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Monday, October 14, 2024
"Want to take a shower?" times infinity
Saturday, October 12, 2024
Janey is...TWENTY???
It's hard to believe, but it's true. My sweet Janey is now 20 years old. Her birthday was in August. Even though obviously I knew it was coming, it still seemed and seems impossible.
I admit, it's been a little bit tough in some ways to think of Janey as being 20. I guess it's hard for any
Janey on her 20th birthday |
A few weeks ago, I had the absolutely wonderful privilege of getting to meet in person my grand-niece, who I consider a granddaughter. Olive is almost 3, and to say I fell in love with her is a severe understatement. My three kids were all so amazing in their own ways, but everyone says that being a grandparent is a whole new level, and they are right. Sitting and playing with her---Tony said he didn't think he'd ever seen me happier.
I realized, after spending delightful time with Olive, that in some ways I've avoided being around children other than Janey much over the past many years. I don't ever want to compare Janey to other kids, and I still don't. But seeing how much Olive could talk, and how clued in she was to emotions, and people, and how quickly she could learn new things---it did highlight a little what Janey's limitations are. Not that I didn't know them---I did. But I saw that I had very much kept myself from thinking about them as much as I might have. And maybe now I'm ready to.
Janey being 20, being absolutely an adult, in some ways makes it easier. She is what she is. In the past 3 or 4 years, I don't think she has changed much, or honestly, learned a great deal that is new. Her interests change a little here and there, but the core Janey is the same. Her talking used to come and go a lot more, but now, it's steady, and at a bit lower level than at a lot of points. She makes requests, and that is mostly all. There is less echolalia, and next to no just commenting. I am very glad she can make requests, but boy, would it be something to get to hear her tell us what she is thinking, or what is bothering her when she cries, or why she is very excited the nights she stays up all night. And I don't think we ever really will know those things.
As the years have progressed, sleep has emerged as the biggest challenge with Janey. In the last few years, it's not just that she sometimes doesn't seem to need to sleep at all, it's that this cycles with periods where she sleeps a huge amount. She'll go a few weeks sleeping up to sometimes 16 hours a day, and then have maybe a week of more typical sleep, and then go into a few weeks of very, very little sleep. Nothing external seems to cause either one. You might recall that in the past, we never gave Janey chocolate as that kept her awake, but that doesn't seem to happen any more, which is good, as Janey loves chocolate!
Today---Janey and a donut! |
Monday, July 15, 2024
Summertime Blues
It's been a rough start to the summer with Janey. We are seeing behaviors we haven't seen for years---long days of screaming, lots of arm biting which comes close to breaking her skin, crying for hours. It's not every minute of every day, and there have been a few better days mixed in, but overall, it's certainly been a tough time.
We really have no idea what is causing this unhappiness. Some of it is probably just the change in routine that the end of the regular school year brings, but it hasn't been this extreme other years. Janey had quite a good year of school, overall, and most of the time enjoyed the new after school program. I imagine it was hard to have it all be over for the summer. We tried hard to make the weeks before summer school fun for her. We did a trip to Maine to stay in what she calls a "hotel house"---usually something that makes her very happy, but this trip was mixed to say the least. It was very, very hot in Maine, and we mostly had to stay in our air conditioned room. Janey liked the unlimited showers in a nice big hotel shower, but off and on, she screamed and cried loudly.
During one of these screaming sessions at the hotel, as we tried everything we could to calm her down, I had a horrible flashback to the time we were in Children's Hospital waiting for a placement at a psychiatric facility, when Janey was 10. It felt suddenly so much the same---being in a room we really couldn't leave (this time due to 100 degree heat), having to keep Janey quiet (this time because we didn't want to disturb other guests or get that fun call we've gotten a few times from the front desk asking if everything is okay), not being at home where we have more resources to help her---it was awful. I felt like I was in despair, a feeling I haven't had because of a situation with Janey for a long time.
Now Janey is in summer school, which is never her favorite part of the school year. She goes willingly, as she always does for school, but most days she is getting off the school bus and breaking down. We always consider just not sending her to summer school, but....
The other big issue is the one that isn't new---Janey's sleepless nights. The past week, there were 3 nights out of seven that she literally didn't sleep at all. Needless to say, Tony and I didn't get much sleep either. After a night like that, we are left feeling barely human. Any respite at all is so desperately needed that any thoughts of not doing summer school are put aside. We put her on the bus and collapse. She, meanwhile, usually seems to feel just fine without any sleep. Sometimes her days after not sleeping are her better days. We very much need to try to figure out why her sleep is so variable. We do know that genetic testing showed she has the genes for a very rare sleep disorder---one that only about 100 families in the world have---but Tony also has the gene, and he doesn't have the sleep issues she does. It's a rare enough disorder that there isn't much information on it out there, and we have been putting off joining a study about it because, well, we are just kind of overwhelmed and not really ready for all kinds of medical tests that would involve, but we probably need to join the study, at least to try to understand what's going on more.
On the uncommon days lately that Janey is happy, we have seen something we often see when she's been having a very tough time---improved talking. It's strange how that seems to follow or be interspersed with tough times. She's asking for specific songs she wants to hear by name, she's using a little bit longer sentences, and she's doing something new. When she asks me something like "want to go for a car ride?" and I say "you need to check with Daddy about that" (I don't drive anymore), she will say something like "I will ask Daddy 'Daddy, want to go for a car ride?'" She rehearses what she will say. She's done this 5 or 6 times, and it really blows me away. It's like a little glimpse into her thinking, something we so rarely get.
I hope these tougher times are just an blip, that the easier times we've had for a while now will come back. Like the flashback in the hotel room, it's so easy to fall right back into the old feelings of hopelessness when faced with screaming and crying. And it's so hard to have the energy to do all we can to keep her happy when we don't get sleep. Hopefully, as this hot and restless summer bears on, things will get easier, for us but most of all for Janey.
Saturday, April 13, 2024
Janey and the Eclipse
Seeing a total eclipse of the sun has been something I've wanted to do ever since I was aware such things existed. So last week's eclipse, which was total in parts of my home state of Maine, was a must-see for me. Luckily, we have dear family friends that also wanted to see the eclipse, and we all (fifteen people total, from their extended family and the five of us!) headed to Presque Isle, Maine for the big event.
In the weeks leading up to the trip, I was nervous about how Janey would do. She likes car travel, but lately, not long trips as much, and this trip was going to be about seven hours each way if we didn't stop at all, and you know we are going to be stopping! With Janey's moods, if we had hit the wrong mood cycle for the trip, it could have been close to a disaster. But, as with many things on this special trip, we hit it just right. I am pleased to say Janey could not possibly have been much better for the whole trip!
We rented a minivan, and left very early Sunday morning. The five of us (Janey's brothers in their 20s, William and Freddy, and Tony and me) are all early risers. We were out of the driveway by 5:30am, which was a good decision. The traffic had been a worry, but it was light, and it stayed light the whole ride up. We drove up slowly, stopping often for bathroom breaks and food and coffee. Janey slept some, but mostly spent the ride as she spends much of her time at home, watching videos on her tablet or (non-calling) phone. We hot-spotted her off our phones, and aside from a few spots when we hit the uninhabited woods of Maine north of Bangor, we had good coverage. It can get tiring to hear the shows Janey likes over and over and over---the theme song from Vamperina is etched in my mind---but it's worth it to keep her happy and cheerful. We packed lots of food she likes, and we stopped for her fast food favorites---Burger King hash browns and later some Wendy's nuggets and fries. And of course coffee---something we all drink.
Very early start! |
Janey loves hotels, which she calls "hotel houses", as a general rule, and she did very well at this one too. They feature endless hot showers and the fun of choosing a bed from the two in the room, and usually a breakfast buffet. They are a change of scenery that isn't too radical a change for her, I think. Unlike a lot of people with autism, Janey is pretty good with changes, as long as she has familiar people around her and can have the comfort of her videos and music.
And the actual eclipse? One thing I wondered about a lot is whether Janey would notice how strange it all was---to have night suddenly appear during the day. I told her about it, explained it as best I could, but I don't know what she understood. And as with seeing her friend far from home, Janey didn't seem terribly surprised by the eclipse. She was happy out in the big field we watched it in---but I think that was because she had goldfish crackers and her videos and lots of family and friends around who seemed to her to be oddly exuberant over what I think she saw as a pretty regular afternoon. We did have her look through eclipse glasses as the sun started to get covered, and asked her if she saw how the sun was getting covered, and she gave a mechanical "Yes" and pushed the glasses away.
Janey and Tony during totality |
Amazing |
It struck me that this experience illustrates something that I've come to understand about Janey's life. She is living a life that is parallel to ours but in some ways very different than ours. Of course I don't know what she is thinking, but I think she lives a much more present tense life. She didn't anticipate the eclipse as I did (in my case for nearly 50 years, from the time as a child I read there would be an eclipse visible in Maine in the far away year of 2024). She didn't worry about the ride up. She didn't think about how it would be dark for only 3 minutes. I am not saying something all sentimental like "We should all learn from that!" I am glad I can look forward to things, can appreciate how brief and amazing such moments as totality are. I'm glad I can understand what causes an eclipse, can treasure spending it with family and friends, can look back on it with wonder. But I can also accept Janey's way of experiencing life is all she has known, and that she doesn't feel a loss by not experiencing it as I do.
By the ride home, the rest of us were probably getting just a touch cranky, but Janey was upbeat. By the time we hit Boston traffic, when I was wishing as I often do that I was back in Maine, Janey was the only one still in a pretty good mood. Just before we pulled into our driveway, we all gave her a round of applause for being such an amazingly good traveler. Thank you, Janey, for being a special part of a trip none of us will ever forget
Janey enjoying the pre-eclipse |
Tuesday, April 2, 2024
Autism Awareness Day---the adults with autism version
I've had this blog since Janey was three and first diagnosed. Now she is 19---hard to believe. That's a lot of World Autism Awareness Days under our belts. I was thinking today how my awareness wishes for the general public have changed since she became an adult.
First of all, there's just that---she's an adult. There seems to be thought out there that autism is something for children. I am not sure what people think happens to those children with autism---upon turning 18, they are suddenly no longer autistic? They just somehow disappear? No---they are still around, still autistic, still in need of services and help.
I remember thinking when Janey was getting close to an adult that I wanted to be sure to keep writing about her, to help in my small way to raise awareness of autistic adults. But as you might have noticed, I write far less than I used to. That is tied into something else I'd like to make people aware of. As the years go by, there is less new news. I might be negative and say there is less hope---but that's not really it. There is less urgency, somehow, to DO something, to FIX something. That is an awareness that doesn't need a special day for us to arrive at. If there is something Janey isn't doing at this point, it's unlikely she will be doing it in the future. And that's okay.
My father asked me something the other day that made me think. He said "You must sometimes have some sadness and regret over things that Janey will never do". And I realized---I don't. I don't think a lot about what Janey won't be able to do. What comes into my head often is the phrase "That's not her path". It's like how I don't regret that I can't fly, or that I'm not an astronaut, or a world class figure skater. I was never going to be or do those things. I don't regret what was not my path, and I don't really feel regret for Janey that she's not going to do things that were never her path---live on her own, get a job, get a high school diploma, go to college. She has her own path. That's something I'd like to make people aware of---that everyone has their own path, their own way through life, and we don't all need to have the same milestones along the way.
Lately, much of our life is bureaucracy, the endless series of obstacles to overcome and hoops to jump through to get Janey what she needs as an adult. THERE'S something I wish people were more aware of---how hard it is to get even the smallest amount of help for people like Janey, except for school. For example, we are working on registering her for services when she's 22. She is 19 now, so it might seem early to start, but believe me---it's not. First, we had to do an endless form and send in a huge amount of paperwork to prove there was a need for her to get adult services. Then, we got requests to send even more---more reports, more proof of her autism, more IEPs, things like that. THEN we got assigned a worker, and we took Janey to meet her. The next day, I did many hours worth of phone interviews about Janey's development and current level of functioning. You might think all that would be enough. But of course not. The worker told us we need a letter from her psychiatrist outlining all the reasons that Janey meets the definition of autism---despite her being diagnosed as such at least 3 times in the paperwork we already sent. We are working on getting that letter, but getting no response from her psychiatrist at all. Once we get that letter, if we ever do, finally she is formally put in to MAYBE get services---all this is just part of the application. Once she is approved (and I would certainly hope she will get approved, but who knows?), we get assigned ANOTHER worker and we start trying to figure out if there are actually any programs out there for her (which it is very possible there won't be, from what I hear),
My boys both went to college, and got good financial aid, and I swear that was about 10 times easier to apply for than all this is. You could spend 5 minutes with Janey and know she needs lifelong services. Tony and I are fairly good at paperwork, and we are about out of our minds at this point. What in the world would someone who might not read well or speak English well do to get this kind of help for their child? WHY is it so hard?
And this is just ONE of the tasks of adulthood. We also had to apply for Social Security for Janey, which wasn't quite as complicated but took over a year to be approved, and we had to get guardianship for her, which was another nightmare of complexity and is something we have to repeat EVERY YEAR. I don't think it has to be this hard. I think there's an impression out there, and in fact people have said to me that they think people with autism "get all kinds of help and services", like you get the diagnosis and suddenly help and money and respite and programs are all provided in abundance. I'd like people to be aware that most certainly is not the case.
However, of everything I wish people could be aware of, the biggest is this---Janey is an amazing person. She is our joy. She loves so many things---good food, good music, good (in her eyes anyway) videos and movies. She has a smile that is so wonderful it's impossible to describe if you haven't seen it. She's funny and beautiful and in her own way, very smart. You might look at the bare facts about her---a recorded IQ of 30, very little useful speech, not fully toilet trained, unable to read or write---and picture a tragedy. The tragedy to me is that anyone would think that. She is everything to us, and she deserves a full and interesting life as much as anyone does.
I wish sometimes everyone who is responsible for any kind of public policy that affects the disabled could meet Janey. And meet all the other amazing people out there that I've met because of Janey---I wish they could see for themselves the actual people they are making decisions for. Maybe I'm a cockeyed optimist, but I think if they could, they would do all they could to make the world a place where Janey and all the others like her could not just survive, but thrive.
Wednesday, December 13, 2023
Catching Up
So often, I think about writing a blog entry here, and get overwhelmed by all I want to catch people up on. I didn't used to be that way---I'd write multiple entries a week, sometimes. Either I'm getting older, which of course I am, or as Janey gets older, the issues I have to write about are different. Day to day life isn't as challenging as it was at times, but week to week, month to month, year to year life feels more complex, less easy to sum up.
One big happening is that Tony got guardianship of Janey, officially. I wrote about the endless seeming process we had go to through for this. He finally had the day in court, and after hours waiting in the courtroom to be called (luckily we decided against bringing Janey to court with him, which wasn't required), the judge approved the guardianship without any real problem. It does have to be renewed every year, because of the medication she takes, but she is assigned an attorney for this, and it shouldn't be as tough a process. We were adviced just one parent should be the guardian, in most cases, so we picked Tony. It doesn't make a big difference day to day, as Janey wasn't really apt to make a lot of decisions on her own, but for things like financial issues or health care issues, it just makes things more straightforward.
Another happening---Janey finally started getting social security. It took over a year for her application to be processed, but she was approved, and gets a monthly payment now---not enough to live on, certainly, but it helps a lot. We are getting retroactive payments back to her 18th birthday, too, in several installments. We are using her money for the special food she asks for, and for clothes and pull-ups and so on. This is the kind of social security for people who will not ever be able to work, and I'm very glad it exists, but if she didn't have a place to live and a family to care for her, it wouldn't go far at all. But in our situation, it is helping quite a bit---the years since Tony retired have been tight ones financially to be sure.
We are currently in the middle of yet another endless process---what is called the 688 application. It's the process for getting Janey services when she turns 22, in less than 3 years now. It involves a referrel from the school, us sending in huge amounts of documents, then in this case, us getting back requests for even more documents, mostly it seems evaluations from all different phases of her childhood. It's not enough to show she has severe autism---I guess we have to show she's had it all along, or that we didn't just somehow try to game the system by getting one diagnosis along the way and then just coasting along on that, reaping in all the exciting benefits it gave us.... I simply can't understand it can't be an easier handoff from school to adult services. And from what I hear from other parents in Massachusetts, the services actually available once Janey turns 22 are very limited, even for those with severe needs.
This ties in a bit to one good development. Janey has started an after school program. She hasn't been in one for many years, since she was about 8. This one is especially for people in what's called the transition program, the life skills program in the public schools for people 18-22. It's 4 days a week, and there is transportation home (without that, we wouldn't have been able to do it, as in the evenings a drive to her school could take up to 2 hours in Boston traffic each way) On the days Janey goes to after school, she gets home as late as 7pm---that is after leaving the house at 6am! It took us a bit to decide whether or not we wanted to send her, but what it really came down to was that there just aren't many opportunities out there like this one for people like Janey---a chance to socialize with her peers, to have music and dance lessons, to live more of her life not just being home with us. From what I hear about what's out there for those like Janey once they are 22, she might have many years of being home with only perhaps a day or two of a program a week, so we want to give her what we can for recreation and time away from her dull parents while she's still under 22. We hope she's getting adjusted to it---there were some reports of tough days at first, with some crying, but we are continuing to be so impressed with her school and how much they care for Janey, and work hard to make her happy and keep her engaged. We talked to the after school director the other day, and she was making fried rice with Janey---having realized the key to Janey is plenty of food that's been freshly prepared!
We are very happy with Janey's new teacher for the regular school day, too. Janey still gets to see her beloved Jamie a lot, her high school teacher, but her new teacher, like Jamie, is so caring and enthusiastic and just seems to get Janey---it's hard to believe she's had as wonderful teachers as she's had year after year after year.
Over Thanksgiving weekend, Janey has a tough time. We aren't sure what was up---if she didn't feel well, if she was confused by the afterschool starting, and then it being a half day before Thanksgiving, then a 4 day weekend---Janey isn't a huge fan of routine changes like that. Whatever it was, she cried and screamed and was unhappy all day long for four days or so. It was a horrible flashback to the past, when that kind of time happened so much more. But it was also a good reminder of how far we have come, that we rarely have that kind of time any more. Most of the time, Janey is pretty content. She likes what she's liked for years---car rides, watching Tony prepare food and then eating the food, taking way too many showers, and watching certain episodes of certain TV shows or selected scenes of certain movies over and over and over. Right now, it's mostly Vampirina, Fancy Nancy, Little Einsteins, Encanto and Toy Story 4. We are never quite sure why she gets into the shows she gets into, but boy, does she love them once she does.
With Christmas around the corner, I have the bittersweet feeling I often get, but less than I used to. Janey isn't into Christmas. She likes the music, but otherwise, she doesn't care---she barely notices the tree, she doesn't generally like presents, she isn't happy with routine changes it brings. I think I've accepted this, and allowed myself to focus more on the boys for Christmas, even now that they are getting into their later 20s. It's a little bit of a regret of mine, that it took me this long to really accept that what she wants for Christmas is a day like other days, and we can give her that as much as we can while still making the day special for the rest of us. I hope that all of you enjoy the holiday season in a way that works for your family. I hope 2024 is a good year for all of us. Janey will be turning 20, and I hope to keep writing about our journey with her through her 20s and beyond. Happy Holidays! Merry Christmas! Happy New Year!