Thursday, July 31, 2008

My wild toddler

A couple of days ago I left Bilal in the kitchen for a minute while doing some housework. I came back to find him standing upright on the tall kitchen counter, with one of the cabinets open, reaching for a glass. I thought I'd have a heart attack. When I told him he needed to get down he leaned forward and dove into my arms without warning, knocking me backwards. Luckily we didn't fall over, but he freaked me out. Nothing is sacred in the house anymore, no matter how far or high up we put things. He is not afraid of climbing to heights or jumping off. I really don't think Safa or Hamza were ever this wild, no matter how much I might be trying to block out old experiences. No wonder he's the last child, after raising this one I'll be worn out and have too many grey hairs to count!

We have another week of appointments coming up soon, August 11th is Bilal's post-op and on the 12th he goes for his 2 year check-up. Fortunately he's caught up with his shots, so this time I'm mostly looking forward to seeing how much weight he has really gained since his last check-up. He hasn't had an unclothed weight check since then.

I really think the work on our sunroom will be finished by tomorrow! I'm so excited. Today the painters are finishing the wall; the staining of the ceiling was completed yesterday. The electrician has installed the new fans and light fixtures, and tomorrow the hardwood floor will be laid. That leaves the steps, which will have a little work tomorrow, they're almost complete. Yay! I am so looking forward to sharing the 'after' pictures with everyone. The room looks a lot bigger than we ever thought it would. And there is so much light, I love windows!

My friend's little girl is out of the hospital after her induction phase of chemotherapy. She has done quite well, but of course is dealing with side effects of the chemo. It is great that she is home, now she will be going in every Friday to Children's to have weekly chemo as an outpatient. I have another friend whose daughter (single ventricle with TGA) is getting admitted to UAB on Sunday for her Glenn scheduled on Monday. Her baby girl has the same surgeon as us, they have been able to schedule her surgery with Dr. Knott-Craig before he leaves Birmingham to move to Memphis later in August. It's a huge loss for Birmingham, but I hear there is another surgeon joining UAB in October.

Tuesday, July 29, 2008

What's going on......

Safa and Hamza are both registered for the new school year, and supplies have been purchased and sorted. Just a few odd things left. So we are getting ready for 2008-09. Safa is eligible for and has decided to take all advanced classes this year, that's Math, English, Science and Social Studies. She has also applied to be on the yearbook committee, and intends to take debate. However as of now there is not a coach for debate, since the previous one just retired, so unless they have someone else in mind Hewitt won't be in the League at the Middle School level. Regardless, I think Safa is going to be in for a busy year. I have encouraged her to keep up karate, although she probably won't be training at the Dojo as much, seventh grade can be pretty heavy on homework. She still has guitar lessons once a week. Wow, as I type this all I realize it might be quite overwhelming for her! There will be a lot of prioritizing going on, for sure. This past weekend Safa finished reading the Quran. That is a great accomplishment, reading the entire Book in Arabic. We are starting over, and next time will probably read it with the translation. It took more than 2 years to finish it the first time, but with her fluency, it probably will be quicker now.

Hamza doesn't know anything about his fifth grade teacher, except her name. He has a 'meet the teacher' day one day before school starts. He has been eager to return to school since early in the summer, being at home has been boring for him. It's usually rather hot, so I can't send him to play outside much, and there's only so much you can do indoors. I don't think he's even been on his bike since the start of the summer, and that's very unusual. I'll be glad when I have a better excuse to pry him away from the TV. During the school year the kids don't watch any TV or play video games Monday through Thursday, unless it's for a school assignment.
Safa and Hamza have moved on to their next rank in karate, they tested this past Friday evening.

Bilal is pretty much over his surgery, but he does complain of pain when I change his diaper, I think it's really because he sees the steri strips and knows he has a boo-boo. He did not make the association of being in the hospital that day and the bandage on his belly, so thankfully there is no fear of the hospital. We went back to Children's on Saturday, to see my friend's daughter who is undergoing chemo for acute lymphoblastic leukemia. Bilal asked if we were going to see the doctor, since he recognized the place, but he wasn't anxious at all. I am now looking forward to letting him soak in the bath tub, we were told to avoid it for a week, and just give him showers, so we have a couple more days to go.

Sunday, July 27, 2008

A big one!

This is Bilal struggling with a cucumber picked from our veggie patch this morning. We are going to weigh it before we cut it, but it's probably more than 5 pounds. This is an 'Armenian yardlong' cucumber, and they're really yummy. They're not really meant to grow this big, but it's been so wet in the back yard, we hadn't been out to pick it!

Saturday, July 26, 2008

Birthday pics and more

I think that the next few posts I write will probably be in no particular chronological order. I have so many cute little clips and photos to share, I just don't want to cram them into one post, so stay tuned.

Bilal is recovering well, he was very irritable this morning when he woke up after 13 hours, but perked up after I gave him some Tylenol with codeine, half the dose the surgeon prescribed, with a teeny bit of extra infants' Tylenol. That seemed to help. After that so far he has had one dose of Motrin and another half dose of Tylenol codeine combo. You can tell after a few hours that he is getting upset, but can't seem to pinpoint what's going on. I believe that if he didn't spend his day climbing on furniture, jumping off and running around like a maniac he probably wouldn't need the pain medicine, but try and explain that to a two year old! We were told to expect some bruising and swelling, but thankfully we have seen very little of either. A few more day and hopefully things will be back to usual, minus the hernia. He ate very little of anything yesterday, nope, not even the french fries, but tody his appetite has picked back up.

We went furniture shopping today, and bought a set of sofas for the sunroom, with an optomistic delivery date of August 5th. Our builder hopes to be finished by the the first (yeah, right!) There is still the floors, the beadboard ceiling (which will be stained) and painting the walls to be done, as well as the final electrical work, including the new fans and switch plates. After that they have to build steps going down to the outside from both doors. Seems like a lot of work! Anyway, here are some photos:

Bilal's 'backhoe happy cake' as he likes to call it

Finger lickin good!

Opening presents, on the birthday 'throne' that Safa prepared for the little prince

Riding the little red wagon, and waiting to be called back to surgery. The hospital was well equipped with kid friendly transportation of all sorts. I think I only saw one child actually in a wheelchair

Riding the red wagon

Bear's turn

Friday, July 25, 2008

Back Home

We are HOME! Bilal was back in the room with us just after 12:30pm. He was awake but too grumpy to drink, so we had to keep the IV in for a while. I finally persuaded him that if he had some water we could go home, so he took a few sips, kept them down and out the door we went, at about 1:30. The surgeon had no problem fixing the hernia, so hopefully no more problems in the future. On the way back Zakir asked Bilal if he wanted to eat, and his answer was yes to french fries and a milkshake from McDonalds. We couldn't turn down that request today, so we stopped for his food and to get his prescription filled. Right now he is a little bit cranky, but wanting to play with his toys, working on getting back to his normal self. Yay! Thank you so much for all the thoughts and prayers, that's what gets us through these things. And miraculously, the knots in my stomach are gone!

All done!

Dr. Saito just came by. Bilal is in recovery and already starting to wake up. They expect him to be there for about half an hour, and then come back to us. I wish we could be there when he was waking up. We hope to be leaving here in an hour or two, and hopefully the next update will be from home.

Where we are

Bilal has been back in surgery for about 45 minutes and we're waiting to hear an update.

Waiting for our turn

We are here at Children's, waiting for Bilal's turn to go to surgery. There are two cases ahead of him, and one of them has gone over, so it might still be a wait. Bilal has asked for his sippy cup a few times, and started to get anxious after the anesthesiologist and the surgeon came by, but he is sitting enjoying Monster's Inc right now, and pretty content. I, on the other hand, have knots in my stomach!

Waiting for visits from the doctor. Even the hospital gown makes him look cute!

Watching a movie with a firm grip on blankie

Thursday, July 24, 2008

Tomorrow's plans

I just got a call from the surgery scheduler, we have to be at the hospital with Bilal at 8am tomorrow morning. Right after the call Bilal had his second runny bowel movement of the day, so I called back and left a message, just to make sure we're still OK with that. He's not acting sick, no fever and his appetite is great, so I'm hoping it's just something he ate. As of now it seems like we'll be on track. I'm getting a bit anxious, even though I know it's not a big operation. I'm worried how Bilal will react to having to be there, facing all those strangers, and of course I'm sure it will hurt some. He will be allowed to have clear liquids until 2 hours before our required arrival time, and then after the surgery he should be in recovery for about an hour. After that if he will take something to drink we'll be allowed to go home, provided all goes according to schedule, and that's what we're praying for. Even with the apprehension, I'm ready to have this taken care of.

Happy Birthday Bilal

Bilal is two today! We are going to celebrate this evening with a construction site birthday cake, balloons, and gifts from the whole family! Tomorrow is going to be another story. I almost feel guilty scheduling his surgery one day after his birthday, but I don't think it will make a difference to Bilal. Here's a montage I wanted to share.

Happy Birthday to my precious baby boy. Hoping for many many more happy and healthy years!

Wednesday, July 23, 2008

Mixed feelings

We are so excited that Bilal is turning two tomorrow! Now he'll have an age that is consistent with his behavior (the terrible two's, of course!) On the other hand it has been devastating to find out that a close friend of mine has a daughter who has just been diagnosed with leukemia. It was that same surreal feeling when I learned about it, the thought that things like that happen to 'other people', not to us or someone we know. The five year old is having a bone marrow done today, and then they'll get the definitive diagnosis, but I know how much agony her family is going through right now. I didn't get much sleep last night, between thinking of their precious girl, and with Bilal's upcoming surgery on Friday. Please keep both families in your thoughts.

Anesthesiology from Children's just called a few minutes ago, to do the preliminary questionnaire. We won't know until after 2:30 tomorrow afternoon about when we have to be there.

In honor of Bilal being one day shy of two, I've decided to share once more, the montage I made for his first birthday.

And my brother Tahir and his baby girl Aaliyah share a special day today, so Happy Birthday to both of you!

Monday, July 21, 2008

Kids back in the kitchen

We didn't have a single home cooked meal this weekend, at least not freshly cooked by me. That's pretty bad, even for me, considering I don't make a full blown home-cooked meal everyday. However the kids did get a chance to get back in the kitchen with the latest Iron Chef contest, for lunch on Sunday. The secret ingredient? Cucumbers grown in our own back yard. Hamza prepared a colorful salad with lettuce, red and green bell peppers, and of course the cukes, served with his favorite, Ranch dressing, on the side. Safa was a little more creative, and she served club crackers layered with smoked salmon, smoked gouda and cucumber slices, and topped with cherry tomatoes from our veggie patch. Yummy! I've always thought that smoked salmon and cucumbers complement each other very well. Safa won this contest by a landslide, but Hamza is going to be up to the challenge next week. We haven't decided the ingredient yet, but I'm sure it will be just as much fun.

I left home to go to work early again, for the third time in just a few days. Those who know me, can vouch for the fact that I'm really not a morning person, so being at work by 7am has been taking a toll on me. But I can proudly say that for the first time in many, many, many months I am (nearly) caught up with my (electronic) paperwork from the office. It's been like a never ending pile of laundry until now. I aim to have my organizer completely cleared by tomorrow afternoon, so help me God.

Here's a couple more photos of the kids from their portrait session, that I haven't shared until now:

My handsome boys

My princess

And here's Bilal, laughing at a balloon whistling around his head

You can probably tell why I had such a hard time choosing what portraits to get printed. I could have got picked them all. I agonized over the proofs for hours until I finally chose my favorites.

Saturday, July 19, 2008

Making money

Our business minded son Hamza has finally figured out how to pay for all those Transformer toys he wants to buy. He spent most of the day scanning in and cataloging over 350 pages (most double-sided) of papers from our office onto a removable hard drive. By the time he's done with the current load he will have scanned in over 1000 pages . Zakir's paying him generously. Initially I was skeptical, but gotta admit, he's doing scut work that no-one else would have been willing to do. Whe he took a break from scanning papers this afternoon the boys all went outside and Hamza mowed the front lawn, another source of revenue for him! I bet he'd keep his room very clean if I payed him to do it, but alas, that's considered a responsibility, so he doesn't make any money off it. Hence, his room is often 'not clean'. I have suggested to Zakir to give him some lessons in saving up for later and spending wisely while he's at it. Luckily as parents we do have veto rights when the item to be purchased makes no sense at all, but we like the kids to learn to make their own decisions too.

Working hard

hardly working

And of course, Bilal doing his share too

And here are some photos of Bilal right after his bath this evening:

Getting ready to brush those pearly whites

What a cutie!

Brushing his hair

There, done now. Note the wild 'do'

Today we had ice cream for dinner, again! We must try not to make this a habit, but we were pooped out from grocery shopping, it was 93 degrees outside, and Safa's suggestion made so much sense! We also bought a birthday present for Bilal today. We let him play with the toy in the box when he was riding in the shopping cart, but the hardest part was bringing it into the house and hiding it before he thought of it again. I want to see the look in his eyes when he unwraps the big construction truck on his birthday. It makes all kinds of awesome noises, enough to drive any parent absolutely crazy, but sure to keep Bilal entertained for a while. It was just too irresistable to pass up on! We are going to have a small family party this year, no serious bash like on Bilal's first birthday; we had over 100 guests at the local community center then. Our house is in no position to have people over so it's just going to be us, and birthday cake of course.

Friday, July 18, 2008

Friday night out

It's six days before Bilal turns two! Stay tuned, I hope to have a montage ready by then.

This evening we checked out a new seafood restaurant, and had some calorie dense Southern fare. It threw Zakir's diet out the window! He plans to get back on track tomorrow. Hamza ordered, of all things, a peanut butter and jelly sandwich which came standard with fries on the side. Hamza! It's a seafood restaurant. He's gotten into ordering more 'sophisticated' food from the regular menu, but today it must have just seemed like a kid's meal kind of day. Bilal ate grits and hush puppies.

Speaking of Bilal, he got into a bit of a mess this morning while I was at work. Zakir was upstairs working on some files while Bilal made his way downstairs into the kitchen when Zakir wasn't looking. When he realized, he went downstairs and found Bilal standing in front of the kitchen sink on a dining chair, wiping his head with a wet dish sponge, with his hair soaking wet, and asking for a "hair-tut". So when I came home his hair smelled like wet dish sponge. He got a bath in the middle of the day, but I kept imagining that he still had that musty smell in his hair. He gets into everything! He's actually been rather cranky today, I even accused of Zakir turning him into a monster while I was gone (of course Zakir denied it). We were rather leery of taking him out to dinner in the mood he was in, but it is our Friday night ritual, plus we were meeting friends. He did fairly well at the restaurant, not his best, but OK. Maybe tomorrow will be a better day for him. I have to work this weekend, ugh!

OK, the sheet rock is up in the sunroom, and this evening we picked out stain for the beadboard ceiling, paint and the ceiling fans. Work has been extremely slow, with only one builder coming out to work for the past 3 days. We were hoping to have had the project wrapped up a week ago, but there's still a lot to do. I'll take some more pictures and post them tomorrow so everyone can see the progress.

Thursday, July 17, 2008


My little toddler's speech is really taking off. His newest thing is the point to everything and say "What that?" If you redirect the question to him he will shrug his shoulders and say "I no" (I don't know) most of the time, and just giggle. He also says "Wuv oo!" (I love you) when I'm leaving in the morning, and a lot more sentences that actually make more sense. If you make the sound of any animal he will tell you the name of the animal, you can't stump him. He also knows the difference between a dump truck, a tanker or cement mixer, and can differentiate between a track excavator (he says "exvator"), a front loader, a backhoe, and other construction vehicles such as graders and rollers. At his age we were so proud that Hamza could differentiate between a truck and bus (Safa couldn't do it until after she turned three)! Of course Hamza can name virtually any fighter jet, and they all look the same to me! I guess they all have their own 'thing'.

I figure Bilal must be going through a growth spurt these days. He went to bed at 8:30pm last night and woke up at 9:30am (that's a record!), and then took another 3 and 1/4 hour nap at 12:30pm after lunch. He continues to eat well, and has really taken to regular milk. Not buying so much Pediasure will be like getting a small raise! Now if only I could be brave enough to see how well he does off his reflux medicine!

Bilal's posse. L to R: Bear, Baby Blue and Boy. He does a head count every day at nap time and bed time in his crib before he goes to sleep, naming each one.

Tuesday, July 15, 2008

Surgery scheduled

Bilal's hernia repair has been scheduled for July 25th, that's Friday next week. We won't know when we have to be there until the day before. I'm obviously a bit nervous about him needed to have surgery, but it's got to be done! It's a day surgery, so we hope to be home the same afternoon provided all goes according to plan. That will be one day after Bilal's second birthday.

Safa and Hamza are scheduled to test for their next black belt rank in Karate the same day, so we've had to work out a car pooling solution, just in case we get detained at Children's Hospital.

I'll try and use the blog, or carepages to keep everyone updated the day of surgery, as long as I can find wireless access in the hospital.

Monday, July 14, 2008

The beach, another try

OK, so it wasn't Pensacola Beach, but there was sand and water. That's enough for the kids. Bilal didn't like the water at all, but he had a blast on the sand. Of course we had to drag Safa and Hamza out of the water when it was time to leave!

Saturday, July 12, 2008

A bit of a washout (our day in pictures)

We made it in to Mobile yesterday around 5pm, and decided to go to Pensacola Beach this morning. Even Safa's bear Coco Pop was dressed for the occasion.

Coco sporting a trendy gingham bathing suit, with a coordinated choker necklace

An added incentive was the Blue Angels flight display, which was scheduled at the beach, and Zakir was anxious to see. Well, we got into Pensacola at 10:30am, and this is what we encountered on the bridge, evidently the Blue Angels demonstration is a bigger event that we realized:

We sat patiently in the car for another hour trying to get to Bayview Parkway (less than 4 miles actual driving distance).

Are we there yet?

We called information while stuck in traffic, and learned that the water access would be closed for a couple of hours, and that parking would be restricted as soon as the capacity maxed out. With the traffic ahead of us the way it was, we decided to go to the National Seashore, and hang out on the beach of the Sound, instead of the Gulf. We were told we could get a pretty good view of the air show from across the Sound. On the way we stopped off and grabbed a bite at Subway.

As we headed to the National Seashore this is what we encountered:


We sat in the car for another hour before we decided to call it quits and head back to Mobile, hoping that perhaps we could hang out at the local beach there, but the weather didn't let up. So reluctantly we took the kids to a place called Blu Rabbit's Paradise (similar to Chuck e Cheese), and let them burn a small fortune in game tokens.

Bilal, rather unsure of the toddler play area

Bilal didn't have as much fun as his older siblings did, maybe he needs to be a little bit older to enjoy it.

Well, the day wasn't a total waste, we did stop on the way home at Marble Slab Creamery for yummy ice cream, always a mood elevator.

Later we learned that at least three spectators at Pensacola Beach had got struck by lightning, and the air show was rescheduled for Sunday. Now we realize why we weren't supposed to make it to the beach, obviously it was God's way of protecting us!

If the weather cooperates tomorrow we'll head to the beach in Mobile. Pensacola will have to wait for another trip down from Birmingham.

Thursday, July 10, 2008

Just a random update

I went out to watch Hancock with a friend last night. It's the first non G or PG rated movie I've watched in the theater in more than 3 years, so it was a nice break. Zakir watched the kids while I was gone. The movie was good, in a bizarre kind of way. I don't want to spoil anyone's fun, so I'll leave it at that.

Tomorrow we are taking our staff out to lunch, after which we'll head down to Mobile for the weekend to see Farah. We haven't seen her since March, so this trip is way overdue. I just hope Bilal agrees to sleep without his crib while we're there! We plan to spend a day at the beach, so the kids are really excited. they get to see Phupi, and go to the beach.

The construction work in our house is plodding along. The work has been slow, waiting for inspections to happen. Yesterday the electrical work was inspected, and today the framing got approved. Next job: insulation and sheet rock. I don't know how much work will get done tomorrow with the weekend coming up, though.

Just a few random pics of the kids:

Monday, July 7, 2008

The Park

So it's been quite a busy weekend. Friday night was the fireworks show, Saturday evening we were at a pool party and Sunday we grilled out at the park. Sunday has to be the most eventful. We took our little portable grill to the Leeds Park on a hot summer afternoon, with scattered showers in the forecast. I had the covered pavilion rented from 4-8pm.
The kids had a fun time playing on the swings and slides, and we met up with four other families, all with young kids. We grilled hamburgers, ate chips and salsa, grilled chicken and homemade peach ice cream, which was the consistency of milkshake by the time we got to eat it, but still yummy.

Unfortunately the picnic was cut short for one of the families when their baby girl fell and cut her nose, requiring a trip to the ER at Children's Hospital for stitches, poor baby!

My little daredevil going down the big slide, no sweat!

Baby Fatima loving the roundabout

Mehreen and I waiting for the rain to quit. At least we had shelter!

Then the rain came. It didn't just rain, it poured. We wrapped up our picnic, cleaned up and waited for a break in the showers. By then it was 7:30 and we had finished grilling and eating anyway, so no big deal. On the way home by the time we reached the interstate visibility was very poor, and by the time we hit home we were in the midst of a severe thunderstorm. A few minutes after we arrived home we lost power, ugh! Where are the matches and flashlights when you need them? Well, we managed to illuminate the house, and fortunately got power back within the hour. Later we learned that the worst of the storm was actually in Leeds; we were so glad we got out in good time!

Friday, July 4, 2008

Trussville's celebration on the Mall

Balloons are so fascinating!

Today Trussville hosted its first ever Fourth of July fireworks display. The festivities started at 6pm, and ended in the fireworks show at 9. We spent a couple of hours there, mostly watching what seemed like at least half of our city milling around on the Mall. There were giant inflatable toys with lines of parents with their kids waiting to have a turn, some food stalls, and a live music show. Hamza and Bilal played frisbee while we waited for the fireworks show to start.

Unfortunately the view from where we were sitting was slightly obscured by the trees, but we still enjoyed the show. Bilal was not thrilled, he kept covering his ears and crying "Noisy!" Of course it was also past his bedtime and he really wanted to be home in his crib. Maybe he'll enjoy it more next year.

Waiting for the fireworks to begin

And finally, the fireworks, which lasted about 25 minutes.

Thursday, July 3, 2008

Construction update

Our sunroom before the wall got knocked down. The parrot has been on this wall since the previous owners occupied the house. We will be going with a bright, sunny color on the walls, not murky green, so bye-bye, parrot!

I thought I'd post a couple of 'during' pictures of our sunroom extension. I'm tired of walking into a sheet of plastic any time I try to get from one room to another. It's very disruptive, and I'm ready for this to be done. Hopefully it will be no more than a couple of weeks. The outside is complete, and we've had the exterior painted. Most of the interior (formerly exterior) walls have been gutted, and the electrician will be doing his part over the next few days. We were surprised to find a drainpipe that was in one of the walls to be removed, so a plumber had to come and re-route it into the other wall. This means that the sheet rock inside the kitchen will have to be patched up too. No matter how hard I try the house still looks messy, and frankly, I'm just giving up. There will be plenty of time to clean house after the construction is complete. Of course we hope to have an awesome sunroom after it's all said and done, it should be worth it!

The wall is gone, and the two parts of the room now communicate

The drainpipe that has to be re-routed

Wednesday, July 2, 2008

Cardiology visit

Waiting for Dr. Colvin in the exam room

This is the post from Bilal's carepage today:

We saw Dr. Colvin this morning for Bilal's one year follow-up visit. For the first time ever I went in with a long list of questions actually written down, and I listened to what he had to say, probably better than I have ever before. Overall he is very happy with how Bilal is doing cardiac wise, and doesn't anticipate any reason for limitations in the near future, at least. He has severe pulmonary regurgitation, to be expected after repair, but not what I had heard (or listened to) him tell me before. According to the PC this is very well tolerated by most tet patients into adulthood. In Bilal's case a valve replacement isn't inevitable, but is likely or probable. He also felt that if he ever needed a valve replacement he probably wouldn't need open heart surgery, he'd most likely be a candidate for transcatheter valve replacement, which is experimental in the US at present, but hopefully will soon become the norm. Dr. Colvin even mentioned spacing out the visits to 18-24 months, but I asked if annual visits were OK with him, mostly for my reassurance, and he's fine with that. So we'll be seeing him around this time next year, if all goes according to schedule.

As far as risk of anesthesia goes, he thought Bilal's risk should be no more than a heart healthy child of his age, so that was very reassuring, since he needs to have his hernia repaired some time this month.

Overall it was a good visit; Bilal did not like the EKG, even though he was sitting in my lap, but as always, he was perfectly well behaved for Dr. Colvin, he sat quietly as he listened to his heart and did the echo, so the doctor got great views of Bilal's heart.

Bilal also weighed in at a whopping 29 pounds today, woohoo! I haven't just been imagining it, he really is getting heavy to carry.

Tuesday, July 1, 2008

AKU pics from Washington, DC

Here are some more photos of the AKU alumni reunion, 2008 within the APPNA conference:

And the next generation of AKUites:

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