I must be the most consistently inconsistent blogger known to man. I blog for a few months at a time and then I stop all of a sudden. To the outside it may seem that way. But really I know myself enough now. I know that I need to take a break. It's not that blogging takes a lot out of me. It's more that I can't put enough into it. It's just not there. My emotions ebb and flow. Every time I come back things change a little. I may be a bit more money focused at some point or food focused at another. Sometimes it's my garden or photography. Sometimes it's a passion and other times it's a passing interest. Sometimes my thoughts are dark and sometimes they are funny. This is my selfish place. A place for it to be about me me me me me.
But if you know me......
My life is my family. That's all that exists in my real life. That has always been my consistent interest/passion.
This is what I love. This is what I've always dreamed about doing ever since I was a little girl. I've always been a mom and wife.
I never thought being a mom & wife would be so hard. It's a down right challenge that tests me everyday.
This month marks the end of an era for me. It marks the end of doing it all myself and the beginning of accepting help. For about 3 years I have battled doctors and even my own husband to have Madeline and Natalie recognized as being on the Autistic. Both Madeline and Natalie just went through the final step. They were both diagnosed by the
Kirch Center as A.S.D.
Autism Spectrum Disorder.
Autism is characterized by delays or abnormal functioning before the age of three years in one or more of the following domains: (1) social interaction; (2) communication; and (3) restricted, repetitive, and stereotyped patterns of behavior, interests, and activities.[9]
They were also diagnosed with
Pica.
Pica is characterized by an appetite for substances largely non-nutritive, such as clay, chalk, dirt, or sand.[1] For these actions to be considered pica, they must persist for more than one month at an age where eating such objects is considered developmentally inappropriate.
Typical symptom patterns for diagnosing the disorder include: extreme excess of motor activity (the children flits from activity to activity); restlessness; fidgetiness; often wildly or oscillating mood swings (he's fine one day, a terror the next); clumsiness; aggressive-like behavior; impulsivity; in school he cannot sit still, cannot comply with rules, has low frustration levels; frequently there may be sleeping problems and acquisition of speech may be delayed.
Natalie appears to have strong O.C.D. tendencies. Actually, I wouldn't even call it a tendency...I would call it: "Yeah, she has O.C.D." Natalie also has a problem with eating. She only eats certain foods. You have a picky eater you say? Natalie will only eat Chobani Greek Yogurt for days on end. She might eat a banana or some applesauce. She only really likes peanut butter out of a jar. Spaghetti with sauce but none of the tomato or onion chunks..only the pureed sauce. She'll eat pizza but only the cheese. If you hand her an oreo she'll only he the middle. She'll eat chicken nuggets but only the outside parts. If you don't see it here on this list..she doesn't eat it. While she is eating she must have her Dora the Explorer sunglasses, her baby blanket, her sippy cup, a cloth hand towel. If we have more than one carton of yogurt in the fridge she'll have to have it out in front of her even if she can't eat it. She just likes to make sure she has options. We must all be seated because if we aren't she'll get up to see what we are doing. This is just part of our day.
All of these things are common with Autism. As far as whether or not the girls are high function or low functioning, Madeline is in the middle and Natalie is low functioning. I just chuck that idea out the window as soon as it's presented in front of me. The girls function on their own terms. Didn't Robert Louis Stevenson write a beautiful poem about "The Road Less Traveled"? My goal for the girls is just one: Become the best person you can become with the resources available to you. My goal for myself: Provide them all the resources I can. My end game: happiness. No test score or doctor's evaluation can measure that.
Opening up my girls' worlds means that I have to open up as parent to let others help us achieve our goals. I just scheduled and appointment at the end of may for a food therapist for Natalie up in Rochester. These meetings will be once a week. That same day we are seeing the nutritionist. Kirch was really good about trying to make appointments together since it's quite a bit of travel.
Soon I will be talking with the social worker to help us get medicaid for the girls. Since they are both considered developmentally disabled they will automatically qualify. Medicaid will pay for what our insurance doesn't. Everything from in home therapies to doctor's appointments, to medication. The social worker will also do an in home evaluation for services like door alarms and fences to make sure the girls are safe. I've already sent for a Home & Community Based Waiver packet to help us pay for these things. I'm told once I fill out everything it will take about 90 days to get to that point. At that point we'll have access to respite (paid baby sitter) and reimbursement for therapy toys for the girls. To what extent I have no idea..I just like the idea of the possibility. Alan and I have only once been on a "date". It would be nice to do another one.
Another thing to help us out is a Parent to Parent Network based in Corning, NY I believe. They are there to help us advocate for Madeline and Natalie during I.E.P. meetings. They help us to know our rights and the whole process. So far with out the network I have felt like Madeline and Natalie's needs have been met and then some. It wouldn't hurt to have backup along. Both Alan and I are new to this.
Because of Miss Natalie's Hyperkinesis we will be having a Psychiatrist do an evaluation with a possibility of having medicine prescribed. I'd say that the likely hood is about 99%. Little miss is ADHD personified. I truly believe it will give her a better quality of life.
Also, the speech evaluation that was done by
Building Blocks Comprehensive Services was shot down by Dr. Strosky of the Kirch Center. It has to be totally redone because they didn't use the proper evaluation on both the girls. I believe she wants either Building Blocks to redo it using the Raven method.
The evaluator must select appropriate tests and assess the student's educational skills in all areas of suspected disability. In addition, the evaluator must adapt and interpret the tests considering the student's sensory, motor and communication skills; racial and ethnic background; and language background. A variety of assessment methods should be used to collect functional and developmental information that will help determine the student's educational needs.
Yeah that didn't happen. The evaluator didn't adapt at all. He just did the standard test. So now I'm to choose whether they do it again or I choose someone else. I'm choosing someone else. It seems the right thing to do.
I found out too that I was told completely wrong on the fact that Madeline and Natalie wouldn't officially qualify for services until they were officially diagnosed with Autism by a place like Kirch. This is not true. My pediatrician and the Building Blocks evaluation would both be considered a diagnosis by NYS to qualify. The only blip would be that the state too would have a problem with the way the Building Blocks had done the evaluation and therefor I would have to have it redone anyway. But for as long as the girls were in the Pathways Program and even Madeline transferring to Kindergarten we could have had services to help us during this time. I'm frustrated but I figure it's okay. We'll just keep chugging away and get it done.
Lastly, we are going to be seeing a geneticist. Dr. Strosky has some concerns considering our family history. In particular, she is worried about 15 and 23q. Some of it has to do with Madeline's head size. Apparently she has a large head for her BMI. I couldn't tell. I think she has a nice head but apparently it's large. Her father has a large head as well so I didn't thing anything of it. It's on chromosome 15 I believe. Don't quote me. The other part she is concerned about is the correlation between the girls both having Autism and James' diagnosis. The only person that was genetically mapped was his mom. Alan was never mapped to see if he too had a problem on chromosome 23q. Everyone assumed it was just on her side because of her family's medical history. Either way it helps out their research and let's us know exactly what we are dealing with.
We have a bit of a road ahead of us but it won't be alone. Alan and I may not live in a town to have the proverbial village help raise the child. Nor do either of us have any sort of family to help us out..but we have each other and now the Kirch. It's always just been us but now I feel like we are finally moving forward.
My girls were diagnosed in April which is Autism Awareness Month. Isn't it ironic? Don'tcha think?
(bonus points for you if you know the singer I'm referencing)
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