Wednesday, April 1, 2015

What I've Learned...

April 1, 2015

Two years ago, in a moment of weakness, I posted the blog, Autism Sucks. It still applies.  However, recently I feel like I’ve come to terms with Autism and am currently at peace with it. I know it won’t remain that way, but for now we are at a cease fire. 

This is about what I’ve learned thus far...

When I was younger, being alone was terrifying. I always needed someone around. I transferred schools three times while in middle school and was about as sad and awkward as they came.  One school in particular I didn’t have many friends and was very much a self-imposed outcast. I think that is why I’ve been so terrified of middle school for Ryan.  I have come to understand that now. That was my hang-up, my experience. As a parent, I recognize that my preconceived notions that those without friends were lonely were wrong. I’ve learned to let go of my own hang-ups. 

While it hurts to hear my son say, “I don’t have any friends.” I know it is true in some ways, in other ways it's not. It still hurts to hear. However, he doesn’t recognize what friendship means and that there are various types of friendship. There are times when Ryan is happy just being by himself. I’ve learned to accept that.

He is social and extremely outgoing, but his awkwardness and inability to read social cues and conventions often left him without anyone close. He has opportunities to form the type of close friendships that seem to be a must for surviving middle school, but he either doesn’t want to, or is unable. He doesn’t need them to be happy, let alone survive. We walk through the halls of the middle school and in each hall someone calls out his name, someone gives him a high five no matter what the grade or if it was a girl or a boy. Kids smile when they see Ryan. How is that not friendship?  He makes people smile. I’ve learned there are different types of friendship.  

When he feels like it, he goes out front and plays with the neighborhood kids in a pick-up game of some sport. He loves playing sports, but finds the lack of adhering to the rules angering and often  sets him off. As he matures, he realizes when he can and when he can’t handle it.  The neighborhood boys are a blessing. They ring our bell and ask for him and his brother to both come out. They know Ry is different and often gets frustrated, and can be disruptive. They still want him to play. The other day, I saw one of the boys walk over and put his arm around Ryan to calm him. It was a profound moment for me.  It taught me that he doesn’t need me hovering. I’ve learned to let go (a little). 

Ryan is 13 now. He is a red belt in karate, a second year member of All-County Chorus and a straight-A student. He is maturing and talks about Autism and how it affects him. He thanks people for wearing Autism t-shirts and sees it as they support him! It is gratifying to have him actively explain things to me about his life and how he perceives it, instead of me explaining why it is different to him. He tells me what he can and cannot handle and it is such a relief to see him recognize those things. He is able to predict when something is going to set him off and do something to avoid it.  I’ve learned the hard work has paid off.

He dreams of going away to college and knows it will take more than other kids for him to get there. He works hard with his therapist and in his therapeutic social group which consists of adolescent boys with autism. He sets goals for himself and plows through with determination to meet them. I see him on the path to handling adult life on his own. With that, I’ve learned to hope.

I’ve learned what it means to be ‘Different, not less’.
Embrace it, don’t fear it.

All paths are different, but trying to see what you've learned in a positive light makes the journey more illuminating.

Wednesday, March 27, 2013

Eight weeks later...tough as nails still!

We went to Philly on Monday and Lauryn had her monster cast removed, molded for new braces, X-ray and left in short casts on both legs to hold her position on her feet until her custom made braces are ready.

Her knees are very sore and stiff from being locked straight for the past 12 weeks. She has some sores on her feet, but her hips look amazing. No complaints from that and she seems unphased by them. Amazing since both her femurs are still healing and have pins in them.

We went to PT last week with her cast still on and my girl stood anyway!

Wednesday we went back with just the short casts on, and even though her knees are stiff and sore, she announced that she wanted to walk. I told her that we will work on that. She went back with her therapist and not three minutes later she told her PT that she wanted to stand and go to the toy closet. Next thing I knew she was up and smiling. She then stretched her knees for a little while and the next thing I knew she was standing BY HERSELF! With just an arm supporting her. this is amazing because she has been in some form of casts since early January! Can you imagine not using your legs for three months and then standing on them without blood, sweat or tears?! God, she humbles me...

Today the little firecracker is walking with her walker!! She is still having trouble bending her stiff knees but less than a week after coming out being casted for the last three months she is already trying to walk again!!



Wednesday, February 6, 2013

'The Diva' is slowly making a come back!


We were a little nervous the past few days because Lauryn was refusing to eat and was pretty weak and miserable.  She hasn't eaten since Wednesday night and had been off the IV since Sunday night.  However, things are looking up and she is starting to eat again.  She's not 100% but she is improving everyday!

She is very annoyed with Dr. Van Bosse because she hates the bar that is between her ankles to stabilize her hips.  As far as she is concern it is the root of all evil.  She was cracking us up in the hospital when she was giving the Dr and even a couple of nurses a piece of her mind about the bar. 
The nurses in the the NICU got a kick out of her because she was acting like such an adult and asking questions about what they were doing.  By the third day she was telling them which medication she needed. ('I need some benedryl because my casts are itching.'  'I need the medicine in my arm (IV) not the one I drink' or 'No sleepy medicine!' 'I need ice for my back!') .  Unfortunately, she had a nurse assigned to just her in the ICU and now she thinks that should be me!  ;-)

She has to remain sitting or laying down for the next 6 weeks.  That's got her good and mad too.  Can you imagine trying to explain to a 4 year old that she can't move around independently!?   Even when she had just her regular leg casts she was able to crawl around.  However, the dr wants her still since her thigh bones were basically broken and need to mend without any weight or movement.  We have a wheelchair that reclines to accomodate her but doubt we will be going anywhere in the near future.
Especially with all the flu and strep going around - no point in asking for trouble!

At the end of the day, she has
- had five procedures (on her both hips and both feet)
- with 10-12 incisions in her legs (we lost count)
- spent 4 days in ICU and 1 day in a regular room
- has long leg casts from thigh to toes with a bar between the legs to keep them still.
- she will be in these cast for 6 weeks
- she will be in short leg casts for 3 weeks after that while we wait for new AFO's for her feet

Many people asked why get so much done at once and the reason is to have it all over with.  If we tried doing this piece by piece, she would be laid up for months and months.  Plus I don't know if I'll ever get her back in a hospital again.  We are hopeful this is the ONLY major surgery and don't forsee the need for another one at this point.  Everything we are doing now is to make growing easier and give her as close to normal movement in her hip and foot joints.  We are also hopeful that in the future she can ditch the braces at least during the day!  That is our goal right now.  Lauryn's condition is not progressive and she was at her 'worst' the day she was born - so we can only get better!

Thank you EVERYONE for all your support and kind, encouraging words! It made the time in the hospital so much better. Thank you to our parents for all the help they gave us with the boys. I don't know if Lauryn and I would have made it without Raj with us in Philadelphia and that was possible because our parents stepped in and helped with the boys.

Sunday, February 3, 2013

Day 4

She is having the epi taken out in an hour which will FINALLY move us out of PICU and moving to a regular room. She has has cold compresses on her back and hips to help with spasms and swelling.

We counted that she's has about 12 incisions from her hips down to her big toes (literally).

She's politely directing (ordering) everyone! Except with me she isn't so polite! She keeps ordering me to hold her and hug her but NO KISSES! Lol!

The drugs and the pampering service of the ICU Has heightened her diva-ness!

She is slowly coming around. Here is a diagram of what is involved with an osteotomy of the hips. The pins will be taken out in a year.

http://www.hipdysplasia.org/Resource/339/FileRepository/Infant%20Hip%20Dysplasia/Treatment%20Methods/Osteotomy/TES.JPG

Saturday, February 2, 2013

Slowly turning the corner

She is a little more comfortable today although it was a rough last 36 hrs. I think the longest I've slept is an hour at a time in the past 48 hrs. Her goal today is to drink and eat something and to sit up. Since they also clipped tendons in her hips they are stiff but necessary to stretch. She can sit up but it becomes painful after a while and she gets spasms. We are hopeful that she will be getting the epidural and foley out tomorrow so we can come home Monday.

I can't say enough about how fantastic the staff here is. They are attentive, responsive and extremely compassionate. Far cry from when we were at children's hospital.

Raj has come to relieve me so I can go rest at the hotel. Will check in later. The following is her in her new wheelchair that reclines!



Friday, February 1, 2013

Great night, rough day...

Last night went smoothly for her. Today her pain management has been a challenge. A lot of 'break through' pain and muscle spasms. She has an epidural right now and needs occasional 'boosters' along with IV pain meds. They are trying to get her comfortable with oral meds - codine and Valium and now it is a matter of waiting for the cycle of new meds to become effective. They plan on keeping her in ICU through Sunday. So we may not leave til Monday at the earliest. I'm staying with her at night and Raj relieves me so I can rest at the hotel for a couple of hours in the afternoon. Of course the anesthesiologist told me the hip surgery is one of the most painful and she had four more procedures on top of that. Considering all she has to deal with she is being expressive and helping us understand where she is having discomfort. She also only cries when a spasm hits. She is pissed that she can't sit up, I can't hold her and she can't go home. But, who wouldn't be. They say the second day is the worst so hopefully she will so better this evening/tomorrow.

Thursday, January 31, 2013

She is done!

Dr. Van bosse just came to see us and she is in the pediatric ICU awake and ok. We are waiting to go see her. All the procedures went well... Although they were a little more involved that he planned on. He is happy with the results and that is important. She had tendons nicked in both hips, both ankles and both big toes. Tendons were also transferred/repositioned on the top of both feet. They cut into her femoral bone and repositioned it with pins to get better range of motion and rotate her legs more inward. That is about as Laymans terms as I can get! I will be in the ICU with her for the next two days and won't be answering my phone. Thank you everyone for your thoughts, prayers and words of support! It means more than you will ever know!