Musings of a Marfan Mom

May 18, 2010
by marfmom
13 Comments

My Feelings

Yesterday I wrote about Menininho’s evaluation by an audiologist.

I’ve got to be honest. I’ve gone through a range of emotions over the past couple of weeks since his 15 month checkup.

I’ve worried about being crazy. I mean, my family has REALLY crappy medical luck. With the exception of my mom, who “only” had cancer, my siblings, dad, and myself all have random, unrelated medical problems. Then there’s my extended family, and of course Mark. As I told the pediatrician a couple weeks ago, I’ve felt like I’m just waiting for the other shoe to drop sometimes, waiting to see what’s wrong with Menininho because it seems impossible that he would be totally healthy. As evidence mounted up over the past few months, I worried I was over-analyzing things because of our family history…being that crazy hypochondriac mom that every doctor loathes talking with.

I’ve been frustrated with the bureaucracy. I know my stuff. At the end of the day though, what happens with us is left to the hands of the doctors and other specialists. Mark and I have felt something was not right with our son for awhile, but we’ve had to go through that process to get his various tests and now to find the proper therapist.

I’ve been frustrated at Menininho sometimes. Things would be so much easier if he could just UNDERSTAND me! He understands “no” pretty consistently, even if he doesn’t always choose to obey it. I am not sure that, other than his name, he understands any other words. It makes daily tasks really difficult! Then I feel like a terrible mother for being frustrated at him and keep thinking that there must be something I have done to cause this (which all the doctors have said is not true, but doesn’t stop me from thinking it sometimes).

I get a pang of sadness (maybe jealously?) watching other kids interact with their parents. It’s particularly hard at church, where there are so many kids his age. It’s like a constant reminder to me that my son isn’t where he should be and every time someone comments on “what a talker” he is, I want to cry a little bit because it’s not talking, it’s mostly undecipherable gurgles.

Along those lines, I’ve had anger towards the few people we’ve told who have totally brushed it off or argued about it with me. I’m. His. Mother. I spend more time with him than anyone else. There is no one who knows my son like I do. I’ve also gotten mad at people who have no idea what’s going on though, which is not really fair. Like, over Mothers’ Day a woman asked me if my son was talking yet. I said no. She proceeded to ask if he could say this word or that word and each time I repeated “no, he doesn’t talk yet.” When she started insisting that she’d heard Menininho say a word, I just walked away.

And exhaustion. I feel mentally exhausted. I’ve been reading, and talking with friends in the field, and doing assessments on Menininho, trying to figure out what the speech therapist might want to know so that I’ll have that information ready. It’s a lot, or it feels like a lot. I wish I knew where this was going to take us, but I don’t.

Here are my parting thoughts. I’m no expert on this of course, but I’ve already thought of a few dos and don’ts if you’re in the position of supporting a parent going through this process.

Don’t:
1) Ask if the child has said a word yet. I know that when my son finally says his first word, I will proclaim it from the mountaintops, Facebook, Twitter, my blog, and texting. Until then, assume no news is no news.
2) Tell me about your friend’s cousin’s half brother’s neighbor who miraculously caught up to where he was supposed to be all on his own, within a month, and learned to speak 5 other languages to boot. This is not the same thing.
3) Say “well, it could be worse.” I’m on Twitter. I correspond regularly with families who have had devastating things happen to them. I know it could be worse. Doesn’t mean I don’t have a right to grieve my son’s challenges too.

Do:
1) Ask how the diagnostic process or therapy is going.
2) Offer a listening ear.
3) Be optimistic (just realize there can be a fine line between optimism and being dismissive. Comments like “You’re doing a great job” or “You caught this early” are more comforting than “everything’s going to be fine.”)
4) Offer advice if you’ve actually been there, or if you happen to be a related professional. I know I’ve appreciated the suggestions of which doctors to see when and what books to read or therapies to ask about.

Mark and I are extremely grateful to everyone who has supported us thus far. The emails, tweets, and blog comments have been a huge lift to us. Thank you.

May 17, 2010
by marfmom
6 Comments

The Audiologist

Our little family got some news last week which has shaken up our lives a bit. As I sat down to write this I realized including everything would be a massive post that no one would ever want to read, so I’m splitting it into two days.

I took the Menininho for a hearing screen when he was 6 months old. Something just didn’t feel right; I didn’t think he was responding to noise the way he should be at that age. Everything checked out though, so I chalked my concerns up to being a first time mom and put it out of my mind. Menininho continued to develop at a pretty normal pace.

At his 12 month appointment, I had some concerns for his doctor. I know you’re not supposed to compare kids, but let’s be honest moms: it’s impossible not to! Menininho hadn’t added any new sounds, spoke no words, wasn’t following commands, didn’t dance or bop along to music, and didn’t respond to any of the ASL we’d been trying to teach him for 3 months. The pediatrician said yes, he should have done those things, but of course there’s a wide spectrum for development and if, at his 15 month checkup, he hadn’t said a word yet then we’d talk about a speech therapist.

Surely OUR kid wouldn’t need a speech therapist! He loves books! They’re his favorite toy. He engages strangers in conversations of gibberish! He’s a generally happy kid and extremely social and expressive. He’s already got his Daddy’s Italian hand gestures down pat!

But, by the 15 month appointment I hadn’t noticed any changes, except that he’d *just* connected the sign for food to going to his high chair, and he responded to “no” when accompanied with an angry voice and head shaking. The pediatrician was more concerned, suggested a 2nd hearing screening, and said otherwise we could just wait and see till his 18 month appointment. Only, he didn’t pass part of the hearing screening. The nurse told me it was no big deal, re-check in 3 months, but I called one of my best friends, who just happens to be finishing her doctorate in audiology, and she told me otherwise.

So I made an appointment with our hospital’s audiologist. The scheduler tried to tell me it would be July before I could get in. But you know how I roll, and I insisted she check the schedule again. Poof! There was a May appointment! And then we got a call last Monday night offering us a slot the next morning.

After a few tests, the audiologist told us she didn’t think Menininho has a hearing loss, though she can’t be sure without more testing in a few months, but she believes it might be an auditory processing disorder. That’s when the brain doesn’t know how to interpret the signals it gets from the ears. She recommended we take him to see a speech therapist for further testing and treatment as soon as possible.

Now we wait. We know how important early intervention is, so we’re praying we get call backs about an evaluation this week, and that it doesn’t take 3 months to get the appointment. Maybe this will turn out to be just a simple delay and nothing more, that would be great, but now I’m just anxious to start evaluating.

Tomorrow I’ll write on my thoughts and feelings about all of this.

May 17, 2010
by marfmom
1 Comment

Giveaway Winner!

The winner for the Guidecraft Puppet Theater giveaway is entry #5: Tophat. I will be emailing you and you’ll have 48 hours to respond. Congrats!

The winner was chosen using the Unix random # generator.

Thanks to all who entered!