Sunday, September 14, 2014

Reunion

 
When Alex was first diagnosed with autism, I desperately began searching for information to help him. Along with reading countless articles and books, I spent a great deal of time online, trying to find the most up-to-date research. In addition, I wanted to communicate with other parents who were dealing with the same things we were, hoping that we could share ideas. Thanks to the Internet, people can easily find all kinds of support groups that allow them to connect with others who share their concerns and interests. The first group I joined online was a fairly large autism group with members from all around the world. While I met some very nice and supportive parents in that group, a great deal of arguing and differences of opinion, sometimes known as “flame wars,” led a group of us to break away and start another group.

The second group was specifically for parents of children with hyperlexia, a relatively rare condition where children learn to read before the age of five or six. Most of our kids had begun reading at age three, and many of us used those reading skills to help our children with their speech delays. In addition, most of our kids were younger than those whose parents were in the autism group, so we were dealing with similar developmental issues. From that group, I bonded with a few special moms, and I still keep in contact with them and have always been grateful for their friendship, support, and empathy.

After a few years, a small group from the hyperlexia group formed another sub-group of parents who were doing biomedical interventions with our kids. As we put our kids on gluten-free and casein-free diets to address their food allergies and sensitivities, along with vitamins and nutritional supplements, we wanted to compare notes and share research. Not all parents want to pursue biomedical methods, and we respected those who had chosen not to use those approaches with their kids, taking our conversations elsewhere. I learned a great deal from both groups and appreciated the camaraderie that these smart and dedicated moms offered.

As Alex grew older, I was busier working with him and coordinating his therapies, which meant I had less time for the online support groups. For a while, I “lurked,” reading other people’s comments but rarely commenting myself, and eventually I simply no longer participated at all. Over time, most of us stopped chatting with each other online, busy with our kids and more confident in our abilities to parent these special kids without the support of others who were in the same boat.

Recently, I noticed an email with a familiar designation in my inbox and was surprised yet pleased to hear from one of the members of our small biomedical group. This group had probably not been active for more than five years, and she was curious as to how everyone was doing. Over the next few days, nearly everyone in the group responded with updates about how they and their kids—actually teenagers and young adults since so much time has passed—are doing. Some posted current pictures: their cute little boys I remembered from years ago have now matured into tall and handsome young men. As much as their sons had changed, these moms with their distinct voices had not changed much at all, and the familiarity of their personalities was comforting as I remembered many of our conversations from the past and how we had seen each other through those early, uncertain years.

Over the next several days, my inbox continued to fill with emails from this group, and I found myself feeling overwhelmed by the conversations. Perhaps I should explain that I’m not the type of person who goes to high school reunions. For those who enjoy reminiscing, I think that’s great, but I personally have no desire to bond with acquaintances from many years ago because life has taken me far from those past experiences. One of the topics the group discussed this week as I lurked was the question of  “What would you tell your younger self?” For some, this evoked wistfulness in choices they wish they had made; for others, this gave them a sense of wisdom from what they’ve learned from experience. While I didn’t respond, I suppose that I would have to say that I wouldn’t tell my younger self anything because I believe that everything we go through teaches us something we must learn. Perhaps I would share with my younger self the wise quote that Alex often tells me: “Wait and see.”

While a few of the online support group seem to be continuing their catching up on news and reminiscing, some of us are standing on the fringes, waiting until the reunion is over or until it’s polite to leave. Others have already left, explaining the obligations that keep them from staying any longer. In a few weeks, probably all of us will lose touch once again, maybe to be reunited a few years down the line when someone feels nostalgic and wonders how everyone is doing.

As I have mentioned in a previous blog entry, Alex still says his childhood prayer of “Now I lay me down to sleep,” followed by a list of people whom he asks God to bless every night. This list has increased over time as people who are important to him have entered his life, such as his beloved therapists. About a week ago, out of the blue, he added three names at the end of his “God bless” list. Although I recognized these boys’ names from many years ago, I asked Alex who they were. He smiled and told me that they were in his preschool class. I’m not sure why he suddenly decided to include these three boys, who are now young men, in his prayers, but I’m touched by the sweetness of the gesture. This was not a one-time addition, either, as Alex has continued to name them every night in his blessings list. When I asked Alex how old those three boys are now, he immediately answered, “Twenty-two,” knowing that they are the same age as he is. I wonder how those boys are doing, what they look like as young men, and what a reunion of that special needs preschool class would be like. Mostly, I hope they feel the prayers of their former classmate Alex, who still feels connected to them, even after seventeen years. God bless Alan, David, and Joshua, and God bless Alex, who prays for them all.

“Yet the time will come when the Lord will gather them together like handpicked grain. One by one he will gather them…” Isaiah 27:12

Sunday, September 7, 2014

Like Pulling Teeth

 
A couple of weeks ago, we took Alex to his pediatric dentist who also sees adults with special needs for his regular six-month cleaning and check-up.  As I have mentioned in previous blog entries, Alex has always had good experiences at the dentist, and he eagerly looks forward to going, unlike most people. Moreover, he has been quite fortunate that he hasn’t needed any dental work other than to have two teeth filled under anesthesia last summer when he was twenty-one years old. Although we had thought this appointment would be uneventful, since his check-ups always are, we were wrong.

First of all, Alex looks forward to seeing his beloved hygienist Laura, who shows him great kindness and calls him “Sweetie” in her sultry deep voice that he likes. This time, another hygienist cleaned his teeth instead. Alex’s disappointment was obvious as he asked the new hygienist, “Where’s Laura?” I’m not certain why this change was made, as we saw Laura there that morning, but for some reason she didn’t work on Alex this time. After his teeth were cleaned, the new hygienist went over how Alex’s teeth are doing. Many times, the dentist comes and gives me a report about Alex’s teeth, but lately he seems to be unavailable for these consultations. While I appreciate the good job they have done taking care of Alex’s teeth the past several years, I don’t appreciate that he doesn’t take a few minutes to talk with me. In ways he reminds me of the character of the Wizard of Oz: “Nobody gets in to see the Wizard. Not nobody. Not no how.” Instead, the new hygienist had the task of breaking bad news, which wasn’t fair to her or me.

Since Alex has never had much problem with decay, I was stunned when she told me that his upper back molars needed to be extracted because they are “deteriorating.” I asked her if she meant his wisdom teeth or twelve-year molars, and she seemed a bit rattled by the question. Next I asked her if his wisdom teeth have erupted, which seemed to rattle her even more. She began flipping through his chart, looking for information, even though she had just examined Alex. Then she told me that it was his twelve-year molars that were deteriorating and needed to be removed and that his wisdom teeth had not erupted but were lying sideways. As if to smooth over the situation, she tried to reassure me that nothing needed to be done before we came back for his next check-up in six months. Since things didn’t seem that imminent, I asked her if those teeth could be saved by having them filled, and she flatly told me they were too far gone. Then she told me that if Alex were in a lot of pain or having trouble sleeping, we should call their office to get a referral to an oral surgeon to have them removed right away.

At that point, I was a bit overwhelmed thinking of how nasty Alex could be if he were in so much pain he couldn’t sleep. I simply thanked her, and we took Alex, who was in the waiting room with Ed and oblivious to this discussion, home. In the car, I thought of all the questions I should have asked her and felt frustrated that the dentist had not explained all the issues and had left a new staff person to go over a fairly serious matter. Once I got home and got my thoughts together, I called the office and asked to speak to her to try and address my unanswered questions. Yes, his upper twelve-year molars needed to be removed, but they most likely could wait at least six months. After she had a brief consultation with the “Great and Powerful Wizard of Oz,” the dentist, she said that if we wanted to be proactive, we could consult an oral surgeon and have the teeth removed before they caused him any pain. That sounded like a plan to me.

However, I was not comfortable taking Alex to an oral surgeon we’d never met before I knew more about what was wrong with his teeth. Consequently, I decided to take him to my dentist whom I like and trust. Fortunately, we were able to get an appointment right away, and Alex was enthusiastic about seeing a new dentist. Since Alex’s dentist never x-rays his teeth, I knew that having x-rays could be tricky because he would have to cooperate and sit still. However, the pleasant dental assistant was very good about explaining to Alex what he needed to do, and the panorama x-ray of his entire mouth went amazingly well because Alex did exactly as he was told. I think he found the rotating machine fascinating and liked that the process would take exactly sixteen—not fifteen or twenty—seconds.

After the x-ray was developed, my dentist carefully examined Alex’s teeth on the image and in his mouth. He also showed me in the dental mirror the decay on the back of Alex’s twelve-year molars that was cause for concern. He was quite understanding as he explained that keeping the back of his back molars clean was difficult and that by removing those teeth, we could take better care of the rest of his teeth. For that reason, he thought removing the bottom two back molars might be a good idea, as well. Additionally, he recommended removing Alex’s impacted wisdom teeth at the same time before they cause him any pain or problems. He explained that when his twelve-year molars are removed, that will allow easier access to the wisdom teeth to remove them, as well. He recommended all eight back teeth be removed under IV anesthesia for Alex’s comfort and felt that doing it all at once would be easier on him in the long run.

After addressing that concern, he checked all of the rest of Alex’s teeth and said that they are in good shape. He asked me if Alex brushed his own teeth, and I explained that his fine motor skill weakness makes it difficult for him to do his own oral hygiene. Therefore, I do most of the brushing of his teeth. He then told me that I “deserve a pat on the back” for the good job I’ve done in keeping his teeth clean and healthy. This was a nice recognition no dentist had given me before and made me feel better about the decay in Alex’s back teeth, which he reassured me was difficult to avoid. Although we aren’t thrilled that Alex needs to have eight teeth removed, we appreciated that we now understood why this would be best in the long run, thanks to my dentist’s gentle and compassionate explanation of how this will help Alex.

Also, he agreed with us that we shouldn’t wait until the teeth cause him problems and should proceed with getting them removed instead of waiting six months, as we had been told we could. He then gave us a referral to a local oral surgeon along with Alex’s x-rays and a written explanation of which teeth need extraction. When we got home, I scheduled an appointment with the recommended oral surgeon for a consultation, and we will wait to see what he says then. Since Alex did well last summer when he had teeth filled under anesthesia, we are hopeful that he will do well with having these teeth removed under anesthesia, but we are concerned about how he’ll react to the discomfort afterwards. Alex, on the other hand, has no worries and is looking forward to the process, seeing it as yet another adventure. I suspect he thinks he has a big payoff coming from the Tooth Fairy in the future. If that makes things easier for him, I’m sure she can fulfill his wish.

“Putting confidence in an unreliable person in times of trouble is like chewing with a broken tooth or walking on a lame foot.” Proverbs 25:19

Sunday, August 31, 2014

A Place of Rest

 
Last night I was organizing Alex’s bedroom, a task I had put off all summer, knowing that it would take a great deal of time and patience to sort through all his things. I also knew that I would have to go through all of his possessions when he was busily engaged in something else so that he wouldn’t distract me from sorting his things into three piles: keep, give away, and throw away. In the past, I was rarely able to put his belongings into the latter two piles because he wanted to keep everything that was in his room. To be honest, I had a great fear that if I threw away something of his, he would instinctively know what I had put in the trash and insist that he needed that item immediately. Moreover, I knew that he would be angry with me for having disposed of it. For most children, this might be a forgotten toy; for Alex, this might be an instruction manual for a gadget that had been long gone or a seemingly random list of numbers he had constructed and only he knew their significance. Typically, cleaning Alex’s room meant simply finding places for all his things and never really purging all the extraneous.

Yesterday’s end-of-summer cleaning, however, was different. As I carted out garbage bags full of his former belongings I felt certain he no longer needed, Alex calmly watched me and seemed pleased that his room was taking a more organized form. By removing dilapidated and outdated books, his bookshelves have room for those books he truly treasures, and he can now find them quickly because they are no longer stacked in piles on top of his desk. I did make one consolation in my determined effort to rid his room of mess: knowing his love for his world almanacs, I kept all of them, despite their torn covers and missing pages, and stacked them together on a shelf, which made Alex happy.

When I cleaned out his closet, I noticed something else that showed a clear sign of progress. In the past, Alex refused to wear any clothes that had words or logos on them. In previous blog entries, I have mentioned that he inexplicably referred to these as “bad imagine clothes.” Now, his closet contains sweatshirts with his favorite sports teams emblazoned on the fronts, and many of his newest t-shirts, which he helped select, have words on them. In fact, his current favorite t-shirt is one he found at Kohl’s that depicts some of the characters from Sesame Street, a favorite show from his childhood, with the saying, “Everything I needed to know I learned on the street.” Although I suspect he doesn’t really get the joke, he thinks it’s funny to wear a shirt with Elmo, Big Bird, and Cookie Monster at his age.

Part of my motivation to overhaul Alex’s room came from his recent request to get new bedding. For the past several years, he has preferred solid-colored sheets and a NASCAR comforter. Last week, he suddenly decided that he wanted Major League Baseball themed bedding instead. As he and I shopped online for a new comforter and sheets, he studied his options, and after asking me if one he liked was too expensive (and being reassured that the price was reasonable), he decisively chose the one he liked best. This process also showed signs of progress in that he came up with an idea totally on his own, patiently and carefully weighed his options, and then made a decision without relying upon me to make it for him.

As I finished the dreaded job of tackling his room, I realized that the cleaning of Alex’s room took on symbolic meaning, as well. Throwing away items he had ruined by throwing them or writing on them during his destructive phase was cathartic for me, a way of getting rid of bad memories. Moreover, I realized that fixing up this place where Alex rests comes when we have arrived at our own time of rest after a time of turmoil. No longer do I fear Alex’s wrath for moving or getting rid of his things. The improvements in his behavior along with his progress in making independent decisions and being more flexible about his surroundings and what he wears makes us embrace the positive changes and feel more hopeful about his future. For a time, we lived in constant fear of making Alex mad, and we did everything we could to make him happy. Now we live in peace knowing that he is happy and doesn’t need our constant coddling to make him that way. Whether this positive shift has come with time, therapy, healing, or a combination, we don’t know, but we do know that we are thankful that we can clear away the struggles of the past and enjoy the contentment we find in this blessed time of rest.

“The Lord replied, ‘…I will give you rest—everything will be fine for you.” Exodus 33:14

Sunday, August 24, 2014

Autism News This Week

 
After Alex was diagnosed with autism eighteen years ago, I began researching autism, hoping to find ways to make his life better and easier. Indeed, the information I have gained through my investigating and reading has led us to therapies and methods that have helped him. At the same time, some articles I have read about autism, particularly those about how children with autism have been mistreated, anger me and make me more determined to protect Alex from those who might take advantage of his trusting nature. This week three major stories about autism appeared in the media, and each filled me with different emotions yet confirmed my need to seek more information and to keep working as Alex’s advocate.

The first story came out of Jurupa Valley, California, where parents of special education high school students complained that their children were expected to sort garbage as part of their curriculum. [To read this report, please click here.] As part of a life skills class, special education students had to pick through the school’s trash cans looking for recyclables, reportedly to be sold to make money for the special education program. When a freshman student with autism came home and told his mother about this activity, she immediately complained to the administration and school board. Apparently the superintendent’s response was that sorting garbage was a standard part of the curriculum and that no complaints had been received before last week. Perhaps the lack of complaints was because these children could not communicate to their parents that they were expected to do degrading and disgusting and potentially dangerous work. Once parents found out that garbage picking was part of the special education curriculum, they angrily complained, a school board member whose child also has special needs concurred with their concerns, and the school district apologized. However, instead of cancelling this program, the administration is reviewing it. Maybe the superintendent needs to sort garbage himself so that he can see how wrong it is for special needs children to be forced to do this activity. Teachers, administrators, and therapists who work with special needs children should always ask themselves, “If this were my child, how would I want him/her treated?” I seriously doubt garbage picking is something they would want their children doing as a school-sanctioned activity passed off as a “functional skill.” This type of special education “curriculum” reminds me why we chose to home school Alex.

Another story that raised my ire this week focused upon the admission of a Centers for Disease Control and Prevention research scientist that data was manipulated to dismiss the potential relationship between vaccines and autism. [To read this report, please click here.] This whistleblower, later revealed as Dr. William Thompson, finally admitted that the 2003 CDC report showing no cause between autism and the MMR vaccine was essentially fraudulent. The research at that time actually revealed a much higher rate of autism among African-American boys who received the MMR shot before age three. However, pressure from public health organizations, including the CDC, forced scientists to eliminate data that questioned vaccine safety and potentially indicted vaccines as related to the rise in autism rates. By suppressing this information, more than ten years has been essentially wasted in trying to find causes and cures for autism. By protecting companies that manufacture vaccines, the government health agencies have failed to protect children whose lives have been impacted seriously and negatively by autism, and this is shameful.

Although these articles angered me that people who should know better failed to protect children with special needs, a third report that appeared this week gives me hope for Alex’s future. Widely reported in various media outlets, recently published research indicates a likely cause of autism and a potentially promising treatment. [To read this research, please click here.] Through brain studies done by American neuroscientists, people with autism were found to have more synapses, or connections between nerves, than typical people have. While all humans are born with more synapses than they need, usually these additional synapses are pruned over time. However, in people with autism, the mechanism to get rid of unnecessary synapses somehow fails. While autism may be seen as lacking something; the reality seems to be that autism means having too much, specifically, having too many neural connections, which probably leads to the sensory overload that often characterizes autism.

By using the immunosuppressant drug rapamycin in mice that display autistic behaviors, normal pruning of synapses was restored, and autistic behaviors decreased. While this research seems promising, scientists caution that this drug has side effects and may not work in people as it does in mice. However, researchers seem optimistic that pursuing this problem of too many synapses could lead to development of medications with fewer side effects that would help not only children with autism but also adults with autism, as well. Perhaps one good thing about the current epidemic rate of 1 in 68 children having autism is that drug companies would see profitability in researching and manufacturing these types of medications, knowing that a large population could benefit. Certainly, I’m hopeful that research continues to find ways to heal the parts of the nervous system that autism impairs, and this report fueled my optimism that one day Alex will be cured.

As I have studied and researched autism this week, I have also watched many videos of people, including my friends and family members, taking the ice bucket challenge for ALS, a devastating neurological disorder. While I appreciate their willingness to support ALS awareness by making videos and donations, I wish that people would also wholeheartedly support autism, another devastating neurological disorder, with the same widespread enthusiasm. Instead of dumping ice water over one’s head, perhaps walking over hot coals would be a good challenge to raise autism awareness. I know that many autism parents like me wouldn’t think twice about walking over hot coals or even through fire for our kids to help them. In the meantime, we just keep searching for answers, working to make our children’s lives the best they can be, and praying for a cure I truly believe will come in time.

“Lead me by Your truth and teach me, for You are the God who saves me. All day long I put my hope in You.” Psalm 25:5

Sunday, August 17, 2014

Allies

 
This week, I began another school year, which meant that I once again entrusted Ed to take over solo parenting of Alex while I was at work. As I have mentioned previously, we have been blessed that our work schedules have always allowed at least one of us to be home to take care of Alex his entire life. In the summer, both of us are fortunate enough to be home from our teaching jobs. However, when we return to work in August, Alex must adapt to a new schedule in which I’m gone in the mornings, and his dad is at work in the afternoons.

Wanting this transition to go smoothly, every year I give Ed a crash course in reminding him of Alex’s routines and making sure he knows where everything is that Alex may need while I’m at work. Although he probably already knows the information I rattle off at him, he humors me by feigning interest and expressing gratitude for my concern. Thankfully, Alex adjusted well to my being gone this week, and my careful instructions proved unnecessary. In fact, I suspect that Alex and Ed use the time while I’m at work wisely, planning together ways to make a monkey out of me.

For instance, last night Ed offered to take my car and fill it with gas, a very thoughtful gesture. He even offered to take Alex along with him, which was nice. However, I wound up getting involved in the process that was supposed to relieve me of duty. Specifically, Ed told Alex that if he’d get his shoes and put them on, he’d take him to the gas station. While this seems innocent, I’m sure that the two of them plotted this whole sequence of events while I was at work this week.

Ed: “So, Alex, I’ll offer to take you to the gas station with me and tell you to go get your shoes. You just sit there, and I’ll stand there waiting for you to get them, knowing that you won’t.  I won’t go get them, either, pretending I’m waiting for you. Your mom will be happy that I’m taking her car to get gas, so she’ll just go get your shoes for you and help you put them on.” Both Ed and Alex laugh.
 
In a similar scenario, I picture Ed and Alex discussing how they’ll get me to find other things for them. I imagine it sounds something like this. Ed: “Alex, if you are trying to find something like your watch or your almanac or your minute timer, come tell me. I’ll repeat loudly whatever it is you’re looking for so that your mom, who’s in the other room, knows we’re blindly trying to find something.” Both laugh. “We’ll look half-heartedly, and then I’ll start saying loudly, ‘Alex, WHERE did you put it?’ Don’t answer me when I ask that. If your mom doesn’t come running, then I’ll start complaining about how you need to put your things where they belong. This will make your mom think we’re really frustrated, so she’ll look for your lost belonging. We’ll start timing her and wait for her to find it in no time and to tell us that if it had been a snake, it would have bitten us.” Both laugh hysterically.

Besides finding things for Alex, I also spend quite a bit of time as his personal waitress. Although Ed sometimes must fix Alex food and drinks, when I’m home, he usually relies upon me to serve him. I think this arrangement occurs because of the following likely conversation between my guys when I’m at work. Ed: “Now, Alex, when you want something to eat or drink, you can come ask me instead of your mom. However, I’ll act like I don’t hear you the first ten times you ask. I’ll keep staring at the television or computer screen all the while you’re asking me. I won’t completely ignore you, though, because I’ll keep asking you what you want. If your mom doesn’t hear your request, I’ll keep repeating it louder and louder like this, ‘Lemonade? You want lemonade? I’m not sure if we have lemonade.’ If that doesn’t bring her running, I’ll say, ‘Go ask Mommy if it’s okay for you to have lemonade this early/late/often.’ Then she’ll probably fix you whatever you ask her or maybe offer you something better to eat or drink. I’ll just sit here and watch.” Both laugh and high five each other.
 
All kidding aside, I’m thankful that Ed really does take such good care of Alex when I’m at work and even more grateful that the two of them have such a close, loving relationship. I don’t have to worry while I’m at work because I know that they are content together. Although, I must admit, I’d love to hear some of the conversations between the two of them when I’m not home and they’re trying to find Alex’s shoes or his watch or lemonade. I’m betting they manage a lot better when they’re alone than I would think. At least I hope so.

“The one who plants and the one who waters work together with the same purpose. And both will be rewarded for their own hard work.” I Corinthians 3:8

Sunday, August 10, 2014

The Summer of Alex

 
“Don’t cry because it’s over. Smile because it happened.” Dr. Seuss

As I return to my teaching job this week, I feel anticipation about starting a new school year and a wistfulness that summer must come to an end. While I always feel a sense of sadness that the freedom of summer must be replaced with the responsibilities of real life, I find it harder to say goodbye to this one, for it has been the best summer of Alex’s life. Thinking back to the terrible struggles we endured two years ago with his anxiety and aggression that led to weeks of hospitalization, we find ourselves amazed that we have come this far in a relatively short time. Even last summer, which brought improvements, still found us constantly monitoring Alex’s movements, fearful that he might slip back to a place where we found him nearly unreachable. Certainly, he was better, but he was also hazy, fogged by the medications needed to keep him calm. However, with time, prayer, and healing, Alex has emerged, better than ever and ready to enjoy life again. Praise God.

This summer, we have taken him to several concerts in our downtown park, where he has enjoyed listening to all types of music, from classical to 1950’s oldies to 1980’s pop to Celtic to his proclaimed favorite, jazz. Munching on a snack, he bobbed his head to the beat of the music and clearly expressed his joy, smiling broadly. Going shopping, he not only pushed the cart, but he also made comments about the things he noticed and made requests about things he wanted to buy. When we went to restaurants, he savored his food, enjoyed watching other people, and never seemed to be in a hurry, sitting calmly and happily. In walks through parks and along pathways, he kept us moving at a rapid pace, as he eagerly took big strides in his enthusiasm to get where he was going. In fact, his walking pattern seems symbolic of his new outlook on life: moving forward rapidly because something better is ahead.

Aside from the satisfaction of knowing that Alex is content, probably the biggest difference of this summer has been that we trust him again. After his unpredictable behaviors of the past made us cautious of making him upset or leaving him alone for any length of time without constantly monitoring what he was doing, we now know that he isn’t likely to do anything wrong. When he’s not doing something with us, he’s reading or watching television or using his iPad or listening to music—all typical activities for a young man his age. As our trust in him has grown, we have also become less fearful that he would return to destructive behaviors, such as throwing things in anger. This summer, breakable objects that were hidden in safe places have returned to their proper homes. All of the fragile glass and sentimental old family keepsakes have reappeared in my dining room hutch, no longer boxed away in bubble wrap in the basement. Remote controls have returned to the open instead of being hidden away, as have electronic devices. Now when we hear noises, we ask, “Alex, are you okay?” instead of “Stop, Alex! What are you doing?” Not having to live in constant fear of his meltdowns has truly been a blessing.

With the significant behavioral improvements, Alex has also made great progress in his language skills. Working with his therapists and us, he seems to have gained more confidence in his ability to speak. As he asks questions and makes comments on his observations, we realize how much better his language has become in the past year. Moreover, he’s speaking up more and mumbling less. Through the things he says and through questions he asks and answers, we know that his mind is sharp again, something we feared had somehow been lost during the turbulent times. His keen memory is indeed intact, as his ironic sense of humor. What may have been dulled thankfully now shines again.

Best of all, Alex has shown great improvements in his social skills. When he’s out in public, even in crowded places, he remains calm and behaves appropriately. He has learned to refrain from making inappropriate remarks and fully cooperates with us when we take him places. Because he has become so trustworthy, Ed and I no longer feel the need to troubleshoot constantly, looking for potential problems, and we can relax and enjoy our outings as much as Alex does. Last week, when Ed’s sister, brother-in-law, and niece came to visit us, Alex interacted with them nicely and enjoyed spending every minute with them instead of wandering off to his room to be alone. As I watched him help his cousin collect stones from the beach of Lake Michigan, I felt a sense of peace knowing for certain, he’s going to be all right.

While I have hoped and prayed and struggled to have faith that everything will be all right, this summer has brought the reassurance that Alex IS going to be all right. If he can improve as much as he has the past two years, he can continue to make great strides. Just as he walks with great purpose and enthusiasm, his life holds that same purpose and enthusiasm. As Ed and I return to teaching our students for another year, we remember that our prize pupil Alex still has much to learn and much to teach us about life. While we will miss the lazy summer days of fun, we move forward with anticipation, knowing that even better days lie in store for us as Alex continues to surprise us with what he can do and shows us how the simple joys in life often bring the greatest contentment.

“Come see what our God has done, what awesome miracles he performs for people!” Psalm 66:5

Sunday, August 3, 2014

Autism and Hypothyroidism

 
While autism is primarily associated with difficulties in communication and social skills, certain medical issues may also be connected with this condition. For example, children with autism may have food allergies or sensitivities to glutens and/or milk products, as Alex does. Recently, I discovered another condition that can be associated with autism is hypothyroidism, which occurs when not enough thyroid hormones are produced in the body. Common symptoms of hypothyroidism include fatigue, weight gain, dry skin and fingernails, depression, and increased sensitivity to temperature changes. Fortunately, hypothyroidism can easily be treated by taking prescription medication, thyroid hormone medicine to replace what the body cannot produce, typically for the rest of the patient’s life. However, careful monitoring through observation of symptoms and blood tests are necessary to ensure correct levels of medication are treating the condition.

When I was thirty-five years old, I became aware of hypothyroidism’s effects when I was diagnosed with tumors in my thyroid. Because biopsies were inconclusive, most of my thyroid was removed surgically; thankfully, those tumors turned out to be benign. However, since my thyroid could not produce the levels of hormones my body needed to function properly, I have been on thyroid medication since then. Over the years, I have been on various dosages of the generic medications levoxyl and levothyroxine to compensate for the thyroid hormones my body lacks. Other than taking a small pill every morning when I awaken and monitoring my thyroid levels through blood tests once or twice a year, hypothyroidism has typically not been a problem for me.

Two years ago, we discovered that Alex also has hypothyroidism when routine blood tests to check how his medications affect his metabolism indicated that his thyroid hormone levels were lower than normal. The doctor indicated that the lithium he takes to regulate his moods can sometimes be a factor in causing disruption of thyroid hormone levels. In addition, hypothyroidism tends to run in families. Since my brother and I both have hypothyroidism, Alex could have very well inherited that tendency. After Alex was diagnosed with the low thyroid levels, the doctor prescribed a low dose of levothyroxine to be taken once daily in the morning. In addition, his thyroid levels would continue to be monitored on a regular basis through blood tests.

After Alex was diagnosed with hypothyroidism, I realized that he had shown many of the same symptoms I had displayed with the condition: dry skin, oversensitivity to cold, and a typically below normal body temperature. Nonetheless, like me, he has also responded well to taking thyroid medicine and seems unfazed by his sluggish thyroid. A few weeks ago during a routine exam, his primary care physician noted that Alex’s most recent blood tests indicated that his thyroid hormone levels were too low, indicating that his medication needed to be changed to address his underactive thyroid. As his doctor noted, Alex can’t easily verbalize his symptoms, so we must rely upon his lab tests and careful observation to see if his hypothyroidism is causing problems. His main concern was that if Alex’s thyroid levels continued to be too low, this could not only cause physical problems, but could also cause cognitive impairment. Consequently, he decided to add Nature Throid, a natural hormone supplement, to Alex’s current dose of levothyroxine to help his metabolism and address any symptoms of hypothyroidism.

In doing some research about the connection between autism and hypothyroidism, I ran across a fascinating article by internist Raphael Kellman, M.D. entitled “The Thyroid-Autism Connection: The Role of Endocrine Disruptors.” [To read this article, please click here.] Dr. Kellman explains that autism and hypothyroidism are connected, noting the effects of environmental toxins on both conditions. Additionally, he states, “Because children with autism are stressed emotionally and physiologically and are in an inflammatory state, they are likely to have low cellular thyroid hormone levels (that is, an underactive thyroid). However, because their blood tests may be normal, their low cellular TH [thyroid hormone] levels are frequently overlooked.” He goes on to state that he has discovered approximately seventy percent of children with autism have hypothyroidism. Moreover, he has found that treating children who have autism and hypothyroidism with thyroid hormones helps improve their language, cognition, hyperactivity, motor skills, social skills, and gastrointestinal issues. His experience has been that many make significant improvement, and some make complete recovery by treatment with proper levels of thyroid hormone medication.

After reading this research, I wondered how many children with autism suffer from symptoms of undiagnosed hypothyroidism. I know from my own experience that when my thyroid hormone levels are off, I can feel sluggish, dizzy, ill, or terribly anxious and jittery. Fortunately, I have the language skills to explain to my doctor that I suspect my thyroid hormone levels need to be checked and perhaps my medication needs to be adjusted. Children with autism probably do not know why they are not feeling well and may express the symptoms through negative behaviors instead of language. Thankfully, Alex’s doctor not only monitors his metabolism, recognizing the significant impact his thyroid hormone levels can have on his physical and mental well-being, but he also immediately addresses the condition through appropriate medication and supplements.

Although Alex has only been on the new Nature Throid supplement for a week and a half, we have already begun to see positive effects. He seems more mentally alert and quicker witted, and he has also been less fatigued. More importantly, he seems even happier and more content than he usually is. Although these improvements could be coincidental, I believe that they are signs of healing that will continue to get better with time. Since we have been blessed with these positive changes, I would encourage other parents of children with autism to find doctors willing to pursue the possibility that hypothyroidism may be the cause of symptoms often attributed to autism. If taking a small inexpensive pill every day can significantly improve how that child feels, certainly the benefits are clear. I hope and pray that Alex continues to respond to the hypothyroidism treatment and that others may also find similar positive outcomes, as well.

“There the child grew up healthy and strong. He was filled with wisdom, and God’s favor was on him.” Luke 2:40

Sunday, July 27, 2014

Sharing

 
Of the various characteristics commonly associated with autism, difficulty with social interaction often tops the list. More specifically, people with autism are noted as being unaware of and/or disinterested in what is going on around them, and they are described as generally not sharing their observations or experiences with others. This lack of social interaction is frequently described as aloofness. Although this isolation from others could be a choice, I suspect that sensory overload, along with limited communication skills, may be why some people with autism withdraw from others. With Alex, we have seen that as his sensory issues have been addressed through sensory integration therapy and as his language skills have improved with therapy and time, he has become much more interactive, especially lately.

When Alex was little, he seemed to lack the ability to point to things, which is common in children with autism. He would sometimes place his entire hand on something to call attention to it, but most of the time, he would take us by the hand to show us what he wanted us to see. As he grew older, he developed the ability to point and direct our attention, but until recently he rarely did so. This summer, we have noticed that he points to things as he tells us something he has observed. Most often, as we’re driving in the car, he points to signs at gas stations and happily announces, “Gas prices are going down!” Sometimes this ability to point can be tricky, as he also now likes to point to elderly people and comment, “He’s an old man!” or “She’s an old lady!” Fortunately, he doesn’t talk loudly enough that anyone but us could hear him. Moreover, he actually intends his seemingly rude comment as a compliment because he finds older people interesting. While we’re pleased that he is observing and making conversation, we also have to teach him social skills: pointing at people and commenting on their age is not acceptable.

Along with teaching Alex not to comment on people’s age, we also need to work on having him be less abrupt when he notices mistakes. Because he is very aware of what is going on around him, he notices small details that others may overlook. If a sign is misspelled, he will see it immediately and comment. He is even more likely to note numerical errors, especially on clocks or calendars, which are very important to him. I suspect that he thinks he’s being helpful to comment so that the problem can be addressed. Recently, he was looking at my watch and indignantly told me that the date was wrong. Since I rarely pay attention to the calendar on my watch, I didn’t realize that it had been off since July started and didn’t really care. Alex seemed surprised by my indifference and immediately asked me when I was going to fix it. Of course, to ease his concerns, I fixed it right then, which satisfied him. Similarly, this week, when we took him to the doctor, he noticed that the date was wrong on the electronic blood pressure cuff. The nurse, who finds Alex amusing, laughed when he told her his observation, explained that she had just put new batteries in the gauge, and promised him she’d take care of it for him. Fortunately, she understands his need for accuracy and didn’t take personally his need to comment on the error he had observed.

Perhaps the greatest improvement we have seen this summer in Alex’s interactive skills is in his desire to share information, opinions, and his emotions. In the past, he often spent countless hours reading and researching online and rarely commented on what he had discovered. Occasionally, he would share trivia he’d learned if a particular topic arose. For example, if he heard something about the Pope, he might comment that the Pope lives in Vatican City, the smallest country in the world. Frequently, if he hears a particular date mentioned, he’ll enthusiastically tell us what gas prices were at that time or how the stock market was doing then. Lately, he’ll be reading a reference book or something online and come running to tell us what he’s just read, wanting to share what he’s learned. Similarly, if he sees something on television that catches his interest, he’ll point to it and make an appropriate comment. If we’re in another room, he’ll come galloping (literally) to tell us what he has just seen so that we can experience it with him. What has been most heartwarming to watch, however, has been the development of his ability to express his emotions freely. When he hears songs that he likes on the radio, CD player, or television, he excitedly informs us, “That’s my favorite song!” Interestingly, we’ve discovered that Alex has many favorite songs, but we still love seeing his face light up as he smiles and enthusiastically lets us know how much he likes the music, a familiar tune that makes him happy.

While sharing ideas and emotions may not always come easily for Alex, we are thankful that he is making progress in his ability to communicate what he is thinking and feeling. Not only is this development crucial for his social skills in general, but also we get a better sense of how his clever mind works. Moreover, seeing Alex freely express himself, especially when we can share that joy with him, is a blessing we treasure and a testimony to God’s work in helping him overcome the obstacles of autism.

“’It was not because of his sins or his parents’ sins,’ Jesus answered. ‘This happened so the power of God could be seen in him.’” John 9:3

Sunday, July 20, 2014

Swimming

 
Alex has a healthy fear of water, which is actually a good thing. For some unknown reason, many people with autism who wander away from places of safety often gravitate toward water—ponds, lakes, rivers, and swimming pools—where they can drown if not found in time. [For more information on this issue, please click here for my previous blog entry “Autism and Wandering: A Safety Crisis.”] Despite taking swimming classes in high school, neither Ed nor I can swim well, and we know our limitations in water. Specifically, I would never try to swim in water over my head or would always wear a life jacket on a boat because I don’t trust my ability to swim to safety. I’m sure that I have conveyed this sense of being overly cautious around water to Alex, and he recognizes the potential dangers of deep waters to a non-swimmer.

When he was younger, his sensory issues made him overly sensitive to putting his face in water, and he didn’t like getting water in his eyes. Even though he has always loved baths, he was careful not to splash water in his face, and I had to be careful not to get water in his eyes when I washed his hair. Since water in his face seemed to upset him terribly, I delayed putting him in swimming lessons until he was a little older, and I knew that his special needs would require understanding of his sensory issues and delayed motor skills.

At the age of nine, Alex took swimming lessons through our local YMCA that were supposed to be geared for children with special needs. Although the instructors were kind to him, they were teenagers who really had no idea of how to teach special needs children how to swim. In fact, they seemed more interested in visiting with each other than in actually teaching the kids. Consequently, I worked with Alex myself, teaching him the limited skills I know about swimming, which meant he didn’t learn much that summer. Nonetheless, he enjoyed being in the water, yet still maintained a cautious awareness about not getting in deep water. Like Ed and me, he knows his limitations and keeps himself safe by not getting in over his head, literally.

A few weeks ago, an autism mom friend had shared that the local YMCA offers open swimming time for people of all ages with special needs for a very reasonable fee. Moreover, they offer this session before the facility’s opening hours so that the families have more privacy in the locker rooms and the pool. Because our kids’ behavior can be unusual at times, we don’t have to worry what other people think. Since this seemed to be an ideal situation (added to the convenient location of the Y, which is less than five minutes from our home), I asked Alex if this was something he thought he would like to try. He acted enthusiastic about going swimming and asked me several times about going to the pool the week ahead of the first session. However, I was still unsure how he’d react once we actually went the first time.

Last Sunday was the first session for special needs swimming, and he eagerly anticipated going. One of his concerns was whether they would have clocks because he couldn’t wear his watch; keeping track of time is very important to him. This fear was eased immediately when he saw that they had not one clock but four—one on every wall. I was pleased to see that the pool designated for this activity was not very deep and offered a gradual step down into the water. Also, the water was comfortably warm, which is important to Alex and me because we get cold easily. When we first got there, Alex seemed to have some trepidation about getting in the water, which really didn’t surprise me. He gradually stepped into the water, but didn’t seem to want to get much deeper than his knees as he held on tightly to the railing with one hand and my hand with the other. Knowing that Alex must always do things on his own terms, I just waited until he was ready to move forward. He kept asking me about how deep the water was, and I reassured him by pointing out the markings on the pool walls and by showing him that the water was only up to my waist in the middle part of the pool.

After a while, he decided to venture away from the safety of the very shallow water and railing, and he was willing to walk into the waist-deep water, clutching my hand for security. With time, he even played catch with a ball, which meant that he had to let go of my hand and trust himself in the water. By the end of the session, he had walked back and forth across the pool several times, each time seeming more comfortable and confident in the water. However, I knew that the first session had truly been a success when he asked me if we could come back again the following week. Sometimes things work out even better than we plan.

Even though I hope that Alex someday may learn to swim so that he can be safe in the water, I’m pleased that he knows his limitations and shows good sense about not getting in deep water. Moreover, I’m also glad that he’s willing to try new things, to attempt to overcome his fears and sensory issues, and to learn that these new experiences can bring him enjoyment.

“…and it was a river that I could not cross; for the water was too deep, water in which one must swim, a river that could not be crossed.” Ezekiel 47:5

Sunday, July 13, 2014

Improvement


As our summer is coming to its halfway point, I realize that signs of Alex’s progress are everywhere, especially compared to the past three summers, where his behavior was unpredictable, making him untrustworthy.  In the evenings after Alex has gone to bed, Ed and I regularly compare notes about how things have gone that day; this is something we have done for years. Frequently, we have discussed Alex’s problematic or concerning behaviors and brainstormed possible causes and ways to handle these issues. Lately, however, we marvel at how well he is doing. As Ed commented last night after the three of us had enjoyed a pleasant dinner at a restaurant, we never take these good times for granted because we know how precious they are.

One of the nicest surprises this summer has been the emergence of what we have dubbed “Nighttime Alex.” For the past few years, Alex has often been too tired in the evenings to enjoy activities and preferred to go to bed early. Frankly, we were relieved that he wanted to go to bed early because his behavior was tiresome for us, and we all needed a break from each other. Now, Alex seems to be at his best in the evenings, and we have been thankful that we can now do fun outings together like typical families.

This summer, we have been able to attend several free concerts outdoors at our local downtown park. Not only does Alex have the energy to stay awake, but he also has the energy to bob to the music, clap his hands, and enthusiastically push the cart we use to transport our folding chairs. With his eclectic tastes in music, he has enjoyed listening to music from the 1950’s and 60’s, jazz, rock and roll, and even Celtic music, and he’s looking forward to the upcoming band concerts. To satisfy his concern of “Will there be food?” I always pack something to eat and drink, which makes his evening complete. Besides the music and snacks, he likes to watch other people, and he finds little kids especially entertaining. He always behaves himself at these concerts, doesn’t seem bothered by the noise and crowds, and sits calmly and patiently the entire time, never asking when we are leaving. Not only does he relax and enjoy the show, but Ed and I can also relax and enjoy the show, knowing that he’s content.

Another outing we have savored this summer is going to restaurants. Although we have gradually been getting Alex used to dining out, he has made improvements recently that make going to restaurants more pleasant. First, he is more trustworthy than he used to be, so we don’t constantly worry that he’s going to grab things or say things to get attention. Also, he has become much more patient about having to wait, so he doesn’t get agitated while his food is being prepared. He additionally maintains that calm demeanor when plans have to change suddenly. For example, if a restaurant is too crowded and we decide to go elsewhere, he readily accepts that change, or if an event is rained out, he’s willing to do something different. This spontaneity makes life so much easier for us because things don’t always go as planned. Finally, a major change for Alex is that he is starting to order from the menu himself instead of relying on me to order for him. Thanks to the coaching from his therapist, he has learned the skills and confidence he needs to be more independent, and he seems to feel proud that he can tell the waitress what he wants.

This week we saw evidence of his increased confidence when we took him to the eye doctor for his annual exam. Because his behavior has improved, Ed and I were less nervous about how he would handle the appointment, and he did very well. Not only was he fully cooperative during all the testing, but he also answered all the questions he was asked without any hesitation. As we were selecting new glasses for him, due to a slight change in his prescription, he noticed the price of the frames and showed concern about the cost, saying, “Oh no, that’s too expensive.” After I assured him that we weren’t worried about the cost because he needed new glasses and told him that insurance would pay part of the expense, he seemed to be relieved. We were pleased with how nicely he interacted with the staff, who seemed to find him quite likeable. In fact, the woman who adjusted his glasses kept commenting on how sweet he was, which made us proud.

Yesterday morning, we took him to the monthly Saturday social activity offered by one of the agencies that provide services for him. Alex looks forward to these events every month, and he was especially excited that the planned activity was watching the Disney movie Frozen. Even though he has seen this movie before, he still eagerly anticipated going. Once again, he patiently waited, acted pleasant, and sat nicely the entire time. Instead of constantly worrying about how he was going to behave, Ed and I were able to relax and enjoy the movie with him.

As we have seen progress in Alex this summer, we are grateful that we can do typical family outings because he can behave himself. While we are pleased that he has learned to act appropriately in public and even be quite pleasant, we are even more pleased that he can engage in activities that make him so happy. Although it seemed to take a long time for him to master many of these skills, we are thankful for the improvements that make our lives better and happier and know what a blessing this progress truly is.

“I know all the things you do. I have seen your love, your faith, your service, and your patient endurance. And I can see your constant improvement in all these things.” Revelation 2:19

Sunday, July 6, 2014

Special Requests

 
Last night, Alex, Ed and I were watching reruns of the television comedy series The Big Bang Theory, which is one of Alex’s favorite shows. One of the main characters, Sheldon, reminds us of Alex in some ways because, like Sheldon, he is funny and smart, but he also has difficulty with social skills and can be demanding at times. In the episode we were watching, Sheldon had a cold and was insisting that his friend Penny put Vicks VapoRub on his chest while she sang “Soft Kitty.” Although this scene was meant to be ridiculous and funny, I have played the role of Penny to Alex’s Sheldon, fulfilling his requests that things be done his way. In fact, sometimes I feel as though I’m a participant in a strange game show where Alex plays the host and expects me to follow his lead.

For example, Alex takes various pills four times a day, and I usually administer those pills at least three of the four times daily. Although Alex is very good about taking his pills, he insists that I must tell him the correct name for each one. Fortunately, I not only know the names of all his medications and supplements, but I also can recognize them by shape, size, and color, which makes reciting the names no problem for me. (Alex doesn’t know this, but I have also memorized the brand names and the generic names of all his medications. I dare not let him know, or he’ll want me to rattle off both names instead of just one.) When I’m at work, Ed gives him the morning doses of his medications, and Alex asks him to name the pills, too. However, Ed manages to escape that task by telling Alex that he counts the pills instead of identifying them and reminds him that only Mommy names them. Apparently, Alex is satisfied with that explanation, and Ed doesn’t have to learn which pills are which. I, on the other hand, must continue to play amateur pharmacist because Alex knows that I can name those pills. I’m never certain whether he is really interested in what he’s taking or if he’s trying to catch me making a mistake. Whatever his reasoning, I indulge his curiosity and show off my knowledge of which pill is which.

Another recent routine Alex has developed for us is vitals night. Every Saturday evening, Alex insists that we use our home electronic blood pressure cuff to measure the blood pressure and pulse for each of the three of us. Besides taking these vital statistics, he also wants me to write down our results so that he can compare the data. This weekly process has become somewhat competitive to see who has the lowest blood pressure and pulse. Although Alex, who certainly has the age advantage, usually wins this “competition,” last night, I had the lowest pulse, and last week I swept the challenge with the lowest blood pressure and pulse. Considering all the dancing I do to Alex’s tune, I’m amazed that my vitals don’t seem to reflect the stress I feel at times. Perhaps running around to meet his demands keeps me in good physical shape. Probably this weekly event is a good way to keep an eye on our health, and I’m proud of myself for not bowing to Alex’s request that we do this process every day, telling him that once a week was certainly often enough. Evidently, I was convincing because he didn’t question my resolve on that issue.

Aside from the health-related routines regarding medications and vitals, Alex also insists that we provide him with receipts from any purchases we make. Originally this started with letting him see our credit card receipts when we bought gasoline for the cars. We knew that he liked to follow gas price trends, and these receipts allowed him to monitor whether gas prices were going up or down. Lately, however, he wants to see all our receipts, such as those from grocery store or restaurants. I’m not sure whether he’s keeping mental notes about how much we spend or whether he’s just nosy about what we bought and where we bought it. We’ve learned simply to hand him our receipts the minute we walk in the door from shopping or errands so that he can study our purchase history, which seems to make him happy.

To be fair, he gets his need to retain receipts honestly from me. I always keep my receipts because I figure I’ll need them some time. (My friends who know the following story seem to find it amusing yet reflective of my OCD tendencies organizational skills.) When I was a sophomore in high school, I was called down to the principal’s office—the only time I was ever sent to the office when I was in school because I followed rules to the letter. On my way there, I tried to think of other students’ misbehavior I might have witnessed because I was certain I hadn’t done anything wrong. When I arrived, the principal told me that my homeroom teacher turned in my name because I hadn’t paid my book rental. I breathed a big sigh of relief and told him, “No, Sir, I did pay. In fact, I have my receipt right here.” As I pulled out my receipt to prove my innocence, he seemed bemused that I actually had the receipt handy, apologized to me, and told me I was pretty clever to be able to prove easily that I’d paid the book rental. Maybe Alex, like me, knows the value of keeping receipts. Somehow, I suspect that he just enjoys looking at the list of items and the prices and that he likes to make us jump through hoops. Luckily, I can rise to his challenges and play “Name That Pill” and “Provide That Receipt” with the best of them. Oh, and I can meet his demands all the while keeping my blood pressure low. However, he’d better not ask me to sing “Soft Kitty”; now that would be asking too much.

“At that time you won’t need to ask Me for anything. I tell you the truth, you will ask the Father directly, and He will grant your request because you use My name.” John 16:23

Sunday, June 29, 2014

Chex, Cookies, and Caroline's Carts

 
Recently Alex saw a commercial for Chex cereal snack mix and asked me if we could buy some. Because, like many children with autism, he has been on a strict gluten-free and casein (milk)-free diet since he was seven years old, he knows that he can only eat foods that do not contain these proteins to which he is sensitive. Even though he cannot eat the prepared Chex snack mix, I knew that we could find a recipe and easily adapt it to fit within the guidelines of his restricted diet. Starting with the original Chex snack mix recipe from 1952 that I found online, I made a few changes and came up with a tasty result that Alex really liked.

Here is the recipe I adapted to make gluten-free, dairy (casein)-free Chex snack mix. Melt ½ cup of Fleischmann’s unsalted margarine. Add 1 tablespoon French’s Worcestershire sauce and mix. Combine 2 cups of Chex rice cereal, 2 cups of Chex corn cereal, and 1 cup Snyder’s of Hanover gluten-free, dairy-free, casein-free, egg-free pretzel sticks in a baking pan and pour the margarine/Worcestershire sauce mix over the cereal and stir. Sprinkle ¼ teaspoon of table salt and ¼ teaspoon McCormick garlic salt over the cereal. Bake in a 300 degree oven for 30 minutes, stirring every ten minutes. Cool and store in an airtight container.

When we first discovered that Alex was sensitive to glutens and caseins, I remember being overwhelmed by trying to figure out what he could and couldn’t eat. At that time, gluten-free diets were less common, and I relied upon online resources and special diet cookbooks to make Alex foods he could eat. Fortunately, gluten-free and dairy-free foods have increased in quantity and quality over the years. What used to be available only in health food stores is now readily available in many grocery stores. Items I used to have to bake from scratch, such as cookies, are now offered in a nice variety of flavors and textures. Moreover, the taste and textures of gluten-free and dairy-free foods has improved significantly over the years. Previously these foods often resembled their cardboard containers in flavor and texture, but now these foods mirror their non-special diet counterparts and are quite tasty.

One of the best discoveries we have made recently is the array of products from Enjoy Life. This company makes cookies, cereals, and baking goods in a dedicated facility, which means that no allergens are present to cross-contaminate their foods. Showing their concern for a variety of food allergies, their foods are free of eight common allergens—wheat, dairy, peanuts, tree nuts, egg, soy, fish, and shellfish. In addition, their products contain NO casein, potato, sesame, sulfites, artificial ingredients, or GMO’s. Although I was a little skeptical how tasty their products might be, we discovered that they are delicious. In their crunchy cookie line, Alex is a fan of their vanilla honey grahams and their sugar crisps. (They also make crunchy chocolate chip cookies and double chocolate cookies, but we keep Alex away from chocolate, which seems to make him hyper.) Besides their crunchy cookies, Enjoy Life also makes soft-baked cookies, including chocolate chip, double chocolate brownies, gingerbread spice, and Alex’s favorite chewy cookie, snickerdoodles. While we have been able to find these cookies at our local Strack and Van Til grocery stores, these products are also available online directly from Enjoy Life or other retailers. In addition, their website (http://www.enjoylifefoods.com) offers a store locator where their products can be purchased; their helpful website also provides more information about their products along with recipes. I’m pleased to have found a company that caters to people with food allergies and makes delicious cookies Alex can eat, which has made life better for us.

We are also fortunate that the chain of Strack and Van Til grocery stores in Northwest Indiana support people with food allergies, offering a wide variety of foods for people on special diet plans. In addition, we have been able to attend two of their special foods tasting events, where Alex was able to sample various gluten-free and dairy-free foods to decide whether or not he liked them. In fact, this was how we discovered Enjoy Life cookies. Another way that the Strack and Van Til stores have shown their concern for their special customers is to provide Caroline’s carts in all of their stores. These grocery carts allow parents of special needs children to shop more easily because their special design permits even older children to ride securely facing their parents without their parents having to lift them as they would with a regular cart. After lifting Alex for many years into a grocery cart for his safety, I clearly see the value of Caroline carts for special needs children. Once when Alex was beyond the age typical children ride in the grocery cart seat, an elderly man watched me heft Alex up into the cart and commented, “Honey, you shouldn’t be lifting him into the cart; he should be lifting you!” Fortunately, Alex no longer needs to ride in the grocery cart, but I would have loved a Caroline’s cart when he was younger.

Designed by Drew Ann Long, these carts (as depicted above) were named after her special needs daughter Caroline and developed to keep special needs children safe while their parents shop. The best part of these carts is that parents can easily maneuver children into the cart seats without having to lift them as much as they would with typical grocery carts. Produced by the company Technibilt, Caroline’s carts are now available in stores in more than forty states in the U.S., including large supermarket chains such as Kroger, Publix, Winco, Albertson’s, Shop Rite, and Whole Foods. In addition, these carts are also available at the commissaries of many U.S. military bases. To find stores that offer Caroline’s carts, the Caroline’s Cart website (http://www.carolinescart.com) includes an interactive map to show availability of the carts and provides more information about these helpful inventions. I’m pleased that Caroline carts are now available so that parents of special needs children can more easily and safely place their children in grocery carts.

While parenting a special needs child presents certain challenges that typical parents may not realize, the availability of new products makes life easier and better for special needs children and their families. Moreover, companies who offer these products readily inspire a loyalty and gratitude from the customers whom they help. I’m thankful that our local grocery chain, Strack and Van Til, not only offers Caroline’s carts for special needs children but also offers a wide assortment of foods for people with special diets. While these gestures may seem small, to special needs parents, they mean a great deal.

“Taste and see that the Lord is good. Oh, the joys of those who take refuge in Him!” Psalm 34:8

Sunday, June 22, 2014

Bedtime Routine



This week, I was reading an online article about backstage riders, or contractual demands musicians make regarding what must be provided in their dressing rooms before they perform. While some claim these specific requests ensure that more important requirements, such as safety issues, are met, most of them seem to cater to the whims of pampered stars who view their wants as needs. Perhaps the most famous example is the rock band Van Halen’s rider demanding a bowl of M&Ms with all the brown candies removed. Singer and American Idol judge Jennifer Lopez insists that her dressing room be decorated completely in white with white furniture, white curtains, and white flowers. Former Beatle Paul McCartney’s contract includes the rather unusual requirements of 24 bars of Ivory soap and 19 (not 20) six-foot-tall leafy plants. Displaying diva behavior, Madonna insists that a new toilet seat be installed in her dressing room bathroom; Barbra Streisand takes this a step further by demanding that rose petals be placed in her dressing room toilet. Like these stars, Alex has his own list of requirements that must be met; however, his “needs” focus on bedtime instead of showtime. If he knew about backstage riders, he would be likely to want his own contract in writing to make sure his list of demands were met so as not to disturb his need for a nightly routine.

When he was little, Alex’s contract would have included the following bedtime requirements:
  • Favorite books and stuffed animals (specifically Barney the purple dinosaur and two teddy bears Mommy made, a.k.a. “friends”) placed strategically in the bed
  • Recitation of specified bedtime story (Goodnight Moon, later to be replaced by Veggie Tales’ book Time for Tom), complete with perfect page turning, appropriate voice modulation, and absolutely no changes of wording
  • Five sippy cups of various colors lined up on the dresser, each containing a different beverage—milk (prior to the milk-free diet), water, orange Hi-C, orange juice, and apple juice
Fortunately, Alex has outgrown those needed items in order to go to sleep. His current contract would instead include the following requests:
  • Digital scale for weighing self nightly, accurate to 1/5 of a pound
  • Digital electronic blood pressure cuff for measuring “vitals” (blood pressure and pulse) on a weekly basis
  • Prescription progesterone cream rubbed into forearms nightly to combat acne on face
  • Burt’s Bees baby oil rubbed into outer ears to combat chronic dry skin
  • “Tuck you in,” requiring two pillows (one under the head and one over the head) and specific blankets, depending upon the season, including NASCAR quilt, Chicago Cubs fleece blanket, blue sheet, white blanket, and “states blanket” (actually a quilt I made for him when he was five that has a map of the United States and the individual states surrounding it on one side)
  • “Scootching”—a second or third attempt at “Tuck you in” when head is not appropriately placed on the pillow
  • Sound effects for “scootching”—emulating the sounds made when game show contestants lose (My version goes “Wah wah wah waaahhhh”; to which Alex responds “Doh doh doh doooohhh.” This always makes both of us laugh.)
  • Recitation of nightly prayers, specifically the “Now I lay me down to sleep” version ending with “God bless” of 34 specific people’s names (If any of these people who are important to Alex are not mentioned, he adds their names to the end and acts slightly annoyed that I forgot to include them. “Amen” must be said in unison.)
  • Goodnight kiss on the cheek or forehead, followed by mutual declarations of affection—“Love you”
  • “See the stars”—turning on one of his two star projectors, the one that accurately displays constellations in white on the ceiling (but requires being turned off once he’s asleep) or the one shaped like a turtle that displays whimsical green depictions of the moon and stars on the walls and ceiling (not scientifically accurate but has an automatic shut-off after an hour, which makes it more convenient)
  • Recitation of nightly ditty—“Good night, sleep tight, don’t let the bedbugs bite!” (I must say the first part but allow Alex to finish the ditty with “the bedbugs bite.”)
  • Close door to permit enough darkness for the star projections to be seen and to signal that it’s time to go to sleep.
While this complicated routine may seem a bit much, Alex and I have perfected the steps after daily repetitions so that we can run through it fairly quickly. If I forget any of the details, he is quick to remind me what still needs to be done, and he is usually patient about any occasional omissions I make. Certainly, like a rock star, he is pampered, probably because of his autism and his only child status. Since I understand his need for routines, I maintain them, and because I have the time to focus only upon him, I cater to his whims, knowing that he will sleep easily through the night once we have met all his requests. To be honest, this bedtime routine is sacred to me, as well, because during this precious time Alex is the most affectionate and content, which makes my tasks in helping him get ready for bed worthwhile. Eventually, he will be independent and not need me, but for now, I savor the sweet bedtime routine, even those times when it seems tedious, pleased to have a child who prays, expresses love, and knows contentment. To share that experience is truly a nightly blessing.

“In peace I will lie down and sleep, for You alone, O Lord, will keep me safe.” Psalm 4:8