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Wednesday, June 30, 2010
Why I don't think much about why
Why is Janey autistic? That's something that of course I wonder about, but not something I give a lot of time to thinking about. Why not? Because at this point, it doesn't make a lot of difference. The only exception would be if whatever made her autistic is still harming her, and I don't think that is the case. If she had continued the downward spiral that hit her so suddenly, then I would think that that something was still happening. But I think whatever caused her to be autistic happened during my pregnancy or at the time of conception, when genes combined, or at birth, when the cord was around her neck and her heart rate kept dropping. I don't think it's diet or a vaccine or mercury. I'm not sure about that. But to devote myself to figuring it out, when that provides little current help to Janey, would be a waste of time, in my opinion. I've read a lot of accounts about children with autism. Something I've noticed is that when the parent becomes obsessed with "why", and picks a theory they believe, and starts devoting themselves to that theory, suddenly the account stops talking much about their own child. And I can almost understand this. If I had the means, the help, the way to have someone else take care of the tough day to day parts of caring for Janey, I am not proud to say it, but I would probably spend less time with her too. I think sometimes the only way a parent can let themselves feel this is okay is to decide it's important to help the wider autism community, to devote themselves to helping ALL children with autism, not so much their own specific one. And I don't blame them for it. But I think if I had the help, the support, I would use the time for other things---to sleep, to get out the house, to get a job that has nothing to do with autism. I would try to admit to myself and the world I need a break from autism, and sometimes, a break from Janey. Then when I had had my break, I'd come back refreshed and able to better help the one person with autism that it's my responsibility to help the most---Janey.
My morning so far
4am---Tony's radio alarm goes off loudly, but not loudly enough to wake Tony, although it wakes Janey and me. Janey luckily goes back to sleep after a little crying
6am---Janey wakes for good. She is not happy. I give her milk, oatmeal and an apple. She eats them, is happy for a bit, and then starts the daily screaming spell. She screams for an hour. Most of this time, I have her stay on the "screaming couch". My head pounds. Finally, she stops as quickly as she started.
7am---Janey tries to sneak upstairs to see Uncle Pino. Her new thing is opening the door to the hall and going up on her own. She did this yesterday for the first time---I was turned away and she was up the stairs before I turned back. Now we are using the lock and the chain on the door. She is working on figuring them out. Tony went last night to buy lots more chains.
7:30am---pull-up is off. Janey sits on the potty---which she likes to do occasionally, although NEVER ONCE has she actually used it for its intended purpose. But it's good to see her sitting there.
8am---I put in place my summer plan of getting out of the house early, and we drive to Houghton's Pond, a park and swimming place a few towns over.
8:20am---out of the car at Houghton's. Janey is very happy and the weather is perfect. We run over to the playground. Janey stops short. I wonder if she's overwhelmed. In a minute she takes off her Crocs, which I notice are wet. She has peed into her pull-up. She holds her urine forever, and then pees so much it soaks everything. We head to the car and change her shorts and pullup.
8:45 Ready to finally start the fun at Houghtons. We walk toward the water. I notice Janey is walking oddly. I check---she has filled her pull-up the other way---something she does about once every 2 days. I am out of fresh clothes. We head back to the car
9am---we drive home.
9:15am---change all of Janey's clothes, have coffee, try to think what to do the rest of the day.
6am---Janey wakes for good. She is not happy. I give her milk, oatmeal and an apple. She eats them, is happy for a bit, and then starts the daily screaming spell. She screams for an hour. Most of this time, I have her stay on the "screaming couch". My head pounds. Finally, she stops as quickly as she started.
7am---Janey tries to sneak upstairs to see Uncle Pino. Her new thing is opening the door to the hall and going up on her own. She did this yesterday for the first time---I was turned away and she was up the stairs before I turned back. Now we are using the lock and the chain on the door. She is working on figuring them out. Tony went last night to buy lots more chains.
7:30am---pull-up is off. Janey sits on the potty---which she likes to do occasionally, although NEVER ONCE has she actually used it for its intended purpose. But it's good to see her sitting there.
8am---I put in place my summer plan of getting out of the house early, and we drive to Houghton's Pond, a park and swimming place a few towns over.
8:20am---out of the car at Houghton's. Janey is very happy and the weather is perfect. We run over to the playground. Janey stops short. I wonder if she's overwhelmed. In a minute she takes off her Crocs, which I notice are wet. She has peed into her pull-up. She holds her urine forever, and then pees so much it soaks everything. We head to the car and change her shorts and pullup.
8:45 Ready to finally start the fun at Houghtons. We walk toward the water. I notice Janey is walking oddly. I check---she has filled her pull-up the other way---something she does about once every 2 days. I am out of fresh clothes. We head back to the car
9am---we drive home.
9:15am---change all of Janey's clothes, have coffee, try to think what to do the rest of the day.
Labels:
autism,
crying,
eloping,
summer plans,
toilet training
Monday, June 28, 2010
Splash Park
I took Janey this afternoon to a splash park near us, a really nicely done one that used to be a wading pool and now has lots of fountain type things to cool off in. My friend Maryellen got us to go---she is very good at helping out with Janey and encouraging me to try things with her. It went pretty well. Janey was quite happy there. She seemed to like seeing all the kids, and she didn't mind the water. I think if we hadn't worked to get her in the water, she would have mostly walked circles around the edges, waving her arms around, but with a little encouragement she went into the water areas. It's interesting how other kids react to her. Kids her age or younger seem to have no clue she isn't totally mainstream. A boy ran up to her and tagged her and said "You're it!" and a girl brought over a Toy Story Pez and tried repeatedly to show it to Janey. Janey pretty much ignores them, but they don't seem to notice or mind---maybe a non-interested kid is less threatening if you are a little shy or something. Older kids seem to see there is something odd about her, but I haven't yet seen one making fun of her---I hope I never do, but that's too much to hope. Adults almost always now seem to know either that she is autistic or that something is odd about her. She gets some stares---mostly when she is yelling with anger or with happiness, or just really getting into circling and flapping. I don't mind the stares as much as I thought I would before I had a child like her. She's who she is, and usually I am concentrating so much on making sure she's okay that I don't have a lot of time to worry about it. She did a cute thing at the park---for about 15 minutes, she put her thumb in the "thumbs up" position to show she liked being there. The crying today was limited to the morning scream. I will have to see how things are tomorrow with Tony at work. She has no sense of work or why he should sometimes be home and sometimes not. I think that must be scary---the boys are sometimes here and sometimes not, as is Tony. It's why I don't go many places---I need her to have someone she knows will pretty much always be around.
Labels:
autism,
flapping,
other kids,
out in public,
screaming,
teasing,
water
Daily Scream---but okay!
The last few days have been okay. Janey seems to have a need for a daily screaming time. It's occuring in the morning hours, including that awful lawn sale scream. The afternoons have been much more tranquil. This morning we almost saw it coming. We told her she needed to scream and kick on the screaming couch, one of our couches. She stayed there pretty much, and seemed to get the idea. It was about a half hour of intense hysteria. Now she is calm.
The strange thing Tony and I have both noticed during this tough time is that we think she's actually making a lot of progress lately. Her talking is better---we are hearing more fairly long ideas expressed ("I love that rainbow shirt so much", "No, YOU are a camel") and she is following simple one or something two step directions a lot better. She is remembering things I ask her to say instead of screaming except for when the real storm is going on, she says things like "I am ANGRY!" "I need ATTENTION" "I want to CUDDLE YOU RIGHT NOW!" She is being very sweet and lovable when it's not screaming time. I think if the screaming was just an hour a day or so, and fairly predictable, I could handle it. I wish it didn't have to happen, but I can handle it. I wonder if as she understands more, she realizes more how apart from other kids she is, and that is hard. I don't think she's quite at that point, but you never know.
The strange thing Tony and I have both noticed during this tough time is that we think she's actually making a lot of progress lately. Her talking is better---we are hearing more fairly long ideas expressed ("I love that rainbow shirt so much", "No, YOU are a camel") and she is following simple one or something two step directions a lot better. She is remembering things I ask her to say instead of screaming except for when the real storm is going on, she says things like "I am ANGRY!" "I need ATTENTION" "I want to CUDDLE YOU RIGHT NOW!" She is being very sweet and lovable when it's not screaming time. I think if the screaming was just an hour a day or so, and fairly predictable, I could handle it. I wish it didn't have to happen, but I can handle it. I wonder if as she understands more, she realizes more how apart from other kids she is, and that is hard. I don't think she's quite at that point, but you never know.
Saturday, June 26, 2010
Afternoon better
When I write a very depressing post like that last one, I start feeling guilty---like I am painting too bleak a picture and upsetting people. Things really are better this afternoon. Janey calmed down and is quite cheery. She ate a good pizza lunch with us, and now is watching the World Cup US/Ghana match with her father. Her good moods come as unpredicably as her bad moods---they both come on a dime and leave on a dime. If I knew what made her sad or made her happy, I would do whatever it took to get the happy more of the time.
Unbearable
It's silly to say unbearable because, of course, what choice do we have? None. But it felt like the word for this morning. Janey cried much of yesterday---by crying I mean screaming---the horrible, top of the lungs, inconsolable screaming. She did get happy for a few hours in the evening. She woke up happy, and we were planning on going to some lawn sales for the first time in about a month, as that is how I make my living, and we haven't been able to. She started screaming just before we were going to go. We had planned to have William babysit,but we don't leave her with him in that state, so we took her. Huge mistake. She cried less intensely for the first few, got a tiny bit happy in the middle. Then the last one. It was on a dirt road, which you would not think there would be one of in the middle of Jamaica Plain, but there is. It was very hard to get to. As we went down the road, Janey started screaming. I don't think anyone could picture what her screams are like unless you've heard them. They are the scream of someone being tortured, someone in horrible pain, someone insane in an asylum. They are impossible to ignore, impossible to stand, but we have to, many hours a day lately. I tried to get out and go to some of the very good sales. Tony stayed with Janey. She was screaming so loudly I heard her all the way down the road. I came back, to say we just needed to go. Tony had her out of the car, trying to calm her down. Her screaming was so distressing that people were literally crying, trying everything to help her. They offered her water, milk, candy, anything she wanted from the sale. We explained (over her screams) that she was autistic. They wanted to help. I wanted out of there, I wanted to go home and never leave the house again. We got her in the car and came home. She is screaming now, while I write this. This in ON medication, the useless medication that has not helped a thing I can see.
I am at the end of my rope, but I can't let go, as there is nothing there under the rope. We have no choice but to keep on. We love her, we would do anything for her. But nothing works. Nothing. Nothing.
I am at the end of my rope, but I can't let go, as there is nothing there under the rope. We have no choice but to keep on. We love her, we would do anything for her. But nothing works. Nothing. Nothing.
Thursday, June 24, 2010
Last day of school
Today was Janey's last day of school. Not much will be different next year---she will be in kindergarten again, in the same room, same teachers, same therapists. Which is a good thing---I love her room, her teachers and mostly her therapists. I hope next year is the year it all comes together and she starts learning. We have been getting a lot of progress reports, and they do get a little depressing, although everyone tries to be cheerful. She met really none of her goals. The main progress this year has been that she will wave or say bye and once in a long time, hi, when greeting or leaving people. She can do fairly well tracing a straight across line or an up and down line. She counts pretty well, at home more than at school. She will spell her name, again, more at home. Sometimes we think she knows the letter "A". But the other things, that they call Readiness, are not really there---things like naming body parts, naming colors (although she will choose a color correctly when she is given two choices, sometimes), knowing letters and numbers, knowing shapes---well, it's very slow progress. Her talking goes up and down. Sometimes it seems like she's making progress, because when it goes down and then goes back up, it seems like all of a sudden she's talking more, but usually it's a return to baseline, or slightly less. The crying was pretty severe all year, at school and at home.
Her teacher gave her a big packet of worksheets we can work on this summer. I also bought a huge pile of workbooks, and we are going to have school time every day. Sometimes I see glimpses of the "other" Janey---the one that somehow would exist if she wasn't autistic, and I think she would be like me at that age---she seems to enjoy worksheets and structured homework. By this I mean she doesn't cry too much during it, and she caught on quickly to the table and chair I set up for her workplace. It think it's predictable and one-on-one attention. Teaching her can often feel like pounding my head against a wall, though. It can be very frustrating. The ABA she's gotten has been inconsistant and plagued with personnel changes, but her current ABA guy seems very good, and still, she didn't meet any of her modest goals there, like responding to her name 80% of the time. I don't think ABA is going to be her ticket out of all this. I have to hope, and I usually do think, that she is learning things we aren't realizing. There are those glimpses when she is rewarded with M&Ms or something when she can name amazing amounts of items, if she's in exactly the right mood. It's the analogy I've heard a lot---it's like she has a disorganized file cabinet or card catalog in her head. It's all there, but just almost impossible to access, and most of the time, she's isn't very motivated to try.
The medication seems to be a mixed bag. She is still crying a lot. When it got hysterical, we tried the higher dose for a few days, but that made her extremely tired and a little zombie-like, which is not at all what we want. So we lowered it back down to the lower dose. She still seems tired and quiet (she went to sleep at 6pm tonight) but not quite as much. Overall, I can't say it's been a huge success, except for those amazing few days.
Wish me luck with the summer. I dread it in many ways. But then again, I've dreaded summer my whole life, so I can't put that all on Janey.
Her teacher gave her a big packet of worksheets we can work on this summer. I also bought a huge pile of workbooks, and we are going to have school time every day. Sometimes I see glimpses of the "other" Janey---the one that somehow would exist if she wasn't autistic, and I think she would be like me at that age---she seems to enjoy worksheets and structured homework. By this I mean she doesn't cry too much during it, and she caught on quickly to the table and chair I set up for her workplace. It think it's predictable and one-on-one attention. Teaching her can often feel like pounding my head against a wall, though. It can be very frustrating. The ABA she's gotten has been inconsistant and plagued with personnel changes, but her current ABA guy seems very good, and still, she didn't meet any of her modest goals there, like responding to her name 80% of the time. I don't think ABA is going to be her ticket out of all this. I have to hope, and I usually do think, that she is learning things we aren't realizing. There are those glimpses when she is rewarded with M&Ms or something when she can name amazing amounts of items, if she's in exactly the right mood. It's the analogy I've heard a lot---it's like she has a disorganized file cabinet or card catalog in her head. It's all there, but just almost impossible to access, and most of the time, she's isn't very motivated to try.
The medication seems to be a mixed bag. She is still crying a lot. When it got hysterical, we tried the higher dose for a few days, but that made her extremely tired and a little zombie-like, which is not at all what we want. So we lowered it back down to the lower dose. She still seems tired and quiet (she went to sleep at 6pm tonight) but not quite as much. Overall, I can't say it's been a huge success, except for those amazing few days.
Wish me luck with the summer. I dread it in many ways. But then again, I've dreaded summer my whole life, so I can't put that all on Janey.
Monday, June 21, 2010
Ideas for the summer
I turned down any kind of services for Janey for the summer, because it's easier in a way to have full days free to do as we want than to have them broken up several times a week for therapies. I'm hoping it's a good summer, but I've hoped that almost every summer of my life, and very few have been. I have never liked summer---it's my own little autism-spectrum thing---I don't like the lack of routine. I also hate the heat. So every summer I think up things to try to make the summer go well, and every summer they don't really work out. But I forget easily, and I'm an eternal optimist, so I'm doing the same this summer.
The main thing I'm thinking is to get Janey out of the house every day as early as possible. There's a lot of reasons for early---I do much better in the morning than the afternoon, it's less hot, it's less crowded, and I think Janey is happier if she's a little tired out for the afternoon. I was thinking a lot of outdoor things---the wading pool which is newly renovated near here and is almost like a mini water park, various parks, beaches, walks, etc. I think if it's just the two of us, I can follow her pace and she will be more relaxed.
However, this Sunday I gave it a try and took her to a big open park. I let her take the lead and do what she wanted, but she wasn't very happy. She was halfhearted on the playground equipment, although we were the only ones there. Then she asked to go back to the car. On on the way there, she did finally get a little interested---I took off her shoes, which she always wants, and she sat down in a grassy field and just looked around. Then she ran a bit, and went on an empty soccer field and walked on the white lines like they were tightropes. We picked a few clovers, and just sat around. I hoped it would relax her and let her know I wasn't pushing for any certain activity. She never really seemed to relax, but maybe next time.
There were those few days after she first started the medication that she seemed connected and relaxed. She would smile and look actually happy. Now, again, not much. Tonight she was a little happy lying down for bed. She has a quilt she calls her special blanket now, and I sang her a song to the tune of "Clementine" about her darling blanket, and I saw a bit of smiling. I wonder if the world just seems so overwhelming and perplexing that she feels she has to be on guard at all times. I hope someday she makes enough sense of it all that she can relax more.
The main thing I'm thinking is to get Janey out of the house every day as early as possible. There's a lot of reasons for early---I do much better in the morning than the afternoon, it's less hot, it's less crowded, and I think Janey is happier if she's a little tired out for the afternoon. I was thinking a lot of outdoor things---the wading pool which is newly renovated near here and is almost like a mini water park, various parks, beaches, walks, etc. I think if it's just the two of us, I can follow her pace and she will be more relaxed.
However, this Sunday I gave it a try and took her to a big open park. I let her take the lead and do what she wanted, but she wasn't very happy. She was halfhearted on the playground equipment, although we were the only ones there. Then she asked to go back to the car. On on the way there, she did finally get a little interested---I took off her shoes, which she always wants, and she sat down in a grassy field and just looked around. Then she ran a bit, and went on an empty soccer field and walked on the white lines like they were tightropes. We picked a few clovers, and just sat around. I hoped it would relax her and let her know I wasn't pushing for any certain activity. She never really seemed to relax, but maybe next time.
There were those few days after she first started the medication that she seemed connected and relaxed. She would smile and look actually happy. Now, again, not much. Tonight she was a little happy lying down for bed. She has a quilt she calls her special blanket now, and I sang her a song to the tune of "Clementine" about her darling blanket, and I saw a bit of smiling. I wonder if the world just seems so overwhelming and perplexing that she feels she has to be on guard at all times. I hope someday she makes enough sense of it all that she can relax more.
Saturday, June 19, 2010
Tougher days again
Either the medication only worked for a few days, or Janey is just having a tough time enough to overcome its effects. Today there was a lot of the hysterical, screaming, ear-covering crying. There were also some good times when she was calm for a while, but by the end of the day, it was all the screaming. She had done very well through Wednesday. Thursday her cousin was visiting who I rarely get to see, and I think she was upset she didn't get my total attention, and she was fairly fussy, although when I told her we would walk to get ice cream in the afternoon, it was really nice---she cheered right up in anticipation even though it was about a half hour before we got out the door. Yesterday there was some of the severe crying, and today the lots of it again. We gave her the doubled dose tonight as we have been told we could if the smaller dose stopped working. But I'm not going any higher than that, so if this stops working or doesn't work, we are back to square one---I won't keep her on medication that doesn't help. It was great the few days it worked---seeing her smiling, calm face so much of the day. She seemed in despair tonight. I can't reach her when she's like that---I try everything on earth---singing, rubbing her back, talking in a calm monologue, distractions---nothing helps. Ignoring her works not at all. I feel so helpless when she cries so hard and I can't help.
Monday, June 14, 2010
Thoughts at the ice cream shop
I took Janey for ice cream after school today, partly as a treat for going back to school and partly to keep her out of the house so Tony could fully concentrate on the World Cup match with Italy playing. As I sat watching her eat her big bowl of chocolate chip, lots of other kids came in and got ice cream. I had some moments of just being very proud of who Janey is. Although I wish more than anything she could talk more, be "normal" more, socialize more, the kids that were there that day made me think that she's got some pretty good points. First a couple of bratty little boys came in with their snobby looking mother. She ordered them junior cones---they screamed because they didn't want a kids size. They said they wanted strawberry, and as the scooper began scooping, they decided they wanted to know all the flavors. Mama had them read them all themselves, although it took forever, surely to impress us all that her kids who appeared about 4 and 6 could read. Finally they picked a flavor, and then had a fit again about the size, freaked over the wrong kind of cone and finally took the ice cream with nary a thank you to the scooper or their mother. I thought about how Janey was happy to be there, happy to have ice cream of any size, the flavor I picked for her, happy although she didn't have options. I wish she could pick. But seeing them, I realized being able to pick, and talk, and read, and argue, didn't necessarily make them too happy (or pleasant). Then a man came in with a girl that looked just about Janey's age. She didn't want ice cream at all. She wanted to stand in the door and let the AC out, to run out toward the street despite her father saying no over and over, to put her grimy hands on the window despite the owner asking her not to, to generally make everyone in the place annoyed. Another girl that seemed bright, seemed "normal" but wasn't happy or making anyone else happy. I know a few days ago Janey would have been screaming. But a few days ago, I would not have taken her in public for ice cream. I know better---she wouldn't enjoy it, I wouldn't enjoy it, no-one in the place would enjoy it. However, those "normal" kids weren't enjoying themselves or letting others enjoy themselves either (except Janey, who engrossed in her ice cream didn't even notice them). I don't know what the conclusion is here. I guess it's partly a reminder to me---be grateful that Janey can eat, can walk, can have happy moments. Don't always feel envy for others with more standard kids. Sometimes, I'm the one proud in the ice cream shop.
Back to school
Janey went back to school today, after her appt. with the psychiatrist. The appt. was okay---I know that psychiatrists mostly just talk about medication these days. I can't really picture any kind of therapy with Janey anyway, with her limited talking. It was interesting---she cried hard for the first time in a few days when we walked into the waiting room. She really doesn't like doctor's offices. It was kind of good in a way to see her that aware of her surroundings. The doctor said we don't have to continue the medication full time---maybe we should try it for a month and then try without it for a month, which I am down with. We didn't increase the dose last night as there was really no need---she's enough better and calmer, and is sleeping. It's been wonderful to have her not cry all day. She was happy to be at school and it was great seeing how happy everyone was to see her. I could have stayed there all day just seeing her happy face with the other kids, and how sweet all the teachers and staff are with her. I do realize how lucky I am that she is in the school she's in, full of people who truly love her, and people I have known for many years now, from before she was a twinkle in our eyes. I hope the day went well. I will pick her up today, although Tony usually does on his days off, as it's World Cup time and Italy is playing---an event of supreme importance.
Saturday, June 12, 2010
The hardest days, the hardest decisions
This is a hard post for me to write. I've been putting it off and even thinking about just giving up this whole blog thing. But I want to be honest and tell about the last week or so.
Starting about a week ago Thursday, Janey entered some kind of incredibly tough phase. She was literally screaming all day and most of the night. I don't mean fussing, crying off and on, I mean screaming, hysterically, all day, all but a few hours of the night. She would stop only to say things like "I WANT MAMA" even if I was right there, "I WANT A BABA" only to toss it aside if we gave her one "I WANT A VIDEO" only to cry at anything we put on. We were getting no sleep. We were literally in despair, trying to figure out how to make her happy. It got worse and worse and worse as the days went on. Finally on Wednesday, we got a call from the school that they thought she was sick. I knew she wasn't sick, physically anyway, but I knew how it could seem that way. I picked her up early, and that was the worst day of all. She was so upset that whole afternoon and night, and slept almost not at all. Tony and I were just looking at each other without a single idea what to do next. The boys were unable to do homework, we were not able to have even a minute to talk as a family, and meanwhile Janey was in such mental pain it was heartbreaking to watch. Tony stayed home from work Thursday---he hadn't slept. We called her pediatrician first thing---to rule out anything physical and to just ask for any help he might have. She was so upset in the waiting room that nurses kept coming out to reassure us we would see the doctor soon, even though it was only a few minutes wait. When her doctor saw her, he was visibly shaken, and he's been a doctor for about 30 years and has known our family since the day William was born. He did an exam---as I thought, her ears and mouth and lungs were all fine. He said he thought it was possible she was hearing voices---based on how she was holding her ears and just based on a hunch, from being a doctor for a long time. I've never, ever seen him go out on a limb like that, and I am inclined to think he might have been right. He put in a call right away to a psychiatrist, and said he didn't want it to be more than 24 hours before she was seen. We went home and tried to comfort her, without success. Finally, we got a call from him that evening---he'd talked to the psychiatrist, who will see her Monday, and the psych. recommended we start her on medication---Risperdal. I knew a lot about Risperdal---it's the drug I figured would be recommended if one was. And it was exactly the drug I was completely opposed to for a long time. But the week in what could only be called near-hell, for both Janey and us, made me realize that it was my own reasons, and not the best interests of Janey, that was keeping me from being open to it. No-one, NO-ONE, could live long term the way we lived that week. And so I said, yes. We will try it.
Tony picked it up that night, and we gave her her first dose that bedtime. She went to sleep after about 45 minutes, and slept 6 hours---much longer than any recent night. Then she woke up, but didn't scream, for about 3 hours. The next day was mixed. She had a long time without crying in the morning, but by afternoon was back to a great deal of screaming, and the evening was very tough. We gave her the second dose that night. She slept from 8pm until 4am, then woke up screaming. She cried for about 2 hours. Then....no crying all day. NONE. In fact, a great deal of smiling--a happier, more relaxed Janey than I think I have ever seen. I was holding my breath. I really deep inside did not WANT the medication to work, so I could say I tried it and it did no good. But it would be impossible not to notice the change today. We even went to dinner at fast food Mexican. Janey was happy the whole time, and happy to go to a store afterward, and happy in the car, and talkative, and answering questions, and just plain RELAXED. I have never really seen her relaxed.
I don't think it will last. It's too much for a medication to do. But Tony and I both said it has taught us something valuable---to see that autism, or retardation, is not the thing to fear. If Janey can be happy, can enjoy life, can have normal emotions and can feel what it's like to be relaxed, then all the rest we can take. It doesn't matter much if she ever reads, or "passes" as normal. If we can all be together as a family and enjoy each other's company, then all the rest is icing on the cake.
I still don't like the idea of giving her medication. But I know people sometimes need medication. I would be very unhealthy without daily thyroid replacement, and Carrie would not probably be around at all. Tony can't live without insulin. Freddy would be gone without his asthma medication, quite literally and heartbreakingly. And so perhaps Janey too has something missing in her makeup which medication can help with. I'm not sure yet. But I can almost hope so.
Starting about a week ago Thursday, Janey entered some kind of incredibly tough phase. She was literally screaming all day and most of the night. I don't mean fussing, crying off and on, I mean screaming, hysterically, all day, all but a few hours of the night. She would stop only to say things like "I WANT MAMA" even if I was right there, "I WANT A BABA" only to toss it aside if we gave her one "I WANT A VIDEO" only to cry at anything we put on. We were getting no sleep. We were literally in despair, trying to figure out how to make her happy. It got worse and worse and worse as the days went on. Finally on Wednesday, we got a call from the school that they thought she was sick. I knew she wasn't sick, physically anyway, but I knew how it could seem that way. I picked her up early, and that was the worst day of all. She was so upset that whole afternoon and night, and slept almost not at all. Tony and I were just looking at each other without a single idea what to do next. The boys were unable to do homework, we were not able to have even a minute to talk as a family, and meanwhile Janey was in such mental pain it was heartbreaking to watch. Tony stayed home from work Thursday---he hadn't slept. We called her pediatrician first thing---to rule out anything physical and to just ask for any help he might have. She was so upset in the waiting room that nurses kept coming out to reassure us we would see the doctor soon, even though it was only a few minutes wait. When her doctor saw her, he was visibly shaken, and he's been a doctor for about 30 years and has known our family since the day William was born. He did an exam---as I thought, her ears and mouth and lungs were all fine. He said he thought it was possible she was hearing voices---based on how she was holding her ears and just based on a hunch, from being a doctor for a long time. I've never, ever seen him go out on a limb like that, and I am inclined to think he might have been right. He put in a call right away to a psychiatrist, and said he didn't want it to be more than 24 hours before she was seen. We went home and tried to comfort her, without success. Finally, we got a call from him that evening---he'd talked to the psychiatrist, who will see her Monday, and the psych. recommended we start her on medication---Risperdal. I knew a lot about Risperdal---it's the drug I figured would be recommended if one was. And it was exactly the drug I was completely opposed to for a long time. But the week in what could only be called near-hell, for both Janey and us, made me realize that it was my own reasons, and not the best interests of Janey, that was keeping me from being open to it. No-one, NO-ONE, could live long term the way we lived that week. And so I said, yes. We will try it.
Tony picked it up that night, and we gave her her first dose that bedtime. She went to sleep after about 45 minutes, and slept 6 hours---much longer than any recent night. Then she woke up, but didn't scream, for about 3 hours. The next day was mixed. She had a long time without crying in the morning, but by afternoon was back to a great deal of screaming, and the evening was very tough. We gave her the second dose that night. She slept from 8pm until 4am, then woke up screaming. She cried for about 2 hours. Then....no crying all day. NONE. In fact, a great deal of smiling--a happier, more relaxed Janey than I think I have ever seen. I was holding my breath. I really deep inside did not WANT the medication to work, so I could say I tried it and it did no good. But it would be impossible not to notice the change today. We even went to dinner at fast food Mexican. Janey was happy the whole time, and happy to go to a store afterward, and happy in the car, and talkative, and answering questions, and just plain RELAXED. I have never really seen her relaxed.
I don't think it will last. It's too much for a medication to do. But Tony and I both said it has taught us something valuable---to see that autism, or retardation, is not the thing to fear. If Janey can be happy, can enjoy life, can have normal emotions and can feel what it's like to be relaxed, then all the rest we can take. It doesn't matter much if she ever reads, or "passes" as normal. If we can all be together as a family and enjoy each other's company, then all the rest is icing on the cake.
I still don't like the idea of giving her medication. But I know people sometimes need medication. I would be very unhealthy without daily thyroid replacement, and Carrie would not probably be around at all. Tony can't live without insulin. Freddy would be gone without his asthma medication, quite literally and heartbreakingly. And so perhaps Janey too has something missing in her makeup which medication can help with. I'm not sure yet. But I can almost hope so.
Labels:
autism,
crying,
hellish week,
medication,
pediatrician,
psychiatrist,
tough decisions
Wednesday, June 9, 2010
Tough week---has to get better
I hope I don't have another week like this one in a hurry. Freddy seems to be on the mend. The best guess is that he had infectious colitis, which is now healing. Just another scary disease you never know exists until you find out the hard way. Janey hasn't had a worse week in years. This morning I set her off by the unforgivable sin of trying to have her watch a Kipper video she hadn't seen before. She loves Kipper, and I found a new one on the Netflix instant viewing cue, and put it on as she seemed happy today. That lasted about one second after she realized she wasn't watching something familiar. She's been screaming now for half an hour. She screamed much of the day at school yesterday too, leading the principal to decide she shouldn't go on a field trip to the junior Special Olympics field day she was supposed to go. Probably the right decision, but I felt sad she missed yet another opportunity due to her tantrums. I think she might have been happy once she was on the school bus. I told her all morning she was going to go on a school bus. But I am glad the principal is involved and caring enough to make such a decision. I'm really drained. I've got nothing left. I wish I could go away for just a day or so. But Janey is very, very upset when I'm not around lately, and it's just too much for one parent to handle that and 2 other kids and all the house stuff. I wish there was still respite money out there. Oh, well. Janey said some good things this morning before she freaked out. She told me early on "I want to watch a Winnie the Pooh video" and when I didn't hop right up, she said "Right now!" Then later when we were doing questions for M&Ms, and I asked her her teacher's name, she said "Ms. LeMeu" for the first time ever. Then I asked her what was in Ms. LeMeu's tummy, and she said right away "A baby". That was great. She often doesn't really listen to the question. I was asking her how old she was, and she constantly said "Janey". Then as a guess, said "J-A-N-E Janey" then "Yellow". She seems to think if something worked once to answer a question, it might work again. Well, she's screaming in my ear so I guess my 5 minute writing time is over.
Sunday, June 6, 2010
Positive time!
Since I kind of "outed" myself on Facebook, giving a link to this blog, which I haven't done before, I thought I'd try to write something a little more positive. Janey is still having an extremely rough time---screaming non-stop most of the morning. But we had a little success early today with telling her that we weren't going to do what she wanted unless she asked without crying, and then responding immediately to even a second of non-crying. She managed to tell us she wanted salsa, she wanted Kipper, she wanted a few things we were able to give her once she asked without crying. She held herself together for about an hour. Now it's back to the almost non-stop crying. It hasn't been like this for a bit of a while. She is very sensitive to our moods, and we have been a little worried about Freddy and of course it also becomes a vicious circle with her crying---we are tense because she's crying, so she cries because we're tense. I've been trying to do more work lately on Amazon and ebay, but I really can't work when she is screaming. Well, this is not turning out that positively. Let's see---what can I say that's cheery? Hmmm. Since some Facebook readers might possibly be reading this, if they didn't heed my warning it's pretty depressing stuff, I can say how grateful I am to Facebook. It lets me have contact with adults, with friends I really never, ever thought I'd be in contact with again in my life, on a daily basis. I can play my beloved word games, and see what is up in their lives. I really like how it forms a news source that's personalized---for example, yesterday there were all kinds of storms and tornado warnings, and I was able to follow those by reading what people in Maine and here posted. When we had the Canadian smoke, I knew it was on the way from the Maine posts. Some friends that are not on Facebook just don't get it at all---they say things like "if I wanted to talk to an old friend, I'd just call them". Well, you can say that, but in reality, it doesn't happen. Or if it does, you talk once in a few years, say you'd like to keep up, but there is no way you'd have the initiative or time to get a quick update on their lives every day or so. This is especially the case when you have a disabled child. I just am not able to get out there and meet people much. This way, when I have a few minutes free, I can instantly get a socialization fix. It's wonderful.
Saturday, June 5, 2010
A couple horrible days
The last few days can only really be called horrible. Thursday night Janey was up all night, manic and wild. Friday morning we realized we had a medical emergency on our hands with Freddy---quite a bit of rectal bleeding. I was at the emergency room with him all day, from 5amto 5pm. No real answers yet---they ruled out a few things, but have to do a lot more testing. He feels fine and is home and in fact at a slumber party tonight, but my nerves are shot and I'm very scared, to be honest. I was so tired at the hospital as we waited and waited and waited for tests that I truly didn't know how I would go on. Nothing to eat all day, no sleep, worry and fear, Freddy upset mostly because he didn't want to go to the hospital---I would say that day was truly a low point for me and I am sure for him. I came home, and thankfully Janey slept, and I slept from 6pm to 7am, and some more during the day. Today Janey cried again much of the day, including true hysteria tonight, just the awful, awful crying where nothing helps and she is completely hysterical. We took her fora car ride to get her to sleep, and she did go to sleep but woke up as we were coming in the driveway. RIght now she is asleep and quiet, but I'm sure she's be back up. It feels like I can just barely take this lately. At a few points, I really felt like I was shutting down---It's the first time I knew what that felt like. I just felt like "Okay, I can't take any more. I'm going to turn off my brain now" I felt numb. I know life isn't fair. Of course it's not fair. There are many that have it harder than me. But why, why, WHY can't I have JUST a child with autism, or JUST a child with medical issues, or JUST a child that is Aspergers-like? Or if I have to have all of them, why can't I have enough money so it wasn't on my mind all day at the hospital how awful the co-pays are going to be, not that it would ever affect me getting Fred the care he needs? Or could we just have a house that's more suitable for a family of 5? Or just a tiny bit more help? Or any of those?
Okay, enough ranting. I've resisted even writing here, which I see as my refuge, because it's too depressing. I like to be positive. Thank God Freddy didn't have some of things they tested for, and that I have a husband who helps all he can, and that we have a roof over our heads. Janey's manic crying will get better again in time. It will all look brighter at some point.
Okay, enough ranting. I've resisted even writing here, which I see as my refuge, because it's too depressing. I like to be positive. Thank God Freddy didn't have some of things they tested for, and that I have a husband who helps all he can, and that we have a roof over our heads. Janey's manic crying will get better again in time. It will all look brighter at some point.
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