Thursday, September 24, 2020

Guest Writer: Michael - ABLE


I've been struggling with the best way to approach this, and I've come to the solution that honesty and simplicity is probably the best approach.


Its no secret that taking care of these kids and their needs takes a financial toll.  And we are fortunate and blessed enough to have family and friends that occasionally (or some more regularly) help us with that toll.


Gabe receives a small SSI payment every month to help cover costs. If our assets reach a certain level, he loses that.  Its never been a concern, really as every dollar we earn goes right back into providing and taking care of the family.


However it brings us to a position where we qualify for an ABLE account for Gabriel. Any funds that go into this account do not count against his benefits.  What's more, it is an account that can accept donations online.  It is also the only way we can save for future emergencies or for Gabe's future at all without risking risking SSI or insurance.


I've found myself in the position over the years where I was too proud to accept outside assistance. I've grown past this and simply become grateful for my loving friends and family who wish to help out.


I am not asking anyone to make a donation, I simply want to put this information out into the world. If you want to chip in to help with bills or groceries or rent, or to help secure the future for Gabe, this is a very easy and convenient way to do so.


Many of you have been following our family for years. We appreciate each and every one of you.

~Michael


https://www.able-now.com/give-a-gift/

Account Number:

701012017928

Owner's Last Name:

Wearden



Wednesday, September 16, 2020

Onlies


I am so tired. 


Who isn’t? 


Who isn’t tired of the current state of things? It is exhausting. Anyone that is making it through unscathed is...I don’t know. Lying to themselves perhaps. We are tired of the ugliness, the hatefulness, the divisiveness. I am so damn sick of COVID. If I never hear of it again, it would still be too soon. 


But we will. While the disease itself is going to go away one way or another, its legacy is one that will endure--we have ensured that. Too much has happened. 


I could sit here and debate national and global response, the merits of protective guidelines and facial coverings or whether that encroaches on personal freedoms, should we do more or have we gone too far in response to this virus...but that would violate my personal beliefs. The ones that say: if you are not an expert in the matter then the only thing you have to offer to the conversation are opinions and therefore utterly worthless. 


In an unprecedented time of available platforms for expressing one’s viewpoint, there are so many that feel entitled to share their two cents on every. Single. Topic. All this serves is to drown out anyone who has something worthwhile to hear, muddies the water until it feels as though there is conflict or uncertainty where none exist. A google search confined to first page results (don’t kid yourself--nobody goes to the second page) and ten minutes of perusing blurbs does not a specialist make. 


And yet. 


I can speak precisely to my experiences and my perceptions, so it is what I will do. This is for entertainment purposes only--there is certainly no expertise I could claim. 


As I sit in my bunker for what feels like the tenth year of exile, I keep seeing and hearing the same dismissive things:


“It really only kills those that have health problems anyways.”


Only


As a mother of two onlies, the daughter of a former only (may he rest in peace), as a person that has taught and held and befriended and loved those onlies, may I say: 


Please don’t. 


While it is true that this virus is, like most things in life, more difficult for those with chronic health conditions, the idea that it makes it...what? Okay? Less worthy of consideration? Oh, I know:


It makes it not worth the price to pay for your inconvenience. 


There are times in this that I am going to sound angry. That is because I am. All the time. I am so angry about so many things and for so many reasons. I could try and stuff that in a sugar-and-lace tone more palatable for all audiences so hackles remain safely down, but...why? Anger is an appropriate response to hurt, and it is something we have to work through like any emotion.  


I do not and never have asked for anyone’s help in keeping my daughters safe. It is my burden, Michael’s burden, to keep them healthy and alive because frankly at this point we know more than anyone on the topic. What can I say, I have a vested interest. As such, I have made the choices during this nightmare of a reality to the best of my ability, with full and intimate knowledge of what the consequences would be for us as a family, as individuals. 


If you are looking up stats and seeing the news articles, you would have surely noticed that a particularly at-risk population is those with diabetes. Not an insubstantial portion of the population. There is not a lot of research on whether it is exclusively those with Type-2 diabetes because there is a high rate of comorbidity with other mitigating factors, but I can tell you with certainty: contracting coronavirus will not be “the sniffles” or “just like the flu” for my girls. 


My onlies.






Every one of Gabriel’s classrooms since he started in the preschool program for children with disabilities at the age of three has been populated with medically fragile peers. While he himself would likely (we pray) recover if he got sick, he would unwittingly expose a classmate that would not fare as well as he. Children I have met and worked with through my time at Sugar'n'Spice, Woodson Early Childhood, and REACH were populated with some of the most beautiful, funny, vivacious, wonderful onlies you could imagine, and for every second I had them I loved them as I would my own. 


Maybe it’s a perspective issue—people don’t realize that there are so many stuffed into this box of “onlies”. In this country alone there are millions, millions of those with chronic health conditions that have been acutely aware of the precariousness of their situation and are going to considerable lengths to ensure their safety. Most are doing the best they can under the circumstances because some garbage about the economy and we gotta work to live. But they are there with their loved ones, living in more fear and doing the best they can despite the fact that all around them it is being made abundantly clear: 


They have been voluntold that they are the acceptable cannon fodder for this new threat because others can’t be bothered. 


For the most part, I shoot a bitchy look and let it roll right off of me because I got more important things to worry about, but I gotta be honest: when my rare shopping trip is sullied by a grown adult screaming and throwing a tantrum at the grocery store entrance because someone who is definitely NOT making enough to put up with your crap was told they had to enforce corporate orders for facial covering and you think that somehow infringes on your “rights”....I want to leap over there and strangle you with my freshly sanitized hands from a safe six-feet away.


That might seem harsh. Some of you may even be getting your hackles raised, arguing “Well, you don’t know, Andie. They might have a reason that they don’t want to wear a mask. Maybe they have asthma. Can’t breathe while wearing it. Maybe they have trauma that prevents it, or or hey! What if they have sensory issues? Huh? AUTISM, perhaps?!” 


In which I reply: you honestly don’t buy that, do you?


Masks are made for people to breathe through—that’s why surgeons (and surgical staff!) aren’t single use items. And a respiratory condition would only be further exacerbated by having a respiratory illness, I would imagine. But if one were truly invested, they would be able to find a mask that worked with their condition. Or heck, they could (as much as possible) limit their time in the mask and with people because they are aware of their own inability in this realm. 


As for sensory issues, autism? Honey, you can get straight outta my face with that one. You are preaching to the wrong person. Since his birth, I have had to deal with Gabriel’s sensory seeking/sensory defensive cycles, which have been disheartening and extreme. He has gotten completely buck-nakkie in the buggy at Walmart on more than one occasion whilst I had my back turned. But here’s the rub guys: we don’t let sensory issues dictate behavior. I don’t smile warmly at other grocery store patrons that are staring aghast at my son’s exposed everything and brightly explain, “oh, it’s okay—he has AUTISM!” When there is an issue with expected or appropriate behavior, we give them the tools to cope. 





For Gabe’s nudity in the store, I started with having him focus on me. I felt like a great big ol' fool but I would belt out songs at the top of my lungs because for him, it was like I was casting a magic protective spell over him. And it worked! Sure, there were people that shot me weird looks (and more than one that would join in or offer song suggestions) , but I wasn’t doing it for them. I was doing it because I knew long-term Gabe needed the tools to get through this. 


Fast forward to today, where he would rather wear a mask into the store than pants, if given the choice. But I still make him wear both. And if it came down to a “pick your battle” sort of scenario (because BEEN THERE)? I don’t take him out. 


Guys, I can’t begin to tell you how much this doo-doo storm has negatively impacted my life. Starting with the fact that I have been more or less trapped in this house with these kids since friggin' March.


Tula is missing out on critical exploration time, as well as her time with Mommy’s undivided attention. Small potatoes; she’ll be fine, but it still sucks. She is loud, screaming for attention in a house where her voice is just one of many. Emotionally it has been difficult for her. 


Emerald is scared out of her mind of getting coronavirus, to the point that she is afraid to leave the house or be around other people. Because she knows. She asked me why people weren’t taking this more seriously. I told her that a lot of people lack the imagination to know what it is like to be really, really sick or in the hospital if it hasn’t happened to them. Her perfect little face blanched so hard I thought she might pass out and she whispered, “it’s not fun”. 




Benjamin, my sweet almost-normal, healthy child is suffering, too. He is simultaneously incredibly social and very bad at human interactions. He is getting the one-two punch of isolation with a big sister that finds him annoying and a little sister he finds annoying (Gabriel is just a source of constant aggravation to him) but no friends to play with, which deprives him of the benefits of socialization. He is showing signs of stress, but he doesn’t want to go back to school because he is afraid he might accidentally make one of his siblings ill. 


For the last few months, he has been losing weight, complaining of stomach pain that leads to vomiting and eating less, and looking weak and wane. He had to start omeprazole and have a sonogram, fecal smear, and lab work done that revealed he has IBS brought on by stress. He lives in constant fear that he or his family members are going to get sick and die, and he is trying to mentally prepare himself.






And Gabriel? Oh, my Gabriel. The amount of regression—loss of progress and skill—that we have experienced in my boy is...more than I can face at the moment, to be honest. Since he was 17 months old, we have applied firm and steady pressure to help him gain skills. He’s been enrolled in multiple therapies weekly since that age, had a case manager to help direct his services, met with specialists regularly (no less than every three months), and aggressive behavioral treatment plans. Since he was three, he has been in school year-round with teams of special education specialists, building toward as much independence and self-reliance as can feasibly be attained. We have dealt with every problem behavior that has arose from fecal smearing to aggression to extreme prolonged sleeplessness to dumping (upending organizational units that hold multiple items like bookshelves, toy buckets, or jars full of pickles from the fridge so that it scatters on the floor) and triumphed over them while pushing for him to gain new skills: eating with a spoon (attained at age 7), dressing himself (pulls on clothes with stretchy waists and no fasteners, age 10), sitting and attending tasks (ongoing process, but we were up to 15 minutes regularly). He was cultivating friendships and interests and social skills, secure in a predictable routine. 



With that constant force, the indomitable will I am infamous for, we were able to achieve around three months of developmental progress per year. 




Over the last six months of this, the worst of all time lines, I have had a front row seat to the majority of that progress evaporating into thin air.



He started out after spring break begging to go back to school. He would get dressed, force his feet into whatever single shoe he located (whether it belonged to him or not), and put on his backpack to wait at the door for the bus. Heartbroken, Michael and I would try and get him distracted, get him engaged in something else. But he would just sit beside the door watching for the bus, fat tears rolling down his face.



That army we had amassed to fight for him slowly trickled away. Insurance, at least in this state, looks for any reason to deny coverage of therapies. It demanded that the sweet occupational therapist do one hour of therapy per session instead of the former half-hour, because children (especially those with autism!) are known for their long attention spans. This happened about a year or so ago, so when stuff went all sideways in this catastrophe clown car of a year, the OT was now expected to get Gabriel to attend to therapy for a full hour. Over Zoom. After a few months of struggling with this, we had to do a re-evaluation without the specialist there to administer the test—I was given a questionnaire to fill out, which was the best we could manage given the situation. They were unable to prove through the re-eval that there was progress made, and we were denied coverage. Same deal with Speech. These people we had been seeing in our homes for years that were just as crushed as us had to sign Gabe off their caseloads, with the hope that when things got back to normal we would resume services. 



We expected regression. It is inevitable, with all kids but more so with children on the spectrum. But I wasn’t prepared, emotionally or otherwise, to handle a Benjamin Button scenario play out before my eyes. 



I won’t fully recap it here because I am already in tears, but some of the highlights were: human poop intentionally decorating my walls and furniture, painted afresh every day. Aggression so unexpected and out of control that I had to wear long sleeves and pants in Texas summer because I was covered in cuts and bruises, but putting myself between them was the only thing I could do to keep him from hurting his siblings and deal with his outbursts. Literal weeks of less than two hours of sleep a night...again. Weeks worth of food dumped out on couches, carpets, blankets, floors. Butt-ass naked boy body in our vision every time we turn around. 



Despite our desperate attempts, Michael and I have sat witness to literal years worth of progress erased. Don’t get me wrong: we have faced down each of these problem behaviors and we triumphed over them once again because we are legitimate Bosses. Each time one of those special ops from his team spoke, we were right there taking notes so we would know for the future. Every single issue that arises, we will smack down like the many hands of Durga, slap slap slap slap slap. 



But it will take us actual factual years to get us back to where we started. Not to make new progress, but to re-emerge close to the state he was in at the beginning of this year. And perfect timing, too, since Gabe is creeping steadily toward puberty, a notoriously easy time for everyone involved. And it friggin sucks.



This. This is what I have sacrificed to keep my children and those around us safe. I made the right choice, hard as it was, and I would make it again. Because when we are living in the worst of times, the only thing we have is our humanity—not willfully endangering the lives of those around us feels pretty baseline. 



So shut up about the mask, would you? 



—Andie

Saturday, September 12, 2020

Crazy

 Feeling like your mind is not under your authority can make you feel crazy. 


There is a dangerous equation with mental health and attitude in our world. It is one of the most disheartening things I have encountered, having people tell me “change your mind--choose to be happy”. To be sent  “Let Go and Let God” memes, coached on having an “attitude of gratitude” and to “count my blessings”. 


Their hearts are in the right place, but I promise you--if I had a choice, this definitely would not be it. 


No one chooses to be this broken. To shower four to six times a day because you can’t stand the feeling that you might not be clean. Frankly, I’d rather save the water because it ain’t free. To make list after list after list, things that matter and things that don’t because it gives you momentary comfort to see  the structure, everything in its nice little place. Y’all. If I could go into a parking lot and just park….anywhere. Can you imagine the freedom, the power? Of not circling the lot for forty minutes before going into the store, just waiting because someone is in your spot and if you don’t park in one of your designated spots you won’t be able to find your car when you come out and that it will be unfixably, inexplicably bad so we can wait, wait for them to move. 


If could air lift my Checks(™) straight out of my day, could you imagine how much free time I would have? Picture this: you make a sandwich and you just...eat it. You don’t have to page through each ingredient to make sure there is nothing (mayonnaise) on your sandwich, then totally just skip rechecking each layer before each bite just in case. I mean, YOU made it; shouldn’t you know whats on it? Checking to make sure you locked the door, then driving back to make sure, and just once more because it never hurts to be extra cautious. Physically watching the kids go into the school to make sure they don’t get abducted (no, the crosswalk doesn’t count--you have to see them go through the gates to the school)...and then calling the nurse to make sure they made it in. 


After the bedbug trauma, I got my daily checks for them down to a clean (heh, pun) two hours-- take down all the curtains and bedding to wash, take a flashlight and comb the baseboards, the bedframes, the mattresses, the furniture. Every inch to make sure they isn’t a single trace of unwanted tenants. Search everything thoroughly before I sit on it or touch it. It didn’t matter that there hadn’t been any evidence at all of their reemergence, I had to be sure. 


If it was a matter of stubbornly bucking up and making the choice today to not have to, say, do or think things in multiples of fours, I rather think I’d jump on the opportunity. I won’t let you down, sir. Give me a chance to prove myself, because frankly I am a control freak. Such a cute way to put it, right? It speaks to a meticulousness, an attention to detail that will make you an exceptional employee. Instead of a person that cannot transition when plans change to such an intense degree that you just straight shut down. Where I keep such a tight rein on myself and my kids that none of us can breathe from it, a source of unending tension and conflict in the house because I can’t relinquish control of any situation. 


About a year ago (the time line is foggy but the landmarks clearer), having exhausted the limits of my primary care doctor’s attempts to medicate me through this, I met with a mental health professional to discuss a more targeted approach. I sat in that office, folding and refolding my tissue until it was a tidy little square, on the verge of tears because she was going to tell me it was all in my head, there was nothing wrong except my attitude. 


Or she was going to see someone so broken that I was an unfit mother and they would take my babies away. I had already tried so many prescriptions--citalopram, amitriptyline, zoloft, klonopin, wellbutrin, to name a few. I could go into the kitchen and check the Santa cookie jar of failed drug experiments waiting until Texas Tech center does a safe prescription disposal day, but the results were all the same: hopeful optimism, intolerable side effects, limited to nonexistent efficacy. What else was there left to try? Nothing had worked. Not years of counseling, yoga, meditation, prayer, clean diet and daily exercise. 


I had to fill out a questionnaire about how I was feeling that day. Afraid of the repercussions, I lied my sweet fanny off on it, minimizing and rose-tinting just about as hard as one person can. Brits got the stiff upper-lip; Americans have the jazz hands of distract and deny. Don’t worry about me because I am 👋 fine 👋.


Even through all of my bull, she saw the reality: a woman that was hurting so badly on a daily basis that death felt a welcoming alternative. 


Many doctors had given names to what I was struggling with: Postpartum depression, depression, anxiety, panic attacks. Each a piece of the puzzle they were trying to use chemicals to correct, each time failing because it wasn’t seeing the whole image. Like Akinator, her questions started out so gentle and broad as she took notes in the margins of my well-presented fiction, each one getting a little more honed in until you could tell that she had figured you out. Looking up at me from across the desk, she asked: 


“Have you heard of Obsessive Compulsive Disorder?” 


Immediately, I am skeptical, dismissive. Nah, can’t be that. Lots of people I know are the same as I am. It isn’t a mental disorder, I am just particular


Don’t you love how we go to professionals for answers just so we can disagree with their assessment?


She explains what the condition is, clinically and in such a way that made it apparent: the way I had been functioning for so many years until felt it felt normal to me was actually a dysfunction. Then she explains why all the medications I had tried had failed--they weren’t intended to treat the symptoms of OCD. She wrote me a prescription for a low dose of fluvoxamine and recommended I purchase a workbook that would help me understand and work through the symptoms. The dose I would eventually need to be on we would have to work our way up to so things were going to be slow and steady and I wouldn’t see a lot of progress at first, but I just needed to be patient and stick with it. 


Most of you have probably heard of OCD before but so we are all on the same page: Obsessive-Compulsive Disorder is a condition marked by excessive and irrational thoughts or fears (obsessions) that may or may not lead to repetitive/ritualistic behavior (compulsions). It usually follows an individual throughout their life and varies in severity at different points. 


The obsessions can take a lot of different forms--fear of germs and disorder is a big one that is portrayed often in media. Usually, the media will focus more on the compulsions as a visual cue for the obsessions; in this case, ritualistic straightening, intolerance for disorganization, excessive hand washing, things of that nature. 


A lot of people can relate to that and even use the condition as an adjective to describe themselves: “Sorry, I am just so OCD!!” There is, as always, a difference between a preferential quirk (tucking in someone’s shirt tag that is sticking out) and a mental disorder (changing your full set of clothes and showering multiple times a day because you feel like you can’t get clean). The defining line is: how long do your compulsions take you to complete a day? If it is in excess of one hour per day, then it is significantly impacting your life. You also can’t control your response for the compulsion, even though you are internally begging yourself to stop because you know it isn’t right, it isn’t healthy. And there is usually not any relief brought by acting on the impulse--it just stops the anxious thought, if only for a minute. 


Other obsessions I have, upon forced recollection through the workbook to identify, dealt with in the past are aggressive thoughts, unwanted or forbidden thoughts, and religiosity. 


Compulsions are the burning urge that you can’t resist until you feel better, kind of like the need to move when you have restless leg syndrome (I recently rediscovered). When I get supremely agitated, for example, I have to count to four. It started in high school when I would stroke down the length of each of my fingers as I counted until I was calm. As you could imagine, I rather loved common time signature in band. Multiples of four also work. Having four kids either worked out perfectly or was a bit more premeditated than I intended, but whenever I have them out in public you will see me doing a pinging head count. 


There are also the ones I mentioned up above, and some others that even I have the pride not to talk about much in a public setting. They can be humiliating, disheartening, crushing. Anything but quirky. 


So back to the story, I guess: we know what it is and that now I have reasonable suspicion that I have it. Now it is just slowly gaining the tools to fight back. 


I saw the doctor every two months as we eased up the dosage. At first, I didn’t notice feeling any better, a fact that actually encouraged her--she reminded me that I wasn’t going to feel better for a while, but the fact that I wasn’t any *worse* told her we were in the right direction. The workbook had me identifying when it first started, learning what the condition was and how I was going to regain control of it. It was two fold: 


  1. Identifying my anxious thoughts and confronting them as irrational thoughts. This is tricky because your sneaky OCD brain wants to write these rebuffs to intrusive thoughts as a mantra ritual that eventually becomes a reassurance compulsion. It is kind of like a little talisman you wave to ward off bad luck when what you are really supposed to be doing is training your brain to stop bringing you these dead bird carcass of thoughts to you in the first place.

  2. Recognize the compulsions for what they are--a damaging dysfunction--and rewriting your subroutine into healthier coping mechanisms through a process called ERP (Exposure/Response Prevention, not the other thing. Get your mind out of the gutter, gamers)

ERP is where you expose yourself to a stimuli that usually prompts a predictable trigger for you and gradually increase the time before you allow yourself to complete the compulsion. It is kind of like Plato’s  “Allegory of the Cave”--you can’t start out staring directly at the sun, you have start by seeing its reflection in the lake, its shadows on the wall. For me, one of the things I had to work on was laying on the floor for increasing periods of time without going to take a shower and change my clothes. Or drop Emerald off for school at the front of the building but not watch her walk in, then eventually drop her off at the crosswalk and let her walk in from there. 


I need you to know: I get that this was not rational. That at her age, Mom would have probably let me walk the same distance to school from my house, maybe not by myself but with a sibling. But knowing it wasn’t healthy or sane didn’t prevent me from having this reaction because I was unwell. 


So I made the ERP my new compulsion--along with the tenants of mental, physical, and spiritual health I strove toward every day, I built the scaffolding for a stable mental health. 


I saw them for a little less than a year. Each time an appointment would come up, I would ask them: do you have some sort of financial assistance? Is there anything I can do because this money we are budgeting for is coming directly out of our grocery money, our bills. Can we switch to a generic medication? That cost was for the generic, they told me, and couldn’t I just pay it this time, pay it this time and we’ll see what we can do in the future. We’ll look into your options. Finally last month when they called to confirm my appointment, I asked them to take me off of their patient load because I could not justify the cost anymore. I patiently explained one last time that this was outside my budget. The receptionist told me she would discuss it with the office and call me right back. A few minutes later, she does phone back and asks “Have you heard of the app GoodRX? That might help get your med cost down. Now! Are we ready to make that appointment?” I was so stunned at how truly obtuse her solution was--I told her no and to have a nice day. 


Michael and I sat down and discussed it. The medication alone was not my goal; I didn’t want to be on a med for the rest of my life and we hadn’t even gotten up to a dose that was strictly effective yet. (I shudder to think how the price would have skyrocketed at that amount). We were at a crossroads to decide if I wanted to pursue this path. If I chose to, we could make it work--financially, we have been much worse off and we can cut down costs to make sure I had my prescriptions and doctors visits. But to me, it was infinitely not worth it. Thus decided, I had to go through the painful discontinuation syndrome for the last few weeks. 


Discontinuation syndrome is withdrawal from a nonaddictive drug. Your body gets used to things being a certain way and it does not much care for sudden changes, dang it. My particular poison manifested at first in a swimming head--I was so dizzy, I couldn’t watch TV or play video games or be on my phone or anything involving a screen. Every time there was a sharp or loud noise, it grew significantly worse. My emotions were all over the map--I wanted to call the doctor's office and dress them down for being over glorified drug dealers. I wanted it to all end. Mike told me I was being rude nearly every conversation we had.


There were other symptoms like the zaps--electrical pulses like amped up static electricity inside your brain--, face tingling, painful restless leg syndrome, insomnia, nausea and repulsion toward food. But I made it through; I am currently on the other side. But it is the quiet before the storm, the moment when the meds are out of town and the OCD gets to throw a rager. I don't know how it is going to look, but I am gathering my forces to fight back.


This post is because it is Suicide Awareness Week and I wanted to share my experiences with mental health issues because sometimes it helps. Sometimes you have to read someone else going through it to recognize a dysfunction or disconnect in your life, the life of your loved ones. Where the Call of the Void is so strong and so welcoming that it is nearly impossible to ignore because being alive is so hard. Sometimes you don't know why you keep picking yourself up, trudging on ahead because if this is what life is, no thank you. You may not have all the answers yet, but you can't find them if you're not here. Talk to someone--reach out.


They may understand more than you realize.


<3 Andie