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April 12, 2010

I, EEEEPPP, Round Two

Today is Noah's IEP meeting, to determine educational goals and his placement for next year. We plan to ask for the immersion program, a new speech evaluation, and to argue against a recommendation of reducing occupational therapy to every other week.

 IEP records 

I'm going prepared, yet white-knuckled and throat-clenched and stressed-out beyond belief. So. You know. Business as usual. 

(Wish us luck.)

Posted at 09:00 AM in dyspraxia, Noah, SPD, speech delays | Permalink | Comments (35)

March 26, 2010

The Friendship Jungle

Noah's friendship with the little boy next door continues. Though it's only been two weeks and I'd already have to describe it as "rocky." 

On  the other hand, the confidence boost was almost immediate -- Noah excitedly goes outside in search of Other Kids, and is bitterly disappointed when they don't magically appear. One day a couple of (much older) kids rode by on their bikes and Noah greeted them with boundless, innocent joy: "Are you here to play with me?" They (very kindly) admitted that they were not before pedaling off, leaving Noah behind and his little heart melting all over the sidewalk. 

"They didn't want to play with me," he said quietly. He looked at me with his big brown eyes and I felt my chest clench, but I felt weirdly prepared for this moment. Like I'd been expecting it, ever since Noah marched up and knocked on our neighbor's door. Kids are mean little bitches. Even when they don't mean to be. So I calmly explained (over and over) that those kids were just so much older and were allowed to go different places and probably already had somewhere to go or maybe it was just time for them to go home and eat dinner. Eventually I just suggested he come back inside for a cookie.

(Jason would later ask, as we drove through the neighborhood on our way out for dinner, if a certain group of kids we passed were the kids in question. "Who should I run over?" he asked, only kind of jokingly. Look at me! Being the reasonable, appropriate one! I hereby win at both scraped-up knees and hurt feelings.)

I was less prepared for the next day. 

The little neighbor boy (let's call him Sammy) (who is six) came over after school and knocked on our door. Noah was delighted, and I was too, more than a little bit. Sammy's mother asked if I could keep an eye on him while she picked up her husband from work, so Ezra and I headed outside to play in the general (but non-helicoptering) vicinity. 

The boys were playing so nicely I let Ezra wander a bit, up and down a path that runs behind our house. We bumped into another young family whom I have been stalking for a good year now in pleasant (but so far mostly one-sided) attempts at friendship. We chatted and chased our toddlers around and I finally got a stab of GUILT GUILT GUILT SOMEONE ELSE'S CHILD HAS NOT BEEN IN MY LINE OF SIGHT FOR 10 MINUTES NOW AND THIS IS HOW YOU END UP ON THE NEWS, ASSHOLE.

We headed back and I saw Noah standing by our front door. Sammy was sitting in front of a stone wall on our corner, peering around before hiding completely. Hide and seek! I thought. I wonder if Noah is playing the right way or the Noah Way. 

"What's up, Bud?" I asked him. "Whatcha playing?"

He opened his mouth and a telltale string of utterly indecipherable nonsense fell out. She there no inside play scooter friend tomorrow, or something similar.  A sure sign that he was upset or confused or overwhelmed. 

I sighed, guessing that Sammy's inevitable rejection of his younger, kind of oddball playmate had come, and pulled on my Armor of Being Reasonable and Suppressing the Urge to Give Another Child What-For. 

But when I approached Sammy I realized that he was crying.

And not just crying. CRYING. Tears, bloodshot eyes, snot. He'd been crying for awhile. 

I panicked briefly before remembering that I could, you know, TALK to this kid and possibly get real answers. 

"Noah hurt my feelings," he said. "Noah said he didn't want to play with me. And that he wasn't my friend anymore." 

I opened my mouth and tried to reel in my own string of indecipherable nonsense in the wake of my shock. Here I'd been crouched and ready for Noah's hurt feelings, but was COMPLETELY unprepared to hear that it was my child who had just casually broken the heart of another. 

I called Noah over and tried to get him to look at Sammy and tell me how he thought he was feeling, and if he had said anything that would make him feel that way and Noah seemed entirely baffled but dutifully apologized, with words and sign language. 

"Okay!" Sammy said brightly. He wiped his face and jumped up and they took off down the block on their scooters as if nothing had happened.

Oh. Right. Kids. Resilient little buggers. 

A few minutes later, after eavesdropping a bit, I figured out what had most likely happened: Noah wanted to play inside. WITH Sammy. While he'd managed to correctly convey this invitation once before, he was having trouble today and was resorting to more canned phrases and responses than usual. He didn't want to play outside on scooters anymore but jumbled the message, swapping "you" for "outside." When Sammy got upset, Noah pulled out a response that matched Sammy's mood: "You're not my friend anymore." (He often says this when he's upset, regardless of the context. He's even said it to his toothbrush a couple times.)

Noah tried again, though, and did better the second time. The boys were still playing inside when Sammy's mother came to get him. I figured I better explain what happened in case it later got worse in the retelling. Injuries or Major Tears seemed worthy of a full report.

"Why did Noah say that?" she asked. I caved and gave her the nutshell description of...you know, ALL OF IT. 

"I really don't think he meant it," I said. "He's so happy to have Sammy as a friend. He just has trouble sometimes getting the right words out."

And...well. Guess who else went to speech therapy. And early intervention. And gets occupational therapy for fine motor skills at school. 

I wanted to hug her, but we just smiled at each other while Noah and Sammy hugged their goodbyes instead. 

"I'll play with you next year, okay?" Noah said.

Sammy looked at me and smiled. "I think he means tomorrow. So I'll come back then."

Posted at 01:50 PM in dyspraxia, Noah, SPD, speech delays | Permalink | Comments (125)

March 19, 2010

A Special Year

One year ago today, I performed the Heimlich on Noah to save him from choking on a fruit bar, because he liked shoving too much food in his mouth, a common trait of SPD kids. 

One year ago, he ran away from us in public and threw multiple tantrums a day. We were preparing for his first evaluation from the school district. We were arguing with our insurance company's denial of coverage for speech therapy. He couldn't pronounce "green" correctly.  Or ride a bike, or color a picture, or make friends, or do anything that wasn't part of his rigid, inflexible routine. We lost a deposit to a Montessori school that he would not attend, because in just a few weeks he'd have an IEP through our school district and be officially placed in special education. 

Less than a year ago, I received a report from a psychological evaluation that took place at his preschool. It shook me to my core, because my son was slowly, steadily disappearing into himself and his rituals. He was withdrawing from a world that overwhelmed him. I remember putting the papers down, then folding my arms over them, and sobbing. We had to stop it. We had to fix it. 

We enrolled him in an occupational therapy summer camp, which would later lead to placing him in a terrifyingly expensive (at the time, anyway) private preschool. Both of these decisions turned out to be -- just as hundreds of commenters promised -- the very best things we've EVER done for Noah. 

Everything started changing from that point on -- we got a diagnosis, insurance approval, a plan, hope, results, success and a kid who is finally enjoying life as a kid in the world he's in. 

Noah's next IEP meeting is coming up in a few weeks, and we plan to ask that he be placed in the less restrictive immersion preschool classroom next fall -- a class of half special education kids, half typical peers, the next baby step in the path back to mainstream.

But we're also sending him back to the private school in the afternoon. And to the camp this summer. We don't even think about the money anymore. How could we? LOOK AT HIM NOW.

Still, though. It does cost money, so when CafeMom asked if I was interested in taking on another blogging gig, I jumped at it. (CafeMom, as ClubMom, was actually the company that offered me my very very first paid writing job. I'm happy that my newbie bumblings from back then didn't turn them off forever.) So now, in addition to the Advice Smackdown and Bounce Back and Mamapop, I'll be writing a column every Thursday called Isn't That Special, about (shocker!) special needs parenting. I know. I'm tired of listening to myself talk too. 

But seriously. LOOK AT HIM NOW.

Music: Hey, Won't Somebody Come And Play by The Little Ones

Posted at 02:59 PM in dyspraxia, Noah, SPD, speech delays | Permalink | Comments (53)

March 11, 2010

Mad Skillz

Social skills are still a struggle for Noah. "Social skills" being probably the most vague and imprecise bucket of Early Intervention nonsense we have come across so far. People hear "social skill problems" and immediately assume that Noah hits or bites or plays roughly or...I don't. Spits and hisses, like he's spent his life locked in a closet. So when those people meet him, all charming and bubbly and eager to please, they wonder what in sam hill we're talking about. "Social skill problems. My ass. That I just farted out of. Loudly. In an elevator. NOW who's got 'SOCIAL SKILL PROBLEMS'?"

So...yeah, it's not exactly something that makes a lot of sense the first time you meet Noah. Especially if you're an adult. It's subtle. It's more of an inability to connect with peers. Other children. (Someone once sent me a link to a blog entry they wrote about dyspraxia being a "social planning disorder" in addition to motor planning and it was absolutely perfect and I cannot for the life of me find the link now.) Noah likes the IDEA of other kids, but not much else. Mostly he just wants to go to their houses and play with their toys. Over here, by himself. You go over there and do something else, preferably something that will allow him to keep 10 feet of personal space at all times. Independent or parallel play, but no cooperative play. No turn-taking, no engagement, blah dee bleep bloop blah go the assessments. Questions like "what is your name?" or "how old are you?" are not things he knows to ask -- hell, getting him to answer those questions is still a crapshoot. He gets anxious and unnerved around groups, easily annoyed by any inadvertent bumping or touching, tantrums when another child wants things done slightly different from him, is apt to wander away mid-conversation and avoid eye contact and generally just seems painfully aware of how painfully awkward the whole thing is. 

But oh, he's definitely improving. The private school, in particular, has been AMAZING at helping us with the more vague big-picture sort stuff like this. (The public school basically classifies social skills as "HITS, IS TROUBLE" or "DOESN'T HIT, THEREFORE FINE.") I've seen the improvements. I've written about the improvements!

Here is another improvement:

There's a slightly older boy who lives next door. I don't really know how old he is -- they're a diplomat family, the mother doesn't speak very much English and/or seems terrifyingly shy. Every morning she takes her son to the main bus stop around the corner where all the kids from the public elementary school get picked up, and most mornings she's just returning as Noah's bus picks him up right at our door before taking him to the exact same school. She wonders what's up with that, I can tell, but she doesn't ask. Her son is probably first or second grade, at least.

Sometimes the boy comes outside and joins Noah on his scooter. He's got a bigger, faster one, but slows down to indulge Noah's attempts to keep up with him. Noah refused to ask his name at first, but instead shrieked "LITTLE BOY! COME BACK HERE LITTLE BOY!" after him until I finally asked him myself.

"Noah talks funny," he said to Jason a few days ago, but he didn't seem too bothered by it.

Yesterday, after school, I was unloading Noah and Ezra from the car and told Noah he could play outside for a bit, since the weather was so nice. "Maybe your  friend will come out and join you," I suggested, gesturing at their front door.

Noah had a better idea. He walked up to their house and knocked on the door. Then he turned back to me, terrified. What had he done? What was he supposed to do now? He looked like he was about to turn and flee when the little boy came to door and opened it.

Noah stood there, completelysilent, while I watched from back on the sidewalk, wondering how much coaching I was supposed to provide. After what felt like hours but was probably seconds, Noah pointed at the boy's scooter parked in their foyer, then back at himself.

"Okay," the little boy said. "Let me ask my mom."

He emerged with his helmet on a few minutes later and they were off. He attempted to teach Noah how to play tag but goodnaturedly let it drop when it was clear Noah didn't understand how to play. They took a break and sat side by side on the curb for awhile, chatting about something I couldn't quite hear. 

Ezra was hungry, so we came inside and I kept poking my head out the door or window, chewing on my fingers and generally not really knowing whether it was okay to let Noah be so...free and unsupervised, just out there on the sidewalk. I started to head back outside when I heard Noah ask the question:

"Do you want to come to my house and play?"

"Okay," the little boy said. "Let me ask my mom."

She arrived a minute or so later, struggling to explain that she needed to go pick up her husband, so actually if he could stay with us for 20 minutes or so, that would be really helpful. I assured her that it was fine.

Fine! ARE YOU KIDDING ME? DOES HE WANT DINNER? PIZZA? I COULD MAKE CUPCAKES. WHATEVER. NO BIG THING, EXCEPT OH MY GOD YOU HAVE NO IDEA.

The boys marched down to the basement and Noah stopped on the stairs and looked back at me. "You keep Ezra up there. Not down here. This is my friend." 

I know, Noah. I know!

Posted at 03:32 PM in dyspraxia, Noah, SPD, speech delays | Permalink | Comments (269)

February 22, 2010

Every Little Thing They Do Is Magic

On Thursday, I took Ezra to a belated Valentine's Day party at Noah's school. He sat at one of the little tables, clearly impressed with himself, hanging out with the big kids. He ate a plateful of cantaloupe chunks with a fork. When he was done, he carefully placed the fork on the plate and carefully toddled over to the classroom's play kitchen. He then placed his dishes in the little sink and fiddled with the faucet for a bit before going back to his seat.

I couldn't believe it. I pointed and jabbed in his direction just in case anybody else was watching. No one was, though I insisted on telling everybody about it anyway. Who taught him that? I didn't teach him that. Who is this kid, this mimic? What different species of toddler did I produce this time? Wow.

***

On Saturday, we took Noah ice skating. We bribed him, of course: If he tried ice skating for awhile we'd go to the toy store and let him pick out anything he wanted. Jason laced up his skates -- my heart clenched up in preparation for a Big Fight about New Things On His Feet, but he was perfectly calm -- and took him onto the ice while Ezra and I hung on the bleachers. I aimed the video camera at them, zooming in on the tiny skates on his feet, ON HIS FEET, WHERE HE LET US PUT THEM, and away from his shrieking, terrified little face.

It was Jason's turn to be the Patient Ocean this time, first picking him up, then moving him to the wall, somehow distracting him from the dozens of other unsteady little skaters wiping out all over the rink. By the time they came back around to where Ezra and I waited, Noah was smiling, cautiously plunking across the ice while holding onto Jason's hands for dear life. "OH WOW, NOAH," I shouted over the din of the crowded rink.

***

Ezra, meanwhile, found a slightly elevated, slightly slippery metal bleacher that he was determined to walk across. He stepped up and toddled for a bit before his foot slid off and he went down...while I dove after him to protect him from whatever terrible injury a four-inch stumble off a bleacher seat could inflict. And he would get back up, and try again. Soon I stopped helping him up or offering my hand. He wanted to do it by himself anyway. When he finally made it all the way down to the end without falling, he looked back at me and beamed. "OH WOW, ZAH," I shouted again, and clapped for him.

***

Later, at the toy store, Noah picked out a Build-a-Road set. Jason and I were so impressed with the ice skating we likely could have been talked into the expensive Playmobil set he's already requested for next Christmas, but he was adamant. Road. He wanted the Road.

Ezra took advantage of a slight miscommunication between Jason and I and attempted to walk out of the store while we weren't looking. A salesclerk brought him (and the personalized "Brooke" mug that he'd tried to abscond with) back to me, more than slightly annoyed at our carelessness. "Is this yours?" she asked. I sheepishly said he was and pretended to be all kinds of shocked at my fearless, daredevil child. 

***

Later, at home, he evaded us again.

IMG_0847

***

Noah and I assembled his new road and bridge, and when we were done, I turned on one of the battery-powered cars and set it loose on the track. Noah screamed. He howled. He grabbed the car and switched it off. After he calmed down, I asked him why he didn't like it. The noise, he said. The noise was too gray. 

I looked at Jason, like, OH, WOW. DID YOU JUST HEAR THAT? He nodded. We know about the blue songs, the green songs, the red and yellow and purple songs. But we've never heard him describe anything as gray before.

***

That night, Ezra just happened to walk into the room right when the skier on the TV fell down. He pointed at the screen and burst into tears. He shook his head, nonononono, and covered his eyes. I picked him up and he buried his head in my shoulder. Nononononono, he said, out loud this time.

***

On Sunday, Jason made the questionable decision to put on our DVD of Star Trek: The New Lens-Flarish One Without a Semicolon & Subtitle Which Just Feels Kind of Wrong while Noah was in the room. I clucked and chided but couldn't find the remote. Noah positioned himself on the arm of the couch, a look of increasing curiosity on his face while everything on the TV started exploding and zooming and shwoooom vroooom bang blasting. 

He stayed there, frozen, throughout the entire opening scene. His eyes were like saucers, but he wasn't scared. He was FASCINATED. He was clearly watching the GREATEST THING EVER, this space opera explode-y movie, this crazy rocket-airplane-boom-thing.

Right as the movie title and Star Trek logo revealed themselves on the screen, his jaw dropped, he leaned forward and...gasped. "Oh. Wow." he whispered. "Oh. Wow."

IMG_6069

***

Posted at 02:16 PM in dyspraxia, Ezra, Noah, SPD | Permalink | Comments (68)

February 19, 2010

On Being That Mom

But first, elsewhere: Deconstructed Cotton Balls From Spaaaaace!

***

The comments on Monday's post were...well, they were humbling. In a shaming kind of way, the endless chorus of praise and virtual applause and refrains of YOU ARE SUCH AN AWESOME MOM, because oh. Oh.

Only sometimes.

That moment...yeah, I'll own that. I was proud of Noah. I was proud of MYSELF.

I was proud that I didn't march us back to the house in a huff of frustration and anger, letting Noah know that I was indeed, frustrated and angry, either through my words (or lack or words, ah, nothing like busting out the silent treatment on your four-year-old) or through impatient tugs on his hand: COME ON. YOU WANTED TO LEAVE, WE'LL LEAVE. GOD. I was proud that I didn't react that way. 

The way I react far too often. Maybe even most of the time. Fifty-fifty? On a good day?

The way I reacted just the night before writing that entry, while locked in a bedtime battle of wills, confronted with an uncooperative child who wouldn't stand still, get undressed, get dressed, listen to me, look at me, stop that, stop that. 

If it made me feel better, I suppose I could blame Sensory Processing Disorder: he has no self-regulation, he is distracted by things we've learned to shut out, he has difficulty interpreting vocal tone and facial expressions, he can't always distinguish when we're upset and when we're playing, blah blah blah, I only fail because my kid is so much harder to deal with.

But I don't think that's true. I know it isn't fair. To Noah, that is.

No, Sunday night he was just being...four. A high-spirited, strong-willed four-year-old who didn't want to go to bed. And I couldn't handle that.

I scolded. I threatened. I yelled. When that didn't work, I grabbed his shoulders and yelled again. I grabbed hard. I stormed out and threw his pajamas at Jason, who had just finished putting Ezra to bed. (Ezra! Who is so easy! Except when you're trying to change his diaper and he wriggles and flips over and grabs things and throws them on the floor stop that, stop that.)

"YOU DO IT," I said. "I'M DONE."

I wasn't, really. I went and took a breather in our room and then guiltily emerged to guiltily read a bedtime story dripping in guilty guilt.

My brain scolded me: So he runs around for an extra 10 minutes and then goes to bed, it's not the end of the world. Why didn't you try turning it into a game instead of immediately switching into Mommy As Dictator mode?

(And of course, the Mommy As Dictator part of my brain offered up an enraged answer: Because I gave birth to him and ruined my body and moved to the suburbs and work so hard for him and private school therapy endless drudgery I don't think it's too much to ask for a little respect at bedtime GAR SMASH.)

(Translation: Because I'm the Mommy, that's why!)

And the next day I sat down and wrote an entry about a different moment, a better moment. The kind of moment I wish we could have more of, and the kind that I hope Noah remembers. But I don't get to pick and choose what he remembers. The patient mother in the ocean, soothing, praising, protecting. Or the impatient mother in his room, yelling, contorting, snapping.

In both of these stories, Noah -- unpredictable, confounding, mysterious Noah -- is actually the constant. I am the variable.

Posted at 11:17 AM in dyspraxia, Noah, SPD | Permalink | Comments (123)

February 15, 2010

Patience is an ocean

On the first day of our vacation, I took Noah to the beach. Just us. Jason was putting out one last work fire. Ezra was...well, he was eating, having already figured out that 1) all the food here was delicious, and 2) he could get into the kitchen via an always-open back door, and that there was ALWAYS someone in there cooking something, and they were ALWAYS happy to give him a taste, like an over-eager puppy begging for scraps.

So Noah and I went to the beach. I might as well have taken him to the dentist, because he did not want to go to the beach, because of the ocean. He did not want to go near the ocean. He did not want to look at the ocean or hear the ocean. NO OCEAN. He stood as far back on the sand as he possibly could, practically climbing up a wall of rocks in his bare feet, adamant about the NO OCEAN part.

The ocean in Jamaica is not like the ocean here, which knocked Noah over two summers ago and he has refused to go near since. (He holds a mean grudge, I've learned.) It's calm, shallow. There's no undertow and the breakers barely come above your knees. But he didn't care. NO OCEAN. I went in the water without him. I waved and cajoled and explained. I tried to talk him into sticking just a toe in, or to just come a little closer where we could build a sandcastle.

NO OCEAN. He said he wanted to go back to the house.

And I felt that familiar feeling. I was frustrated and annoyed, even though technically I understood. Technically. But still. COME ON. It was like the end of every birthday party or disastrous outing, the miserable ultimate conclusion of something that was supposed to be fun. I felt that tired old instinct to throw up my hands and say FINE. WHATEVER. WE'LL LEAVE. To give up.

Most of the time at home, I admit: I just give up.

I sat down next to Noah and tried to think of what else I could say. He was throwing sand, something we're always scolding him about at the crowded Maryland beaches, where there's wind and other people to annoy. He looked at me, waiting for the rebuke. Instead, I picked up a clump of sand and hurled at the water's edge.

"YOU DON'T SCARE ME, WATER." I shouted.

Noah looked at me like I'd lost my mind. But he smiled. I did it again.

"YOU DON'T SCARE ME, WATER."

Another smile, this time with dimple. He picked up some sand and threw it at the ocean, repeating my challenge.

We did this for awhile. Then I crept closer and stomped on a wave as it lapped up the beach. "YOU DON'T SCARE ME, WATER." I kicked at it, sending a spray upward. Noah laughed.

And he came over and kicked the next wave. "YOU DON'T SCARE ME EITHER, WATER," he shouted.

After awhile, I picked him up and took the plunge. We waded in. He clung to my neck and howled. The water touched his feet and he screamed.

I smacked at the water, making another huge splash. "YOU DON'T SCARE ME, WATER."

Noah raised his head from where he'd buried it in my shoulder and watched me splash again. I walked in a little deeper and he hesitantly reached his hand out to hit the water's surface. It splashed back over both of us...and he laughed.

"YOU DON'T SCARE ME, WATER."

And from that moment on, it didn't. 

IMG_5954 

IMG_5974 

IMG_5929

Posted at 12:37 PM in dyspraxia, mcd, Noah, SPD, stories, Travel | Permalink | Comments (176)

February 11, 2010

Before

Before the snow, before we lost power, Noah announced that he wanted to draw some pictures.

This...was news to me, as Noah does not particularly like to draw. It frustrates him. His fine-motor delays clash with his perfectionist nature. He favors his left hand but is more skilled with his right, he has difficulty getting all of his fingers to do what he wants, he sees Pixar in his head but scribbles on the paper, and within minutes he's pushing the crayon at me, asking me to please recreate the Paradise Falls tableau from Up, complete with the House, Balloons, Carl, Russell, The Snipe, The Mean Dogs and Also Russell's Lost GPS Unit Right Over There, NO, NOT THERE. THERE. All of which are also way beyond my own limited skills with an unsharpened Crayola, but whatever. They please him more than his own creations, apparently.

So anyway, this request came out of the blue, as if he'd randomly asked for a bowl of Brussels sprouts. But we quickly supplied the crayons and paper and he got to work.

After he was done, he asked for a toy airplane.

IMG_6088 

This is the airplane outside our house.

IMG_6089 

This is the house in Jamaica. It is smaller than our house.

IMG_6083

This is the plane flying to Jamaica. The red parts are trees. There were more trees in Jamaica than outside our house, you see.

 IMG_6085

And there were, in fact, trees with very red bark in Jamaica, which delighted him. Soon after we arrived, he declared Jamaica to be Oz. The path down to the beach was the Yellow Brick Road; the wall of tropical greenery around the pool was the Emerald City. He stood on the steps and conversed with an imaginary doorman about the broken bell; he stood by a tree stump in the backyard asking for his oil can; he was incapable of going indoors without attempting to whip everyone into a frenzy about "IT'S A TWISTER! IT'S A TWISTER!"

IMG_6079

At the airport, on the way home, he skipped down a stationary moving sidewalk and sang every word of "We're Off To See The Wizard" at the top of his lungs. Any irritation our fellow travelers had about the mechanical problem vanished about halfway through the song, as they all smiled and laughed as he unselfconsciously butchered the phrasing of "a wiz of a wiz if ever a wiz there was."

IMG_6080

His hands might not be able to keep up with everything going on in his head just yet, but you know, I'm not too worried.

Posted at 02:28 PM in dyspraxia, Noah | Permalink | Comments (62)

January 12, 2010

Jedi Master

First, though: You know you're in for an interesting conversation with your child's speech pathologist when she starts out by saying, "Yeah. So this might sound weird, but the other day I was at Babble.com and..."

Yesterday was a mini-parental-update day at Noah's private school. I don't know what else to call it. I stick around for an extra half hour after school and meet with all of the various teachers and therapists (last count we were up to a baker's goddamn dozen, I think) and discuss Noah's progress at school and at home. But we don't sit down for it. And no one takes notes. So it doesn't feel like a real thing. I completely forgot about yesterday's and didn't even take my coat off until the third therapist came over to talk, which is when it finally dawned on me that oh! Right! That's today. The mini-thing. Okay. 

Noah's progress is, in a word, spectacular.  A little over three months into the program (it's the DIR/Floortime model, for the special ed geeks out there) and they're all thrilled at the improvements they've already seen. They want to throw everything they've got at him -- listening therapy, music therapy, more speech -- because he responds so well, because he's *right there* and *so close* and it's *allsogreat.* This time last year we were still reeling in the wake of his teacher's not-very-veiled threats of expulsion. This year, everyone loves him. He's a sponge, a positive spirit. He is loving, he is kind, he is so very bright.

I've been carefully and cautiously celebrating the little things: fingerpainting, riding a bike, Halloween costumes, the loop, the very first time he ever looked at me and asked "why?" (last week. LAST WEEK.), the very first time he zipped up his winter coat all by himself (today. TODAY.).  And yet I still feel like I missed something, particularly in this past month. I can count on one hand the number of real, honest-to-God kill-me level of fits...yet can't put a finger on exactly when the good days started to outnumber the bad, and at such an uneven ratio.

He digs around in his backpack after school, eager to show off his latest project: N O A H spells Noah, Mommy.

He brings me elaborate Lego creations that no longer resemble the ones he once saw on the box: Look what I made, Mommy.

He plays more like a kid than a ruthless engineer, the last stand between order and chaos in case someone puts a blue block next to a yellow block instead of the RED BLOCK RED BLOCK. There is imagination, purpose, even the occasional good guy and bad guy. I am the Mommy Airplane with a broken wing, he is the Baby Airplane who calls the Compliceman to come and bring me a Band-Aid. A weirdly-shaped office building with an ugly radio antenna on the roof becomes mysterious and magical: Look at that pyramid, Mommy! There are mummies inside that pyramid, Mommy.

He tells me about his friends, his teachers, what he did that day. What they had for snack and who got in trouble on the bus. He tells me about the blue songs and the red songs and how the Christmas tree is "spicy" and that he can't eat a certain food because it's too much like "the ocean" and that shade of orange is too "rough" and every day we get a clearer picture of the nonstop sensory assault he faces and what the world looks and sounds and tastes and feels like for him: This song is yellow, but also kind of green, Mommy.

When he gets overwhelmed and overstimulated, he no longer screams or lashes out or kicks. He gives his body a good head-to-toe wiggle instead and starts everything over. Sure, it looks a little strange, but four-year-olds are a little strange, and it's a pretty effective reset button -- and one that he seemingly came up with on his own, his very first self-discovered coping mechanism: I shaking the itch out, Mommy.  

Everyday he is more "in" than "out," his teachers say. Everyday the other children in the class appear more foreign to me, more difficult than my own, and I am acutely aware that of all of them, Noah's chances for mainstreaming are much, much higher than theirs. 

He is still delayed, of course. Just because he finally asks "why" questions now doesn't mean we're allowed to ignore how long it took him to get to that point. When you teeter on the barest edge of "pervasive" there is always something else to worry about. He still has a very hard time interacting with children, with dealing with the inevitable, unpredictable aspects of daily life. He cannot use a spoon or a fork, or unbutton his shirt, or hold a crayon correctly, or...or...

He throws his arms around me a hundred times a day: I love you, Mommy.

Noah1-11-10

Posted at 03:03 PM in dyspraxia, Noah, SPD, speech delays | Permalink | Comments (129)

December 15, 2009

The Loop

The Hardest Part, at least from a day-to-day basis, the rigid, inflexible thinking. Things that must be done the way they've been done before. No variation, no deviation, from morning (and the order that breakfast items get set on the table) to night (pants come off first but socks come off last and books must be read while sitting on the right side of the bed RIGHT SIDE RIGHT SIDE!). Routines become rituals and the rituals are a religion.

It's all CONNECTED, of course, we're told. I fret about OCD but am assured that no, it's SPD. Dyspraxia is a motor-planning disorder, but when you add in tactile and auditory hypersensitivity and fine and gross motor delays and receptive and expressive and pragmatic language delays and whatever-the-fuck else we've been diagnosed with at some point or another...well, you've got a child who can't sequence day-to-day problems, or recognize patterns in events and behavior, who can't reason things out to their logical conclusion, who doesn't understand the order of the world and other people and basically exists in a tensed-up state, minutes away from fight-or-flight mode at all times.

Okay, not at all times. But just enough for it to feel that way some days. Some little inconsequential details doesn't go as planned and a mental wire gets tripped. He goes from a happy, smiling chattering little boy to...well, something else. Something I'm getting weary of describing, because I still can't seem to get it right. Please to reference EVERY OTHER POST EVER.

So lately we (with help and guidance from his teachers and therapists) have been working hard on improving Noah's problem-solving and abstract-thinking skills. You do this, in part, by deliberately creating problems and then pretending to be a complete moron.

Problem One: Oh no! You need to get dressed for school and Mommy put on your bathing suit! And now she's trying to put your socks on your hands! And your underwear on your head!

Solution: STUPID MOMMY.

Problem Two: You come downstairs for breakfast but your chair isn't at the table. It's in the middle of the kitchen. When you say you want your chair at the table, Mommy pushes it in the wrong direction.

Solution: STUPID, GOOD-FOR-NOTHING MOMMY.

Problem Three: You get permission to go play in the basement, but the baby gate is closed. Mommy suddenly can't get it open, insists on making wild dramatic gestures about WHATEVER SHALL WE DOOOOO in the general direction of a nearby stepstool. IT'S LIKE WE NEED A TOOL OF SOME KIND. HMMM!

Solution: Ask to watch TV instead, because DAMN, WOMAN.

And...so on and so forth.

It's working, we think. Not all the time, but in past couple weeks we've managed to get him to work and reason through a couple change-ups and "why/how come" questions. A good start, but nothing that seemed to curb the Big Bad Reactions to a triggering event.

One such triggering event is, and has always been, taking the alternate way out of our neighborhood. Our house is on the edge of a street that loops around a couple of other houses, kind of like a cul-de-sac but not. But weird. It's like whoever built this development was legally required to toss up some affordable townhouses among the gigantic single-family homes, but sure as hell wasn't going to put them where anyone would actually have to look at them. Thus, we have two ways out.

Map 

Obviously, the preferred exit is shorter, but quite often gets blocked by landscaping trucks, extra cars that simply don't fit into two- or three-car garages, I mean, MY LANDS, and...I don't know. Piano-and-Ming-vase delivery trucks. So it's sometimes a little easier to just go around the other way.

Except that Noah always, ALWAYS loses his shit when we go that way. It's takes all of three seconds to end up exactly where we would end up ANYWAY, but in three seconds he can manage to completely lose it. He screams and kicks and pulls his hair and thrashes around in his seat. We actually moved him out of his booster and back into a harnessed carseat thanks to one of these fits, when he managed to turn his body completely around and slide out of the seat belt and onto the floor. 

We tried everything we could think of: we took walks around the block, we took pictures of the road for social stories, we drove that way every day on purpose, we drove that way only when we absolutely had to.

It's a little, silly thing, right? But that's how it is. Even if we can avoid a three-second detour right outside our front door, we may have to take one further down the road because a traffic light is out. We have to turn on a blinking red light instead of green. We have to double-back in the grocery store because we forgot something, order orange juice at Chipotle because they are out of the usual apple, wear this red coat because the blue one is in the wash, and on and on it goes. Explaining, comforting, bargaining, begging, completely unable to get him to understand that it's GOING TO BE OKAY. REALLY. 

Yesterday I had to drive around the way of doom, thanks to a tree-removal crew blocking the corner. Noah freaked. We continued on. We got to the highway exit for his afternoon program, driving under the bridge we'd soon circle back onto.

"Are we going on that bridge?" Noah asked.

"Yep," I said. I thought about leaving it at that, but instead plunged onward with the kind of endless chatter I do, never knowing how much of it he absorbs, plus, who else am I going to talk to? Fucking Twitter?

"See, we drive arooooound this ramp and get on the bridge! Wheeeee! It's like a big loop."

"A loop." Noah repeated.

I was about to define the word for him when he continued.

"A loop. Just like the one outside our house."

And that was it. He caught sight of a nearby school bus and changed the topic. 

***

I drove around the loop again today, on purpose, just to see.

In the backseat, Noah started to protest. Then he tentatively raised his arms over his head.

"WHEEEE!" he said, and he laughed.

Posted at 02:40 PM in dyspraxia, Noah, SPD | Permalink | Comments (137)

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