ESES? Huh?

Many of you know that Lily was in the hospital last weekend for a scheduled 48 hour EEG (which turned into a 72 hour EEG).  Her developmental pediatrician and her neurologist (yes, she has both) recommended it to rule out seizures.  This is common practice for children who have a regressive form of autism (i.e., speaking and developing normally, then not – which is Lily).    I thought we were going in to just check a box.  My kid doesn’t have seizures!
Well, she’s not having seizures.  BUT she does have a rare form of epilepsy (1% of the population), in the form of having frequent electrical discharges (as much as 80% in her sleep and also sometimes while awake).  Which in medical terms is phrased ESES – electrical status epilepticus in sleep.  And in non-medical terms is phrased ‘Penelope Syndrome’ for the tale of Penelope, who weaves all day long and then when she falls asleep, it all unravels and she has to start again.
This could help explain why, after over a year of 30+ hours a week of therapy, my baby still isn’t talking.  She’s super smart (and the sweetest and bravest little thing ever) but yet her words come and go.
This also could mean that Lily doesn’t have autism.  But this new diagnosis is also no walk in the park.  The only known treatment for this is medication.  I’m not excited about putting my two year old (almost 3) on meds but I’ve read that this could be life-changing (with a lot of therapy still) for her.  Or not.  But I’m going to stick to the former.
We have numerous appointments over the next few weeks (on top of her scheduled therapies) to find out more.  I was able to find one of the only pediatric ESES specialists and make a relatively quick appointment with him (often-times, it takes about 6 months to get in with specialists.  We only have to wait 2 weeks).  Keep us both in your thoughts and prayers,
Lastly, I’m not a bible-reader but I came across this quote.  For Lily:
 “She is clothed with strength and dignity, and she laughs without fear of the future.”  Proverbs 31:25
Love,
C and L
Thanksgiving Dinner
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La-la-land vs. reality

Below are two posts/articles written by mothers of special needs kids.  The first one is quite popular and somewhat annoying, if not clawingly uplifting.  The second post is one which, once I read, felt like it was something I would have written.  It resonated with me that much.

  

WELCOME TO HOLLAND

c1987 by Emily Perl Kingsley.

I am often asked to describe the experience of raising a child with a disability – to try to help people who have not shared that unique experience to understand it, to imagine how it would feel. It’s like this……

When you’re going to have a baby, it’s like planning a fabulous vacation trip – to Italy. You buy a bunch of guide books and make your wonderful plans. The Coliseum. The Michelangelo David. The gondolas in Venice. You may learn some handy phrases in Italian. It’s all very exciting.

After months of eager anticipation, the day finally arrives. You pack your bags and off you go. Several hours later, the plane lands. The stewardess comes in and says, “Welcome to Holland.”

“Holland?!?” you say. “What do you mean Holland?? I signed up for Italy! I’m supposed to be in Italy. All my life I’ve dreamed of going to Italy.”

But there’s been a change in the flight plan. They’ve landed in Holland and there you must stay.

The important thing is that they haven’t taken you to a horrible, disgusting, filthy place, full of pestilence, famine and disease. It’s just a different place.

So you must go out and buy new guide books. And you must learn a whole new language. And you will meet a whole new group of people you would never have met.

It’s just a different place. It’s slower-paced than Italy, less flashy than Italy. But after you’ve been there for a while and you catch your breath, you look around…. and you begin to notice that Holland has windmills….and Holland has tulips. Holland even has Rembrandts.

But everyone you know is busy coming and going from Italy… and they’re all bragging about what a wonderful time they had there. And for the rest of your life, you will say “Yes, that’s where I was supposed to go. That’s what I had planned.”

And the pain of that will never, ever, ever, ever go away… because the loss of that dream is a very very significant loss.

But… if you spend your life mourning the fact that you didn’t get to Italy, you may never be free to enjoy the very special, the very lovely things … about Holland.

 

HOLLAND SCHMOLLAND

 

c2008 By Laura Krueger Crawford
.

If you have a child with autism, which I do, and if you troll the
 Internet for information, which I have done, you will come across a certain inspirational analogy. It goes like this: Imagine that you are planning a
trip to Italy. You read all the latest travel books, you consult with
 friends about what to pack, and you develop an elaborate itinerary for your
glorious trip. The day arrives. You board the plane and settle in with your
in-flight magazine, dreaming of trattorias, gondola rides and gelato.

However, when the plane lands you discover, much to your surprise, you are 
not in Italy — you are in Holland. You are greatly dismayed at this abrupt
and unexpected change in plans. You rant and rave to the travel agency, but 
it does no good. You are stuck. After a while, you tire of fighting and
 begin to look at what Holland has to offer. You notice the beautiful tulips, 
the kindly people in wooden shoes, the French fries and mayonnaise, and you
 think, “This isn’t exactly what I planned, but it’s not so bad. It s just
 different.” Having a child with autism is supposed to be like this — not
 any worse than having a typical child — just different.

When I read that, my son was almost three, completely non-verbal and 
was hitting me over a hundred times a day. While I appreciated the intention
 of the story, I couldn’t help but think, Are they kidding? We are not in
some peaceful countryside dotted with windmills. We are in a country under
 siege — dodging bombs, trying to board overloaded helicopters, bribing
 officials — all the while thinking, What happened to our beautiful life?

That was 5 years ago. My son is now 8 and though we have come to 
accept that he will always have autism, we no longer feel like citizens of a
battle torn nation. WITH the help of countless dedicated therapists and 
teachers, biological interventions, and an enormously supportive family, my
son has become a fun-loving, affectionate boy with many endearing qualities
and skills. In the process we’ve created well our own country, with its 
own unique traditions and customs.
 It s not a war zone, but it s still not Holland. Let’s call it
 Schmolland.

In Schmolland, it is perfectly customary to lick walls, rub cold
 pieces of metal across your mouth and line up all your toys end to end. You
 can show affection by giving a “pointy chin.” A “pointy chin ” is when you 
act like you are going to hug someone and just when you are really close,
 you jam your chin into the other person s shoulder. For the person giving 
the “pointy chin” this feels really good, for the receiver not so much, but
 you get used to it. For citizens of Schmolland, it is quite normal to repeat
 lines from videos to express emotion. If you are sad, you can look downcast 
and say “Oh Pongo.” When mad or anxious, you might shout, “Snow can’t stop
 me!” or “Duchess, kittens, come on!” Sometimes, “And now our feature
 presentation” says it all.

In Schmolland, there’s not a lot to do, so our
 citizens find amusement wherever they can. Bouncing on the couch for hours,
 methodically pulling feathers out of down pillows, and laughing hysterically 
in bed at 4:00am, are all traditional Schmutch pastimes.

The hard part about living in our country is dealing with people from
 other countries. We try to assimilate ourselves and mimic their customs, but
 we aren’t always successful. It s perfectly understandable that an 
8-year-old boy from Schmolland would steal a train from a toddler at the
Thomas the Tank Engine Train Table at Barnes and Noble. But this is clearly 
not understandable or acceptable in other countries, and so we must drag our 
8 year old out of the store kicking and screaming while all the customers 
look on with stark, pitying stares. But we ignore these looks and focus on
the exit sign because we are a proud people.

Where we live, it is not
 surprising when an 8-year-old boy reaches for the fleshy part of a woman’s
 upper torso and says, Do we touch boodoo? We simply say, “No we don’t
 touch boodoo” and go on about our business. It’s a bit more startling in
 other countries, however, and can cause all sorts of cross-cultural
 misunderstandings. And, though most foreigners can get a drop of water on
 their pants and still carry on, this is intolerable to certain citizens in
 Schmolland who insist that the pants must come off no matter where they are,
 and regardless of whether another pair of pants are present.

Other families who are affected by autism are familiar and comforting
 to us, yet are still separate entities. Together we make up a federation of
 countries, kind of like Scandinavia. Like a person from Denmark talking with
 a person from Norway, (or in our case someone from Schmenmark talking with
 someone from Schmorway), we share enough similarities in our language and
 customs to understand each other, but conversations inevitably highlight the 
diversity of our traditions. Oh your child is a runner? Mine won’t go to
the bathroom without asking permission. “My child eats paper. Yesterday he
 ate a whole video box.” “My daughter only eats 4 foods, all of them white.”
”My son wants to blow on everyone.” “My son can’t stand to hear the word no.
 We can’t use any negatives at all in our house.” “We finally had to lock up
t he VCR because my son was obsessed with the rewind button.”

There is one thing we all agree on: we are a growing population.

10 years ago, 1 in 10,000 children had autism.

Today the rate is approximately 1 in 250.
(CS update: As of 2013, the rate became 1 in 55 children in the US.  No joke.)

Something is dreadfully wrong. Though the causes of the increase are
 still being hotly debated, a number of parents and professionals believe 
genetic pre-disposition has collided with too many environment insults –
toxins, chemicals, anti-biotics, vaccines — to create immunological chaos 
in the nervous systems of developing children. One medical journalist
speculated that these children are like the proverbial canary in the coal
mine here to alert us to the growing dangers in our environment. While this
 is certainly not a view shared by all in the autism community, it feels true 
to me.

I hope that researchers discover the magic bullet we all so
 desperately crave. And I will never stop investigating new treatments and 
therapies that might help my son. But more and more my priorities are 
shifting from what could be to what is. I look around at this country my
 family has created, with all its unique customs, and it feels like home. For 
us, any time spent “nation-building” is time well spent.