Sunday, December 16, 2012

Come Dream with Me, Please!


I have a dream!  It has been with me for a number of years.  It began with a longing to find toys that my child could actually play with and that I could afford.  Yes, there were companies that carried switch toys that Maddie could operate.  It was awesome to watch her young face light up when she realized she had control over the toy.  The reality was that I could afford very few of those and she needed more and different toys.  What child can play with the same toy day after day? 

I turned to scouring toys and fun things everywhere.  I focused on what movements and abilities Maddie had.  I analyzed products for their usability, cost, and benefit to her.  I found things but not nearly as often as I wanted.  I was frustrated.  Wouldn’t it be awesome if there were a store just dedicated to kids like Maddie?  It did not exist. 

My dream was born out of my desire and my frustration.  Why couldn’t I open the store I was dreaming of?  It keeps nagging at me!  The question slowly became a goal.  Now I am in the process of dreaming and writing a business plan.  I have found people who are drawn to the idea enough to help me get the plan in working order. 

I need your help!  Dream with me.  What would you like to find in a store dedicated to the needs of your child and your family?  What products do you look for?   What things have you found particularly helpful?  Feel free to share your thoughts, frustrations, and visions of a store dedicated just to your child and your family.

The dream is there and it is time to give it wings.  Thank you for helping me.  

Friday, November 23, 2012

Gotta love that smile!  If your child has hydranencephaly this group, The Global Hydranecephaly Foundation, is full of hope, support, and understanding.   http://www.hydranencephalyfoundation.org/

Tis' the Season


Thanksgiving is over!  It’s officially Christmas time.  It is not the stores, radio, or television programming that sets the time for me.  It is a family tradition carried from childhood.  The day after Thanksgiving may be black Friday for others but for me it is the first day of playing Christmas music.  I love it!  I also love sappy Christmas movies.  One or the other will be playing in the background for the next month. 

Other things about Christmas are not so easy or so fun.  It marks the turning of weather which always meant Maddie’s ability to go outside changed, too.  With her body temperature issues trips outside were limited.  It also meant needing to get Christmas presents.  The two are tied together for me.  I always wanted to find things to help Maddie enjoy the long few months ahead.  So her gifts always included warm clothes and a pile of books.  That wasn’t enough for me.  I wanted to get her something that she would really love; something that did something amazing.

One year I found a sled with a curved back brace support in an L.L. Bean catalogue.  I showed it to one of the nurses who agreed it was a great idea.  So I paid a whopping amount and purchases a bunch of hand warmers to help keep her warm.  I was so excited!  Maddie not so much.  But then she had never ridden a sled and I had spent have my childhood flying down the hill in front of the courthouse in our small town.  I just knew once she did it she would love it.

So a few days after Christmas, on a sort of warm day I got Maddie ready.  Out we went with the dog jumping around us.  I set Maddie on the blanket lined sled.  She looked at me like I had just set her in cold bath water.  I started pulling her on her sled across the yard.  I didn’t even get to the drive way before she started screaming.  About the only time Maddie would cry at that age was when her g or j-tube got pulled out.  And this was not crying, this was screaming!  The dog looked at me like I torturing the poor child and starts barking at me.  It was clear our little sledding adventure was done.  So much for the expensive gift that was supposed to bring my child joy.

Over the years I learned a few things.  Even if I enjoyed something as a child, it did not mean Maddie would.  Maddie didn’t like the sled or dolls or Silly Putty.  She liked switch toys, music I didn’t know, and fingernail polish.  I think the gift that she loved the most was the year a friend and I turned her ceiling into a fairy garden.  But the things she loved the most about Christmas were the music and the sappy movies.

Now that I have confessed what a poor judge of presents for my own child I was, I offer an article about buying gifts for children with significant specials needs.  It might be helpful to you or to others wanting to get fun gifts. 
"Please, No Stuffed Animals: Buying Gifts for Children with Significant Special Needs" http://creativespirit63.hubpages.com/_21w151xherrsj/hub/Please-No-Stuffed-Animals-Buying-Gifts-for-Children-with-Significant-Special-Needs#comment-11113752

Monday, September 17, 2012

Here Comes the Guilt!


I was talking to one of my friends yesterday about an ongoing struggle she is having with one of her adult children.  Layered over the top of all the facets of the problem was guilt.   And not just ordinary guilt we are talking “mom guilt” here.  The very worst kind of guilt!  It strikes at anytime, anywhere, and now I am afraid never goes away! 

It didn’t take very long after Maddie came to experience this new kind of guilt.  I wasn’t all that bad at the old kind of guilt but this new kind was different.  I think it came crashing down the first time I was trying to get baby Maddie out the door on my way to work.  I loaded my purse, briefcase, apnea monitor, and the diaper bag on one shoulder and leaned over to pick Maddie in her car seat off the floor (not one of the nifty ones with the easy handle but the old ones requiring two hands to carry).  My cell phone slide out of the side pocket of my purse and hit Maddie right in the middle of her forehead like a bull’s eye.  She looked startled and then started screaming!  And there it came!  Guilt hitting me just as hard and accurately as the phone hitting Maddie. 

I was a lousy mother.  I should never had been trusted with the care of any child let alone a child as fragile as Maddie.  What if she needed to see a doctor?  They were going to take her away from me.  Within seconds I was a guilty mess of panic.

It was the first in a long line of episodes of mom guilt. In the early years every time someone made a negative comment about Maddie I felt guilty.  One of the ongoing issues for Maddie was her weight.  She was in the lowest percentiles for height and off the little medical graph for weight.  Every team member seemed to need to point out her weight issue to me.  Since I have been overweight my entire life, it was like pushing a little red quilt button.  Never mind that I had trouble getting Maddie to eat enough to get all of her medications in and she never finished a bottle.  No professional ever believed my report of what Maddie ate and drank.  I was a fat mom who was making her child fat.    At one point her orthopedic specialist who was very carefully explaining to me just how fat her thighs were and I blurted out, “You realize I am not biologically responsible for the size of this child’s thighs!”  GUILT overload.  As it turned out Maddie had an underlying metabolic disorder which caused her to store fat even when she was malnourished.

Every time Maddie got a cold or threw up, I was certain that if I had just done something different Maddie would not be suffering.  I put her to bed too late, I let her spend too long in bed, I let her spend too much time with other kids or  I put her to bed before her hair was dry.  Unconsciously I think I believed that if I would just get it right, Maddie would never be sick.  Since she frequently gets sick I must not be doing this mom stuff right! 

That sort of thinking is enough to make the most sane mom crazy!  Our children have medical issues that leave them vulnerable to being sick.  Sometimes it is minor colds or flu and other times it is so complex it takes days for specialists to figure it out. 

It has taken a long time but here is what I have learned about mom guilt and medically fragile children.  We are not responsible for the twist of genes or fate that resulted in our child’s condition.  It is not fair!  It is not like other children.  It is not something our magic mom powers can fix.  As nice as it would be to be in control of our child’s health and well being, we do not have that much power. 

So we try to be very clear internally with what we have control over and what we do not.  I make sure that Maddie gets her food and medications at the right times, keep her clean, dry, and warm, make sure she has time to rest and sleep, and see that she moves as much as possible.  I call the doctors when I am unsure of something and I try to make educated medical decisions for her.  Most things beyond that are out of my range of control.  Even the professional can’t control or even anticipate what Maddie’s body is going to do next. 

The guilt is still there sometimes.  That somehow if I was just a good enough mom… I hold myself to a higher standard than I would anyone else and sometimes I fail.  I struggle to forgive myself for my limitations.  And just hope that as Maddie grows she will know that even when I was not the best mom that I always loved beyond reason. 
You might enjoy reading a humorous view of motherhood which you can find at http://www.squidoo.com/my-chance-at-mother-of-the-year

Breaking through the Barriers

One of my friends posted this on facebook this morning.  It is awesome!  Way to go Susan Austin!!!
 
Artist Sue Austin has been in an wheelchair since 1996. With the support of scuba-diving experts, Austin has created a wheelchair fit with a propeller and fins that enable her to steer the wheelchair underwater. This wheelchair is part of her ongoing project called ‘Freewheeling’, which focuses on the intersection of art and disability.  To see more go to:  http://www.susanaustin.co.uk/

Monday, August 13, 2012

      Greetings from California!  I jumped at the chance to work in California for a week.  It hasn't been exactly what I expected.  The nasty three digit temperatures are here, too.  But on the bright side, my rental car has air-conditioning which my Jeep does not.  So I should not complain too much about that.  Then there was the evening I came back to my hotel to find it surrounded by a SWAT team because a shooter was holed up in a room.  Long story!
       The upshot is I'm hot and tired and need some inspiritation! And this dad has just the story to do the trick!
http://www.mlive.com/sports/grand-rapids/index.ssf/2011/05/byron_center_man_draws_inspira.html
I was denied permission to post the photo that accompanied the article.  Bummer! 

Sunday, July 29, 2012

Helpful Link to Capable Kids Clubhouse

While on a search for coloring sheets which include differently abled children I discovered Capable Kids Clubhouse.  The site is produced by Easy Stand which happens to be the company which created on of Maddie's favorite things--her stander.  I think she would spend all day in hers if she was allowed to. 
      However, the site is much more than a sale spot.  It has awesome coloring sheets which include a diversity of children (YEAH!), a variety of articles of interest to caregivers of medically fragile children, games and songs for kids.  It is worth taking a few minutes to check it out at http://blog.easystand.com/capable-kids/.

Thursday, July 26, 2012

"Don't Forget..."


Being a parent is not an easy job! Parenting is demanding physically, emotionally, socially, and financially.  It is a huge responsibility…all the time!  When parenting a medically fragile child things get way more complicated.  Add more worry, guilt, and responsibilities and huge consequences for errors to the load.  Add doctors, social workers, nurses, and my favorite schedulers who all think their priorities should be my priority.  Ahhhh!

In the face of great stress other people can be so helpful!  “Don’t forget to take care of yourself!”  Such words are often uttered when my child is critically ill in the hospital, I am facing a writing deadline that will determine whether I can pay the rent for the next three months, and I have a college student who is complaining about a paper that is not yet graded.  “Don’t forget to take care of yourself!” There have been many times when I have wanted to yell in return, “Just how am I supposed to do that?” 

I confess I started a list of things that would calm me down especially for stress in confinement, like an emergency room.  A cold drink, crunchy food, a trash novel, a Sudoku puzzle, and my child…okay so they were actually the tools I needed to sit still for the long hours of worry and waiting.  I had another list for actual hospital stays (I never leave Maddie for long).  Here are some of the things I have found helpful.

v  I have to remind myself to eat and sleep regularly.  If I don’t, I am easily overwhelmed and cranky.  The “to do list” in my head just has to wait for me to do those two things or even the simplest of tasks takes more time and energy than I can give.

v  I need to maintain relationships with friends who have a calming and strengthening affect on me.  When I am stressed, I avoid people who like drama or have a need to “fix” me.

v  I have adopted serenity spaces to take a short break.  For me the most effective spaces involve trees and outdoors (even when the snow is blowing).  I had to establish firm boundaries with the other people in my world about giving me time alone in those spaces.

v  I remember my grandparents raised children with far less money, space, options, and without a dishwasher!  They bring me strength and courage and gratitude for living in this time with my child instead of decades past.  

v  If I am looking at a long hospital stay, I do what I would at home.  I once created four huge backdrops for a children’s event host by a couple of museums, sitting right next to Maddie.  I have sewn clothes and props by hauling my sewing machine to Maddie’s hospital room.  I have written countless English lessons and graded a multitude of papers.  The work and the routine are important for my mental health as well as our financial well-being.

v  And every day, no matter what is going on, I get to take at least 15 minutes to do just what I want to do.  It might be dancing to a song that makes me happy, reading a junk novel, painting something silly, or taking a very hot bath and fantasying I’m on a cruise ship heading for Alaska.

As frustrating as it is to hear, “Don’t forget to take care of yourself,” it is important to figure out how to do that.  I am so aware that taking care of myself looks different than taking care of anyone else!  Once I knew what worked for me, handling whatever comes my way much easier.


Saturday, July 7, 2012

Flexing in the Heat and Other Times


It is way too hot outside!  The heat is so frustrating!  At a level hanging around a 100 degrees and above for days on end is plain nasty.  Among many things I would like to do outside, I have a table and two dressers I’m anxious to be painting but they have to be sanded first.  Before I would have spent a whole lot of time being frustrated at the situation.   Now I just put outside work on hold and invest the time on other projects.  It really isn’t that big of a deal.  I just flex with the weather…and anything else that comes up.

 One of the gifts that comes from being the parent of a medically fragile child is flexibility.  All children reorder priorities, time, energy, and resources.  A medically fragile child tends to reorder things every day.  Sometimes it is frustrating, disappointing and lonely.  A single dad of a complicated little boy in Indiana said to me, “I love my son more than I thought was possible but it is like being on house arrest.”  He’s right. 

When you have a medically fragile child, the well being of the child comes first.  It means not going anywhere just because you take a notion to.  It means not going places when the weather is too hot or too cold.  It means staying home when the child does not feel well.  It means dropping whatever plans you have when another caregiver is not available or a nurse calls in sick.  It means rearranging work and vacation schedules to work in doctor’s appointments or a hospital stay.  All of that can leave parents feeling isolated and alone.

Which, of course, means that we have to be very intentional about some things.  I have found that I have to remember to call my friends just to keep in touch and to be the friend I have always been.  I may not be able to go out for lunch or catch an art show the way I used to but I can still talk, laugh, and share life with them.  I couldn’t get through most things without the love and support of my friends and family but in order to have them I have to be there even if it is just by phone.

Over the years I have learned to always have a plan B.  I think it was after I had to cancel date number two with a guy I was interested in that the disappointment nearly overwhelmed me.  After a major pity party with me as the only guest, I realized this was part of my life now.  I could either be miserable or I could learn to cope with the sudden plan changes that frequently occurred because of Maddie’s medical needs.  I learned the plan B method.  Always have something I can do and be happy doing ready at any moment.  It doesn’t have to be big.   Often it is a new book I am looking forward to reading, a DVD movie I haven’t seen, or a special project.  Usually just having that and loving to spend time with Maddie was enough to make up for whatever did not happen.

I, also keep a running list of things that I would like to do at home.  Not chores!  Fun things!  That is really how I ended up being an artist.  I wanted to make handmade paper so a friend taught me.  Soon I was making bunches of the stuff and moved on to finding ways to use it.  That was followed by searching the public library for art and craft books.  I continue the practice even today.  At the moment there have be at least ten projects I want to try.  Thankfully I am usually able to find a market for my work so it also is income producing.  But that is not how it started.  I started doing art because I was not able to go the places I normally would and do the things I enjoyed.  Art was my plan B.  Plan B days became like prized snow days, only I didn’t have to shovel us out!

Early on, I sought out support groups face to face and on line.  In the end, they were not as helpful to me as they might be to others.  For one thing, very few parents seemed to be dealing with a child with as complex issues as Maddie had.  At that time the disability of the day was Down’s Syndrome (much like autism is today).  The issues I was trying to deal with were so much more complicated and the future so much more uncertain. I tried a couple of face to face groups.  I soon discovered the childcare available for the groups did not include feeding tubes, seizures and other issues Maddie had.   In addition, the evening meeting times conflicted with Maddie’s evening treatments and bedtime.  There may be other options available that I am not aware of.   I think there are now different online supports that maybe available (I will be doing some research and will post them as I find them).  It would be worth taking the time to try to find some other parents raising medically fragile children. 

Having said that, I feel a need to give a word of warning.  These parents will be just as diverse as the general population.  Some will seem amazing in what they are doing and how they parent their child or children.  Learn from those. Others may be struggling to survive and have difficulties that seem overwhelming.  Coping skills of some include a lot of drama, rage, and various addictions.  Even though a desire to help maybe the first thought, it is important to maintain boundaries.  Parents of medically fragile children have more than enough issues to deal with without taking on the needs people in  unhealthy situations.    

Having a medically fragile child does not have to be a lonely frustrating experience!  It takes knowing yourself, maintaining friendships, and finding interests you can pursue with the resources you have.  It would be nice to find someone who is in a similar situation but that may not be as easy as it sounds.

If you have found ways to help you or your family, I and the other readers would love to read your comments. 










Sunday, July 1, 2012

The Power of an Image!!

Used with permission of  the Different iz Good organization:  http://differentizgood.org/   This organization is working hard to make communication devices available to children who are unable to vocalize.  What an inspiration!!  You can find also find Different Iz Good on facebook.

Thursday, June 28, 2012

Making Medications Easier


Medications!  Mercy!  My world sometimes seems to be ruled by medications.  It is the first thing I did in the morning and the last thing I did for Maddie before she went to bed.  When Maddie came to me, she did not have one medication.  The first week two were added.  By the time she was a year old she was on a handful and every year more were added.  That is not unusual for medically fragile children (or adults for that matter).

 I, however, was not good at the whole process.  I wasn’t even good at remembering to take an antibiotic when I needed.  I failed on birth control pills because I could not get the hang of taking them every day.  With Maddie, it was imperative that I get it right every time. 

It required me, who am extremely organizationally challenged, to develop some organizational skills.  Over the years I discovered how important it was and became very efficient about all of it.  Here are a few things that were helpful to me.

1.  Keep all medications in the same place.  Pick a place with adequate safe storage and near a water facet.  If there are a number of medications given at different times of the day, place them in order of time given.

2.  Try to encourage the medical team to add medications to times when meds are already scheduled.  Ideally all meds could be given at two or three times a day otherwise the whole day is spent doing medical things.

3.  Order refills in a timely fashion.  Most pharmacies and insurance companies allow medications to be refilled 7 days before running out.  Thursday is a very good day to check all medications and place orders.  That way if there is a problem it can be resolved Thursday afternoon or Friday.  It is much harder to resolve problems on Friday afternoon or over the weekend when doctors’ offices are closed. 

4.  Be consistent with the times meds are given.  It does not have to get in the way of other things in life.  I have been known to give medications in restaurants, in the back of the van, in the dugout of a baseball field, and at rest stops.  In my estimation this is one of most important things to our kids.  Set a timer or arrange for someone to call with a reminder until it becomes second nature.

5. If a child goes to day care or school, send only medication for one day at a time.  It may seem inconvenient but it allows you to make sure medications are given.  In situations with other children, it is easy for medications to be overlooked or forgotten.  One quick look will confirm that the medication has been given in the correct dosage.

6.  Never send medications in something other than a correctly labeled container.  A while back a child died because a mom gave a nurse a syringe label as heparin with a medication the mom had intended to be given through the g-button.  The nurse gave it through the child’s central line.  *** Please note: Medical professionals who are competent will never give a medication mixed up or drawn up by someone else.  It may seem inconvenient and rather parental but it is really to protect our children.

7.  A computer generated medications sheet saves a lot of time.  Every doctor visit, clinic appointment, and emergency room admission begins with a communication of current medications.  It is very annoying and frustrating!  Although I am pretty good at remember the names and the purpose of the medications, there is no way I will remember the concentrations.  If there are not too many it is not a problem to gather the med bottles on the way out the door.  However, if there are a number of them a med sheet is so much easier.   It needs to include the name of the drug, concentration of medication, amount given, route delivered, and time given.  It needs to be frequently up dated.  At the bottom of the page is one of Maddie’s old ones.  I always kept a copy on Maddie’s wheelchair and one in my purse.


Medication sheet example:


March 2011                                                                             Allergies:

Madeleine (Maddie) Halla Gillett                           Demerol: seizures             Codine: vomiting
DOB: 5-22-96                                                            Morphine:Apnea              Macrodantin: vomiting     
                                                                                   Albuterol: heart rate increase 
                                                                                   Plastic tape: rash and sores    

Morning Medications:                                                                                               

Medication
Strength
Amount
Delivery Mode
Prevacid
3mg/ml liquid
5 ml
G-tube.   Keep refrigerated.
Raglan or
Metoclopramide
5mg/5 ml liquid
6cc
G-tube

Synthoid
100mcg/tab
1 tablet
J-tube
Cortef
5mg/ tab
2 tablets
J-tube
Neurontin
300 mg capsules
4 Capsules
J-tube
Trileptal
300mg/tab
1 1/2  tablets
J-tube
Keppra
500mg/tab
2 tablets
J-tube
Provigil
100mg/ tab
1 1/2 tablet
J-tube
Vitamin/iron

1 tablet
J-tube
Vitamin D
1000IU
1 tablet
J-tube
Flow Vent
100mcg
1 puff
mouth
Fluticasone
50mcg/puff
1 puff/each
nose
Glycopyrolate
2mg/tab
1 tablet
J-tube

Evening Medications:

Medication
Strength and form
Amount
Delivery Mode
Prevacid
3mg/ml liquid
5cc
G-tube.   Keep refrigerated.
Raglan or
Metoclopramide
5mg/5 ml liquid
6cc
G-tube

Cortef
5mg/tablet
1 tab
J-tube
Glycopyrrolate
2mg
1 tablet
J-tube
Neurontin
300 mg capsules
4 Capsules
J-tube
Trileptal
300mg
2  tablets
J-tube
Keppra
500mg
2 tablets
J-tube

Formula: 24 hours recipe for 2000 ml
Mix:     420 ml (14 ounces) Peptamen AF
       360 ml Pedialyte
       1220 ml Water  (hot)
       1/4 teaspoon salt
       2 packets Benefiber
       2 Scoops Beneprotein
       ½-1 cap Mirlax 17/cap

Divide in 2 containers pour 700ml  formula mix to the day bag. Add 3 K-phos (Phospha) tablets crushed and
7.5 ml Potassium Chloride  (20% 40Meq/15 ml).

 Add 10 ml Calcium Carbonate to night bag, place in fridge



.