Friday, June 22, 2012
Raising kids with special needs and roller coaster days
About Max and roller coasters
Max has this fascination/fear thing with roller coasters. He's never been on one, but when we're at an amusement park he'll stand and stare at them, mesmerized, then shake his head and say "Nooooooo!" Then I have to say "Not for Max!" to reassure him that we won't be taking him on one.
Me, going up
Today, we visited Max's physiatrist after his physical therapist at school expressed concern about his hip, and how it might be forcing his right foot to turn inward. The foot that he got serial casted last summer. I talked my way into an a.s.a.p. appointment because I was so concerned. Max's walking is a miracle (I do not use that word lightly) and anything that threatens it is A Big Deal.
Not to worry, the physiatrist said after he examined Max, and I just about swooned with relief. Max's hip looked fine to him, and he said he was walking well. The doc was especially impressed by how far along Max's comprehension had come, and his ability to stay calm—as a toddler, Max wailed his heart out at these appointments.
Score 1 for Max, 0 for cerebral palsy.
Me, going down
We're back home. Max is playing with a toy truck, and I'm filling out an application for long-term care insurance; Dave and I are considering it. It's the usual form mumbo-jumbo. Then I get to a list where I have to make a check if I have one of the following: multiple sclerosis, Parkinson's, Alzheimer's, cerebral palsy. A note in small type below the list says that if I've checked any of the above, I shouldn't continue filing out the form.
At age 9, Max would not eligible for this insurance because he has a condition that the company considers to be as degenerative as Parkinson's and Alzheimer's.
I am sad.
Me, going up
Max asks if I'll take him on the train. He doesn't have school, I'm off from work so sure, why not? We drive to the parking lot, buy round-trip tickets and settle in for a joy ride. "Pardon me, do you mind if I ask whether you like those headphones?" a woman seated behind us asks about the noise-reduction headphones Max has on. Turns out she's a local occupational therapist. I've been on the hunt for a new one for a year. We talk. She's worked with kids who have CP, she mentions some innovative-sounding techniques, she seems really nice.
I'm not a big believer in fate, but I am a big believer in the power of coincidences.
"Max, would you like her to come play with you?" I ask.
Max eyeballs her. "Eee-yah!" he says.
I get her card and we get off the train. I'm excited.
Me, going down
There is a big staircase at the station that'll take us to the other side for the return trip home. A conductor on break glances at the braces on Max's feet and gives him a pitiful look. "Awww, honey," she says. "Do you need an elevator?"
"Actually, he can handle stairs pretty well," I tell her.
I know she only means well, but I can't stand the pity.
Both of us, going up
Max keeps looking down the track for a glimmer of train. Soon enough, he spots it and he squeals. Few things make me feel as good as that squeal. We get on, grab seats and he contentedly stares out the window till we're at our stop. As we get off, a crew person helps Max down. Max gives him a high-five.
The two of us head back to the car, happy.
Roller coaster photo/The Two K's
Tuesday, March 13, 2012
Look who's writing!
Squeeeee!
Max uses a pencil encased by foam tubing, the same kind we use for the maroon spoons he eats with. The stuff looks like this:
Once again, let me just say, TAKE THAT, DOOMSAYING DOCTORS OF THE NICU.
Yeah.
Monday, March 12, 2012
What I'd like you to say to my kid with special needs
You and I are at the playground with our kids.
Perhaps we are sitting on a bench, chatting about the stuff moms talk about when they first meet—school, our ridiculous taxes, the best place to get the kids a haircut, the weather, you know.
My daughter walks up to us and I introduce her to you. Her name is Sabrina, and she's 7.
"Hi," you say. And then maybe you ask how old she is. Or where she goes to school. Or if green is her favorite color, because she's wearing a green shirt. Or what her favorite thing to do at the playground is. Or if she's doing anything special for spring break. Or if she's getting hungry for lunch. Or if she knows what a gorgeous mom she has (OK, maybe you don't really say that but this is my fantasy so bear with me).
"Hi," I'd like you to say. And then I'd like you to ask how old he is. Or where he goes to school. Or if purple is his favorite color, because he's wearing a purple shirt. Or what his favorite thing to do at the playground is. Or if he's doing anything special for spring break. Or if he's getting hungry for lunch. Or if he knows what a gorgeous mom he has (see above).
You and I are at the playground and your kid meets my kids.
Your child greets Sabrina.
"Hi," your child says. "Would you like to play?"
Your child greets Max.
"Hi," I'd like her to say. "Would you like to play?"
Do you see?
I want you both to treat my son with cerebral palsy the same way you treat his sister, or any kid.
I know he may sound and walk differently than your child does and yes, he drools. Max will probably need me to help answer some questions. Perhaps you or your child won't understand what he's saying, and I'll translate, or he'll use the speech app on his iPad. I'll have to help him up the jungle gym.
But still, he's a kid. He is not defined by his special needs. Other than the visible differences, at heart he is not so different from your child.
The other day, Max's teacher asked him to share something he wished for.
This is what he came home with.
My son wants to make friends. He'd like to chat with you and your child at the playground. Of course, not all kids with special needs are like this; some are more shy, some have challenges with social interactions.
What I'm saying is, they are all still kids. And they deserve to be treated that way.
This post was inspired by a commenter on last week's video about the r-word. "What would be the best way to explain Max to my 6-year-old daughter when she takes notice and asks, 'What's going on with that kid?'" she asked. I've written about this a lot; recently, I asked other parents of kids with special needs to weigh in. How parents and kids can interact with kids who have special needs is a question that keeps coming up. And I think it's an important one to keep answering.
Thursday, March 1, 2012
Kids and adults with special needs who give you hope
Back after Max was born, I spent a lot of time emailing moms on The Pediatric Stroke Network e-loop. I was especially interested in connecting with ones whose kids were older six and up. Hearing that their children were walking, talking and generally doing OK gave me the hope I was hungry for. The doctors hadn't given us much to go on.
Now when one of you tells me how much Max gives you hope, it thrills me—because I know how you feel, because I am glad Max gives you comfort, and because I am grateful that he is doing as well as he is.
I also look to older kids and adults for hope about Max's future. This week, inspiration struck three times: first with a post by Susan Senator about her son Nat, 22, who has autism and who just moved into a home, with staffers to assist him and his roommates. And then by this video I found about young adults with special needs who live together in a group of apartments in California.
Wednesday, February 22, 2012
Better therapy sessions for kids with special needs: therapists share!
From Melanie Potock, a pediatric speech language pathologist and feeding specialist in Longmont, Colorado who blogs at My Munch Bug
DO...
• ...Feel free to video our session to share with your partner, nanny or other caregivers.
• ...Call me if you have any sickness in your home that day. I see so many kids who are medically fragile and it’s helpful for me to know if I am about to enter Strep Throat Territory!
• ...Let me know if you feel you need to change to another therapist. Not every therapist’s style is the right fit for every child, or every family. Therapists understand that as a parent, you are just trying to do what you feel is best.
• ...Celebrate each and every step of progress with me! Therapists have the benefit of watching many, many kids make this journey over the years. We know each step on this path. It’s important for everyone to celebrate even the tiniest accomplishments and not become overly focused on the final destination. We will get there, one step at a time!
DON'T...
• ...Hesitate to tell me if you think something that I have suggested just isn’t working for your child or your family. I promise to listen, adjust the therapy and not take it personally.
• ...Clean up the house just because I am coming over to do therapy. I want my visits to the home to make your family’s life easier. Believe me, I’m used to seeing dirty dishes on the counter.
• ...Lose the therapy tools I loaned to you. I’m happy to loan them, but I can’t afford to replace them. And if your toddler accidently spilled grape juice on the book I loaned you on speech and language development, please let me know before I loan it out to another family.
• ...Be upset with me when I need to cancel at the last minute due to bad roads. As a therapist who drives from home to home and covers many miles in a day, road conditions vary and I often get caught in bad weather while it is still nice in your neck of the woods.
• ...Ask me to change your child’s diaper or take them to the potty, unless it is a part of your child’s therapy plan.
From Stacy M. Menz, a pediatric physical therapist in the greater San Francisco Bay area who blogs at Starfish Therapies
• Do encourage collaboration between your therapists and other team members (including caregivers). Often the other team members will be working on things that are easy for another therapist to carry over, which allows extra skill practice to be 'snuck' in. (An example: if a speech therapist is working on the child producing sounds such as m,b,p then a PT can have the child practice those sounds if they are playing with toys that have things like cows or sheep).
• Don't make exercises stuff you have to "fit into" your day—incorporate the exercises and 'homework' into your routine as much as possible so it is part of the day. Often your therapist will have ideas on how to do them; perhaps they can done when you change a child's clothes or diapers. Just be clear on what you can handle as a family so that your therapist can pass on the top priority for you to practice.
• Do give your child time to be a kid and have free time, or take a short therapy vacation. Letting them have time to play and interact with the world can often provide their bodies a valuable opportunity to practice, process and integrate all the new skills they are learning.
From Rona Silverstein, an occupational therapist in the northwest suburbs of Chicago
DO...
• ...Communicate with the therapist and participate in the sessions if appropriate.
• ...Ask questions of the therapist—we love to discuss and share our perspectives.
• ...Provide us with your perspective on what is going on. You are an expert as you know your child way more than we do.
DON'T...
• ...Forget the session is about your child. Keep the focus on him, offering encouragement and participating in problem solving.
• ...Ask questions at the end of the session. We may feel rushed and in a time pinch.
• ...Think we know all the answers. We don't! We do have a unique perspective though, so don't hesitate to ask us what we think.
From Becca Jarzynski, a pediatric speech-language pathologist in Eau Claire, Wisconsin who blogs at Child Talk
• Do ask questions! Sometimes we therapists get in our own heads and forget to explain things well. That’s our fault, not yours! Never feel like a question is to simple or to silly. It’s your right as a parent to understand what we are talking about. Make us slow down. Ask as many questions as you want and don’t stop asking until you have gotten the answers you deserve.
• Don't hold back on sharing with us. A good therapist will not only get to know your child, but you and your family as well. Tell us what you love to do each day. Tell us the struggles you face. Tell us the successes you’ve had. The more we know, the more we can help you integrate what is best for child development into what is best for your family.
• Do take our suggestions with a grain of salt. We are probably going to give you too much to do—we're therapists, it’s what we do. Although we have the best of intentions, sometimes we worry too much about the child and too little about the family. Give yourself permission to ignore us sometimes. Tell us if what we are asking you to do isn’t reasonable. Remember that no matter how important therapy is (and it is important), it must be balanced with maintaining a healthy family, full of love. Trust yourself to find that balance.
From Joleen R. Fernald, a pediatric speech-language pathologist in Dover, New Hampshire
DO...
• ...Be punctual to your appointments. I know you have so much going on in your life, but we have lots to get done in a short period of time!
• ...Tell me when homework is too much. I recall early in my career when I would remind families to read at least 30 minutes per day with their child. Then I had children of my own. I suggest 5 to 10 minutes now!
• ...Try out any exercises with me present so we can make sure you feel comfortable doing them.
• ...Understand that you, the parent, are far more knowledgeable about your child than I do; however, also understand that I am the expert in speech and language and together we make a wicked awesome team!
DON'T...
• ...Act as if you understand what I am explaining when you really do not. I don't mind explaining; please ask.
• ...Respond for your child. Let him work it out for himself so he can learn.
• ...Tell me you practiced your homework every day when in reality, you practiced on the way up the stairs to see me.
• ...Forget to update insurance information or paperwork. This can be very expensive for you and a pain in the neck for me. I'd rather spend my time working with you and your child than chasing down insurance reimbursement.
From Karen Head and Meghan Graham, speech-language pathologists, and Jill Perry, a pediatric occupational therapist; based in Boston, they're the founders of All 4 My Child, a site about collaborative tools and technologies
• Do explain your family culture and routines to your therapist.
• Don't feel that you need to be a therapist—"mom" is the most important role you play.
• Do share those special little moments of progress (or just adorableness) with your therapist. We treasure them.
Monday, November 21, 2011
Appreciating the services our kids get: a guest post
The real beginning of my advocacy (the school officials would probably use another word) came when Billy reached school age. The custom at that time was for children with disabilities to attend a special school. In attempting to enroll him at age six, I found that he wouldn’t be eligible until age eight. (Other stipulations were being toilet trained and able to speak his name. He qualified on these requirements.)
What Billy really needed was the opportunity to be part of a good school. In the 1950s that didn’t seem possible. Only through parent advocacy and determination did educational services for children with disabilities evolve. Such advocacy and persistence are still necessary to insure that good education, in the least restrictive environment, will continue.
Please, share your thoughts with Jane—and like this amazing woman's Facebook page.
Wednesday, August 24, 2011
9 ways to always have hope for your child with special needs
Thursday, August 4, 2011
Do not read this blog tomorrow
Wednesday, August 3, 2011
If my child didn't have special needs
If my child didn't have special needs, I wouldn't be an expert in occupational, physical and speech therapy. Anyone care to open a practice with me?
If my child didn't have special needs, he might not have the fixations I adore. Purple! Spaghetti! Car washes!
Your turn: What if your child didn't have special needs?
Monday, June 13, 2011
Stage fright
Max recently had his spring concert. The week before, I got a promising email from his teacher: "I am happy to tell you that Max did a great job at the dress rehearsal. He waited in a quiet area as the other children sang and when it was our turn he joined the class (with some hesitation) but then he happily performed. He was so excited afterward as well. We high fived and congratulated him."
I was so psyched. I took the morning off from work and headed to the school, me and my high hopes.
Max's class was slated to sing "Friendship Rap" and "You're A Friend of Mine."
I crouched down between the two aisles of seats, right in front, camera in hand, eager for the kids to come out. When they did, Max made a beeline for me. I gave him a hug and sent him back to the row of kids lined up in front of the crowd.
Let me just say that this was already a score; Max has a history of melting down at these events. The fact that he was smiling and that he agreed to rejoin the class (instead of staying glommed to me) was major. Our family actually has a history of stage fright. Sabrina was once in a dance recital at 3. As all the other little ballerinas pranced around to the Sesame Street theme song, Sabrina just stood there and stared into the audience. Literally. The only time she moved was when it came time to take a bow, at which point the audience broke into wild applause.
The performance started. Max just kept smiling at me. He didn't sing or do any of the hand gestures. And you know what? I wasn't at all disappointed. I was genuinely thrilled he was content up there. And proud of him. He ran into my arms after the performance was over, and we had the best hug.
If there's one thing I've learned about raising Max—and Sabrina—it's this: Our kids may not always live up to our expectations, but as long as they're happy, it's all good. Once you accept this, you'll be happy too.
Monday, May 30, 2011
Raising kids with special needs: The girl next door
Summer's almost here, and I know it because A. is singing in her backyard. She lives next door to us and every year, she starts her solos around Memorial Day, usually in the early evening. I watch her from our back door. She stands beneath a giant oak tree, always alone. I'm never quite sure what she's singing, but her voice is clear and mesmerizing. She holds a microphone in her hand and raises it high at times, as if she is dedicating songs to God.
A. has Down syndrome. She is in her early twenties, and gives me the biggest wave hello whenever she sees me. She is the last of 16 children. After Max was born, I hoped that we might glean words of wisdom about raising him from her dad, Mr. R. Over the years, though, he's mostly just told us how impressed he is with Max's progress. "Hey there, Max, looking good!" he'd say from his front porch as Max wobbled by on his walker and then, later, on his adapted tricycle and these days, on the green tractor he drives like a demon.
I don't see A. that much. Every morning, our state's transportation service for the differently-abled arrives to take her to work shortly before Max gets on his yellow bus. I am not sure where A. works now. She used to help out at a frame store, but I think she switched jobs. I can always count on seeing her Halloween night, because she is a diehard trick-or-treater who seems to rack up the most candy in our neighborhood. Mr. R. is famous for giving out full-size candy bars.
Before I had Max, I felt sorry for A.
Now that I have Max, I don't feel sorry for her at all.
I notice how good her speech is and all the activities she loves to do, including playing croquet and growing a vegetable garden. I see how happy she seems, and how loved she is.
Our families are the only ones in the neighborhood with kids who have major special needs. I find it comforting to have A. next door. It makes me feel less alone.
I look at A. and wonder if I am seeing the life the future holds for Max. I'd like to know what Mr. R. and his wife have planned for her after they're gone; they are in their late seventies, maybe even early eighties. With all those siblings, surely one will be there for her.
Tonight, though, A. is singing in her backyard, I am watching her, and she is perfectly content.
It is good to have her there.
Can you understand why?
Friday, February 25, 2011
On convincing people that, yes, your kid with special needs is content
"Can I ask what his disability is?" he says.
"He has cerebral palsy," I say.
"Ohhhh," he says. "That must be hard for him."
"Nope," I say, cheerfully. "He's a happy kid."
"How does it affect him?" he asks.
I explain that Max has issues with speech and using his hands, the simplified way I usually explain cp.
"Doesn't it bother him that he can't talk like other kids can?" the guy asks.
Wow. That's bold. "No, it doesn't—because he doesn't think he's different," I say. "He tries to talk in his own way, and he has an iPad with a communication app. He plays like other kids play. He laughs like other kids laugh. His cerebral palsy does not impair his ability to be a kid!"
And then I pull out a picture of Max with his gigantic grin and show it to the guy. "Does this kid look unhappy to you?" I ask.
"No," he says, and we move on to other topics, and I'm just a little flustered at having to explain, once again, that Max's special needs are not a tragedy.
It's not just strangers. I've had conversations along these lines with friends and family. Early on in Max's life, a very close family member once wondered out loud whether the reason Max smiled a lot was because he was simple-minded. It took a few therapy sessions to get past that one.
My child is happy with who he is.
I need the t-shirt.
Friday, October 1, 2010
Bring on the homework!
But by last year, at 6, Max was ready for it. Even more than other kids, ours need learning reinforced at home. Even more than other parents, we need to be in the loop on just how we can help our kids. One of the most important things I learned from Early Intervention is that therapy and education can only go so far; moms and dads have to carry on what the experts do. It's a hell of a responsibility, but it's part of being Chief Everything Officer, especially when you're parenting a kid with special powers. Too bad we don't get bonuses at the end of the year.
That teacher and I came up with a "Learning Link" page she'd send home every week, with info on what she was teaching, activities parents could do and, yes, homework (sorry, kids).