Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

August 26, 2009

Our gratitude will almost certainly be inadequate


I'm bracing myself for the Conservative backlash against the commemorations already beginning in honor of Senator Edward Kennedy, who passed away last night. Those of you who feel like doing a little dance on the man's grave would be well advised to do it far away from me or my family, or any of the tens of thousands of families just like ours. Or, if you really look at it, probably families just like yours, too. I challenge any of you to show me a politician of either party within the last century whose legislative actions have done so much to help Americans, in ways that have a direct impact on their lives.

Here's a very short, woefully incomplete list of why I'm not particularly interested in hearing why you didn't care for Ted Kennedy. I'll bet you can find at least two pieces of legislation on this list, laws molded in part or entirely by Senator Kennedy, that have literally saved my daughter's future. Hers, and countless more just like her, both living and not yet even born.

1964: Head Start
-- Provided meals and early education to pre-school children through the Employee Opportunity Act. (Schuyler participated in a Head Start program when she was a baby. It was part of the early intervention program that probably saved her.)

1971: Federal Cancer Research Program
-- Quadrupled the amount of money spent by the federal government to fight cancer.

1972: Title IX
-- Demanded equal funding for men's and women's athletics on college campuses.

1975: Individuals with Disabilities Education Act (IDEA)
-- Guaranteed free and appropriate public education to children with disabilities. (This is the law that provides for Schuyler's education, and for EVERY SINGLE CHILD WITH A DISABILITY in public schools in this country. Every single one of them. Think about that for just a moment.)

1978: Civil Rights Commission Act Amendments
-- Expanded the jurisdiction of the Civil Rights Commission to protect people from discrimination on the basis of disability.

1984: Improved Access to Polling Stations
-- Required polling stations to provide physical accessibility for physically disabled and elderly people on federal election days.

1986: Employment Opportunities for Disabled Americans Act
-- Allowed disabled workers to receive SSI benefits and Medicaid coverage.

1988: Fair Housing Act Amendments
-- Prohibited discrimination towards people with disabilities in the sale or rental of housing.

1989: National Military Child Care Act
-- Established the Department of Defense child care system.

1990: Americans with Disabilities Act
-- Prohibited discrimination against any qualified individual with a disability in job application procedures, hiring or discharge, compensation, advancement and training. (This is another big one for Schuyler and her friends. There are people in this country whose lives, and the quality of those lives, have been saved by this law. That's not even remotely an exaggeration.)

1990: Ryan White CARE Act
-- Provided assistance to states to develop effective and cost-efficient AIDS care programs, aimed particularly at early diagnosis and home care.

1993: National and Community Service Trust Act
-- Created AmeriCorps and the Corporation for National and Community Service to help expand volunteerism and education grants for students who choose to volunteer for service after college.

1993: Student Loans
-- Allowed students to borrow money for college directly from the federal government.

1994: Family and Medical Leave Act
-- Provided up to 12 weeks of unpaid leave for family emergencies or after the birth of infants.

1994: Crime Act
-- Secured funding for 100,000 new police officers, imposed new penalties for crimes involving gangs and firearms and authorized the Police Corps, a program to award college scholarships to students in return for a commitment to serve as police officers.

1996: Kennedy-Kassebaum Act
-- Enabled employees to keep health insurance after leaving their job and prohibited insurance companies from refusing to renew coverage on the basis of preexisting medical conditions.

1996: Mental Health Parity Bill
-- Eliminated limits on mental health coverage that differ from other covered illnesses.

1997: State Children's Health Insurance Program (SCHIP)
-- Supported state efforts to provide health insurance to uninsured children in low-income families.

2000: Minority Health and Health Disparities Research and Education Act
-- Improved data systems and research on the extent and severity of minority health problems, and authorized significant resources to help enhance the delivery of health care to minorities.

2001: No Child Left Behind Act
-- Required more rigorous testing of public school students and permitted parents to transfer their children from low-performing to higher-performing schools. (Clearly I've had issues with the implementation of this law, but the philosophy behind it is sound, and even in its flawed state, it has helped a lot of kids with disabilities.)

2006: Family Opportunity Act
-- Provided states the opportunity to expand Medicaid coverage to children with special needs and allowed low- and middle-income families with disabled children the ability to purchase coverage under the Medicaid program.

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Senator Kennedy, on behalf of those who are unable to say it for themselves, thank you for your service to this country.

June 13, 2009

Stephanie's Day in Dallas

If you're there today, keep your eyes open, we might just be around...

www.stephaniesday.com

Stephanie's Day, "A FREE Resource Fair for children with special needs and their families/caregivers" at NorthPark Center, Saturday, June 13, 2009 from 10am-2:00pm. Stephanie's Day was founded by CBS 11/TXA 21 President and General Manager, Steve Mauldin, in honor of his daughter Stephanie who has autism.

Kids can enjoy music, games, entertaining activities, and much more at Stephanie’s Day. Meanwhile, parents and caregivers can find a wealth of resources available through local non-profit organizations, therapy centers, advocacy groups and parent-to-parent networks.

This is a FREE EVENT located at NorthPark Center in Dallas, Texas.

NorthPark Center
8687 N. Central Expressway
Dallas, Texas 75225
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Update (and postmortem)

If I had one criticism of the event, it would be that the organizers need to decide if they are interested in holding a general special needs event or one that focuses exclusively on autism. I think either one would be great; I certainly don't begrudge anyone in the autism community the attention such an event would attract, particularly in the present media environment where autism continues to receive so much focus. The rising tide lifts all the boats, as they say. I suspect every kid with a disability benefits from that kind of attention. not just the ones with autism.

But aside from a handful of specific providers (CP and fragile X, for example), the focus of the event was definitely on autism, which shouldn't be a surprise considering how it began. But I do think they ought to consider either working hard to expand their scope to include a much wider range of disabilities or making this about autism outright.

That's my sincere opinion that exactly no one asked for.

Not surprisingly, Schuyler managed to sneak into the tv coverage for a second or two...

May 28, 2009

Calling out Doctor Leaf

Ronald Leaf, director of Autism Partnership, a private California-based agency, says he prefers to help autistic children such as JW learn how to navigate their world without gadgets. "If we could get children to talk without using technology, that would be our preference," he says.



Dear Dr. Leaf,

I was saddened and disappointed to read your comment in the USA Today article about the Proloquo2Go application for the Apple iPhone and iPod Touch. I felt it was a glib dismissal of a technology and a communications philosophy that has helped and will continue to help thousands of young people who are unable to speak but deserve to be heard.

I am the author of Schuyler's Monster: A Father's Journey with His Wordless Daughter, a memoir that tells the story of raising a little girl with a rare brain malformation that leaves her unable to speak. The book ends, and her future begins, when she is given an augmentative alternative communication device that helps to facilitate her speech. Four years later, because of this technology (in her case, a Vantage Lite, produced by the Prentke Romich Company), Schuyler spends the better part of her day in a mainstream third grade class alongside her neurotypical classmates. She recently passed the modified TAKS test (the No Child Left Behind component for the state of Texas) and is on track to continue her schooling and even graduate from high school. Where four years ago, she was pushed off to a special education Life Skills class and was given no prognosis for an independent life, Schuyler may very well get a chance to live whatever life she chooses. None of these possibilities were placed on the table until she had the ability to speak and to learn how to construct language. All of this, because AAC technology gave her a chance.

Schuyler is hardly alone in her achievements. Her story is only unusual in that she was ultimately able to receive the speech device that could help her. She and her fellow AAC users represent only a fraction of those nonverbal kids who stand to benefit from this technology. AAC helps thousands of kids and adults find a voice and overcome a wide range of disabilities, from Schuyler and her polymicrogyria to kids with cerebral palsy or, yes, autism. As you are no doubt painfully aware, the frustration of being unable to speak can be as crippling to a child as any physical or mental infirmity. I have seen it time and time again, children who were not just nonverbal, but closed up inside an internal world of their own, unable to make the basic human contacts that they needed so desperately. All because they had to struggle simply to make their most basic needs known.

Kids who use AAC technology gain more than words on a "gadget". (In all fairness, that was a word used by USA Today, not yourself.) They find a door into a larger world, a door once locked but now ajar and ready to be kicked open. Those of us who have watched AAC technology at work have found that when these kids are suddenly able to speak through the use of electronic assistance, they show dramatic improvement in other areas of communication such as sign language and even verbal speech. This effect is of particular interest, and promise, to children on the autism spectrum.

"If we could get children to talk without using technology, that would be our preference." As the parent of a child who can't speak but who has a world of things to say, I must confess that I'm baffled by that remark. If you are saying that you'd rather see these kids use their natural voices than a computerized voice, then of course I agree. But what if the path to finding that natural voice involved technology, as is so often the case? Would you dismiss that technology so casually if there was even a chance it could help?

There's more than just a chance.

Dr. Leaf, you were quoted by USA Today because you were perceived as an expert in your field. I sincerely hope that you will take this opportunity to educate yourself about AAC technology. The next time you are called upon for answers and for wisdom, you might just change someone's life, and give them a voice.

Robert Rummel-Hudson
Plano TX

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January 19, 2009

A Lighter Shade of Grey


Tinkerbell wonders
Originally uploaded by Citizen Rob
We received results of Schuyler's ambulatory EEG tonight while we were driving to dinner. It's funny, but after everything we'd been through, all the anxiety and glue-headedness, I'd almost forgotten that we were waiting for a call back.

As I expected, the news was complicated. It's probably only in the movies that doctors deliver the "everything's okay!" or the "everyone's dooooomed!" speeches. Shades of grey, as I wrote before. But I think we're going to put this in the Good News column.

First and foremost, as in her initial EEG, Schuyler didn't have any seizures during the weekend of her ambulatory EEG, either. If she's having any at all, they are clearly infrequent enough not to pose a problem at this point. Her brain waves during her waking hours were pretty normal, in fact, which makes me think, with cautious optimism, that she's not having any absence seizures at all.

The grey shades come at night. When Schuyler sleeps, the left side of her brain experiences abnormal, unexplainable episodes that aren't seizures but are nevertheless troubling. They don't happen constantly and don't represent a consistent state of being, but they're there, and not random incidents but regularly occurring events. They only come when she sleeps, and they occur mostly on the left side.

Are they precursors to something more sinister down the road? Seizures yet to come? The vanguard of an alien invasion, foretold in Schuyler's strange Martian jabbering? Is this a harmless oddity of Schuyler's funky, broken brain or a Very Bad Thing? Is this a new phenomenon, or has it been there all along, just one more signature of Schuyler's monster?  No one knows.

Anyway, there it is. No absence seizures, which is good, but some weird scary boo sleepytime thing that could be nothing at all or the beginning of seizures, stigmata and possibly the Apocalypse. I do believe we're going to celebrate the absence of monster who isn't here just yet, even if its plane has just been delayed, and not worry about the other thing for the time being.

In six months, we'll go through this all over again. Perhaps by then, Schuyler will have forgotten about the glue in her hair. That's not what the smart money says, though.

January 12, 2009

Glue


Gluehead
Originally uploaded by Citizen Rob
Schuyler had a good weekend with her ambulatory EEG. She made the best of her cyborg status, even putting together a little headwear fashion show yesterday. She was a real trouper, and when we went to the neurologist's office this morning to have the gear removed, we though the worst was over.

Yeah. It turns out that the tape in her hair wasn't what actually secured the sensors in place. No, that would be the glue.

Glue.

After washing her hair for about an hour and using everything from clarifying shampoo to dishwashing soap, Schuyler still has a sticky, persistent mess in her hair, stuff that reminds me in its consistency of the glue we used to use to put together model airplanes when I was a kid. It's not coming out easily. A call to the unfriendly tech who put this crap in her hair in the first place was no help. ("Did you try running a comb through it?" Really? Really?) Helpful friends on Facebook and Twitter, many of whom have been through this themselves, have suggested conditioner, oil-based washes, fingernail polish remover, Goo Gone, peanut butter, rubbing alcohol, peppermint oil, vegetable oil, mineral oil, baby oil, tea tree oil and a concoction involving aspirin, shampoo and Seabreeze. All of which we'll no doubt end up trying before this is over.

I'm annoyed. I am, in fact, profoundly annoyed, because I cannot imagine that in the year 2009, the very best way to secure EEG leads to a child's head is with glue. (For that matter, is there really no other way to measure brain activity that this? Isn't this technology from the 1970s? Is my kid's brain activity being monitored by machinery that predates the 8 track player?) We're nearing the end of the first decade of the 21st Century, popularly known as The Future. Really? Fucking glue?

The answer, I suspect, is of course they could develop something better, something with a bond that could be easily broken with a specific chemical compound design especially for the purpose. I wouldn't be one bit surprised to find that just such product already exists.

But why bother? Those of us who have been immersed in medical procedures for years learned long ago that while there are a lot of very caring doctors out there, the medical industry as a whole still struggles with the concept of the patient as a human being. This is especially true of pediatrics, where psychological and social development is particularly vulnerable.

Schuyler had her ambulatory EEG performed by pediatric neurologists, after all. You might think that this meant they were especially sensitive to the issues involved with children, including the social and psychological effects of the treatment and studies being undertaken. But when no one sees a problem with putting glue, and lots of it, in the pretty hair of a nine year-old girl and then sending her back into an ugly world that's already not very nice to a kid who is different, that's because no one's considering the psychological and social issues that might come as a result. Not even "pediatric" neurologists.

It's not a huge issue, not in the big scheme of things. We'll get all this crap out of her hair somehow, and if we don't, it'll work its way out, or it'll grow out. The larger issue for me is that once again, we are witness to yet another example of how Schuyler and her fellow broken children are marginalized by the medical industry.

It's one of the reasons I do what I do, and write what I write. Because Schuyler is more than a transportation unit for a scientifically interesting brain, and she's more than a case study to which an insurance payment claim may be attached. She's wondrous little girl, and putting glue in her hair because it's the easiest way to accomplish your medical task diminishes you and your industry, not her.

So yeah. I'm pissed. She's not too pleased, either.

8:15 pm

Update:  We went the all-natural route, working in coconut oil and peanut butter and letting it sit for a couple of hours.  She's in the bathtub now, and it seems to have mostly worked.  Her head smells weird but appears to  be glue-free.  So now we know.

January 11, 2009

Hawaiian Rock Star Princess Knight Cyborg


I'm going to go out on a limb and say that she's not been terribly traumatized by the ambulatory EEG this weekend...

January 4, 2009

A Confederacy of Monsters


On Tuesday, the trade paperback version of my book comes out. On Thursday, I have an author event at a fancy venue, with good friends there. And the thing is, I am really very excited about it all. But at the same time it feels distant, like party sounds coming from the house next door. My focus, borne out of five and a half years of vague anxiety suddenly made real, is aimed like a laser on tomorrow.

Tomorrow's the day. Tonight, Schuyler and I will stay up all night watching scary monster movies. (If you saw the lineup, you'd either be jealous or you'd call Child Services.) Tomorrow, a neurologist will glue sensors to her pretty head and attempt to flush out her monster.

I'm not asking for your prayers, because you know how I feel about your God and what he's done to my child. But I hope you'll think good thoughts for us and send whatever positive energy you can in Schuyler's direction. Could that represent the same thing? Perhaps. All I know is that we need answers, once again.

I wanted to take a photo of Schuyler for this entry, so I went in her room and asked her to grab her favorite monster. She picked this guy, a gift from my editor at St. Martin's. As I took photo after photo, she began explaining to me about tomorrow, about what they were going to do, and why. I was really surprised to see that she was processing this EEG and the reasons behind it; I've explained it to her, but I wasn't sure she got it until now.

Even more interesting to me was that Schuyler understood the connection between the monster in her lap and the one in her head. I get the sense that she loves them both, in her weird little way.

December 7, 2008

Tiny Maybe Monster


Tiny monster
Originally uploaded by Citizen Rob
Big monsters are bad.

God knows we've met plenty of kids fighting those big monsters. Kids in wheelchairs. Kids with CP whose bodies betray them when they attempt the simplest movements. Kids with autism for whom the world in which they live bears only a passing resemblance to the one that the rest of us occupy. Kids fighting battles with their bodies just to be able to eat, or to live without crippling infections. We've met kids with big, daunting, obvious monsters, and in her own way, trying to communicate the simplest concepts and so often finding frustration, Schuyler has lived with a sizable monster herself.

When she received her diagnosis five and a half years ago, we met polymicrogyria, her big monster. That day, we learned to fear the even bigger one that might be waiting for her. I think we knew on some instinctual level that Schuyler was not mentally retarded, so grand mal seizures were the ugliest monster we feared. There was a ninety percent chance they would develop, we were told, and in rare cases (but how rare can they be, really, when they are a subset of but a thousand cases in the world), those seizures could be lethal monsters.

Big monsters are bad, that's for certain. But the little monsters, the ones so subtle that you're not even sure they're there, they bring their own special anxiety.

It's been a strange week. Nothing really changed, just the falling together of enough puzzle pieces from different sources and perspectives to reveal what seem likely to be tiny monster footprints. Looking back, we realized that if Schuyler really has been having absence seizures, it probably began this summer. But it's hard to say for sure. It's hard to say whether she's having short spells at school where she loses her focus because she's having tiny seizures, or just because her father's disinterest in school turned out to be genetic. It's hard to say with absolute certainty that Schuyler's little fade-outs at home with us are a product of tiny electrical storms in her head, or just the inevitability of her growing boredom where her parents are concerned.

Julie and I have been watching her all week. Just watching, waiting for a glimpse of her tiny maybe-monster. Schuyler was home sick for a couple of days, and Julie found herself unable to stop staring, waiting. Schuyler noticed, too. "What, Mama?" she said irritably. If what I'm reading and hearing about absence seizures is true, she has no idea she's having them. IF she's having them.

Tiny maybe-monsters aren't much fun. They are like the world's most challenging Whack-A-Mole game, where not only can you not hit them, but they move so quickly that you're not even sure they are there.

Tomorrow we see a doctor. Not a specialist, not yet, but just getting Schuyler started with a new general practitioner. Mine, actually. She knows me, and she's read the book and has at least a basic understanding of Schuyler's bigger monster, which is more than any other doctor of hers has ever had at the first appointment. Most of all, I trust her, completely. From there we'll get a neurology referral, and then start down this road.

It might be that there is no tiny monster, and that Schuyler continues to dwell in that sweet spot, the hundred or so polymicrogyrians of the world who live free of seizures. I live between two mental states right now, the one that clings to that ten percent hope and then the one that's ready to take on this next phase. More than anything else right now, we simply want to know which path we're taking. It's been a long time since we were in this answer-seeking limbo. I'd forgotten how much I hate it.

Yesterday I was driving with Schuyler, and I was listening to an opera because I am just that much fun of a father. The opera was in English, and the characters were mentioning "war" frequently. (Again, fun dad.) After asking me what the music was about, Schuyler hit me with one of those Big Questions that kids drop on us like, well, bombs.

"Daddy," she asked, "what is war?"

I gave her the best answer I could think of. I left out the part where she's fighting a war and doesn't even know it.

December 4, 2008

Monstrum electricus


Schuyler
Originally uploaded by Citizen Rob
In retrospect, it seems almost ridiculous that I, of all people, would allow Schuyler's monster to sneak up on me.

We've been dealing with the issue of Schuyler having focus problems in school ever since the semester began. It's been something we've seen at home as well, where she will phase out and simply not seem to hear us when we say her name. It can be annoying, like the "selective hearing" that most little kids seem to get at some point in their lives, but after a few rocky weeks in school, she figured out her rhythm and started to perform. Her last grade report was all A's. The focus issues continued to come up, but they didn't seem to be seriously affecting her class work, so they became B-List worries.

It wasn't until one of her teachers actually described her moments of scattered focus that something became clear, something that should have been clear from the start, but wasn't. After Julie and I compared notes all day and after going back and doing more reading, and especially after seeing video that it never occurred to me would be available online, we saw it. We're beginning the process of confirming this medically, but today, we think we saw it.

Julie and I now believe that for at least the past six months, Schuyler has probably been experiencing absence seizures.

I'm trying not to beat myself up about this too much. Absence seizures are subtle, after all, and they manifest themselves in different ways, depending on the person. They are also particularly hard to detect in non-verbal subjects, for whom a sudden lapse in conversation is obviously not much of a tell. Watch this video, of a little girl having absence seizures. This video is significant because her absence seizures are almost identical to what we see in Schuyler's little zone-out episodes, particularly in the tiny little movements of her jaw:



As you watch it, ask yourself if you would even notice anything wrong if you didn't know what you were looking for. Absence seizures can be hard to catch even with a healthy, jabbering little kid.

And yet, we should have known better. Ninety percent of polymicrogyria patients develop seizures, most of them between the ages of six and ten. Schuyler turns nine in a few weeks. It's been comforting to think that she was beating the odds again, and it made for a swell line in the speeches I've been giving, but the reality of Schuyler's situation was always there, right in front of our faces. Julie has been preparing emotionally for this day, and so her feelings on the matter are somewhat subdued. Mine you can probably guess.

I suppose that for all my talk, I'd allowed myself to get a little complacent, and a little too hopeful. There's nothing wrong with hope, except when it gets in the way of facing the monster and outsmarting it. Hope can be a positive or a negative force depending on what you do with it, really. Hoping that Schuyler will one day speak is a good thing, for example, even if it's only a remote possibility. But what if that hope led us to put all our efforts into getting her to talk, instead of teaching her sign language and giving her the Big Box of Words? It's the same with the seizures, I suppose, except of course that until the day comes that she has one, there's really nothing to do but be vigilant and prepared to spring into action.

Now that the day may be at hand, the next step is to get Schuyler to a neurologist or an epilepsy specialist and find out if she's actually having them. If she is, then we play it by ear. Seizure meds present complications for PMG patients that can make them an unattractive choice for non-debilitating cases. We'd monitor her seizures, explore whatever medical options were deemed appropriate, and continue to do what we're doing now. We'd work to incorporate her monster into her life, as normal a life as we can give her.

The monster already has a place at the table. That doesn't change. It still doesn't get to eat the fucking table.

While most people with PMG progress from absence seizures to more serious and sometimes life-threatening forms, it is entirely possible that Schuyler could develop something called absence epilepsy, in which her seizures never progress beyond what she may be experiencing now. Even if she develops more serious seizures, the fact that they've developed this slowly and incrementally might mean they won't be life-threatening or an excessive obstacle in her life. She might not be able to get a driver's license, and a career as a fighter pilot might be unrealistic. I suspect she'd be able to live with that.

This has been our fear all along. For five years, the specter of seizures has haunted us. And while this might sound bogus to non-parents, those of you with kids will know exactly what I mean when I say that Julie and I have come to trust our instincts with Schuyler's condition and what it means for her, and we trust it completely. When Yale diagnosed her with PDD-NOS, an autism spectrum disorder, it was our instinctual knowledge of Schuyler and our intuition that told us it was wrong. When we were fighting for her Big Box of Words, we knew on a gut level that she would excel on a speech device.

I've learned to listen to my heart where Schuyler is concerned, and while we won't stop until we have a doctor's evidence, my heart is telling me to get ready. My heart tells me a storm is coming.

In the epilogue of Schuyler's Monster, I address the possibility that Schuyler could one day develop seizures.

The future for Schuyler is uncertain. Our most dreaded fear, the seizures that statistically seem almost certain to come, have yet to manifest. It hangs over us like the sword of Damocles, but sometimes I forget that those head storms might be waiting to ambush her at all. Then I remember and the fear settles back in. That black lump reappears in my chest when I imagine her having grand mal seizures. When I can step away from my fear, however, I also know that even if they do come, she’ll endure and adapt and keep going, powered by an unstoppable will that she possesses and I do not.


If that day is here, it remains true that Schuyler is ready in ways that I'm not, and never will be. But when I lose my way, as I often do, it's still Schuyler who helps me find me way. She's shown me how to do this all along, and I suspect that's not going to change.

As much as I'd like to make it mine, it's still her monster, after all. And she's got its number.

April 10, 2008

Things that give me pause in a busy world


February 2000
Originally uploaded by Citizen Rob
I just wanted to quickly post and say that I'm alive and well, just a little busy and getting caught up. We received a visit from Fox 26 Houston reporter Greg Groogan, who spent some time with Schuyler and Julie and myself, both here at the apartment and at Schuyler's school. I'm told that his story will probably run in early May and may be picked up by affiliates in different parts of the country. In your town, too? Well, perhaps!

It felt like a really good interview; Greg's got a lot of experience with special needs kids, both personally and professionally, and it absolutely showed. I've talked to a variety of reporters since the book came out, and some of them were exceptionally sensitive and good, but with Greg, it was almost disconcerting, being interviewed by someone who really gets it. I'm curious as to how it's going to turn out; I suspect it's going to be outstanding. When we were doing the actual interview, I almost got a little weepy a few times. Not he-manly at all, I know. I suspect Greg was slipping estrogen into my water when I wasn't looking.

There's so much I want to talk about in more depth, such as the fact that I did a little book-for-movie exchange with Dan Habib, the father and filmmaker behind the brilliant documentary Including Samuel. I'll have much more to say about this, but for now, let me simply say that if you have any feelings or questions about inclusion and mainstreaming for special needs kids, you really do owe it to yourself to see his film. We're not in 100% lockstep agreement (you can probably imagine how I feel about the page in the film notes called "Words Matter", about person-first language), but we come to the same conclusions about the benefits of inclusion for these kids. Not just for my kids, but for yours, too. See this film if you get the opportunity, even if you find yourself opposed to inclusion education. Or especially if you're opposed to it, really.

In my book, I mention the polymicrogyria online support groups that I follow. I never contribute to them, probably out of something akin to misplaced guilt for Schuyler's comparatively good fortune, but I read them religiously. In Schuyler's Monster, I wrote about the heartbreak when a parent comes on the forum and reports the death of their child. There was one a few days ago; I showed it to Greg when he was here, and I think it made a powerful impression on him. Well, of course it did. If you're not touched by reading a parent's words as they report the death of their three year-old as a result of repeated, nasty seizures, there's something dead in your chest. You might want to go have that checked by a physician.

How does a parent watch their child die? How do they make peace with that, with their seemingly cruel or indifferent God and a world with such monsters in it? How do you bury your own son or daughter? People have been telling us how brave and how strong we are, but that's a world of brave and strong that I've never lived in, and do not believe I am capable of. I don't breathe the air on that planet. People have said that God never gives you anything that you can't handle, and I'm here to tell you that's the worst kind of bullshit-on-a-stick there is.

Compared to the Godzilla-like monsters that snatch up little babies and consume them before their heartbroken parents' eyes, Schuyler's is the fucking Cookie Monster. And that's good enough for me, thank you very much.

March 5, 2008

Sick day


The Jasper Collection
Originally uploaded by Citizen Rob
As I write this, Schuyler has been asleep for about thirteen hours straight. She was sent home from school yesterday with a temp of 100.3, and while she spent the day at home with Julie in good spirits and seemed to be her usual happy self when I got home from work, she crawled into our bed at about 6 last night and is still there now.

It's interesting to me how much energy seems to get sapped out of the world when Schuyler is sick. It makes me realize exactly how much of my own attitude and enthusiasm is drawn from her. Anyone who has met Schuyler knows what I'm talking about. Her energy is contagious. Here's hoping that whatever has her laid out for thirteen hours (and counting) isn't.

I take off for my book tour in two days. Houston on Saturday, over to Austin on Sunday, and then San Antonio on Tuesday. If you're in town for any of these, come out and say hello. I'm looking forward to this as much as anyone looks forward to driving over 800 miles in five days. There are a lot of people I'm looking forward to seeing on this trip, and I'm really excited about meeting new folks as well. My social circle in Plano is pretty limited. (And short, and mute.)

February 1, 2008

Philanthropy and boobs

I don't know about your friends, but I know some pretty remarkable and generous people, and of them all, I can't think of one that I admire more than my friend Dana. She has been a good friend to my family and me since before Schuyler was born, and I can't think of anyone who we've been able to consistently count on more than her. I know that I'm not the only person who feels that way, too. We miss her madly.

Back in the summer of 2000, Dana embarked on a crazy bicycle ride from Boston to New York, benefitting AIDS research. To me, the person who has to have an internal dialogue every day I go to work concerning whether or not I should take the elevator to the second floor, this was an astounding achievement.

Now she's doing it again. This time it's a three-day walk benefitting the Susan G. Komen for the Cure and National Philanthropic Trust, funding research, education, screening and treatment of breast cancer.

Go to Dana's Philadelphia Breast Cancer 3-Day page and help out, won't you? It's for a great cause, and besides, as Dana points out, "EVERYONE LIKES BREASTS". Which I think is probably a universal truth.

November 19, 2007

Dancing away the monster

Excerpt: "Ballerina dreams: A True Story"

Make sure you watch the video, which is the story that ran on The Today Show this morning and turned me into a big weepy girl before I'd even had breakfast.

(Yes, I watch The Today Show, Dr. Judgey McTelevisionsnob.)

November 17, 2007

Because "separate but equal" worked out so well the first time...

The following was posted on another site, in response to this. While it's unusually blunt, it nevertheless represents a viewpoint that I've heard many times before, in some form or another.

Every special ed kid costs schools more money. They are incredibly expensive. Wealthy parents get lawyers and game the system for millions, and all the rest of the kids get inadequate educations that still cost more money.

They should be removed from the system and their education funded differently. Public schools should be reserved for the "neurotypical".

That doesn't mean they shouldn't receive funding; it should just come from a different pool of money–health care, probably.


When I think back to my elementary school days, and even later, the thing I don't remember is ever seeing any kids with disabilities in my classes. If you're about my age or older, you probably don't, either. They were sent to different places, special schools or institutions or other "alternative facilities" where they wouldn't interfere with the fine education that the rest of us received.

As with anything, there are extremes to be avoided. I wrote about the warehousing of special needs kids (and caught a little flack for it) and how their curriculum needs to be more specific to their disabilities, rather than just dumping them into the mix and wishing them good luck. But that individualized education needs to take place within the context of mainstream schooling.

Schuyler spends much of her day in a regular second grade class, and so does just about every other kid in her Box Class. Most of them have more serious physical impairments than she does, and cognitively, at this stage it's still anyone's guess for most of them, Schuyler included. And yet, as far as I can tell, most of them are thriving in their mainstream environments.

I've seen the looks they occasionally get from a few other parents, and I suspect they get the same thing from some teachers as well. And the thing that I am 100% certain of is this: when people advocate sending special needs kids away to "special schools", they are not thinking about the welfare or comfort of those kids. They are thinking of their own.

Yes, special education is expensive. Good education of any kind is, for that matter. But no matter what your politics, nor how extreme your position within those beliefs, a little socialism isn't going to hurt you, and it is going to help Schuyler and millions like her.

This is my opinion, but one in which I believe so strongly that as far as I'm concerned, it is a Big-F Fact: a society that doesn't take care of its own least fortunate, whether that's the poor or the disabled or whoever, is a society that does not deserve to survive. If we as a civilization can't do better than "Public schools should be reserved for the 'neurotypical'", then we deserve nothing less than to implode on our own selfish appetites and our own primping narcissism. I'll be the first one at the barricades when the revolution begins.

If you believe that you as a citizen have a right to decide that every penny of your tax dollars should go to providing your neurotypical child with the best education possible, and that you shouldn't be expected to help fund programs that do not directly benefit your kid, I'm not sure what to say to you.

Well, yes I am. I hope you take a moment out of your self-absorbed life every so often to thank your God (if you have one) that your kid didn't draw that card, the one that twists their genes or gives them an extra chromosome or stirs their brain chemistry or breaks their bodies. As you ponder your own child and their perfect world where they shouldn't have to share funding with or even look at kids who did draw that card, I hope you understand that inside every one of those unfortunate bodies and minds is a human being, one with aspirations and dreams and abilities just as big as your own kid's.

Bigger, probably, because when you have to fight as hard as these kids fight just to be able to sit in a classroom with neurotypical children, you learn not to take those dreams for granted. And as much as most of them would like to be just like everyone else, I'm proud to say that for most of these kids, there's not a goddamn thing about them that is "typical".

I lost out by not being able to attend school with special needs students. Your little darlings would be just as diminished as human beings if you had your way. Fortunately, I have no intention of allowing you to have our kids "removed from the system". And I am not alone.

November 15, 2007

Sometimes it's not monsters that we fight

From the CCN website (which I usually visit for the guilty pleasure of reading about people being eaten by alligators and sharks and bears):

"Help! My pediatrician's not listening to me"

Of particular interest to me (and relevant to Schuyler's story) was this part, near the end:

"Parents of children with severe disabilities are often the experts on their children. They're with them all the time."

The trick here, she says, is to stand firm, even when you know you're annoying the doctor.

"You have to let go of the desire to be the good patient and make everyone like you," she says. She recommends questioning the doctor thoroughly. For example, Green could have asked why the doctor didn't want to use one of the other potent antibiotics.

Rackner says patients can keep in mind stock phrases they can use to make the conversations easier.

For example, she says, one way Green could have started the conversation is: "I honor your years as a practicing physician; I hope you honor my years as this child's parent 24/7."


Tell me about it.

November 14, 2007

I have choices!


I have choices!
Originally uploaded by Citizen Rob.
So what is the thing that I should spend time fretting about today? The determination by the dealership that Julie's car is officially dead (turning us into a one-car family, with me working an hour away from Plano), or the fun fact that I do believe I am getting another kidney stone?

Decisions, decisions!

August 30, 2007

Hard to even think about


Schuyler at the airport
Originally uploaded by Citizen Rob.
I'm not going to set this up with a lot of commentary. I will simply say that you should go read this post, maybe the most affecting and poignant blog post I've ever read. It was written by Danielle, a med student whose stuff I've been reading for a while.

I read this last night, and then I sat up thinking about it for a long, long time. I think when you're the parent of a broken child, it's very easy to believe that you'll always be around for them, as if your special work grants you some sort of invulnerability to the shitty, horrible things that can happen in the world. I honestly can't tell you what would happen to Schuyler if something happened to Julie and or, who would take care of her and assume the life's work of fighting her monster with her.

It's a hard conversation for us, because there aren't any easy answers, no family in towns with schools even remotely prepared for someone like Schuyler. The thought of Schuyler suddenly left on her own in this world opens a dark pit in the very center of my body. I think it's something we need to figure out, though, and soon. It's easy to forget just how fast things can happen, or how cruel the world can be.

May 25, 2007

Acronym Planet


Yawn
Originally uploaded by Citizen Rob.
Schuyler had her last IEP meeting this week, which was also her final week of school. (We're celebrating later today with some Father/Daughter Age Inappropriate Pirates & Monsters Movie Time. Don't judge me, jealous haters.)

The IEP, or Individualized Education Program, is part of the implementation of the Individuals with Disabilities Education Act (IDEA), which we Shepherds of the Broken use, along with the Americans with Disabilities Act (ADA), to bully the rest of the world into helping our kids get an appropriate education and generally not get swept under the rug. The IEP is the plan by which parents, teachers and therapists decide on the course of a student's school studies.

Here's what the government says about the IEP:

Each public school child who receives special education and related services must have an Individualized Education Program (IEP). Each IEP must be designed for one student and must be a truly individualized document. The IEP creates an opportunity for teachers, parents, school administrators, related services personnel, and students (when appropriate) to work together to improve educational results for children with disabilities. The IEP is the cornerstone of a quality education for each child with a disability.

To create an effective IEP, parents, teachers, other school staff -- and often the student -- must come together to look closely at the student's unique needs. These individuals pool knowledge, experience and commitment to design an educational program that will help the student be involved in, and progress in, the general curriculum. The IEP guides the delivery of special education supports and services for the student with a disability. Without a doubt, writing -- and implementing -- an effective IEP requires teamwork.


What that little block of government-issue cheese doesn't tell you is that for many parents of a broken kid, or perhaps even most parents, the IEP meeting itself is usually a gigantic, frustrating pain in the ass.

We've been lucky since coming to Plano. Our IEP meetings are generally a breeze now, although we certainly paid our dues back in Manor (the district near Austin where she attended school before) and in New Haven. I still remember the meeting where Schuyler's speech therapist in Manor finally admitted that the reason she wasn't recommending sign language was that she didn't know it herself and didn't think she had time to take a class. That was swell.

The Plano public schools' special education programs are among the best in the country, and so for the first time we've been able to relax a little and allow her teachers to take the lead. You have no idea what a relief that is, unless you have a broken child yourself, in which case you know EXACTLY what I'm talking about. IDEA provides for something known in special needs circles as "FAPE", or Free Appropriate Public Education. It's the part of the law that sets the minimum standard for special education in public schools. In some cases it's a life saver; in others, a mockery.

(If you want to put your broken kid in a neurotypical private school, you're on your own. Private schools do not have to accept students with special needs, and many choose not to. The ones that do typically make the parents of the child responsible for the cost of additional resources. On the other hand, your broken child is free to talk about Jesus, so there you go.)

What FAPE doesn't guarantee is the best possible special education. It provides for an "appropriate education", which many courts have defined as "access to an education" or a "basic floor of educational opportunity". Parents who go to court seeking additional services for their kid are told never to use the terms "best" or "maximizing potential" during legal proceedings. Parents have to educate themselves on what their kids need, and they need to find the programs that serve their kids the best. The idea of moving to a whole new city in order to put Schuyler in a particular school district struck some parents as an extreme move on our part, but to other parents of a broken child, it made perfect sense.

Plano was worth it, and continues to be worth it, but the thing is, it's not just because the teachers and specialists are good. Schuyler's team is exactly right for her for one simple reason. With a very few exceptions, they almost never tell us what she CAN'T do. They assume we already know that, and they're right. They set goals for Schuyler, they let us know when she's succeeding and when she's falling short, but they never set boundaries and they never accept limitations for her.

They get her. I suspect they get them all.

At her last meeting, her team pushed hard for a cognitive evaluation, a school-mandated three-year assessment of her abilities that we originally resisted when she was in Manor. I didn't trust her old school team in Manor, not with a test like that. Such a test is very difficult to administer to a non-verbal subject, and very subjective, so it requires an expert test administrator who can make appropriate accommodations for a nonverbal subject. This is the first time we've trusted the school to administer such a test correctly. Even so, I had and continue to have my reservations.

At the end, there's a number, and our fear was that it would be a number that would follow her along forever. Schuyler didn't do poorly on the test, but she had problems. I was happy to see that her team did recognize (in the actual written report itself) that her score probably represented the low end of her actual capabilities. It was nice to have confirmation that I'm not just being Defensive Denial Dad when I mention her aversion to evaluations. They see it, too. Schuyler can be defiant in evaluations, perhaps partly in sport but mostly because she becomes extremely impatient. She likes to give the answer after merely glancing at the possibilities, and the problem only gets worse as the test drags on. It's a problem that they identified at this last meeting, and one that we're going to have to work on.

The possibility was brought up that she might be ADD. Attention Deficit Disorder often accompanies cerebral palsy, which is related in many ways to Schuyler's polymicrogyria. Because of her malformed brain and the fact that no one knows exactly how it functions at the high level that it does, medications that affect brain chemistry are probably out of the question. But ADD was mentioned only as a possibility, and not one that they even feel compelled to test her for yet, so it's probably a little early to freak out. Even so, Julie and I were both surprisingly unmoved when they mentioned it.

With everything that our daughter has been through (and will likely go through in the future) with polymicrogyria, Attention Deficit Disorder isn't very scary. Compared to Schuyler's monster, it's a hamster.

February 16, 2007

Bug


The flu sucks.
Originally uploaded by Citizen Rob.
Well, my weekend plans have changed slightly.

She seemed absolutely fine when she got on the bus, but about an hour later, we got the call. Schuyler is suffering from either the flu or demonic possession.

It sucks when any kid is sick, but with Schuyler, it's extra heartbreaking because she can't really tell us very much about how she feels. The Big Box of Words helps to some extent, but it requires a certain amount of concentration and clarity that might just be somewhat lacking at the moment when your stomach is threatening to go all Vesuvius on you. Sometimes there's not much of a high-tech alternative to yelling "Gotta puke!"

We were practicing just now.

"So if you feel like you're going to throw up, here's a trash can," I told her as she lay on the couch. "Be sure to move Jasper out of the way first." (I swear, he looked worried.)

She nodded her head.

"Okay, so you need to let me know if you feel like you're going to be sick. What are you going to say if you feel like you're going to throw up?"

She opened her mouth and howled at me. "Aaahh!"

That'll do.