Friday, September 26, 2014

Why the phrase "Curiosity Killed the Cat" Haunts Me

IMAG0428-1Seven years old…our son.  Bilateral Persylvian Polymicrogyria, Lennox Gastaut Syndrome, Polymerase Gamma 1 Mitochondrial Disorder, Osteogenesis Imperfecta, Nephrocalcinosis, Neurogenic Bladder, Dysphagia, progressive, degenerative, palliative, terminal…our son.  Cute as a button, infectious laughter, extra-long eyelashes, blushed cheeks, prefers blondes, lover of country music, baseball player, first grader, wordless but wise, morning person…our son.  Feeding tube, bowel management program, cathing regimen, ventilator dependent, suctioning needs, tracheostomy tube, percussion vest treatments, wheelchair, fifteen specialty physicians, therapies, therapies, and more therapies…our son.

Dog?  Not our son.  Cat?  Not our son.  Family pet?  Not our son.

Parenting a child with so many complex medical needs has made my husband and me no strangers to well-intentioned but rather ignorantly blissful commentary about our son.  Somehow I still struggle to wrap my mind around how well-meaning people find common ground with our “plight” by comparing my son’s struggles to the struggles and needs of their beloved pets?  I understand that we are not always terribly relatable, and that sometimes the effort to be relatable is just that - effort.  However, I am never receptive <understatement of the century> to the notion that somehow my son’s sensory seeking behaviors – like his love of chewing his fingers nearly to the bone – are somehow the same motivations that your beloved “Fluffy” has for chewing.  By the way, shopping at the local pet-store for “chew toys” for my son is not something we will ever do, but thank you for the kind suggestion and we are thrilled that you were able to find some long-lasting squeaky toys for “tough chewers” like Fluffy.


kong

I have established that our son is not your pet – he is not our pet either –he is an awesome little human being with infinite value who has taught us a lot about love and acceptance and I fear he is beginning  the end of his courageous battle against mitochondrial disease.   So why exactly does the phrase “Curiosity Killed the Cat” haunt me in the darkest recesses of my very sleep-deprived brain?  The same places where I store up the seemingly endless nonsensical scenarios of doom which always involve breaking my two front teeth in half or my irrational anxiety of  burning the house down because I threw a piece of burnt toast in the trash and maybe I threw it on top of a dry paper towel which might spark and catch on fire which will then result in our house turning into a pile of ashy dust and what insurance company will cover a house burnt down by toast???  <deep cleansing breath>burnt toast


Seven years of countless tests, hospitalizations, procedures – DIAGNOSES - more tests, more procedures, more hospitalizations and now we come full circle investigating yet again for more diagnoses to explain possibly another rare condition without a cure.  What is it that drives our rather fierce need to know even when we are well aware that nothing will change the outcomes?hEDC4FDF8


This week my husband and I were given the “option” of having a sedated brain MRI for our son to investigate some new symptoms that have recently developed - mainly some really disturbing muscle spasms, neuropathy, and increased seizures of a variety we have never experienced with our son and we thought we had experienced every seizure known to the medical world: tonic, tonic clonic, complex partial, infantile spasms, grand mal, subclinical, myoclonic, absence, status epilepticus…but what in the heck are these facial-like seizures??  Are these seizures at all?  We wanted to know, but sedation and mitochondrial disease do not play nicely together and after some fairly unfortunate past sedation attempts we are hard pressed to find an anesthesiologist – even in one of the top children’s hospitals in the world – who will sedate our son unless it is a life or death situation.  Is this life or death?  Well, we don’t know??  Maybe?  To us, yes?  The advice of many of our son’s trusted physicians against further investigation left us confused, and for the first time during our seven years as parents, left us somewhat hopeless.  Was our medical team so sure that the risks of further testing far outweighed the benefits of knowing a little bit more about disease trajectory?  Was the potential to perhaps slow disease progression not enough to take the risk?  For the first time ever, our son suddenly felt like a cat, and were we really going to kill him just out of curiosity??  Was our “NEED TO KNOW” actually going to kill our son, when all we have ever wanted was to save him, desperately so?

patchwork catI was having an existential crisis about my own son who I had established LONG AGO was definitely not a dog, and definitely not a cat, despite the failed attempts from others to equate him as such, but who doesn’t know that “curiosity killed the cat”??  For a moment I thought, well CRAP, did our doctors think Owen was a cat too?  I don’t even LIKE cats!!!!  My husband and I found ourselves just sitting there in clinic staring at each other, hunched over, staring at the doctors, staring at each other, staring out the windows, staring at the bleak tan walls decorated with whimsical pictures painted and drawn by able-bodied children, children whom my son would never become  – and there it was a drawing of a patchwork cat.  We continued to sit there as wordless as our son - but definitely not as wise (and I swore I could smell toast burning down the hall).  Perhaps our son was a patchwork cat?  Perhaps we intimately knew about some of the pieces of who he was, but that we would never know what the red spotted patch, the yellow zigzag patch, or green striped patch were truly made of?  Would it matter if we knew?   Would it change that he is still a patchwork cat made up of many different materials and fabrics.

Somehow we found ourselves in a ship that always seemed to have a good sense of direction, even in the stormiest seas, but all of the sudden it felt like we were sinking.  The decision was laid fully on us about diagnostic testing and the admirals of our ship – our trusted physicians - wanted nothing to do with the direction we wanted to sail.windows-7-life-preserver


“How do you want to proceed mom and dad?”
"It is up to you mom and dad?”
"You understand the risks don’t you mom and dad?”
"You understand this won’t change the outcomes of his disease mom and dad?”
"Mom...mom...mom...mom...mom???"

Why can’t they ever look at dad or say dad first?  Oh the pressure!  I ran my tongue roughly across my two front teeth to make sure they were still steadfast in place.  The agonizing, aching, anxiety swelled up in the pit of my stomach as I said, “I want to know, let's do the testing”.broken tooth


Today, our son had a sedated MRI and we are awaiting the results, the results that will not change the outcomes of my son’s life, but results that might help us know if we need to change the direction of our ship even if it is against the advice of our admirals.  The results that may or may not help us better define the green striped patch on our patchwork cat.  Our quirky little man is smiling and doing well post sedation and desperately showing everyone who enters his room his IV site and how much he is “suffering” from it with a rather dramatic furrowed brow and IV arm waving in the air.  We are thankful he did well.  We are thankful we made the decision even without our physicians approval, because our son is not a cat.  He is Owen.  Our son, with many patches - some we know very well - and others we will likely never understand the fabric of which they are made.  Curiosity killed the catbut our son is not a cat.

Birk Family

Fellow Mommies of Miracles, when it comes to our most medically fragile children...do you think we will have the wisdom and discernment to know when to say "enough is enough"?  Should we ever say it?  Should we resist our need to "know" if we also know that the outcomes will remain unchanged?  How do we weigh risk when the stakes are already so high?  Please comment and discuss.

Friday, September 19, 2014

"Life with Cerebral Palsy" with Stephanie Cox: Introduction

226713_10100851926235167_849078885_n-2In 2014, author Stephanie G Cox's book, "Gentle Firmness" was published by Winters Publishing Group. Her book highlights how Christian parenting sets firm boundaries and gently helps children learn to cooperate.

Nothing too remarkable about a book on parenting in 2014, right? Except that this 500 page book was researched and typed without the use of hands…or a voice to text program…

Screen Shot 2014-05-16 at 11.35.18 AMYou see, Stephanie G. Cox experienced a long period of oxygen deprivation during her birth which resulted in damage to her brain. This short period in her life resulted in a life-long condition called, Cerebral Palsy.

As with anything, symptoms of this condition can be very different in every individual.

  • It can be mild or severe

  • it can involve only one side of the body or both sides, or may be more pronounced in either the arms or the legs.

  • It can reduce the brains ability to process information (as in make the person less intelligent)

  • It can cause tremors, abnormal movements, loss of coordination but allow a person to still walk or, like Stephanie, the person can be left unable to walk at all.

  • It can cause pain, seizures, hearing or vision problems, or trouble with speech.


Steph GradStephanie has more severe symptoms of cerebral palsy. She lives life in a wheelchair and has her own language which she affectionately refers to as "Steph Speak", that is most easily understood by those who know her. But, though she is not able to speak quickly or clearly, she hears herself in her mind just fine, as her mind is "sharp as a tack!" Cerebral palsy did not affect her intelligence and the Master's Degree hanging on her wall is a testimony to that fact.

Stephanie is unlike most people in the way her body functions, but, is exactly like "you and me" in the way she thinks about her body.

How many of us spend life thinking, "Wow! I sure do type a lot because my fingers are well-coordinated!"

Or, how many of us spend time thinking at the end of each day..."I sure do get a lot of work done around the house every day because my legs enable me to walk without assistance!"

Or, how often have you walked into a store and thought, "I sure did pass through that door easily because...my body was able to coordinate walking, talking, texting, and opening a door all at the same time!"

No. We live our lives and do the things we do and whatever we do it’s normal.

Likewise, Stephanie doesn’t filter everything she does and doesn’t do through her physical abilities. She just lives her life the way you and I do…but also not like you and I do.

Just like I don’t sit around thinking about how my life would be different if...I had the physical abilities of an Olympic gymnast, she doesn’t live her daily life thinking of herself as "disabled."

When Steph first published her book, it didn’t even really occur to her that the fact that she had to type her book with her nose was even that interesting. To her, it’s just the way she types.

Due to her "Steph Speak" way of speaking, programs like Dragon (speech to text) won’t work for her. And, her fingers have a mind of their own so the only part of her that cooperates to type what she wants to say is her nose.

To a person used to typing with their fingers, this is a feat as amazing as watching the physical abilities of an Olympic gymnast in many respects! But, to Steph, it just is how she types.

Screen Shot 2014-07-29 at 10.47.00 AMRecently, a local news station did a segment about Steph and her book and she was surprised by how many many comments she got from the public who imagined that surely she must just type with her nose just for the challenge. Because her physical body is the same as anyone’s in that it is "just her body". She’s surprised at how people have reacted to her physical condition and how little people really seem to know about what cerebral palsy is.

Watch the news segment.

And, so, she and I will be working together over the next year to help the public learn more about what life is like for a person with severe cerebral palsy. I will be doing a series of 12 interviews with her, to be published here monthly, in which we will cover one topic or aspect of life with cerebral palsy from her viewpoint.

We hope that you will find this interesting (and a little entertaining!) and that this will help you all understand her better, and also to understand what life as a "disabled" person is like in general.

Thanks for reading!

~ Dara (and Steph)

Friday, September 12, 2014

OY! The Joys of Fundraising

Hello everyone, since last month, much has happened. I could have chosen many topics, based on any one of a number of events. I chose to write about fundraising. This topic is upper most in my mind these days because of "Night of a Thousand Stars" or NIGHT OATS as I call it. In the last few years NIGHT OATS has become something very near and dear to my heart.

On November 8, 2014, we will be opening the doors of a local church to a very special evening. There will be local celebrities, the mascot of the local MLB team, princesses and pirates. The sanctuary, which holds 400 people, will be transformed into an elegant ballroom, twinkling lights will shine all over the room, delicious food smells will fill the air, as each guest walks in. They will each receive a corsage or a flower for their lapel. The ladies will be provided with tiaras as well. They will enter the room wearing formal wear donated by the people in the community. The ladies' will have had hair and make-up done provided by a local beauty school. There will be a red carpet for them to walk down and a guest celebrity will interview each of them when possible. I guess you wonder why I said "when possible" you see, our guests are adults, 16 and up, with challenges of any type. Our guests are joined by their caregivers and families. You see, this event is to honor our STARS, to give them a special time, one that most kids celebrate by going to a prom, homecoming or other dinners/dances during their school years. Our guest probably did not experience this "right of passage" and even if they did, our amazing guests do not experience this type of evening enough! They should be honored, so this year our theme is the presentation of THE COURAGE AWARDS.

Now that I've explained NIGHT OATS, I am going to tell what it takes to put this on event and the money we had to raise. We need volunteers (High School kids, local volunteer organizations, other churches and other people who wanted to do something positive). I worry about volunteers each year but they always come through and are my shinning lights on the day of the event.

It all begins sometime in late June- we pick a theme. Next is the menu (which often turns out differently as we get donations from restaurants and from people who want to help with the cooking). It then goes on from there.

This year, we unfortunately lost one of our bigger sponsors, making it imperative for us to develop more fundraising activities then we have in recent years. We found out about the "drop out sponsor" last month and are now hustling to get an event together to help us with the needed deficit. A local BBQ restaurant has opened their doors for us on Sept. 27, a Saturday night so that we can bring in entertainment, have raffles and silent auction items. We have been wonderfully blessed to have 2 incredibly awesome bands come forward to donate their talents for the evening, the restaurant is charging a cover charge which is going directly to Night of a Thousand Stars!

NIGHT OATS EVENT 1 027So now it is the raffle items and the time element! My job is to get on the computer, find possible businesses to donate, send them a donation request e-mail or call them asking, in the nicest possible way, to part with an item that I know they could sell...Oy! Tough to do but, when it gets a bit difficult, I go to "my pictures" find the "Night of a Thousand Stars" folder from last year, open it and click from one image to another. I quickly remember that awesome inexplicable feeling of happiness as I look at these people laughing and remember their stories. I see images with their families and I see pride on their faces. Our guest all dressed up, wearing make up and nail polish and moms all over the room smiling down on their children no matter if they are 16 or 60. There was so much joy in that room and in my heart. Yes guys, it is a selfish thing I do. There is nothing that equals the feeling and joy when seeing my friends and their families feeling like STARS- even though they may be only one of a Thousand!

NIGHT OATS A  PARTY 4So after, I refresh my energy, I reach for the phone, "Hello, may I speak with the owner or manager?" I say. "My Name is Marcia Minutello and I am the co-organizer (my daughter is the other co-organizer) of NIGHT OF A THOUSAND STARS, I am calling to ask if we may count on you to donate an item for our raffle or will you sponsor our event?". Most times they graciously find a way to say no but, a few times a day they agree. Some with little fanfare, other with incredible enthusiasm. That enthusiasm is when I feel my face fill with a smile of joy of knowing we are one raffle or one small check closer to giving our amazing guest the time they deserve. One of the moms told me in her RSVP note for this year that her daughter had picked out her nail polish color from the day after last years event.

Well it is time to get going, grab a bite to eat, and then back to my computer and back to work. One thing more, this night that comes once a year reminds me of how magnificent our kids are. They bring us joy for just being who they are and they deserve the grandest of celebrations. They are each STARS not just for one night but always and we are blessed!

Friday, September 5, 2014

Let's Get Real

imageSpecial needs parenting does indeed have its gifts.  It teaches us patience and resilience.  It forces us to be better people.  It forces us to find our voices, so we can advocate for our children. It opens the door to friendships with people we may never have ordinarily crossed paths with.  Every time our child learns something new, the pride we feel is immeasurable. No "milestone" is taken for granted.  We get huge  amounts of joy from the smallest accomplishments, things that other parents may take for granted.

But there is another side to the story. One we are sometimes shamed into not sharing. One we are supposed to "suck up" and hide away, because some people are uncomfortable with hearing our pain.

So let's get honest. In many ways, special needs parents get a bad deal. My husband was fired from his job (with a Disability Services provider!) largely due to taking too much time off to attend Sophie's appointments. They refused to accommodate part time work. I've had to take more than two years off work (and am at possible risk of losing my job)  because of depression and anxiety largely resulting from a traumatic birth, chronic sleep deprivation in Sophie's early years and high stress around Sophie's extra needs.

Make no mistake...I am FULLY aware that there are plenty of parents who have kids with much more devastating issues than Sophie. But I'm sick of minimizing what we go through. And today I'm going to be brutally honest.

As parents to a child with special needs we fight. All the time. We fight for access to services. We fight to be heard. In Sophie's first year I was accused of being "paranoid and delusional" by one pediatrician, an "over-concerned" mother by at least three other doctors, and other unmentionable things by more doctors than I can remember. All because I thought my daughter had a genetic condition, and they thought I was imagining it. They were wrong, I was right. They shamed me and made me question myself, because they would not look outside the square.

A doctor at the sleep clinic at our local children's hospital refused to listen to my opinion that Sophie's chronic waking and screaming were pain related. He said she was waking because I was depressed and we had poor bonding, and if I was just prepared to let her cry it out then she would sleep. Would you let a child in pain cry it out? I wouldn't. We healed her pain (through the GAPs diet) and she started to sleep through the night.  If we had listened to that doctor's advice, she would still be living in pain.

Special needs parents fill in paperwork. All the time. We can't just enroll our kids at daycare or school or ballet classes or soccer and be done with it. We have to have special meetings, and write up information on our children's challenges, educate the teachers and carers in how to help our kids. Check in to make sure that our instructions are being followed. A teacher at Sophie's special needs kindly fed Sophie gluten (which she can't tolerate, and the teacher knew) and she had the hide to tell us she "figured it wouldn't kill her". Sure, it didn't, but was the teacher the one who had to get up in the middle of the night when Sophie was screaming in pain afterwards? I think not.

We have to hold our children down while they scream as they have blood drawn. Cradle them in our arms as they are anesthetized. Cook special meals for them because their systems can't tolerate a "normal" western diet. Console them when they tell us they asked all the kids in their class if anybody wanted to come to their place to play, and they all said no. Console them when, at just four years old old, a child in their class spat on them. We have to trek around and sort the wheat from the chaff when it comes to medical professionals and therapists. We question ourselves ALL the time...are we doing enough? Are we doing too much?

We have to teach our kids basic skills that come naturally to "normal" kids. We have to watch on while they are rejected by their peers. We have to face the shame of seeing that our own kids are so much braver, more positive and more courageous than we are.

We love our children without doubt...deeply, endlessly, honestly. And at the same time we sometimes hate the things we have to do every day. We hate the endless list of doctors and therapists. We hate the fear of wondering when the next thing in the list of issues associated with our child's diagnosis is going to raise its head...for us, with Kabuki... epilepsy, kidney failure, chronic immune deficiency, hearing loss, joint replacements and more. When our daughter complains of sore legs and asks to be carried, we have to wonder whether we are indulging her, or whether she is having legitimate joint pain associated with her disorder. We have to face the stares of parents who watch us carry our child into the water while she is screaming...because they think we should wait until she is ready, and we know she will only ever be "ready" by being pushed past that barrier of fear. We berate ourselves for looking too far into the future, and question whether we have looked far enough into the future to provide the assistance they may need to help avoid some issues.

As grown adults, who have been used to being financially independent for years, many of us (yep that's us) have had to accept financial help from our parents. Which we are so utterly extremely grateful for, but that makes us feel small and beholden and inadequate. We won't deny Sophie the therapy that our parents have helped us to afford, but we feel guilt that we can't do it all ourselves.

Generally we minimize it all. Almost all of the time. We write and talk about the positives, the pride, the joy. Because the average person doesn't want to know, they want to tell us to be positive. And because we are SCARED that we will lose friendships if people know that these deep and dark thoughts are within us. And yes, positivity is needed, and a great thing to strive for. And positive reinforcement is invaluable. But sometimes we just want to be heard. We want to cry for our children's difficult life path. We want to be held in our pain, and allowed to process it, rather than being told to deny it.

I love my daughter. More than words can say. I hate my weakness. And here, today, I am choosing to share it. Not for pity, not to be judged. Just in the hope that other special needs parents might not feel so alone.  And perhaps that parents without children with special needs may read this, and get some insight into our lives. Special needs parents can't hold it in all the time. We are human. We are not "special people", chosen because we have "special gifts to offer". We may perhaps end up being "special", because we have to travel this path. But it is not one I would wish on anyone. Parenting is a challenge for anyone. And sometimes, as special needs parents, we need to grieve and moan and cry. Not all the time, that's not what I'm saying.  But if we are heard, and understood...it is THEN that we can accept the well-meaning advice to "get on with it" and "see the beauty" and fully move into the role we have been called to fill.

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Check out Kathy's blog if you would like to follow her journey with daughter Sophie.