Telling Someone Else's Story...and Why I Must Tell It

I sat and listened to a woman I'd never met before, as she told me about her two young children. They are undiagnosed, ages two and three. She is on a year-long waiting list to get them in to a developmental pediatrician so they can get a diagnosis. A year! She cannot get more intense or specific services for her children until she gets that official diagnosis. They have early intervention services, with speech, occupational, and physical therapies. But she waits on a long list to get more help. If they do get a diagnosis of autism eventually, they will be put on another waiting list, which is two years long, to get behavioral therapy - ABA therapy for her children.

Despite the OT, PT, and speech therapies (which are one hour each per week) she struggles alone.  She has thousands of unanswered questions. She asks me, "What are the symptoms of autism? How do I know if my children have autism?" She does not even know where to begin. She has no idea what to do about the future. She lives a difficult life, waiting for answers. When you don't have a diagnosis, you don't have direction. When you finally hear the doctor say, your child has "this," at least you know what to focus on as far as therapies and programs. Well, to some extent, anyway.

In the meantime, while she is waiting, this mom's life is on hold. She cannot take them to the grocery store. She cannot take them to restaurants. She cannot get a babysitter. They have stopped attending church because of her children. She cannot take her eyes off of them for one second. She has a job, but she says her kids are in danger of being "kicked out of daycare" because of their behavior. One child is nonverbal and eats all kinds of objects, such as metal screws, crayons, and recently her own feces. The other child is extremely aggressive, has anxiety and volcanic melt-downs in any public place where there are crowds or groups of people, and bites others. The mother struggles to figure out what the non-verbal child wants - as simple as what she wants to drink. The little girl cries and cannot communicate her basic needs. They have feeding issues such as choking often on certain textures. They do not sleep through the night, ever. And...her pediatrician tells her nothing is wrong. Want to know the craziest part? We go to the same pediatrician. Yep. I shook my head and told her that she can't completely depend on the pediatrician for help with this, unfortunately. The pediatrician can make referrals, but the mother will have to ask for them. This mother will have to learn how to advocate and find help for her children by herself.

Can you imagine her life for one moment? Can you imagine trying to keep a marriage from falling apart and a career afloat while dealing with these issues every second? I hear stories like this and I think, why is this mother being made to wait like this? Why is there such a problem with getting in to see a developmental pediatrician? Why is she not getting more intensive therapies? Why on earth is the speech therapist not helping to establish a simple communication system for this frustrated little girl?

I think, What can I do? How can I help this woman? I hadn't even known her for ten minutes and I wanted to help her. You probably feel sympathetic and helpless just reading about her, and you have no idea who she is. I gave her some advice about advocating for her children and researching certain therapies. I showed her some of Lilli's old PECS pictures and explained how she could make some simple pictures to help her little girl tell her what she wants to eat or drink. I recommended the best book I've ever read about helping with her children's issues. I told her about how our church has a class for children with special needs with wonderful volunteers, and she could feel comfortable bringing them there. I will be in touch with this mom and try to think of ways to help her. But I can't do anything about the programs that don't exist, and the therapists that are not helping to establish a communication system, and the therapies that have two-year waiting lists, and the lack of doctors who can see her child and give a diagnosis in less than a year's time.

The whole time we were talking, she kept saying, "Oh, you just don't even know..." as she wiped tears away. But...I do know. Some of it. I don't know what it's like to be her and live her life, but I have shared some of the same experiences, frustration, and feelings of helplessness. She is probably so used to meeting other parents with "typically developing" children (sometimes I do get a little tired of that term because it reminds me that we are NOT typical) and she feels like she lives on a completely different planet when she hears them talk about their struggles. Hearing a mom complain about playdough stuck in the carpet and fighting with a sibling....compared to a mom in agony over her child that's non verbal and eats her own poop?  I personally think there is a difference there, but that's just me. Moms like to connect with other moms about their child-raising experiences and struggles. But when you don't know any other moms who have a non-verbal kid that eats feces, well, that can make you feel pretty alone in the world.

I wrestle with this blog, more than you can imagine. I consider taking my blog down every week. Sometimes daily. I question why I even do this. Am I wasting my time? I could be doing my dirty dishes right now, or a hundred other things. I wonder if people think I am egotistical, writing about my kids and thinking that others care. I do know some that some are irritated or just plain don't care. There are many people that are very close to us that do not read this blog. For the ones that do, thank you. I believe it helps you understand Lilli much better, and I can tell a difference in how people treat her or talk to her. For that alone, it is worth the uncomfortable feeling of baring my soul to the world. For the most part, unless people comment, I do not know what people think about the point of this blog. I write, I delete. I post, and consider deleting other posts I've already put up. It is an internal battle. I feel guilty for writing publicly about my children and my situation, because I know that writing something online is permanent. I cannot take it back. I don't want to embarrass my children or anyone else. I don't want to seem like I'm lecturing the world. I wonder sometimes, what is the purpose of my writing?

Really, it comes down to this: I write because there is no other way for people to know what goes on behind closed doors with a child who has special needs. If you don't know any personally, you might see them in public, rarely. You might feel sorry for them for a brief second. You might look away so they don't see you staring. But they have a story. And I believe those stories need to be told. It is my way of advocating for my own child, and for families like ours.

Why? Because they need help. Because they don't want to be judged. Because they never asked to live this kind of life, and they are trying to figure it all out. Because the next time you see a mother struggling with two young screaming children in the grocery store, it might be this woman.  The woman who is drowning in chaos and desperately needing help with her undiagnosed children, and she just needs to get a gallon of milk and some eggs without causing a huge commotion, but she can't. And lack of discipline or what you perceive to be "bad parenting" has nothing to do with her situation.

Because you might notice that a certain family that you know does not go to church, or to functions like the PTA school carnival, or to the movies, or to birthday parties, or to the neighborhood block party. But it might be for reasons you cannot imagine.

Because you might read this, wherever you live, and it might inspire you to think of a way that you could reach out to a family like this and help them.

Because the next time you go to the movies, shop at the mall, attend church or some other community gathering/event, I want you to look around and ask yourself, "Where are all the kids with special needs?"

If you don't see any, it's not because they don't exist. Trust me. If you don't see any, it's because the place or function you are attending has no accommodations for children with special needs. The same goes for adults with special needs. This is on a large scale for big things, and on a small scale too. The next time you are in a grocery store, look around for all the moms pushing their kids with special needs in special needs grocery carts. Don't see any? It's not because they don't need groceries. (Here is a link to a video about a special needs grocery shopping cart that I wish our grocery store had when Lilli was younger and could not walk as well. Wow, would that have changed my life back then: http://www.youtube.com/watch?v=7HTt9fx5WPE

Think about your workplace. Would a parent be able to wheel their child in a wheelchair into your store? Yes, I know there are laws about handicapped accessibility. That doesn't mean that every place is handicap accessible, not by a long shot. Once many years ago in the state where Lilli was born, I pointed this out to the pediatrician's office staff. I could not get Lilli into the building without a struggle. They had two sets of double glass doors, I'm not sure of the correct term - with one of those little vestibules to keep the cold air out. No handicap automatic button. Pushing a stroller with a baby (Chloe) and carrying a handicapped toddler (Lilli), it was incredibly difficult to pull open those two sets of doors to get into a doctor's office.  I suggested an automatic handicapped button. They thought it was a good idea; it had not occurred to them. A person with a wheelchair, a walker, or a child or two with special needs would have a terrible time opening those doors to get in. I wonder if they ever did anything about that.

Ever go to the movies with your child and think, where are all the kids with autism? They can't go to the movies unless your local movie theater has a special showing for kids with autism (and there are theaters that do this!)

Look around at church. Is there a way for parents who have children with special needs to attend your church? If you did not know I was coming, and I came to visit your church, would I be able to bring Lilli? We had a very hard time visiting churches when we first moved here, because most do not have a place for a child like Lilli. It was a lonely, frustrating experience until we found our current church home. Again I feel like I am getting into other topics that I could write entire separate posts about. So I will stop here, and leave you with this.

I write, because it is one small thing I feel that I can do to raise awareness and advocate for my child, and others like her. If my stories help you to have understanding for families who have children with special needs, I am glad.

I really hope it does make a difference. Please tell me if it does. It might keep me from deleting my next post.

Velcro Words

This is the latest idea. We have lots of ideas around here, and sometimes we actually find one that works. It's easy to have new ideas when I have a team of people who work with Lilli to try them out. If I were on my own, I would not get a fraction of this done.

Lilli learned to use PECS a few years ago (Picture Exchange Communication System). It was going great for awhile, but, it is hard to describe when and where we kind of hit a wall with the pictures. It is not an easy way to communicate with a child. You only get one basic idea at a time. For example, a picture of someone opening their mouth for a bite: that means "eat." Ok, it is a place to start. But it still leaves a lot of questions. It works, and if it's all you've got, then you depend on it. All I am saying is that while it is helpful and better than nothing, it is limiting.

 Lilli can hand me a picture that simply means "movie." I still have to figure out more information. Which one? Where do you want to watch it? Do you need anything else?

Chloe can come to me and tell me verbally in seconds that she wants: to watch Cinderella, in the living room and she wants a snack and a blanket, and oh, she wants me to sit next to her. And turn it up please. And please fast forward through the previews.

Big difference.

There has to be a "bridge" between handing simple pictures to someone, and independently typing words and sentences. So this might be a "bridge":

Velcro words.

                                                                     
It's like a combination of the idea of a "Word Wall" and a sentence building activity kit, but put in a communication book with velcro attached to it. (I think there was some old teacher lingo in there, sorry.)

Lilli can read. She does not need the pictures. They take up space, and I think they might even be distracting sometimes. Sometimes the cartoons are unclear and do not accurately depict the word or phrase.

Lilli can spell, and we are working on typing, but this is a shortcut. This is for what her speech therapist (love her) calls "functional communication."

We practice typing each day, but when she wants something it can be very frustrating to try and slowly type word after word with one finger. I try to imagine if I were an eight year old and I had to spell out three or four sentences to someone, when all I wanted was a simple snack and a certain movie. It might make me avoid asking. Or it would make me whine or cry about the time and effort it takes. Also imagine if you had to slowly spell out the words "I have to go to the bathroom" when you really gotta go. One last issue I have personally is that the pictures are not that great. How can you tell the difference between a picture of an egg salad sandwich and a chicken salad sandwich? On a two inch by two inch square picture, it is not that easy.

We want Lilli to communicate, but quickly without frustration for everyday functioning.

We are expanding the idea of the "Yes No" cards to different catagories, such as food, movies, feelings, activities, and I'm sure we will come up with more.

Since it is so new I can't really explain well how we will use them or if it is working. We are going to start small, putting only a few choices out at one time. We envision that eventually we will leave the entire page open to Lilli for choices, but we know that we have to introduce it to her on a smaller scale. This may take a few days or maybe months. We never know with Lilli. But I wanted to share the idea. Even if it ends up as a big flop, maybe someone else can take this idea and make it work for them. This is like a super-cheap version of the communication ipad app Proloquo2Go. (which is $189.00).


Now to get busy with scissors and a ton of teeny pieces of sticky velcro...

                                                                                                                                                                   
                                                                                                                        

What to Do Without an Ipad….

Alas, the ipad did not make it. All seemed well after a week in the rice, but when I charged it, it went completely dead.

Water still left inside? Rice dust? Charged it too soon? Who knows. I will not Google anymore about it. I have passed it back in its coffin, ahem, original box, to the school. They are going to have someone look at it. May I brag on my child's incredibly forgiving principal for a moment? When the unfortunate "sink incident" first happened, I was filled with dread. It was our fault, it was the school's ipad. As I punched in the school's telephone number, I figured the only thing to do was to be honest and apologize, and offer to pay for it. When I broke the news to the principal about the wet ipad, she handled it with grace. She is taking care of it. No anger, no guilt, no we never should have given your child an ipad, you irresponsible parent. Just grace. I took the sick ipad to the school and dropped it off.

Now, we wait.

We have been without the ipad now for five long weeks.

When things like this happen, it forces us to try something else. I am actually glad that this happened. Kind of. We all need to have alternatives in life, in case something happens to our "Plan A." How dependant we all are on technology. The power went out here the other day for two hours. Just two hours. And at first, my kids went nuts. What? No movies? No computer? No…air conditioning? Chloe kept flicking light switches up and down in awe. "Mom! They don't work! Mom! My fan doesn't work! Hey! The light in the bathroom won't come on!"

Yes. I know. Isn't it neat? Hey, the vacuum and the washing machine won't work either! And hey! The fridge and freezer are off too!

We are blessed to rarely lose power here. And let's all put it into perspective, we are blessed to even HAVE power, ever. We are blessed beyond belief in many ways. The fact that I write a blog focused on a wet ipad does not mean I am not incredibly thankful each day to live in a country where children with special needs have so many opportunities.

My kids quickly got over it. Amazing - they were actually able to play without any electricity! Lilli had her teacher come during the time without power. Leslie said it was one of the best days they've ever had. They worked on flash cards with time, money, spelling words with the velcro letter board, and read a chapter book. I have to confess that Leslie had her phone and let Lilli have a few Youtube clips as a reward. BUT still, they had a great lesson mostly without technology.

Surviving without something you depend on can be a challenge. But it stretches us and grows us. Surviving without a way to communicate is tough. For example, last week I had laryngitis. But I could whisper. I could point at a pile of toys on the floor and exaggerate my facial expressions. I could use gestures and clap. Do you think my children knew what I meant? I could also point at the time-out chair and turn on the timer without speaking. That can be effective communication, with or without laryngitis.

Losing my voice to layrngitis is temporary. When I lose my voice, I have alternatives. But when Lilli first lost her "voice" – the ipad – a few weeks ago, we were kind of stumped about alternatives for her. In the beginning it was really quite frustrating. We had been able to communicate with Lilli for several months, and then we had to go cold turkey. I explained in my last post that the Dynovox was not really much help. We tried using the laptop for typing but it is not portable. (I know, a laptop IS portable but mine isn't. It's old and needs a new battery so we keep it plugged in.)

Then slowly, we began to get creative. We already had some things in place before. We just learned to depend on them more. We pulled some old things out, and realized that sometimes the "old standby" is incredibly valuable.

These are the ways we have been communicating with Lilli without an ipad. I want to share them because not every parent can afford an ipad for their child with special needs, or I should say most cannot. Most are not as blessed as we are to have a public school that will provide an ipad to a child who desperately needs a way to communicate and learn. Even a child that might put one in the sink and turn on the faucet. Here are some cheap ideas some readers may want to use or share:

A picture of a keyboard.  Our speech therapist thought maybe Lilli could practice typing on a flat printout of a keyboard. It was harder than I thought it would be to find a good one to print out. I was looking for a clipart of a keyboard when I found this: http://www.spectronicsinoz.com/blog/tools-and-resources/free-downloadable-alphabet-boards-for-people-using-aac/
This is a quote from their blog: " .... They can be a great backup for someone when their communication device isn't available – those times when it hasn't been charged or if you are going for a swim and don't want to take technology near the pool!"

Or...if it is say, broken. Well, thank heavens! Someone already has been through this before! This is what it looks like:

I copied and pasted it, and enlarged it. We slid it into a clear covered binder, and Lilli has been "typing" on it! Notice the "buttons" on the side. We like the simple "YES" and "NO" that you can just touch quickly.
We also unplugged the keyboard to the LeapFrog Click Start, and Lilli has typed on that.

keyboard that only works when hooked up to a tv - but we unplugged it and had Lilli type on it.

A third option is an old overlay from a communication device that our speech therapist gave us. Just a flat, laminated printout of a keyboard. She was just going to throw it away because the communication device is not used anymore.

The overlay from an old communication device

In all three cases, there is no voice output. But it is great typing practice! We say the letters or words out loud as she types. We are the low tech voice output. It works. She even uses the space bar. We can roll up and take the overlay with us anywhere. Morgan suggested that we can laminate the keyboard printout and take it to the pool with us this summer. We are using this opportunity to find other ways to "type" and communicate.

PECs pictures. Lilli was thrilled to see them again. We took out old ones, and made some new ones.They may not communicate complete or complicated thoughts like typing can, but they get the basic message across. Now that Lilli can read, we are happy to bring out new PECS pictures she did not understand or use before.

PECs pictures are great except when they are missing. Where are the ones that used to be on this page? Probably under the couch. 

And now I will share our most successful cheap, homemade communication device at the moment:

"The Potty Button." I promised myself I would not blog about potty training. I just don't think that Lilli would want me to tell everyone about that long road. But aside from the actual training itself, a very challenging problem for many parents of non verbal kids is: how does a non-verbal child tell you that they have to go to the bathroom? I think it will be OK to share this part with the world.

The Potty Button Necklace. Should I start taking orders?

The Potty Button next to the bathroom door. Also a velcro PECS picture, just in case. We need backup.

There are pictures, as in Lilli could rip a Velcro picture off of a potty or a clip art of a person sitting on the potty, and hand it to me. One is velcroed onto our bathroom door, as pictured above. Sometimes Lilli grabs that and brings it to us. But we have found that to be less than ideal. We need a voice. A noisy signal above the din of our busy household. A way for her to "yell" that she has to GO - NOW, when I have my hands in the kitchen sink or my thoughts focused elsewhere. I hear that potty button and I drop everything and run around the corner to help her. In fact, she pushed it while I was writing this paragraph. 

This is the potty button: a recordable picture frame, rigged with a piece of glue gun glue and poster putty to hit the button. In one of them I used some random plastic thingy I found in a drawer instead of the glue gun glue.. I think it is a rubber foot pad for a trivet or something. We have four buttons. One on the doorframe of the bathroom. One at the kitchen table. One at the table where she does therapy. One on a ribbon which the "portable potty button." I did not come up with this idea on my own, some speech therapist made it up and posted it online years ago. It is a cheap, homemade version of the "Big Mac Button." The story of the potty button is too long for this post, but I wanted to share the idea with other moms and teachers. They all have my voice recorded on them, saying "I have to go potty!" When Lilli pushes it, I can hear it from around the corner. She does not have to come and find me and hand me a picture. We get a lot of laughs out of the potty button. Morgan wears it for Lilli when we go on outings...and we joke about what people think of her wearing essentially a "necklace" with a picture frame taped on it with a picture of our toilet, out in public. She has a great sense of humor about it and says maybe people at Target will look at Morgan wearing it and think she is setting some sort of new fashion trend. You have to laugh about stuff like this.

In the past we used these buttons to express other simple messages such as "I want to eat" and "I'm thirsty" We tape pictures on the front and record whatever short message is needed, then tape the frame closed with the glue inside so it will press the button when you hit the outside of the frame.

So, ipad, we miss you for sure. But we are keeping busy without you… wearing potty necklaces and typing on flat pieces of paper…until you return.