What if your child was only given a 50 - 50 chance of living? Two parents in Buena Vista faced that very real possibility when their daughter was born with a birth defect after a healthy pregnancy.
While many people have heard of Muscular Dystrophy, even Spina Bifida, few have heard of something called Congenital Diaphragmatic Hernia. It's just as common but only half of babies survive.
One year ago, Kristyn and Jason Mazingo first learned of CDH.
"It was very touch and go," says Kristyn Mazingo, baby Emma's mother.
Almost immediately after Emma was born it was almost as if she couldn't breathe.
"We're like what is this and what was going on? And the way they came in and approached it, it was kind of like is she going to make it?," says Jason Mazingo, Emma's father.
Seven days after the little girl came into the world doctors at UVA Medical Center diagnosed her with the birth defect.
"And what it is is between 9 and 10 weeks your diaphragm forms and Emma was born with only half of a diaphragm so it allowed her bowels and intestines and spleen to herniate into her chest," say Kristyn Mazingo.
Emma's organs had crawled into her chest cavity. The pressure was so great it constricted one of her lungs and shifted her tiny heart.
It took surgeons six hours to put Emma's organs back in place. Today, only a mild scar suggests something happened, but her parents know. Out of all days, they are especially thankful. Not only is Thursday Emma's first birthday, it's CDH Awareness Day. For this family, it's an opportunity to make good on a promise.
"As we traveled across the mountain (from Buena Vista) to Charlottesville I prayed and said whether she make it or not, I'll always pay it forward," says Kristyn Mazingo.
That's exactly what these parents are trying to do by educating others.