Wednesday, November 20, 2013

Flowers in November

It's not even 11:00 am, I've only had 1 cup of chai tea, and my day has been one of the shittiest that I can remember in a long while.  (Trigger warning:  I have no idea what I'm about to spew from my mouth as I'm writing while everything is still fresh....but very raw in my head).

When we arrived to the rehab department for Nea's OT appointment, the waiting room was pretty full.  Not too surprising since all the 9:00 a.m. appointments were gathered.  Nea ran to the fish tank and began her usual ritual of "Look Mama! Fish!  Look, a fish!" as I signed her in and gave her my usual reply "Yes, I see!".  Another child was viewing the fish tank and seemed to pick up on Nea's excited energy.  The girl was jumping up and down about 4 breaths from Nea's face and yelling "fish! fish!"  I motioned to Nea to come to me so I could take off her hat and jacket.  The girl, in a way to try to be helpful, snatched it off her head and brought it over to me gleefully.  My girl was crumbling by the second and I couldn't make it stop.  Nea ended up cornering herself against the fish tank and the wall yelling back like a dinosaur.

Bad sign.

What that little girl didn't know is that is Nea falling back to the only defense she has when she feels threatened.   Yelling loudly with a growl undertone is the message, "I am very uncomfortable and I don't know how to stop you!"   She seems to be in "flight or fight" and was ready to bolt.  Thankfully her OT came to get her.  As I unzipped Nea's jacket and helped her out of it, I whispered to the therapist, "The last 3 minutes have been really bad ones."  She scooped Nea up and off they went to the rehab gym.

I spent a lovely hour in the waiting room reading on my Kindle (my newest, fun toy) and sipping my green tea chai.  24oz, no less.  Apparently I had an unconscious tug to get in a relaxed state of mind because I was about to face an epic meltdown.  But for that blissful, unaware hour I was transported to the story taking place in Nova Scotia.

When the OT brought Nea back to the waiting room, she seemed to be in a relatively good mood.  She greeted me with a hug and went over to play with the books as the therapists and I chatted.  Nea had done well in her session.  She listened to direction, she focused on her activity and she was verbal for the majority of the session.  When the therapist left, I told Nea it was time to go and she simply responded, "No Mama, I can't."  That phrase is usually an indicator that she doesn't want to do something, and it's precognition thought of  "I can't handle it right now."

So I waited. I let her explore a couple other books and read for 10 more minutes.  Finally she said, "Mama, you have paci's in purse?"  Doesn't every Mom?   I told her yes, and that she needed to come get them AND it was time to go.  I patted myself on the back for giving her enough time, some space to gather her strength and move her on out the door.

When the door opened she flew out and around the corner.  Again, a ritual of hers.  After the run down the gallery hall she stops at the bead-table to play for 5 minutes before we actually go out the door.

Ooops, the bead table wasn't there.

The hospital is hosting a Radiothon to raise money for children's services and the event takes place in the lobby/gallery.  (Now you must know, it didn't hit me until the drive home what this really, actually meant.)

Nea was bouncing and bounding all over the lobby.  She looked like the ball in a pinball machine.  I kept trying to coax her to me with oh so helpful phrases like, "Come on, time to go" and "Poppa is waiting" and "You have school today."  I could tell by the look on her face that she wasn't really processing and essentially I had lost any hope of connecting with her.  When she would come near me I would grab on to her and she wriggled, screamed and starting hitting, "Let me go! Let me go! Let me go!"  So I waited.  Again.  I let her ping around the lobby for awhile until it seemed like she was together enough that I could try again.

No way did she want her jacket and hat, but she agreed to hold my hand.  We were almost to the door when it hit her full on.  I could almost feel it as she collapsed to the ground.  Screaming.  Yelling.  Head banging.  More yelling.  The dinosaur yell.  The screaming.  She kept yelling "No! I can't!  No! No!"   It went on and on and on and on.   Most people ignored me, some rolled their eyes at her.  I decided that personal space be damned, I was going to have to save her.

I scooped her up and threw her over my shoulder in a fireman carry.  And with that, I opened the Wrath of Hell.

She had been violated.  She no longer had choice.  She had been picked up, man-handled and she was spitting venom.  Kicking, screaming, yelling and crying.  It was the longest 2 minute walk to the benches of my life.

I hoped the fresh air might help.  Lord knows she was using her lungs well enough, and my hope was that they would fill with new, clean air to help get her grounded.  I carried her to a bench that's tucked away in the corner.  She wanted nothing to do with me.  I held her tightly, squeezed and sang her favorite calming lullaby.   But she pushed me away and laid down on the bench.  For a solid 5 minutes she laid there as her brain tried to find calm and her body shuddered constantly.

And I sat there and cried for her.  She had no tears left.  She had no more anger or frustration and certainly not words that could be given.   We sat in silence and just tried to .....be.

She finally sat up, allowed me to put on her jacket and hat and we walked towards the parking ramp.  There are about 15 metal poles between our spot on the bench and the road that goes to the ramp.  She had to "clink" every single one of them as we walked by.  If she were home, I imagined she would have been lining up cars or trains to try and get order back in her life.

It took us a long while to get to the road.  She stopped along the way and threw herself to the ground on her knees.  Once we reached the sidewalk, just on the other side of the road she sat on the railing overlooking the drive below.  Okay, girl-child, we really need to start moving....we were 40 minutes trying to get out the door and to the car!  I gave her one last, "It's time to go, sweetie" and walked towards her.  She did the one thing I've been dreading her entire life.....

She darted in the middle of the road right in front of a car.

My heart skipped a beat.  No, forget that.  I died right there.

Thankfully the car stopped and I grabbed her to the sidewalk.

My patience was whisper thin at this point.  I had remained Zen like for a pretty long time which I would like to give myself 300 bonus points for maintaining.  But that last event, was the end.

I had her by the wrist and we headed for the car.  Again with the screaming, and the kicking and the crying and the all out meltdown.  I literally dragged her on her butt the entire way to the car.  I kept saying, "I know this is hard.  I know you're having a bad day.  I'm trying to help you. I really am."  It wasn't for her benefit, but rather for the crowd that was starting to assemble.   And, I was trying to talk myself into as well.

We got to the car, I buckled her in and felt so much relief.  FINALLY she was strapped in a car seat, safe and under control.  I moved to the driver's seat, got in, laid my head on the steering wheel and sobbed.

I called Poppa as soon as we were on the road to tell him, "You are about to get 2 girls who are a tangled, fragile mess." He asked what happened and I told him the story.  "Come home, and we'll get it all together.  Don't worry."

Did you ever see the movie Ice Castles?  Remember that scene at the end?  For those that don't know it's a movie about a figure skater who goes blind.  Robbie Benson is her boyfriend and he gets her back to figure skating and they are able to "hide" the fact that she couldn't see.  They practice and practice and she measures out each pace so she doesn't hit the walls as she does some pretty extensive tricks.  She completes her competition skate flawlessly and the crowd cheers.  In appreciation of her beautiful skating, they throw red roses onto the ice.  Of course she doesn't see them and trips over each and every one...falling and flailing all over the place.    Robbie comes out to the ice and says to her, "We forgot about the flowers."

And that's what I realized on the drive home talking to Poppa.  That lobby looked one way when we walked in....and it looked entirely different when we walked out.  The ritual of playing at the bead table was not there and the place was packed with tables, chairs, computers, phones, people.   It didn't look remotely the same and I would imagine was the start of her unraveling.  I would have done better to go out an entirely different way then a path that she expected to look a specific way.

These are the days when Autism sucks.  These are the days that I can hardly breathe with the overwhelming knowledge that my child suffers so much on the inside and there is absolutely nothing I can do.  It's unnerving and it makes me so damn mad.

I got through today.  I got us home safely.  As we speak, Nea is in a dark, quiet room watching her favorite movie wrapped in her favorite owl blanket.  She's bounced back fairly well.  Me, I need a hot shower and more tea.

I vow to try and never forget the flowers.

Saturday, November 16, 2013

Hippotherapy and Horsemanship

Nea's evaluation with the equestrian center was this afternoon.  Because of her age, they wanted to meet with her first to decide if she could even be a part of the program.  Grandma was in town today, so she rode out there with us to talk to the trainer and see what opportunities were available.

The place is about a 25 minute drive from our home. Considering that I had no idea they were there at all, I was very much thrilled to know they were so close!  It's a nice ranch with a big building and then the huge barn with the fenced in area for the horses.  We said hello to the owner/instructor and she invited us into the area where the horses have free reign.  I introduced Nea to her as "teacher" and signed it for her as well.  Nea responds well to understanding words like teacher because there's a certain authority given as well as trust.  Nea immediately said to her, "Hi Teacher!"

It's been a very long time since I've been around horses.  And I've certainly never been around 7 at a time!  I was a little overwhelmed at first.  I was trying to keep one eye on Nea (who was very excited) and an eye out for Grandma as well as tap into my memory of horse etiquette when meeting a new one.  The one thing I do remember clearly is not to stand behind one.  That's about all I could tap out of the relics of my brain.  To my credit though....that was a 6th grade memory I secured!

The horses were all standing around a big feeding bin nibbling away.  2 pre-teen girls were standing among them, talking to them and grooming them.

Nea had seen the horses right away.  She was very much intrigued by them and shouting "Horses! Horses!  Let's see the horses!"  The instructor was happy to hear her words, happy to hear Nea's hello and happy to see her excitement.  I, on the other hand was a bit concerned about her over exuberance and fearful she would spook them.  I had visions of 7 horses clambering around to escape a manic, hyperactive 3 year old.

I can tell you without a doubt, these are no ordinary horses.  2 of them looked over at her as she approached.  A pony, and a full-sized-holy-crap-you-are-huge brown one.  The instructor picked Nea up and walked her towards the big guy.  She introduced him by name to Nea as they approached.  "This is Argo."  Nea reached out, smiled and squealed...."Hi Argo!"  She gently touched his nose and Argo serenely closed his eyes as she patted him.
Argo and Nea's first meeting
Argo says hello!
 Nea wanted the next one and hopped down.  "This isTaffy.  She's in a cranky mood, so we aren't going to pay her much attention today."  Taffy turned her head towards Nea for half a second which thrilled her. "Oh Hi Taffy!"   One of the ponies made his way over to see us.  He just sort of sauntered up and you could tell he wanted an introduction.  Nea walked right up beside him and touched his shoulder.  "This is Mickel" Nea patted him gently, "Mickel, hi"  The instructor gave her a handful of hay (or straw....can't remember which is feed and which is not) to Nea.  She was thrilled to have Mickel gently nibble from her hands.
Feeding the ranch's most recent rescue
Mickel and Nea start a conversation
  And then she was off and running.  Her energy level was off the charts.  I think that the excitement of meeting the horses was just too much and she had to burn it off.

I get a little tense when Nea takes off like that and runs amuck.  I know she can't help it many times, but I also don't want her doing something that could be a safety issue or mess with something that is not hers to be be messing with.  It must have shown on my face because one of the instructors said, "Don't worry, she's fine"

Eventually we moved out of the horse area (that's good, because she was running everywhere! and I think those girls were amazed at her stamina of energy).  We stood and talked to the instructors for awhile while Nea played and climbed on a dirt pile.

Finally the instructor said, "I think I can help you."

I don't think I can begin to tell you the warmth and friendliness that came from this woman.  She talked about instilling calmness and focus during riding.  They had no concerns that Nea wouldn't get on a horse.  They were both convinced that she was inquisitive enough that she would do it without trouble.  She explained that after about 10 weeks, we would be seeing that calmness and centering spill over into every day life.  She also talked about that the therapy isn't just for the kiddos, it's for the grown-ups too.  Her goal is to make sure Nea is in a place to accept all the love she can from us, learn from everyone who is teaching her and build the self confidence to make her way in the world.

Oh, sign me up for that!  Please!

At one point during our conversation, Mickel and Domino came over to investigate.  Nea was still playing on the dirt pile by the fence.  She went over to greet them and say hello....like she had been doing it every day of her life.
Domino and Mickel come to say hi 

So maybe this is the thing that is the "click" for her.  Maybe this is the therapy that pulls everything together and gives her a better understanding of the world as well as some inner calm and peace.  That instructor seemed to think so.  She seemed very excited to have Nea with them and talked about many things for the future including instilling self-confidence, self-esteem, empathy and 100 other things I forgot.

I forgot because I was just so happy to watch my girl dance with glee on a horse ranch.


Domino (I really love kinda love him!)

Friday, November 15, 2013

Mercury be gone!

30 days since my last blog post?  Jeepers, Mercury was certainly in retrograde!  Very poor communication on my part.

We have had a busy month that included an illness, Halloween festivities,  a very first train ride and the first quarter school report.

Illness and Autism are always full of fun.  Fighting to get fever-reducers in her when she felt so awful was much like trying to herd cats, only the cats were 40 lbs each and fought back.  Her croupy cough made me cringe every time I heard it.  I took her to the doctor twice, which is always full of adventure.  She actually did well with the exams  and no "owies" were given so it didn't seem all bad.  My homeopathic remedy kit saved the day as those pellets are so tiny she never fought me on it.  They worked VERY well and I was thrilled to have them.
Examination at the doctor


Chairs lined up neatly in the waiting room
Witch girl
Halloween included 3 different costumes.  The one I planned only worked for 1 event, she didn't want it on at all after that.  I have no clue why.  The next event I made a make-shift pirate costume from playset items and putting her in jeans and an oversized shirt.  The night of Halloween brought rain and cold.   So, off to find a costume that had a little more water-proofness to it.  Great deals on Halloween for costumes, just FYI!
SpiderGirl
Pirate Girl

Her first train ride was full of adventure.  Watching her face as the train pulled into the station and her sudden realization that she was getting ON it, was priceless!  We enjoyed a day with Grandma and Grandpa and time at the zoo.   The train ride itself went off without a hitch.  Grandma had plenty of snacks and goodies in her bag to keep a 3 year old happy and busy.
Wearing the Conductor's hat!

My first parent-teacher conference was a very positive one.  It was nice to sit down one on one with the teacher and talk about my girl.  She's making good progress, only had to do time-out a couple times and continues to adjust to the school environment.  I so appreciate all the detail and love that these folks put into my kids education.  It's their passion and you can see it.  Nea is the class clown, which is no surprise considering the home she lives in.  We are all a little nutty here.

She's still getting private OT services with the therapist that's been with her since her diagnosis.  She shared with me concerns about Nea's speech patterns and felt that a return to private speech therapy might be warranted.  Admittedly, that set me back a bit.  Nea still does jargon speech (especially when excited or upset) and uses repetitive phrasing.  She has a handful of phrases that she uses on a frequent basis, and we haven't really seen many new ones. Even though she gets speech in the school it focuses more on social interactions and practical communication. I spoke to Diana and she will be starting up again with her in December. She'll be focusing more on articulation, trying to dissect that jargon and helping with more communication tools.  It's a never-ending saga when it comes to therapies.  Just when you think you have it figured out it changes in a heartbeat.

We head this weekend for evaluation of a possible start in equine therapy.  Equine therapy (working with horses) is a great opportunity for kids with Autism.  It can teach her bonding, communication, balance, core strength, sensory integration, etc.  Nea is very young at this point, but they want to meet her and evaluate her to see how she does.  If they think that she would be a good fit with the program, then she would be the youngest at this facility.  They also have group activities for kids, so socialization skills will get some attention as well.

If I've learned anything on this journey it's simply this.

Sometimes, you have to jump.