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Tuesday, July 23, 2013

B Writes:

Hi this is B. Thank you to everyone who has and has not donated to pay for my trike but instead for trike equiptment, i love it and so does Crobar. He attempts to sit on the seats whenever we take him on it but he does not know how he is supposed to sit on it without falling down. We have agreed to stop taking him however because he is choking himself on it since we like going really fast on it and he can't keep up with the trike. But mom trys to limit our bike time for the dog and there is no limit to my energy on that trike.

Mom says: I wanted to post a video of her on the trike, but I haven't got one yet. B wrote this by herself. :) (Well, not this last bit.)  Please feel free to repost this.

Thursday, April 18, 2013

Ritalin For Everyone!

Quite frequently I see posts on Facebook by my friends such as these:


Implying  that kids who have ADHD are simply normal energy level kids, and that parents and educators are lazy and just don't want to make the effort to control their kids.
     I can't answer for the system in the US, only here in Canada. B has ADD as one of her diagnosis. I have more experience than most people ever will in the child psychiatric and health arena, and I am going to say now, and for the record: Unless you have a kid with a diagnosed mental health disorder, you have no idea how lengthy and involved and complicated it is to get them diagnosed, so you should probably stop acting like you do.
     Even getting B diagnosed with ADD took several visits to Children's Hospital,  and hours, I mean HOURS of filling out mental health questionnaires. Dozens of them, all with similar yet slightly semantically different questions. She had to be interviewed and tested by two psychiatrists, and not just once, but five or six times over her life by different psychiatrists, all of whom can UNdiagnose as well as diagnose. That was what happened with her diagnosis of Nonverbal Learning Disorder. She was diagnosed with it when she was five and UNdiagnosed with it when she was a couple of years older, in a diagnostic test at Sunny Hill that took, and I am not exaggerating here, a full week to undergo. Seriously, 8 hours a day for a week.
     So let's be very clear here: In Canada, you do not walk in to a clinic and say: "Hey, Jimmy won't eat his peas and keeps jumping off the couch," and the doctor says, "Well, that sounds like ADD. I won't recommend any other course of action, let's simply shove Ritalin in his face and have done with it." (If your GP DID do that, report him him/her to the College of Physicians, because that is wrong.) NONE of the doctors B has had has EVER suggested medication for her ADD. For her anxiety, yes, and for her seizures, yes, but not ADD. Neither did they force me to medicate, even with the seizure medications. We had appointments, options were discussed, I read up on the medicines and things were tried. And anyone thinking that all she needed was a sea grass enema, relaxation tape, and a more understanding parent is at best deluded and at worst,  insulting and assumptive. Getting your kid diagnosed is the longest and most complicated way of being a lazy parent that anyone could undertake.
     And these diagnosis are hugely important. A diagnosis makes getting services in school and in the community possible. I know people with adult children who do not have a diagnosis, and they get no services. Their kids do not have a condition that is recognised, so they get nothing despite being fully acknowledged as having developmental, mental health, or physical problems. These services are not extra special treats that our kids are spoiled with, these services are meant to make independence or family life a bit more realistic and possible for us and our kids. Make no mistake, these kids 30-40 years ago were too often stuck in mental hospitals and abused their whole lives. They deserve better.
     And sometimes better means medication. And sometimes it works well, and some times it doesn't. And sometimes you have to try again. A lot of medicine is just educated guess work, and psychiatry is a soft science, but it is informed by hard science, by neurology and neuroscience, and there are things about the brain that are measurable and treatable.
     A few months ago, a friend posted this video:


     First, this video was made by the Citizens Commission on Human Rights, which sounds legitimate, but is actually a bogus mental health organisation run by the Church of Scientology. I wrote about them in an earlier post. I am not taking any advice on mental health from a bogus institution that bilks millions and was an admitted scam by L. Ron Hubbard. Second, even if this were by a legitimate mental health group, the perceived message here is that, "Parents and educators are just putting down non-conformists! Fight the man!" but the message I take from it is, "You can't have a mental health disorder and be anything but a mental health disorder. A diagnosis will end your life."
     I think, with the proper diagnosis, the right therapy and even medication, you can have a mental health disorder, and live a life, and be a leader. Diagnosis, proper diagnosis, and treatment doesn't preclude that, it makes it possible.
      None of this is to say that there aren't huge problems in healthcare, that we don't have to watch and care for human rights, but that is done by supporting and helping those who are affected, not by second guessing and criticising them. Not by making assumptions you are not qualified to make.
     You know what they say about making assumptions? If you assume, you become an ass. To me.
     I think the most hurtful thing is that the parents I know who medicate their kids, it's a hard decision. You come to it  at the end of reading and trying every other thing you can find. You don't just wake up one morning and think, "Ah, you know what would make life easier? Psychiatric and medical intervention for my kid."  For parents, learning about and facing that their beloved child may have problems and needs help is painful, and difficult, and lonely. Watching your kid go through school without making friends, or handling the work, or hitting regular milestones is devastating, and these parents actually have to work harder to educate schools, family members, friends. You have to reinvent the wheel for people time and time again. It's exhausting. So maybe the next time you go to post these, maybe think that there might be a better way to support these kids, maybe there's a better way to work on change in healthcare. And maybe that starts with asking someone who is a patient how you can help.



Tuesday, February 26, 2013

The Right To Be B

    I have spent a lot of time, over the past few years, thinking about B's right to not be in the limelight. I write about her, give speeches about her, hell, I'm sitting on a novel I've written about her, fresh from an awesome editing friend. I often have to draw a fuzzy line about what is my story, and what is her story, and where my rights and what benefits I am intending end, and her rights begin.

    It's not easy. My tactic so far has been to ask her if it's alright. She has had complete access to my novel, and so far she's always wanted me to tell people about her. Still, I ask because assuming would be unethical. and sometimes she feels nervous or exposed in the moment, and needs to wrap her head around what is going on. I try to respect that.

    When a certain young girl in the news now was insulted by a satirical newspaper, that is what I thought about. I'm not going to name them or link to any stories. If you don't know what I am talking about, then, oh hai, how's it going under your rock?

    As much as it was offensive, and it was, my immediate thoughts were that this little girl spent the night attending what surely must have been a magical night for her ( I consider award ceremonies elitist crapola, but most people don't) and woke up the next morning to a pile of shit. No nine year old should have to experience that. But the actuality of the insult and the retraction would be just the start, as endless commenting and articles and stories would surely follow. All without that girl or her family having indicated what they wanted, what they thought would be justice. Well meaning people would express their outrage, and bigots and morons would up the ante constantly. I feel so bad for what that family is going to be exposed to in the next few months. And yes, I realise that sexism and racism and classism are constantly stealing from us and grinding us down, but it's different when you are singled out.

    I determined not to read, or comment, or link to any of the avalanche of media attention, unless it is something from the girl or her family.

    This led to a sort of revelation to me. I realise that in the past I certainly have done exactly what now bothered me. I feel outrage at some horrible injustice, some abuse of an individual, and by goat, I would defend and argue and read and quote. See, that's actually a part of me, it's integral to my personality. I am a fighter, and I will willingly wade in and battle my fearsome foe, especially if I feel a kinship of oppression. But I rarely consider if that is what the person wants if they are not known personally to me. And no matter how righteous my anger, no matter how good my intentions, that's actually a pretty damn ignorant thing to do. My righteous anger does not outweigh their right to fight the fight they choose, even if that choice is not to fight at all.

   Years ago, my sister came out as a lesbian. At one point I can remember feeling resentment for her because she was not as much as a feminist as I felt I was. Why, she was a lesbian; she owed it to me and our sisters to fight, march, organise. I finally came to realise that I didn't have a right to expect that. Just living her life as an out lesbian was enough, it was brave and inherently political, and I could stuff my expectations. Not everyone is at the same place at the same time, and that's okay.

   As leftists (wherever you are on that spectrum) we actually owe it to victims of abuse not to press them into service for our anger. Even if that anger is right and just and fitting. Even if the abuse is public, and in the media, and systemic, and representative of all that is wrong in society. We need to make sure we ask how they want to pursue their justice, and that we help and defend them in the way they ask. For the larger picture, we can take our anger and use it how we see fit, but we must respect the individual, and the more the other side doesn't the more we must. We can fight the fight with those that consent to our doing so.

    B and that little girl, they owe us nothing. And even if we are fighting the fight for them, for others like them, we cannot use them without consent, even though I know we're doing it out of love.

Monday, January 7, 2013

Done Is Done

I just met with B's Psyche for what we've planned is the last time. B has received counselling through them for about two years, which is longer than they see most clients. They need to make space for more urgent cases.

I actually wasn't planning on seeing them at all after Christmas. But then B told her teachers she was going to killl herself, and then her counsellor, and so we ended up having to see them again. And while I know that it's behaviour, the counsellor at school talked to her and asked her HOW she might do it, and if she'd rehearse. So guess what she does now. Yep. Thinks about how she would do it. And rehearses.

On Saturday she had an episode and grew violent with me. My plan, that I have worked on for the past year with the behaviourist, has been to leave the apartment when she does that, until she cools down. On Saturday I couldn't because she searched for poison, and knives, and tied string around her neck, so I had to spend the whole time with her getting punched and kicked. I don't think she wants to kill herself, she's learned that it's an effective tactic to change the nature of the attention she's getting from expectation to one of concern, but I do think she could do herself harm by accident or through impulse.

And so I wanted to address the underlying moods, maybe try a new med. But the psyche doesn't think that there really is a good one to give her. So, no meds, no more counselling, and soon, no more behaviourist.

"Let's just wait and see."

And then we discussed how she's unlikely to get support from Community Living BC, because her IQ is not less than 70.

I cried in frustration. I almost never cry.

The psyche asked if I had considered putting her in foster care for a break. No. Absolutely not. Yep, I could get someone really great. I could also get a nasty and judgemental twit that could make our lives hell. Regardless, I refuse to participate in a system that will pay someone else, but not me, to take care of her. Will not. She has a perfectly good and dedicated mother. THAT should be supported. Plus, she is so attached to me, that would kill her.

I feel very misanthropic right now. Disabled people, especially children, are the absolutely most vulnerable in the world. They have no homeland, no area of town to visit, and they might not even have very much in common with other people with disabilities. Persons like B are even completely dependent on other people organising for them. And their parents are extremely over worked and under supported, making organising difficult, and leading to isolation and exhaustion. And I resent it. And I resent everyone who doesn't have to think about this right now. That isn't fair, but there you go.

Thursday, November 22, 2012

Fall

     Fall has been busy. Am I ever not busy? I don't even remember anymore.

     B has had some problems at school this year. She has two new classmates in particular that have proven difficult for her. One has FASD and the other has Autism. They have even poorer social skills than B, and so there has occurred a lot of conflict. I went to the school a month ago and had a good talk with her teacher and workers. We developed a good plan to help her cope, but still she told them the other day that she would hang herself when she got home. That necessitated a meeting with the school counsellor, who phoned me to talk about it.

     Unfortunately, B just says stuff like that, has for years. I have talked to her, she sees her counsellor and psyche regularly, and we don't think it's a real threat. Still, the school has to exercise caution, I understand.

     She felt excited at having her picture in the newspaper  on Wednesday. She really wants people to know and understand about her stroke. In the afternoon on Wednesday we had to take the skytrain, and she said to me, "I see lots of ads for donations and children who need help, but not for kids with strokes." She didn't say this with anger, she just observed this.

     She still has behaviour issues, especially with the conflict at school, but I just take it as it comes. Each time my Mandt training helps a little bit more.

     We're getting close on the bike fund, hooray, and I am so looking forward to when I can order it, and we can ride it around. It will be such a fun thing to do together. And that kid needs the exercise, especially with her recent marshmallow habit.

Friday, July 20, 2012

B, Summer, Sparky, and Bike Fund

     Okay, wow it's been busy lately. I've been walking eight miles a day just to get B to her summer program, not including walking the dogs. I have to walk them separately, because the walks have been too long and too hot for Sparky. I've cut B back to just two days a week because it was too much for her as well. She became physical with me on Wednesday, which indicates stress. Her neurologist told me to keep her stress low to avoid seizures, but also, I have to choose my battles. A summer program was supposed to be something fun, not a chore for her.
     I also am not crazy about the woman running the program. I told her that B only manifested the behaviour issues last year, and she gave B a chastising look and asked her why she would do that. I was very taken aback. I told her to stop that and that B may have manifested bi-polar symptoms from meds, at least, that is what B's psychiatrist thinks. The woman said that it wasn't bi-polar, she knows bi-polar, and that the problem with doctors is that they think they're god. I was not impressed. She runs a summer program. I'm sure she has an expertise in that, but I can't imagine what kind of arrogance it takes, after only knowing people a couple of weeks, to completely dismiss their history, the opinion of the specialists that work with them, and substitute your own diagnosis without even being asked. I *like* B's psyche and counsellor, I have found them to be very conservative in their treatment and assessment, and they follow my lead on everything.
     I told her that I'm an atheist, I don't think anyone is god, and I'll thank her very much not to dismiss all the work we've done. This led into a discussion that her belief system makes her an optimist, and that miracles happen all the time, so B's brain injury could just, I don't know, spontaneously heal or something. Just like all those people that have regenerated missing limbs.
     It has been awhile since I've encountered this attitude so blantantly. But the importance of the program is for B to get out and do stuff and hang out with the kids in the program, so I haven't pulled B out. I will be looking for a different program next summer.
     We had a bit of a scare two weeks ago when we thought we might have to put Sparky down. He stopped pooping and was in obvious discomfort. I love that dog. We did everything to get him to poop, I even gave him two enemas. Seriously, I have never thought I would do that, but I did. We gave him laxatives, and olive oil, too. A visit to the vet, which was so stressful for him, he hates vets, revealed a mass under his spine. There's nothing to do about that, he's 14 years old. Even *if* he survived surgery, he'd never heal properly. But he finally had a poop on the day we had were going to take him in, and I almost did a happy dance of poop on the street. I'm sure he felt the same way. So we get some more time with him.
     And, on to the bike fund. I have to say, that I was really surprised at the response, and I am overwhelmed by people's generosity. As of today, there's almost $800 in the Paypal account, with more people planning to contribute. We discovered that if we have the bike shipped to Seattle instead of here, we can save $450, meaning the bike will cost about $1600, so it is firmly within our reach now. But I want to say a very sincere thank you to my friends and their friends for helping out, and a special thank you to Dot at Busted Button, who auctioned of a painting for B. That was unexpected and truly kind. Thank you.

Sunday, June 24, 2012

A Bike For B

I have been looking, for the past year and a bit, to purchase a special bike for B. Because of her stroke at birth, her epilepsy, her spatial and attention problems, B cannot ride a regular bike and especially not in traffic. When she was little and could go on my bike it was not an issue, but now she is 13 and 130 pounds so trail-a-bikes and gators are no longer an option.

I have found the perfect bike. (See the link) We have to order it from the states. It is $1300 plus $700 shipping. We've looked into funding options, but they have not proved fruitful. Some charities only pay for specific items, some have very limited times to apply, and another wanted us to consider Canadian companies, at a cost of several thousand more for bikes not as appropriate. People have been offering to contribute to purchasing this bike, but I wanted to check out all of our options first.

Turns out ther aren't really any. :/ And the sooner we could get it, the better for B, who has been waiting for a bike for quite awhile.

So I am putting this out there. If you feel like you would like to contribute to getting B this bike, she and I would be very grateful. I have a paypal set up bikeforb@gmail.com. And please share this post with your friends.

Monday, June 4, 2012

The Positive From A Rough Morning

     B awoke in a rage this morning. Andrew had turned on SpongeBob Squarepants on her computer. The "Are you ready?" of the opening song compels B to get up. It is her weakness, and she does not appreciate that we know this. She got up and growled, then watched some and ate her breakfast. When it came time to get dressed, she grew very angry at Andrew and shut herself in her room, determined never to talk to either of us again.

      The positive things are that she didn't hit, and she actually told him why she felt so mad.

"I am pissed because you touched my personal belongings (computer) without asking! Wouldn't you be pissed if someone did that to you? Huh?"

     That represents a huge leap for B. Her anger usually has no explanations, she just has rage and she does not know why. Thinking about it and expressing herself like that makes a huge difference in trying to calm her down.

     We gave her a few minutes, and then I got her Anger Scale and went and climbed into bed with her. We talked about where she felt she registered on it at that moment, and where we needed to get to (baseline). Then I drew some pictures on her back, and put her bra on Sparky, and all the planets aligned for her again.

     I have to say, Sparky's bosoms look simply fantastic in a bra. He needs some depilatory cream, though.

Thursday, May 31, 2012

New Puppy and IEP

Phew, the last few weeks have been hectic. We got a new puppy, just three months old, and he is a handful. Such a cutie, though, and he will end up being a very big dog. He's a Shepherd/Retriever mix, and we named him Crowbar. I'll post pictures later. B loves him.

Sparky tolerates him, but he lets the puppy sleep next to him, and he's pretty patient with him. The puppy adores Sparky.

In other news, we finally had an IEP at B's school. That is an Individualized Education Plan, and we should have two a year, but with the teacher's job action, we had to wait. B is doing well in class, even with her behaviour problems. Her teacher said that she is the only kid in class who gets their jokes.

Her counsellor, Behaviour Consultant, and Social Worker all went to the meeting. We will keep working on her social skills, peer interaction, and Life Skills development. She has had some hard times dealing with the kids in her class, because her social skills are very undeveloped.

We put her in a Life Skills class on Saturdays, run by CLBC, and for the summer I will enroll her in another Life Skills program, one that I hope she will continue in the fall.

Her neurologist is retiring. We have had him as her doctor for many years, and I quite like him. We don't have a new one yet.

Friday, April 27, 2012

This Post Is About Me

     Today I am going to do something I don't often do, and that is write candidly about my own emotional life. I probably should write more about it, because the parents of kids like B suffer a huge psychological toll. In my last Mandt training course, we were discussing this a bit, the grieving, isolation, fear, and the losses you experience because your peers do not get where you are, and your kid is on a completely different trajectory than you envisioned when you started down the path of parenting. And, of course, the economic realities of having a special needs kid, who not only costs more now, but will need your financial support for their whole life, can just add to your sense of futility.
     For the last two years, and the last five months in particular, I have been battling depression. I have done well, I'm active, getting lots of exercise, but I have little to no energy for friends or social situations. I'd rather spend the time with Sparky. Part of it, right now, was getting my hopes up that B would have her testing, she'd get her surgery, and the seizure part of her life would be over. But that didn't happen, and even though she's not had any seizures for a couple of months, I've been here before, and I know they will resurface. It's a waiting game, always a waiting game.
     But it is also due to the fact that working seems so difficult right now, and it is really, really hard on me. I worked so hard in school, and planned on working when I graduated, then maybe going on with more schooling. That isn't what happened, and likely won't now. I am $100,000 in debt now, to student loans, and B needs an RDSP . I can't pay both of those things.
     What's more, the longer I spend not working, the more I feel incapable of working.  And I can intellectualize that all I want, about incurring more debt being worth it, or that I can work when she's older, but none of that helps how I feel. And it makes me angry that if B was in care, the foster parent would get a couple of grand a month to care for her. I'm not knocking foster parents, what they are paid is likely not enough, and it's a hard job, but not supporting the natural parents to at least that same degree makes no sense to me. It's like setting us up for failure. I get $288 a month in disability payments for B. I just finally got respite funding of $188 dollars a month. which is not enough to hire the at home help I would need to pay for someone to be HERE to care for B at home if I worked. It would cover an after school program, but B's day is already from 7:30 am to 4:00 pm, and I don't want to make it longer. Further, if I get even a part time job, and make just a few hundred dollars a month, I will lose that funding all together.  So any job I get will have to make enough to justify losing the respite and the disability amount. That would only make sense if I got a full time job, but one that still accommodates the flexibility I need.
     That is all so convoluted, it hurts my head.
     B's Behavioural consultant suggested becoming a behavioural consultant. I have the practical experience, but not really the education for that. But, you know what, my whole life is kid and disability, and I don't want to do it for a living. I'm already burnt out. I'm going to wake up, deal with B's behaviour, take a bus, deal for a couple of hours with a kid with B's problems, then come back home and deal with B? I have other skills, I have a degree, I would like to do something that is not high stress, intensive childcare of a special needs kid.
     The good thing that has happened lately is the Mandt training. Mandt was first designed for prisons, to reduce the high death and incident rate that result from the restraints traditionally taught to guards. The fundamental principal, that all behaviour is the result of unmet need, has really helped me re frame B's behaviour. Now, when she acts out, instead of reacting to her violent behaviour, I focus on safety, establishing baseline, and trying to figure out her needs, the ones she can't express. In two weeks, I will have a very specific safety plan in place for her, but already, the incident rate has reduced, and except for a a few bits of behaviour lately, the last couple of weeks have been good.
    I am not going to give up fighting the depression. I am going to try to spend as much time as I can with people that understand me, value me, and give back to me the energy I give to them. I've realised lately how important that is, to have friends that make the effort even when I'm down. Especially then. And having that expectation, that my energy will be matched, is a very reasonable one. It's too easy, when you're feeling depressed, to allow yourself to be under valued, which just makes everything worse.


Tuesday, March 27, 2012

Back To School

B was aggressive and violent with me last night. I spent the whole time thinking, "Please, do not step on my broken toe. Please," and she didn't, although there was lots of hair pulling, hitting, and kicking. I hid some Ativan in a piece of chocolate bar, and she eventually calmed down and went to sleep.

When she woke up, she went right back at it. She went after me, went after Andrew, and even hit Grandma when she came over. We tried to use the Mandt training that I've learned so far, but got stuck in old patterns of dealing with her, and then had to back off completely to regroup and let her reach baseline again. The new training will take practice, and a more tailored plan that's specific to her needs. She missed her bus, and only  the promise of a new pig pencil case I got a few days ago got her finally dressed. I had to hobble off on my crutches in a cab to get her to school. We certainly can't afford that every day. If I could've walked, I would've gotten her to walk the whole way, to calm her down, but also to show her what a convenience the bus is.

She cannot handle me being sick or injured, and the almost three weeks off school, because of the teachers strike and spring break, will make the next week or two extra challenging. She has such a hard time transitioning.

She had a great Spring Break, though, with lots of fun stuff, and I've put her in a program run by Community Living on Saturdays. We'll see how that goes, and then I'll consider some after school programs.

Monday, March 12, 2012

My Kid

B has found an old cell phone of mine. She brings it out with her and has imaginary harassment calls from creditors in her "Dreamworld" of dragons. She owes a lot of money for her dragon nursery, And there's a Mister Tibiscus that is a real pain in her side. She doesn't like the dragon bankers.

Also, she's devious. :) Today she said:
B: What if we didn't have the nice grandma, and we had a horrible, mean one?
Me: I don't know, what would we do?
B: I'd give her a potion.
Me: To make her nicer?
B: No, to get rid of her. Bwahahaha.

Tuesday, March 6, 2012

Our Week

Well, we've had an interesting week here. On Friday, I started Mandt training, which comprises a part of our safety plan for B to help me deal with her behaviour problems. They focus on preventative and recuperative procedures, but I will also learn proper restraint practices, should restraining her become necessary. It has proved necessary in the past, but it is a scary thing to do if you haven't had training, and I don't want her to get hurt. Or myself. I can't just leave her, she follows me around and is physically aggressive, and she has also left the apartment, which terrifies me. The training will take one full day a week for over a month, and I will need to take refreshers every year.

I like the behaviour consultant who teaches it. I think it would be a hard job, because they need to connect with both kids and adults as clients, all of whom have a wide variety of disabilities, and they can have very offensive personal views. One of his clients now is a teenage Neo-Nazi. I can't even imagine how I would deal with that.

The work with the behaviour consultant will take almost two years, and they work with her school, and all the family and caregivers, focusing on teaching US to deal with B. I like that approach. Quite frankly, I think a lot of this training would be useful for all parents, and it sucks that it is so hard to access.

On Friday, while I had my training, Andrew took B to some appointments I didn't want to reschedule. One of the things we needed done were some blood tests, and so I told him to give her Ativan before the blood tests, as she is needle phobic. Badly, although there has been some improvement lately. Still, holding a screaming kid down for blood tests is not fun. For anyone. However, some of the tests needed to go out with a courier, and so they told him to bring her back later in the day. In the interim, he asked her GP if he could safely give her MORE Ativan later in the day and the GP said yes. Unfortunately, the lab had misinformed him about the later time, so she still didn't have the tests.

And the doctor was wrong, because it was far too much Ativan, and she felt very ill later in the day. I felt bad for her AND Andrew. We'll have to schedule the blood tests properly this time. I had never heard of blood tests that needed immediate couriering.

She hasn't had any noticeable seizures lately. Now that I want them, of course, they go into hiding. The sneaky bastards.


Tuesday, February 21, 2012

Update

It's been awhile since I posted anything. I guess things have gotten very intense and I needed to back away from it all for a while, but I've had people write and ask for an update, and there is a lot to share.

In the fall, we finally found B a good high school Life Skills program. The program is a good fit, and for the first time in her whole school experience, B does not feel set apart from her classmates, as they all have developmental and health concerns like hers. She's made friends, and has a boyfriend, which is very sweet. She kissed him, and I think they hold hands at lunch. She also now has a BFF, who phones her at home and demands that I get her a puppy as well. It makes me happy to see her chatting on the phone with a friend.

She continues to have anger and behavioural issues, which her neurologist thinks is related to her seizure disorder. We have a behavioural consultant, but last week she beat me up twice, and I admit that it can be hard for me to read about my friends and their kids, and how they are excelling at school and socially, when last week it was all I could do to physically wrestle B on to the bus, in her pajamas and covered in hot chocolate. Standing on the street and holding her while she punched me, people stopping to stare, I felt horrible and sad for her. And me. The behaviour consultant is nice, but her recommendations so far are mostly things we already do, but still, I have to try.

B's seizures are back, although her seizure patterns keep changing. We've exhausted all the medications, save one. That med is Keppra, and it is so expensive that we need special government permission to get it. A friend from the states said it cost more than her mortgage each month. But I can't give it to her, because it can increase her behaviour issues, and of the two, the behaviour issues can cause the most problems for her.

In lieu of medication options, I instead decided to have her assessed for surgery. We spent a week in the hospital, with B hooked up to an EEG, tied to the wall by a fifteen foot cord, lights on 24 hours a day, and sleep depriving her. She didn't have one seizure. She had discharges, but it was not enough, so we need to do it again. She did have a new MRI, which showed a huge scar in her right occipital and parietal lobe, and that the right side of her brain is significantly smaller than her left. Still, she is amazing in how much she has compensated, and is a walking testimony to the plasticity of a baby's brain.

As for me, I have been trying to maintain a good balance between caring for her and caring for myself. I have kept up a consistent Paleo diet, exercised regularly, and am nearing a 100lb weight loss. I feel physically good. I walk, ride a bike, and weight lift regularly. I find this is important, because I can get so lost in everything I need to do for B. Andrew is better at taking time for himself. It is a skill I need to work at.

I still would like a decent and flexible job. Not working, beyond my own writing, and not contributing financially to our household is very hard on me. But I need a job that allows for appointments, and random time off, and that is not easy to find. I do what I can.

I will get back to posting more regularly, and keep you up to date on her treatments.My next goal is trying to get funding to buy this bike , because Lordy, I cannot take the heart attack of her trying to ride down the street, with her eyesight and hearing issues, a seizure happening at any random time.

Oh, yeah, she got a hearing aid.

Saturday, June 25, 2011

B's Rage

     So, we're taking B off the Citalopram. Her incidence of insomnia and rage did not go away with a lowering of the dose. She was engaging in dangerous and abusive behaviour at home and at school. Apparently citalopram can cause bipolar like symptoms, and boy, has she been having those. It sucks to wish your child was just morbidly depressed again.
     The past month has been stressful, and even though the school year is essentially over, I've still taken her out of school for the remainder of the year. I don't want her getting a reputation for disruptive behaviour at school when it's meds, and it just isn't safe for her or the workers.
    On the plus side, I've been doing a LOT of walking. For exercise, stress relief, and mental housekeeping. Cheaper than drinking.

 I really hope the insomnia and rage stop with the meds. Hope for us.

Wednesday, June 8, 2011

B Has A Recent New Problem

     Lately, B has been experiencing some rage, which her psychiatrist and I think is from the Citalopram. She had what almost seemed like a Mixed State  a couple of times in the last week, at here and at school. Although, a Mixed State is a syndrome under bipolar disorder, and B is not bipolar.
     She was physically aggressive with me, Andrew, and her worker at school, which is NOT like her at all. It was scary and heartbreaking, and the screaming at four in the morning made me fear the police would be called by a neighbour. It took a very long time and a surprise visit from Grandma for two days in a row to calm her down. Plus some Ativan.
    I've dropped down her Citalopram, and we see her therapist this week. I also bought her a bucket of toys that she can open AFTER seven days of non-violence. I don't want to punish her, because I think it's her meds, not her, and besides, punishment doesn't work for a kid who doesn't remember why she's being punished.
     She's still sleeping in her own bed, with the dog. Now I have King sized bed all to myself, and I can't stop sleeping in the top corner, which was all the space I've gotten for years.  :)

     I hope next week is better.

Tuesday, May 31, 2011

May

     May has been VERY busy for me. I have been doing some web work stuff for my brother, finished a 2nd draft of a novel, and have been walking miles every day with the dog. I love it, B not so much though. :)
     My bed has been very crowded, and since B's having less seizures of late, I'm going to move her to her own bed. Andrew picked up a video baby monitor so that we can do that. I still want to be able to see her, but her and the dog can sleep  in her room.
     Part of the reason is that she frequently has trouble sleeping, but if she's in MY bed, she won't leave me alone so that I can sleep. She needs to learn to entertain herself if she can't sleep. I have very easily disrupted sleep. and develop insomnia at the drop of a hat. I am also very easy to wake up. Over the years, this has developed even more as I watched B for night time seizures. I feel better with the monitor though, and trust that I will wake up if she seizes.
     I feel good knowing that Sparky will stay with her all night. Yeah, yeah, he's a dog, but I swear he understands her.

Sunday, May 15, 2011

B's New Old Friend

     I haven't written in awhile because I have just been so busy. I have been doing some work for a website for my brother's construction company, and it's been huge. Also, since it's the first web page for them, we're working out all the kinks.
     We also took in Sparky, my brother's 12 year old Lab. Sparky was a puppy when B and her cousin D were babies, but he always lived with my brother or mother for all those years. He had a companion dog, Bo, who was just recently put down, so he was lonely at home, and my brother was taking him to work, but Sparky had to sit in the truck most of the time, which was no fun. My brother realised that he needed to be with someone home more often.
     So he's here, and he is just the best dog for B. He is a real kid dog, and right from the first day followed her everywhere. Wherever she is, he is. If she gets in the bath, he lays in the bathroom. He gets into bed with her at night, and stays there till she gets up. I don't remember him being quite that way with my brother's boys, but he is one of those dogs that NEEDS a kid. He adores her. And she is so happy to have him. All around, it's been great. My boyfriend really likes him too, because he's so well behaved.
     He's great with the cat, and although a bit aggressive on leash with other dogs, he's fine off leash. He's protective, and there's been a couple of incidents about that. A couple of drunk guys in the park got too close to me and a friend in the park, pinning him between me and them. They didn't listen when he growled or I told them to back off and he nipped at one guy's sleeve. He was fine with them up till then. Although I don't want him to do that, it was their own damn fault. He didn't hurt the guy at all, and he certainly is capable of it, but he's not a violent dog.
    He's a good dog, and just what B needed. And I'm happy she has her new old friend.
    

Tuesday, April 12, 2011

B's Possible High School Class

     Well, we went to see the class today. B felt fine until we got there, then she melted down. I gave her an Ativan and she crawled under a table. She was wearing fairy wings. Altogether, it did not inspire confidence in me about the transition.
     The class takes about twelve kids a year for two years. All the kids are like her, sensitive and nervous. On the list of requirements for the class it said, "Able to be unsupervised during lunch and recess," and, "Takes transit independently." Both are a huge no, and it caused me a lot of concern. Sometimes they might take the kids to see a movie and then dismiss them from there. The whole idea of B trying to find her way around on transit scares me very much.
     So these are things we'd need to address if she went there. Also, I would start her very slowly and try to mitigate the issues as they arise. I don't know how I feel about it yet, but there a few/no choices. It's this kind of thing that makes me want to move her some place tiny and just let her be. Which would be better for her? I honestly don't know sometimes.
    The first step is taking her the class later this week when it's quieter and seeing if she can handle it.

Sunday, April 10, 2011

Lately

     B has been feeling pretty good lately, which I think has been because of the anti-depressants. She still has a low seizure incident rate, and why that is, I don't know, but I'm grateful for the break.
     Last Monday, her whole school had sponsored trip to the aquarium. I went with her and we had a great time. In the morning, the primary grades had a special learning class, and in the afternoon, the intermediary grades did. They were taken into a wet lab, were they could hold sea urchins, sea cucumbers, crabs, starfish, and touch anenomes. There were many tanks, and by pure coincidence, one of the volunteers turned out to be the mother  of a teacher at B's old school. She recognised B and gave B her own little tour of everything. I think B held everything in the place, and she was deliriously happy. That kind of thing is right up her alley.
     When we got back to the school, I hung out until the end of class. B had a temper tantrum and broke her FM headset. That's a device that lets her hear the teacher better. The teacher wears a transmitter. I was very unhappy about that, but it led to revelation about one of the things B can't stand about school. The teacher stands up and addresses the class, giving numerous instructions. and B has felt stressed out by this, because she thinks that she is supposed top follow all these instructions. She's not. So I had a talk with her and told her just to ignore that, and her workers will help her after the teacher has finished, and she will have her own instructions. This is the benefit of actually going to hang out with her at school, because there is no way she could have articulated that better to me than she had been, which was by saying they boss her around.
     Last night, Andrew took B to a party while I went to see a movie. B had a good time, which is a really nice change. Usually, she can't stand groups of people. But there was a three year old for her to play with, and so she had a friend.
     On Tuesday, we go see the program at Britannia. I hope it's right for her, because I am not swimming in options.