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2020-03-25 11_29_41-Copy of Weekly Book Club Template - Google Slides

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Kari Anne Holt is the award-winning author of many middle grade novels in verse including the #ownvoices Redwood & Ponytail (Chronicle, 2019), Knockout, House Arrest, and Rhyme Schemer. She is also the author of From You to Me, Gnome-a-geddon, Red Moon Rising, Brains for Lunch: a zombie novel in haiku, Mike Stellar: Nerves of Steel, and I Wonder, a picture book illustrated by Kenard Pak and published by Random House Books for Young Readers. Kari Anne lives with her wife and three children in Austin, TX.
Working on a report for school? Here are: FIVE FAST FACTS ABOUT KA HOLT

1. Kari Anne was born in Atlanta, Georgia on September 10th, 19somethingsomething.

2. When she was 13, Kari Anne accidentally stomped through a gerbil cage, resulting in five stitches on her calf. You can still see the scar!

3. When she was young, her favorite author was Paula Danziger, followed closely by Lois Lowry.

4. Kari Anne's favorite food is almost always a taco, but there are times when a cheeseburger wins.

5. She has synesthesia, which means she sees letters and numbers as colors, and she sometimes mixes up other senses, too. (Examples: the letter C is orange, the number one is icy white)

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Kari Anne Holt is the award-winning author of many middle grade novels in verse including the #ownvoices Redwood & Ponytail (Chronicle, 2019), Knockout, House Arrest, and Rhyme Schemer.

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Family
Passion
Belonging
Friendship
Perseverance

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The respiratory system

There are two parts to the body's breathing system the upper airway and the lower airway. The nose, mouth, throat and larynx form the upper airway. The lower airway includes the windpipes (trachea), air tubes (bronchi), and air sacs (alveoli).

The nose is lined with a mucus membrane that has many blood vessels near the surface. The blood vessels pick up warmth and moisture as air passes through the nose. This is important because cold, dry air irritates the lungs. The nose is also lined with tiny hairs (called cilia). The cilia cleandirt and dust from the air before it passes into the throat and lungs.

The mouth does not warm and moisturize the air as well as the nose does. The mouth also does not have cilia to filter out the dirt and dust.

After the air goes through the nose or mouth, it enters the pharynx. The pharynx is the top part of the throat behind the nose and mouth. The other part of the throat the larynx is called the voice box and includes the vocal cords. As air passes through the larynx on the way out of the lungs, the vocal cords vibrate. The vibration is what makes the sounds when you talk.

The trachea is the tube-like structure that carries air from the throat to the lungs. The trachea divides into two tubes as it goes into the chest. The tubes are called the right and left main stem bronchi (BRONK eye).

Like branches on a tree, the two branches of the trachea divide into smaller tubes and end in the air sacs. The body gets rid of carbon dioxide and takes in oxygen through the air sacs ( Picture 1).

Behind the trachea is the esophagus. The esophagus (eh SOF uh gus) is the tube that carries food from the mouth to the stomach. The trachea and the esophagus are two separate tubes.

Reasons for a tracheostomy

Your child's doctor will talk with you about why your child needs a tracheostomy. The length of time your child has a trach tube depends on the reason for the trach tube. The tube helps breathing and helps clear mucus from the airway.

The more common reasons for a tracheostomy are listed below.

A blockage in the upper airway:if the upper airway is blocked, air cannot get into the lungs. The trach tube helps your child breathe.
Paralyzed vocal cords may also block the upper airway. When the vocal cords do not open, air does not get through and the child cannot breathe. The trach tube lets the child breathe normally.

Other conditions that may block the upper airway include polyps; narrowing of the trachea; or weak muscles in the trachea. When the muscles in the trachea are weak, the trachea closes and blocks airflow.

Inability to clear mucus from the lungs and airway: lungs make mucus. Mucus cleans the lungs by picking up tiny bits of dirt and dust. Cilia, which line the lungs, help the mucus carry the dirt and dust out of the lungs. This protects the lungs from irritation and infection.
Some children are not able to cough mucus out of the lungs and airways. If mucus stays in the lungs, the child is more likely to get infections. The trach tube provides a way to help clear mucus from the lungs.

Long-term help with breathing:A trach tube is put in when a child has to be on a ventilator for a long time.Your child may have to use the ventilator at home after the trach is placed.There are many reasons why a child may need long-term help with breathing. You need to discuss this with your child's doctor.

How a tracheostomy changes the respiratory system

When a tracheostomy tube is in place, the child breathes through the trach tube instead of through the nose or mouth. Therefore, very little air passes through the nose, mouth, or larynx. Remember, the nose and mouth warm and clean air during breathing. Air that passes through the larynx forms sound.

Your child will not be able to cry or talk while the trach tube is in place. Air passes out of the lungs through the trach tube. It does not go through the nose and mouth, and does not pass over the vocal cords to make them vibrate.

There are special devices that let a child talk with the trach tube in place.If your child can use one of these devices, the doctor or nurse will talk to you about it.

Air that enters the lungs through the trach tube is not warmed, humidified, or cleaned.This air can irritate the lungs. You will learn how to protect your child's lungs from cool, dry, or dirty air.

The surgery

The surgery to insert a tube in the trachea is called a tracheostomy.

The surgeon makes an opening, called a stoma, in the front of the neck, below the larynx ( Picture 2).

The surgeon puts a curved plastic tube called a tracheostomy tube into the stoma.

Choosing the trach tube

There are many types of trach tubes: uncuffed, cuffed, fenestrated, disposable, and reusable. The type of trach tube your child has depends on:

The reason your child needs the trach

The size of your child's trachea

During the surgery, the doctor will put in the correct size and type of trach tube. Often the first trach tube has a cuff. The cuff is a filled balloon that seals off the air leak from the stoma. Right after the surgery, a trach with a cuff helps your child and the ventilator (breathing machine) work together to breathe.

The surgeon will change the first trach tube one week after surgery when the stoma has healed. If your child does not need a cuffed trach tube at that time, the surgeon will replace it then or before your child leaves the hospital.

Making the decision about a trach tube

It is not easy to decide about a tracheotomy for your child. You may have mixed feelings about it. Ask your doctor and trusted advisors any questions you may have.

A tracheostomy may be temporary or it may be permanent. The doctors will explain your child's specific needs to you before the surgery. When your child has recovered from surgery, the doctors review his needs again and discuss this with you.

Sometimes a tracheostomy is permanent. Many children who have a tracheostomy might need to stay on a ventilator at home.

If you agree to a tracheostomy for your child, you will learn how to care for the trach, including:

Suctioning

Changing the trach tires

Doing CPR with a trach

Cleaning the stoma

Changing the trach tube

Problem-solving

You will go to classes in the Family Resource Center. There, you will practice these skills on a doll. Plan to go to class right after the trach surgery and before the first trach change by the surgeons.

You will help with your child's trach care after he or she has the first trach tube change, and after you go to class. This allows you to practice at the hospital and learn what to do
at home.

When you are ready, you will do your child's care for a 24-hour period at the hospital. Your child's nurse will help when you need it. This is set up so you are prepared to care for your child at home.
Tracheostomy: What It Is and When It Is Needed (PDF) HH II-198 5/12, Reviewed 11/17 Copyright 2012, Nationwide Children's Hospital

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Tracheostomy: What It Is and When It Is Needed

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There are two parts to the body's breathing system ­ the upper airway and the lower airway. The nose, mouth, throat and larynx form the upper airway. The lower airway includes the windpipes (trachea), air tubes (bronchi), and air sacs (alveoli). The nose is lined with a mucus membrane that has many blood vessels near the surface.

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Levi struggles to find himself after infancy and a childhood of illness. He wants to be known as a typical kid, and is encouraged to take up boxing. Through his journey, he struggles with relationships with his brother, mother, father, and friends in order to truly get to know himself and his worth.

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Within this sequel to the book "House Arrest" we see Timothy grow up a lot. He is more motivated and caring now that he is older. He has his eyes set on becoming a doctor to save peoples lives just as a doctor saved Levi's life. He is very family motivated and will do anything for his little brother. Even though Timothy holds Levi on a tight leash, that is only to protect Levi which shows Timothy's true character; a loving older brother who wants to protect his family.

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Timothy is on probation. It's a strange word-something that happens to other kids, to delinquents, not to kids like him. And yet, he is under house arrest for the next year. He must check in weekly with a probation officer and a therapist, and keep a journal for an entire year.

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Kari Anne Holt is the author of several middle grade novels in verse including House Arrest, (Chronicle 2015), Rhyme Schemer (Chronicle, 2014), and Brains for Lunch, which received a starred review in Publishers Weekly and was highlighted on the Texas Library Associations Annotated Lone Star Reading List for 2011. She is also the author of Mike Stellar: Nerves of Steel, a nominee for the 2014 Connecticut Library Association Nutmeg Book Award and the 2013 Maud Hart Lovelace Award. Kari has recently contributed to the anthology, Dear Teen Me: authors write letters to their teen selves. She lives in Austin, TX with her husband and three malevolently charming children.

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Kari Anne Holt is the author of several middle grade novels in verse including House Arrest, (Chronicle 2015), Rhyme Schemer (Chronicle, 2014), and Brains for Lunch, which received a starred review in Publishers Weekly and was highlighted on the Texas Library Associations Annotated Lone Star Reading List for 2011.

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He is back in the picture, he has been as long as Levi can remember. He encourages Levi to join a sport, ends up being boxing. He can only pay for one lesson a month but Levi secretly attends more than that. Levi and his relationship is rocky. He ends up leaving again but not before Levi calls him out. Levi realizes his dad is not a true man but leaves when things get tough. Does end up paying for some of Levi's tuition for Xaviers.

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Levi deals with life growing up with health conditions and a protective family. He falls in love with the sport of boxing, and wants to attend a private school called Xavier. Throughout the book, Levi struggles to balance his relationship with his older brother, his mom, and his dad, as well as Tam. Through family, and hardships, Levi learns that he can do anything he puts his mind to, and his health/financial situation doesn’t define him or his future.

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Levi is her world, she is very protective of him and would do anything for him. She wants what is best for Levi even if she is skeptical of what that might be. She trusts Levi until he broke it. She keeps her promises to Levi.