Monday, February 27, 2012

Post #2: Navigating the Autism Wilderness

Working Mom
Have you ever seen a working mom pull quickly into the daycare parking lot early in the morning? Rest assured she’s in the midst of an incredibly fascinating 15 minute stage of transformation!  Similar to how a caterpillar molts into a butterfly and Clark Kent becomes Superman, working moms transform from messy haired multi-taskers into sophisticated deal makers in high heels.
I remember those mornings far too well!  On this particular day, I took one last swipe of Jake’s runny nose, grabbed his nap pad and lunch sack, and with a quick close of the backseat car door (my blackberry in hand of course), I threw my little Jake-Jake on my hip and swiftly clip-clacked my high heels up the sidewalk into daycare. I carried Jacob down the hall to his room, and after a quick smile and wave to the daycare director, I put Jacob down on the tile floor before hurriedly placing his backpack and lunch in his cubby.  As I turned to walk across the room to say goodbye to my little guy, I was interrupted.
“Hi Jake’s Mom,” said Connor, Ralph Lauren’s mini-me.
“Good morning Connor!” I said.
“Do you like my new shoes?  I just got them!” He said proudly.
“Wow! I really do.  Those look so good on you, Buddy.” We smiled at each other simultaneously which ended our conversation. So, I walked across the room to where Jacob was sitting to say goodbye.
“Goodbye Jake-Jake. I love you.” I said as I bent down to kiss him.
He continued to play with his car.  He didn’t say anything. He didn’t look up at me. Assuming I was intruding on his time with Lightning McQueen, I kissed his head, told him to have a good day, and headed into traffic.  However, on this particular day, my ride into work wasn’t consumed with prioritizing projects or analyzing a strategic plan. This day was different.
Denial Comes to a Close
Driving alone in my car, I over-analyzed the 20 second daycare scene as if it was on a repeat. I recalled sweet Connor excitedly talking to me in complete sentences while Jacob sat withdrawn in the corner of the room.  As I thought about Jake, I realized that he didn’t look at people’s faces any more, and direct eye contact with anyone was scarce.  My mind moved to the repetitious spinning of car/train wheels that had become his preferred activity. “That’s so strange” I thought to myself.  “He knows his shapes and colors, and is very smart. But…he hasn’t proactively talked about shapes, colors or counted aloud in several months.” My mind raced faster.  I tried to recall the last time I witnessed him doing pretend play, said my name, said his name, seemed happy, was engaged, laughed, talked, participated in….OH. MY. GOD.  I had a flashback to Jacob in the ER with his broken leg and huge bump on his head.  At the time I was so worried about whether he would ever be able to walk again, but THAT BUMP…the bump from falling off the playground equipment! It was huge! What if there was internal bleeding!?  What if there was brain damage!?  With shaky hands, I called our pediatrician.
Our pediatrician set up an appointment with a neurologist at Children’s, who ordered an MRI.  The MRI results came back clear, but as I sat in the room during our follow-up appointment, the neurologist listened to my worries and elaborated by saying that Jacob exhibited “autistic-like traits.”  
“WHAT?” I said in complete denial.  “It can’t be autism.  Autistic kids walk on their tip-toes, yell, and bang their heads on the wall.  Jacob’s not autistic.”  I started to cry just thinking about it. “Um, Amy?” He said in the most sympathetic voice. “You are sobbing and Jacob’s spinning the wheels on his car.  He hasn’t looked in your direction at all.  That’s not normal.”  Deep down I knew it wasn’t normal, and I knew that he had autism.
We left the appointment without any knowledge of what autism was, what we could do to make it better, and what our next steps should be.
Jacob’s Autism
As autism set in, it was like a mysterious dark hand reached into his body and slowly started pulling him out. Then eventually, it was dark. There was a deep distance in his eyes, hardly any language left, and no acknowledgement of people around him.
Even today, at quick glance you wouldn’t detect anything is wrong with Jacob.  However, spend a minute or so with him, and you’d quickly see just how very far from typical he is. Jacob lives in a world of confusion and frustration. His communication levels continue to be delayed, and as other children his age advance, the gap widens. He lives his days either staring off quietly consumed in a world of his own, or he's yelling repetitive chants or reciting movie scripts as he runs needless circles around the house. He is aware of his daily routines, recognizes his beloved family members, and is comfortable in the house where he lives, but he is still unaware of so much. He doesn’t know his middle or last name, doesn’t know our cell phone numbers, has no concept of time and can’t tell us when he is hurt.  The saddest of all is that he doesn’t know who Jesus is.
I would NEVER exploit Jacob or do anything to hurt him, but I feel that it’s important to describe some of Jacob’s autistic habits specifically.  THIS is what makes autism so terribly hard, not just for Jacob, but for all of us too.
Jacob has torn off all of the wallpaper around the bathtub in the master bath.  He is completely potty trained, but has sensory issues with a few things including the toilet seat.  He still “goes” in a pull-up every single day, and he’ll be 8 years old in May.  Yes, we are still changing diapers. Jacob has no food allergies, nor is he on a specific diet (although we tried the Gluten/Casein Free diet for a few months), but he has a very limited list of preferred foods.  He won’t sit still to eat at the table with us either. We were able to get Jake to eat a few fast food items this year for the first time - a major accomplishment!  In addition to autism, he takes medication for ADHD.  He also has bouts of OCD.  He sleeps approximately 8 hours per night (10 pm – 6 am), which is less sleep than the average 8 year old gets.  Those are our good nights actually!  He wakes up in the middle of the night at least once every couple of weeks and stays up all night long.  He won’t wear shirts with buttons, snaps, hoodies or collars.  He’s a t-shirt man only.  He won’t wear coats.  Thank goodness we live in Texas.  I could actually type pages more, but you get the picture.
The Wilderness

Obviously, you can see how life with autism has hindered any sense of normalcy. It is confusing, relentless and unforgiving.  There is no ending.
Receiving the diagnosis was like seeing the fog of anxiety roll in; so dark and dense, that we didn’t even realize that we were headed down a new and very unwanted path.  The “big plans” for Jacob’s life were shattered.  Our dreams for his future (a major league pitcher, a CEO, a philanthropist, a missionary, an author) were….GONE.  We mourned the loss of our little boy.  The schools, therapists, programs, testing, doctors and teachers - not to mention the amount of money and time doing research that we've invested. It has been an exhaustive journey. 
If I had to illustrate what our journey has felt like, it would take me back to the fog.  It felt like we were normal, on the same path, until the fateful diagnosis.  Then suddenly, it was as if we were forced down a foggy path on one side of the ravine, while everyone else was able to travel on the other.  It felt like we were traveling through the cold, dense wilderness covered with thistles. We felt lost, scared and hopeless.  We would see little openings through the wilderness of the other side of the ravine, where the sun shone brightly and the fields were perfectly green and flat.  Why were we stuck on the mountain of despair with a maverick to tame, while all of the other families got to be joyfully moving right along in the sun?  This is what grief can do to you, and I’m so glad we eventually made it out of the wilderness. I can’t wait to share how we did it in future posts! 
Autism Today
As of today, there is no known cause for autism, and sadly there is also no known cure. The number of children affected by autism is growing at rapid speed. Approximately 1 in 110 children have autism. The spectrum is vast with a different mix of characteristics and traits displayed in each child diagnosed with this terrible condition.  You WILL encounter many children, teens and adults with autism, as will your children. 
The following video is one of the most poetic depictions of what parents go through.  I commend this dad, and always watch it as if it was me holding the index cards and Jacob's name was listed on them.  I'm grateful that he took time to record this.  PLEASE WATCH IT!

Monday, February 20, 2012

Post #1: Introduction

This is my first blog post. That’s an awesome way to get things started isn’t it? I’m nervous. That’s obvious. Anyway, please don’t navigate away just yet. I promise it will get better!
Why a Short Series Blog?
Honestly, I was content to keep my narcissism neatly and purposefully contained on Facebook, until recently when close friends (whom I adore) understood what had been weighing heavily on my mind and heart for the last few months and responded by offering me another glass of wine and a quick plea, “Do the blog already!” In all seriousness, sharing our family’s extraordinary journey with autism has become a necessity for me. This short series blog holds two purposes: 1) to detail our personal journey in hopes that someone going through a wilderness of their own can take refuge in hope and comfort promised to all of us by our Lord and Savior, and 2) to hopefully clarify any unanswered questions people may have about our experience with Jacob’s autism.  And although I’m not the world’s best writer, but believe it has become the vehicle for which I best express myself, I suppose I also have another purpose for the blog: 3) personal therapy.
I want to be certain to describe our experience to the best of my ability so that our network of friends, family, and acquaintances may have a greater insight into what it’s really like to have a child with autism.  If these posts benefit only one other person by offering resolve or comfort, it is well worth it and that’s what God has asked us to do.
2 Corinthians 1: 3-5
3 Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort, 4 who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves receive from God. 5 For just as we share abundantly in the sufferings of Christ, so also our comfort abounds through Christ.
Weekly Topics
·        2/27/12: Navigating the Autism Wilderness
·        3/5/12: Family and Friends
·        3/12/12: Marriage
·        3/19/12: Raising a Neurotypical Sibling
·        3/26/12: The Future: Fears, Hope and Faith
·        4/2/12: Final Thoughts for Jacob
B.A. (Before Autism)
Approximately a dozen years ago my best friend Jessica and I were approaching college graduation. Unsure where we’d settle down, but knowing that we’d like to begin this new journey together; we ultimately decided to put the names of all the major Texas cities in a hat to identify a place to live. Neither of us was a natural born Texan, but we wanted to stay in the great state. The little paper we drew out stated, “Dallas” so that’s where we moved. We settled into a two bedroom apartment in North Dallas to begin our professional careers.  Each night after work the two of us, along with several other friends who also lived in the same complex, gathered by the pool to recap our day.  One evening a very handsome guy strolled by and decided to join us.  That’s how I met Dave.  We were married a couple of years later.
Little Man
We certainly weren’t trying to conceive a child, but soon enough we learned that we were expecting a baby boy. Our beautiful Jacob Ryan arrived perfectly in mid-May 2004.  He was gorgeous.  He had huge blue eyes and an awesome smile.  He was every bit the baby that we had ever dreamed of having.  I was in love.  We settled in nicely as a family, and Dave and I felt so blessed.  Jacob’s developmental milestones were right on schedule; rolling over, crawling, walking and talking right on time. With the little guy on the move, we purchased our first home.  I think it’s important to note that we purchased our house with two requirements: 1) it had to have a driveway (Dave was an absolute freak about not having a house with alley access) and 2) it had to be a one-story house (after all, Jacob was 18 months old, and I didn’t want him tumbling down any stairs and breaking his leg).
The Broken Leg
Only a few months after settling into the house, I switched employers from a meeting/event planning association, which required frequent travel, to a position at Children’s Medical Center which didn’t require any travel.  It was certain to be less hectic, and on top of that, it was a great next step for my career as a marketer/fundraiser. One day while at work, I received a call from Jacob’s daycare.  They notified me that my sweet Jake-Jake was in an ambulance heading to Children’s with a broken leg.  I rushed to the ER.  Jacob’s femur (thigh bone) was broken in half.  I cried.  I wasn’t sure if he’d ever walk again.  In addition he had a huge knot on his head and a big scratch on his nose. The doctors told us there might be damage to his muscles. He was quickly fitted for a spica cast.  A spica cast is essentially a half body cast, and is quite possibly the most heinous contraption you’ve ever seen a 23 month old baby endure. He was required to wear it for 5 ½ weeks.  We celebrated Jacob’s 2nd birthday in that stupid thing. It was an honest accident and unfortunate situation when he fell off the playground equipment at daycare. I questioned how this horrific situation could be happening to such a sweet baby, but little did I know that the broken leg was the first of many steps we’d take on a longer and much more tumultuous road.
Something’s Not Right
Jacob's leg healed perfectly, but just a few months after the broken leg incident, when Jake was 2 ½ or so, new uneasy feelings set in. Uneasiness soon became unsettling. Unsettling turned into all-consuming fear.  These feelings were derived from the little differences between Jacob and his classmates; differences that were so minor that I couldn’t pinpoint what they were exactly, but rooted quickly and deeply within me with worry. 
There is a quote from the 2006 movie Little Children starring Patrick Wilson and Kate Winslet that perfectly describes my senses, “It was like someone had turned a knob to the right, and the radio station clicked in so loud and clear it almost knocked her over.” The worry in me was so loud.  As I said, I couldn't pinpoint why I was worried, but I just KNEW that Jacob wasn't right.  In fact, something was really wrong.  Yes, with a sickening paralylsis in my heart, something was very very wrong indeed...

Photo Gallery

Friendship, Love, Marriage, Family.

Ouch!

Sweet little man with his spica cast. Only one word...heinous.

The first two to sign Jake's cast, I signed right over the break and Dave signed across the bar.

The doctors told us that by the time Jacob grows into a teenager, an x-ray won't be able to detect that the break ever happened.Yay!