I have moved over to WhittereronAutism.com. Please follow the link to find me there. Hope to see you after the jump! :)

Wednesday, March 18, 2009

Twist and plop – a three ring circus

I consult the pottery guru. A woman who has thrown many hundreds of pots a day for more days than either of us can count. I need help with just two of my many little problems:-
1. Once I have thrown a pot I cannot get it off the bat without distortion.
2. When I turn the foot of the pot, I cannot get it off the wheel head without distortion.
She gets back to me within the hour, not via telephone, as who can hear a voice message over the din, but by email, my life line to the outside world. I read her words:- wire it off, lift and place it on the drier but as you place it on, sort of spin it as you drop it and it will plop into place. I am deeply grateful that there is no sporting reference but also dubious about my top spin abilities as I’ve never been a fan of cricket.

I dash out into the garage to give it a go. Remarkably, each bowl plops and judders into place, still round. I leave 18 bowls to dry out enough to carve and return to my other domestic duties. My other domestic duties are all very hungry but unwilling to walk the plank to success. Instead of sitting at the dining room table like good little pirates to eat their dinner, instead they insist on two minute bathroom breaks. They take it in turns, our only current control mechanism, “no you can’t go to the loo until he comes back.” It’s feeble, it’s pathetic, it’s unstoppable.

Each boy makes the forty yard dash to the bathroom, hangs over the sink and fills his mouth with water from the faucet. Part habit, part palette cleanser, part displacement activity from the hideous chore of eating. It crept up upon us when we weren’t paying attention. So busy celebrating their ever expanding diet and the demise of neo-phobia, we failed to notice that few children will have a large appetites if their tummies are already full to capacity with several gallons of tap water. The subsequent wet beds are no laughing matter.

The first few visits have now morphed into a ritual:- the breathless announcement of pending activity, the dash, the glug, the call to return, the return, the pirouette and booty wiggle before chair parking, before eating can commence again. Minute additions to the script means an endless run on. The virtual high five, the air kiss to the dog, the pat to the cat who must not be left out, on and on and on it goes. Each visit takes about three minutes. Each meal’s duration lengthens daily. In order to finish dinner we need to start at breakfast time. One teaspoon full of food to five minutes of shenanigans is a poor ratio, times two.

But they’re happy, they’re eating, two fundamental and crucial facts not to be missed nor buried in "the mire of confusion." We are unwitting "enablers" in our own downfall, "facilitators." We need to unravel the knitting, drop a dozen stitches and refashion, but habits once formed, are difficult to break.

A brake would be a good start.

“Do you know what?”
“Wot?”
I explain my problem with the pots, I model the solution, the spin, the plop, the drop with sound effects.
“You be are look like a big, blobby, jello,” he giggles.
“Maybe you could be jello at the table too?” Both boys back glance to the bathroom which is calling loudly, urging repeats, demanding their attention.
“Go on. Have a go.” They hesitate as the pressure to repeat mounts, more difficult to shake off but my daughter is up off her chair to demonstrate spin and master jello judder. They can’t help but look, as pre-teens guard their growing maturity, their need to exude confident sophistication. They can’t resist. Pirouette, plop and judder, over in a few seconds, the spell broken.

Do we plan to adopt and incorporate this as a new campaign? No. Not really. It’s more a way of confirming something that I already knew. It is still really difficult for them to sit at the table and eat. It’s not a preferred activity. I need to ensure that they have the opportunity to rid themselves from as many of the fizzies and wiggles as possible prior to the main meal of the day. It’s the same as it’s always been, but I’ve just been lax. Maybe it’s ten minutes on the trampolene or five minutes chasing the dog or 7 minutes of rough and tumble? It used to be ‘therapy,’ ten minutes of brushing or massage or deep proprioceptive input, but they’re older now but with the same underlying predispositions.

As yet I’m not sure what we’re going to do, but I do know that whatever you care to call it, some kind of outlet must be incorporated.

In many ways it reminds me of a bygone era where eating in the street was an abomination. But times have changed. People eat whilst doing other things, work at the computer, run for the train, brown bag lunches, lunch meetings and conference calls, chat and walk and check their text messages all at the same time as they re-fuel. The ritual of a family meal is a rarity with the busyness of modern life. No-one chews a mouthful 36 times and everyone suffers from indigestion.

I suspect that we searching for some middle ground. The ability to tolerate if not enjoy the collective meal as well hold onto that flexibility, to refuel on the hoof as we sprint through the rest of our lives.

Tuesday, March 17, 2009

Woofless Wednesday

5 Minutes for Special Needs


I took Thatcher for a play date with his sister. If my own children could play or play as quietly as this pair I would eat my hat.

Thatcher is the bigger, lighter coloured one. His sister is smaller and more Labradorish, "You can see the video here."














If you enjoy caption competitions and photographs, you may wish to nip along to"DJ Kirkby" over at "Chez Aspie" and test your brain power.

Monday, March 16, 2009

Irish Stew

Tackle It Tuesday Meme
Try This Tuesday


What else could I do in view of my heritage. AS with all traditional recipes everyone has a family variation on a theme. Make it today, it will taste even better tomorrow. My mum had two:-

1 lb of lamb neck [on the bone]
yes I know I’ve lost you right here as American do not eat little lambkins
2lbs floury potatoes chopped into halves or quarters depending upon size
1 lb of carrots chopped into chunks
1 lb of Swede peeled and chopped into chunks [Rutabagas]
2 lbs of onions rough chopped.
1 tbs all purpose flour
1 litre of stock
Lots of freshly ground pepper
Handful of parsley washed and rough chopped



Brown the lamb on a high heat to seal and then remove.
Add the onions to the ‘dirty’ pan and brown. [this takes about 12 to 15 minute on a low heat.
Add all the other vegetables and toss together until coated and thoroughly mixed. [*]
Add the flour and pepper, and toss through the vegetables.
Add the stock and mix through. [this will thicken later]
Add the meat back in and leave to simmer for a few hours on the hob. [this makes it a stew rather than a casserole which is ‘baked’ in the oven]
Leave to cool.
Skim off any surface fat.
When you reheat the next day add the parley just before serving or it will lose colour and go all stringy.

Second version.
Omit the rutabaga and stock.
Make 2 pints of béchamel.
The same until [*]
Cook together for an hour in the béchamel [low heat or the béchamel will burn]
Add the parley and serve.

Interestingly to me, whichever version I choose to cook and serve, there is now the remote possibility that all of my different family members will eat some of it. Quite a feat around here. My youngest son will scream with protest but this is more from habit than any real angst. We will all be at the dinner table at the same time and some of us will approximate ‘sitting.’ If I’m very lucky, my stew will score a 2 out of ten, which is a great improvement upon a minus infinity. Soon we hope to fade the 'spoon-feeding.' I doubt if any pleasure will be gleaned from the menu itself, but there is no end of delight to be extracted from communal gathering, assuming you have your ear plugs of course.

If you have a few moment spare you may wish to nip over to "Trish" at "5 Minutes for Special Needs Moms" where she is tackling the issue of:- 'Disciplining Your Child=

The person who suggested this topic specifically asked about the teenage years, so if you have experience in this stage of life, we would love to hear from you next week. If your children are younger, what is working for you at the age they are now?'

Whilst I would love to address this particular topic myself, my typical daughter was a teenager a long time ago. I would encourage everyone to take a peek and note the comments as although we may not have reached that stage ourselves, I can assure you that it will be coming along all to soon, and it's always good to have a jump on impending developments.

Sunday, March 15, 2009

Science experiment - predictions and outcomes



Hosted by "Tracy" at "Mother May I," but the photo-picture below will whizz you right there with one click.

Just call me snap happy.

red BSM Button





Photobucket


Take six identical plants and water with different kinds of liquids to determine which affects growth in what manner?

Such as Lemonade



Coffee doesn't seem to perk up everyone it appears.



Here's the control just in case you thought we might cheat.



Wine may mellow some but this looks like the worst hangover to me.



Milk for breakfast may suit some but this is a mouldy old mess.



And lastly, the winner by a mile and better than mere water by far, if you compare, is tea. British Blend of course.



This outcome was entirely predictable in my opinion.

Saturday, March 14, 2009

Pain in the planet



The workings of the mind are always intriguing. As my autistic boys learn to express themselves verbally, all too often we get tied up in knots of confusion, or rather I do. Trying to unravel their enquiries is often time consuming and requires a great deal of patience. They have to be patient with me whilst my brain plays catch up and connects the dots which are obvious to them but minute and disguised to me.



“Eeoow! What is dat stinky smell which is being in my nose?”
“Yes sorry about that. It’s recycled clay.”
“Recycle? Recycle is stink?”
“Not always but in this particular instance, yes. It’s all the left over bits of clay. I stick them in an old pillow case, in a bucket filled with water. Then when it’s all smooshed together I can use it again, but it is rather smelly.”
“What for the other things that we are do then?”
“Er?”
“Dah two?”
“Which two?”
“Dah re-use and dah reduce.”
“What about them?”
“Are they being the stink too?”
“No they’re not stinky."
“An dah other one?”
“Which other one? We already have them all, re-use, reduce, recycle, that’s it.”
“No.”
“No?”
“What it is mean?”
“What does what mean?”
“Joyce?”
“Oh…..well Joyce is a name.”
“Who name it is being?”
“Well it can be a first name, like Joyce Grenfell, or it can be a last name like James Joyce.”
“I am like dah other joyce bestest?”
“Er…..you’ve lost me.”
“Dah other ‘re’ is not stink. I am liking dah smell of dah other ‘re.’”
“We’re back to re? What’s that got to do with Joyce? Do you know someone called Joyce whose keen on recycling……or……..something?”
“No. Where is your think today?”
“Think or stink? What are we talking about here?”
“We are have dah old ones.”
“Which old ones?”
“Dah re-use, reduce and dah recycle.”
“O.k. So they’re old are they?”
“Yes.”
“So what’s the new one then?”
“Dah re-joyce which is being smell nice and is being a nice name for a nice smelly thing.”





Who knew fancy tea-bags could ever provoke such a debate?

Friday, March 13, 2009

Old fogies

Slurping Life



Get the code:-
Cut and paste
from this little
boxy thing below




I conclude that young people today are very odd:-

“Where’s Mr.B today?”
“Why should I know?”
“Well…….you’ve only been together for a blink of an eye.”
“We’re not joined at the hip mum.”
“!”

“Mom?”
“Yes dear?”
“Fred says that he really likes me.”
“Ah. That’s nice.”
“He says he’s always liked me.”
“Super.”
“He says he’s liked me since Kindergarten.”
“My that is a long time.”
“But I was at a different school then. I think he’s tryin to butter me down.”
“I do hope not.”

“What it is?”
“What is what dear?”
“What?”
“What what?”
“Watt?”
“Oh…..a unit of energy. Why do you want to know?”
“Coz I wanna know how old it is?”
“How old what is?”
“Watt age?”



“I am love.”
“Indeed you are. Anything in particular?”
“Valentine.”
“Valentine’s Day was last month. We’re working up to St. Patrick’s Day now.”
“No.”
“No?”
“Valentine is being my best friend in the world ever.”
“Is he indeed. Is he new in your class?”
“No she is being my frog?”
“She? Frog?”



Thursday, March 12, 2009

Wrap Around Services and other urban myths



This term of art only has meaning in the quagmire of America. Many of us have older autistic children now, but if we could turn the clock back and recall those early days, what would have made a real difference? Wrap around services. I don’t know what your experience was, but this was ours.

We decide to investigate further. The pediatrician provided a referral. Without a referral we would be unable to make a medical insurance claim. With luck a pediatrician would be able to recommend several specialists to choose from, but that’s because we are in Silicon Valley. Less densely populated areas may have much less choice. With the referral in my hot little hand I make an appointment with my chosen specialist group, who are really a whole team of experts. The specialists have a waiting list and so we twiddle our thumbs for several weeks or months. We make sure we have reliable child care for other children.

Thereafter the team presents their evaluation of the child. We are provided with a lengthy list of therapists available to help our child. We contact each of the therapists each of whom has a 6 to 8 month waiting list for an initial evaluation. If there is no waiting list this should be a warning. The longer the wait, the better the therapist. Time ticks away and the child spins their wheels. Much later we commence therapy, attend each session and learn as much as possible from them so that we can practice at home, where they spend the majority of their time.

What then?

[*]After the first month, if you are incredibly efficient, you send in your first batch of insurance claims to your insurance provider together with a cover letter and receipts by certified [expensive] mail because otherwise they will deny all knowledge of the package.

Within the week you will receive a letter corresponding to each receipt from the insurance company, approximately 54, that each tell you to do nothing, that they have received your claim and that they will be in touch with you again shortly.

They get in touch shortly.

In any one receipt there may be any one or more, of the following errors: no date, no code, wrong code, no signature, discrepancies in the time. An additional letter is sent from the insurance company to detail each error individually in a separate letter.

You then return to the therapists to have all the errors corrected and send them all off again. In your haste you fail to send the parcel by certified mail. Not surprisingly, the insurance company claims that they have not received your corrected receipts.

Repeat.

Additional letters arrive to explain that until you have hit your deductible of $5,000 for each child, they won’t pay a penny. You wait a couple of months until you have hit the deductible and being again.

During the following months, if you’re very lucky, with a fair wind behind you, you may, and I repeat may, receive reimbursement to the maximum amount of 65% because you are out of network, i.e. those therapists that they endorse, who are too far away, and also have waiting lists and aren’t necessarily a good fit for your child, and of course there are very few of them in the first place.

Because several months have now past, the insurance company writes to inform you that they wish to ensure that the therapy is working. To ensure that the therapy is working you must now have an additional evaluation done by each therapist for each child, which will not be reimbursed, to prove that they are indeed still autistic and still in need of services.

You contact the therapists who go out of their way to re-evaluate the child that they initially evaluated less than six months ago. [three months is not uncommon.] Within a few weeks the new evaluations are ready and sent off by certified mail to the insurance company. The children continue to receive therapy in the interim. The bills continue to be paid by you, in the interim.

With the evaluations completed and bills mounting, you collect, collate and send in the next few months of therapy claims to the insurance company. Repeat from here[*] Repeat the whole exercise for child two and amalgamate the claims and double everything else.

But as always, I digress.

Wrap around services:- a co-ordinator. This person does not need any paper qualifications, they need to be a multi-tasker with a cranium full of common sense. Someone who does all the phone and paper work, especially form filling, who has your client referral number tattooed on the back of their hand, who finds the therapists, can ensure that the evaluator communicates with the therapists, interacts with the school, someone who copies and forwards each evaluation to all the other participants, talks with the local service providers for ‘in home services,’ ideally this person who comes to your home to provide services 'in the home' is also someone who speaks English or failing that, someone who likes children, finds a slot on the school bus that does leave before dawn or return after dusk, someone who knows that an hour and a half on a bus each way is not good for any child, especially when the school is only 7 minutes away, someone who can see anomalies, such as, what is the point of taking two children on the bus but leaving the typical one behind as ineligible because if you’re driving one typical, you might as well drive all three and therefore it isn’t a real service at all, which is kind of what they’re banking on because if no-one takes up the service then clearly it isn’t needed and that will save the budget some, someone with a slew of resources for allergies, specialist food sources, medical suppliers and sleep specialists, someone who knows a dentist who will accept autistic children, someone who understands that the transit taxi service to and from therapy is not an option for some children without specialist training first, that days are short if you find yourself ferrying children to and from therapy for thirteen different sessions per week after school, finds a good respite worker, a respite worker who could, just possibly, look after the typical child whilst the other two are at therapy because no-one else can take them to therapy, if not, you’re not actually helping, who has the forms for a disabled parking sticker application and corroborative evidence in support of the claim, or the forms for diaper and pull-up subsidies, someone who appreciates that sleep deprived children and parents with a wide variety of intermittent sleep disorders rarely pick up the phone because it is pointless unless there is the remote possibility of hearing the speaker’s words over the din and that e-mail is not a deadly sin and a far more practical way of communicating in the 21st century, and I won’t sue you if you make a spelling mistake, especially if you can only call between 10 and 4 when everyone is here and needs supervision, a person who not only provides specialists with an 8 month waiting list but also has a forward reminder system so that follow up is at least a remote possibility, and yes I understand that you need to conduct our evaluation for services in our home with the children present so that you can check but please understand that at best you will only have 10% of my attention to complete your forms and answer your questions whilst I cater to everyone else’s needs simultaneously, someone who understands that my estimate of the number of minutes I spend on laundry per week is very approximate and subject to irrational peaks and troughs but roughly approximates to a minimum of three loads a day and that I am unable to accurately deduct the percentage amount of time spent upon other family members laundry, ditto food production, ditto cleaning, someone who has heard these terms before:- autism, speech delay, elective mute, echolalia, sensory issues, pica, smearing, tactile and oral defensiveness, to name but a few, someone who doesn’t expect me to explain these terms to them in my children’s presence, someone who realizes that there are two of them, they are related, they’re brothers, they live in the same household, at the same address, together with the rest of their large family, they are autistic now, they were autistic then, they will continue to be autistic, you don’t need to check so often, I’ll let you know if either of them ceases to be autistic, they have names, different ones, the big one is called Owen, the little one is called Leo, Little Leo, does that help, although they are related and autistic, they are not clones, they are completely different from each other, someone who can fit all the pieces of the schedule together, remove all unnecessary duplications because there are two of them, ensures that all these different people know who everybody else is, what they are doing, why and when? If wrap around services started from day one, then this would mean, that amongst many other things, such as, kick starting the process of order, progress and family sanity, my time would be freed up to thrash the bloody medical insurance company into submission.

And that’s the brief version.

Wednesday, March 11, 2009

Eat your words



Well let’s just try and be polite about it and say that I have a sense of humour that isn’t shared by many. Because of my freelance status, I am generally careful about the tricks and jokes that I play upon other people. All too frequently, sarcasm, the lowest form of wit, is mis-understood and roughly translates to mean mean. Meaness is not the goal. The goal, broadly speaking, is joint attention and enjoyment, although a wee giggle wouldn’t go amiss.

Hence as I pick up another piece of paper mangled by the completely useless printer, I notice that the tear bears a remarkable resemblance to a bite mark. How can I resist? I march up to the first one with a cross expression. “Hey you Mr. Sonny Jim. No more eating paper if you will?” He looks at me blankly as I waggle the blank piece of paper in front of his face. “It were ent not me.”
“Yes it was. Look. It’s the exact same size as your teeth.”
“No. It is being too big for to be me.”
“You think?”
“Yes.” I see no glimmer of recognition so I pull him along with me to the next one so that he can witness and re-group and practice.
“Hey you Mr. Sonny Jim. No more eating paper if you will?”
His brother blinks at me, not vacant but engaged with other matters.
“No. I din dun do it.”
“It were ent not me neither,” repeats his little brother.
“Are you sure? Look it’s the exact same size as your bite.”
“No. I not.”
“Right then.” I haul them both along to repeat, regroup and practice with their sister.
“Hey you Miss Madam. No more eating paper if you will?”
She rolls her pre-teen eyes and notes her brothers’ presence, hovering and ever so slightly expectant, perhaps.
“Weren’t me.”
“Oh yes it was. Look it’s the exact same size as your bite!” She looks at the paper more closely. “Geez! It’s a load of old rubbish that new printer, innit?” No-one is responding as I wish them to respond. I purse my lips and glare at their mystified father. He removes his glasses to begin cleaning them, methodically, as he adds, “I seem to recall that you’re the only one who has ever been caught eating their exercise books in school.” Now they all look at me. Now they’re interested. “True, I have to admit.”
“You are eated paper?” he asks, incredulous.
“Yes. When I was at boarding school. We were always hungry and possibly bored.”
“Dey din dun feed you at your school when you were being a child?”
“They did,……..but not enough……..and we often had to fast on a Friday.”
“Fast Friday? What is dat being? I am liking fast, dat is my kind of a school.”
“No actually, it isn’t your kind of a school. It’s not speedy fast but ‘don’t eat’ kind of a fast. Come to think of it, that probably would suit you very well.”
“I dun fink I am liking dah very fast school for eating paper.”
“Yes, your mum probably has more trees growing inside her than anyone else we know.”
“Don’t be daft dad, that would only be if she ate tree seeds. Did yah eat tree seeds too mom?”
“No, just apple cores and their seeds…….and their stalks……..I was very hungry.”
“Are you……are you……….are you hungry now?” he asks tentatively.
“Starving!” I stuff the paper in my mouth and begin to munch with avid enthusiasm as I watch their faces, to my personal delighted satisfaction.

I’d eat the whole ream for that kind of joint attention.

Tuesday, March 10, 2009

Portion Control

5 Minutes for Special Needs








If you enjoy caption competitions and photographs, you may wish to nip along to"DJ Kirkby" over at "Chez Aspie" and test your brain power.

Monday, March 09, 2009

Fox on a stick – how to make your own





Recently on "Victoria’s Stillwell’s" programme, ‘It’s me or the dog,’ on "Animal Planet," they featured an exercise toy for dogs, especially our Labradoodle, Thatcher. This tremendously fun toy is of course completely "unobtainable" and all the stores have sold out. I know you’ll believe me when I tell you that after half an hours viewing, we had to have this toy, and not just for Thatcher the dog. Our dog Thatcher needs two, one and a half hour exercise sessions a day, but with the current rain schedule, this task has fallen solely upon my soggy shoulders. No big surprise there. However, with a little temptation for other members of the family, you too can take a little respite by making your own ‘fox on a stick.’

You will need:-
A flexible stick [not too long or may break or bend]
Duct Tape
Drawer liner plastic fabric
Swivel
Thick cord
Bungee cord
A strip of furry fabric or old stuffed toy
Bacon grease



First tape the drawer liner fabric to one end of the stick and build it up to fashion a handle for those with poor fine motor skills or elderly persons with other grip issues.







Slip the thick cord through the swivel and duct tape it to the other end of the stick.

Knot one end of the bungee cord to the swivel.

Slip knot the fabric or old toy to the other end of the bungee cord.

Spread a little bacon grease on the furry fabric and introduce the contraption to your dog. Once your dog is in a state of ecstasy over the bacon grease transfer dog and contraption to the garden and whiplash the furry fabric around the lawn and watch your dog revel.

Needless to say, my youngest son who favours long handled things of any kind is almost as ecstatic as the dog.

Tackle It Tuesday Meme

Try This Tuesday

Sunday, March 08, 2009

Swimming against the tide



Hosted by "Tracy" at "Mother May I," but the photo-picture below will whizz you right there with one click.

Just call me snap happy.

red BSM Button



Photobucket


I've been very busy in the bowl / pot making department.






So I took a morning out to teach my daughter how to throw a pot on a wheel.
Pretty impressive stuff for a first timer!





This may look like my old design, but it's a variation on a theme.



Can you spot the difference?





And yes, it is of great significance to me.

Some see a fish that looks like just all the others, indistinguishable from his fellows.

Some may see a rogue fish going the wrong way.


Others may feel an ironic association with eye contact, or maybe something else.

For me, it's more that there is a different perspective, often more than one, but most of us are far too busy running with the crowd to notice alternatives and appreciate them for what they are, differences. Not better. Not worse. Different.

Hoping these little guys will be fired over the next two or three weeks when I hope to make them available on Etsy. Let me know if you need one, two or three outstanding freelance fish in your bowl?

Saturday, March 07, 2009

Reversal of fortune

Every once in a while I am surprised by my own behaviour. It’s as if I have transported my being into the body of a fly. The fly stands on the ceiling to observe me. From this vantage point, I have a whole new perspective. And there I am, running around in my dressing gown, in hot pursuit of a medium sized child. I have a teaspoon in one hand full of pink goo and the other hovers beneath, a cradle for the drips.

I suspect that each of them learned to recognize the crack of the child-proof safety cap on a medicine bottle from far too early an age. It was always ear infections with raging fevers and accompanying pain. The medicine was not associated with relief as it is for some but instead became associated with a chase. Little fat chubby legs propelled them to scatter like gulls at the sound of the crack, all of them, regardless of who was the real victim. The compensating M&M was insufficient to overcome the fight or flight response. I doubt if a sack of M&M’s would be enough, nothing is enough to counteract that initial response. All too often these little habits have their roots in the long distant and hazy past. They build over time and reinforce themselves upon each additional exposure. We run like rats through the groove of our own making. Our brains tell us that we’re repeating the same mistake over and over again but somehow our bodies continue to follow that well worn path without question. If there is a question, it is very quiet and ill formed. Certainly insufficient to make us pause for more than a nano second and not enough to make us stop, think, re-group and start afresh.

Generally, these habits aren’t wrong, wicked or corrosive, merely completely daft, but it takes an intervention to put on the brakes and break the cycle.
“Mum?”
“Can’t stop now I’ve nearly got him. Be with you in a minute.”
“What on earth are you doing?”
“I just need to give him his anti-biotics. Now look! I’ve missed him. He’s hidden somewhere.” I glare at my daughter, the cause and source of the medico interuptus.
“Look at you.”
“Look at what?”
“The medicine.”
“Yes, it was so much easier when they were smaller when I could use those squirty things. Now I need better aim.”
“Is there any medicine still left in that spoon?”
“Of course. I’ve hardly spilled a drop, 5 ml give or take. I’ve had lots of practice. I’m an expert. I could run an egg and spoon race and win with a blindfold.”
“How apt.”
“Apt?”
“Blindfold! Blinkered! Barmy!” she leans down to grab her little brother’s ankle and hauls him along in his blanket cocoon to the kitchen. I mince behind them on tip toe, ready for the screams of protest. “Come on you. Up you get. Let’s see you stand on your legs.” My youngest son stands up, on his legs.
“Take a step nearer the sink and lean over so I can clean you up if you get all mucky.” My son leans over the sink and juts his chin forward. My daughter reaches for the spoonful of medicine, “open wide!” He opens wide, very wide. “Now swallow.” He swallows and blinks hard as a little shudder ripples through his body. “There you go. Easy as pie. The trouble with you is that you’ve made it into a game,” she announces as she folds her arms across her chest and leans back against the counter. In one fell swoop she has managed to achieve what I have been trying to achieve for approximately 12 years, give or take a decade. Despite myself I beam.
“What’s so funny?”
“Nothing……..” I lean against the opposite kitchen counter, “I’m just really glad that you’re they’re legal guardian.” My son slumps against me to add “Mum’s game is fun…..I dun wan a guardian angel.”


The drips have escaped here and there, neon and glistening, a veritable feast for a fly.

I wonder if angels do clean up when they’re off duty?

Friday, March 06, 2009

Why’s are good and other wasted words

Slurping Life



Get the code:-
Cut and paste
from this little
boxy thing below





“Why?” asks Nonna, without preamble or clue.
“Why what?”
“Why……do dey still go to therapy?”
“Because it helps them.”
“When do dey stop?”
“I have no idea, although a couple of years ago I was there when somebody graduated.”
“Graduated?”
“Um…….had learned enough skills to be able to cope.”
“Cured?”
“No such thing.”



“But why do we have to wash the glasses when they only had water in em Mom?”
“Because your lips were on them. Do you want to drink out of a glass that’s had somebody else’s lips on it?”

“Why?”
“Why what dear?”
“Why……I am have to go to therapy?”
“Because therapy helps you do things that you find difficult.”
“Where?”
“Where what dear?”
“Where is difficult?”
“Um…..”
“You said…….it’s lost.”
“Did I? Oh right, ‘find,’ as in lost……I meant……some things are difficult for you to do. Therapy helps make them easier to do and before you ask, speech therapy helps with difficult speech.”
“Mom?”
“Yes dear?”
“Don’t put words in my mouth.”
“!”

“Mom?”
“Yes dear?”
“Why?”
“Why what dear?”
“Why ……he am say……’you’re weird’?”
“Because…….he hasn’t learned that people are different…….life would be very boring if we were all the same………we’d only need two people on the earth if we were all just clones, or maybe only one come to think of it.”
“Barbi!”
“!”


Thursday, March 05, 2009

Defiance – how to handle it, how to recognize it?

It becomes a habit every day, day after day.

Every day at about 7:50 I announce departure time. Time for school. It’s the last transition of many, in our finely honed morning routine.

Currently we have a new hic-cup. My announcement prompts him, a reminder. Now he knows that it’s time to leave it also means that he remembers that he wants to take a Garfield book to school to share with his new pal. Instead of prompting him to move towards the car, I inadvertently give him a tip off to go and seek out the book. Wrong direction. Wrong prompt. Insufficient time to accommodate this new step.

I bound after him, up the stairs, three at a time because I’m cross and I am utterly sick of the deviation from the routine. Late for school is a really bad way to start the day. It wouldn’t be so bad if he could just nip upstairs and grab a book, but nipping isn’t in his nature. His nature dictates that considerable quantities of time must be expended upon choice, far too long for the tightly micro managed schedule. If the morning routine is derailed, then the last transition can unravel the previous hour’s work.

I yell at his swiftly departing shoes as they disappear. Yelling is nearly always a mistake. A louder voice is no more likely to be heard than a quieter voice. “Stop now and come down here!” A shrieky voice is quite properly tuned out.

This habit has developed as a direct result of my own behaviour. Unwilling to leave the other two unsupervised downstairs, I have permitted him to saunter off at the last minute to get a book. Day after day, day after day. If I leave the other two unsupervised downstairs those last few crucial minutes of the routine deviate down a cul-de-sac. The little one removes shoes, the coat gets lost, a bathroom call means that clothing is superfluous but worst of all by far, is that he’ll start to do something new, which means that there will be an additional ‘stop,’ and an additional ‘transition,’ which means an additional meltdown.

If time allows I can prompt him through re-dress, re-shoe, wash hands, flush the loo, hunt the coat. If not, I can do them all for him in about 4 minutes flat. The one thing I can not do is prevent the inevitable meltdown from ‘stopping’ the new activity. I do not want to deal with additional meltdowns just before school. The minutes before school must be calm, organized and structured so as to give them all the very best chance of experiencing a successful day.

Today, the hic-cup must be eliminated. I find him in his room sprawled on the floor surrounded by a slew of Garfield cartoon books. I close my mind to the downstairs scene where the clock is ticking backwards. Downstairs the morning routine is in reverse. I look at my son. He is approximately twelve and a half minutes away from making a positive choice. I can feel steam bursting from my ear-drums. My voice is too hard. My face wears a scowl. I grab the nearest book and pull him to his feet. Outside the engine revves as his father waits for the delivery of three children on the driveway, the sound pumps my blood pressure. I march him and the book back down stairs as I berate him with a detailed example of defiance. Too harsh. Too fast. Far too many words. Irritation makes me irrational, too quick to categorize.

Back in the kitchen he is small, shiny eyed and round shouldered but just about holds it together despite the over-kill. His little brother blinks out of the toilet, stitchless, hands full of Pokemon Trading cards, alarmed by the static electricity that ignites the room.

Tomorrow will be different. Tomorrow will be better. Tomorrow I can prompt him, twelve and a half minutes prior to departure, to go and choose a book. It's not defiance but determination

Fortunately for me, he's a very forgiving kind of a child.

Wednesday, March 04, 2009

Once upon a time

In my early lurking days, I came across a blog where a mother listed a virtuoso account of her son’s destruction, together with photographic evidence. She bewailed the many woes of being a mother to such a child. Much to my [secret] delight, her followers berated her in no uncertain terms. There was mention of terms such as ‘lack of supervision, boredom, any attention, even negative attention is better than no attention and my own personal favourite:- where the hell were you while this was going on?’ It was a salutary lesson to a pre-blogger. This is not to say that when children mis-behave their parents are always to blame, more that we are often, no matter how unwittingly, co-conspirators in our own demise.

Around here there are lots of parental excuses because we have small brains and feeble jugglers. There are issues about midlines and poor core body strength which we tend to gloss over, especially early in the morning. We concentrate on basic routines, to aim for school on time. The minutiae and the big picture collide. Speech production and psychology are upper most, to set them up for a successful day. Attitude adjustment is a priority. There is no point arriving at school in the negative. If we want them to learn and give their teachers a fighting chance.

It’s complicated.

If my son is draped across the table eating breakfast then ‘stop slouching!’ is not going to build his self esteem. ‘Sit up straight’ is not a command conducive to building morale. ‘Let’s see how tall you can sit,’ might be better but it’s also a distraction from the complex multi tasking of food consumption, sitting and talking. This is especially true when sitting is a new skill, consumption has widened and talking is still a challenge.

It’s not merely a question of table manners. It’s also discrimination between siblings. Different standards apply which appear unfair.

It’s also practical. As food flies around due to poor fine and gross motor co-ordination, spilled milk is a slippery hazard for the elderly. Scattered cereal is a temptation for the dog and puppy training must also continue. Then there is my own perspective. Children bathed in their own breakfast must be washed, as must the entire room and furniture. It’s more than sour milk and sour grapes.

If I interject with a verbal irrelevancy, it’s means we will never recover ground within the allotted time span. It is simply easier to let the matter drop. Other times, one small minor adjustment can make all the difference.

My words are merely a warning that I shall be laying hands upon him. I move around to the back of his chair to tuck him in, rearrange his body parts and realign the bowl and spoon to a better position as I mutter, “just let me line you up for success sonny Jim.”
“Mom?”
“Yes dear?”
“I am not being Jim.”
“I know dear.”
“I am not being sunny.”
“Er……yes……sorry about that.” I peter out, thwarted by logic, as usual.
“Try, try, try again,” choruses his little brother, “itsan idiom.”
“What’s an idiom dear?”
“If at first you don’t succeed.” I resist the urge to yawn or slouch onto the soggy table myself. We trot through our regular mantra, which roughly translates to ‘I can do it, I know I can.’ We repeat them, as saying them out loud is more effective, buoys them up until we approximate cheer leader status, when they pop out of their chairs, ready to take on the world. “Mom?”
“Yes dear?”
“I’m gonna have a succeedful day.”
“Oh good!”
“Yeah……I’m gonna be EOTM.”
“Er…….EOTM? What does that mean dear?”
“Employee of dah Month.”
“!”

Tuesday, March 03, 2009

Caged

5 Minutes for Special Needs






It's a dog's life = I swear this was voluntary.



If you enjoy caption competitions and photographs, you may wish to nip along to"DJ Kirkby" over at "Chez Aspie" and test your brain power.

Monday, March 02, 2009

How was your day?


Tackle It Tuesday Meme




Try This Tuesday



At school pick up we all experience variations on a theme. One child talks non-stop without drawing breath. Another is taciturn but otherwise chirpy. Still other’s are silent and may well have been silent all day. How do we encourage our children to converse? How do we ensure that the channels of communication remain open, not just now when they’re little, but for the future and those doom laden Middle School years?

How do you coax and encourage quiet and non-verbal children to converse?

Non-verbal is a term that causes a great deal of confusion to many. Surely the non-verbal child is one who does not speak? Whilst this would be a logical conclusion, it would be very far from the clinical truth. This is in part because 'non-verbal' is a liquid term, a shorthand that covers a wide spectrum of speech impairments. I only have direct experience of two versions of non-verbal:- both my boys hit the requisit milestones of child development but thereafter languished. If I had been more astute, I would have recognized that whilst technically they had met the milestones, there was a significant gap between the general and the specific. Three word sentences existed to make verbal demands for what they needed, however, the social element was absent. The subtlties of joint attention:- ‘look mum, look at the bird!’ or relationships, “look at me Mom!” or common social nuances, “I like that cat / thing / you,” failed to materialize. These, amongst many others should have warned me, but they didn’t.

I was deceived by their other skills, a facility with letters and numbers, their ability to read well above their chronological age and their willingness to pronounce long words, predominantly dinosaur names.

Rather than draw up a full list of the many scaffolding techniques available for parents, instead I’m happy to share a tool that worked for us, to a greater or lesser extent.

First I collaborated with the school who were willing to provide a daily report about both boys performance during the day. Additionally, I obtained a list of all the childrens' names in their classes. This can sometimes be difficult with very young children where privacy issues have to be addressed.

I then made a laminated question sheet for each child with half a dozen standard questions with tick boxes. Many children have greater receptive language skills than expressive language, in that they understand far more than they are able to express themselves. Hence, tick boxes provided for yes or no answers rather than anything more stressful.



If your child has a favourite colour, then now would be a good time to use it. Personalized icons also help attract their attention and personalize their input. The kinesthetic act of attaching their particular face icon to the chat sheet, helps engage them in the exercise, like a first step to acceptance and ownership, to help them have a personal investment and reinforces the one-on-one aspect.

Every day after school we went through the questions. [for weeks without any response at all!] I adapted them over time to take account of changes, errors and mistakes. They covered the main ‘who/what/where/which/why/ how’ queries as they had great difficulty distinguishing between these. These kind of routine, structured and predictable questions eventually produced responses. Many are factual, such as ‘who did you sit next to today?’ which are infinitely preferable to the ‘how do you feel?’ nebulous kind of enquiry.

They can be used to reinforce and generalize other skills that you’re working on, such as sharing, negotiating and compromising, asking for help. I appreciate that this is a very basic communication tool but it was an invaluable early stepping stone when five hours of total silence was more commonplace. Since I had three young children at the time, I started with my daughter and then each of my sons as the repetition helped them to know what was expected and also reassured them that this was just another piece of the everyday schedule. [that had to be endured!]

Try not to insist on eye contact or general body orientation. If you have a child pinned down to tackle a particular obstacle, such as answering verbal questions, now is the time to allow them to use all their different coping mechanisms in order to initiate a positive [verbal response.] What does this mean? Ignore the hand wringing, toe tapping, squirming, hair twiddling, ceiling staring, floppy bodies, chair rocking, clothes pulling, skin picking, ear tweaking, nail biting…….it doesn’t matter if they answer you, you can deal with all that later once you’re managed to evoke a verbal response. Don’t let it distract you from the primary goal, speech. If verbal communication is not their first choice, then we need to make it worth their while. If we cut off all their coping mechanisms we’re actually making it harder for them. {yes, I appreciate that this is the opposite advice from many speech therapists, where the child needs to stop all the fiddles because the fiddles are distracting}


From a parents perspective, it also gave me a tool to ensure that I was consistent and calm. It only took a few minutes a day. Although they were unresponsive for many weeks, eventually they accepted that this was just another one of those little parental hurdles that had to be overcome. For my boys at least, once something becomes accepted as part of the routine, there are far less meltdowns as it is no longer ‘new,’ but it can take a long time, far longer than the typical child. However, in the long run, however long that might be, it’s definitely a small step in the right direction.

Above all, do not become disheartened. Some of the changes we try to implement seem so tiny and insignificant. Although they are tiny and insignificant, they also have a huge negative impact upon our children, initially. What seemed like a jolly good idea in the middle of the night, can seem like the stupidest mistake the next day when we try and implement it. Once we have started a new routine or campaign, the fall out can be heavy, resistance can seem quite overwhelming. Suddenly the previous status quo seems infinitely preferable. We are then faced with the reality that we need to follow through on what we started, otherwise they learn that protest will succeed.

This is not to say that there aren’t mistakes. Sometimes we overlook something important such as timing. For example the first half hour at home after school may not be the best time to plague them with questions. This doesn’t mean that the question campaign should be abandoned, rather that a better time should be chosen when they’re more receptive. If we discover that one particular question provokes a more violent response, then change the question to something less taxing, avoid that trigger and stick to the big picture.

How do I know that this works for some children? Well one particularly frustrating day, my youngest son was fizzing away and unresponsive. As he leapt away, I ran after him clutching my question sheet and a pen. I resisted the urge to duct tape him to the floor. He kept running around the periphery of the room and I ran after him. Then he jumped up to touch something at shoulder height and shouted “Ryan!” in answer to ‘who did you sit next to today?’ He kept running and each jump and touch meant a shout, an answer. That was the first day that I had a verbal response to each question. This is how I learned to ignore the fizzies. I also learned to sit in the middle of the room whilst he ran rings around me. It’s been like that more or less, ever since.

I could write a whole book on just this one issue so I’ll shut up now as I can tell that I’m beginning to ramble.

Cheers dears

Sunday, March 01, 2009

Facial Expressions and emotions






Hosted by "Tracy" at "Mother May I," but the photo-picture below will whizz you right there with one click.

Just call me snap happy.

red BSM Button





Photobucket

A whole book full of faces.




True they're pumpkin facial expression but he drew 30 plus a cover, all different.




This is my favourite one, dizzy.







This is a very particular triumph around here. Facial expressions and body language in general, are notoriously difficult for some autistic children to interpret. This is often associated with “face blindness,” but I’ll try not to get off track. Quite often, depending upon their vocabulary and age, they’re quite adept at naming different emotions. However, on the whole there are far too many of them. Happy, sad or angry was quite enough. Whilst this works as a broad rule of thumb, it can be jolly handy to have a few additional ones at your disposal.

Saturday, February 28, 2009

Social compass:- how we fail our children

Sometimes my head hurts as I try to keep ahead of the wide variety of scenarios in every day situations. I believe that this is why autism is exhausting, not physically, but the mental gymnastics of holding together a wide collection of possibilities, weighing, comparing and analyzing the likelihood of any particular outcome.

One of the reasons that some parents are extremely inefficient is because they fail to adopt an adequate decision making matrix. To paraphrase "Quality Tools":-
A decision matrix evaluates and prioritizes a list of options. The team first establishes a list of weighted criteria and then evaluates each option against those criteria. This is a variation of the L-shaped matrix.

This is a simple approach for parents to absorb, strategically and systematically. Once this "system" is in place apply logic:-
The a list of options must be narrowed to one choice.
The decision must be made on the basis of several criteria.
The list of options has been reduced to a manageable number by list reduction.

Just like that we regain control so as to more forward on a consistent platform. If only more parents would follow this logical path, then all sorts of social situations would become a breeze:-


We wait for my daughter to return from school after a field trip that runs late. My older son climbs the play structure with all the other waiting siblings. Mother’s huddle in groups chatting. I sit on the bench with my youngest son curled up horizontally in my lap, as he endures the torture of ‘wait.’

One of the siblings comes in the form of a small four year old or large three year old. He play punches my son as he climbs. It’s good humoured on both parts. My son gets the chance to play the cool, tolerant older kid. I concentrate on the child that meows, furled tightly on my thighs. I stroke and massage his shoulders to keep him calmer, if not really calm.

A mother approaches Mr. Punch as his enthusiasm grows, “hey, stop beatin up the big kids,” she calls playfully, because we all see the joke, huge nine year old and a little enthusiastic tot.

The children disperse into different groups and activities. The small boy follows my son, or possibly the other way around, as he always gravitates to little kids, given the opportunity. I watch as the play punches get harder and more frequent.
I wave an arm and call his name, but he blows me off, “it’s o.k. mom, I like it.” I know that he does, the attention, the physical contact and anyway, it’s fun. What would a typical nearly 10 year old do in this situation? I have no idea.

I dither as I watch at wait. He seems to be holding his own. Another little boy joins them. They both throw punches, encouraged by my son:- ‘bring it on.’ He laughs and jokes with them. Two against one isn’t fair, but it’s not two against one, it’s two eights against one, and they’re not really against. He play acts pain, an exaggerated cariacature with a huge grin on his face, which encourages more blows, if you can call them blows, which you probably can’t. The weight on my lap shifts as he turns his attention to his brother, “he is play wiv his friends?”
“Hmm, yes he is.”
“I play too!” he announces as he zips off to join the other three, stiff legged and armed, Mario style. I remain on the bench uncertain. I look at my two large boys who almost match each other in height after a brief growing spurt. They currently enjoy the number of enquiries, “are you guys twins?” the attention, the joke, the trick, no matter how often, as repeats are welcome.

The little boys’ focus remains on him, as my younger son stands on the periphery, the sidelines outside of an invisible field of shared attention, a exclusive boundary.

Now my focus changes. Not on my son, who is happy to bask in their attention, but to the possibilies from my other son. He has been known to defend his brother from what he perceives as attacks. Commendable mis-fires. There is the chance that he will join in and either punch his brother, or worse still, punch one of the little boys. It’s just the kind of thing that we hear about in the media:- ‘autistic child caught in unprovoked and mindless attack on innocent toddler.’ There’s never a back story. Sometimes the back story comes later, but it’s the headline that sticks in the mind of the public. It’s not dislodged, erased or superceded. As a result the public is left with a random collection of negative assumptions to apply to the autistic population, a general shorthand. Each additional headline loads another brick in the wall of segregation, isolation and mis-information.

My son would be copying and joining in. He would be adopting the apparent cultural norms. He would be unlikely to hit them hard but he is double their age and size. Alternatively, one of the little boys might hit him. If this should happen, he who cannot be touched by anyone, would be likely to scream the place down, which would be fine if a little disconcerting for some, but he might hit back, which would not be fine.

If I step in I am both a kill joy and over-protective. If I remain un-engaged I risk serious fall-out. If I step in, I need to decide how? If I don’t hurry up the decision may be taken away from me. I glance at the mums who chat with an eye on the road for the awaited bus. Until I saw her look, I had completely forgotten about the bus. And look, there is the bus! I blink back at my son who is on the ground doubled up. No sign of the tots as they scamper off to the bus. His brother crouches by his shoulder with his arms over his head, as he rocks in commiseration. “It was an accident!” he yells, “that lil guy didn’t mean it.”

I’m sure he’s right but my decision making matrix is wrong.

Friday, February 27, 2009

Na, na, na, na, na

Slurping Life



Get the code:-
Cut and paste
from this little
boxy thing below






At bedtime my children exchange squawlks from their different rooms. My daughter prances back into their room dressed from head to foot in blue, for no apparent reason. Her youngest brother ignores everything as he reads his Garfield comic books, as the other two set to.
“Why you are blue now?”
“No reason. Night shortie.”
“Why you are call me shortie?”
“Coz you’re short, shorter than me.”
“Oright, night tallie.”
“Thanks.”
“You like tallie?”
“Sure. You’re gonna have to try a lot harder in the insult department shortie.”
“Oright. Night bluey.”
“Thanks.”
“You like bluey?”
“Sure. Why wouldn’t I?’
“Oright then. Night butt head!”
He, who has not been listening, erupts from his bed, casts Garfield aside and launches into siren mode, “alert, alert, alert, inappropriate speech pattern, inappropriate speech pattern, inappropriate speech pattern!”

No doubt, another restful and blissful night awaits.

 
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