Moving and Shaking in the NICU!

It is hard to believe that the quads made their grand appearance just over one week ago. It has been a busy week to say the least and we’ve seen them grow and change so much already. At birth, all four babies were put on a CPAP to ensure the constant flow of oxygen.  They were also found to have low levels of bilirubin (jaundice) and needed photo therapy.  Here are the updates on each baby-

Rylin and Harper began breathing room air and were taken off the CPAP on Tuesday morning. Their billi levels were also good so they was able to lose the psychedelic looking bilirubin lights on the same day! It was wonderful to finally see their beautiful faces and dark hair! Without all the garb we discovered that Harper is a furry little man. Of course it is just lanugo, which will fall out at some point. His just seems very dark and hairy in funny places like from his hairline to eyebrows! We will have to tease him about this when he is grown up. When we returned Wednesday, we were sad to see both Rylin and Harper sporting our old friend, Mr. CPAP.

Harper wearing the good old CPAP.

Harper working on his tan.

Rylin hoping for a golden brown tan.

Rylin and her pal, CPAP..

In the meantime, both babies stayed on “room air” with the CPAP until Saturday when they were able to get rid if it again! Without the CPAP bonnet, Rylin’s nurse decided it was time for a mini make over with hair combing and a bow! Both babies had a head ultrasound to check for brain bleeds and were clear.

Rylin with a sweet bow during tummy time!

Mason has turned out to be not only our chill guy, but also a breathing champ. He was the first off CPAP on Monday and he’s never looked back. We were warned he could be a “wimpy white boy” who could go right back on, but he proved everyone wrong. He has also been off the bilirubin lights since Tuesday and showed a normal head ultrasound. Since Mason’s face has been clear of garb for several days, he has become quite alert. He enjoys keeping his eyes open to explore the world nearby and constantly makes faces at us. We especially love his little mile and brow furrows.

Mason pretending he’s in Costa Rica.

Mason showing his siblings up- NO CPAP!

Sydney may be tiny, but she does her best to keep up with her siblings. Sunday after she was born, she was struggling to breathe. An x-ray completed bedside showed an air pocket outside her lungs. She had a pneumothorax (collapsed lung), which allowed air to leak around her left lung.  A chest tube was inserted to seal the leak. She then had x-rays every 12 hours until Tuesday when it was closed so the tube was removed. I could not watch the bedside tube removal, but George did. Her cries broke my heart, but I felt better when he told me she cried only when they removed her surgical tape. In sync with Rylin and Harper, Sydney also had her CPAP removed!  That meant a bow for tiny Sydney too.  We really worried hers might reappear and were so proud when we returned to zero CPAPs!

Sydney basking under the Mexican sun.

Sydney with good friend, CPAP.

Aww….Sydney has a bow head!

All four babies had their IV lines removed from their navel yesterday so we got to finally hold them!  Waiting over a week to hold your babies is absolutely excruciating!  We also were able to start Kangaroo care where we hold them skin to skin.  We are so proud of all of our babies and they amaze hospital staff daily.

George holding Sydney for the first time.

George holding Harper for the first time.

My first time holding Mason.

Holding Rylin for the first time.

We will do our best to keep the updates rolling in, but it is very difficult to drag us away from our precious babies.

hugs!

Amber and George

D Day!

This past week has been the most incredible one of our lives! Just one week ago George and I finally met our quadruplets and officially became parents of four. It is hard to even know where to begin with the story of their birth.

Last week Dr. Tabor bumped us up from once a week appointments to two. On Monday we went in for our first appointment of the week and he did a growth scan for the babies. At that time, Sydney had grown but was still measuring small for her gestational age. He didn’t make a big deal about it, but decided it was time for me to get steroid shots to help the babies develop needed surfactant for their lungs. I returned on Tuesday for the second round of steroids (two doses are administered 24 hours apart when delivery will likely occur soon). From what George and I read through Dr. Google, steroids are given when delivery is expected within a week. Dr. Tabor said there was no research about steroids and surfactant so he wasn’t necessarily planning to deliver within the week. When Sydney started pulling stunts around 24 weeks we told her to wait at least until 30 weeks and we would be okay if she wanted come meet us. Little did I know, Sydney would behave and I would unravel.

We returned on Thursday for another growth scan and Doppler to check on Sydney. At this point I was getting extremely large and uncomfortable, plus I was scared to be home knowing that anything could happen at any time (water breaking, contractions, ect). I was surprised I made it 30 weeks without being admitted to the hospital, but was ready. Many mothers expecting high order multiples are admitted around 20-25 weeks. I don’t know how I managed to escape, but I did every week. Perhaps it was all of your prayers?

Anyways…we went back on Thursday for our second appointment of the week. I went in feeling uncomfortable as usual, but nothing seemed different. However, when I was waiting for Dr. Tabor I started feeling “off”. I couldn’t put my finger on it, but I just didn’t feel good. As usual, my vitals were taken. This time, things were different. My blood pressure was really high and there was protein in my urine, which are signs of pre eclampsia. Dr. Tabor went on with the ultrasound and was satisfied with all four of the babies. He was concerned about me, however. Based on my blood pressure and protein he wasn’t ready to admit me to the hospital. On the other hand, I was ready and was going to start begging to stay out of pure fear. He ordered a blood panel to check platelets and said I would be admitted if they were low. We waited an hour for the results in the meantime Dr. Tabor delivered a baby (or maybe two). I was actually relieved to find that my platelets were low and he was admitting me. He let us know he would repeat the platelet count that evening and if they were too low, delivery would occur that night. Say what???? I was ready to deliver but hadn’t prepared for it to happen that night. We called our parents and my sister just in case and waited.

After admission, I found out that Dr. Tabor had a special project in store for me….24 hour urine analysis. This meant I had to document all fluids I took in, measure urine output, and collect urine for analysis. Let me tell you, that was fun times! GROSS! Anyways, that night my platelets were low but not too low so Dr. Tabor planned to order another panel in the morning to check them. Around 4:30 am, I was rudely awakened by a lab tech with harsh fluorescent lights and a nice blood draw. I managed to steal a few hours of sleep after that and continued the fun urine analysis. Around 7:30 am my nurse let me know that Dr. Tabor was stopping my urine analysis (it was supposed to finish around noon so we knew something was up). He came in just before 9:00 am and let us know that my proteins were really high and platelets were really low so it was D-Day! This time we were ready.

They posted this on the outside of my door. Seriously???

Within a short time from learning it was D-Day I was wheeled into surgery prep.I could not believe we made it to delivery day at 30 weeks, 5 days. I had two incredibly sweet (and excited) surgery prep nurses, Violet and Mary Walker. As part of my surgery prep, an IV of magnesium sulfate was started to prevent seizures after delivery. Let me say, I don’t wish that stuff on anyone, it’s awful. They buzzed about me getting everything ready and once I was prepped they took me into the OR. The whole time Violet and Mary Walker were prepping me I felt totally calm. That calm only lasted until we entered the bright sterile operating room and I looked around. It was intimidating and George could not be with me at this point. I felt totally alone. I started to panic when the anesthesiologist began to work on my spinal block. Mary Walker was so compassionate with me, knowing I was terrified. She hugged me while I got the spinal block and whispered a prayer into my ear. It made a HUGE difference for me and then I was ready. Thankfully, the spinal block worked quickly and I found my calm because it wasn’t long before the action started. There were exactly 30 medical professionals in the OR and they were also using the adjoining OR for us. George was situated right next to my head, which was very comforting. Dr. Tabor let him know he should stay there and not look over the surgical barrier.

Okay, I’m ready!
There is no one I’d rather be along my side for this adventure than George.

This is when it was like having an out of body experience. I couldn’t see anything or feel any pain, but there was a lot of tugging and pulling. I knew preemies often are not able to cry so I didn’t expect anything (or know what to expect anyways). Within a few short minutes I heard a tiny cry and someone said, “baby A, girl!” I heard my sweet baby Rylin crying. It was an amazing moment. Within the next minute both Harper and Sydney were born. Just like with Rylin, someone shouted “baby B, boy! baby C, girl!”, and both babies gave me the precious gift of crying. They cried! I also remember after Sydney was delivered that someone said, “This is supposed to be the little one?” I knew that was a good sign. Finally, Mason was born and he cried too. They were all born within just a few short minutes. Meanwhile, the delivery team worked rapidly to wrap each baby up settle them in an isolette to begin transportation to Cook Children’s. Each baby’s isolette was brought beside my bed briefly so I could see it before they left. I was allowed to touch little Mason’s hand for a moment since he was last to leave. It was all so fleeting.

George and the great Dr. Tabor!
Seeing the babies off
Mary Walker and Violet

Once my surgery was completed I was taken to recovery. Because I was on a magnesium IV I was incredibly uncomfortable and quite groggy. I remember family members coming to visit me and George going over to see the babies. By that evening, I was out of recovery and finally got to see our babies. Since I was still on IV’s I had to stay in bed. Violet and another nurse, Katie, wheeled my bed through labor and delivery then through the sky walk to Cook Children’s hospital. Taking a bed through a hospital that way is no easy feat and they didn’t know the layout of the hospital. Needless to say, there were lots of twists and turns along the way, which made me carsick. We finally arrived at the quad suite and they rolled me up to Sydney first. When I saw her little tiny hand, tears flowed. I just could not believe how tiny and beautiful she was and she was ok. After all those scares, she was here. I couldn’t stay long so then I got to meet Mason, Rylin and finally Harper. They were all so amazing. I kept thinking to myself, “Are they ours? Did we really deliver today?” It was the most surreal experience of my life. I waited so long to meet them and once they arrived I simply could not believe it. I felt as if I were watching someone else’s life unfold. I was able to stay just a few precious moments then had to return to my hospital room for more recovering.

I’m not going to lie, the night after delivery was perhaps the most miserable of my life, but at the same time I was overjoyed. I was on “NPO” orders, which means NOTHING by mouth. However, magnesium causes a horrible unquenchable thirst like I’ve never experienced. After a few hours of writing, my nurse, Phyllis, managed to get ice chips approved. If I could have lept out of bed, I would have bear hugged her. Ice never tasted so good. I ate ice chips all. night. long. They were so good that I would have taken a bag of them over any gourmet fare offered. Bless Phylis!

And, July 20, 2012 marked the first day of the rest of our lives as a family of six. We will be forever changed by the wonderful addition of forty tiny fingers and forty little toes.

Rylin Skye
3 lbs, 7.68 oz
16.14″

;

Harper Stone
3 lbs, 1.28 oz
15.15″ long

Sydney Raine
2 lbs, 5.28 oz
15.15″ long

Mason River
2 lbs, 14.46 oz
14.96″ long

Hugs!
Amber

(and George, Rylin, Harper, Sydney, and Mason!)

Sharing the News

The past few days have been incredibly exciting and busy for George and I as we transition to expectant parents to new parents of quadruplets. I was discharged from the hospital Monday and we have begun to spend increasing amounts of time with the bp babies in the NICU. I will find a spare moment very soon to document the babies’ birthday and to start bragging about them, in the meantime, enjoy the link below. It is footage from a local NBC news story!

http://www.nbcdfw.com/news/health/Keller-Couple-Welcomes-Quadruplets-163467626.html

Hugs,

Amber

Ps: As always, thank you for every prayer said on our behalf. The babies are doing great, but will still need prayers. They have a lot of growing to do and developmental milestones to meet.

Photo Debut

Hey this is Courtney again. Here is a quick update and some pictures. Amber is recovering and has been able to see the babies once. She is trying to go again this evening. The babies are doing well. They are breathing on their own, this got their first meal via a mouth tube. George is doing a great job taking care of everyone bewteen both hospitals.

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Getting ready for delivery

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Rylin

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Harper

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Mason

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Sydney

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Mom and Dad with Harper

D day is Near

Well folks, I had another blood draw this morning and platelets dropped. Dr. Tabor cut the 24 hour urine analysis short and found protein in my urine so I do have preeclampsia. This means today is delivery day! We are excited, and nervous to finally meet our babies. Please pray for a safe, uneventful delivery. Your prayers have taken us this far and we continue to need them.

Hugs,

Amber

Delivery Temporarily Averted

We just got my bloodwork back and platelets are okay for now.  They will continue to monitor my blood pressure and protein, and will likely re visit platelets tomorrow.  At least for tonight delivery was averted.  I am hoping we can get to 31 weeks (Sunday) at least, but really will be okay if we meet the babies before then.  Surpassing 30 weeks with quadruplets is not too shabby.  In the meantime, thank you for all of your prayers and kind thoughts!

hugs,

Amber

Admitted!

Today we had an appointment with Dr. Tabor to check on little Sydney. She and her siblings were champs! I, however, was the problem child. My blood pressure was high and there were traces of protein in my urine, which are precursors to pre eclampsia. Dr. Tabor ordered bloodwork and my platelet counts were low. Thus, I was admitted. At this time, my vitals are being monitored every four hours and I am completing a 24 hour urine analysis to check protein levels. I will have another blood draw this evening to check platelets. If they are low, we have to deliver tonight! If my platelets are ok, my vitals will be checked and delivery will occur if pre eclampsia is a problem. Dr. Tabor is thinking by Saturday! It is surreal how close we are to meeting our babies. Please keep us in your prayers as we approach delivery.

Hugs!

Amber

Here is my blood pressure

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While waiting for my results, George decided to clean his key chain Swiss Army knife and sliced his finger! Sheesh!

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30 weeks, 4 days

I’ll Get By With a Little Help from My Friends!

Today I had to return to the doctor for my second round of steroids, but George was at work and obviously I can’t drive. I actually haven’t driven since May 16th! Boy, that seems weird. Anyways, my friend, Neha, and her Mom, Amita, already planned to visit and bring lunch today. And Billie planned to bring dinner tonight so I devised a plan and enlisted their help.

I’ve never mentioned the ordeal we go through getting to the doctor,but thinking about how it took three people to do it today made it blog-worthy. Sometimes I just have to laugh about this sort of thing. Otherwise the flood gates could break.

Neha and Amita drove me to the hospital down the lovely highway 35 corridor complete with construction and bottle neck traffic. Upon arrival, Amita dropped me off with the valet so I could settle into my wheelchair. Usually at this point the valet guy that I befriended takes me to the lobby where I wait for George. This time, Neha then wheeled me to an elevator where we headed to the 6th floor. Once we got there, she wheeled me into the non-ADA compliant doctor’s office. You would think a doctor’s office inside a hospital would be ADA compliant, but nope. Navigating narrow doors and between waiting room chairs is a real treat. I checked in to get my steroid shot and we waited. Meanwhile, Amita navigated the gauntlet that is the parking garage. Once she got out of the garage, she descended the elevator to the ground floor then headed up the second elevator to meet us upstairs.

Billie also managed the parking garage gauntlet and traversed through the elevators. She finally met us in the waiting room and everyone had their parking ticket validated. The nurse finally called me back and Neha wheeled me into a room for my shot, which took a minute tops. All four of us reversed the previous steps of getting into the office. I ended up back with the valet while Billie picked up her car to take me home. This was roughly a two hour ordeal from start to finish. All that for a quick poke in the butt! Thank goodness for friends!

That being said, being temporarily disabled really makes you appreciate the little things in life like walking. While I’m not enjoying this aspect of the adventure, it is making me a better, hopefully more empathic person in the end. Many people that we brush by daily are not dealing with a disability on a temporary basis. It is their permanent reality and it’s not easy. They don’t want our pity, but may just need a hand every now and then or for someone to hold the door open.

Hugs,

Amber

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Roid Rage!

We had a great appointment with Dr. Tabor today. Each baby performed for our ultrasound tech, Samantha, with movements and practice breathing. They were all reluctant to show off, but in time, they did. I am relatively certain they were sleepy after the four ring circus they had in my stomach earlier in the day.  Dr. Tabor did a bio physical profile aka growth scan for everyone. Sydney remains our little peanut, but she did grow. At this point, she is in the 15th percentile overall. However, we were assured that there are no indications of illness or complications. Dr. Tabor said if she were in the 5th percentile or below he would be worried. She is simply small because there just isn’t much room. Mason is just slightly ahead of Sydney, but within normal limits. Rylin and Harper are on track for singletons! Apparently, everyone but Sydney has a large head.  Don’t worry though, they are within normal limits. It does run in the family too….my Grandma always says my Dad had a HUGE head.  Actually, he still has a big head. I suppose large heads will help store all of their brains.

Here are the current weight estimates:

Baby A, Rylin: 3 pounds, 4 ounces

Baby B, Harper: 3 pounds, 5 ounces

Baby C, Sydney: 2 pounds, 2 ounces

Baby D, Mason: 2 pounds, 14 ounces

Dr. Tabor wants to give Sydney more time to grow in the womb before we deliver. Our goal is now 32 weeks and I will have appointments twice weekly. If I’m not being admitted, two appointments per week will reassure me that the babies are okay. Since we should deliver within two weeks, I got my first round of steroids today. They are administered when babies will likely be delivered preterm to help them develop surfactant, which is a liquid substance that helps them breathe easily after birth. I go back tomorrow for round two. The fun part about steroids is that they sting after administration for at least 10 minutes and cause contractions. My stomach has been pretty much taught since 5:00, it’s nifty. George said its all just a “Roid rage”! Oh, and these steroids will not help build my muscle mass, darn!Workout on the red carpet  If I want to get abs like this chick, I will have to do it the hard way.  Work out!  These steroids simply won’t help my physique.

 

Before we left, we had a slew of questions and concerns, which Dr. Tabor calmly put to rest. (I was planning to let him have it.  After all, I am totally uncomfortable and my body is protesting this.  Plus, I get scared being at home.) I told him I was constantly uncomfortable and having tons of contractions, but he said this was okay unless there was pain. I told him I have to take Tylenol pm to get any sleep at night and he said, “Okay”. We ran through what to watch for, when to come in, and when to call 911. He doesn’t plan to admit me unless contractions are painful as home is a better place to be. I am constantly amazed when I get more time at home. However, at this point I need more babysitters when George is at work because anytime could be “go time”! Thankfully, my Dad is off work for the summer, and he likes movies.

Hugs!Amber

30 weeks, 1 day

 

 

Bed Rest Movie Reviews

I have officially been on bed rest eight weeks now, six of them strict (e.g. Mostly in bed). At first, I really didn’t watch much television mostly because I cut the cable in our bedroom (genius idea I know). I started with a list of sedentary activities to occupy myself: order various items for the babies, read several novels, write thank you notes, fill out insurance forms, contact insurance companies and human resources for work….you get the idea. Being on bed rest has not been easy for this fiercely independent busy body. Under normal circumstances, I don’t even sit still for a 30 minute sitcom in the DVR. That’s because if there’s a commercial, I figure it’s a good opportunity to get a few chores done like run a load of laundry. I also used to hit the gym 3-4 times a week for yoga classes or kickboxing with our trainer. And, we walked the dogs nightly. It pains me that they rarely if ever get walked and the outlook for future walks is grim.

As the weeks pass, I have pretty much attacked my sedentary to-do list and honestly don’t feel up to doing much. I don’t sleep much at night so the fatigue is insane and I am mostly uncomfortable. Thus, I am becoming an official movie watching professional. Gross, I know. I decided I should review the current movies I’ve seen while on bed rest. The fact that I am taking the time to do this is probably a testament to my utter boredom and attempt to maintain sanity.

Young Adult
Synopsis:Charlize Theron plays Mavis Gary, a writer of teen literature who returns to her small hometown to relive her glory days and attempt to reclaim her happily married high school sweetheart (Patrick Wilson). When returning home proves more difficult than she thought, Mavis forms an unusual bond with a former classmate (Patton Oswalt) who hasn’t quite gotten over high school, either. — (C) Paramount

My Two Cents: I felt duped by this one! It is NOT a comedy (its listed as a drama/ comedy) or even a dramedy for that matter. It was somewhat depressing as Mavis is basically an alcoholic who falls on her face throughout the movie. I would not bother with this one.

New Year’s Eve
Synopsis: New Year’s Eve celebrates love, hope, forgiveness, second chances and fresh starts, in the intertwining stories told amidst the pulse and promise of New York City on the most dazzling night of the year. — (C) Warner Bros

My Two Cents: This was a good mood provoking movie even though it was predictable and didn’t have a ton of plot. It’s worth a dollar redbox movie night.

21 Jump Street
Synopsis: In the action-comedy 21 Jump Street, Schmidt (Jonah Hill) and Jenko (Channing Tatum) are more than ready to leave their adolescent problems behind. Joining the police force and the secret Jump Street unit, they use their youthful appearances to go undercover in a local high school. As they trade in their guns and badges for backpacks, Schmidt and Jenko risk their lives to investigate a violent and dangerous drug ring. But they find that high school is nothing like they left it just a few years earlier – and neither expects that they will have to confront the terror and anxiety of being a teenager again and all the issues they thought they had left behind. — (C) Sony Pictures

My Two Cents: Okay, this one was pretty cheesy and predictable, but has it’s laugh worthy moments. I liked that Johnny Depp made an appearance as an homage to his days on the television show. Channing Tatum makes for good eye candy so that helps this movie. Again, worth renting from redbox for a buck, but that’s it.

Mirror Mirror
Synopsis: One of the most beloved stories of all time is coming to life in the motion picture event for the whole family, Mirror Mirror. A fresh and funny retelling of the Snow White legend, Mirror Mirror features breakout star Lily Collins as Snow White, a princess in exile, and Julia Roberts as the evil Queen who ruthlessly rules her captured kingdom. Seven courageous rebel dwarfs join forces with Snow White as she fights to reclaim her birthright and win her Prince in this magical comedy filled with jealousy, romance, and betrayal that will capture the hearts and imaginations of audiences the world over. The film also stars Armie Hammer as the Prince, and Nathan Lane as the hapless and bungling servant to the Queen. — (C) Relativity

My Two Cents: I have to admit, I am a sucker for fairy tales so I liked this one a lot. The set and costumes were whimsy and I loved them. The story is mostly the one you know with a few twists. I say this one is worthwhile.

Wanderlust
Synopsis: George (Paul Rudd) and Linda (Jennifer Aniston) are an overextended, stressed out Manhattan couple. After George is downsized out of his job, they find themselves with only one option: to move in with George’s awful brother in Atlanta. On the way there, George and Linda stumble upon Elysium, an idyllic community populated by colorful characters who embrace a different way of looking at things. Money? It can’t buy happiness. Careers? Who needs them? Clothes? Only if you want them. Is Elysium the fresh start George and Linda need? Or will the change of perspective cause more problems than it solves? — (C) Universal

My Two Cents: Ugh!!! I like Paul Rudd and Jennifer Aniston, but this movie fell flat. There seemed to be holes in the story leaving me to think I missed something. The best parts were when Paul Rudd seemed to be improvising. Seriously, not worth your time.

We Bought a Zoo
Synopsis: This holiday season, acclaimed filmmaker Cameron Crowe (Jerry Maguire, Almost Famous) directs an amazing and true story about a single dad (Matt Damon) who decides his family needs a fresh start, so he and his two children move to the most unlikely of places: a zoo. With the help of an eclectic staff, and with many misadventures along the way, the family works to return the dilapidated zoo to its former wonder and glory. — (C) Official Site

My Two Cents: This was a sweet story inspired by a real family. I found it heartwarming and endearing. The little girl who plays Rosie, Matt Damon’s daughter, totally makes this movie. I say give it a whirl.

The Vow
Synopsis: A newlywed couple (Channing Tatum) recovers from a car accident that puts the wife (rachel McAdams) in a coma. Waking up with severe memory loss, her husband endeavors to win her heart again. — (C) Sony Pictures

My Two Cents: Although it was melancholy at times, this was a sweet love story by Nicholas Sparks. It makes you want to cherish each moment. Again, Channing Tatum served as eye candy at the very least. Worthy of a rental.

American Reunion
Synopsis: In the comedy American Reunion, all the American Pie characters we met a little more than a decade ago return to East Great Falls for their high-school reunion. In one long-overdue weekend, they will discover what has changed, who hasn’t and that time and distance can’t break the bonds of friendship. It was summer 1999 when four small-town Michigan boys began a quest to lose their virginity. In the years that have passed, Jim and Michelle married while Kevin and Vicky said goodbye. Oz and Heather grew apart, but Finch still longs for Stifler’s mom. Now these lifelong friends have come home as adults to reminisce about-and get inspired by-the hormonal teens who launched a comedy legend. — (C) Universal

My Two Cents: I have to admit….this one is sort of a guilty pleasure. The American Pie series came out when I was in high school so it is reminiscent for George and I. As the rest of the series, this one is down right raunchy and not for your mother. If you graduated in the 90’s you’d probably appreciate it.

Any suggestions about movies I should watch??? I have plenty of time for at home movies, and I have Netflix online.

Hugs,

Amber

Movie synopsis courtesy of Rotten Tomatoes

http://www.rottentomatoes.com/

29 weeks, 6 days