consult with Shiyan or your guide.
-Please be mindful and respectful of the cultural differences.
-Keep the visit and visitors limited, you are bringing new germs into the environment.
-It is recommended not to bring your child back to the orphanage.  After they have been removed from the orphanage and their caretakers, it may be traumatic for them to return again to see their surroundings, caretakers and little friends that are left behind.  This may cause regression in your child's attachment to you.  It can also be very difficult for other children remaining in the orphanage to see families parading through with their little friends.  It is recommended that one parent stay back at the hotel with the child, while the other parent travels to the orphanage.
-Take health precautions (for your sake and the children in the orphanage) before and after entering the orphanage.
-Ask first before taking photos or video.  If they request no photos be taken, please honor this request.  Oftentimes, the children in the orphanage may not be available for adoption or may be matched with another family.  We need to protect their privacy.
-This may be a privileged orphanage and they are hoping to "show off" their accomplishments.  Be complimentary!
-This may be a very poor orphanage that is opening their doors to visitors in hopes for extra donations.  Be generous!
-Please remember... there are families that are behind you in the process, please do not do anything that would prevent other families from having this amazing experience, too.

Depending on the conditions of the orphanage or your own experience, an orphanage visit may trigger many difficult emotions for you too, as a parent.

We may or may not know whether an orphanage visit will be possible before you depart the U.S.  Sometimes these trips are unpredictable.  You will have the opportunity to request an orphanage visit when you arrive in the Province.  Please know that if the answer is "no" then it is not appropriate to be persistent.  

Possible orphanage donations:
In addition to the required orphanage donation that is a part of the China country fee, here are some additional suggestions:  U.S. cash is always preferred.  With the cash, the orphanage can purchase what they need, when they need it.  Some families pool their monies and go shopping with Shiyan to make purchases.  Some large items that may have been purchased in China include a commercial washer & dryer, cooking appliances, cribs, formula, and medical equipment & supplies.  Other smaller items that families can bring from the U.S. are: Tylenol Cold meds for babies & children, child suppositories, dried prunes, antibiotics.  These can be used for your child or donated to the orphanages.  Please note, items cannot be shipped ahead of time.

09/25/2009

Friday, September 25, 2009: CCAA Portal Update

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A picture named M2

CCAA Portal Update!

LID’s through the review room: OCTOBER 31, 2007 (previously 6.30.07)
LID’s through referral: MARCH 24, 2006

CCAA's portal has announced that dossiers have now been reviewed through October, 2007!   Congratulations to those families who have passed this milestone!  Families have received referrals with LID's through March 24, 2006.  Congratulations to our March 24, 06 LID families with referrals!  Our next LID's are March 28, 2006, April 4, 2006, April 19, 2006 and April 27, 2006.

We have matched several special needs children in the last month to their "forever families".   We continue to need families for boys.  Please contact your social worker if you can accept a little boy into your family!

Did you know that Bethany Christian Services' ministry involves more than just adoption?  Please visit our Bethany International Services Website.