Abigail

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Abigail was born in August 2006 and found abandoned when she was around two months old. Her original adoption file that was written in February 2014 indicated that her medical issues included “congenital heart disease” and “right cross foot” which was later described as “right flat foot and right foot varus deformity.” An update was requested in December 2018 and will be added here if/when it is received.

AGENCY DESIGNATED SPECIAL FOCUS CHILD

When Abigail first entered her institute she was 54.5cm in height and 4.2kg in weight and she presented with cyanosis on her mouth and limbs. Under the care of her nannies she had a routine life, and good physical development with free movement of her limbs. At the age of 4-6 months she could hold up her head and pull on things with her hands. At the age of 7-9 months she could sit with support, grip small toys and stand up with help. At the age of 10-12 months she had learned to crawl and could move from lying down to sitting independently. At the age of 13-15 months she could crawl around the activity room and could stand leaning on bed rails. Her “right cross foot” didn’t affect her limb development. At the age of 16-18 months she could read adults facial expressions and if she was crying she would stop immediately when the nurses spoke to her. She was active and could move using railings. At the age of 19-24 months she could sit for a long time and walked with support. She liked walking with adults holding hands. When she was 2 she was an active girl who liked to run around and could get up by herself if she fell. She played on the slides without help and was able to feed herself. At the age of 3-4 years old she was able to manage her self care with dressing and bathing. She understood how to help adults do little things and liked to play outside. At the age of 5-6 years old she studied in the Sunshine School of the institutes learning center. She struggled initially but over time her learning ability improved, although her writing was poor. (see May 2015 update below) She liked to participate in various sports activities, could manage stairs independently, could somersault, jump with both feet and her coordination of hands and feet was similar to other children. Because of her congenital heart disease she couldn’t exercise as long as other children and would need to take a break halfway through. At 7 years old, when her report was written, she studied at a Society school. Her strong ability of adaption made her quickly integrate into her new school and foster family living. In the learning environment her cognitive abilities and memory were weaker than other students and she had trouble remembering what her teacher had said by the time she got home. Her concentration ability wasn’t high and she would look around during school and activities. She needed information repeated to help her remember it. She reacted quickly when she saw new things and loved to ask, “why” and “what.”

Abigail was described as being very cheerful and talkative. She initiated greetings and was polite to others. She could be a bit grabby and desired that people pay attention to her. Her language ability was normal and she could speak clearly with good sentence structure. She could properly express her wishes and respond to questions well. Abigail rarely became ill but occasionally would catch a cold.

In January 2014, when she was 6 years old, an ultrasound in her report indicated the following:

  1. The AAO and PA weren’t dilated. Their valve shapes were normal.
  2. Right heat enlarged a little. The others chamber were in normal range.
  3. The mitral and tricuspid valves were normal.
  4. No thickening of IVS was found, no regional wall motion abnormality.
  5. The perimembranous part was thin, which traveled between LV and RV like aneurysm. Its base was 9mm and deep was 6mm. No defect was found. The AS was continuous. 
  6. Doppler: no cross-septum flow of IVS and AS, mitral regurgitation area 1.5cm2, eccentric aortic regurgitation area 0.7 cm2, tricuspid regurgitation area 3.6cm2, PG 82mmHg, PASP 90mmHg  

Suggestion: Aneurysm of ventricular septum, no defect; Mild eccentric aortic regurgitation; Right heart larger with tricuspid regurgitation (mild-medium); PH (severe).

There are detailed vaccination and growth charts available from the time she entered her institute until the report was written.

In June 2014 Abigail was admitted to the hospital for a week with severe pneumonia. It was noted that she had VSD (ventricular septal defect), pulmonary hypertension and aortic prolapse. Eisenmenger’s Syndrome is also mentioned. Her discharge summary added Thrombocytopenia.

VIDEO PASSWORD: gabby

VIDEO PASSWORD: gabby1

VIDEO PASSWORD: gabby2

From Abigail’s best friend’s adoptive mama: 

In May 2015 an unofficial update indicated there was no new information available since her heart check in January 2014. They also stated that she was in 1st grade and a fast learner, could catch up with what was being taught during classes, was open-minded, attentive and had a good memory. Her motor skills were said to be good. She loved to smile, and could dance and sing. She could use scissors and painted with colorful pens. She could count and write numbers, and do addition and subtraction within 10. Her handwriting was good and she could write and read Chinese pinyin. She was receiving rehabilitation for her foot.

“From the person who runs the Sunshine School program in Abigail’s orphanage: Abigail has been with us since November, 2011. She is smart and eager to learn. Two years ago, she graduated from Sunshine Academy Kindergarten and studied in outside public elementary school. She had good performance at school, but because of her heart problem, she stayed in the hospital for a while and came back to Sunshine Academy elementary school after that. She is still a good learner and happy girl in our school. Now she is in our 1st grade.”

VIDEO PASSWORD:  Adoptmaa

https://vimeo.com/119712622

In September 2017 an unofficial update reported: she “has one clubbed foot and a congenital heart defect. Her foot does not impact her mobility in any way, but due to her heart condition she is unable to participate in activities for an extended period of time. Her orphanage states that her heart condition is stable at this time and that she does not need surgery in the near future. Despite her condition, she is very active and loves to be outside. She can walk, run, and even loves to dance!”

Abigail “goes to a regular school outside of the orphanage and is learning to read, write and enjoys sports. She finishes her homework on time and works hard in school. Her teachers state that she doesnot appear to have any learning or social delays. She is extremely smart and would thrive with the resources and educational opportunities a family could provide!”

An advocate who got to meet Abigail in her orphanage said, “She is tiny for an 11 year, even all bundled up, she seemed so small… This precious child was sweet and shy and just needs to come home. I was able to show beautiful Abigail a video of her precious friend who is now home but misses Abigail deeply. She smiled when she saw her friend’s face. When Abigail heard the message from her friend, her smile faded ever so slightly. On the video, Abigail’s sweet friend was telling her how much she missed her.”

In March 2018 a doctor described Abigail’s right foot by saying: “The angle between the internal and the external arch of the right foot was increased, and it changed horizontally. The anterior margin of the calcaneus of the right foot moved down. The central axis of the right talus was far away from the first metatarsal bone, the bone structure of the right foot and the tarsal bone was not obviously abnormal. There was no obvious abnormality in the metatarsophalangeal joints, tarsal joints and tarsal joints and there was no swelling in the soft tissue of the foot.” There are two X-ray pictures of her foot included with her report.

An ultrasound of Abigail’s heart was also completed at this time and her report indicated, “Right heart enlargement, right ventricular wall thickening, the thickest was about 7mm. Left atrioventricular chamber was not big, there was no obvious abnormalities in the heart cavity. The interventricular septum was continuous, the circumference of the interventricular septum was thin and the activity was large, the systolic phase was bulging to the right ventricle, about 6mm in depth, 9mm in the basal part, CDFI: no obvious blood flow signal was found. The left ventricular wall was not thick, and the motion of the left ventricular wall was normal at rest. The shape and activity of the valves were normal. The diameter of aorta and pulmonary artery was normal and no PDA sign was found. No liquid dark area in pericardial cavity. CDFI: aortic valve showed eccentricity reflux, color beam area 1.5cm2. Tricuspid regurgitation, color beam area 1.4cm2, maximum reflux velocity 426m/s, PG=72mmHg, and then estimate pulmonary arterial pressure 82mmHg. PW: The E peak of the mitral valve flow velocity was higher than that of A peak. TDI: The Ea peak of mitral annular interventricular septum was higher than that of Aa peak. Impression: Echo change of interventricular septum circumference, considering the formation of the tumor in the membrane, no obvious septal blood flow was found; Enlargement of right heart and thickening of right ventricular wall; Severe pulmonary hypertension; Mild regurgitation of tricuspid valve and aortic valves; Left ventricular systolic and diastolic function were well.”

There are some unknowns surrounding Abigail’s heart condition and the cause of her Pulmonary Hypertension. She desperately needs a family to pursue her that is open to whatever her future holds. This sweet girl deserves to know what it feels like to be loved and fought for by a forever family.

An update was requested in December 2018 which will be posted here if/when it is completed. Abigail needs a family to move forward with her adoption as soon as possible! 

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