The endocardium is the innermost layer of tissue that lines the chambers of the heart. Its cells are embryologically and biologically similar to the endothelial cells that line blood vessels. The endocardium also provides protection to the valves and heart chambers.
In 2002, there were five sisters living in the Duggar house: Jana, then 12; Jill, 11; Jessa, 10; Jinger, 9; and Joy-Anna, 5. In March 2003, Jim Bob met with âchurch eldersâ to discuss Joshâs behavior, and they decided Josh needed to enter a treatment program.
The Duggars married in 1984 after Michelle had a religious conversion and Jim Bob was dispatched to be her spiritual guide. They had their first child, Josh, in 1988. Michelle then began reproducing at a rate of about one child every 18 months.