Evaluation Nation
April 16, 2009
Where do I begin?
On the one hand, I'm glad I never got around to writing that entry about all the fabulous leaps and bounds we've made with Noah over the past couple weeks -- at least not the version I had in mind, which was puff full of Confidence! We've Turned a Corner, Everything Is Fine Now! We're Totally Going To Rock This Evaluation Wheeeeeee!
(I just love setting myself up to look like a complete jackass on the Internet. I really do.)
On the other hand, I'm glad I at least mentioned it, because otherwise you'd all probably pelt me with your liquor bottles when I tell you Noah's results:
Motor: Failed. Spectacularly.
Vison: Passed. Non-surprisingly.
Hearing: Abstained. With EXTREME PREJUDICE. (Though his tympanogram looked fine.)
Cognitive/Educational Concepts: Passed, sort of. It's complicated. We'll say: Passed. With EXTREME ASTERISKS.
Speech:
Ha ha ha ha. Wait. No. Sit down.
Speech: Passed. Spectacularly.
The speech therapist praised his articulation (ha ha ha), his ability to label objects and actions and answer questions, his spontaneous speech (which mostly consisted of elaborate protestations and declarations of woe, misery and the unfairness of life as he knows it) and finally admitted that she didn't understand why any concern was still being raised about his speech. He's FINE.
And I was all, "Yeah...I've been meaning to blog about that."
Noah's speech has EXPLODED over the last couple weeks. We have CONVERSATIONS with him. He tells jokes, he makes up stories, he answers your questions with honest-to-God actual answers instead of context-less scraps of dialogue from TV or books.
Last week, while we were away, he told me he was sad, that he wanted to go home, that he missed Daddy. When we went away a few months ago, he told me he was sad, but when I asked why he said something about 15 missing puppies and left it at that.
I don't know whether the leap coincided simply with inching closer to four years old, with reducing his preschool attendance, or our discovery that hey! You know how he really, really, really likes music? You think it would be nice if we played more music for him? How about I put my iPod in his room with a playlist of his favorite classical music and the Vince Guaraldi Trio for him to fall asleep and wake up to, or to go "chill out" to in lieu of endless "time outs?" Huh, I dunno, does he seem a little more centered and calmer to you, like his teacher maybe mentioned a few months ago, when she started playing background music during the day?
No, no. Hold your applause. We are not parental geniuses, we're just really, really slow on the uptake.
ANYWAY. The speech ruling did not come as a surprise, though it was still a huge, HUGE fucking relief to hear it.
It was our one small relief in an otherwise hellacious morning, however. You know it's bad when OTHER PARENTS in the screening clinic are giving YOU the "I'm glad that's not MY kid" looks.
I knew this situation was not going to be ideal. I knew it was going to trigger a lot of Noah's worst behaviors. I knew he wasn't going to move from station to stations easily or be interested in the assessment tools or willingly allow them to put headphones on him to test his hearing and I knew that was kind of the point.
I wasn't prepared for Noah being the ONLY kid having difficulties. I wasn't prepared to sit and watch three-year-old after three-year-old obediently leave their puzzles to go show the occupational therapist that they could stand on one leg while my kid howled, screamed, kicked and fought. I wasn't prepared to watch him fail so many activities -- can't copy a circle, can't hold scissors, can't shape clay, can't fasten a snap, can't catch a bounced ball, can't stand on one leg -- one right after the other. I wasn't prepared to see how many of his mastered skills fall to pieces in the face of his unease with structure, demands and transitions. I wasn't prepared for my sweet, loving, gentle little man to smack me -- repeatedly -- in front of the child psychologist.
The upshot: those damn sensory issues, man. We were aggressive with speech and it paid off. We allowed ourselves to be rattled and bullied by a terrible occupational therapist and are paying for that now. The OT today was shocked that Early Intervention graduated Noah on the basis of speech alone, when clearly he has significant motor delays. Follow-up recommended, check.
The special education teacher had the MOST success out of everyone when it came to coaxing cooperation from Noah, and even she was unable to fully complete her assessment. Her take: he's smart, very smart, but the level of non-compliance makes it appear that he doesn't know half of what he really knows, and his non-involvement and discomfort at school are causing him to shed skills and resist absorbing new ones. (When he started preschool he could count to 20 and recognize most numbers and letters of the alphabet. Now he can count to 10 and gets numbers and letters mixed up.) Basically, this is a smart kid on track to hating and underperforming in school because *something* else is going unaddressed. Follow-up recommended, check check.
(Whenever I write stuff like this I invariably get comments reminding me that "he's ONLY three!" like I need a refresher course on my kid's age, or like I'm expecting him to be mapping the human genome as opposed to sitting on the stupid blue carpet at preschool. I used to get the same comments when he was "ONLY two!" Does anyone know at what age people stop hassling you for trying to be proactive about your child's developmental and educational issues, or for taking advantage of early childhood programs that EXIST FOR A REASON? When he's ONLY four? Seven? When he's dropped out and knocking over convenience stores at ONLY 16?)
The school psychologist will be observing him at preschool, and we're going back for another (more thorough, less sensory-triggering, hopefully waaaay more enjoyable for Noah) assessment with the OT and special ed teacher at the end of this month. At that point, recommendations for services will be made. Check check, check.
***
Dear Noah,
I'm so sorry. I'm so sorry Daddy and I had to take you that place this morning, that place with all the cool toys that they only let you play with for a few minutes before whisking you away time and again to go play with less cool toys. I'm sorry that lady tried to put the beeping thing on your head. I'm sorry that other boy grabbed the elephant out of your hand but we made you share with him because we were too busy filling out forms to realize that he was the one who wasn't sharing. I'm sorry the little things are so hard for you. I'm sorry that I just don't understand sometimes.
I'm so proud of you. I'm so proud of you and your smart, wonderful, mysterious brain. I'm so proud of your good strong eyes that never miss a thing. I'm so proud of how far you've come and how well you talk now. I'm so proud of what a happy, confident boy you are, in spite of everything else.
I love you, Noah. I love hearing everything you have to say. I love your voice, your smile, the way I hear you humming along to the music in your room. I love how you manage to thoroughly charm people, even when you're making their job a little harder. I love how you always give me another chance to be a better Mommy, a more patient, fun and understanding Mommy, and how a rotten morning can still lead to a wonderfully sunny afternoon.
You're too amazing for this world, Noah. And that's our problem, not yours. Don't ever forget that.
Love,
Mommy
oh, amy. oh, noah. you two are amazing. truly amazing. i don't even know what to say, i've never fought this particular battle before, so i don't know what helps and what doesn't to say. but still, my best wishes to both of you. somehow, this little angel will get exactly the help he needs. i know this because i know YOU will make sure of it, you amazing mother, you.
Posted by: Karishma | April 16, 2009 at 05:00 PM
oh hey, i'm first? yay. :)
Posted by: Karishma | April 16, 2009 at 05:00 PM
Well, whatever is actually going on with him, you're doing an awesome job trying to get him all the help you can. I'm sure it will pay off.
Posted by: A | April 16, 2009 at 05:00 PM
Sometimes the only way to heal is to go through the hurt. Big hugs for Noah and a huge glass of wine for you and Jason!
Posted by: Sprite's Keeper | April 16, 2009 at 05:02 PM
For whatever it's worth, as a teacher with a special ed teacher for a mother, I think you're doing a great job. Your boys are awesome. Hugs to you.
Posted by: Lori | April 16, 2009 at 05:02 PM
You know, parenting can be a bitch sometimes, but it's almost always wonderful in the long run.
My oldest had some problems at first, she's off to Sarah Lawrence in the fall.
I like the way you always remember that you're the grown-up and Noah's the kid. I don't always remember that, even now.
Posted by: Dona | April 16, 2009 at 05:05 PM
Amy, hang in there. You're doing all the right things and even the sharpest advocates get intimidated. There is no how-to or rulebook on this, we have to make it up as we go. Just remember to breathe and keep going.
You guys are doing all the right things. Hang in there. I'm rooting for Noah, and you. Big hugs to you. Oh, and some wine. Helps me on days like these. :0)
Posted by: Shash | April 16, 2009 at 05:06 PM
actually going back to reading this again, i think it's amazing that his teacher even noticed that music helped him. that's such a subtle thing, so it's really no surprise at all that it took so long to apply around home. i mean, whatever helps, helps. sometimes, it's a total crapshoot figuring out what does. what works beautifully for one kid might be hell for another.
Posted by: Karishma | April 16, 2009 at 05:07 PM
Mother of the year? You.
I would say more but I can't see through my tears to type.
Posted by: Mama Bub | April 16, 2009 at 05:08 PM
Don't listen to the critics! Only YOU (& I guess maybe your husband) know what's right for YOUR child, so don't stop until you get there. Your letter to Noah was so touching. He'll be fine, just keep the best you can. :-)
Posted by: Amy | April 16, 2009 at 05:09 PM
I'm getting all choked up just on the Dear Noah letter. You are an AMAZING mother, Amy. Any child would be lucky to have you as a mother.
Posted by: Darcey | April 16, 2009 at 05:11 PM
That's so wonderful about his speech and I'm glad that these people are seeing what you are seeing and are willing to help.
Posted by: Stephanie | April 16, 2009 at 05:11 PM
I love how much you love Noah. I'm glad you guys made it through the evaluation, and you're on the way to figuring out just what he needs. And I'm so excited to hear how his speech is blooming! That's awesome news.
Posted by: amanda | April 16, 2009 at 05:12 PM
To Amy & Jason: Hugs for being very involved parents and doing the heavy lifting on Noah's behalf, before he's old enough to realize there's lifting involved.
To Noah: You are perfect and wonderful and tie for second cutest boy on the planet. (sorry, my son is first.)
To Ezra: Nothing really but NOM NOM NOM.
Posted by: Missie | April 16, 2009 at 05:12 PM
i am crying like almost full out boo-hooing. this is it you know. you have a baby and wish the world for him, and when he is a bit different you go through all these emotions, and people judge you. life gets so freaking hard and all you can do is love him. ake him to therapy with all these strangers trying to teach him because you couldn't. but all you do is love him. and everybody judges you. not me. you are great. he's fine and you are doing great. i want to hug you! anyway, sorry but this really just got me and set me a-crying.
Posted by: erika | April 16, 2009 at 05:13 PM
On behalf of every elementary school teacher in the entire freaking country, THANK YOU for paying attention to your child's developmental shortcomings as well as his strengths!
I would relish working with parents like you rather than parents who frankly don't give two hoots how their kids are doing.
Anyone who says you are being too "obsessive" can come spend a day in a room full of first graders who have had NO preschool or other educational or social preparation for school, THEN we'll see what they think about what you and your husband are doing for Noah.
Yay for you, yay for your family, yay for Noah!
Posted by: Julianna | April 16, 2009 at 05:13 PM
Oh, Amy. I'm cheering for you all. I know what it is like to watch your child kick and scream through something that hurts, but is necessary. And so I'm teared up here, but I am also cheering because I know your ending will be a great one.
Good luck & HUGS.
Posted by: bessie.viola | April 16, 2009 at 05:13 PM
Evals are the best time for the shit to hit the fan...so for that I'm glad. I'm sorry for the nerve-fraying experience and the strong desire to drink that follows these things. LOL.
Posted by: Kyla | April 16, 2009 at 05:13 PM
Awesome on the speech!
As for everything else, it sounds like there were people there who are really in Noah's corner to help him figure out things. (in addition to you guys of course) And hopefully they can help create a plan to help him out.
It sounds like it was a rather illuminating kind of morning.
Mummy needs a drink.
Posted by: Genevieve | April 16, 2009 at 05:13 PM
I'm glad I'm not the only one crying over your letter to Noah. Your love for him just knocked me on my ass.
Posted by: jennifer | April 16, 2009 at 05:13 PM
Thank you for NOT saying "oh, he's only three" and ignoring the problems until he's dropped out at sixteen. You are doing the right thing, and his life will be so much better for it.
You are teh shizzle!
Posted by: NancyPants | April 16, 2009 at 05:14 PM
You're doing such a good job, even if it doesn't always feel that way. Noah is lucky to have a mom like you.
Oh, and the "he's ONLY three" thing? I get that all the time with my four-year-old from people who only read about the crap we go through (he's a pediatrician-diagnosed ADHD poster child). Once those same people actually witness him running in circles around their living rooms or swinging like a monkey from our dining room light fixture, they switch from "he's ONLY four" to "What are you going to DO with him?", like he's already the 16-year-old hoodlum knocking over convenience stores. I try to ignore all of it.
Posted by: Emily M | April 16, 2009 at 05:14 PM
You gotta just keep plugging along in this life.
Hooray for your little family.
Posted by: Isabel | April 16, 2009 at 05:14 PM
You should add a picture of Noah to the end of this post, so that we can look at his sweet, sweet face while we cry. Your love for your son is beautiful. So, so beautiful.
Posted by: Rebecca | April 16, 2009 at 05:15 PM
I've been following your blog for a while now and I just wanted to say that you and Jason are completely awesome. It's clear that working with Noah has been a rocky road, but he seems like such a wonderful kid and with two wonderful parents, he's going to suceed. I like that you wrote him a letter about the whole evaluation experience. The last line of the letter reminds me of a couple of friends of mine, who's child was recently diagnosed with slight autism. It's clear with their son--just like with Noah--that he's smarter than anything, he just percieve things differently. And that's okay. So, for you, Jason, Noah and even little Ezra--I salute you. Rock on.
Posted by: Cindy | April 16, 2009 at 05:16 PM
Amalah, damn you! I'm choked up at work again. You are obviously one kick ass mom. You all will get there and of course you want to take advantage of all the help you can get so that things will be easier and more fun for Noah.
Posted by: chiquita | April 16, 2009 at 05:18 PM
Yay for Noah's speech progress! And yay for finally finding evaluators who, you know, actually evaluate like they are supposed to. Hopefully this will finally get Noah on his way.
And I have to 'fess up to blubbering a bit as well when reading your letter to Noah at the end. Your sweet posts to your children are a whole other kind of NSFW. :-)
Posted by: stephanie | April 16, 2009 at 05:19 PM
I really hope you can feel all the support coming your way!! Thanks for sharing Noah with us. He is so special in the very best sense of the word.
Posted by: Lisa | April 16, 2009 at 05:19 PM
That was one of the very best posts you have ever published. All of it - every word.
I hope this doesn't come across as insensitive, but there is something so utterly fascinating about Noah's sensory issues. I hope his speech continues to accelerate so he can tell you why he can't or won't do certain things.
I think his answers will be very well thought out and perfectly reasonable.
Again, this was an amazing, amazing post.
Posted by: Kari | April 16, 2009 at 05:20 PM
Noah is amazing. You and Jason are amazing. You guys are doing everything right and everything you can. Just keep trucking. Just keep pushing. I understood everything Noah said to me when I saw him recently, everything. That is a huge feat.
And hey, maybe you will get FREE PRESCHOOL and a school that meets all of Noah's needs out of this. How bad can that be?
Posted by: jodifur | April 16, 2009 at 05:21 PM
You are absolutely doing right by him.
I'm so sorry it's this hard though. I can totally sympathize.
And I'm very happy to hear about the speech explostion. Now you can get sassed properly.
Posted by: Maria | April 16, 2009 at 05:24 PM
You guys are such great parents. I am in tears from the letter. How many times have I wanted to say the same thing to my son after putting him through an unpleasant experience, you are just awesome.
Posted by: andrea | April 16, 2009 at 05:25 PM
I know you do not know me, but I am an early childhood special educator. I have done these evaluations many times, and it must be so hard for you to have to see him go through this. It is very exciting that Noah did well with his speech evaluation! It is nice to see when the hard work by you has paid off. I really believe that an OT will help Noah with his sensory issues as well as his motor delays. An OT can teach him and you how to work through them on his own or how to ask for help. Maybe if he can feel better, he will be able to let you know how smart you know he is. I really hope that the second evaluation goes well for Noah. I will be thinking of you guys. If I was Noah's teacher, I would be very impressed with how well you are advocating for Noah. Keep up the excellent work.
Posted by: Cassidy | April 16, 2009 at 05:28 PM
What a blessing that your child has such an advocate in his life. I've spent a lot of time in preschools and elementary schools and it's amazing how many parents don't seek out the help their children DESPARATELY need. Good for you for not ignoring the things that worry you. Thank goodness you live in county that has the services that will aid your son for many years.
And thank you for sharing your story. Maybe someone else will gain the courage to be an advocate for their child too.
Posted by: Wilma | April 16, 2009 at 05:29 PM
Never listen to people who say he's only. Only you know your child. You need to raise your child, you need to feel comfortable with your child. There are parents who go overboard, but only you and your child know where that line is. Good job making sure you are able to take advantages of the services that are offered, and making sure he knows that you love him enough to do all of this!
Posted by: Chris | April 16, 2009 at 05:32 PM
It's really fantastic that music has such a soothing effect on him, no wonder he loves Little Einsteins so much!
Posted by: Parsing Nonsense | April 16, 2009 at 05:33 PM
Fantastic post. Give Noah a big hug from his internet fans. You guys are doing a great job.
Posted by: Jen L. | April 16, 2009 at 05:34 PM
I KNOW he's only three and I know you have a lot of work left to do with him and tons of other crap and I am probably not the first to suggest this but in case I am? What I am getting from this post is- musical, music therapy, musician. Your son is making leaps and bounds in his speech through music. There is no reason to believe that he won't improve his motor skills through the same kind of direction. Right? I mean, of course it's more complicated than that but it's also so exciting!
Posted by: Baltimoregal | April 16, 2009 at 05:40 PM
The head of our district's autism team introduced us to the Ziggurat Model (http://tiny.cc/gc77q) which basically says that before being able to work on anything else, sensory and biological issues MUST be addressed. We've been frustrated that nearly all evaluations of our son have been done in quiet, kid-free areas so that his sensory problems are not as apparent.
(By the way, that our district has an autism team and that we speak directly with the head of it when we have questions is a large part of why we're committed to living where we are.)
Posted by: Mouse | April 16, 2009 at 05:41 PM
"Then I'm happy and sad for you."
In non-movie-quoting seriousness, the most important thing I've learned thus far in SLP school is the importance of early intervention. You are doing right by your kid.
(uh, it's from Real Genius, circa 1980-something)
Posted by: Brandy | April 16, 2009 at 05:43 PM
I've only posted to you one or two other times but I have to tell you, that my son is exactly, to a tee, exactly like Noah. The exact same issues, same meltdowns, same frustrations. Same speech problems with a sudden explosion. He's in the process of getting a reevaluation through the school too. It's so good to read along and find someone that is having the same issues I am and how you are dealing with it. Sometimes it helps to know you aren't all alone.
Posted by: sabre | April 16, 2009 at 05:46 PM
Your Noah posts make me cry.
Your Ez posts make my ovaries hurt.
Your feelings and your humor and your warmth make me want to give the parenting thing a try.
Thank you.
Posted by: KatieMick | April 16, 2009 at 05:50 PM
Well posted, and well done. Sounds like you're doing the best you can to do what's best for Noah. Keep it up. There's no such thing as too early to care about your child's development.
Posted by: badassdad05 | April 16, 2009 at 05:51 PM
Huge congrats on a productive eval, even if it was pretty rough on you all. You're getting there. You're making progress. Noah is so lucky to have such engaged parents. I know you'll all come out of this fantastically one day.
And that was such a sweet note to your darling boy. He will cherish it one day.
Hugs to you all.
Posted by: Feather Nester | April 16, 2009 at 05:51 PM
Amy, such a heartwrenching post. You should be so proud of your tireless efforts on behalf of Noah.
As a former teacher who used to hear parents exclaim in denial that their child could not read with responses like "He reads my mail to me, Gdammit" I know your belief in him and advocacy on his behalf is more important than anything else!
Posted by: Shannon | April 16, 2009 at 05:51 PM
You're doing a great job! I remember feeling so many of the same worries and insecurities when Cordy was three and going through her first evaluation.
Now I'm stressing out at the thought of her medical diagnosis evaluation coming up the first weekend of May.
It's torture to go through these evaluations, but the unpleasantness lasts for only a few hours, and what you gain from it will last for his entire life. Giving Noah the tools he will need for success in life is the best thing you can do for him. It's not an easy path, but you're a fierce mom who is strong enough to handle it.
Posted by: Christina | April 16, 2009 at 05:55 PM
I want you to know that reading your site helped me decide to have my son evaluated. We struggled and struggled and we finally decided to seek help from someone who knows how his little brain works. You are brave, you're a good mom, and you're helping other people who might not have had the courage to find out the truth if they hadn't read your site and realized help is out there. So thanks.
Posted by: jess | April 16, 2009 at 05:55 PM
My husband was sent to be evaluated for learning disorders when he couldn't SKIP, of all things, in gym class. Then they discovered he was basically an effing genius and he was immediately placed in "gifted child" classes, went on to become a National Merit Scholar, and is now kicking ass as an attorney. He was a cute little blond, just like your wonderful, loved, SMART Noah.
Posted by: AmyOH | April 16, 2009 at 05:57 PM
I babysit for a little boy who has many of the same quirks (and likely a similar diagnosis -- SPD right?) as Noah. He is 6 now, but I started with him when he was just about to turn 4. He started OT a few months later, and the improvement in his behavior, his relationships, his progress at school, etc. was remarkable. But I attribute half of the change to OT, and the other half to just growing up (increased emotional awareness, self-control etc.)
My point is: you're on the right path. Hang in there, and you'll find that both hard work AND time will do wonders.
Posted by: circusliz | April 16, 2009 at 05:59 PM
Not at 14. People still say ONLY 14.
My son has some mild issues like sensory issues and some characteristics of Asperger's Syndrome, without a full range enough to get the diagnosis. After 9 years of public school failing him, and him failing miserably. I'm pulling him out of school. Yes, in April. I'm going to try homeschooling this amazing but yes, sometimes mysterious kid. I'm wondering if I can help him realize how smart he is.
When he was little, a lot of his behavior was deemed because he was ONLY three or four or ten. GO ON WITH YOUR BAD EARLY INTERVENTION SELF.
We could have used that instead of people saying he's fine.
Posted by: Sugared Harpy | April 16, 2009 at 06:03 PM
My nephew had many similarities to what you describe with Noah, when he was Noah's age (he's 6 now). My sister started the evaluations at the same time you are (have), and while he still has good days and bad, the early intervention he received helped. A LOT. Please send this comment to anyone who says he's "only four".
Also,you are awesome.
Posted by: JRM | April 16, 2009 at 06:20 PM
I have my own Noah who just turned 4. He has delays in every area and our life is unique because of it. Those last lines you wrote in your letter to Noah? I'm in complete tears. Oh, these beautiful boys in this complicated world.
Posted by: SallyH | April 16, 2009 at 06:22 PM
that letter to noah is so beautiful. you are a great mother. you deserve two glasses of red wine tonight...
Posted by: beyond | April 16, 2009 at 06:23 PM
You are an amazing mother and your family is very lucky to have you ...
Posted by: Patricia | April 16, 2009 at 06:23 PM
Oh, yay Noah, for the speech explosion!
He kicked speech's butt, now he'll kick OT's butt and we'll be here to cheer you guys on the whole way.
Posted by: Erin | April 16, 2009 at 06:25 PM
Your letters to Noah make me cry. I can only imagine him one day reading all of these wonderfully touching things written just for him from his mommy. I need to start doing that with my 4-month old.
Oh, and is it bad that I'm NOT 4 years old and I like to fall asleep to the Vince Guaraldi Trio too? Perferably the Charlie Brown Christmas soundtrack.
Posted by: Sara | April 16, 2009 at 06:43 PM
Dear Amy (and Jason, too):
I'm so proud of YOU. Proud of you for being responsible, loving parents. Proud of you for not hiding your head in the sand, when that would be the easiest road to take. Proud of you for forcing the issue, for taking a stand, and for not taking no for an answer. I'm proud of you for loving your child, just as he is. For giving him a wonderful, safe, secure home to in which to explore and develop himself. Thank you for being EXACTLY the parents that Noah needs.
Love,
Laura (and Noah, too... someday he will realize all of this)
Posted by: Laura | April 16, 2009 at 06:44 PM
Give yourselves a pat on the back -You all just kicked that speech delay to the curb! Now it is on to the next! With you at his side Noah will knock down that one too! It is really true that once you become a parent your heart grows outside of your body!
You are doing a great job - my heavens those boys are LOVED!
Posted by: michele | April 16, 2009 at 06:44 PM
That last portion of your post made me cry. I had a similar thing going around in my head Monday, after another harrowing pediatrician appointment.
Congrats on Noah's speech. Since parental intuition counts more than everything else, do you feel like his motor issues could resolve themselves just like that, over night?
Posted by: charlotte | April 16, 2009 at 06:50 PM
Your letter to Noah at the bottom was one of the most raw and real things I've ever read. I love my son spectacularly and know what you mean that it's the world's issue with him, not his issue. You are really doing a great job handling all of this, getting information, getting him testing, seeking answers and alternatives and therapies. Too many parents blame and blame and blame and get caught up in the issues rather than seeking positive outlets and answers.
Posted by: Stacy | April 16, 2009 at 07:32 PM
You are so great! I love the letter to Noah and SO get where that comes from. I wish you could understand the letter you deserve back, the one he can't articulate quite yet (and neither can I, quite) - the one that says Dear Mom, Thank you for trying so hard to understand me and to do the right thing. You got it right way more often that not, and your unceasing love and effort means the world to me.
Posted by: B-Bell | April 16, 2009 at 07:32 PM
Oh man, this certainly isn't something I should have read at work. I'm nodding along with all the details of the eval you've written and thinking you are an amazing mother.
Then of course I get to the Dear Noah letter and the tears are welling up in my eyes. Thank goodness I'm in a cubicle.
So many people don't recognize these type of issues in their children at a young age and school is so difficult for both the children and their teachers. Serious props to you and your husband.
Posted by: Cass | April 16, 2009 at 07:40 PM
your letter to Noah made me tear up...beautiful and so well-said!
Posted by: JAB | April 16, 2009 at 07:50 PM
You are doing an amazing job with Noah!
Posted by: Kristin | April 16, 2009 at 07:50 PM
i have a three year old little brother who will raise wholly hell if you dont transition him from one thing to the next , i am his 30 year old sister and i dont like my plans to change either it will mess up my mood for the remainder of the day. Actually to be honest when you describe a lot of Noah's issues I swear you could be talking about me. I know you love Noah and are being proactive but I dont even know what to say after that without sounding assvicey so I am just going to leave it at that. I am glad he will get the help he " needs".And I pray for him and your dad extra hard.
Posted by: lisa | April 16, 2009 at 07:52 PM
I've been reading your blog since I got pregnant- I have a six month old too. I've actually been thinking very much about Noah since I started reading because I'm a school psychologist...if I were you I'd start learning as much as you can about special education laws in your state (your state's board of education would be a good place to start). You'll always be your child's best advocate. I also recommend finding any support groups for parents of children with autism (not as much for the support, although I'm sure that would be good too, but for the information)- I know Noah has not been diagnosed with anything other than SPD- but it is very common that it takes a while (or that it will be a mild case and he will never be officially diagnosed). The knowledge that other parents have of programs, services, and other benefits in your area will be very useful when you're trying to get Noah all of the early intervention services that are so effective. There are so many services available which vary from area to area- other parents will probably be much more knowledgable even than school personnel.
I wish you guys the best of luck- the boys are both so cute and they are very lucky to have such a great mom!
Posted by: Ashley | April 16, 2009 at 07:54 PM
Congratulations on all of the improvement with his speech! All three of you should be so proud of yourselves, because it happened due to hard work and advocacy on all your parts. (Thinking back to your post where Noah was working on self teaching himself the difference between 'gween' and 'green' makes me so amazed that such a little person can be so determined).
And I'm so glad that music is helping him! I'm a firm believer that music can make such a difference in everyone's life, talent or no.
You are an awesome Mom. I hope someone tell you that every day.
Posted by: tutugirl1345 | April 16, 2009 at 07:59 PM
You.Are.A.Good.Mother
Please, consider this YOUR homework. repeat it until you believe it.
You.Are.A.Good.Mother
Posted by: bluepaintred | April 16, 2009 at 08:24 PM
I just said to my mother in law last week "He's only 40!" in response to an inquiry about his refusal to mow the lawn without being nudged repeatedly.
Posted by: Michelle Smiles | April 16, 2009 at 08:39 PM
Not that you need me to say it, but you're doing just what you should. You're getting help for your son based on your concerns. As an Intervention Teacher in elementary school, I can add my two cents that the earlier the better. You rock!
Posted by: Sharri | April 16, 2009 at 08:47 PM
You are awesome, seriously, he is one lucky little guy. You are all too amazing and you are fantastic parents.
Posted by: Crystal D | April 16, 2009 at 09:03 PM
Annnnd cue tears. Rooting for Noah!
Posted by: Katie | April 16, 2009 at 09:05 PM
In NC, assessments for services are supposed to start at age 3, so that by kindergarten IEP and such is already in place. No idea about your laws there, but you should be able to get a copy of something like a parents' rights publication. Also, have you considered talking to an advocate, who can walk you through this whole process?
Posted by: dancing_lemur | April 16, 2009 at 09:18 PM
Oh, I vividly remember the day that my 3-yr-old flipped out at his evaluation. I was angry, mortified, frustrated and elated. They would be able to see the whole George! And they recommended that he attend the developmental preschool. Which was wonderful. He's 7 now. Still working out some issues - but the school district has been great and has a four year history of IEPs and evaluations to work with.
It can be overwhelming (as you know) but you've just got to keep advocating for your child (as you know!). Good for Noah!
Posted by: kbmckinney | April 16, 2009 at 09:24 PM
Okay, totally crying after reading that letter! I work with kids with developmental delays and had a very similar story told to me by a mother just yesterday. She took her 4 year old to his school evaluation and told me she left feeling like crawling into bed and staying there for a week.
I can't imagine how hard it must be to see kids around you doing things that are difficult for Noah. But it sounds like he's making some great progress!! I can't tell you how many 4 and 5 years old come into my office with extreme delays because a doctor, relative or neighbor gave the parent the "He's barely 3/kids develop at different rates/boys develop more slowly than girls/don't worry so much" talk. You are ABSOLUTELY doing the right thing, and Noah is lucky to have you on his side. : )
Posted by: Shenley | April 16, 2009 at 10:18 PM
Amy, I'd just like to say that I'm proud of you for keeping on keepin' on. I know the looks, comments, etc. I have a 5 year old and a 9 year old (who at one point were a 3 year old and 6 year old) in child psychiatry. You can imagine the "let kids be kids" or "must be the parents" type comments and looks I get. I've learned with the younger one, the earlier we get our arms around the issues, the better life is later on. We just found out the 3rd-grade, 9 year old has fine motor problems in his right hand. ***Smacks head!!!!*** That would explain why the extremely bright, articulate kid can't get a story down on paper.
Anyway, keep at it. You're doing the right thing.
Posted by: Katie | April 16, 2009 at 10:46 PM
Noah is so very lucky to have you for a MOM. It hurts so much to even have to face that there could be SOMETHING WRONG with a beautiful child like Noah.
Maybe there is SOMETHING WRONG with the testing- rather than trying to figure out what works for HIM, they try to test everyone the same. So he wanted to play a little longer. They are the EFFING experts- they should know better.
I'm not trying to brush off Noah's issues. But I am not a fan of standardized "testing" of little people without a thought to the issues they may have.
And as a mom, your letter says it perfectly; it's all a person can do. YOU ROCK.
Posted by: Grandma T | April 16, 2009 at 10:47 PM
I think you are doing very good things for your son. I have been lurking for years and rooting for you all.
I have a question. But first a little about me. I have two daughters 11 and 4. D11 is super smart and sensitive and does ok socially. She went to K but not Preschool. D4 is extremely smart and drives me crazy. I wasn't going to do Preschool with her either but she drives me nuts needing so much stimulation. She is enjoying school very much - all's good.
So here's the question. How come we all think kids need to be all socialized up by Grade 1. I thought that was what Grade 1 was for, or maybe kindergarten. But Preschool - I think that should be just for fun. I don't know the answer to this, so its not rhetorical, but when did Kindergarten and then Preschool age 4 and even at age 3 become sooooo important? How come kids can't just stay home with mom and cocoon and grow into bigger little people and then. meet the world? I have wondered this for quite a while because people were all shocked that I wasn't originally going to send D4 to preschool this year again. But your comment that Noah is shedding skills because of his discomfort in the setting really disturbs me.
I really don't want this to come across as criticism. I don't mean it that way. I really am just asking the question - can't we let them grow a little more first? Like little Joey's in their mama's pouches. Born but sheltered for a while longer.
Posted by: Miriam | April 16, 2009 at 10:51 PM
Sorry you're going through this. It's really hard to watch them go through those tests, especially so young. We had our 3 year old evaluated this year, it was difficult to watch him do what his teacher had been telling us about...not paying attention, not wanting to engage, wandering off to do his own thing. I know it would have been much harder on me if he'd thrown temper tantrums into the mix but thankfully he didn't.
You're doing a good thing, follow your instincts.
Posted by: Kat | April 16, 2009 at 10:57 PM
I just want you to know, unequivocally, I think you and Jason are awesome parents.
Posted by: cate | April 16, 2009 at 11:01 PM
I am new to your blog, (a friend put me onto you because I also have an, almost 7 year old, Noah, and we too have been through a couple of years of testing and evaluating for all kinds of things that I am not sure really exist. I dont blog about it, but probably should have.
Forgive me if you already know all this, and I'll try to be brief! "The Out of Sync Child, by Carol Stock helped me in Noah's pre school years, when the sensory stuff came up. And recently I am learning a lot from a lady called Jeanine Fitzgerald and her book "The Dance of Interaction". it has helped me see Noah as an individual person and how to work with what qualities he has, and not try to make him something he is not. It sounds like you are doing that already and doing a wonderful job with your Noah. He is clearly a smart, wonderful, gifted human being, just like his mother!
Posted by: alexis | April 16, 2009 at 11:01 PM
Ah, you're making me cry again. Such relief to start getting better answers and strategies that really fit him from people who seem to have a clue.
I think most people are just not prepared to deal with other people's different-than-average situation, and so they will tend to be what they think is encouraging but is actually dismissive. Very frustrating and infuriating at times. We'll help you ignore it - Lalala!
And about the music, it's taken me decades to realize that I focus on tasks better with some background music. I don't recall getting any useful help with my own (sensory, etc) issues at a child. So a big yay for some early recognition! Hallelujah! Can I get an amen? :)
Posted by: Marie | April 16, 2009 at 11:06 PM
its hard with evaluations because they look at the kid for a few minutes and make a judgement. You're on the right track for Noah, hang in there it will get better.
Posted by: Jennifer A | April 16, 2009 at 11:46 PM
Your boy is so lucky to have parents who are willing to put in the time to help him find his sweet spot! He is blessed.
Posted by: Shauna | April 17, 2009 at 12:10 AM
Awesome post. I hate the "he's ONLY xx" bullshit. I hear that from my parents about my nephew all the time. "He's just a little boy!" they say, and now he's a six-year-old with (mild) sensory issues, a speech impediment, and ridiculous behaviour because he's been indulged to a ludicrous amount. I applaud you for being proactive. Noah is so lucky to have you as a mom!
Posted by: Laura | April 17, 2009 at 01:12 AM
If every child had parents like Noah? This whole world would be a different place.
When we've struggled through tough, wondering times -- I think "the only difference between today and yesterday, is I know a little more about my child (and her struggles and how to help her) but she is the same wonderful, extraordinary child.
Posted by: Cindy | April 17, 2009 at 01:34 AM
Don't forget, that you are also courageous and brave. Not only for fighting to get what you know is right for your child, but for your willingness to share with the rest of us.
Parenthood is not all cute babies, cuddle time, songs and games. It's hard choices and heart-wrenching decisions. I'm just so grateful that I'm getting that now.
So, thank you. xx
Posted by: Bea | April 17, 2009 at 05:44 AM
I know you certainly don't need my approval, but I feel compelled to comment. Yea! Yea for you being your child's advocate! We had one of our twin boys evaluated at 4 1/2 months and people thought I was crazy. But he was lagging behind physically and developmentally and pretty much in every way. He tested in the normal range and has made up ground in the last few months. But I will never regret getting my child evaluated. If there is a problem at least we can get started on it early. And...he is in the system now and if in 2 months or 2 years we think he needs to be re-evaluated all it takes is a phone call and they will be here. I think you are amazing and brave and doing everything possible for your wonderful little boy. Don't worry what other people say. They would do the same thing if they were in your place.
Posted by: Ginger | April 17, 2009 at 07:36 AM
We just went to an ABA therapy assessment and it was murder. It was like yours except my son doesn't really talk, so we didn't even have that! In my short experience with fine motor skills/ gross motor skills/ speech delays, they are all beyond super related and once the speech/communication comes, the rest will follow, it really will. There is NO map for how to navigate these waters, please don't feel badly about it. I often feel like a year ago, a psychologist told us "your son is Autistic and GOOD LUCK with that!" and that's it. I have been left to my own devices - well, I mean, me and my husband - and it sucks, mostly. I have to read and read and read and plow through all this bullshit just to get an answer for what to do. It's so frustrating but obviously worth it. Your letter to Noah is beautiful and I'd like to just steal it and change the name and give it to my son!
Posted by: Joanne | April 17, 2009 at 07:37 AM
On my son's first ECD evaluation the pre-school and the ECD both stared at me accusingly and said 'Cass can't work scissors.' And went on to explain what a huge catastrophe that was, how it borders on child abuse that he can't cut out his own kangeroo in art class, blah blah blah less stimulation Do you want him to end up at McDonald's in ten years blah blah blah. (Maybe not all that, but I was new to the 'WHAAAAT? Mah baybee is perfect?' shock and trauma, and was busy dissolving into tears.)
After about five minutes, I finally said (in a small, I-am-SO-never-winning-any-Mother-Of-The-Year-awards voice) 'but he can't use scissors because WE DON'T GIVE HIM SCISSORS. He's TWO.'
The teacher smirked at me. (She's an EX-teacher now)'We let Cass have scissors here.'
Then she turned around and realized Cass had been busy in her office while we were gone and had cut not only EVERYTHING on her desk up, but the curtains too.
With his new best friend, his scissors.
I hope this made you laugh! You're doing a good thing for Noah here. Don't doubt yourself.
Posted by: daysgoby | April 17, 2009 at 07:56 AM
I know the hurt of watching other kids do things with no problem and watching mine struggle with simple things.
BUT-with time and patience, and hard work, he will improve! And you will be all the more proud of your little man.
Posted by: Jeanette | April 17, 2009 at 08:04 AM
Amy ~ Been reading for a while, all stalker-ish. I teach early childhood in my little town and would love for many of my parents to have your insight into their little one. "quirky kids" have a special place in my heart ... I know it is hard to watch the screenings, I have to put several parents a year through the process too. I remind them, as I will tell you, to not look at the unsuccessful items as things he "can't do" moreso as things he didn't do for a stranger in a room full of other toys he would rather play with. Because, although we have to mark the item as unsuccessful we know that many of the items are not can't but didn't.
Posted by: Marci | April 17, 2009 at 08:38 AM
Amy, your letter to Noah states it all. He is amazing, he is wonderful and smart. He just needs to learn differently and get help to overcome his difference. Be proud of your boy for who he is. And I think you are doing an amazing job as his mom...lucky boy :)
Posted by: Jean | April 17, 2009 at 09:19 AM
Go you! Congratulations on all of your hard work around his speech paying off. Can we just say that? Congratulations! To you! For working hard on something that was important!
In the same vein, can we also say congratulations to you for coming up with a good idea about the music? Good idea! I know the self-deprecation is part of your humor, but sometimes I want to reach through the computer and pat your shoulder and tell you not to beat up on yourself so much.
Posted by: Emily | April 17, 2009 at 09:28 AM
"He's ONLY 3!" Fuck that noise. Fuck it. You're the mama and a great one at that so fuck that shit. People are assholes. But you and Jason know Noah better than anyone and you're doing the right thing for him. So fuck that shit. Now I have to get some tissues. You letter to Noah is making me misty. Yes, only you can make me post a comment with 5 or 6 fucks, then make me cry. You are totally made of magic!
Posted by: Brandi | April 17, 2009 at 09:37 AM
It's like I've always said - he's a truly smart (genius even), funny kid, he just relates differently. Your statement "You're too amazing for this world, Noah" is heart-stoppingly beautiful. What a wonderful mom you are. He will blossom and find his place in this crazy world - he will.
Posted by: Katie Kat | April 17, 2009 at 09:55 AM
You are such awesome parents for this fantastic little boy. Keep on. Keep on.
Posted by: Mar | April 17, 2009 at 10:06 AM
*smash* (the sound of my heart breaking into a million pieces after reading that letter). Why is it so painful to try to do the right thing? He has two parents who will move heaven and earth to help him succeed, so there is no way he won't.
Posted by: mrs. q. | April 17, 2009 at 10:10 AM
You're doing a great job! I taught high-school-aged kids with autism for 4 years and you are doing the absolute right thing to go with your gut and try to get as many services as you can now. The "he's only 2,3,25" phrase may be true, but if he does need extra support then you are jumping in at the most influencial time in his life. You're aweseom and if I ever go back into teaching after my kid goes to school, your posts will help me be more undertstanding of what my student's parents are going through.
Posted by: Sarah | April 17, 2009 at 10:13 AM
I'm sure this sounds stupid or glib or whatever, but I don't think you're giving yourself and Jason enough credit. YOU are amazing. It takes a lot of courage to admit that things aren't perfect, and a lot more to actually do something about it. I wish you and your fabulous little boys luck.
Posted by: Marianne | April 17, 2009 at 10:34 AM