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RSV Prevention and Preemie Awareness Day

in education, families, health, multiples, parenting, reviews on 11/24/11

During my pregnancy with my twin boys, I was considered a high-risk pregnancy.  Almost always women who are carrying twins or multiples are considered high-risk because of the complications that can be associated with carrying more than one child within the womb.  Having already given birth naturally to my eldest son years earlier, I was conscious about the difference in pregnancies from carrying one to now two babies at once.  Most of my pregnancy was pretty normal in terms of carrying twins and symptoms.  I knew and understand that most multiples were born early and have a high rate of being born early, premature labor (preemies).  Statistics show that seventy percent of multiples are born before their due date. With triplets, quadruplets and other higher order multiples, the odds are higher, nearly 100 percent. 

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I was prepared and scheduled for a C-section in mid-December.  My husband had been on military deployment overseas for almost the entire pregnancy and I knew he would be home December to witness the birth of the twins.  However, two unexpected things occurred…my husband came home in mid-November and my water broke in the early hours of Thanksgiving Day.  The twins arrived at 35 weeks at on Thanksgiving Day weighing in at 4lbs and 5 oz and 4lbs and 13 oz.  Although premature, thankfully, the twins were healthy and developed enough that they did not have to spend any of the time in the hospital in the NICU or inside of an incubator.  However, for the more than half a million American babies born prematurely each year, this often isn’t the case. Many parents of preterm infants are unprepared for the special medical care preemies often require.

According to a March of Dimes survey, most expecting parents don’t discuss preterm birth with their doctor during prenatal care, even if they are at high risk. November 17 has been designated as World Prematurity Day to help raise awareness about preterm birth and its complications, including the risk of respiratory syncytial virus (RSV). 

Prematurity, defined as being born before 37 weeks completed gestation, disrupts a baby’s development in the womb, often stunting the growth of some of the body’s most critical organs. At birth, preemies often have difficulty with breathing, feeding and maintaining temperature. Because their immune systems haven’t had time to fully mature, preterm infants are more likely to develop infections, and because their lungs are underdeveloped, they are more susceptible to respiratory problems.

For example, nearly every baby contracts respiratory syncytial virus (RSV) by age two. In most full-term babies, symptoms are similar to those of the common cold and parents may not even know their child has the virus. However, because they don’t have the antibodies needed to fight off infection, preterm infants—even those born just a few weeks early—are at increased risk for developing an RSV-related infection, often requiring medical attention or hospitalization. Parents should speak with their pediatrician to find out if their baby is at high risk for developing severe RSV disease, and how they can prevent against RSV this winter.

RSV Quick Facts

·         RSV is the leading cause of infant hospitalization, responsible for more than 125,000 hospitalizations and up to 500 infant deaths each year.

·         RSV occurs in epidemics each fall through spring. The CDC has defined “RSV season” as beginning in November and lasting through March for most parts of North America.

·         Certain regions have longer RSV seasons than others, with the season beginning as early as July (e.g., Florida) or ending in April.

·         Despite its prevalence, one-third of mothers have never heard of RSV.

Prevention is Key

There is no treatment for RSV, so it’s important for parents to take the following preventive steps to help protect their child:

·         Wash hands, toys, bedding, and play areas frequently

·         Ensure you, your family, and any visitors in your home wash their hands or use hand sanitizer

·         Avoid large crowds and people who may be sick

·         Never let anyone smoke near your baby

·         Speak with your child’s doctor if you believe he or she may be at high risk for RSV, as a preventive therapy may be available

Be Aware of Symptoms

Contact your child’s pediatrician immediately if your child exhibits one or more of the following:

·         Persistent coughing or wheezing

·         Rapid, difficult, or gasping breaths

·         Blue color on the lips, mouth, or under the fingernails

·         High fever

·         Extreme fatigue

·         Difficulty feeding


With more 13 million babies worldwide affected by prematurity, all parents should be aware of this important issue.  To learn more about RSV, visit www.rsvprotection.com. For more about the specialized health needs of preterm infants, visit www.preemievoices.com.

Disclosure: “I wrote this review while participating in a blog tour by Mom Central Consulting on behalf of MedImmune and received a promotional item to thank me for taking the time to participate.”

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Comments

  1. Katherine Bell (Mama Kate) says

    November 24, 2011 at 3:14 PM

    What an adorable newborn picture of your twins! A great blessing on Thanksgiving. Thanks for sharing such important information about RSV!

  2. Regina Belle says

    November 25, 2011 at 2:06 AM

    Happy Thanksgiving! My son developed RSV and it was a scary experience. We were in the hospital for about a week. Wish I would have known about the symptoms beforehand. Great post!

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Oh, sweet boy. To know you is to love you. While you may not talk much yet, your understanding and receptive language skills has grown tremendously. Even as a very smiley infant (pre-Autism), you would look at people intently and stop smiling or even cry if you didn’t like something about them. Today, this has deepened. When you’re uncomfortable with someone, you back away, narrow your eyes at their gaze, and refrain from smiling or laughing towards them. You won’t hug them or verbally say Hi or Goodbye to them. You express your feelings clearly—it’s a God-given discernment.

Your birth and life has been and continues to be a call to action. We have launched, expanded, and are continuously developing programs that are providing aid, counseling, empowerment, job training, support, resources, and so much more to families with special needs and those who are neurodiverse. As we advocate for others, we will always prioritize you and your needs. If there’s someone you don’t like, then we don’t like them either! 💪👊
#JoshuasAngels # JoshuaHeroes #IStandWithJoshua #autism #SpecialNeedsParenting
#HopeTorchlighters #DisabilityMinistry

Oh, sweet boy. To know you is to love you. While you may not talk much yet, your understanding and receptive language skills has grown tremendously. Even as a very smiley infant (pre-Autism), you would look at people intently and stop smiling or even cry if you didn’t like something about them. Today, this has deepened. When you’re uncomfortable with someone, you back away, narrow your eyes at their gaze, and refrain from smiling or laughing towards them. You won’t hug them or verbally say Hi or Goodbye to them. You express your feelings clearly—it’s a God-given discernment.

Your birth and life has been and continues to be a call to action. We have launched, expanded, and are continuously developing programs that are providing aid, counseling, empowerment, job training, support, resources, and so much more to families with special needs and those who are neurodiverse. As we advocate for others, we will always prioritize you and your needs. If there’s someone you don’t like, then we don’t like them either! 💪👊
#JoshuasAngels # JoshuaHeroes #IStandWithJoshua #autism #SpecialNeedsParenting
#HopeTorchlighters #DisabilityMinistry
...

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drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

May 12

Open post by drjoscelynramoscampbell with ID 18011941109549313
💐 Thankful for the beautiful mothers I was able to spend time with on Mother’s Day, or shared a virtual sentiment. 
💐 Thankful for all my boys who made my day!
💐 Moms, you are loved, needed, wanted, appreciated, and are a blessing. Without you, there would be no us. Happy Mother’s Day! 
#happymothersday #FelizDiaDeLasMadres

💐 Thankful for the beautiful mothers I was able to spend time with on Mother’s Day, or shared a virtual sentiment.
💐 Thankful for all my boys who made my day!
💐 Moms, you are loved, needed, wanted, appreciated, and are a blessing. Without you, there would be no us. Happy Mother’s Day!
#happymothersday #FelizDiaDeLasMadres
...

15 0

drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

May 11

Open post by drjoscelynramoscampbell with ID 18087162901628172
💐 Happy Heavenly Mother’s Day, Mommy! You are missed and thought of every day. Your amazing life was grounded in Philippians 4:13, and your impact resonated far and wide, rooted in faith and love. Your grandsons and I feel blessed to carry on your powerful legacy. We love you so much! #HappyHeavenlyMothersDay #HappyMothersDay #LoveAndMissYouMommy 🌸🌺🌹

💐 Happy Heavenly Mother’s Day, Mommy! You are missed and thought of every day. Your amazing life was grounded in Philippians 4:13, and your impact resonated far and wide, rooted in faith and love. Your grandsons and I feel blessed to carry on your powerful legacy. We love you so much! #HappyHeavenlyMothersDay #HappyMothersDay #LoveAndMissYouMommy 🌸🌺🌹 ...

7 0

drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

May 10

Open post by drjoscelynramoscampbell with ID 18005848163591663
#repost @hopeinternationalchurch 
We were grateful for an evening of collaboration and fellowship with our fellow community pastors. Together, we are stronger and more united in our mission to serve our community. #FaithInAction #CommunityPastors #Unity #HopeInAction @hopetorchlighters #disabilityministry

#repost @hopeinternationalchurch
We were grateful for an evening of collaboration and fellowship with our fellow community pastors. Together, we are stronger and more united in our mission to serve our community. #FaithInAction #CommunityPastors #Unity #HopeInAction @hopetorchlighters #disabilityministry
...

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drjoscelynramoscampbell

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May 1

Open post by drjoscelynramoscampbell with ID 18065477816060473
🏅 Last month our dynamic duo, Jonathan & Jeremy, who are dual enrolled at @hopepreparatoryacademy and at @lakesumterstatecollege were selected to join The National Society of Leadership and Success. 
🏅Today, Jonathan & Jeremy were inducted into the @nationalhonorsociety! 
🏅 Their remarkable intelligence fills us with joy, but it is the depth of their character and their unwavering commitment to serving others that truly inspires us, filling our hearts with profound love and admiration for who they are.
🏅 We miss Mom and Dad every day, especially on days like today. The beauty of their legacy is that as my parents served and advocated for others, they instilled the same biblical principles in me and helped to pass on to their twin grandsons. 
🏅God has been faithful to surround us with very special people who have loved us, the twins, and have shown up in their lives beyond just the labels of being related or church family or friends—its simply FAMILY. 
🏅THANK YOU for making the National Honor Society induction such a special occasion for them this week Tio Joaquin, Titi Alexandra, & Uncle Mikey, Titi Penny & Luis, Uncle Tj & Aunt Meraiah, Grandmom “Gigi” Jodie, Grandpa “Papa T” Tony, Aunt Khrystyna, Mother Mary, HPA Principal Tawanda Odom, HPA Head of Schools Michael Randolph, HPA Assistant Principal Sharnae Daniels, and our Hope Family. 
🏅 🚔 Special THANK YOU to the wonderful Chief Shawn Ramsey of the Groveland Police Department for taking time out of his busy schedule to continually demonstrate his genuine care and commitment to community outreach.
#twins #jonathan #jeremy #dynamicduo #DualEnrollment #HPA #nationalhonorsociety #nationalhonorsocietyinduction

🏅 Last month our dynamic duo, Jonathan & Jeremy, who are dual enrolled at @hopepreparatoryacademy and at @lakesumterstatecollege were selected to join The National Society of Leadership and Success.
🏅Today, Jonathan & Jeremy were inducted into the @nationalhonorsociety!
🏅 Their remarkable intelligence fills us with joy, but it is the depth of their character and their unwavering commitment to serving others that truly inspires us, filling our hearts with profound love and admiration for who they are.
🏅 We miss Mom and Dad every day, especially on days like today. The beauty of their legacy is that as my parents served and advocated for others, they instilled the same biblical principles in me and helped to pass on to their twin grandsons.
🏅God has been faithful to surround us with very special people who have loved us, the twins, and have shown up in their lives beyond just the labels of being related or church family or friends—its simply FAMILY.
🏅THANK YOU for making the National Honor Society induction such a special occasion for them this week Tio Joaquin, Titi Alexandra, & Uncle Mikey, Titi Penny & Luis, Uncle Tj & Aunt Meraiah, Grandmom “Gigi” Jodie, Grandpa “Papa T” Tony, Aunt Khrystyna, Mother Mary, HPA Principal Tawanda Odom, HPA Head of Schools Michael Randolph, HPA Assistant Principal Sharnae Daniels, and our Hope Family.
🏅 🚔 Special THANK YOU to the wonderful Chief Shawn Ramsey of the Groveland Police Department for taking time out of his busy schedule to continually demonstrate his genuine care and commitment to community outreach.
#twins #jonathan #jeremy #dynamicduo #DualEnrollment #HPA #nationalhonorsociety #nationalhonorsocietyinduction
...

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drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

Apr 14

Open post by drjoscelynramoscampbell with ID 18266025487279916
🥳 Happy Birthday to Joshua, our favorite Aquaboy! 
🌊 He loves playing outside, and his ultimate favorite activity is being in the water. Whether it’s the ocean, a pool, or a lazy river, any body of water is his happy place. Swimming underwater from one side of a 6-foot pool to the other has been second nature to him since he was just 3 years old. In the water, no impairment or disability matters. 
🌊 Today, he spent his birthday doing what he loves: jumping, diving, swimming, and laughing. This day would has been made possible by my dearly departed parents and his beloved late grandparents. However, Joshua still had a wonderful day because he is blessed to have a chosen family that loves and cares for him. Thank you to his cherished earthly grandparents and his earthly aunt and uncle for making this birthday so special! ♥️ Joshua loves you all more than you know! 
✝️ Jeremiah 29:11 says, “For I know the plans I have for you,” declares the LORD, “plans to prosper you and not to harm you, plans to give you hope and a future.” 
🥳 Happy Birthday, Joshua! Feliz Cumpleaños! 🥳🎂🧩💙 #Happy10thBirthdayJoshua #HappyBirthdayJoshua #JoshuasAngels #TeamJoshua #AutismAcceptanceMonth #WorldAutismAwareness

🥳 Happy Birthday to Joshua, our favorite Aquaboy!
🌊 He loves playing outside, and his ultimate favorite activity is being in the water. Whether it’s the ocean, a pool, or a lazy river, any body of water is his happy place. Swimming underwater from one side of a 6-foot pool to the other has been second nature to him since he was just 3 years old. In the water, no impairment or disability matters.
🌊 Today, he spent his birthday doing what he loves: jumping, diving, swimming, and laughing. This day would has been made possible by my dearly departed parents and his beloved late grandparents. However, Joshua still had a wonderful day because he is blessed to have a chosen family that loves and cares for him. Thank you to his cherished earthly grandparents and his earthly aunt and uncle for making this birthday so special! ♥️ Joshua loves you all more than you know!
✝️ Jeremiah 29:11 says, “For I know the plans I have for you,” declares the LORD, “plans to prosper you and not to harm you, plans to give you hope and a future.”
🥳 Happy Birthday, Joshua! Feliz Cumpleaños! 🥳🎂🧩💙 #Happy10thBirthdayJoshua #HappyBirthdayJoshua #JoshuasAngels #TeamJoshua #AutismAcceptanceMonth #WorldAutismAwareness
...

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drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

May 15

Open post by drjoscelynramoscampbell with ID 18276241012284537
Oh, sweet boy. To know you is to love you. While you may not talk much yet, your understanding and receptive language skills has grown tremendously. Even as a very smiley infant (pre-Autism), you would look at people intently and stop smiling or even cry if you didn’t like something about them. Today, this has deepened. When you’re uncomfortable with someone, you back away, narrow your eyes at their gaze, and refrain from smiling or laughing towards them. You won’t hug them or verbally say Hi or Goodbye to them. You express your feelings clearly—it’s a God-given discernment.

Your birth and life has been and continues to be a call to action. We have launched, expanded, and are continuously developing programs that are providing aid, counseling, empowerment, job training, support, resources, and so much more to families with special needs and those who are neurodiverse. As we advocate for others, we will always prioritize you and your needs. If there’s someone you don’t like, then we don’t like them either! 💪👊
#JoshuasAngels # JoshuaHeroes #IStandWithJoshua #autism #SpecialNeedsParenting
#HopeTorchlighters #DisabilityMinistry

Oh, sweet boy. To know you is to love you. While you may not talk much yet, your understanding and receptive language skills has grown tremendously. Even as a very smiley infant (pre-Autism), you would look at people intently and stop smiling or even cry if you didn’t like something about them. Today, this has deepened. When you’re uncomfortable with someone, you back away, narrow your eyes at their gaze, and refrain from smiling or laughing towards them. You won’t hug them or verbally say Hi or Goodbye to them. You express your feelings clearly—it’s a God-given discernment.

Your birth and life has been and continues to be a call to action. We have launched, expanded, and are continuously developing programs that are providing aid, counseling, empowerment, job training, support, resources, and so much more to families with special needs and those who are neurodiverse. As we advocate for others, we will always prioritize you and your needs. If there’s someone you don’t like, then we don’t like them either! 💪👊
#JoshuasAngels # JoshuaHeroes #IStandWithJoshua #autism #SpecialNeedsParenting
#HopeTorchlighters #DisabilityMinistry
...

106 0

drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

May 12

Open post by drjoscelynramoscampbell with ID 18011941109549313
💐 Thankful for the beautiful mothers I was able to spend time with on Mother’s Day, or shared a virtual sentiment. 
💐 Thankful for all my boys who made my day!
💐 Moms, you are loved, needed, wanted, appreciated, and are a blessing. Without you, there would be no us. Happy Mother’s Day! 
#happymothersday #FelizDiaDeLasMadres

💐 Thankful for the beautiful mothers I was able to spend time with on Mother’s Day, or shared a virtual sentiment.
💐 Thankful for all my boys who made my day!
💐 Moms, you are loved, needed, wanted, appreciated, and are a blessing. Without you, there would be no us. Happy Mother’s Day!
#happymothersday #FelizDiaDeLasMadres
...

15 0

drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

May 11

Open post by drjoscelynramoscampbell with ID 18087162901628172
💐 Happy Heavenly Mother’s Day, Mommy! You are missed and thought of every day. Your amazing life was grounded in Philippians 4:13, and your impact resonated far and wide, rooted in faith and love. Your grandsons and I feel blessed to carry on your powerful legacy. We love you so much! #HappyHeavenlyMothersDay #HappyMothersDay #LoveAndMissYouMommy 🌸🌺🌹

💐 Happy Heavenly Mother’s Day, Mommy! You are missed and thought of every day. Your amazing life was grounded in Philippians 4:13, and your impact resonated far and wide, rooted in faith and love. Your grandsons and I feel blessed to carry on your powerful legacy. We love you so much! #HappyHeavenlyMothersDay #HappyMothersDay #LoveAndMissYouMommy 🌸🌺🌹 ...

7 0

drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

May 10

Open post by drjoscelynramoscampbell with ID 18005848163591663
#repost @hopeinternationalchurch 
We were grateful for an evening of collaboration and fellowship with our fellow community pastors. Together, we are stronger and more united in our mission to serve our community. #FaithInAction #CommunityPastors #Unity #HopeInAction @hopetorchlighters #disabilityministry

#repost @hopeinternationalchurch
We were grateful for an evening of collaboration and fellowship with our fellow community pastors. Together, we are stronger and more united in our mission to serve our community. #FaithInAction #CommunityPastors #Unity #HopeInAction @hopetorchlighters #disabilityministry
...

12 0

drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

May 1

Open post by drjoscelynramoscampbell with ID 18065477816060473
🏅 Last month our dynamic duo, Jonathan & Jeremy, who are dual enrolled at @hopepreparatoryacademy and at @lakesumterstatecollege were selected to join The National Society of Leadership and Success. 
🏅Today, Jonathan & Jeremy were inducted into the @nationalhonorsociety! 
🏅 Their remarkable intelligence fills us with joy, but it is the depth of their character and their unwavering commitment to serving others that truly inspires us, filling our hearts with profound love and admiration for who they are.
🏅 We miss Mom and Dad every day, especially on days like today. The beauty of their legacy is that as my parents served and advocated for others, they instilled the same biblical principles in me and helped to pass on to their twin grandsons. 
🏅God has been faithful to surround us with very special people who have loved us, the twins, and have shown up in their lives beyond just the labels of being related or church family or friends—its simply FAMILY. 
🏅THANK YOU for making the National Honor Society induction such a special occasion for them this week Tio Joaquin, Titi Alexandra, & Uncle Mikey, Titi Penny & Luis, Uncle Tj & Aunt Meraiah, Grandmom “Gigi” Jodie, Grandpa “Papa T” Tony, Aunt Khrystyna, Mother Mary, HPA Principal Tawanda Odom, HPA Head of Schools Michael Randolph, HPA Assistant Principal Sharnae Daniels, and our Hope Family. 
🏅 🚔 Special THANK YOU to the wonderful Chief Shawn Ramsey of the Groveland Police Department for taking time out of his busy schedule to continually demonstrate his genuine care and commitment to community outreach.
#twins #jonathan #jeremy #dynamicduo #DualEnrollment #HPA #nationalhonorsociety #nationalhonorsocietyinduction

🏅 Last month our dynamic duo, Jonathan & Jeremy, who are dual enrolled at @hopepreparatoryacademy and at @lakesumterstatecollege were selected to join The National Society of Leadership and Success.
🏅Today, Jonathan & Jeremy were inducted into the @nationalhonorsociety!
🏅 Their remarkable intelligence fills us with joy, but it is the depth of their character and their unwavering commitment to serving others that truly inspires us, filling our hearts with profound love and admiration for who they are.
🏅 We miss Mom and Dad every day, especially on days like today. The beauty of their legacy is that as my parents served and advocated for others, they instilled the same biblical principles in me and helped to pass on to their twin grandsons.
🏅God has been faithful to surround us with very special people who have loved us, the twins, and have shown up in their lives beyond just the labels of being related or church family or friends—its simply FAMILY.
🏅THANK YOU for making the National Honor Society induction such a special occasion for them this week Tio Joaquin, Titi Alexandra, & Uncle Mikey, Titi Penny & Luis, Uncle Tj & Aunt Meraiah, Grandmom “Gigi” Jodie, Grandpa “Papa T” Tony, Aunt Khrystyna, Mother Mary, HPA Principal Tawanda Odom, HPA Head of Schools Michael Randolph, HPA Assistant Principal Sharnae Daniels, and our Hope Family.
🏅 🚔 Special THANK YOU to the wonderful Chief Shawn Ramsey of the Groveland Police Department for taking time out of his busy schedule to continually demonstrate his genuine care and commitment to community outreach.
#twins #jonathan #jeremy #dynamicduo #DualEnrollment #HPA #nationalhonorsociety #nationalhonorsocietyinduction
...

75 1

drjoscelynramoscampbell

View Instagram post by drjoscelynramoscampbell

Apr 14

Open post by drjoscelynramoscampbell with ID 18266025487279916
🥳 Happy Birthday to Joshua, our favorite Aquaboy! 
🌊 He loves playing outside, and his ultimate favorite activity is being in the water. Whether it’s the ocean, a pool, or a lazy river, any body of water is his happy place. Swimming underwater from one side of a 6-foot pool to the other has been second nature to him since he was just 3 years old. In the water, no impairment or disability matters. 
🌊 Today, he spent his birthday doing what he loves: jumping, diving, swimming, and laughing. This day would has been made possible by my dearly departed parents and his beloved late grandparents. However, Joshua still had a wonderful day because he is blessed to have a chosen family that loves and cares for him. Thank you to his cherished earthly grandparents and his earthly aunt and uncle for making this birthday so special! ♥️ Joshua loves you all more than you know! 
✝️ Jeremiah 29:11 says, “For I know the plans I have for you,” declares the LORD, “plans to prosper you and not to harm you, plans to give you hope and a future.” 
🥳 Happy Birthday, Joshua! Feliz Cumpleaños! 🥳🎂🧩💙 #Happy10thBirthdayJoshua #HappyBirthdayJoshua #JoshuasAngels #TeamJoshua #AutismAcceptanceMonth #WorldAutismAwareness

🥳 Happy Birthday to Joshua, our favorite Aquaboy!
🌊 He loves playing outside, and his ultimate favorite activity is being in the water. Whether it’s the ocean, a pool, or a lazy river, any body of water is his happy place. Swimming underwater from one side of a 6-foot pool to the other has been second nature to him since he was just 3 years old. In the water, no impairment or disability matters.
🌊 Today, he spent his birthday doing what he loves: jumping, diving, swimming, and laughing. This day would has been made possible by my dearly departed parents and his beloved late grandparents. However, Joshua still had a wonderful day because he is blessed to have a chosen family that loves and cares for him. Thank you to his cherished earthly grandparents and his earthly aunt and uncle for making this birthday so special! ♥️ Joshua loves you all more than you know!
✝️ Jeremiah 29:11 says, “For I know the plans I have for you,” declares the LORD, “plans to prosper you and not to harm you, plans to give you hope and a future.”
🥳 Happy Birthday, Joshua! Feliz Cumpleaños! 🥳🎂🧩💙 #Happy10thBirthdayJoshua #HappyBirthdayJoshua #JoshuasAngels #TeamJoshua #AutismAcceptanceMonth #WorldAutismAwareness
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