Monday, November 7, 2005

Monday Morning Reflections

I fell in love with the personality common in many children and adults who experience Down Syndrome more than 35 years ago because of our little neighbor girl. Over the years I have worked with many children and adults with Down Syndrome diagnoses. The frequent smiling and seeming to just go with the flow was common among those I worked with.
When Billy Ray came to us at 15 months old the only diagnosis was Down Syndrome and chronic ear infections. His personality was laid back and happy most of the time although he terrible twos set in quickly. He was content to do things with me around the house and go with me wherever we needed to go. Change in routine didn't bother him that much.
Now Billy Ray has a dual diagnosis of Down Syndrome and Autism plus a few other ones thrown in, bipolar, ADHD and medical ones we won't go into today. He is not nearly as "go with the flow". Change in routine can set him off in various ways ranging from "drop" (throwing himself on the floor in confusion or frustration) to full scale agitation (which might be aggression or throwing things including furniture). His constant noise, much of it just noise not verbalization and agitation is difficult to deal with for a Mom who loves quiet. The personsality I fell in love with all those years of working with persons experiencing Down Syndrome is still there but it doesn't come out as much. Our lives are full of routines and methods of communication that keep us fairly regimented.
My husband is visiting his sons in another state. Billy Ray doesn't like it when his stepfather goes away but he has handled it better this time than sometimes. When it happens on a weekend it is more difficult because he is already off schedule for weekends and we don't have support staff on Sundays.

After dealing with a clogged up tiolet which ran over onto the freshly mopped floor, our Sunday went fairly well. We didn't make it to church because of Billy Ray's need to stay close to the tiolet and dealing with the clogged tiolet. I anticipated an explosion or at least a "drop" at anytime but it didn't materialize.

I realized last night putting him in bed that we had a bit of the old Billy Ray while he experienced the single diagnosis of Down Syndrome yesterday. He was happy to work with me puttering around the house getting some things I have wanted to do for a while done. Other times he watched a movie in the living room where I could see him while dejunking the kitchen counters something I had longed to do for weeks. We made diabetic cookies together and he loved taking them off the cookie sheet with a spatula. We went out for an early dinner together despite the snow and had a pleasant time.

It was a nice time just being with my son this weekend. It reminded me of the time we spent together following his Dad's death when it was just us.

Until tomorrow,
Peggy Lou
www.parentingyourcomplexchild.com
www.lighthouseparents.com

Sunday, November 6, 2005

The R Word...Retardation

It never occurred to us to tell Billy Ray that he was mentally retarded when he was younger. I always feared someone would call him a "retard" or something equivalent but as far as I know that hasn't happened.

Billy Ray first heard the word from a teacher in his sophomore year of high school. I understand that the teacher was trying to help his students to face reality. The problem was the students in his classroom were not all able to understand what he was saying. Billy Ray didn't understand at all. He got the message that he is no good and that he can never accomplish anything. Years later Billy Ray will still say "I tarded" from time to time.

Think about the word retarded. To retard something just means to slow the progress. We tell Billy Ray that retarded just means slow. I tell him that we are all "tarded" in some ways. There are things that I am slower at than Billy Ray. For example, when we lived in a day ranch house where we needed to carry big bags of pellets upstairs for the fireplace insert to heat the house, I couldn't do it. Once we helped him pick up the bag Billy Ray could almost run up the stairs with the bag.

There has been media coverage of various persons considered to be Autistic savants. These persons have incredible abilities in one area or another yet may not be able to do many simple tasks in other areas. This is somewhat true of most retarded people and for that matter all of us. We are all retarded in one area and strong in another. It is just more pronounced in those with mental retardation.

I realize that I am oversimplifying here. The point I am trying to make it that being retarded doesn't mean nothing can be accomplished. Some can accomplish more than others. The child in a wheelchair who requires total care may offer a smile or some interaction that perks up everyone she meets. I once knew a man who worked in a thrift store and was probably a better salesman than many professional sales person..he knew his stock well and communicated to customers that he cared about them. Billy Ray has to have support staff with him but he touches the lives of others by delivering meals on wheels to seniors every week.

Until tomorrow,
Peggy Lou
www.parentingyourcomplexchild.com
www.lighthouseparents.com

Saturday, November 5, 2005

Autism in the News

There is a lot of media coverage of Autism lately. ABC especially seems to have something about Autism on every week or so. The problem I have with it is most of the coverage is about high functioning children.

When we think of Autism we tend to think of the movie Rain Man just as we think of Corky from Life Goes On when we think of Down Syndrome. I wish it were so in reality. Autism is a spectrum disorder. There are many levels.

Some on the spectrum will participate in normal education and succeed well. Perhaps the most well known person to experience Autism is Temple Grandin, PhD who has authored numerous books on Autism and Animal Behavior (she has a PhD in Animal Sciences), is a professor at Colorado State University, travels most weekends speaking on one or the other of her two areas of expertise, is independent and thriving.

Many who experience Autism are on the other end of the spectrum. Some are not able to meet any of their personal care needs or achieve any degree of independence. They may need round the clock care for their entire lives. My own son, Billy Ray, for example, is so complicated that he doesn't really fit into any established programs. Everything must be totally adapted for his unique needs.

I wrote about the low functioning recently in my October post called Low Functioning..Not No Functioning if you want to review that post.

I appreciate the media attention to Autism especially since it is occurring in epidemic proportions now. However, I don't think always featuring those on the high functioning end of the spectrum gives the whole picture.

Until tomorrow,
Peggy Lou
www.parentingyourcomplexchild.com
www.lighthouseparents.com

Friday, November 4, 2005

Billy Ray is a Tropper

I continue to marvel at how well Billy Ray tolerates the procedures that must be done for his medical care. He sits there calmly while we do the finger pokes for his blood sugar despite the fact that Mom is just learning to do them and on occasion has to poke more than once.

When he has to have an IV or blood test at the lab he sticks his arm right out there and holds it pretty still. The technicians who draw his blood are really lucky they are drawing from him not his Mom. My father's side of the family passed down rolling veins to me. My veins will literally jump off the needle. I have had so many bad experiences in my life I squirm when I have to have blood drawn. Not Billy Ray, he cooperates so well.

Yesterday he had a catscan. One of the technicians commented on what a good patient he is in comparison with many patients they see.

This morning I was thinking of something I read by Wayne Gilpin, Future Horizons, talking about his son complimenting him and then saying he didn't want to hurt his Dad's feelings. Mr. Gilpin said Alex gives and Alex takes away. That is what I am thinking about Billy Ray this morning. He was so good yesterday during the procedure and he was so tired that he crawled into bed on his own at 6:30 p.m. last night. I got a quiet evening last night which doesn't happen to often. However, he woke up for the night about 1 a.m. so we have been up since then. Billy Ray, too, gives and Billy Ray takes away.

Until tomorrow,
Peggy Lou
www.parentingyourcomplexchild.com
www.lighthouseparents.com

Thursday, November 3, 2005

Stress and Support Systems for Families with Special Needs Children

I was talking with my wonderful editor, Ellen Kadin at AMACOM Books, a couple of days ago. She referenced the stress of my life with Billy Ray. I said to her that she probably had as much stress as I do. She said no way. Certainly the stress of parents whose children have various special needs including combination of diagnoses Billy Ray experiences (Down Syndrome, Autism, ADHD and Biplor) is different than that of the average family and probably more extreme.

Up with Billy Ray in the night, my mind wondered to subject of parents who become so desperate they kill their kids and those who deal with the stress better than others. It seems that part of it is the way we as parents receive and accept support. It would be easy to just believe no one understands and give up. The truth is no one really does understand until parents are able to communicate their situation to others. The documentation system helps a great deal.

Most people want to understand but it takes learning to communicate with others in ways that they can receive it. The response will depend greatly on the approach. If we are militant in approach the support is less tolerance than if we are able to say that doesn't work for my son because he responds this way or that. Disabilities have been somewhat a hidden secret that we didn't want to share. Openness about what we experience brings understanding, isolation defeats it.

Support systems are vital but sometimes hard to accomplish. In the old days when we got tired of fighting the school system, there seemed to be no help from governmental agencies and the doctors were admitting their frustration with my son we lived the life of desperatation and isolation. In that hopeless we can get into survival mode and do some foolish things just trying to survive day to day.

Returning to my faith was a major turning point for us. The strength that comes from the lighthouse concept which I discused in an earlier post and is explained on one of my websites www.lighthouseparents.com/Lighthouse_Concept.html has brought endurance I never experienced before. Then deciding that we needed the church family was another. It was not easy to find a church home because Billy Ray can be a disruption in services. It meant creating that church family. When you are tired and stress that it is difficult to do. I just called pastors and got bold enough to say this is what we need in a church family can your church accept us.

Presently the support system in our small town church is incredible. This past July, Billy Ray was in the hospital for 13 days, 9 days of which were in Critical Care on the ventilator. Pastor Richard and his wife, Denise, at Grace Fellowship Church of the Nazarene, were there whenever I called and often when I didn't call. Denise called almost daily to see if there was anything we needed or how they could support us. Many times when we would come out of the CCU there was someone from the church in the waiting room wanting to check on us and assure we didn't need anything.

One day the volunteer for CCU who assisted with getting us into see our family members in the unit was telling us about RV spaces the hospital made available next to the hospital. I just spaced it because we don't have an RV. When some ladies from the church came later my sister-in-law mentioned to them that we could use an RV. I have to admit I was bit embarrassed and would have found it hard to ask for it myself. That same night Denise called to say that it had been mentioned in ladies prayer meeting. One family was loaning an RV to us and another was hauling it to the spot the next day. What a difference it made. Sometimes I wasn't there many hours of the night but every morning I could make my own coffee with the Irish Creamer I love.

Since he has been home from the hospital, Donna (otherwise known as the cookie lady) has been making Billy Ray high fiber cookies every week to help in his difficulty with constipation. He will eat them much better if someone other than Mom makes them even though the recipe is the same. Now that he is diabetic she is more than willing to make them in whatever way he needs once we are ready to resume that.

Support is more likely to happen if we are open about our needs. That doesn't mean we go begging for help. In the above examples, I didn't have to even ask. Because we were known and loved as a part of this church family there were there for us. It reminds me a great deal of the church described in the Book of Acts. When one has a need the others help.

It does not always need to be a one way street. Billy Ray contributes to the church family in his own way too. He needs vocational activities that are adapted to his strengths. He enjoys things like emptying the garbage and vacuuming. He goes to the church to do those things as he is able. He is proud of that accomplishment.

A cute story about his activities at the church happened recently. I happened to be there in the office when his support staff brought Billy Ray in to do some tasks. A men's Bible study was going on. I heard him interrupt the men and was embarrassed. I told the support staff not to let him do that anymore. However, I heard from wives of some of the men, our pastor and others how much that meant to them. Dave told me that they discussed how all that Billy Ray wanted from them was a hug and he hugged everyone of them. They thought that was special. He is an accepted part of this family.

Until tomorrow,
Peggy Lou
www.parentingyourcomplexchild.com
www.lighthouseparents.com

Wednesday, November 2, 2005

My Outrage... Mother Gets Suspended Sentence for Killing Son

I recently read stories of mothers that killed their disabled children. The case we are discussing below had Down Syndrome and Autism like my son Billy Ray. I have continued to be outraged over the fact that parents feel there is no other answer. I will never condone the action but do have some understanding how they could become that desperate.

This morning I received a link to an article from the BBC about the mother's sentence. She received two years suspended sentence. The link to the story is http://news.bbc.co.uk/1/hi/england/beds/bucks/herts/4399832.stm. That link provides more detail on the sentence. There is a related link on that site to http://society.guardian.co.uk/socialcare/story/0,7890,1606961,00.html which describes the behavior the young man, Patrick, displayed the day his mother sedated him then suffocated him with a plastic bag.

As the mother of a nearly 23 year old for whom we have had difficulty finding services because of his complexities, I can identify with the mother's plight. As I have talked herein already sleep deprivation can have a major impact on the child or adult and his parents. I can imagine her frusration because I have been there with Billy Ray except that he doesn't harm himself he beats on me and sometimes his caregivers.

In July of this year he was literally pulling out handfuls of my hair and throwing harder punches than he ever has before. As I shared in an earlier post Communication by Behavior, Billy Ray had a leaking appendice, gastritis and an enlarged pancreas. I took him to the emergency room that night and the doctor, who didn't know Billy Ray or me, there he found no reason medical reason for his behavior or complaints. He was going to prescribe psych meds and send him home. I advocated for continuing testing and the catscan revealed the above situation. I can't help but wonder if Patrick was trying to communicate something to his Mom or others by his behavior.

In the Guardian piece (second link) the dcctor related that he had never seen anything like Patrick's behavior and didn't know how the mother endured it. My outrage extends to that doctor as well. Why didn't he prescribe some additional medication and keep Patrick in the hospital until they could help him and his mother?

Instead of feeling sorry for the desperate plight of the parents and failing to hold them accountable for their actions, it is time for society to look at themselves. There should be outrage not only at the mother but at the lack of help available to her.

In all fairness, I have to mention that the Guardian story does say that this mother was a "very independent mother" who didn't accept all the services offered to her. There is not enough detail to be clear on that. However, I know the difficulty in getting appropriate services for our complex children. It is sometimes the path of least resistence to pull ourselves and our children into isolation rather than fight any more. I have been there for a time.

It is time for us to become involved in advocating the right way. Our outrage needs to be channeled in appropriate ways or nothing will be accomplished. Nevertheless, we can no longer just ignore this dilemna.

Until tomorrow,
Peggy Lou
www.parentingyourcomplexchild.com
www.lighthouseparents.com

Tuesday, November 1, 2005

Still Rocking...After All These Years

I suppose there are times as adults that we would still like to be held by our parents when we need comfort. We would no more think of crawling up on Mom's lap. Billy Ray doesn't have those concerns at all. Forget that he will be 23 next month and weighs 145 lbs. Mom's lap is still a place of comfort for him. He will say "rock you me".

It is quite a contortion we have figured out to deal with his added weight. I sit in my recliner positioning his legs over the arm of the chair to take some of the weight and he leans on my other arm but somewhat on the chair too.

We sing silly songs and laugh together. Funny how comforting it is to both of us. For that moment blood sugars, IEP's and the like loose their importance.

We often read a little book Love You Forever by Robert Munsch. That little book goes through the stages of a child's life. At the end of each stage the mother goes into the child's room and sings a little song "I'll love you forever, I'll like you for always, as long as I'm living, my baby you'll be." (Sorry I couldn't figure out how to block quote on this blog yet.) She goes to his house at the end to rock him as a grown man.

I was thinking that even when our complex children are grown they remain more our babies than most kids. The documentation system that I share in Parenting Your Complex Child (AMACOM Books Spring 2006) will hopefully mean that our parental care stays with our adult child even when we can no longer take care of him.

Until tomorrow,
Peggy Lou
www.parentingyourcomplexchild.com
www.lighthouseparents.com