Sarah is a sparkly, passionate, stubborn child of 17. She has developmental delays and autism. When she was 4 I decided to run a Son-Rise Program, calling it Sarah-Rise. She wasn’t speaking or eating well or potty trained. Eye contact was fleeting, she didn’t play games or play imaginatively. She couldn’t read or write. All of that has changed. I started writing weekly updates so that people could follow our journey.
Sunday, December 26, 2021
December 26: Adventures and Misadventures
Sunday, December 19, 2021
December 19: Christmas Coziness and Nickel Feelings
Sunday, December 12, 2021
December 12: School Friends!
Sunday, December 5, 2021
December 5: Teeth Extraction, Exit signs, and Ooooh!
Sunday, November 28, 2021
November 28: Feasts, Dancing, Sledding, and Waiting for Snails to Deliver The Mail
Sunday, November 21, 2021
November 21: Thumbs, Socks, and Baking
Sunday, November 14, 2021
November 14: Balancing Acts
Sunday, November 7, 2021
November 7: Hip Hip Hooray
Sunday, October 31, 2021
October 31: Halloween Preparations and Health Mysteries
Sunday, October 24, 2021
October 24: Doors, Musical Notes, and Cats... Tailoring Many Aspects of Your Life To Fit You
We are enjoying a wonderful weekend with Mom-Mom and Pop-Pop. There have been Conversations with Mom-Mom, where Sarah and Amy play with Mom-Mom in her room. Sarah, sometimes known as Door, falls and breaks her nose and needs the aid of Dr. Mouse, also played by Sarah. Speaking of doors, Carl and Sarah went to Lowe’s to get something and Sarah was delighted by a display of 6-panel doors. Among many other names, I am often called Mama Door and Sarah is Baby Door.
Sunday, October 17, 2021
October 17: Not Making Feelings Worse By Judging Myself for Having The Feelings in the First Place
Sunday, October 10, 2021
October 10: Math Play to Solve Problems and Lessons in Letting Go
Sarah is the most talented and ever-surprising namer of herself and others. This week she called me “Mama Circle-With-A-Line-Through-It” and dubbed herself the same, just as the baby.
She gave me that forearm kiss several more times. I like to think that she was “rewarding” my self-control. My catching myself. That is, she was, in that moment, MY guru or teacher or clinician.”
Yesterday we went to Simmons’ Farm to get pumpkins and play. Sarah loves to pretend to drive the firetruck. Amy loves the giant hamster wheels and the loooong slide. It took much determination on her part to make the slide work for her because it wasn’t as fast and slippery as in past years due to the recent rain. She persevered and had a great time overall. Carl and I marveled at how we have big kids now and they are really not at all little kids. How did this happen?!
Sunday, October 3, 2021
October 3: Family Visits and Math Struggle-Fun
We are enjoying a wonderful visit with Grammy and Granddad. On our drive to meet them at our mountain house we had a short phone call on speaker phone. As Carl and I said our goodbyes, from the back seat two voices chimed in with, “Meow!” and, “Musical note!” It was adorable. The only trouble with the visit is that it feels like it is going too fast and is too short.
Amy has had some big feelings at bedtime Friday and Saturday because she wanted to stay up later than usual, which we allow on weekends. Sarah didn't want to stay up much later than usual and wanted the light out in their shared room. When we don’t have company then they each have their own room. When we do have company then Amy reads in my bedroom before she goes to sleep in the kids’ shared room. Usually this works mostly smoothly, but this time around Amy was very upset that Sarah wanted to go to bed. Sarah was upset that Amy didn’t want to go to bed. Amy was also upset about how quickly the weekend passes and that Sunday doesn’t feel like a weekend because so much of it is getting ready for the week ahead. I think this school year is harder for her than past school years so this feeling about the weekend is intensified.
Last Sunday, Amy had some big struggles and feelings regarding math homework. Doing long division with decimals is new and challenging. Carl and I each spent time helping her and she did get through it, but it was a loooong day. I had been realizing that she really needed to have her times tables memorized and that she didn’t. So I made flashcards. After a week or so I realized that I needed to help her know how to use them effectively. While resistant at first, she did a wonderful job going through them with me throughout the week. I picked a small pile of cards each morning, and then as we went through them I would pick the equation that gave her the most pause. That became our equation of the day. I would ask her repeatedly, changing the order of the numbers, sometimes asking as a division question, or sometimes whispering the equation as a secret I had to tell her. It felt good to move beyond math feeling onerous to having fun with it.
Granddad used to teach multiplication and division to his students and would purposely pretend that he didn’t know the answers. He also had Chris The Multiplying Cat beanbag animal as his assistant. Chris usually got the answers right. As Grammy quizzed Granddad, Chris, and Amy, Granddad really did not know his times tables. He had a perfect deadpan, yet somehow believable, way of answering incorrectly. Amy was cracking up, especially when Granddad said the answer to one equation was “green.”
Sarah’s week went well overall. She delights in spending time playing restaurant with Grammy. She also reads books with Grammy and lets Grammy read books to her. Note that Sarah doesn’t let me read books to her anymore. Yesterday had one weird blip when Sarah suddenly didn’t feel well. She had been talking to Granddad, then suddenly got up and said she was dizzy and had a headache. She got in bed and had some Advil and water. A couple minutes later she had yogurt and then seemed almost back to normal. Within an hour she seemed fully herself. My adrenaline really got going when she first didn’t feel well, as always happens. It is often difficult to truly ascertain how Sarah is feeling. When she really feels yucky, sometimes she says she feels fine because she really wants to feel good. When I asked if she felt dizzy she said, “No. No thank you.” Other times, when she wants to get out of something she may play up a headache when there isn’t one. She also will describe, seemingly out of the blue on any given day, how she felt after a seizure that was many months ago. I think time is a very different thing in her mind, and timelines aren’t actually lines but rather piles or strands that get all intertwined. The only thing that told me Sarah was truly feeling ok was when we went for a walk and she started happily running down the road to catch up to Grammy.
Sarah’s neurologist has increased her level of oxcarbazepine, her anti-seizure medication. We are titrating up to get to the appropriate new level. She is also on an increased amount of miralax after I spoke with her PCP. The good news is, while Sarah’s x-ray had me all worried about scoliosis, her PCP said that wasn’t the correct xray to diagnose such a thing. It could have been her positioning. It also hasn’t ever been something noted on her well-visits. The PCP said we could do another x-ray to check for scoliosis if I wanted, but I opted not to at this time. That feels like it would be an overload of imaging and hospital trips.
My intention for the past couple of months has been to have Mondays during school hours be my book-writing time. Rarely does this actually happen. I have either been substitute teaching at the massage school, hanging out with whichever kid didn’t have school, driving home from something, or I’m not sure what. This past Monday I did have my day. It was glorious to have a chunk of a day that was truly just for me and I didn’t have anyone else to care for in any way. I even got to have lunch with a dear friend. I realized that my assumption of being able to work for 4 hours straight on my book is completely unrealistic. I can maybe handle an hour, but then I need a break. Still, it has been years since I set aside a regular day to be just for me. It felt so freeing and rejuvenating.
Sunday, September 26, 2021
September 26: A Week With Too Much
Sunday, September 19, 2021
September 19: Results and Improvements
Sarah’s EEG has been read but her neurologist wants to consult with other epileptologists before giving his suggestions to me. He thinks Sarah’s moments of waking with a start may be seizure related. The results that came from whomever read her EEG also indicate that they are possibly seizure related. Even though that confirms my suspicions, learning that initially had me feeling overwhelmed by sadness. I want my baby to be ok! I know she is 14 and not a baby, but that feeling of wanting to protect from harm never goes away. I also know this is probably good news in that maybe the solution is just increasing her meds a bit. If the startle moments weren’t related to seizures then we would have more of a mystery.
Sarah’s bus situation seems to be resolved with a good and regular driver (knock on wood). The driver delights in the kids and engages them in activities while they drive, such as counting how many dogs they see.Amy’s PSSAs are almost done. Just a few more days this coming week. I learned that I can send a snack with her so that she doesn’t have to make it till the 1pm lunch. I don’t know how easy it will be for her to find time to have the snack, but hopefully that will work. She says she is usually one of the last kids to finish and she hates feeling slow and then it’s not as quiet in the final minutes.
Amy had some math problems from her class work that she needed to finish at home. When I glanced at one and realized she needed to add more detail to her answer she imploded with feelings. It is hard to think when a problem feels overwhelming. After sharing ideas for how we could destroy the math sheet and after tears and snuggling, she was able to approach some of the problems again. While she did so, I talked with Carl. Together we came up with the idea of writing a new problem similar to the original but all about cats. I did so and showed it to her. She instantly understood how to go about solving it and explaining her answer. All I did was change the text from something about apps and data storage amounts to cats and their weight. So now we know for the future that if she is feeling overwhelmed or stuck about math, then we just need to translate the problem into Amy language of cats or witches.
I am currently visiting one of my best friends of 40 years. We hadn’t seen each other for a year and a half. Friday night I attended a Pink Gloves Boxing class that she teaches. It was so fun, and it was a great workout. I’m still feeling it today. I wish that Pittsburgh had such a class. Yesterday we went for a beautiful walk in the woods, spotting a few small frogs and an ent (a baby newt). It is wonderful to be together. And I have slept incredibly well!
Carl and the girls are having a Dad Weekend. Yesterday they went to a lake beach. When he sent me some pictures I marveled at our big grown-up kids. How did that happen?! I know Amy grew 1/2 an inch in the past month. Sarah probably isn’t growing taller anymore. But weren’t they just infants?!
Sunday, September 12, 2021
September 12: Several Flavors of Stress
We are still waiting to hear from the neurologist about Sarah’s EEG. It has been almost two weeks and that is the time frame I was told to expect. Her sleep this past week has been better overall with fewer times of waking with a start. Most nights she still comes into my room around midnight and asks to switch beds with me. In the past I used to resist this some of the time, but lately I just want to sleep no matter how it happens. Plus, when I am in her bed it is the bed frame that was mine when I was younger so there is something nice about that.
Sunday, September 5, 2021
September 5: An EEG, Camping, and Muffins
I forgot that today was Sunday! Since it is a long weekend, today really feels like Saturday. Thus the later-than-usual update.
This week has not involved a great amount of sleep. Sunday night after dinner Sarah wasn’t to have any food. After 3am she wasn’t to have any water. I slept lightly, on alert for sounds of her getting a drink. This was in preparation for sedation for an 11am placing of the leads for an overnight EEG. A few years ago when Sarah last had an EEG it took two of us to hold her down for the lead placement. So I requested that things be different this time around. The doctor was planning full sedation for half an hour but I explained that I thought partial sedation was an option. She said they could start with laughing gas but place an IV port in case they needed the full sedation. Sarah did beautifully with the laughing gas and needed nothing more. By the time we got to our hospital room and she was allowed to eat, it had been 11 hours since she last had water and 17 hours since she last had food. As you can imagine, she was very hungry. Since it takes about an hour for food to be delivered from the cafeteria, I was glad I came with yogurt and snacks.Sarah and I had a peaceful day at the hospital with unlimited iPad use until the battery died because the charger I brought wasn’t big enough to keep up even when it was plugged in the whole time. The break from technology was nice. Sarah and I snuggled on the sofa and made a paper replica of a Laughing Bag. Years ago we had a yellow laughing bag that laughed when you squeezed it. Having laughing gas made Sarah think of the laughing bag. In customary Sarah fashion, she absolutely had to have it, but was fine with a paper version stuffed with paper towels and with the laughter supplied by me.
At night in the hospital Sarah had several times of waking suddenly with a start, sometimes sitting up. She does this at home on occasion, sometimes with such velocity that she falls out of bed. I’m glad it happened during the EEG and I could press a button to get it noted on her chart. I’m still waiting for the results. These moments don’t seem like seizures but I wonder if they are related.
Every night since the EEG she has had many such moments. Since Carl was away for a few days, Sarah slept next to me and I had many times of going from a sound sleep to saving Sarah from falling out of bed or settling her, my heart racing each time.
On Tuesday I kept Sarah home from school because I thought she might be tired, even though we were home by 7am so she could have been to school on time. Anna came to be with her while I taught a class. Anna is one of Sarah’s favorite people in the world. As a testament to how tired Sarah was, she napped while Anna was at our house.
Sarah’s school days went well and she even was in good spirits on Friday when a bus scheduling snafu meant she got home two hours late!
Amy had a good week too, and my absence for a night helped her appreciate all that I do.
We are camping for the weekend. Last night was very rainy but we stayed snug and dry. I made muffins to assure that we had plentiful snacks. A good thing too because Amy has eaten 8 today! It has been abundantly clear at times how everything is wrong with the world when Amy is hungry (but doesn’t feel hungry) and all is right with the world after she has eaten. Sarah can be similarly hangry, as can I. Muffins to the rescue.
Today a new family set up camp next to ours. Sarah promptly went over and began a connection. Both girls have been crafting with the other kids because luckily that family brought enough to share. Note to self for the future: pack craft projects! I love how Sarah initiated doing an activity with the kids, even if it was parallel play.
Despite the rain we have enjoyed time at the lake beach at the campground. Amy is a mermaid and swims until she is too cold to continue. Sarah didn’t swim but enjoyed the large umbrella we rented.
I hope you are all well and have slept soundly.