Advocating For My Special Needs Child

By the time my son started kindergarten, we had gotten him off another toxic medicine and he started to settle in to the ketogenic diet and a new medication. His behavior began to level off and his seizures happened mostly at night. He still needed assistance during the day, special needs coming from a combination of seizures, behavior, and attention, but the district found him a one-on-one aide that could start the first day of school. Everything seemed to come together just at the right time.

His one-on-one was not specifically trained. I’m not sure she knew what the details of the job were before the first day, so we basically told her that she should keep our son safe, watch for seizures, and help keep him on task if he has a hard time focusing or demonstrating a lack of impulse control. After a week or two, we started to receive feedback from the teacher that the aide wasn’t going out to recess with him, a time where having a seizure would leave him most vulnerable. We also learned that she was making him sit by himself during lunch on those days where his stomach was having a hard time with the fat in his diet and he didn’t bring food, leaving him to sit at the end of the table away from his friends.

Instead of bringing it up to the district, we wrote a list of “expectations” with my son’s teacher and gave them to the one-one-one. She did better for a time, but it was clear that working with children was not her thing and that she was just showing up for the paycheck. There was no warmth, no compassion, and no attempt to get to know our son, but we let it go because at least she was doing something, and our son was doing so much better.

His teacher and the class aide also did what they could, but in a class of 29 children, my son could only receive so much special attention. But again, he seemed to be doing so much better, so we thought, between the teacher, aide, and the extra body that was his one-one-one, that our son was getting enough support because he was in school, making friends, and learning. Things were on cruise control, and we let a lot of things slide.

Last week, though, our son got sick. We already learned early on that epilepsy and sickness don’t play nice together. It was actually the flu that brought us to the emergency room the first time things got bad with my son’s seizures, and where we saw first-hand the increase in seizures that come along with the sneezing, coughing, and runny nose. This time, though, we had a good base of medication and diet, so we weren’t seeing a big increase in seizures, but we were seeing more attention, focus, and impulse control issues.

This happened to be the same week where my son’s one-on-one took a different job. I was told by my six-year-old that his helper’s last day was the previous Friday. No one told us (or his teacher) the the aide had left, so my son was left to find his way in a classroom during a week where he most needed the help.

The episode was our wake up call. The nurses and social workers told us before we started school that, especially with public schools that are desperate for funding, we would need to be our son’s most vocal advocates. But we got comfortable because things were going better than we could have imagined a few months ago. We let ourselves drift in to a state of dangerous complacency because of how well our son was doing and we stopped pushing for what our son needed.

I haven’t been doing it that long, so I’m still learning what it means to be the parent to a child that has special needs. It’s hard enough to watch my son struggle with his epilepsy and related side effects. It’s exhausting to think about the level of effort that will be necessary to stay vigilant and ensure he is getting even the most basic services, nevermind what he needs to succeed. But like the many other parents that struggle every day to navigate the complicated, messy, and difficult world surrounding a special needs child, I’ll be loud and fight for what my son needs. Because if I don’t, no one else will.

In Good Times And In Bad Times

I needed to clear up some space on my computer today, so I pulled up a list of the biggest files on my computer. Near the top of the list were a group of movie files with generic names. I clicked on the first one, and it was a video of my son that we made to document his behavior when it was at its worst.

behavior side effects medicine seizure epilepsy father fatherhood

I wasn’t prepared to see the video, and it really unsettled me. Even now, hours later, I’m thinking about the video and how desperate and scared we were. There were no answers for why he was acting the way he way. It could have been side effects of the medicine, or damage from the seizures, or a combination of both, or something else entirely. No one could tell us why it was happening, and no one could tell us if it would get any better.

behavior side effects medicine seizure epilepsy father fatherhood

In the video, he was having one of his typical outbursts. I say typical, but they were typical for where he was, but not typical for the almost five years of life he had before his seizures started. His brain would “go backwards”, as he eloquently put it during one of his lucid moments, and he would start hitting, scratching spitting, and screaming. The picture above was another symptom where his body would take control and he would somersault or flop around on the couch or the floor. The image at the top of this post was of him throwing a toy at me while I filmed the outburst.

On a good day, we would only have a few, short episodes. On a bad day, we’d spend hours holding him down at bedtime. It was agonizing as a parent to see that happen to my child, especially when the outbursts ended with him expressing such remorse for what his body did and, I suspect, terrified that he wasn’t able to control it.

Watching that video, the thoughts that I had lost my son and that his life was going to be nothing more than managing one uncontrollable outburst after another for the rest of his life came rushing back. The feeling of desperation, the praying that there would be some relief, some help for him, some help for us, came back, as well. After a few seconds, I was so overwhelmed that I clicked stop, a luxury I have now that I wish I had back when this was actually happening.

When I got home, I told my wife that I had pulled up the video and that it upset me, and she comforted me like she always does. She asked if I had deleted the videos. I told her I didn’t, but I didn’t tell her why because I didn’t know myself. Am I keeping them to remind me of how hard it was so that I can appreciate where we are now? Are they clinical files incase someone, years from now, can explain to me what they were and why they happened? Do they matter, or should I just wipe them from my hard drive and let Time do the same thing for my memories?

Tonight, I don’t know what I should do with those videos, but I did know what I should do with my son, which is the same thing I’ve done since he was born, in good times and in bad. I laid next to him listening to him suck his fingers as he started to drift off to sleep. I kissed him on the forehead and told him that I loved him more than anything, and that I was lucky to be his father.

 

 

 

 

What Can’t Be Seen

Earlier this year, we bought a stroller for our 5-year-old son. After his condition deteriorated in the hospital, he came home with very little physical or mental stamina. Every exhaustive mental activity drained him, and ever labored step sapped his energy. Since we live in the city, getting anywhere involves walking, so we found ourselves isolated in our apartment. With no social interaction, no friends, and no sunshine, our confinement raised the tension in an already strained situation, which was not good for our family or for his recovery. The stroller gave us a way of getting out of the house without having to carry him so that we could rejoin the world outside.

Our son is tall and weighs 45 pounds, so we bought the biggest, most durable stroller we could find. Even so, he barely fits inside with a small bend of the knees and his head is a bit taller than the top of the canopy, but he is comfortable and the stroller lets us get to where we need to go without completely exhausting him.

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One day, we headed across town to the market. As we turned up a street, I saw a woman sitting on a bench on the sidewalk. She was looking at us as we approached. It’s the city, so of course I know not to make eye contact. But as we passed, she pointed to the stroller and blurted out “Why is that boy in a stroller? Is there something wrong with him?”

We didn’t respond and continued past her as she raised her voice. My son didn’t hear her, or he didn’t understand what she was asking.  Her question didn’t sound curious. It came across as accusatory, a reaction to seeing a big kid being pushed around in a stroller that was almost too small for him. It was the tone that is used to admonish a parent that is spoiling their child, not one of compassion for a difficult situation or even an innocent inquiry in to a situation that she didn’t understand.

I read a related story a few weeks ago about the family of a disabled girl having a note left on their car for parking in the handicapped spot because “they didn’t look handicapped”. The girl actually has a brittle bone condition, invisible to anyone that doesn’t know her story, hidden on the inside, behind a curtain of skin.

My son doesn’t look disabled, either. Unless you know him, you might not notice his drooping eyes that reveal his exhaustion. You might not know that his exhaustion comes from seizing all night long or that, in an unforgiving cycle, the exhaustion also leads to an increase in seizures. You might not see his behavior or psychological issues that come from an uncontrollable seizure cluster or the side effect of a medicine that he is taking to keep his seizures just barely on the side of control. You wouldn’t know about the nights that he has been so overtired that it took us hours to calm him down so that he would sleep.  You wouldn’t know that the dark circles under our eyes are from the endless watching of the baby monitor and waking on every sound that comes from his room.

As I was writing this post, I shared it with my wife. I was struggling to find its meaning and the lesson that I hoped to share. In response, she posed a number of questions. Do I wish people wouldn’t judge my son for what they cannot see? Do I wish my son would learn to accept this judgement and not let it bother him? Do I want my son to learn from their mistakes and not do the same to other people?

Of course, I want all those things. I want my son to not be made to feel different, even though he is. I want him to understand that the world is filled with ignorant and callous people who will judge him for being different, and I want for their comments to bounce off him, even though I know that they will always hurt.

I want him to remember what it feels like to be made to feel different by people who don’t know him or his situation. Even if he can’t change the people around him, he can remember that feeling and can choose to be a person that leads with compassion instead of an ignorant judgement.

I’m just as guilty of rushing to judgement as the woman on the street. I make assumptions and use my own biases lunging in to situations without stopping to consider the entire story. Maybe the person that is angry on the other side of the phone just lost a loved one or is having a problem at home. Maybe the dad that snapped at his kid isn’t a bad father but is frustrated with something going on at work or is trying to deal with behavior issues stemming from side effects of an epilepsy medication.  Having gone through those situations, I know how much a little empathy would have meant to me. Maybe the lesson is that if my son can lead with compassion and understanding, then so can I.

On second thought, maybe the lesson is that if he is going to do it, then so should I.