Showing posts with label learning to talk. Show all posts
Showing posts with label learning to talk. Show all posts

Sunday, February 17, 2013

Carly's Voice, Quoted

I'm halfway through my Christmas present from Aliza - Carly's Voice by Arthur Fleishmann and Carly Fleishmann.  When I read a book I relate to, I often fold over the page corners when there's a passage that especially jumps out at me.  (This is part of the reason I'm not so good with library books.)

These are some of the passages that I found particularly compelling and relatable, from the first half of the book.

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Page 83:
I saw no beauty in this condition.  Autism was a thief.  The opportunities it stole from Carly were obvious; the chance to participate, to play, to learn, to fit in.  It stole a sister from Matthew and Taryn.  It stole energy and money and patience.  It was stealing our daughter, bit by bit.  I saw no beauty, only evil.  What force of good attempts to rob a parent of the love of a child?


Page 83:
... a main tenet of ABA is to include parents in on the training so they can provide consistent direction.  Tammy and I marveled at their patience, sitting on the floor and supervising their youngsters as they put colored pegs in holes for a reward.  The mere thought of it made me yawn.  I found that the style of communicating with my child in the manner of a therapist turned me from a parent into an instructor, further distancing me from my daughter rather than bringing me closer.


Page 93:
After three or four years of ABA, it was evident that we would not have the same outcome as the family who had introduced us to it in the first place.  The rewards were meager, and yet there were rewards.  We persevered, propelled by Howard and Barb's devotion and the data provided by therapists indicating small improvements.  I came to think of us as a slow-grinding train.  I couldn't fathom our destination, but took solace in the belief that we were at least moving forward.

(This is how I ended up feeling about ABA therapy.  It didn't bring about the miraculous upheavals in behavior and communication that we were led to believe it would.  And I knew it wouldn't - I knew that they didn't just have autism - they have Fragile X.  It's in their DNA.  Nothing short of a medical, genetic miracle was going to change it.  But I listened to their statistics about how many kids who go through the ABA program go on to attend kindergarten without needing special assistance.  And a little part of me allowed the hope to creep in.  ABA was very beneficial to AJ and Zack, but they aren't among the "cured.")


Page 114:
It wasn't that I doubted Barb and Howard's veracity, but what they were telling me was as incomprehensible as learning that a relative I believed to be dead was in fact alive.


Page 118:
"Carly, type five words and I'll give you the chips," promised Barb.

A small, sly smile seemed to cross Carly's face.

"Five words," she typed.

(They were amazed at Carly's cunning ability to manipulate to get what she wanted, and her humor, once she began speaking - well, typing.  Most children, when they first start talking, are much less mature and tend to communicate simply - with one word.  Carly first communications were deep and surprisingly intelligent thoughts.  I wonder that about the boys sometimes.  If they could, would they tell us to quit the baby talk that we tend to use?  I try not to, but you tend to get on their level, and they generally only use one or two word sentences.)


Page 122:
"Are you ready to show Mom that you can spell?" Barb asked Carly.  It was early fall of 2005 and Carly had recently had her second breakthrough - typing in full sentences.

"she does not like me. She just likes my sister," Carly responded.  Her words, in some ways, were all the more powerful because her face did not show any sense of emotion.

(That is one thing autism has taught me.  I didn't realize how very much nonverbal communication entered into our understanding and appreciation of each other.  What you say carries only half the weight when your face doesn't express emotions to go along with your words.  It's why we need to add smiley faces to emails.)


Page 126:
Howard was able to cajole and convince Carly to behave in ways Tammy and I could not.  And when Carly erupted into flailing tantrums, he had the patience to whisk her away and get her refocused.  For both Tammy and me, the wailing set off internal chemical reactions that left us filled with despair.  But Howard was firm and calm and seemingly unscathed by Carly's temperament.

(I read this passage and silently bellowed to myself "YES!"  That's what it is.  That's why I can't deal with Zack when he screams.  It makes me feel something as his mom that it doesn't make other people feel.  I have a gut reaction to it that is hard for me to describe.)


Page 142:
Even small children can tell their parents when something is wrong.  But with Carly we were always guessing.  Something as simple as stomach pain or a headache had to be intuited.  Happy?  Sad?  Anxious?  Carly was never able to provide insight into what drove her actions.  Doctors would ask us if we thought she was in pain as if we had a telepathic connection - adding frustration to an already hopeless experience.

(Yes - doctors, therapists, teachers - everyone is always asking me about the boys feelings, likes and dislikes - as if I had some telepathic connection.  I wish I did.)


Page 172:
"Carly is becoming more human," Taryn said to Tammy...

(I don't think people realize how necessary communication - real, descriptive language - is to relationships.  It's hard to really know someone who can only tell you when they want "juice" or "chips" and can't ever tell you complex thoughts like "I loved lunch today," or "I felt sad today when no one would play with me."  I think Carly's sister was commenting on the fact that she was able to know her sister so much better now that she could communicate her thoughts.)

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To be continued when I finish the book......

Friday, June 15, 2012

Flying to the MIND

Not long after getting the diagnosis of Fragile X Syndrome, we learned about the MIND Institute at the University of California in Davis. It's where the greatest medical, scientific, and research minds all come together to work constantly and tirelessly on better treatments, earlier diagnoses, and ultimately a cure for all the Fragile X disorders.

It's where the Hagermanns live and work. They are a husband and wife team who've dedicated their lives, professional and personal, to researching Fragile X and making the lives of our kids better.

The Hagermanns are major celebrities in our world. They are featured prominently at every conference. Mark and I saw them at Subway, across the street from the hotel where the last conference was in Detroit, and I was too intimidated to approach them. I mean, they were trying to have a lunch break. They didn't need to be accosted by fans.

So anyway, when I found out that the head researcher in charge of the study that AJ and I took part in last year at the Waisman Center was moving to the MIND Institute, I was actually less than thrilled. It's a lot harder to bring AJ to California than it was to Wisconsin.

I'm getting excited, though. I mean, the MIND is such a famous and revered place in the Fragile X world. It's our Mecca. It's the Fragile X holy land. And I finally get to see it.

AJ is not that excited.  He's, predictably, nervous.  He and I had a conversation this morning that went like this:

Me:  AJ, you and I are going to go to the airport today, and go on an airplane!

AJ:  No.

Me:  Yes, we are!  We're going to fly through the sky on an airplane and go to California!

AJ:  No.

Me:  And then, we're going to stay at a hotel!

AJ:  Yeah......

Me:  And tomorrow, we'll go over to the school and play and work with the ladies there!

AJ:  No.

Me:  Yes, and after that?  We're going to go back to the hotel and go swimming!

AJ:  Yes.

So he's good with the hotel and the swimming, but nothing else.

He'll be stressed, but he'll be okay.  I just hope and pray that the flight isn't delayed, and actually is miraculously shorter than it's supposed to be.  Because 4 hours on an airplane is a really long time to ask AJ to be good.....

Thursday, May 10, 2012

On Being Nonverbal

Verbility (yes, I made up that word.  Spellcheck is about to explode, it hates it so much.) is gray.

It's not "yes or "no."  One doesn't suddenly, one day, develop the ability to talk and then graduate to the state of being "verbal."  It's a very gradual process during which there are moments when you seem completely able to express yourself, and words are leaping out of you as if they've finally broken through a wall, and other moments when you are so silent and unresponsive, it's as if you've never spoken one word, and never will. 

Watch it, kitty.  I'll bop you right on the head with my monkey.  I'm not afraid of you.  Much.

Becoming verbal is a frustrating road full of speed bumps, blind crossings, and construction - lots of construction. 

No one explained this to me, back when I was hoping, praying desperately, for just one identifiable word to escape their mouths.  We got a word - "mom" - when they were 4, and I immediately leapt off the nonverbal train to grab onto the verbal one.  Because that's where we were, now.

So I feel guilty being frustrated that I still can't understand a lot of what they say, now at the age of 7.  Especially Zack.  He murmurs things and I try so hard to figure out what he's saying.  Because I'm really his best hope.  I spend the most time with him, I listen to him the most.  Of everyone he knows, I'm probably the most likely to be able to understand him.

So if I want others to understand him, and for him to really, truly, graduate to being considered "verbal" by regular people, I need to work on his clarity.  And I need for him to speak in sentences.  It's not good enough that when he says "mmmahkit," that I understand he wants the Team Umizoomi episode "Trip to the Supermarket."  He needs to be able to say the whole name of the show.

And both boys needs to get over their slight issue with public and nonfamiliar people mutism.  That is, they don't talk much, if at all, around people they don't know well and in unfamiliar places.  It's hard to convince people, like doctors and therapists, that they can actually speak, when nobody but family ever gets to hear it.

Well, we're on the verbal road, I guess, and I'll just have to make sure I have good shock absorbers.

Monday, February 13, 2012

Talking up a Storm!

I swear, every day one or both boys say something that I've never heard before.  Something that makes me do a double take.  Is it because of the trial medication they have been on now for two months?  Or is this just a verbal development spurt they would have had anyway?  Is it the therapy and socialization at school?  Is it our new therapy routine at Courage Center?

Or a combination of everything?

This morning the boys were laying in bed with me watching "Little Einsteins."  I usually switch the station to "Little Bear" after that, because the show that's on after "Little Einsteins" - "Chuggington" - they don't like.  I don't know why they don't like it though. 
"Chuggington" is a train, and they love trains.

So this morning when Chuggington was starting, I said "Why don't we watch Chuggington today?  It's a train!"

AJ looked over at me and said decisively, "Little Bear coming next."

Aaaahhhhh!!!!!!!  A whole sentence!

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We did our semi-routine wander-through-the-mall yesterday afternoon, and a couple of times we left dad behind to talk to salespeople while we continued walking.  Twice AJ turned around and said "dad coming?"

I never realized how much he's aware of our proximity in public.  When the situation was reversed however (I stayed behind looking at something, and Mark walked on with the kids), he did not ask "mom coming?"  Evidently he's unconcerned with my whereabouts. Or maybe he just trusts me to catch up.

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It'll make me crazy to watch Mickey Mouse Clubhouse Choo Choo Express one more time, but it sure was great to hear AJ ask for it in a sentence.

"Choo Choo again?". He asked, ever so sweetly.

Zack had other ideas, though. "Duper Why?"

He has a little trouble with the "s." So we work on it.

"Zack, say 'super.'"

"Sduper."

"Good!" I tell Zack.  "Now say 'Super Why.'"

And Zack tries. "Duper Why."

"Good job, Zack!" AJ congratulates his brother.  I know how he hates to see Zack upset.   So I really think he says "good job!" out of an effort to make Zack feel good.

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Recently I got an email from the boys' speech teacher at school, telling us just how great their progress has been. Here's what she had to say.

"I wanted to let you know that I've seen some nice improvements in the last couple of weeks with the boys. Earlier in the school year, I needed to transition the boys holding on to their hands because one would get ahead. They also were very bouncy. Now, for the most part the boys walk beside me without hand holding and they are walking at a slower pace with some reminders (walk with me/slow engine-I got these from Lisa, the OT). Zack is talking more, is more focused on what we are doing, and I think his words sound more intelligible than what I remember at the beginning of the school year. He is also more consistent with his work, so I have a better sense of what is difficult and what is not. AJ is not doing as much constant verbal chattering when it is not his turn. He still is very aware of what Zack is working on and likes to help with answering sometimes. AJ seems to have a good sense of what we're trying to accomplish with various familiar language activities and what is expected of him. There are times, for example, when AJ is working on Can I have ____ requests that he will leave out a word or add a word that is not part of the request. If he gets in one of these patterns for the session, it can be tough to change how he says something. But in general he has been increasing his ability to use sentences with and without visual supports during our structured lessons. I gave Danielle an extra set of the sentence-level visuals that I am using with Zack to work on personal information statements, so she can support his use of reading the words that are contained in the sentences. The visuals have both words and accompanying Boardmaker pictures."

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Zack's had some double-take moments too.  Holly put it best when she described her son's behavior, after being on the STX209 trial med.  She said it was like he lived in a box, and the medication allowed him to come out of the box.

Zack was watching TV yesterday, with the usual zoned-out look most kids get, watching TV.   I said his name. He looked at me. I smiled and........ He smiled back at me.

Zack is emerging from that box.

Friday, January 20, 2012

Playing Mad Gab with AJ

"Chog - a - don?" AJ asks for a specific Wonder Pets episode. 

(Yep, The Wonder Pets are back into our video rotation.  We currently watch Wonder Pets, Super Why, Little Einsteins, and now and then I throw in a Mickey Mouse Clubhouse, just to keep them guessing.)

"Huh?" I ask.

"Chog - a - don." AJ insists.

I begin to scroll through the episodes we have DVR-ed. Hm, what sounds like Chog - a - don?

It's like that game Mad Gab, where you have to figure out a word or phrase based on a word or phrase that sounds like it. Like "knick hulk hid men" = Nicole Kidman.

I play Mad Gab almost every day.  Although I don't always get a clue with the correct number of syllables.  AJ likes to keep me on my toes.

Scrolling, scrolling..... Wait! There it is!

"A Job Well Done?"

AJ lights up. "Yes!  Chog - a - don!"



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