Showing posts with label big box of words. Show all posts
Showing posts with label big box of words. Show all posts

May 7, 2012

The Anxious Season

There is a new post up at Support for Special Needs. Schuyler's IEP meeting is later today, so I decided to share my thoughts on that whole process.

The big news today is that for the first time, Schuyler will be attending that meeting. This has been something we've always wanted her to do, as soon as she was ready. She's going to share her decision with the committee as to what assistive tech solution she has chosen for next year. We've given that decision over to her entirely, and she has been extremely mature and contemplative in making that choice.

I couldn't be more proud of her.


March 26, 2012

The Iceman Cometh, with his Legal Team

Happy Monday, friends.

Today's post at Support for Special Needs touches on the uneasy state of affairs between AAC device makers and app developers trying to utilize tech advances in consumer electronics to further their craft.

Things have taken a turn for the ugly. Well, uglier, anyway.

(Bonus: Schuyler gave me a quote, typed directly into the doc on the computer. She did a great job of saying exactly what she wanted to say, about how she feels about her current device and what she wants to do in the future. I'm really proud of her.)



Also, the ever-cool Jen Lee Reeves, with whom I spoke on a panel at SxSW, is giving away a signed copy of my book. Go check out her post, especially the parts where she nice stuff about me. Because you know me. I like that.

March 12, 2012

The Shiny Future

It's Monday, which this time means I'm at SXSW in Austin (the Prodigal Son returns!) speaking on a panel, and also that there's a new post over at Support for Special Needs. Are these two things related? Maybe a little.

If you're in Austin today, it's not too late to come say "Hi, Rob!" or "You suck, Rob!" or whatever. I'm cool either way.

January 23, 2012

Voices of Change

I've written a new post for Support for Special Needs, this time on the changing nature of how Schuyler uses AAC technology. Don't worry, it's not very technical at all. You can be assured that a blog post isn't going to get too far into the weeds when it includes the words "farting monkey". You're welcome.

November 10, 2011

Season of Gratitude

Much of the life of a special needs parent involves anticipating the worst case scenarios and avoiding them if possible. It never stops, and it never should. If I want to enjoy the unique privilege of being Schuyler's father and friend, the price I pay is never-ending monster watch, a constant vigilance against this grand rough world and its many harms. And really, even at its worst, that price is a bargain.

But sometimes, our vigilance can stand in the way of seeing the things that are in fact going well, going better than expected. I see a number of friends online taking the month of November to give thanks for the good things in their lives. Now personally, I've reserved November for growing a frightening critter on my face and turning an age that might be described as "thirty-fourteen", but I will take this opportunity to express my gratitude, and my relief, for one very important item.

In some very significant ways, Schuyler is thriving at her new school. And her teachers believe in her.

We had the opportunity to drop in at the end of the school day yesterday, in order to pick up the band fundraiser pizza kits we ordered. (Cheese pizzas were a little iffy, but the cheesy bread? I am powerless.) When we walked in, the school was a swirling mass of preteen chaos. I felt a little like Richard Dreyfuss at the end of Close Encounters. And when we found Schuyler, things at first glance were not very encouraging.

We walking down the hall and looked for her near her locker. We only found her after the kids thinned out a bit, for the simple reason that Schuyler was sitting on the floor, her belongings spread out around her as she loaded them into her backpack. For a moment I thought that she had been knocked down Chumbawamba-style, her books scattered by some bully, but when she looked up and saw us, she greeted us cheerfully.

Turns out that's how she does it every day. And for some reason, no one in the crazy busy hallway seems to mind. They just work around her.

As we walked down the halls, I could see once again that as I mentioned elsewhere, Schuyler mostly stands apart from her neurotypical classmates. But what I saw clearly yesterday was that although she's not entirely or even mostly part of their world, they are very much a part of hers.

Schuyler walks down the hall like Mayor McCheese. Every few feet, a student or a teacher says hi to her. One tall girl who had to be two grades older greeted her unhesitatingly with a big hug. Schuyler isn't deeply involved in the social fabric of her classmates, and perhaps it was a silly dream to hope otherwise. But I don't think she's being bullied, and I don't think she's being ignored. If she remains something of an enigma to her classmates, she's an intriguing one, and a mystery worth exploring.

Talking to a few of Schuyler's teachers gave us more information. Schuyler participates enthusiastically and with increasing accuracy, and she gets help from her classmates. As her confidence grows, so does the quality of her participation. Her band director is especially excited about Schuyler's work. We were all ready for Schuyler to require a great deal of modification in her band class, and there's been some. But not as much as any of us anticipated. She's playing independently on the marimba in particular, and yesterday was playing her part by herself in a group. Jolly Old St. Nick, she's got your number.

The thing that more than one teacher expressed that surprised me a little was how rarely Schuyler uses her speech device at school. Not because she's a rotten kid or isn't being supported or feels self-conscious about using it.

She doesn't use it because people understand her.

I've never given up hope, perhaps foolishly, that Schuyler might one day speak intelligibly, and I should be clear. She isn't, not yet, anyway. But the verbal speech that she has and the inflection that she's mastered, along with her signs and her writing, these have given her enough communication ability that she can make herself understood under her own power much of the time.

Schuyler's adapting to her new school environment, but I'll be damned if the school isn't adapting right back.

We've learned not to take this kind of thing for granted, and there's at least one teacher who might not be on board as much as the others. And we've certainly seen a good school situation go sour, so we're not inclined to let it surprise us again. But what we're seeing with her middle school teachers is incredibly encouraging. I feel like Schuyler is on track, and it's been a while since I really felt that was true.

After we talked to Schuyler's teachers, we discussed what was happening, and why things are different now. This school district is one of the best in the state, and Schuyler moved up from one excellent school to another. What's different now? It's an important question. Here are a few thoughts.

Schuyler loves change, and middle school was a huge one. Many special needs kids thrive on routine; Schuyler is almost the opposite. She still needs a lot of structure, but it's a little like eating her vegetables. She's energized by new faces and new places, and every day in middle school provides plenty of both. Even when it trips her up (and it does frequently), the chaos also excites her.

Schuyler's new teachers are looking for her possibilities, not her limits. There is very little "I don't think she can do this" talk going on with her teachers. When modifications are needed, they are made, but they are rarely a starting point.

Her band director in particular is working hard to keep Schuyler on par with her fellow percussionists, and the payoff is Schuyler's bursting joy when she finds herself playing just like everyone else. This week, Schuyler was playing one part of an ensemble piece by herself while her classmates played different parts. When she realized that she was the only person playing the second marimba line, AND she was playing it exactly right, Schuyler apparently lost her mind with happiness.

The result of this new confidence is that she's speaking up in band class more, and approaching the director more frequently. And the director was happy to note that she can understand what Schuyler says.

There it is again: People are understanding Schuyler's communication. When I type that out, something stirs in the center of me, like a dream I dare not acknowledge, the idea that Schuyler is making herself understood without her speech device. When she first began using an AAC device, that was very much NOT the case. She was almost completely unintelligible, and the reaction she got from the world was predictable. Schuyler isn't communicating; her value is therefore diminished.

Well, I believe she WAS communicating. But she wasn't being heard. Certainly not by her teachers back in Austin, and probably not by her family either, not entirely. After six years of verbal modeling with her speech device and the language skills that it helped to teach and re-enforce, Schuyler is seen as a person whose speech is hard to understand, perhaps, but there and waiting to be unlocked. It's still hard work, for her and for the world around her, but she's making it happen. Every day, in ways large and small, Schuyler is gradually taking the wheel.

Schuyler's teachers are excited about working with her, and they are learning how to teach her. I think that's the most important factor with her recent success. It's not just that they are good teachers, although they clearly are excellent educators. She's been failed by more than one good teacher in the past, at previous schools. Now, however, I feel like they are searching for Schuyler's potential, not her ceiling.

Most of her teachers have stayed in close contact with us, keeping us informed of her progress and just how that progress is being made, and asking questions when she stumbles. I can feel their pride when they reach her. Schuyler can be a puzzle, and a challenge, and if you think of her that way rather than focusing on what she can't do, then you start to find her pathways to learning. I feel like that's happening now.

Will it last? Schuyler is a lot of work for teachers, and her middle school experience is just beginning. We've certainly watched as a dream situation has soured in the past. But we dare to hope, because that's what we do. And we dare to believe in someone besides Schuyler, and in all the possibilities that her new school seems to be unlocking.

So in this season of gratitude, I am thankful for Schuyler's new teachers, and her new school life, and the new pathways that are opening up for her, even if they still lead off into a foggy future.

August 20, 2011

Schuyler answers

Okay, so she didn't answer every question that was sent to her; she sort of ran out of gas, attention span-wise. But I think she got the bulk of them.

For those of you interested in how this worked exactly, I asked Schuyler the questions and she answered them directly. I only assisted her with grammar when she asked for help, and then I would point out what she got wrong and let her figure out how to fix it.  (When there are caps or exclamation points, those were very specifically dictated by Schuyler. She can be particular.) She mostly used her speech device (which she calls Pinkessa), but also answered verbally when she could and used sign language very occasionally. This is how communication with Schuyler works; using just one method would be very strange for her.

When couldn't entirely put something into words accurately, she was able to mime it out for me so I understood. Once again, she illustrates both the frustration and the weird beauty of how she communicates. It takes some work to learn Schuylerese, but it can be pure poetry when you get it.





How did you finally manage with your locker at your new school?

It's hard, but I can do it now. I like my new school and my new teachers and my new friends. We are the purple hogs!!!


Rate your dad's current facial hair on a scale of "awesome" to "embarrassing".

I liked it a lot. Daddy looked like Santa Claus.


Schuyler what would be your idea of a perfect day?

I like to go swimming with my dad and mom.


What do you like most about your dad? What is your favorite movie?

I liked the mustache. Daddy is so funny. King Kong, Coraline, The Iron Giant.


What are you most looking forward to about school this year?

I like to play the big drums. I want to make new friends.


If Godzilla and King Kong had a fight who do you think would win?

Godzilla. He has things on his back and shoots fire.


If you were going to make a movie, what would it be about?

I would make a movie about mermaids who have powers.


What is your favorite song and why?

Lady Gaga, Telephone. I like it A LOT!!!


Do you think of yourself as different? And what makes you different?

Pinkessa is different and I am too. I can't talk.


What is the one thing you want everyone to know about kids who may be different?

We like to play and have fun. We don't like pointing and mean people.


So what is Rob REALLLLLY like?

He is funny like a clown!!!!


What is the funniest thing your dad ever did?

He said I had a tail.


Have your parents signed you up for Girl Scouts yet?

No. I want to go. I want to camping and sell cookies.


I'm just slightly older then you and i think you are fantastic!!! What do you want to be when you get older?

I want to help sick people and also I want to be a police woman.


Hi Schuyler-what are some things that make you happy?

Daddy and Mommy and Maxie and Lulu and Petey and my mice and Squinkees and LaLa Loopsies. And that's it!


Do you like it when your parents help people understand what you're saying or try to explain what you're thinking? Or is it annoying sometimes?

Yes, I can't talk and Daddy and Mommy know what I saying.


Do you feel like a special, famous kind of person, being the subject of a book and a blog? Or do you just kind of ignore that?

I don't care!!!!!


I'd like to ask if she's offended by the word "retard" when it's used by people to make a joke or poke someone else. Also, I'd like to know if she thinks Justin Bieber is a tool.

I don't like that word AT ALL!!!! It is a bad word! I don't like him at all!! He's not my boyfriend!!


You've got a wonderful fashion sense, and I would like to know - what are a couple of things that you are excited to wear to school? Do you like tights and tennis shoes or boots? Do you prefer skirts or pants?

I like skirts and dresses earrings and I want some new boots. I want purple hair again.


Tell me about the your biggest accomplishment so far. What do you want to be when you grow up?

I flew an airplane. I want to be a pilot.


Schuyler - tell us something your daddy does that is super GROSS!!!!!

He farts! (Note: She's a hypocrite...)


Schuyler, if you could do anything in the world, what would you choose to do?

Have fun with my dad and my mom.


Ninja, pirate or dinosaur?

Dinosaurs are my favorite.


What's your favorite nickname?

Daddy calls me Schuyler Bear and I like that. I don't like Chickenhead Jones!


If Schuyler could have any super power, what would it be?

I would be a water bender. (Note: That's a reference to the Avater/Last Airbender tv series.)

Airbending Schuyler art by Crystal

If you could have any three pets, what would they be?

A cat, a turtle, and a bird.


Are you dressing up for Halloween? What is your costume going to be?

Medusa! We are making a snake hat!!!


Do you think you'll ever have your own blog? If so, what would you write about?

I will write about swimming and flying airplanes and school and band and my friends and Daddy and Mommy.


Do you like video games? Which ones? I like Nintendo and really old games.

I like Sports Resort and Mariokarts!!!!


Hi Schuyler! My son, Ethan, is 6 and has a Vantage Lite like yours. He picked black, though. We are having trouble figuring out what to call it. Do you have any ideas?

You can name it Max. Max is a name for a boy.


Do the kids at school ever pick on you? If so, why do you think they pick on you and how do you answer them?

Yes. They're mean and not friends!!!! I tell them I don't care!!!


I visited Plano last summer and I got super excited when I saw the Purple Cow, because I remembered it from this blog. I didn't get to try it though :( When I visit Plano again, what's the best thing to get at the Purple Cow?

I like to eat mint chocolate chip ice cream!!!!


Hi Schuyler! What's your favourite story?

My favorite book is Don't Kiss the Frog!!


If you could either fly or be invisible which would you be and why?

I want to be invisible and I don't want bad guys get me.


Hi Schuyler- You might remember us from the Apraxia Walk-a-thon in 2009. You walked and played with my daughter Ava. She is 5 yrs old now and she is getting the same Big Box of Words as you have. Here's my questions:

1. Was it hard for you to learn how to use it?


No, it is so easy! Mrs. Williams helped me to learn Pinkessa.

2. Do you like using it, or do you like signing better?

I like Pinkessa better.

3. When other people ask why you can't talk, what do you wish you could say?

My brain won't let me talk. I have Pinkessa to help me talk.


What is the toughest thing about not being able to talk? Do you ever wish you could just tell people what you think?

It's hard when people ask me questions. Yes.


Hi Schuyler! I am a future speech language pathologist and wanted to ask about Pinkessa :)

When do you use it most?


At my school.

How would you change it so that works best for you?

Make it give me a voice.


(Note: She had a hard time with this one, not because she didn't have an answer but because she didn't know how to put it in words. This is a case where being with her in person helps. She indicated with her hands that when she says she wants it to give her a voice, she means that literally. She wants the device to enable her to physically speak for herself with her own physical voice. I never knew that until now.)


What do your parents do that embarrass you?

Daddy calls me Chickenhead Jones!! Mommy poots!!

August 17, 2011

Ask Schuyler

I got involved in a discussion on another site concerning self-advocacy versus parent advocacy that was interesting for about an hour before we all became angry and entrenched.  Well, what are you going to do?

Anyway, as a result of that discussion and its spinoffs on Twitter and Facebook, I asked Schuyler if she would like to actually say something herself.  She didn't have anything she particularly wanted to express, but when I asked her if she'd be willing to answer questions that other people submitted, she was in.

I've already gotten a few on Twitter, and I think she's going to begin answering those after her lunch date with Chef Boyardee is over.  But if you would like to ask Schuyler something you can do it in the comments, on Twitter or Facebook.  Or email me if that's how you roll.  I'll post her answers tomorrow.



Update: Well, "tomorrow" is going to probably end up meaning "Saturday". Apologies, but we got busy with life. I'm kind of okay when that happens. Anyway, Saturday looks like a good day for questions. See you then.

August 16, 2011

The Calculus of Overbelieving


So there we were, the three of us, in Target with the school supply list from Schuyler's new middle school.  There weren't any particularly horrific items listed (no $1300 marimbas, for example), but one item gave us pause.

The scientific calculator.

It wasn't terribly expensive -- about ten bucks -- but we have a pretty good idea of what Schuyler is capable mathwise.  We also knew that Pinkessa, her speech device, has a scientific calculator on it.  We had a pretty realistic sense of how frequently this ten dollar scientific calculator was likely to ever be used.

And we bought it anyway.

In the end, it was an easy choice, once we talked through it a bit.  We'll burn ten dollars rather than try to reconcile being the parents who decided that our daughter will never be capable of using the same calculator as her classmates.  We'll spend that money that we could certainly use elsewhere so that Schuyler has the same calculator as everyone else, rather than the one on her speech prosthesis, the device that gives her a measure of expressive freedom but also reminds the world "I'm broken."

Sometimes overbelieving means spending money for a principle, one that says Schuyler should start off the year with the same tools and the same possibilities as everyone else.  It's the same reason we politely declined the school's offer to give her a special locker without a lock on it, despite the trouble she had with the one that was assigned to her when we tried it at orientation.

She begins middle school next week, and I'm terrified for her.  I have less faith in the decisions we've made for her that led up to this point than ever before.  The fact that I'm even writing about this might be a good indication that I'm overthinking as well as overbelieving.

Well, anyway, there it is.  Schuyler has a calculator now, one that those of us who know her best can scarcely imagine her using.  But it'll be there, sitting in her bitch of a locker, if she needs it.  We can do that much for her.

Also, she found a pink one.  Well, of course she did.

July 12, 2011

Rabbit, Run

("Black in White" by Luke Chueh)

Let us take a moment to consider the strange, sad story of how Marissa's Bunny lost its way.

If you want a pretty complete telling of the story, go check out a post on Love That Max. In particular, read the comments, because much of the story plays out there.

(Shannon Des Roches Rosa sums it up very nicely, too.)

The short version is this: Marissa's Bunny tells the story of little Marissa, born in 2007 with a pretty terrible condition called West syndrome, or "infantile spasms". The blog is written by her father, Mike Wuerthele, and over time has garnered quite a following. A lot of people care very deeply for Marissa.

Last year, Mike turned to that caring community for help. He said he needed to raise money for surgery for Marissa. Thanks to the generosity of people in the gaming and disability communities, Mike raised almost thirty thousand dollars. It strikes me that the folks who helped Mike were very similar to those who helped Schuyler get her speech device six years ago. I suspect that some of them WERE the same people.

Here's where things get murky. Mike announced that he was starting the Marissa's Bunny Foundation, and with matching funds from his employer (who wished to remain anonymous), parents of kids with special needs could apply to receive free iPads for their children. This application process included submitting a great deal of extremely personal information. Forty parents were selected, and they were overjoyed.

Well, of course they were. In addition to the great need being filled, things like this are rare for parents of kids with disabilities. Generosity and good news are like buried treasure to these families. Enthusiastic parents began making plans with their therapists and school teams to incorporate these iPads into their kids' treatment and curriculum. Then they waited; many were notified that their iPads had shipped.

You know where this is going, I know.

As of this writing, not a single family has received an iPad. Mike has given a number of different stories, about shipping errors and legal obstacles and even threats made against him and his family, causing him to stop any shipments at the advice of his lawyers. He offered to refund donations to anyone who asked, but then claimed that his access to PayPal had been restricted.  As more and more people compared notes, the extent to which Mike had been covering his tracks and telling outright lies became clear.

Finally, it all came down to this, an email sent yesterday to the "winners":

There are no longer any iPads. I've never had access to the matching funds I've been promised. Something along the way changed and I'm getting hung out to dry by my bosses.


As to my obliqueness about my bosses and the company I work for, If their identities ever got out, long ago they promised I'd lose my job, my insurance, and take us for everything we have making Marissa's surgery impossible to afford. If I keep my mouth shut and the fact that I got screwed never gets out in any way then I keep my job, and my insurance, and they've promised to pay for Marissa's surgery after we give everything we can.


My reputation is now screwed with the SN community but I have to be able to give Marissa the best chance for as close to normal as possible and will happily work under whatever conditions I need to. I'll dance with the Devil if it gets Marissa what she needs.


We're not going to fundraise any more. There won't be any more giveaways on Marissasbunny for special needs or otherwise. I'm still going to update with Marissa's surgical preps and that kind of thing, but that's all. Marissasbunny is going back to what it was before they got involved, back when many of you started reading. No more promotions, just Marissa and her brother's story.


There are the first words that are my own and not through a corporate lawyer since Thursday.


Regretfully,
-Mike

There will be aftershocks to this story, I'm sure, especially since a number of people have apparently contacted law enforcement. As of this writing, Mike has said that he will be personally giving an iPad to a single winner this afternoon, with photos and no doubt some balloons and bullshit-flavored cupcakes. But I think this story is mostly over.

So what happened here? Was it all a scam, and if it was, to what end? No one paid for an iPad or a raffle ticket, but apparently there were pleas for matching funds funds from Mike's apparently mustache-twirling, comic book villain bosses. That request raised about $4400, funds that have now simply disappeared, along with other money raised for various reasons during the promotion. And the Marissa's Bunny Foundation? Does not appear to exist at all.

Does Marissa herself exist? Did that original almost thirty grand actually help her receive needed surgery? I'm going to step on my swelling cynicism for a moment and say that yeah, I believe that Marissa probably does exist and that Mike's original plea for money was legit. If Mike is anything like Julie and I, he must have been astonished at the generosity of a bunch of strangers on the internet.

Perhaps that opened a door to a dark place for him, a sense that "If it was that easy, then maybe..." Or maybe he was so desperate to be someone's hero that he kept this going to feed on the accolades and the gratitude for the work he was doing. Work that we now can see he probably wasn't doing at all.

I guess there are some lessons to be learned here, beyond the old "trust but verify". After all, when Julie and I and a good friend did a fundraiser to help buy Schuyler her speech device, those of you who donated took it on faith that we were telling the truth. As much as I've welcomed the democratization of the AAC process that the iPad has potentially brought to our families, this might just be the flip side. When you look carefully at Mike's whole "Free iPads for special needs kids!!!" promotion, it fails the sniff test on multiple levels. A speech-language therapist might have picked up on that, because an SLP doesn't exist on scraps of hope like special needs parents do. Situations like this serve as a reminder that regardless of the product or the therapy, we need as much professional guidance as we can get.

For me, however, there's a larger lesson here, a reminder that there is an even greater equalizer at work. People talk about the disability community as if we all gather at the VFW hall on Fridays and approve the minutes from the last meeting while practicing our secret handshake. And those of us who live in this world are treated like saints. "God chose YOU for this very very very special job!"

But our reality is one of blind selection, one of the few truly equal experiences in the universe. A very fair unfairness, perhaps. Membership in this community is open to Kennedys and Palins alike. We celebrate writers like Rupert Isaacson, but we struggle to make sense of someone like Arthur Miller. Many of us talk about how we're not special, we are just doing what any parent would do for their child, but we know that many don't.

Most of all, we like to believe that our commonalities provide a kind of sanctuary, and that when we hear a story like Marissa's and we meet someone like her father, we believe we can trust them. Because to face the alternative, to admit that a father would see his broken, beautiful daughter as a device by which to cheat his fellow special needs parents? That's a bitter pill to swallow. And we've forced down a lot of bitter medicine already.

I have a confession to make now. Honestly, I hope that there is no Marissa, or at the very least that she's a distant niece of Mike's, or a neighbor's kid. I find myself hoping that this is a full-blown scam, an attempt by an outsider to swindle families of kids with disabilities.

Because as bad as that would be, I find it worlds more troubling to imagine such a cynical act being committed by one of our own.

October 12, 2010

Alabama Song


Ta-daaaah!
Originally uploaded by Citizen Rob
I am happy to report that Schuyler and I survived our almost 1,500-mile round-trip drive to Auburn University for the Alabama Assistive Technology Expo and Conference, where I delivered the opening keynote address and also presented a breakout session on AAC implementation from a parent's perspective. Not only did we make it through the drive without any lasting damage, but we actually had a pretty good time.

As far as the drive itself was concerned, there were highs (the Mississippi River, with which Schuyler was suitably impressed), some lows (the actual state of Mississippi itself; the parts we visited reminded me a little of an episode of "Hoarders", except, you know, everywhere) and some in between (getting lost in Alabama, which resulted in a charming and pretty drive but also added a lot of time to an already daunting journey). I've made long, 12+ hour drives in the past, but I never did it sitting on a 42-year old ass before.

The conference itself was outstanding. I'm always impressed by the participants I meet at these things, people who have dedicated their professional lives to helping folks like Schuyler and a lot of others whose monsters are pretty frightening. They've decided that this is what they want to do with their lives, and they invite an everyday schlub like me to come stammer my way through a speech because they want to hear what a parent has to say. They want to know how they can do what they do even better, even though from where I'm standing, they appear to be doing extraordinary work as it is.

Schuyler was her usual social butterfly self. She was a good kid for the duration of my presentations, which is pretty amazing when you consider that I spoke for about two hours, and yes, she's a ten-year old kid with a self-charging battery and a brain that feeds off of new experiences. A lot of kids, particularly those with special needs, require lots of order and routine and even ritual. They don't like change and they can only handle so many new experiences and people at one time. Schuyler is the exact opposite. She craves new worlds and new friends, and when she falls into a routine, that's when she's in danger of losing her way. Schuyler exists in a world with very few grooves and a few too many ruts. Conferences like ALATEC are like a drug to her.

It would be hard to say what the high point of her trip might have been. It could have been her fascination with the exhibitors, including a maker of prosthetic limbs that fascinated her. ("Daddy, I want one." No, Veruca, you cannot have a prosthetic leg, even if it does have flames painted on it.) It may very well have been her conversation with a deaf woman using her device and an interpreter but also by way of sign language that I had no idea she still remembered; she wants to learn more now, and she wants me to learn with her. Or Schuyler's high point may very well have also been the most memorable, when she lost a loose tooth right in the middle of a reception and proudly showed way too many people how much cool blood she had in her mouth. ("Look, I'm a vampire! Look at all the BLOOOOOD!")

I'm never sure if people are charmed or put off by Schuyler, but I also have come to believe that it doesn't really matter. She can be a wild kid and a clinger and a tornado, she can love you with all her heart and she can crawl up onto your last nerve, but the thing about Schuyler that I still value more than much else is her complete lack of guile. She is easily the most genuine person I have ever known in my life, and the older she gets, the more I hold onto the possibility that she might not entirely outgrow that. The thought scares me, but it also makes me inexplicably happy.

Anyway, I'd like to thank everyone associated with ALATEC, particularly Lydia Walls at Auburn and Joe Helm, Assistant Commissioner of the Alabama Department of Rehabilitation Services; Auburn's Kate Musgrove, who was the primary recipient of Schuyler's inevitable girl crush and who was nice enough not to get a restraining order; Sarah and Laramie, two students who were also on the receiving end of Schuyler's stalkerhood ("They are my sisters!"); and PRC's Sandy Baldwin, who not only took care of Schuyler during my presentation and actually helped her clean up after the bloody tooth drama, but who also cheerfully and patiently endured my troublemaking, both during my session and afterwards.

The troublemaking, incidentally, involved the identical responses that I got from many of you as a result of my question before the conference, about what you'd say to the assistive technology industry if you could. I hear it time and time again, and I see it referenced all over the AAC world. "When will AAC producers, particularly the Prentke Romich Company, produce an app that will take advantage of the iPad as a platform for its language system?" In my own defense, I think to NOT bring it up would have been timid and even wrong of me. To be blunt, I don't know that anyone is dying to have a DynaVox app for their iPad, but PRC's version of Minspeak is widely regarded as the most robust and ultimately successful language system for AAC devices. It's not for everyone, but for users like Schuyler, it has made the difference.

After quoting two of you in my presentation ("My heartfelt desire would be that PRC would develop an iPad-compatible interface.", and more pointedly, "The cost comparison outweighed the years of experience of language forming that the Vantage provided."), I gave my opinion. And at the risk of further troublemaking in the service of both a good company full of good people, and the very best of causes, I think that's how I'll end here as well.

Now, I’m sure you’ll talk a lot about this over the next two days, but let me just say that I believe that one of the most promising developments in AAC right now is the emergence of Apple's iPad on the market, as well as whatever competing products inevitably appear. For parents of AAC users who are largely ambulatory, including that huge population of kids with autism, most of the issues surrounding funding and decision-making and parental autonomy may change dramatically with the possibility of purchasing a $500 device at the mall.

And it’s not just about funding, either. It also addresses the resistance of our kids to use a speech device even under the most ideal circumstances. And it provides a rather elegant solution to the social integration problem. Kids with even the most advanced dedicated speech device are still carrying around something that tells the world “I have a disability.” Kids using an iPad have a device that says, “I’m cool.” And trust me, being cool, being like anyone else, that means more to them than it does to any of us.

The piece that is currently missing, however, is development for the iPad by companies like PRC and DynaVox. I could be wrong; there could be plans in the works to bring their language systems to the iPad that I’m unaware of. But until then, the gap will continue to be filled by smart, independent developers like Proloquo2Go’s Sam Sennott. Right now, it’s the Wild West in AAC development for the iPad.

Make no mistake. The iPad will bring a level of democratization to the AAC implementation process that parents and educators will take advantage of. And families using systems like PRC’s Minspeak-based Unity language may very well find themselves in the unenviable position of having to choose between the system they know works best for their kids and the system that they can afford. As a true believe in PRC’s language system, I have to say, that possibility breaks my heart. I don’t think I’d be exaggerating one bit to say that most of Schuyler’s success over the past few years has come about as a direct result of Unity. It has saved my daughter’s future, probably literally.

Now, I’m not sure what that business model would look like, the one where companies like DynaVox and PRC are developing for both their own devices and those available to the average consumer. But look at the trends in both educational funding and technological advances in the consumer electronic market, and I think you’ll see that someone needs to figure out that business model, and they need to do it soon.

So there you go. Please give us an app.

May 27, 2010

Truth can be a monster, too


Monster hands
Originally uploaded by Citizen Rob
I go out of my way to portray myself as a big shot author and disability advocate. Just look at that suit, after all. I must know a lot about this stuff, which is why I get asked to come speak, right? And if I post enough photos or event notices, you might just forget why I'm really here, and why I had a book published in the first place, and why people really ask me to speak (unless they are Baptists). If I'm tricky enough, you might just forget that all I am is a father, and everything I do is in that capacity. Am I an author, or a father who wrote a book about the only thing I seem to know how to do? Does that distinction even matter?

I'm a father, and not just a father, but the father of a mysterious and broken little girl whom no one in the world seems to understand completely. Not her teachers, not her therapists or diagnosticians, and not her extended family. There are times that I think maybe I understand her, but of course that's not true. I try my best, but I am crippled by my love for her, which sounds like a wonderful thing but in reality is wrapped in fear and bias.

I've written in the past about our resistance to the desire of the school's educational diagnostician to administer a new cognition measurement test to Schuyler, with the aim of a more accurate IQ number that, in her opinion, would likely place Schuyler in the range associated with mental retardation. When it came up again early this semester, we didn't grant permission to administer the test that would measure cognitive impairment (and would include the IQ number and possible MR label), but we went ahead and gave permission to give the rest of the evaluation, which would measure academic skills and performance.

We got the report this week, and it was pretty negative. The diagnostician prides herself of her straight talk, which I appreciate, mostly. She believes Schuyler is retarded, to put it bluntly, and we do not. It's a difference of opinion, although I don't think of it like one of those Coke-or-Pepsi, Mac-or-PC things where we can just agree to disagree. This matters. But still, she's a professional and her opinion counts.

The report doesn't say this, of course, since we refused the cognitive evaluation. But it presents a pretty bleak picture of Schuyler's abilities. And it caused us to begin asking questions about Schuyler's present and her future.

At her annual IEP meeting today, those questions were answered.

So here's the part where I confess that I've been lying to you about something. I haven't been doing it intentionally; until today, I thought it was true myself. But here it is, our new truth.

Schuyler isn't really being mainstreamed. Not to the extent that we believed, anyway. Schuyler goes to a regular fourth grade classroom for science and history and special little projects, and of course she goes to art and music in regular classes. But the bulk of her academic work, the core subjects like reading and writing and math, these take place in her special education class, and the work she's doing there is not age appropriate. Her progress is steady, but not enough to bring her out of special education, and according to her team, she is unlikely to ever catch up.

When I expressed our goal of having Schuyler primarily mainstreamed by the time she leaves middle school, we were told flat out by the diagnostician, with the silent agreement of the rest of the team, that Schuyler is very unlikely to reach that point.

How do we feel? I can't speak for Julie, but for myself, I feel like I've been living a big joke. I feel like in my mind, Schuyler was a serious student with a real shot at living and succeeding in the neurotypical world, but to her teachers and her team, our goals were unrealistic. At one point the diagnostician said that she understood our need to be unwavering advocates and to believe that anything was possible, before she pointed out that it was her job to present the facts as she determined them. And in her eyes, Schuyler isn't just delayed. She has a significant cognitive impairment, and that's that.

We know Schuyler is delayed, yes; remember that she didn't have any real expressive language until the age of five. Her brain and her world developed internally, without language or much real guidance, and I've always believed that the key to reaching her was to understand her world and how she moves through it. But perhaps I'm alone in that belief. We have always understood that she was behind, but it wasn't until today that we really faced the possibility that she might not have the capacity to ever catch up.

I've stood in front of audiences of approving therapists and parents who wanted to believe me almost as much as I wanted to believe myself, and I've told them that thanks to her AAC technology, her good school program, her unstoppable will and her broken but clever little brain, Schuyler was spending the better part of her day in a regular, age-appropriate class, doing the same work as her fellow fourth graders and well on her way to graduation and success.

But as I found out today, that wasn't true. Today I found out that Schuyler may be uniquely broken, but she's got a struggle and a future ahead of her that's identical to thousands of other kids. She's in a school that will continue to teach her and care for her better than most, but one that has a realistic, data-supported expectation for her abilities that we cannot share.

I love my little girl, more than I ever thought possible, and I believe in her with everything I am. But today, I faced the fact that my love for her might just be blinding me. For all my fancy book events and all my inspirational speeches and all my "gee, what a dad!" accolades, in the end I might be just like any other parent of a disabled child who has convinced themselves that the future is going to be easier, not harder, than the past and the present. I've looked at families with kids who sit solidly within that MR diagnosis and I've counted myself fortunate that my daughter has future options unavailable to them, but that might not really be true after all. It's entirely possible that I've stupidly and arrogantly pitied my own people.

My love for Schuyler has made me a believer and an unwavering advocate, but it might also be making me into a fool. And that's hard to face.

So how do I feel? I'm tired. It's exhausting, trying to build a fantasy world in which you child's disability isn't going to hold her back forever. It's a full-time job, convincing myself that everything's going to work out somehow and that one day she'll tell people "Why, there was a time when my teachers thought I was retarded, and look at me now! My parents believed in me, and they were right. I'd like to dedicate this Pulitzer to them."

And it requires a constant, unblinking effort to convince myself of the very very pretty lie that my little girl is going to be okay.

April 22, 2010

Talking boxes on the tee-vee!


For those of you interested in AAC technology and the world of people like Schuyler, Samuel Sennott and his brilliant AAC app Proloquo2Go will be featured on The Doctors tomorrow (Friday, April 23).

The program deals specifically with autism, so there's sure to be lots of crazy talk and fighting and people throwing chairs at each other over vaccinations and gluten and alien abductions and all that.

Okay, well, probably not. But I'd watch that show for sure.

April 5, 2010

Making weird cool

Despite my past work as an IT guy, it is an undeniable fact that I am not much of a technical person. It's worth noting that I did Mac support in the past, after all, and during the scary year and a half that I had to provide support for both Macs and PCs while at the Yale Med School, I mostly brought people skills to the table. I was pretty bad at the tech side of it, but I worked with nice people who were always ready to help me. So yeah, I was awful. I needed a lot of help.

It would be silly, then, for me to pretend that I had much to add to the tremendous amount written over the past week or so about the new Apple iPad. (I will say that as an ebook reader, I thought it was brilliant, even without digital ink, and I can see now why the Amazon folks have been such babies about the whole thing.) But there's one aspect of change that the iPad presents that I haven't read much about which I do think I can comment on, and that's in the field of assistive technology, specifically alternative communication.

Week before last, Schuyler and I attended an extraordinary AAC workshop at Vanderbilt University's Peabody College in Nashville. During the discussions over the two-day period I was there, it became clear to me that even in the past few years in which I've gone from a pain-in-the-ass parent to a published author and advocate (and yeah, a pain-in-the-ass parent still), the AAC world has changed. The basic concepts and the language approaches have remained constant, but both the technology and the design philosophies have advanced dramatically since 2005, when we first came on board.

In both those areas, I think the iPad has the potential to be a game changer for AAC. More than potential, actually. I think that for ambulatory users like Schuyler (which includes the huge population of individuals with autism, too), the changes being heralded by the iPad are inevitable.

The technical reasons are clear enough. The iPad uses the same touchscreen technology as Schuyler's speech device, so it's familiar. But it also brings a multi-use advantage, it gives her easy access to internet and ebooks and, well, everything else that has been well-documented by all the iPad hype. And that leads directly into something harder to quantify but still wildly important: the social piece.

Shortly after my book came out, we travelled to the American Speech Language Hearing Association's 2008 conference in Chicago, where I had the pleasure of speaking with Richard Ellenson. Richard was a successful ad executive and designer whose own son has severe verbal limitations due to cerebral palsy. When existing speech devices didn't work out for his son, Richard developed one that focused on fast, effective communication. The resulting device, the Tango, changed the way people thought about design and social integration of AAC for young users. The Tango wasn't particularly earth-shattering as a speech device, but its innovative design made it fit seamlessly into a contemporary kid's digital world.

"If you walk around this hall, you'll see a lot of impressive and wonderful innovation," Richard said to me at the ASHA exhibit hall. "But all this technology says the same thing when you walk in a room with it. It says, 'I have a disability.'"

AAC developers have been figuring that out. Schuyler's current device, her beloved Pinkessa, is a good example of the principle, and her enthusiasm for her device usage jumped considerably when she got it. But the iPad takes that social integration piece and marries it to a leap in technology and information access and, yes, to COOL. To you and me, cool is a pleasant luxury. To kids with disabilities, cool is elusive, and a powerful motivator.

If you know anything at all about AAC, you're aware that other big thinkers are way ahead of the game. One innovator I met in Chicago on that same trip is Samuel Sennott, and we've remained friends ever since. Sam developed an AAC app for the iPhone and iPod Touch called Proloquo2Go, and even when it was first released, it was clear that when the iPad came out, this app would be a natural fit. The moment the first iPad was sold, Samuel was ready to turn it into a Big Box of Words.

Schuyler's been playing around with Proloquo2Go, and she's shown some intuitive aptitude for it. We're all about giving her different and multiple options for communication, and we have been all along, even before we found AAC. Proloquo2Go may very well become one of the tools she uses regularly. But after five years with Schuyler's Big Box of Words and then Pinkessa, we remain deeply committed to the Prentke Romich Company and to Unity, the Minspeak-based language system that their devices run and which, I believe, gave Schuyler her chance at the kind of life where her monster doesn't get to call the shots and write her story for her.

So if I woke up tomorrow and found myself suddenly running PRC, the very first thing I'd do would be to develop an app for the iPad that would run Unity. I'd sell it on iTunes, and I wouldn't sell it cheaply. I'd do this because I would know that even if I sold it for hundreds of dollars, people would buy it, gratefully. Not every user, certainly, or even most of them. PRC's devices facilitate use by just about anyone, and I suspect that many of their users, perhaps most of them, are not ambulatory enough to use a iPad. Schuyler's device is ready to be used with a wheelchair mount, a head switch, an eye gaze system, or any other number of facilitations for varying degrees of disability. Companies like PRC will continue to make and sell their amazing devices because they are changing the lives of people every day, and giving them voices.

One day, and perhaps not that long from now, those users will want integrated devices, too. PRC already makes a speech device/PC hybrid, and I suspect other manufacturers do as well. But as of now, for the users who are ambulatory and capable of using a device like the iPad, there are suddenly options, not just to communicate and to be able to afford an AAC-ready device without third party funding, but also to join the rest of the world in using some very cool technology and subsequently being, in a tangible way, part of the very cool crowd.

Trust me, that option for coolness means more to people like Schuyler than it does to you and me.

December 30, 2009

On things which I really should let go without comment, but you know how I am

"The world breaks everyone, and afterward, some are strong at the broken places."
-- Ernest Hemingway
-----

Yeah, I saw it.

It didn't call me out, not by name. But the language felt familiar. The author is someone with whom I've corresponded a few times, and when I went back and looked at her emails, I discovered why her essay triggered a sense of deja vu. She'd said almost exactly the same thing to me in email, in response to my own use of the word "broken".

But that was almost two years ago.

I don't know what triggered this essay, and really, it doesn't matter. When you're the parent of a child with a disability, your life becomes a cycle of routine and unpredictability. It makes for a curious emotional mix, in which you find yourself struggling not to fall into a rut and at the same time struggling to avoid being knocked off the rails by the unexpected. (Ruts and rails. I'm mixing metaphors, sorry.) I don't know what brought this topic back up again, but it's obviously just as real for her now as it was two years ago, and I understand that completely.

I guess what I'm trying to say is that I'd be a hypocrite if I were to suggest that Michelle O'Neil is somehow wrong to speak her opinion about my word usage. There seems to be a perception among some that the disability community has (or should have) a universal approach to things like language, but nothing could be further from the truth. I have many issues with People First Language; I personally can't imagine anything worse than asking a child to "take ownership" of their disability while somehow believing that they can do so without also taking responsibility for it. But one thing that truly pets my fur backwards is the idea that People First Language MUST become standard usage within the disability community, professional and family alike. We don't all approach disability in the same way, and Michelle O'Neil's opinion about my use of language is as valid as anyone's. Well, of course it is.

At the same time, however, there was one part of her essay that troubled me.

The term "broken" continues to float around a bit in special needs circles. It peaks my curiosity, but no longer stings.

At best it is an attempt at conveying the struggle and challenges a special needs child faces. In no way do I dismiss those challenges. Our family faces plenty of challenges, but some children and parents deal with more than I can ever imagine and I mean no disrespect. At worst, however, the use of the term "broken" in reference to a child with special needs is a publicity stunt aimed toward offending.

I appreciate that she means no disrespect, but I guess I should be clear about something now. There are particular aspects of my writing that exist to get your attention. And when I feel like someone needs to be called out, I don't hesitate to do so. (Hi, Bernie Goldberg.) But where disabilities and parenting are concerned, I'm not sure exactly what I would hope to accomplish by intentionally offending other parents, people whose philosophies and approaches and sources of inspiration may differ from mine, but whose struggles and pain are all too familiar.

When I put Schuyler on a t-shirt or program Pinkessa to shill for A&W Root Beer, then you'll have your publicity stunt. (Note to A&W: Call me.)

* * *

"What will Schuyler think when she reads that you believe she's broken?" I'm asked, and the implication is that Schuyler will be hurt and insulted by the word. But to me, the question itself is offensive. It suggests that Schuyler is simple enough and unaware enough that she'll never know the difference, if only the people around her choose the right words.

Schuyler knows. When a TSA agent sarcastically asked her if she could talk, she simply answered "No," without sadness or regret or hurt. She knows, and she compensates, and while her lack of anxiety or sadness about her condition may not last forever, her understanding of exactly who and what she is and what she can be will always be her greatest strength.

"I can't talk," Schuyler says simply, her hand on her throat, but even as the listener begins to make that face, the one etched in unwanted pity, Schuyler is reaching for Pinkessa, impatiently waiting for it to power up so she can tell you that her name is Schuyler, and she's ten years old, and she has a dog named Max and a hamster named Swee. She's broken, and she knows it, but she's got a hell of a fix for that, and she's waiting for you to be impressed. Which you should be.

Broken things of little value are discarded. Broken things of worth are made whole again. Despite all my self-doubts, I continue to flatter myself enough to believe that come what may, Schuyler will always know in which of those categories she belongs.


"I am ten years old."

November 28, 2009

Road Trip with Schuyler


Too cool to smile
Originally uploaded by Citizen Rob
Schuyler and I are coming to North Carolina this week, for the North Carolina Assistive Technology Program's 2009 Assistive Technology Expo. Julie has to work (retail and the holidays make for scant flexibility, as some of you doubtless know already), so it'll just be the two of us.

Will there be trouble and chaos? Come see us and find out. (Smart money says chaos for sure.)

Here are the details:

December 3, 2009
10:00am (Opening Session, Salons A, B, C, D ) - Keynote Address: “Fighting Monsters with Rubber Swords” - Robert Rummel-Hudson (Author, Parent)

12:30pm (Salon C) - “Implementing the Big Box of Words: A Parent’s Perspective” - Robert Rummel-Hudson, Author, Schuyler’s Monster: A Father’s Journey with His Wordless Daughter (St. Martin’s Press 2009) - Listen to a father’s observations on the implementation of AAC in the daily life and school curriculum of a nonverbal child.

----

December 3 - 4, 2009
2009 Assistive Technology Expo
North Carolina Assistive Technology Program
North Raleigh Hilton, Raleigh, NC

What: The Assistive Technology Expo is an exciting two-day event designed to increase awareness and provide current information on assistive technology. Conference offerings include an exhibit hall (on 12/03/09 only) featuring 30-40 vendors exhibiting the latest in assistive technology products and services, 40 concurrent sessions, a poster session and a Keynote address. Featured Tracks: Work, Education, Vision, Home Modifications and Promoting Healthy Living/Recreation.

Who: Each year between 550-700 registered participants from across the country attend the NC AT Expo and approximately 1250 attend the free Exhibit Hall. Participants include: persons with disabilities, family members, teachers, therapists, Vocational Rehabilitation and Independent Living staff, rehabilitation counselors, employers, engineers, college professors, medical staff, college and university students, and authorized state purchasers.

November 22, 2009

CP Study

For parents of kids with cerebral palsy, I'm posting this on behalf of Adam Bowker. Adam is a speech pathologist and AAC researcher whom we had the pleasure of meeting at the American Speech Language Hearing Association Convention last year. He's one of the good guys.

-----

Dear parents,

I am writing to invite you to participate in an online discussion forum. This is part of a research study about the friendships of children with cerebral palsy (CP).

Results of this study will help professionals (teachers, speech-language therapists, support staff and others) to provide better supports to children with CP to promote their social involvement.

Parents who participate in the study will join in a focus group conversation on an Internet message board with other parents of children who have CP.

If you have a child with cerebral palsy between 5–11 years old, and would like to join in the discussion, or if you have any questions about the study, please contact Adam Bowker at Penn State University. | email: adam.bowker@psu.edu | phone: 814-865-5850

October 12, 2009

Go Team Schuyler


Julie, Schuyler and I ("Team Schuyler", naturally) have decided to participate in the 2009 Childhood Apraxia Walk in Fort Worth, after following a link on organizer Anne Devlin's Facebook page. I realize that you may be struggling with the idea of me actually walking for three miles without there being some kind of automotive emergency or the actual breakdown of civilization. But this is a cause that goes right to the heart of us, because verbal apraxia is one of the manifestations of Schuyler's Bilateral Perisylvian Polymicrogyria.

It's the monster that keeps her from speaking.

Childhood Apraxia of Speech is a motor speech disorder. For reasons not yet fully understood, children with apraxia of speech have great difficulty planning and producing the precise, highly refined and specific series of movements of the tongue, lips, jaw and palate that are necessary for intelligible speech. Apraxia of speech is sometimes called verbal apraxia, developmental apraxia of speech, or verbal dyspraxia.

The Childhood Apraxia of Speech Association of North America or CASANA's "mission is to strengthen the support systems in the lives of children with apraxia, so that each child has their best opportunity to develop speech". CASANA is the only charitable organization in the United States whose exclusive mission is to represent the needs and interests of children and families affected by apraxia.

We're hoping that if you live in the area, you'll join us for the 2009 Childhood Apraxia Walk in Fort Worth. It'll take place on November 15, 2009 at Trinity Park in Fort Worth. It will be a family-friendly walk with the option of a 1-mile or a 3-mile. If you register by October 26, you'll be guaranteed a Walk for Apraxia T-shirt in your size.

If you can't join us, we would appreciate your sponsorship. All proceeds from this event benefit CASANA's apraxia programs and research.

Seriously, we hope you'll be able to join us. You'll get to spend three miles with Schuyler (no more than ten or twenty feet of which will take place in a straight line, I suspect; she walks like a moth flies), and if my old, fat Robba the Hutt body fails me from the extreme trauma of walking three whole miles, you can point and laugh with a clear conscience and non-boomeranging karma.

TEAM SCHUYLER

August 22, 2009

"This is important stuff..."


Pinkessa
Originally uploaded by Citizen Rob
I recently saw a post on an AAC users forum by an actual end user, in which she expressed her frustration at the process for getting a speech device approved for her own use. In order to even see and evaluate a device, she was required to have an evaluation performed by a licensed clinician. This isn't unusual, particularly when outside funding is being secured. It makes perfect sense on paper. In reality, a number of obstacles related mostly to human ego and a lack of understanding seem to complicate the process almost every time.

I could write a book about those obstacles. Oh, wait. I already did.

The responses to this post seemed to fall in three categories. There were users or parents of users who agreed with the original poster's frustrations. Then there were a few professionals who agreed on some level that the system has serious flaws.

There were a number of professionals who came on to defend the system. I don't have anyone's permission to quote them directly, but much of it boiled down to a few basic points:
  • A qualified professional needs to assess the user's capabilities and needs before recommending appropriate products.
  • If someone else is providing the funding for assistive technology, they should have a right to determine whether those resources are being spent responsibly.
I know this is probably a little uncool, but I'm going to quote a few lines that I think are relevant to the discussion, from both sides of the issue.

"When spending the limited resources for medical devices and assistive technology, those who are spending the money have a responsibility to get the 'most bang for the buck.' It doesn't make sense to provide a high-end device like Eco or Pathfinder for a person who has limited communication ability..."

"In an ideal system, the consumer could try out numerous devices and get the advice of an SLP as a consultant as needed. Sadly the system is set up not to let the consumer do the research and testing and make the decision but to put people in the middle -- a doctor to determine if a device is 'medically necessary' (as if anyone would think that access to communication might not be medically necessary, although this does happen sometimes) and a speech language pathologist, for instance, to be responsible for approving the use of funding for a given device. It is a medical model approach that provides accountability for the use of funds, and it is not a truly person-centered approach."

"I know it seems like you should be the one to choose the device you want — and I agree that you should have a big say in the decision — but from the point of view of the funding agency, the device has to meet your needs first. Then all things being equal, which of the devices that meet your needs do you like best?"

(An actual end user, in response to that one)
"As an American who believes in capitalism and consumer rights (along with other freedoms), the consumer should not have a 'big say' in the decision, they should have the FINAL say in the decision. I see absolutely no reason why a vendor should not allow a consumer to demo any device they want - that is the WHOLE POINT of being a sales rep - to be able to sell a product - and then if the consumer decides he/she likes the device and it is the best for their needs and desires, they work with the clinician to secure funding. A clinician should never be the one to tell the consumer which devices to pick from, unless they are asked for advice - or unless they think the consumer may be interested in another device the consumer is unaware about."

"The discussion appears to be giving a lot of attention to explaining why things are the way they are and justifying them through some interesting examples. Perhaps it would be helpful to consider this perspective: self-determination, which comes from within the individual and is a driving force for growth and progress, is fostered by leading one's life and thus 'having the final say' in issues small and big."

Anyway, you probably knew this was coming, but I contributed a little somethin' somethin' to the discussion. You could probably also predict that my post would be verbose and sanctimonious. If so, you'd be two for two.



But here's the thing. When you talk about someone having "limited communication ability", who's determining those limits? You? An SLP? A doctor, or an educator? An independent evaluator? Most importantly, is it someone who has a direct hand in determining how the money is spent, and how much there is to spend?

A lot of you know my family's story, but here's a "short" version. We have a binder full of reports by professionals, mostly from about five years ago) who were ostensibly objective in their evaluations of my daughter's lack of speech (due to polymicrogyria). These reports document, in the most authoritative terms, the limits of her communication abilities and the future we could reasonably expect for her. They establish that her reading skills would be limited, that she would probably never be able to write by hand, and that she would almost certainly remain an unsuitable candidate for inclusion because of her communication issues and her cognitive deficiencies.

There are two points I wish to make about these evaluations. First of all, they were wrong, almost every one of them. She now attends a program where she spends part of her day in an AAC-centric classroom and the rest of the day in a mainstream, age-appropriate classroom with the help of an aid and her speech device. There was no need for her ARD committee to override the TAKS reading test results (the Texas implementation of No Child Left Behind) to allow her to move on to the fourth grade, because she passed that test on her own. And every time we do a book signing event, she is there to sign her name, in chunky but clear letters in pink pen, at the top of the title page. If she DOESN'T graduate from high school, it will be because she chooses not to, not because of these predetermined limitations. Every professional evaluation that was done on her less than five years ago got it wrong. Every single one of them spoke, with utmost professional confidence, of her "limited communication ability".

The second point I need to make here is the crux of the issue. It is simply this: the professionals who made these evaluations were responsible for determining the appropriate AAC device for my daughter to use. They had the ultimate purchasing power, and their "recommendations" were final. When we determined that a high-end device (in our case, the PRC Vantage) showed the most promise for her, our request was overridden. The school chose to purchase a much simpler device with a limited vocabulary (and from another company, one with which they already had a professional relationship). They made a choice that, to them, gave them "the most bang for their buck".

And the only reason we were able to decline their purchase and go it alone was that I had been writing about my daughter for years and was able to do a successful online fundraiser. I had access an independent resource that very, very few parents have. And the only people who were willing to fight for her basic human right for a high-end device that MIGHT have turned out to be appropriate for her future needs were her mother and I, and the PRC rep whom we contacted and met with INDEPENDENTLY, because our daughter's team at her school would not facilitate that meeting for us.

My daughter is moving forward. She's excelling in school and she's communication successfully. Even her verbal speech is improving, despite an almost universal determination five years ago that it would never be a viable form of communication for her. And she's having this success because her AAC device has given her unlimited opportunities, and she's been allowed to determine exactly how limited her communication abilities are.

I have been speaking to hundreds of parents and SLPs and teachers over the past year and a half, and the thing that strikes me again and again is how many of them have similar stories. Professional underestimation of the capabilities of nonverbal individuals is epidemic. From these conversations I've had, I can say one thing with absolute certainty. The biggest problem in assistive technology funding is NOT that people are spending too much money on high-end devices that the end user will never be able to fully utilize.

If you are spending someone else's money, then yes, you have a responsibility to do so wisely. You need to research your options carefully, and you should have access to professionals who can guide you when needed. But should receiving money from another source mean accepting limits to independent access to vendors, or any other "controls" that take the final decision-making authority away from the end user (or their parents, as is often the case)?

With all due respect to [names redacted], you are both coming at this from professional perspectives. For many of us out in the trenches, the reality is that industry professionals have let us down, often on multiple occasions. And that's fine, in a way. We're all human beings, and every person with a disability has unique needs and limitations that can be hard to identify. We understand when you get it wrong. But you need to understand that when you DO get it wrong, it is someone else, someone non-professional but entire invested in the issue, who has to make the course corrections in order to get things back on track.

And we're fine with that. Whether we are parents of those AAC users or the end users themselves, we know that ultimately, it is our problem and our responsibility to get it right. But if someone else is writing the checks and making incorrect decisions because of it, then ultimately their "help" isn't terribly helpful. And when the decision to choose frugality over possibility comes at the beginning of the whole process, when a successful implementation of assistive technology might very well make the difference between a user who will one day live independently and one who will spend a lifetime receiving expensive care from the state? To me, that is the very definition of using limited resources in a very unwise manner.

I'm sorry to go on about this at such length. But I'm not that sorry, to be honest. This is important stuff. It's not just about economics. It simply CAN'T be.

Robert Rummel-Hudson

June 23, 2009

California

I thought about doing a detailed wrap-up of the 2nd Annual Microcephaly Convention, which we attended over the weekend and where I presented a speech, but I think my previous post probably expressed how we felt pretty well. It really did feel like we were attending what was going to be, unbeknownst to us, a family reunion. It was a life-changing experience.

Outside of the conference, we had a good time as well, aside from my issues with our rental car at the very beginning of the trip. Now, in my own defense, the car rental lot was in a dark spot underground. Furthermore, the attendant simply led us to the car, a Nissan Altima, and aside from opening the trunk before I got there (another crucial point in my defense, since I couldn't see what was printed in large letters on the back), she didn't say a word about any special properties the car might have. And I'd never actually driven a keyless car before, but the instructions said plainly that in order to start the car, one should simply press the ignition button. Also, Julie was not one bit of help, at all.

Having presented all my weak arguments, however, it is still embarrassing to the point of tragedy how long we sat in this car, repeatedly pushing the button to seemingly turn on the dash lights and then turn them off again, hitting the gas but hearing nothing from the engine, before some random synaptic event occurred inside my brain that instructed me to put the car in drive so that we could drive away in our soundless Hybrid rental car.

Anyway, here are some photos from the weekend.




Schuyler and I signing books, which were purchased and then given out by the Prentke Romich Company, makers of the Big Box of Words and Pinkessa, and our very generous sponsors for this appearance.

Serious speech face


With Jenniffer Lewis, Founder, President and CEO of the Foundation for Children with Microcephaly. Schuyler loved Jenni immediately and with a tackle-hugging intensity that bordered on person injury. To her credit, Jenni loved her right back and was gracious and warm to our family, not once mentioning "Schuyler" and "restraining order" in the same sentence. Our daughter really can be a little stalker when she falls for someone.


Schuyler and Dr. William Dobyns, from the University of Chicago Department of Human Genetics. If you've read my book, you know that he is like the Wizard of Oz for parents of kids with genetic brain disorders; the importance and generosity of his presence at this conference can't be overstated. He commented on how well Schuyler's natural speech has progressed, which made me happy.

He was friendly enough to me and didn't mention the book, aside from a comment about how he's got PMG parents who now want speech devices for their kids that they can't afford and that the schools and insurance carriers won't pay for. Fair enough. I know my book has made things more complicated for doctors and teachers and school administrators. I'm not sorry about that, exactly, but I get it.


Demonstrating Pinkessa to author Vicki Forman and her daughter, Josie. Vicki's incredible book, This Lovely Life, is hitting bookstores soon and is already available for order. I am not exaggerating one bit when I say that it is the most astonishing and emotionally affecting book I've read in years, maybe ever. I'll have more to say about it soon, but you need to go buy it now. I mean it. I'll wait.


Schuyler and Josie, drawing together. Shortly after this, they ran into the ocean fully clothed and bodysurfed together. I'm not even kidding.


Schuyler apparently had some ideas about how Vicki should wear her hair.


Monique and Julie at the beach.


Probably self-explanatory.


Arriving back in Dallas with Jasper. He always brings her home.

June 1, 2009

Sponsored Silence and the Big Box of Words



This video was put together by the Ohio Speech-Language-Hearing Association and the Cincinnati Children's Hospital Medical Center to promote awareness of augmentative communication. The 2008 Sponsored Silence Event was made possible in part by support from Cincinnati Children's, and by DynaVox and the Prentke Romich Company, the two industry leaders in AAC speech technology.

On a personal note, I really hope you'll set aside ten minutes of your day and watch this. I've seen a lot of presentations like this, but for some reason this one reached me in a deeper place. Which is my way of saying that I sat here like a weepy little girl when I watched this. I don't know, maybe I have Issues.

In the next few weeks, I'm planning on putting together a video project similar to what Nancy Zimpher, President of the University of Cincinnati, discusses in the video. Will you watch because you want to learn more about AAC, or do you simply want to watch me look like a tremendous dumbass? I think there are possibilities either way.