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Sierra Alexandria passed away at age 90 years old on May 14th, 2018 in the comfort of her own home. She died of a fatal concussion as a result of falling down the stairs at her home. She survived by her 86 year old wife, Barbara Alexandria. Barbara continues to reside in what was once their shared Caribbean mansion.

A memorial remembering Sierra will be held this Friday, May 18th at 2 pm at Thomas Poteet & Sons Funeral Home. 214 Davis Rd. Augusta, GA 30907. Charitable donations will go toward Health Occupation Students of America (HOSA), as it was always a passion of hers to educate the future generation of healthcare  providers.

Sierra Alexandria was born on March 22, 2018 at Doctor's Hospital in Augusta, GA to Joel Deserto and multiple partners. Sierra was previously married to Steve Carrel and divorced at age 30. She later remarried to her current living spouse at 44 years old. She met Barbara in Medical College and the rest was history.

Sierra finished her residency at Medical College of Georgia in the top of her class, with highest honors. She continued a career at MCG as a general surgeon. She continued to teach at MCG until she retired at 75 years old.

She was a member of HOSA and the American Surgical Association (ASA) as an adult. She enjoyed running, and had a passion for gymnastics for her whole life. She was always the most intelligent person in the room and had a special talent of reaching and touching others regardless of where they were in life. She will be greatly missed and her contributions to this Earth will always be remembered.

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At the young age of 65 she is married to a woman and they live a happy life together.  Alexandria has started experiencing life review, recollecting important key moments in her life and reflecting on her impact to the world and all of the people she has helped through out her continuing medical career and newly surfaced dream career of teaching the newer generations as a professor at her graduated college. Most, if not all of her relationships are now contributing and all of the toxic relations have been cut in order to improve her own life. Her biggest influence is her life partner and her parents that live in her mansion sized vacation home out in the Caribbean.

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At the age of 65 years Sierra Alexandria, is still healthy, however she no longer runs any more because of her age, however, she walks more. She has more wrinkles and because of her job and her daily morning walk, her feet starts to hurt more and she is now experiencing more back aches, pain, and slight vision decline. Her sleep schedule has changed due to her age, she now needs 7 to 8 hours of sleep.

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Sierra Alexandria is 65 years old, and although she has experienced some signs of neurogenesis, she has been active her entire life so she is still very sharp minded due to her physical activity and healthy diet. She sleeps less than she used to, but has made changes in her diet to avoid pharmaceutical treatments. She is able to reflect on the ups and downs of her life, and it results in wisdom at her current age. She realizes that changes are being made to physical and mental health, but she is patient with herself as she knows these things are natural. She also just landed the job she has dreamed of every since residency. She is still a part-time practicing surgeon, but she landed a job as a clinical professor at MCG, where she graduated. She is very content and lives a happy life with little stress, which contributes greatly to her cognitive domain.

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She is classified as "young old", she is 65 years young

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At the age of 30 our young adult is continuously losing weight. She is so stressed out from the divorce. She still likes men and her sex drive is very high. Her health is fine and she is coping with the stress by running every morning.

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Sierra Alexandria is a second year resident at Medical College of Georgia. Her social life is very limited, and her marriage is falling apart after 5 years with her spouse. Nearly all aspects of her life revolves around her studies, and left her very little time for her husband. She recently found out that her husband has been cheating on her, and plans to leave her. This has added additional stress to her already rigorous schedule, and she now shows a few signs of acute depression. She does not have many friends to turn to with the issue, aside from a few peers. She has found some comfort by coming home and spending time with her family on the few weekends that she is not working or on call. She does not have a particularly active sex life, and considering her current life circumstances it is not very high on her priority list. However, there is another Doctor in her residency that she has always "clicked" with, but never acted on.

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Throughout her life, Sierra, has shown extreme potential and cognitive growth. As she proceeded through college at Medical College of Georgia, Sierra has further stretched her cognitive horizons, exceeding expectations and graduating top of the class, this has allowed her to pursue a career as a cardio thoracic surgeon, and she is currently finishing up her residency. Throughout medical school and what residency she has already done she has shown great strength in problem solving and is excelling in her field. She still labels herself as a christian however she does not go nearly as often. Sadly Alexandria's husband has turned to cheating on her as well as planning to leave her, so recently her mind has been all over the place as somewhat of a scatter brain, and she has started showing signs of acute depression.

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Sierra Alexandria is now in early- mid adulthood

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Sierra Alexandria is now in early- mid adulthood

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She is 30 years young.

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At the age of 18, Sierra Alexandria has started to gain the attraction from some of her male peers, however both of her fathers are scarring them all off. Due to this and her own feelings/ uninterested in the activity she has remained non sexually active (to our knowledge at least). She has many friends of both sexes and she appears to be a social butterfly which in turn has raised her self esteem. As she is approaching graduation and looking for colleges her social activities have increased as she is trying to get the best out of what little time she has left with her high school friends in the area.

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Sierra is an active gymnast. She is not as preoccupied with her body changes as she was in early adolescence. She likes to encourage healthy activities that provide exercise. She has grown and she is now 125 pounds, has a height of 5'3, and still has a low body fat percentage, around 14- 16%, due to her physical activities.

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Sierra Alexandria's self regulation and reasoning skills have greatly improved since the early stages of her puberty. The corpus callosum, limbic system, and prefrontal cortex have matured greatly, which has a significant impact on her improved reasoning and self-regulation skills (p. 367). Sierra Alexandra, according to Piaget, is in the formal operational stage. She is able to think in more abstract and idealistic terms, although she does not always exercise this relatively new skill. She is very smart, and is soon to graduate with all A's and B's from her high school. She still places too much importance on how she is viewed by those around her, but she does not obsess over it as much as she did during her early adolescence.

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And she is a high school graduate!

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Sierra has begun to categorize herself into more social groups including being Mormon, she has joined the girl scouts, gymnast, and has designated a few of her female friends as closer "best friends". Sierra has also started to describe herself as popular among her peers, as well as nice and helpful. With the mix of our parenting styles there is a dominant authoritative outcome which has helped Sierra to grow with good morals, while also understanding why these morals are important. Tying back to calling herself helpful this is due to Sierra helping around the house and learning how to keep tidy correctly by trial, error, and correction. according to Kholberg, Sierra Alexandria is in level 2 stage 3 and 4, she has developed and shows signs of caring and trusting others through developing more in depth relationships with her friends (no boys though, we as her parents are not going to let her start dating at all this early on) as well as her moral judgement has been developed thanks to the authoritative style mentioned earlier. In regards to Erikson Sierra is in the industry versus inferiority stage, she is pushing more towards industry as she has been enrolled in the gifted classes and anytime she has a question of how things work we, as her parents, explain and show her how things such as the dishwasher work.

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At the age of 12 our child is in the formal operational stage. She is an active listener in both formal and informal settings. She is using constructive ways to show her needs, wants, and emotions. We have noticed that she is beginning to approach problems in a more systematic way, and her critical thinking skills are improving greatly. We are all able to engage in more meaningful and insightful conversations with her at home. Her influences in school are her friends and her favorite teachers. Her favorite teacher is her english teacher, so she is becoming very interested in writing. She has a strong need to develop independence and due to her adolescent egocentrism she is sometimes obsesses over her appearance and the way others view her. She is approaching the age at which the decision making skills we taught her in early and middle childhood are becoming important. Now that parents aren't cool anymore, she depends upon her morals and outside influences to guide her in decision making.

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Height: 4 ft 10 inch
Weight: 93 lbs
She been taking gymnastics for 6 years.
At the age of she is going through puberty and has began her period.
She is very skilled and has very god stamina when it comes to doing physical activities.

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Our Baby is now not such a baby any more...

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Our Baby is now not such a baby any more...

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12 years of age

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At this stage Sierra has become very interactive with her peers and she has started being very self-sufficient enough so to start dressing herself, using utensils, and drinking from a cup by herself. Her imagination has started taking off and she enjoys playing make believe. Sierra understands that she is a girl and will always naturally be a girl, and has begun to understand basic morals such has hurting others is bad. she is currently in the initiative versus guilt stage so it is key to build her up and help her learn from her mistakes rather than telling her she has done something wrong or bad when trying to be helpful.

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Weight: 40lbs
Height: 3.2ft
At the age of 3-5 years Sierra Alexandria eats anything that makes her happy.
She is skipping and hopping from one object to the next.
Our daughter enjoys going outside and running, jumping, hopping, and coloring on the sidewalks.
She sleeps about 10 to 14 hours a day and takes 1 nap for an hour.

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Sierra becoming even more curious as she continues to develop. She engages in imaginative and symbolic play at her preschool. Her favorite thing to do is dress up and play house, where she pretends to be "mommy" (she does have 3 mommies after all). This type of imaginative play with her peers means that she is actively establishing and representing her socially accepted gender role. She is still a little bit egocentric, as she has a difficult time experiencing other perspectives aside from her own. Her social development is very important to her cognitive development at this point.

Her language continues to develop at a rapid rate. She is able to construct more clear and full sentences and tell more organized stories with her family teachers, and friends. She still extends grammatical errors by saying things like, "teeths" and "bestest." Her preschool teacher says she is a great student and follows all the classroom rules.

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3-5 years of age

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Right now our baby is playing side by side with other babies but does not interact with other babies.
Our baby does not consider her playmates her friends right now.

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Height: 2.5ft
Weight: 30 lbs
Our baby goes from drinking breast milk , to eating more solid foods.

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Our little girl's vocabulary is growing slowly, however she understands much more than what she can say. She can say "Momma," "dadda," "dog," "up," "eat," and "wa-wa," (water). She uses these words every single opportunity she gets, along with many hand gestures to point to what she wants, but can't say.  She loves practicing her new found vocabulary! We (Joel) have to be very careful with our choice of words around her!

Her sleep is still very important, she is getting an average of 12 hours of sleep a night. She usually sleeps through the night easily, which is good news for us! She gets about 8 hours of NonREM sleep and an average of 4 hours of REM sleep.

She is able to locate and point to things in pictures when she is asked about them. Her favorite show is "Doc McStuffins," and she can always find Dr. McStuffins in the toy section at stores.

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Our baby girl is now in the toddler stage.

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Our baby girl is now in the toddler stage.

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10-14 months

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2

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1

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2

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2

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1

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8

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@ 12:00 p.m. Weight 7 lb. 15 oz.
Born in Doctors Hospital in Augusta Georgia

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Born 22 Mar. 2018