A Day in the life....  

Entries in disability (8)

Wednesday
Sep012010

Letting go (or not)

One of my favorite shots (above) of a girl and my her dog. While I've been doing a lot photography for work, I haven't had "fun" with my camera in a while. Shots like this remind me that I need to quit leaving it in my car and bring it in at night.

I haven't been putting much into the blog recently. While there's a lot going on right now, I'm trying to be mindful of K3's privacy and just gloss over the surface.

Testing with the autism clinic has begun, and we sat through a 2 hour intake session last week where we discussed her disability and it's impact in detail. Over all, I like the psychologist. She doesn't quite "get" K3 yet (who would after only two hours?) but she was sensitive throughout the session and went out of her way to make K3 feel really comfortable with the process.

In the meantime, K3 and I continue to try to find the balance in other areas of her life. There has been talk of doing things she has not done before and I find myself really wrestling with decisions. On the one hand, I want her to do the things she's capable of doing, and on the other...  I want to keep her safe. And yes, I'm still examining the decisions around letting her ride the bus last year and the accident. I know I'm not to blame directly, and I'm not sure I could have prevented it ultimately (it might just have occured in a different time or place) but my gut told me "no" and yet I wanted her to grow, to have the opportunity. So I said yes even though I had significant misgivings. Sigh...

That doesn't mean I can swing the pendulum the other way and allow my "gut" to be my guide. My gut would love to keep her safely in the house where supposedly, all would be well!

It does mean that I'm wrestling with basic decisions that concern K3 much more. And it's not just the accident... there was an incident a few weeks ago where a young lady (similar to K3) was killed by a neighbor boy that she knew. It's hard not to project that onto K3. It's harder still to talk to K3 about safety awareness when it includes people she is used to seeing in the neighborhood.

I'm happy to report, that through it all, K3 remains happy, funny and sweet. One of the biggest results of the accident is that she and I have grown much closer. And while I'm aware that she could end up depending on me perhaps a little too much, I think for now that closeness helps us navigate the next steps for both of us.

I love that kid.

AG out

Thursday
Aug192010

In which our path is revealed

Our original path of diagnosis for K3 led us from the very helpful Dr. M who referred us to the university and a lovely neurologist who, having insufficient documentation to make a diagnosis, referred us for testing at an autism center which is an off shoot of the university's autism testing and treatment center.

I spoke with the doctoral student who will be evaluating K3 and several items came to light...

  • We don't just need a diagnosis, but actual testing scores for IQ etc, if we hope to become eligible for state services.
  • The state disability folks in my county refer kids to her already for testing. She's likely good at her work and her report will carry a lot of weight/be indisputable.
  • After a long phone conversation, she indicated that she wouldn't be surprised that K3 likely has autism but that isn't sufficient for state services. She will need to be retarded as well. It is the combination of autism and mental retardation (low IQ) that makes a person eligible for state services.
  • They don't take insurance. We will have to pay out-of-pocket for K3's evaluation and testing. A minimum of 10 hours of intake and testing and the same number of hours in report writing plus the closing session with us, two additional hours. payment for individual testing days will be due at each of the 4-5 appoints needed.

I've talked to The Old Goat about all of this and yes, he is (as always) the voice of reason. We have to do it, we'll worry about the money later.

I talked to K2 about it and her eyes glazed over.

I finally talked to K3 about it and she got that panicked look in her eyes. Other than the initial 1.5 hour intake where it is her and I, the rest of the testing is solo. I get why I cannot sit next to her during the testing, but that is her coping mechanism when someone asks her something and she doesn't understand. She turns to me or looks at me... she knows I'll help her.  To do the testing alone makes her feel very anxious.

While I'm fairly certain autism is the correct diagnisis for my little K3, I'm a little worried about the IQ. While she's had 3 tests so far during her life, she was much younger then. None of them showed her to be in the "average" range of intelligence. I feel angry and defensive just writing that.

It is a swirling vortex of feelings... I've spent her entire life prepared to thrash anyone that called her stupid... and now, I'm hoping that she'll test "below average" again... so that at least she will have state services after The Old Goat and I pass on to our rewards.

Life sure has a funny way of helping you see things from all sides...

Friday
Jul302010

Digging Deep

Today I am digging deep, using up all my inner resources...

Today K3 and I are off to our second visit with the neurologist, who appears to really know his stuff, to get the official diagnosis on her disability. Gah.

For those not in the know, TOG and I got pretty defensive in her K-12 years after multiple contentious discussions with her school district. The labeling game sucks but you must allow a label in order to get special education services. However, it must be the right label, which gets her services but doesn't allow the school to move her out of acedemics and into "living skills." In jr. high, we finally took her to a childrens neurologist and asked for a diagnosis that the school could not dispute that we could use until graduation. I can't remember what it was, but it served us well. No more icky meetings about her destiny, just mostly appropriate services every year by well meaning special ed teachers (bless their hearts).

Now, after The Accident, in order to be granted guardianship, we must show that K3 has a significant impairment, defined by an adult diagnosis. Further, that impairment may entitle her to some level of state services over the next year or two at least.... something I never thought she would be eligble for given our state's budgetary constraints. But our state has made additional dollars available to students graduating in 2009/2010 and a good diagnosis will make her eligible. This would be a huge move, taking her out of school services for the first time in her life, but services through independent vendors who must show progress are of higher quality than the school district who is not required to do anything but keep her busy until she ages out at 21.

Sorry to be so long winded... I'm just stressy. I'm taking the time off today to go to the neurologist. Time that is pretty scarce as I have a grant due at 5:00pm today (mostly written) and another due on Monday (half written). Did I mention that I hate writing logic models for grants. It is my least favorite part of grant writing!

So... thanks for letting me dump. If you can take a moment to send some good vibes our way... so appreciated.

Yours in stress, tension and anxiety...

AG

Wednesday
May262010

Wide Open Wednesday

Here's a blurry pic of K3 I snapped going out the door to dinner in Canada. She did a little shopping and was very happy with this outfit. I even loaned her my sandals so she could feel extra groovy. She promptly fell in love with them and inquired about whether I really liked these as much as I thought I did. Twerp.

As an update:

We did not make the deadline for the insurance in terms of getting K3 in for tooth rebuilding. We are now in appeals mode.

The guardianship paperwork is nearly complete. But without a firm diagnosis of her disability, the outcome is iffy.

Thus a referral has been made (Thank you Dr. M for coming through yet again) to a neurologist who will examine K3 and tell us who-knows-what.

I made K3 sit with me and help me fill out the questionnaire the neurologist sent. I don't know which is more depressing, the dang questionnaire or the flippin' guardianship application.

We are seeing more frequent incidents of her disability sneaking into our daily lives... little blank spots that come up when confronted with new challenges... situational anger over changes in her environment, or even discussion of any potential changes. Any rosy picture I had of the guardianship is evolving daily.

I wish I could bury my head in the sand and pretend that we didn't have to deal with this. But instead, I'll keep pretending to be courageous and resolute.

I'm in discussion with one of the other managers at work who deals with the county we live in. It seems like it would be to our advantage to allow K3 to be evaluated by our local government disability counselors following the resolution of guardianship, something I swore I would never do after the birth to three debacle. But, there may be some short term funding available for at least a year. Which would be awesome as I'm totally disgusted with the school districts transition program and would like the funding to access an outside vendor, specifically the agency I work for.

So there you have it... a series of ugly conversations headed our way... doctors, judges, court advocates, disability counselors...

I'm totally and completely gloomed out just thinking about it, but hopeful that it will all benefit K3 in the long run.

She's totally worth it.

AG out!

PS~ In terms of K3 in the pub, we're not encouraging her imbibing alcoholic beverages. She had a sip of cider and that was about it. She prefers soft drinks and is really only there for the pub grub!

 

Thursday
May132010

The "Go" Button

You know that commercial for the "Easy Button"? I think someone has pushed my "Go" button.

After working a full day yesterday, I spent a several hours at a clients business cleaning trojans off one of their computers. Honestly, by the time I got home all I did was eat a sandwich and doze off. Woke up to talk to TOG when he got home, then back to sleep for a few hours.

Today is staff meeting, so I'm out of here in a few minutes to go pick up the catering for the meeting. Then work all day. Tonight after work, I am going to Tacoma to do K2's photo shoot for her graduation from nursing school. I'm excited to do it, but I have the feeling I'll be coming home and crapping out again.

Then there's the photo editing and finishing K3's guardianship papers (which I didn't touch last night). We've scheduled a neurology appt for her, thanks to Dr. M. who made the referral. This should provide us with the medical opinion we need going into to K3's hearing.

Oh, and I have to do my invoices for last month's tech work, and this months...

And K3's torque test is tomorrow, so it's up early to drive into Seattle....

My head is aching. Time to take some tylenol and go to work.

AG out!

PS~ No, I didn't get a chance to visit y'all last night. I'll catch up soon I promise!

PPS~ Don't forget to enter the book giveaway!

Wednesday
Apr282010

Wide Open Wednesday... the disability edition.

I think one of the toughest challenges in raising a child with disabilities is the surprises.

Just when you think all is well, suddenly you're aware that things are not what you assumed. Rather like Mr. Incredible in his interview at the beginning of The Incredibles (one of my favorite movies!)... "Can't things just stay fixed for a while, I just cleaned this mess up..."

To preface my story, in this case I refer to K3's transition program. Basically, the school system is legally required to offer her services until she turns 21 and then their obligations are over. Between graduation and age 21, programs are called "Transition" and are geared toward helping the student with disabilities make the transition from school to work. K3 was on the way to her transition program when she was hit by the truck last November.

K3's transition program called me Friday and again yesterday. Frankly I could not be more surprised regarding their observations:

Them: K3 has issues moving from task to task in her practice kitchen internship. She needs prompting about what to do next.

Me: Really? She's been like that her whole life. It's part of her disability.

Them: Because she needs prompting in the kitchen and she excels at PowerPoint, we think she might do well at an office job.

Me: I think you're sorely mistaken. Someone who needs prompting in the kitchen will be lost in an office environment where the tasks are even less concrete and obvious.

Them: We are surprised that she doesn't seem to grasp some of the behavioral nuances at the program.

Me: You do know you are working with students with disabilities, right?

I'm astounded, literally, that they've had her in that program for 9 months and they don't understand the basics of working with her;

That she either needs prompting or a list of things that have to be done until she learns them.... then she can operate independently.

That she cannot model behaviors that others do by watching and integrating it into her behaviors. If that were true, she would have never been hit by a truck because she would have learned how to cross the street safely by watching us do it. If you want her to model a behavior, you have to break it down for her so she can learn it. Tell her why. Use examples. Remind her.

That you think she would actually be functional in an office environment doing tasks on a computer that don't interest her. I assure you, when you're not looking, she's distracted by the internet and looking at Ninja stuff, and movie times, and horses.

The only thing they seem to understand about her is how sweet she is.

Their recommendation now is to wait to place her in a restaurant internship because she isn't ready. I think they don't understand that she can learn by doing and that placing her in the restaurant internship now and working with her for a few weeks might be very successful indeed.

*deep breath*

Perhaps if I didn't work in the disability field, I would be less outraged. As it is, I foresee an advocacy chat in our very near future. If that doesn't work, I may move her to a different vendor next year, as is my right. I would hate to that because K3 is comfortable there. But given that we only have a year left... time is of the essence. I can't wait for them to take another year to figure K3 out.

Okay... I'm unclenching.

A little.

AG out

Friday
Nov202009

My Baby Girl

My little K3 was hit by a truck yesterday morning after she got off the bus.

Essentially, the truck mirror caught her in the face and chest. Her chest is bruised but no broken bones. Her jaw was broken in two places and at least one tooth is gone.

This is the ct scan of her head. You can see the contusion from her head striking the pavement.

Here is her lower jaw. I don't have a shot of her upper one.

We are off to the hospital this morning for what will likely be the first of several procedures. They will be wiring her jaw back together this morning.

I can't even dwell on the specifics of the accident or the whys. My baby is hurting and likely will be for some time. I will say that this business of disability and trying to allow your child to be independent (take the bus) leaves you in the usual predicament... the urge to protect will always be at war with the knowledge that you have to let them try for a normal life.

War is hell.

Please send whatever kind thoughts you have for my little girl. I'll update (likely facebook) when I can.

Friday
Sep252009

Remember?

Remember how you felt all giddy and giggly when you liked a boy? And you thought he was the most important thing on the planet? And how his name was all perfect when you said it just right? And when you got up the nerve to ask him if he liked you he said he did?

And then you told your mom and all she could think of was installing a lock on your bedroom door while you were sleeping and sliding bread crusts, pokemon cards and Free Willy videos under the door?

Can we go back to last week please?