Welcome to Miami

After taking almost a year off, Charlie and I headed for Florida to learn some new ABR exercises.If I’m leaving you clueless, ABR is an experimental therapy technique that we do on Charlie. I’ve written oodles about it in the past, but the simple version is: we’ve tried it, and we’ve been very happy with the results, so we keep doing it. Rocket science it ain’t.

The goal of ABR is to try to improve the structure of the body–to make things work better and move more normally. A good goal, yes? Well, when you visit, they try to show you how your hard work has paid off. It can often be difficult to see small changes, or in some cases, you see that your child is doing things differently, but you can’t put your finger on the specifics.

So, the lovely people at ABR look at pictures they’ve taken of your child and videos you’ve done. They compare the two and make a neat little report for you that details their greatest areas of progress.

It’s been over a year since our last visit, but I did get in about six months of work before pregnancy, Parvo, and newborns put me out of commission. Still, they got the old photographs and we were able to see some definite improvements. Awesome!

The greatest improvement is in the area of his shoulders. While sitting, he does a better job of catching himself if he tips over. If you try to put him down on his stomach, he’s able to prevent face planting (super-useful!).

ABR testing

ABR testing

The other changes are more things that look different about his body and that may help with function in the future. First, we’ve gotten some more length to his neck. This helps with head control and I remember when I was working on his neck last year, the teachers at school definitely mentioned an improvement in head control. The second major change is in his legs. Now, I would have probably never noticed this without ABR, but a common issue for kids with cerebral palsy is that when you move one leg, the other moves too. And let me throw this out there too–once ABR points something out, you can’t NOT see it. Anything they point out, I see it not only in Charlie, but in every single kid with CP.

But about the changes. Used to be, if you lifted one leg, the other leg, and half his backside would move with it. Now, both legs still move, but his back stays nice and flat on the table. We’ll keep working and hopefully we’ll get those legs to move completely independently of one another.

ABR testing

Since people like the hard facts, I’d estimate that we achieved these changes with about 180 hours of hands-on therapy. We had some machine time, but not as much as we would have liked since Charlie has been struggling with sleep issues on and off for the past year.  We pretty much had to restrict its use to his hips/pelvis area. The neck and shoulder improvements are probably a direct result of hands-on therapy. Up next for us? lots of work on the pelvis, which will hopefully translate into better use of his legs and move movement in that area in general. Also, work on his mid-back to improve his posture overal.

Good Enough

I’ve been a little quiet recently. Two weeks ago my husband left to do two weeks of service in the Air National Guard. He’s been out of the military for several years, but recently we decided that the Guard offered some advantages we couldn’t ignore–mainly their super-cheap and generous insurance plans.

So, for the first time ever, I’ve been mothering three children by myself. I’ve had a lot of help in and out, but the truth is that it’s been tough. Sleep has been hard to come by, and I am very glad to be done with the single parent gig. By the time you read this, Hubby will be back and I will mostly likely be fast asleep in my bed.

But tonight I sit back and make a little toast (with water, sadly) to Good Enough Parenting.

To kids who spend the whole day in their pajamas.

To dirty floors with a blanket thrown on top, so the babies can play.

To peanut butter sandwiches for dinner.

To uniforms that aren’t “that” dirty.

And putting kids on the bus in my PJs.

To eating dinner with the TV on.

To picking a bedtime story based on how short it is.

And to food that comes in a box.

I raise a toast to good enough parenting because some days good parenting just isn’t an option.

Cheers.

Look--they're still breathing and everything.

Quantify This

That ABR post will have to wait another day or two because today I’m mad as hell and I’m resorting to my favorite therapy–blogging.

By now, you have probably heard about a little girl named Amelia who was denied a life-saving transplant (from a family donor) because has been diagnosed “mentally retarded.”  If you haven’t heard the story, you can read her mother’s own words here although sadly, my description sums up most of it. The doctor’s reason behind denying the transplant was that Amelia had a poor quality of life.

There were a hundred things racing through my mind as I read this story–fear, disbelief, disgust–but the quality of life thing is what sticks in my craw. I am sick to death of other people looking at my child, or any child with disabilities, and determining what the “quality” of his life is. My son cannot walk or talk, but he smiles every day. He laughs easily. Throws temper tantrums like many four-year-olds, and he likes toys, television, and his iPad. He adores music and can recognize a song within a few notes and could from an incredibly young age. I began teaching him to read this summer, shortly before his fourth birthday, and I am slowly adding words to his vocabulary (in between bedrest, having babies, therapy, school, dinner, cleaning, and getting pregnant again).

He is LOVED. When Charlie was born sick and in the hospital, I felt like the whole world was praying for him. For four years he was the only child and the only grandchild on both sides of the family. He is doted upon and spoiled more than he should be–for crying out loud, I don’t have an iPad! At school he is greeted by a multitude of adults and children who have taken him into their hearts–at recess they actually have to shoo children away because a crowd gathers around him. Other students watch for him each morning to make sure he’s arrived on the school bus.

His life is RICH. Charlie has traveled internationally. He’s been to Disney World. He’s put his toes in the sand in Florida and chomped on chips and salsa in Texas. He’s eaten in some of New Orleans’ finest restaurants. He goes to outdoor concerts, rides horses, has his own TV, DVD player, and the aforementioned iPad. He has a bureau full of clothes, and ones waiting for him when grows into the next size. He has cuter shoes than I do. He has so many toys that we still have some in boxes waiting to be opened.

He is CARED FOR. His father and I talk regularly about his future. We think about where he will live as an adult. We have plans for how our house will be remodeled to suit him in the coming years. We have life insurance should we pass away too early to carry out all of our plans.  We have also been blessed with two other children and have a fourth on the way. We hope that they will help to care for Charlie when he is older–if he should need their help.

For years I taught children with a poor quality of life. These children could walk and talk like everyone else–they could read out loud and solve math problems.

But their lives were full of violence, loss, and poverty. I taught children who were all to familiar with drive-bys. I taught children who were freezing in their beds at night and then falling asleep in school the next day. I worked with girls who passed out in the hallways at school from malnutrition. I met children who would go days without seeing their parents. And those whose mothers forced them into gangs before they even started high school. I stood in houses with no beds and rat poison lining the rooms. I knew far too many children whose parents were children themselves.

THAT is a poor quality of life–not the inability to walk when the world is full of people willing to carry you. It is not the inability to speak when there’s an army there to advocate on your behalf.

The quality of life issue is just an excuse. It’s something people tell themselves when they do something abhorrent to people who can’t defend themselves. It’s a balm people allow to ease the pain of what they know is discrimination. It’s a falsehood and it’s time for it to stop.

My child’s life is beautiful.

My child’s life is valuable.

His worth cannot be measured.

boy wearing headphones and smiling at the camera

I know I am not alone in my beliefs. Sunday Stilwell has put together a petition urging CHoP to reconsider their decision to not grant Amelia her life-saving transplant. You can sign that here. You can also let CHoP know how you feel on their Facebook page. The most important thing you can do (in my opinion) is let people know how you feel about this story. People with disabilities deserve the same medical treatment as everyone else. It’s time to speak up.

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