Tag Archives: PDD-NOS

Bowling Without a Safety Net

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There’s no way to know what to expect. There could be a melt down or an aggressive episode or a potty accident. On the other hand, there’s no way to know what to expect. There may be stares, judgements or ignorant words that hurt nonverbal feelings.

Every outting is a gamble. There’s no guarantee nor predictability. All I can do is consider if there’s a possibility Savannah may enjoy it and be prepared with an exit strategy.

Last night we went bowling. Not Special Olympics Bowling. Not bowling with the expectation of disabilities. Not bowling with a safety net. We went bowling. Ordinary bowling alley with ordinary kids on an ordinary Tuesday. . . Well, it was suppose to be an ordinary Tuesday. Instead, it became the Tuesday we went bowling.

Savannah’s brother is a Cub Scout, and all families were invited to bowling. All families. All parents. All siblings. And so we went.

At first Savannah was overwhelmed by the noise. We lingered in the entry way, enjoying the rubber duck collection in an arcade game. And then in happened, her brother’s den leader came over to say hi to Savannah. She visited and admired the ducks with Savannah before returning to the boys. Then the assistant troop leader came over and said hi to Savannah while trading in her shoes.

Shoes.

Once Savannah saw the bowling shoes, she was ready. Once her shoes were on, we cut through the noise and crowd and to the Scout lanes. She only bowled three frames before she was ready to leave with a large proud smile, but while there, with each throw, the Scout parents cheered. It may have only been three frames, but they were three successful frames. Three frames that taught me, we could bowl again.

There’s no way to know what to expect. There can be smiles and bravery and bowling. On the other hand, there’s no way to know what to expect. There can be acceptance and cheers and hidden blessings.

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the Bike That Wasn’t Pink

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When Savannah was three she would cling to the padded pink handles of her princess bike, hands gripping from underneath instead of above. She’d petal her legs and squeal “wee!” with each press of the pedal that lurched her forward. Slowly and cautiously she sputtered around our apartment and then and eventually our house.

“Wee! Wee! Wee!”

At five, after we moved her away from her friends and family to a new state to find her voice, she looked out the window at the new neighborhood kids riding their bikes. She took my hand and lead me down the stairs then down the basement stairs and to her bike. She climbed on her larger pink bike still with its training wheels, gripped the pink padded handles from underneath and sat there. She sat there and then she sat there and then she cried. She knew she should know what to do, but she didn’t and so she cried some more.

Savannah was eventually put into physical therapy to help with gross motor skills and motor planning. One out of eleven goals was to learn to ride a bike. The bike was large with three wheels. It had an ugly curved black back support, a belt and clunky non-pretty pedals.

No part of the bike was pink.

One year later Savannah was riding the ugly bike with minimal help from her therapist. (Steering was still a challenge!) Savannah was so proud of herself. It was fun. It was typical. It was something she could with friends. Savannah loved physical therapy. There she could ride a bike. Unfortunately that is the only thing she could do. Despite her best efforts, she had not met any of her other goals. The insurance company decreed the physical therapy was not helping and services where discontinued.

Savannah lost her bike. For the past five years, we have tried to obtain an adaptive bicycle. We have applied for grants, for government programs, for private programs and jumped on every waiting list we could find. We are still waiting. Each day we wait is a day Savannah cannot relate with the neighborhood kids. Each day she gets older, the more awkward it becomes.

There is a new contest. Please vote and help Savannah get her bike.

https://www.friendshipcircle.org/bikes/triaid/


Thank you, Katie!

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I’m not one to watch daytime talk shows, but then Katie Couric had an episode on mental illness. I knew I had to watch. Usually, when a talk show addresses a disability (Autism and ADHD are popular subjects) it’s to draw in an audience, make a statement and, to be honest, rarely is accurate. So, holding my breath and with great skepticism, I watched Katie.

I can only say thank you.

Okay, I can say more. Living with a child with mental illness, the sometimes violent, aggressive and too often self-injurious kind, I can say how much I appreciate the bravery of the parents on national television, the realism of the professionals and the honest decision of Katie Couric to shine more light on a subject no one wants to face. The show exposed the horrid and ugly truth of living with mental illness and alternative reality of everyday life.

Everything the parents, Jeff and Sarah Blalock, mentioned resonated within me. They could’ve been talking about my life. “Watching your son change right in front of you”, “he’s a good boy, but he can go off just like that. We don’t know where it comes from”, “it could happen in the grocery store or over dinner.” All are statements that describe life with Savannah, but the one who that hit me the hardest was, “There are moments where all you can do is cry and pray tomorrow will be a better day.” I have lived that sentence countless times. Every mother I know with a special needs child, whether mental illness or physical defects or developmental delays, has lived that moment over and over and will continue to. It’s a moment that ebbs and flows, not like a gentle tide but instead a massive tidal wave, drowning you in sorrow and desperation until somehow you can breathe again.

“We live a dangerous world,” Sarah says, and its true. Living it everyday, I easily forget this is not the norm. Most families do not worry about leaving two children alone in a room together to play. Most families don’t regularly patch holes in their walls or keep pillows in every room for easy access in case a self-injurious head flies in the floor, the chair, the wall. When was the last time my neighbor had to restrain their child just to keep them safe? I have an eight year old son who still gets up in the middle of the night to come sleep with me. I’m sure he is too old, but how can I say no? This is a child that has been woken up by being hit or shoved or to the beastic screams and thuds of a neighboring room. How can I not let him sleep somewhere he feels safe?

Jeff and Sarah talk about the effects mental illness has had on their neuro-typical son. It’s tragic that the person usually most effected by a child’s disability is the one most often overlooked. I tell people, it’s not a special needs kid, its a special needs family.

But that’s another blog for another day.

Jeff and Sarah both stress how deeply they love their child. I’m certain that is the hardest part. You cradle a colicy baby full of love, knowing it will pass and hoping for future triumphs and dreaming of years of fun and laughter. Somewhere along the way the fun and laughter turns into coping and surviving. I have replaced couches and repaired walls. Savannah has given me bites and punches and kicks and one concussion. But she is still the baby I held. We still have fun. We paint our toenails and work puzzles and giggle at cute boys. But when she sleeps, most often after one of her bad days, when she lays sleeping after the banshee screams and self-abuse, that’s when I see the sixteen month old girl who loved to dance, the two year old with a contagious laugh, the three year old that played drums at three in the morning.

It’s the love that makes it so hard, and I think that’s something Katie Couric’s show exposed.

If you would like to take 15min to watch Katie’s recent show on mental illness, it can be viewed for no cost at the links below. I highly recommend letting it expand not only your knowledge but your compassion.

Jeff & Sarah Blalock: http://katiecouric.com/videos/parents-of-a-child-with-mental-illness-share-their-story/

Professionals Dr. Harold Koplewicz & Muriel Jones:
http://katiecouric.com/videos/what-every-parent-needs-to-know-about-mental-illness/


Back to Better

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We finally caved when Savannah’s boot breezed past my face, the heat of it tingling my lips. We drove the rest of the way home with her screaming and banging on the glass, trying to escape. She repeatedly smashed her head into the window and her fists and her knees. Fears of cops filled the gaps of the anxiety laden air. We had to make it home, but we were hours away, and had found traffic.

The next day we sat in the doctor’s office. Our regular and fantastic pediatrician was on vacation, so we were seeing his partner, Dr B, for the first time. Purples, blues, pinks and greens tainted Savannah’s beautiful fair skin. The bruises and knots and scrapes started in the center if her forehead and littered one cheekbone and her chin. They covered her arms and legs and torso, even the tips of her feet were tarnished. The deepest stains were on the sides of her hipbone, from punching herself; the tender length of the outside of her arm between the wrist and elbow, from slamming her arm on the floor, the table, the chair; and above her Achilles’ tendon, from repeated beatings into her footboard.

My bruises seemed minor only to hers. They fell across my skin, down my arms and legs and back and hips and shoulders. They were from punches and kicks and bitings. My muscles ached, and my flesh was tired. My body seemed fueled by adrenaline and fear. The fear coursed through my veins, making me jittery. What if Dr. B didn’t believe her bruises were self-inflicted? It did seem unbelievable that this beautiful little seven year old child could inflict this on herself. The fear we could be blamed was poison. I held my breath and bit my lip.

As we talked with Dr. B, it hit. A full blown, albeit short-lived, episode. She lunged and screamed and threw her head into the wall. John tried to pick her up. She scaled him, still wailing and kicking and beating and biting, until she finally passed out. The doctor turned to me. “You realize this is not normal?”

I exhaled. Dr. B understood, and the process of pediatric psychiatrists to medicate for self-abuse began.

It’s been four years. Medications have helped, although it fluctuates. There are always adjustments to be made and tolerance levels change. Some days are great, others are as difficult as before. As I sit and look and the recent bruises staining my thigh and as I ice my wrist, I remind myself it’s just one day. This used to be everyday. I cling to the hope or prayer or whatever it may be, that tomorrow is back to better and not the beginning of a decline that tells us its time to change medicines once again.


Too Many Miles

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Joseph and I were driving down the street, on our way to CVS, then to pick up Savannah, then to horseback riding, then to occupational therapy. It was an incredibly busy, typical Wednesday. Savannah had allowed me about four hours of sleep, and so I had picked up a toxic 20 ounce vice if classic Coke, hoping the sugar rush and caffeine might keep me awake. Besides, I was fighting off the back-to-school muck Savannah had brought home and knew the carbonated water would soothe the sandpaper coating my throat.

As we hurried down the road toward CVS, I opened the coke, releasing a sticky caffeinated geiser. It spewed over me, drenching the driver’s seat, morphing the steering wheel into a sticky mess. Joseph stared at me wide-eyed. I looked at him, his large eyes waiting for my reaction, uncertain and stunned by the carbonation that still trickled down the bottle, over my fingers, staining my thigh. I couldn’t help but laugh. Joseph began to laugh, forcing me to laugh harder and him to laugh harder, and it cyclically continued.

Since then, I’ve been reminded of our Mayo visit. Somehow, in Minnesota, every meal I managed to spill something. I don’t know if it had to do with the fact that Minnesota has amazing food or the fact I was suffocating in apprehension or just that I was food-clumsy, but every meal created more mid-west laundry.

Our Minnesota week was hard. The air was filled with the fear of what we might find. We carried the burden of entertaining the kids in a hotel room that was much too small. We lived surrounded by needles and tests and sterilization. We also lived surrounded by doctors, waiters, and strangers who were full of compassion and respect. We held the blessing of new friends and fellow patients and magic book-men. We breathed in the knowledge of some of the world’s greatest specialists.

We were trapped in a great freedom.

It is impossibly hard to be miles away from the only people searching for your answers. And yet all there is to do, is wait. Wait and take selfish advantage of every moment. The dual mitochondrial genome analysis takes six to eight weeks. I thought it was difficult to wait the few weeks for the NPC, now there are weeks more to wait. The tests can’t even be run at Mayo and have been sent off to Baylor. There’s nothing else to be done. Still, even though it’s only waiting, even though the tests aren’t even there, it’s too many miles away.


Squeals of Friendship

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Madeline was born six months after Savannah. My best friend, Elizabeth, and I were thrilled that our little girls would grow up together and would also be best friends.  They would roll a ball together, play tag, go to school, keep secrets, whisper about boys and first kisses and in decades sit on the couch and hold their daughters together.  They would have the benefit of having a sister, even if we had no more children, the same way we were.  Best friends, best sisters, and they would get to experience it from infancy.

The day Madeline was born, Savannah sat patiently with us in the hospital for hours. She had spent the last three months lying on Elizabeth’s stomach, feeling Madeline move. Squiggling on top of her stomach, while Madeline would squiggle below.  Reaching for Elizabeth’s bulging belly each time she saw her.  Finally, a man covered in blue scrubs headed our way. He pushed a small sterile cradle with one nicely wrapped blanket. Savannah squealed and screamed and tried to climb out of my arms toward the bundle he pushed. A little bundle of Madeline. Savannah banged on the glass and laughed, as we watched Madeline be cleaned and measured and weighed. She was re-swaddled and returned to her rectangular crib, but Savannah’s banging and giggling and striving to reach her continued.  The thrilling squeals of friendship didn’t stop until she was held next to the sleeping swaddled bundle. Savannah’s excitement was unbelievable and undeniable.

When Madeline was about two months old and Savannah eight months old, Savannah and I had our first visit to their home. Savannah tried to play with Madeline, but Madeline was only confused by her. Savannah tried to help Madeline take off her socks and gloves. Those horrible, suffocating socks and mitts that Savannah couldn’t stand to inhibit her senses. Madeline, however, loved the comfort and coziness they provided and kicked and cried each time Savannah tried to help her out of them. That evening, the girls feel asleep in our arms, as we sat and watched a movie. Elizabeth and I laughed at the irony. We had known each other for a decade, through high school parties, college parties, first kisses and late night dates. We had fought and loved together.  We had seen each other through broken hearts, marriages and home ownership.  What a different world we had entered into together. The night was perfect, as we held our daughters, drinking hot tea instead of beer. We thought it would be the first of many, but it was the first of few.

There were a few times we went to the arboretum or relaxed and played at each others houses, and of course there were birthday parties. But it wasn’t near what it should have been. We were busy with life. The life we hoped to share together began to keep us apart.

Savannah didn’t develop like Madeline.  At seventeen months, Savannah stopped talking and refused to eat.  By twenty-two months she was receiving services.  At that time Madeline was sixteen months old.  Madeline was playing tag and rolling balls and eating everything she could reach.  Savannah spent her mornings in therapies.  Madeline spent her mornings making friends at day care.

Elizabeth and I have known each other over two decades.  We live worlds apart, but have never been closer.  Living in different states, we text multiple times a week, keeping regular conversations. We do visit, but not as much as we would like. We have been through divorces and affairs and family deaths together. We love each other’s children, life family, and our children have learned that love from us.  We are family, despite blood and distance.  But Savannah can’t play with Madeline the way she once could. The desire is there, but so is the disability. Madeline can talk and cook and bathe herself.  She enjoys music and TV shows that aren’t preschool motivated. There is a world of difference between them. A world that’s hard to explain to a ten year old. A world that is hard to explain to anyone. Honestly, Madeline is confused by Savannah and understandably so. Fortunately, Savannah has yet to notice. She has only noticed the love.

Even though the girls adore each other, and a vibrating excitement drips from Savannah each time Madeline visits, it isn’t like we thought. It isn’t picnics and lipgloss and cupcakes. I dream about that distant idealistic night, watching a movie and holding our sleeping daughters, and I know for one moment, it was perfect.


Breathing Deeply

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Week three came and went. Week four came and went. We sat in the middle of week five.

Dr. R had carefully explained the NPC test. It takes roughly three weeks for the biopsied cells to be ready for the test. The test itself doesn’t take long. The cells are put through a machine, and then run through again. It would be three to four weeks for us to receive results. If there were any “red flags,” then the test could take longer. Each red flag would be run again by hand, twice, and that would take more time. Everything with NPC is tested twice. They must always be certain before they give an answer.

The biopsy was taken June 24th. July 10th, we received notice that the test had begun. On July 31st, the middle of week five, we were still waiting. Visions of red flags haunted us all. Friends had sent texts. Family had called and called again. Everyone was anxious. Everyone knew the answer should be back, unless there were red flags.

Tonight, we checked the portal, as has become the evening ritual. The letters were solid and blue and firm. I was afraid they’d fade before me. A paragraph of medical jargon, summed up with, “These observations are not consistent with a diagnosis of Niemann-Pick Type C disease.”

I waited, and when the letters didn’t fade, I breathed. I took a deep breath, letting the air fill me. It tasted sweet and crisp and light. It tasted of relief, and I took another breath.


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