Tag Archives: Parenting

The Isolation of Autism

Posted on March 2, 2011 by | Leave a comment

Much has been said about the isolation accompanying autism.  Because of the problems autistic children have in communicating, isolation is often an issue.   Even those who are verbal, often have problems with repetitive language, are unable to engage in “small talk” or cannot move fluidly from one topic to another, thus separating them from their peers.  We are not able to discuss with Emma how she feels about not having a group of friends she hangs out with.  She isn’t able to tell us what it’s like for her to live in our world.  These are conversations we hope to engage in with her one day, but at present, they are not something we can have.  The best I can do is imagine and speculate what it must be like for her.

However there is another isolation I can speak of and that is the isolation felt by the parents of an autistic child.  It is a feeling Richard and I have grown accustomed to.  It comes with the territory.  Most of the time it doesn’t bother me, but every now and again, when something happens which makes me feel particularly sad, I have no one other than my husband whom I feel I can turn to.  (I am fortunate to have that, as many people do not.)  Soon after we received Emma’s diagnosis, Richard formed a support group.  There were anywhere from 12 to 5 of us who met once a month.  Richard was hit harder with the sense of isolation than I was, because as a man, it was much more difficult for him to find other men who were willing to sit through the discomfort of seeing their friend upset, knowing there was nothing they could do to fix it.  Women have an easier time with that, it seems.  In any case, Richard formed a support group, where he was almost always the only man.  We met for a few years and then people fell away over time because of work demands or they moved out of the city and eventually the whole thing dissolved.

Emma’s school has a monthly parent group.  I attended it a few times years ago, but it was moderated by a well meaning and no doubt, extremely capable young women, who did not have an autistic child or any children for that matter, and I felt very much an outsider, not a great feeling to have in a support group and so I stopped attending.  Over the years I have come to rely on a group of women with whom I meet once a month.  We’ve been meeting for going on six years now, incredibly, and they have been there for me since the beginning.  I am incredibly grateful to this group of women, but even so, there are days, like today when I do not feel I can call even one of them.

Sometimes, not often, but every now and again, I am overwhelmed with what I can only describe as grief.  Grief that Emma has not progressed more, that anything resembling a main stream school is out of the question for her, grief that she is not able to carry on a conversation that a two year old is capable of having.   Suck it up, I tell myself.  There is always someone out there who has it worse.  Do something for someone else.  Pick up the phone and call someone who is struggling.  Ask them if you can help.  So I do.  These small, tried and true actions are all I know to pull myself up and out. It’s not that any of these things will change anything, it’s that by doing these things, by reaching out to help someone else, I am changing my own despair, even for a few minutes.  There’s a whole world out there of suffering.  Sometimes helping someone else, is the best I can do.

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Home

Posted on March 1, 2011 by | Leave a comment

“Go on airplane?” Emma said yesterday morning.

“Yes, but first we’ll have breakfast, then study room, then brush teeth and then go on the airplane,” I told her.

After listening to me, Emma nodded her head and said, “Go on airplane.”

All that other stuff was filler, it was the airplane part Emma cared about.  “Right,” I said.

At the Aspen airport there was the usual congestion, lines, children running around, harried people, stern looking airport security.  When flying with Emma I used to bring along a letter from her school saying she was autistic etc.  But it never seemed to make a difference, so I stopped.  Despite the fact Emma is the world’s greatest traveler there are problems which inevitably arise when flying with her.  Little misunderstandings, which I’ve described in previous posts, not important enough to spend time going into again.

Emma, as I’ve written before, will not eat anything served on the airplane.  She will not drink any of the liquids they serve, the apple juice on the Denver to New York flight is out of the question as it is served from a can, something she won’t tolerate, she will only drink water from a water fountain, impossible when in Aspen, difficult even in New York City during the winter months and unavailable on airplanes.  So we brought two of her last, appropriately packaged vanilla milks and pirate booty, some grapes – they must be seedless red grapes, a banana and some fruit leathers.  All of which is fine, except the vanilla milks cause us problems every single time.  Curiously in New York I will tell security she’s autistic and we are almost always cheerfully waved through, but never in Aspen.  The Aspen airport is a stickler for going through the correct protocol, no matter how tedious.  I know to take the vanilla milk out, show it to airport security and wait for the predictable grumblings from the people behind us as the entire line is put to a stand still.  I hate the “pat downs” where you are taken aside and searched, so this time Joe volunteered to be the one to endure it, while I watched Emma.

Traveling alone with Emma is particularly daunting as she might run off and no one appears to have the slightest understanding of autism and the difficulties this presents to the lone parent who is being pulled aside, frisked, trying to keep an eye on the carry on as well as calling to Emma who often disappears into the crowds.  To say this is a tense and upsetting time would be putting it mildly.  It is nerve wracking and often frightening as one never knows if Emma will run off – to the bathroom, try to exit the area, run outside to an awaiting aircraft headed to – who knows where – suffice it to say, it’s not fun.

But yesterday morning Joe, being the trooper that he is, volunteered and so they went through his and Emma’s carry on, with all their various swabs and strange looking equipment, it took about ten minutes all told, and I kept reminding myself, as we waited, that this was, though annoying, nothing more than an inconvenience in this post 9/11 age, which we all find ourselves in.

Once we made it through security all went fairly well, the weather was perfect, the passengers were all boarded when I became aware of two little girls sitting in the row behind, their parents, directly behind me and Emma.  The little girls couldn’t have been older then 3, their voices still had that high pitched squeaky sound only heard in a toddler.  The father helped get them settled, made sure they each had their stuffed animal, there was some fighting between the girls about who’s special toy was whose, but other than that it was what any parent of two toddlers would expect. (Not that I would know, but I’m guessing here.)  Some bickering, lots of talk from the parents about the importance of sharing, requests from the girls for candy, cheerios, something to drink.  It became comical when the father, having spent at least 10 minutes procuring various sweets and snacks, muttered to his wife, “Can I just sit for two seconds without feeding someone?”

Meanwhile there Emma was, content to stare silently out the window, happy to be on an airplane and going home.

Inspired by the family behind me, I asked, “Hey Em.  Do you want a snack?”

“No,” she said and continued to stare out the window.

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“It’s Mommy!”

Posted on February 24, 2011 by | Leave a comment

Every evening Joe, Emma’s therapist, and Emma pick me up from my store in town.  Emma pushes the door open and, upon seeing me says, “Hi Mommy!”  Then she points at me and says, “It’s Mommy!” as though this were the first time she’d seen me in a very long time.

“Hi Emma!”  I respond.  “I’m so happy to see you!”

Often she’ll stand back from me.  Looking at me with an expression of pleasure mixed with something else I haven’t been able to decipher, she usually says again, “It’s Mommy!”

It’s almost as though she doesn’t expect to find me there each evening.  As if she thinks I might be somewhere else and my presence is just a fluke.  Or perhaps it’s that she’s not used to seeing me at the store.  We’ve only been open a few months now and normally Joe, Emma and I are home in New York where I go to my studio each day.

After introducing Emma to whoever might be in the store when she comes, I almost always ask her, “What did you do today?”

“Go back to Granma’s house with Mommy?”  Emma will answer with an edge of anxiety.

“Yes, I’m coming with you,” I reassure her.  “What did you do today?”

Typically Emma will respond with a list of things she did.  Though this is by no means a comprehensive list.  Many times it’s not clear whether she is stating what she actually did, what she might have done in the last few days or what she wanted to do, but didn’t have time to.   “Really?”  I’ll say.  “You went bowling, sledding and skiing?”  I’ll ask, looking to Joe for confirmation.

Joe likes to let Emma speak for herself and so he usually will wait to see if she responds appropriately.  If she’s just said something completely outrageous he’ll interject, but more likely Emma will correct herself on her own as she did last night.

“No skiing,” she said.  “Bowling and wheel carousel.”

“Oh!  Did you find a real carousel?” I asked, wondering if this was a new addition to the Aspen area.

“Yeah!  Wheel carousel!”  Emma responded.

“Where is it?” I asked Joe.

“It’s a metal wheel in El Jebel,” Joe explained.

“Oh, like a merry-go-round?”

“Yes.”

“Did you have fun?” I’ll asked.

“YEAH!”  Emma said.  She almost always will respond to that question with enthusiasm.  No one can accuse Emma of not being happy.  She spends the greater part of her day in a state of bliss, always has.

When we drove home Emma waited in the back seat, allowing me to get out first to collar the dogs, before vacating the car.

By the time she appeared in the kitchen I had hung up my coat and was talking to my mother.  “It’s Mommy!”  Emma said, pointing at me as though she hadn’t just spent the last twenty minutes with me.

Then she held out her arms to me, indicating that she’d like me to hug her, which I never pass up the opportunity to do.

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Tiny Steps

Posted on February 23, 2011 by | Leave a comment

I keep waiting for the kind of miraculous progress you only find in movies or works of fiction.  Every now and then I’ll hear a story about a child who has recovered (or as they say in the field – lost their diagnosis) but these are so rare they fall into the category of fantasy in my mind.  Every now and then, when I find myself longing to wake up one morning and have Emma jump into bed with me speaking in full sentences, a look of cognition unmistakable on her face, I must remind myself of all the steps, the tiny steps of progress she makes everyday.  It isn’t just about making myself feel better, it’s about charting her progress.

Last night she went over to the phone in the kitchen.

“Hey Em.  Do you want to call Daddy?” Joe asked.

“Call Daddy?” Emma responded in her typically enigmatic way.

“I’ll say the numbers,” Joe prompted.

Emma dutifully found the right buttons to push and held the receiver up to her ear.  “Hi Daddy!”  Pause.  “Hi Daddy!”

I stood next to her, wondering if she’d gotten the answering machine.

“Hi Daddy!”  Emma said again.

I tried to listen to see if I could detect Richard’s voice.  I didn’t hear anything.  “Did he answer?” I asked Joe.

“Yeah.  He picked up.”

“I’m fine,” Emma said.

Silence.

“Yes.  Glenwood rec center.  Swimming, ice skating,”  Emma said into the phone.  A clear response to the question – What did you do today?  “Sledding, skiing…”

“No, you didn’t ski today,” I interjected.

“No skiing,” Emma said.  “Sledding.”

By this point I had my ear next to her cheek and could hear Richard’s voice.  “I miss you, Emmy,” I heard him say.

“I miss you, Daddy,” she said.

The conversation went on a bit longer, but I was so overcome by the fact she’d said – I miss you Daddy – in response to him saying, I miss you.  Usually when Emma repeats us she repeats us in total.  In other words she would say – I miss you Emmy.  An exact replica of his sentence to her.  But she didn’t do that.  She responded appropriately with the appropriate pronoun.  I was impressed.

I know this is small, but to us, it’s HUGE.  A huge step for Emma to express emotions regarding another person.

Later I said to Richard, “That was completely unprompted!”

“Really?” he asked.

“Yes!  I wasn’t prompting her to say anything,” I told him.  “She said it all on her own.  It’s the Aspen air out here,” I said, referring to our theory that there’s something in the air out here, which seems to inspire an uptick in her language and cognition.  We have seen it every time we come here.  Blame it on Aspen, blame it on all the exercise she gets out here, blame it on anything, we’ll take it.

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Emma’s “Study Room”

Posted on February 22, 2011 by | Leave a comment

Every morning, since we arrived in Aspen, Emma wakes up somewhere between 5:30 – 6:00AM and comes into my bedroom to snuggle and sing songs.  At around 6:30AM I will say, “Ready to go to work?”

“One more minute,” is Emma’s usual response.

After a few minutes I’ll say, “C’mon.  Let’s go!”

“Time to go to the study room!” Emma will say in a sing-songy voice.

Emma’s “study room” is the room adjoining my bedroom with a desk, my computer, a fax/scanner/copier machine and a twin bed, where one of the children often sleep if they don’t feel well.  Though neither of them has chosen to sleep there for over a year now.

We go into Emma’s “study room” to work on writing individual letters, sequencing, and typing.  The letter “s” is difficult for Emma and she still needs occasional wrist support, but otherwise her handwriting is coming along beautifully.

“Good!” she’ll say after she’s made a particularly good looking “e”.

“Beautiful!” I’ll agree.

“No,” she’ll say after trying to make a “c” but the lower part ended up below the line.

Sometimes she’ll self correct and I’ll say, “No.  It’s okay Em.  That’s a fine looking “t”.

“Okay,” she’ll say.

Typically we then move on to typing.  I hold up a series of letters, which she then points to the corresponding letters on a sheet resembling the pad on a computer.  Same formation, same positioning of letters except they are all in lower case, just like the letters I hold up.  The letter “q” she confuses with a “p’, but other than that she’s doing incredibly well.  Then we move onto the computer itself, which is much trickier as the letters are all in upper case and she must translate them from the lower case letters I hold up to the correct upper case letters on the keyboard pad of the computer.

Finally we end with a series of sequencing exercises using colored tiles and letter tiles. Sometimes I have to cover the letters or colored tiles and she must remember what they were.  If they are random, say – red, white, yellow – she often can’t remember what they are.  But if the colors are in a pattern – yellow, black, black, yellow – she almost always gets them right.

“No, no, no,” she said, yesterday when she put the wrong tiles down, after I covered the four tiles.

“Try again,” I said.

“There,” she said when I lifted the paper covering the four tiles and she saw she’d gotten them right.

As the sessions go on they become more difficult, until eventually we will move on to reading.

We almost always end our sessions with quietly sitting opposite each other for a few minutes.  Emma calls this “deep breathing time.”  Except we don’t breath deeply, we just sit, hands in our laps and stare into the mid distance.  After we’ve sat for a few minutes, I’ll put my hands on Emma’s shoulders and say, “Good!”  She always gives me a huge grin, before running off.

A year ago, I would have been dismayed, had I been able to peek into the future and seen Emma doing these exercises.  Which just goes to show, I should never try to predict the future and never underestimate what she is capable of.

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Flying with Emma

Posted on February 18, 2011 by | Leave a comment

Emma is a joy to travel with.  Unlike most children, she sits quietly in her seat and is content to listen to music, look out the window, watch a video or look at books.  But there are certain misunderstandings, which inevitably arise when traveling with Emma as well.

Yesterday as we boarded the airplane leaving New York City to Denver, a nice woman behind us asked if Emma was 9.  I told her she was and she replied that her daughter was 9 too and she understood how hard it could be to travel with a nine-year old.  I said, “Oh, is your daughter autistic?”

The woman looked at me in surprise and said, “No.  She’s nine.”

It was one of those peculiar conversations where you realize you’ve misunderstood the intent of the other person.  I immediately thought, because Emma kept getting out of the line leading to the aircraft, that she knew Emma was autistic.  But it turns out she had no idea and was simply commiserating with someone who also had a nine-year old child and was flying with her.  My first impulse was to say, “Oh no.  Emma is great to travel with.  She’s not like that at all!”  But I decided it was best to keep walking and find our seats.

Later during the flight when Emma needed to go to the bathroom, the flight attendant said, “Poor thing, she’s still asleep,”  as Emma kept trying to push open the door to the bathroom which was occupied, despite my repeated attempts to stop her.  Again I just smiled.

Later on the flight from Denver to Aspen, (we were one of the lucky few who actually made it into Aspen yesterday!) the flight attendant leaned over to Emma and said, “Do you have your seat belt on?”

“Umhmm,” Emma said, curled up on the seat by the window.

“Really?” he said.  Where?  Do you have it around your chest, your knees?  I don’t see a seat belt.”

Emma just smiled at him and nodded her head.

“Emmy, put your seat belt on,” I interjected as I could hear the growing irritation in the harried flight attendant’s voice.  She immediately did so.

“Oh!  So you weren’t telling me the truth, were you?” the flight attendant said.

I put my hand gently on his elbow and said, “She’s autistic and didn’t understand you.”

“Oh dear.  I’m so sorry,” he replied before quickly moving along the aisle.

And so it goes.  This sort of thing happens constantly with Emma.  People assume she’s fine, she looks fine after all, and respond accordingly.  There’s always a moment when either I say something or they begin to realize they are dealing with someone who is a bit different than what they thought.  It’s a surreal moment, when the other person is caught off guard, before they’ve had time to make an adjustment.  Usually people are incredibly kind, very occasionally we meet someone who isn’t.   I don’t have any one method of responding.  Often I say nothing.  I mean what’s the point really?

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Monster Bugs

Posted on February 15, 2011 by | Leave a comment

Last night I pulled out the dozen or more non-fiction children’s books I have for Emma.
“Pick two,” I instructed, fanning them out for Emma to see.

Emma pointed to Monster Bugs & Escape North – The Story of Harriet Tubman, bypassing Volcanos, Whales, Big Cats, Thomas Jefferson and George Washington’s Dog. “This one?” Emma said.

“Okay.  Monster Bugs and Harriet Tubman, it is!”

“Say it with your mouth closed,” Emma said, putting her hand over my mouth.  “Monster Bugs!” she demonstrated with her lips together so that it sounded more like “mummerbum.”

I began reading in an animated voice, lips sealed as Emma shrieked with laughter.  “Hab you eber looked ab a bug up clobe?” I read.  Every time I opened my mouth to annunciate the words she would cover my mouth with her hand.  “Emmy stop!” I said, twisting away from her hand.

“Mouth closed!” Emma laughed.

“Okay, one more sentence with my mouth closed and then we’re going to read it the other way,” I told her.

Nic, who came to see what all the laughter was about, sat next to me on Emma’s bed.  “Don’t worry Mom.  I’ll make sure she doesn’t cover your mouth again,” he reassured me.

“You might see horns…” I began, as Emma clapped her hand firmly over my mouth.

“Emma!  Let Mommy read the story,” Nic said, laughing.

“But the beetle fires boiling-hot gas from its rear end,” I read.

“I love this book,” Nic said, peering over my shoulder at the picture of the beetle shooting gas into an unsuspecting mouses mouth and nose.  “That is so awesome!”

“Mummerbum!”  Emma laughed.

As we continued to make our way through the book, with Nic asking for clarification on specific bugs, particularly the more gruesome and scary ones and Emma repeating the words with her mouth closed, I thought of how when I was pregnant with Emma I looked forward to reading stories to both the children.  When Emma was little she didn’t have any patience for books and only was interested in them if we allowed her to hold them so she could flip through their pages.  The book and its pages interested her, the act of flipping the pages methodically without really looking at the pictures seemed far more interesting to her than the story within the book.  But in the last few years her interest in books has increased and now she seems to genuinely want us to read to her, even requesting specific books while rejecting others.  It was wonderful to see her looking at the illustrations, pointing to the hairy tarantula while saying, “Maranmula!” with her mouth closed.

Nic was impressed with the Stink bug and the Praying Mantis who cleans its face like a cat after consuming a baby bird.

When I finished reading Monster Bugs, we moved onto Escape North!  A quarter of the way through, Nic nudged me and pointed to Emma.

I looked over to see she had fallen asleep.

“We’ll finish this one tomorrow night,” I whispered to Nic.

“No!  Read me the rest,” he said.

“Okay.  I’ll read it again to Emma tomorrow.”

“Good idea, Mom,” Nic said snuggling down next to me.

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Pain

Posted on February 14, 2011 by | 1 comment

When Emma was a toddler, about a year old, maybe two years old, she had a little scratch from the tag on the back of her shirt.  It seemed so insignificant, hardly worth noticing, except that Emma screamed as though her entire body had been scalded.  I remember at the time thinking it strange, that her response seemed too extreme for such a tiny scratch.

There were other incidences which also caught my attention for the very opposite reason.  She would stub her toe or get scratched by a cat or have a huge knot in her hair, none of which would cause her to even gasp.  When she grew older I was terrified of the day when she would start to lose her baby teeth, convinced this would set off such cries of pain, with no remedy other than to wait until the tooth came out of it’s own accord.  However this was not to be the case.  In fact, Emma grabbed hold of the loose tooth and simply yanked it out of her mouth, dropping it to the ground, as though it were nothing more than an irritant, like a pebble in ones shoe.  Evidently her school bus is littered with her baby teeth as she would board the bus in the morning with a loose tooth only to come home and announce, “Threw it away,” when asked what happened to her tooth.

“Where?  Where did your tooth go?” we would ask.

“On the bus,” Emma replied matter-of-factly more than once.

About six months ago Emma was reported to have said to Joe, “Joe!  Pull it out!” and then opened her mouth so that he could remove the offending tooth, which he didn’t, so she did.  Joe was able to intercept the tooth before she was able to toss it in the gutter.

I don’t think we have more than two or maybe three of Emma’s baby teeth, despite the fact she’s lost at least eight or more by this point.  We tried to tell her about the tooth fairy, but she was utterly uninterested and wandered away before we had finished.  The idea a “fairy” would come to gather up her loose teeth, leaving behind money, was not a concept Emma had any use for.

Last Friday Joe called to tell me Emma was whimpering and saying her ear hurt.  I immediately called the pediatrician then looked at Emma’s throat for signs of strep.  Sure enough there was the tell tale white spot on one side of her throat.

“No say AHHH!” Emma said, pointing at her throat.

“Well, let’s wait and see what the doctor says, Em.  Does your throat hurt?”

“Yes.  Ears.”  Emma replied.

“Your throat and your ears hurt?” I asked.

“Yes.”

I remembered the last time I’d taken her to the pediatrician because her ears were bothering her, only to be informed that in fact she had strep, again.

Upon our arrival I proudly stated that I was sure it was strep and went on at length about how I couldn’t believe Emma had somehow contracted strep making this the third time since the school year began.  The pediatrician smiled and nodded her head as she examined Emma who kept insisting “No AHHHH!”  Meaning she didn’t want to have the doctor swab the back of her throat.

“Just ears,” Emma said repeatedly.

The instant the pediatrician looked in Emma’s left ear she looked up and said, “Raging ear infection.”

“What?” I asked, thinking I’d misheard, so convinced was I that Emma had strep.  “But what about that white dot on her throat?”

The pediatrician shrugged.  “Could be food, not sure, but her ear is bright red.  An ear this red should be extremely painful.”  She said looking at Emma.  “I’m surprised she isn’t complaining more.  It’s a really bad infection.”

I watched as Emma played cheerfully with the doctor’s stethoscope.  Observing her, one would never know her little body was host to a horrific ear infection.

“So that’s it?” I asked, still unable to believe she didn’t have strep.

“Yup.  Antibiotics will clear it up, but give her children’s advil in the meantime, that ear has got to hurt,” the pediatrician said.

By the time I had procured the prescription and the children’s advil and returned home, Emma was running around, playing happily.

“Hey Em.  How do you feel?  Does you ear hurt?”

“Yes.” Emma said before racing off down the hall with Joe in hot pursuit.  Shrieks of laughter could be heard.

One of autisms defining features is what specialist call sensory integration issues.  They can range from hypo to hyper and are often a mixture of the two.  In Emma’s case she has both and we still cannot anticipate which one we are witnessing.

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Visiting

Posted on February 10, 2011 by | 2 comments

“It’s Mommy!  Mommy come to visit!” Emma said this morning when she saw me.  It’s an odd feeling to have one’s own child, a child one lives with and sees on a daily basis, exclaim with apparent happiness that I’ve come to visit, especially when I am in my own home.  My first thought was that as Richard and I went out the night before and I only saw Emma for a brief period before we left, she was indirectly expressing her feelings that I haven’t been around enough.  Then I began to feel guilty and consoled myself with the fact that I will not be going out again in the foreseeable future.  “You came to visit!” Emma said, cutting through my thoughts.

“Well it’s not really a visit, when I’m here all the time,” I said in an effort to clarify and unburden myself of just a little guilt.

“It’s Mommy!”  Emma repeated, as though she were surprised.

It reminded me of a time not long ago, when Emma on one of her perseverative loops of anguish, kept running through the house crying out something none of us could decipher.

“What is she saying?” we asked each other more than a few times.

Emma’s upset became more extreme and ended with her biting herself.

Someone (it may have been me) then asked, “Why is she doing this?”

I remember thinking, “Umm, because she’s autistic?  Do we really need to look much further?”  But I didn’t say it out loud, okay so maybe I muttered it under my breath.  The point is, applying my own reasoning to Emma’s behavior usually doesn’t get me very far.  And often it is counter-productive.

“You came to visit!”  Emma repeated again.

“No Em.  I live here.  You visit someone when you go to their house, a different house to see them for a little while or when they come here, to our house, but then leave, then they visit you.”  Okay, so it wasn’t the best explanation I’ve ever come up with, but it was the best I could do in the moment.

Emma stared at me for a moment and then said matter-of-factly, “Have breakfast now.”

“Right,” I said.  Too much information.  Got it.

When Emma and I were in her bathroom, getting ready to brush her teeth, she stood on her little stool and while looking at herself in the mirror, put her arm around my neck, pressing her cheek against mine.  “It’s Mommy!” she said, pointing to my reflection.  Then she gave me a kiss on the cheek.

It was one of the moments you wish you had a remote control to hit the pause button on.  I thought of how it was such a typical little kid thing to do, how wonderful it was to see her do something like that.

“Let’s go visit Nic,” I said after she’d finished brushing her teeth – meaning we should go find him, see what he was doing.  And I caught myself.  I understood how and why she said, earlier – I was “visiting.”   Emma was hearing the word used and applying it as best she could in a similar situation.

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Ups and Downs

Posted on February 9, 2011 by | Leave a comment

I was reading an article this morning on RNA interference when the following quote by a pharmacology professor caught my eye – “A lot of excitement for RNAi was irrationally high to begin with, and now is irrationally low.”

It reminded me of how I have felt each and every time we have gone to South America for one of Emma’s stem cell treatments.  In the beginning I am elated, sure this will be the thing that causes her to crawl out from beneath the fog of her autism.  Then after we’ve returned home, I am guardedly hopeful, watching, waiting and after a few more weeks I’m convinced the whole thing was an exercise in heartache, stress and worry.

I go from the extreme high of wishing myself into believing this will prove a miracle to the low of believing it’s a complete waste of time or worse.  What I have not managed as well is that whole grey area residing between those two states.  Which is why the brain scans are so essential.  Though I have moments of disregarding those as well.  If I relied entirely on my perceptions, often clouded by feelings, desires, wishes, expectations, I would be making some very poor decisions.

We have been working with Emma on her handwriting and teaching her to type using a program developed by a literacy specialist.  It has proven to be quite an incredible experience.  Emma is now writing legible letters and is able to match two and three letter words.  She is also learning to type on a computer keyboard.

A couple of things I’ve realized:

1) Most written words are written in lower case letters, yet most writing programs teach upper case letters first.

2) All the letters on a keyboard are in upper case, making it very difficult for a child to translate the letter from lower to upper or vis a versa.  Something I had never “noticed” before until we began working on typing with Emma.  She is getting the hang of it, but it’s been interesting.

3) The letters Gg, Qq, Ee, Rr, Bb, Dd and Aa are completely different depending on whether they are in lower or upper case.

As I am not a teacher – these rather obvious items I’ve listed are something I had taken for granted until now.  I am amazed how well Emma is doing.  She seems to understand the same letters can look different and yet are the same.   But, and I do need to say this, Joe and I have been working with her for a number of weeks now and I was feeling discouraged that she wasn’t progressing as well as she should.  She still has trouble writing the lower case letter e.  K is often difficult and she makes her lower case s too big.  We needed to tape one of my sessions with her to send to the literacy specialist who developed the program (Joe did a great job taping) and Richard was the one who transferred it into a file we could email.

When I got home last night Richard said, “I edited the tape.  Emma’s doing really well!”

“Do you think so?”

“Oh yeah.  It’s amazing!”  Richard’s excitement was so authentic, it made me wonder why I wasn’t “seeing” it.

“Really?” I asked again.

“Yeah!  She’s doing great!”

That conversation was one more example of how two people living with the same child can view that child’s progress very differently.  My expectations are something I need to constantly keep in check.  If I look at the tape of Emma and how she is moving forward in a number of ways, I can see the progress and it’s impressive.

If I then compare Emma to what Nic was doing at her age, I am back in despair.

“So don’t do it,” a friend of mine said the other day when I related this.

And that’s really the point.  Living in the grey is sometimes a lot harder than one would think.

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Intelligence

Posted on February 8, 2011 by | 3 comments

How can we know what’s really going on inside of a child’s mind who is unable to adequately express themselves?  For neurotypical children we have tests, we ask questions – all verbal or written ways of finding out what they know, whether they’ve learned whatever it is we are trying to teach them.  But what of non-neurotypical children?  How can we really know what they know?

It is this question which causes more confusion than perhaps any other.  Our methods of rating intelligence are deeply flawed.  IQ tests are notoriously incorrect when attempting to gauge the intelligence of a non-verbal person.  Over the years other tests have been created to gain a better idea of intelligence, but nothing we’ve come up with can adequately give us an accurate view of what these children know, what they may be thinking if they could only express themselves.

When confronted with a non-verbal person most of us immediately assume they do not understand and conclude they are not very bright.  Have you ever been to a country whose language you do not speak and noticed how you are treated?  Often it is as though you were an imbecile.  People tend to repeat the same words over and over again, turning the volume up in the mistaken belief your problem is one of hearing as opposed to understanding or being unable to verbalize a response.  We rate intelligence by verbal acuity.

Every now and then we hear of communication devices children have been taught to use, allowing them to communicate in ways they had not been able to previously.  We are astonished at what they say, how lucid and mature they sound.  I’ve read numerous accounts of sessions in which children “speak” to one another in complex sentences, children we would never assume had it in them.  Just because we cannot understand doesn’t mean the person we can’t understand isn’t intelligent or has nothing of interest to say.  All it means is we are not able to understand them.

When Emma was diagnosed with autism at the age of two years and eight months, much of the evaluation conducted by the therapist was directed at us. I remember at the time thinking the process a curious one.  They were evaluating our daughter by asking Richard and me questions which we often had very different answers to.

How many words does she speak?

“Between ten and fifteen,” I’d answer.

“No, no, she knows many more than that,” Richard would say.

And the truth was she did know a great many more than she was articulating, but the actual word count of recognizable words was probably closer to my answer.  So whose answer was more accurate?

Most of us want to feel understood and heard.  Can you imagine what it must be like to know that no matter what you said, it would be met with confusion?  Can you imagine trying to make your needs known only to have them ignored or misunderstood?  Can you imagine what it must be like to have a very complex thought process only to realize no one understands you?

I cannot imagine.  Everyday I am with Emma, I try to and I cannot.

What I do understand is how very lonely it must be.

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Emma and her Singing

Posted on January 31, 2011 by | Leave a comment

“Sing Zoo Zoo Zoo with your mouth closed?”  Emma said this morning as she was getting ready for school.

“Good idea!” I said.  And then began to sing one of her favorite songs with my mouth closed.

She waited patiently until I had finished the first refrain and then said, “Emma’s turn!”

I knew, before I began singing that she meant she wanted to sing the song with her mouth closed, but since repeatedly correcting her over the years hasn’t made a dent in her continued use of “you” in place of “I” or “me,” I have begun taking her words more literally and seeing how that works.  Other than mildly irritating her, I’m not sure it’s making much of a difference.  The elusive pronoun continues to trip her up.

In addition there are words which she finds impossible to articulate.  A few of them can be found in another of her favorite songs – “Fabulous”.  Emma says – Sandy lot – or something that sounds suspiciously like that, in place of Fabulous as well as humming the word “imported” which is used repeatedly in the song, instead of making an attempt to say some version of the word.

Yesterday I tried more than a few times to have her repeat my enunciation of “imported” first by singing the lyrics “towels imported from Turkey, Turkey imported from Maine…” but when that didn’t help I tried to have her say “imported” all by itself.  I could see how hard she was trying, she watched my mouth as I said the word, she tried her best to mimic me, all to no avail and eventually wandered off into our bedroom where I could hear her singing loudly her own special version of the song, the tune utterly recognizable even as the words were not.

Richard found the lyrics of the song online and printed out several copies so each of us could review and sing along with her when she launched into yet another rousing rendition of it, which happens more than a few times over the course of a day.  Emma articulates a few lines of the song beautifully – “I want MORE!” and”Excuse Me Thank You” then lapses into her “Emmalish” – impossible for anyone to decipher.  Sometimes Emma will allow all of us to join her in singing, but often, particularly when it is her brother, Nic who is singing along she will stop abruptly and yell, “Nicky L. stop singing!”  or “Nic!  Stop talking!”

To which we respond, “No Emma.  Nic can sing too if he wants.”

“Forget it, it’s no fun now,” Nic will say as we wait for him to continue.  “She ruined it.”

Or if Nic does have the fortitude to continue, Emma will stand silently for a moment before seeking refuge in her bedroom and shutting the door.  It seemed as though it was as much a gesture of contempt for the whole unruly scene as a desire to escape the singing.  Nic usually shrugs and returns to whatever it was he was doing before the whole thing began.

I cannot hold a tune.  This is a fact I came to terms with early on in junior high school when I was contently singing along to “Angie” by the Rolling Stones and was ridiculed for my off key trilling.  My ego bruised, I was careful to hum or sing quietly under my breath or in the privacy of my own room.  Something I have continued to do ever since.  Emma however, did not inherit my tin ear.  Hers is the voice of an angel or Broadway singer, (depending on the song) as she belts out songs in decibels I didn’t know were possible.

The other week when we gathered to sing Happy Birthday, the one song anyone can sing off key with abandon, with no fear of ridicule, Emma out sang all of us put together.

“She’s  got a set of pipes on her,” Richard said, proudly when the song had come to it’s end.

“Yup.  She sure does,” we agreed.

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Snow Day

Posted on January 27, 2011 by | Leave a comment

Our son Nic has been anticipating this day ever since a month ago when a snowstorm was predicted, but never arrived.  When he woke this morning he had a huge grin on his face.  “It’s a snow day!?” he half asked, half shouted with glee.

“Yup!  It sure is,” I smiled at him.

“Yes!” Nic said, pumping his fist in the air.

“Hey Em,” I said, looking over at Emma who had returned to the comforts of her own bed, having gotten into ours earlier.  “Are you excited it’s a snow day?”

“No school bus,” Emma said in a worried tone.

“That’s right.  No school bus.”

“It’s a snow day!   Do you know what that means, Em?”  Nic asked.

“Yes,” came Emma’s reply.

“Really?  What does it mean?” I asked her, curious to know if perhaps she’d picked up on some of Nic’s excitement and had overheard our explanation that Mayor Bloomberg had declared it a snow day.

Emma snuggled deeper under the covers and said nothing.

“It means there’s no school today because of the snow storm,” I told her.

Interruption alert

I wish to take this moment to say – when we received the THREE phone calls this morning at 5:00AM informing us Mayor Bloomberg had officially declared today a snow day and as a result all public and private schools are closed, I muttered something derogatory about New York City being wimpish and if they wanted to see snow, they should really take a look at what constitutes a “snow storm” in Colorado.  And then fell back asleep feeling more than a little self righteous and indignant.  Upon waking later when Emma crawled into our bed declaring, “someone turned the lights on outside”, I learned Central Park received 19” of snow over night.

“Wow!  Really?  That’s almost a storm by Buffalo’s standards,” Richard commented peering out the window.

When I told him what I was writing for the blog he said, “Yeah, you might want to temper your indignation.  That’s a lot of snow.”

Interruption over

“Yes!” Nic said again.

“No school bus,” Emma confirmed, nodding her head.

“Exactly.  No school bus, no school, no…”

“Stay home,” Emma cut me off.

“Yes, stay home,” I agreed.

“So what do you guys want to do today?” I asked.

Nic said, “Stay home” just as Emma shouted, “Go sledding?”

“Okay.  Stay home first and then sledding,” I suggested.

“Snow day,” Emma said.

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“Caesar Stop the Music!”

Posted on January 19, 2011 by | 2 comments

These are the words Emma sings, to the Rihanna song, Please Don’t Stop the Music, which despite our corrections, she insists on singing her way.

“Emma!  It’s not Caesar, it’s Please don’t stop the music!”  We have said on more than one occasion.

Often she will correct herself, only to return to – “Caesar stop the music”, and then she’ll laugh and continue the song.   “Caesar stop the music, Caesar stop the music, Caesar stop the music, Caesar stop the music!”

What follows is pretty garbled and since I don’t know the words to the song, impossible for me to decode.  But after the garbled words she will usually hum, keeping the tune intact, before singing, “I wanna take you away, let’s escape…” more garbled words and humming, before launching into the grand finale, “Caesar stop the, Caesar stop the, Caesar stop the, Caesar stop the music!”

This is Emma at her silliest and yet most endearing.  I know she knows the lyrics.  We’ve corrected her dozens of times.  I know she can say the correct words as I’ve heard her on rare occasion say them.  But “Caesar stop the music” is the way she prefers to sing the song.

That Emma “plays” with words – although that may be a gross misreading of what is actually going on – is something I’ve always found fascinating.  As a toddler, she would say things none of us could understand, but over time we were able to decipher.  Often they were nonsense words, which in no way resembled the actual word used for the object she was referring to, such as “Cokie” for blanket.  For months we thought she was asking to eat a cookie.  And then there are the words she uses to describe things, a kind of poetic beauty, as when she called rain, “bubbles”.  There is a literalness to that – if you examine the rain as it falls from the sky it does resemble tiny bubbles and when it falls to the ground it will often form a bubble, but it isn’t something I would ever have come up with.

Emma also uses words, both descriptive as well as strangely similar to the actual words as she does with the stars in the night, “sorry bubbles”, “cheese solos” for cheese doodles.  It’s interesting to note, for a child who is so literal she cannot come up with a name for her baby doll, but instead calls her, “baby” or “doll” or “girl” that Emma creates such unusual words to describe other things.  It is, perhaps, this literal application to things which we take for granted or do not even notice that makes her choice of words so interesting.

As always I am left wishing I could be inside her body and mind for an hour to feel, hear, see and experience the world as she does.

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Emma’s Birthday

Posted on January 18, 2011 by | 1 comment

Emma and Martin Luther King share a birthday.  It remains to be seen if they will share anything else.  Perhaps one day Emma will be a persuasive speaker perhaps she too will express her abhorrence of violence and injustice.  It’s impossible to know, as Emma is autistic.

Yesterday Emma turned nine.  She has a lifetime ahead of her to tell us what she cares about and how she feels about things.

On Sunday we had a party for her and despite my concern that few children were able to make it, it turned out to be lovely and Emma had a blast.  A number of our friends made the effort to come to the gym we rented for an hour and a half and afterward a group of us returned to our place for gumbo and birthday cake.  Emma was ecstatic – not so much with the gumbo, which she didn’t eat, but the gymnastics party, her guests, the birthday cake, complete with candles and song and all the attention.

Later, Emma disappeared into her bedroom.

“Mom!  Mom!  Look!” Nic yelled.

“You have to see this,” Richard said from the doorway into Emma’s bedroom.

There Emma was, sitting up in her bed, wearing a pair of brand new birthday pajamas, her head resting on a new matching pillow and a padded eye cover around her neck.

Emma wearing her new PJ’s

Several of us crowded into her room, like subjects attempting to catch the attention of a queen.  We “oohed” and “aahed” as she opened each gift presented to her one by one by her brother, Nic.

Emma feeding her new “Geneva” groovy girl

Emma Monday morning with her new baby doll

Now for most parents all of this must seem rather mundane and hardly worth documentation, particularly documenting to the degree we have.  But for Emma, this was a first.  It marked the first birthday she took any genuine delight in opening her gifts and once the gift was opened, took actual pleasure in playing with each present.  Emma sat happily in her bed, her admirers clamored around in adoration, Nic raced back and forth carrying each gift to her as if it were the Holy Grail itself.

And perhaps to Emma, it was.

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