Clouds, May 2010

Clouds, May 2010

Thursday, August 20, 2026

program pivot

Probably about eight months ahead of Hayden graduating I was already visiting prospective programs for next steps. This is a bit atypical but I've talked about this before-- since he was aging out of the school system right around graduation, I didn't want the timing of his birthday to potentially cause a gap. For students like Hayden who have the option of staying in a school setting until age 21, some may stay for many months beyond their 21st birthday depending when they turn 21. If their birthday is in October for example, then in September when the new school year begins they're only 20. Which means (in NJ, again for example) they can continue to benefit from instruction, therapies, & other related services until June when that school year ends. However if during that time they find an appropriate program with an opening, then they can move on when they're ready without any gap whatsoever.
Hayden's (21st) birthday falling smack in the middle of the calendar year, & like I said coinciding with graduation, is not so fortunate in this context.

He's getting settled in his new routine now-- he joined this program about a month & a half ago. I successfully avoided any substantial gap! My only hesitation with the Day Hab we chose for Hayden was whether there were enough relatable peers for him. Typically people who align with Hayden socially are developmentally further(?) ahead, but if reversed then they're not necessarily socially compatible. He's a unique niche. His current program is looking to expand though, & with that it's likely there will be more participants closer to Hayden's age attending after they graduate from school.

There's another program we know of which in terms of skills & interests is right up Hayden's alley, but not a great setting for him five days a week. He needs some additional supports & structure. Then we learned they were in the process of opening a second location, & this one is in our county. And get this: the participants disassemble electronics for recycling. If your eyes opened wider when you read that, then you obviously know Hayden well! This has of course been one of his hobbies for many years. Not only because it involves using a screwdriver, but with Pop Z having a long history in the scrap metal industry this has been a great activity of interest. 
Fast forward to me asking our support coordinator if she could find out some more information, but I wasn't yet sure if we could create a hybrid schedule for Hayden. His individual budget from the state is what covers his day program & this means the budget would have to be split. For some programs, when a participant fills a spot they prefer they attend full time. Other programs have many participants who attend part time. 
Thankfully the second, newer program allowed Dan & I to tour it with the support coordinator so we could see if it might be a good fit. We loved it. Then we scheduled a trial for Hayden which went very well. But the luckiest part is that this additional program was definitely okay with him being there just one or two days a week. 
Here he is when he visited-- checking out the warehouse of stuff they get to disassemble, then touring the facility, & working on taking something apart!


Next thing I did was reach out to a few people in the administrative offices of his current program. First, I asked how he has been doing. Then I carefully explained we were hoping to revise Hayden's schedule, but I reiterated the many reasons their program continues to appeal to us. I offered perspective for this proposed change because the different setting would also provide an appropriate balance of skills, with additional socialization opportunities. I was nervous sending this communication because everything was sort of riding on whether or not they would agree. 

Well, here is part of the reply we received:

"Hayden has demonstrated significant engagement and enthusiasm. He is increasingly capable of communicating his personal preferences and advocating for his sensory needs, such as requesting access to a sensory room when environments become too loud or declining outdoor activities when temperatures are uncomfortably high. His participation in various community outings—including trips to a bowling alley, stores, local libraries, and a farm—highlights his growing ability to interact socially with peers and staff in diverse settings. Overall, Hayden maintains a positive attitude and shows increasing independence in managing his daily routines and personal belongings. Hayden demonstrated high levels of engagement and positive social behavior across various settings. He appears to respond well to structured routines and benefits significantly from staff modeling and verbal prompts, particularly during community excursions. His ability to express preferences and participate in group activities suggests steady progress toward his socialization and independence goals.

Notable observations include Hayden's successful adaptation to unexpected changes, such as navigating a canceled outing due to inclement weather and accessibility issues, and his ability to maintain engagement through preferred activities like computer use and music therapy. Staff observations noted that Hayden remains calm, cooperative, and responsive to support, frequently utilizing verbal and visual cues to navigate his daily routine effectively.

We completely understand the opportunity you are exploring for Hayden and are supportive of anything that can contribute to his growth, interests, and overall well-being. If you decide to register him for the other program on a part-time basis, please keep us informed of any changes to his schedule so we can plan and adjust his programming accordingly.

We are glad to hear that Hayden seems happy, and we look forward to continuing to support his progress!"

My eyes well up every time I re-read that. If that's not the best response I could have possibly hoped for, I don't know what is. We are so grateful. I thanked them for the feedback, offered a proposed schedule & tentative start date, & reiterated how appreciative we are of all the continued support to help Hayden grow & gain independence.  They expressed if there's anything in particular they can work on with Hayden that would complement his new program. Preaching to the choir as they emphasized working together to provide consistency & continue to help Hayden move forward. 

Before Hayden finished school, I believe it was at his last IEP & re-eval, the Principal offered a comforting perspective for me. Because I had mentioned some of these programs I toured left me feeling nothing short of sad. Hayden was moving on from a private school within a truly impressive facility. And as if reading my mind she sort of waved her hand around us & said, "You're coming from this. But you have to pay attention to the people who would be supporting Hayden. And you have to focus on what they do when they're there, as well as where they go with them." 

To that point, I will not soon forget something subtle which heavily reassured me his current primary program could be a great fit. It was my first visit & as I was speaking with the Day Hab Director in her office, suddenly the program Supervisor politely yet anxiously interrupted us. The Director apologized to me that she had to excuse herself for a moment. I was of course understanding & she stepped outside to take a phone call. I was not trying to listen but it's not as if her office is sound proof. I heard enough to piece together that it seemed one of their participants who had left for a daily community outing (I think), suddenly wanted to return to the program building. The Director asked the individual she was speaking with if they had a buddy, & then she told them that was great they were with that person. Then she reassured the individual that a second van was coming to pick them up & she explained approximately how much time that would take. She was calm & understanding. Then she said, "I am so proud of you for calling me." With that I thought I was going to cry because to me that was exactly the appropriate thing to say. Not trying in that moment to perhaps convince this individual of a different decision, which could potentially trigger a more difficult situation... not at all carrying a condescending or reprimanding tone... nothing to make this person (who was already uncomfortable) feel any kind of way other than simply supported. I was truly trying to hide my emotion when she returned to her office because I was so touched to witness that. 

I don't know if the significance of this whole scenario is coming through, but this has been a huge process & transition not only for Hayden but for us as a family. There would be way too much to explain just what it took to get to where we are. And when I say we are pivoting I mean zero suggestion that something isn't working, but rather a shift to maintain a smooth balance. 

And on that note, I will keep you posted. 
--


Saturday, July 18, 2026

middle finger

 It's been a minute since I blogged about what it's like when Hayden needs some sort of emergent medical care. There was an ankle incident I shared about fifteen years ago if anyone cares to revisit that memory, which was also during Fragile X Awareness Month.

Fragile X Awareness Month doesn't go away, neither does fragile x, so here's a dose of July awareneXs

Yesterday morning Hayden left his room after he woke up, which he typically doesn't do because he prefers to wait for one of us to get him or we end up needing to anyway, to help him wake up. He approached me still in PJs but of course with his baseball hat on, faux glasses on his face, & wallet in hand. He may have also had his stethoscope. He was on his way to the bathroom but went up to me to show me his finger (I don't recall what he said). His fingertip was red, visibly swollen, the cuticle line was green, & right below that his skin looked almost the same white as blood flow being cut off.

I'm going to fast-forward through some of the sequence of events that morning but somehow he got dressed & ate breakfast. However, I knew he could not attend program because that finger needed to be tended to. I will say that having a little emergency is enough to throw him off, let alone when dealing with said emergency also means we must stray from our usual schedule/ routine. That will make it worse. 

After approximately two & a half hours of me unsuccessfully trying to tend to his finger myself, on & off because of his tactile defensiveness, we finally managed to get him to follow through with leaving the house. Which we had also been trying to do-- just to get him to choose one or the other, either accept my help or let us take you somewhere to get help. At one point things escalated to Hayden beginning to grabbing & throwing whatever he could off of the kitchen table. Last time that happened was the February incident when I got a laptop to my eye, but thank goodness Hayden did not get heightened to that degree this time. Plus Dan was home, which helped prevent the situation from getting to that point. 

We opted for a local urgent care where they miraculously/ successfully were able to complete a TB skin test last month, that Hayden needed prior to starting his new program. Also this solved the issue of him not currently having a local Dr because his (newer to us) PCP who is definitely not nearby, currently manages his medication regimen. In the past, he had a fragile x specialist for the latter but the most recent one relocated to the other side of the country (& the one before that retired). 

So by the time of the urgent care visit, we were about 3 hours into this ordeal. The doctor there told us that it was an infection & it needed to be drained but they couldn't do that there (I think because they didn't have the staff & she knew from experience we need enough hands on deck to accomplish something like that with Hayden). She said our best bet was to go to an ER. The two closest options are similar in distance from where we were-- one maybe a couple or few minutes further-- but Dan opted for the slightly closer one mainly because we know from experience the wait time at the other one is typically not good. We had never been to the other one before but it's owned by the same company as the one we are familiar with. Just a side note, it was impressive not only that Hayden answered some of the nurse's questions at the urgent care but how he answered-- he communicated well. And not that I need a reminder, but when I re-read that ankle blog post from so long ago his speech progression was even more apparent. 

When Dan, Hayden, Grover, & I arrived at the ER it was not busy. Check-in was easy. The woman at the desk was very kind & seemed to understand Hayden's unique needs. She even gave Grover his own visitor badge. The wait to be called into the first room was relatively quick. The next woman was also very kind, asked the right questions, seemed receptive & accommodating. I believe there was also another nurse in that first room. The wait time in the room where Hayden was assigned an ER bed is where things really slowed. 

Start to finish took about 3 hours. The majority of the wait time was until someone came in the room to assist him. The rest of the wait time was mostly for the numbing agent to kick-in as well as the calming agents (plural) to also kick-in. This included being pinned down by about half a dozen adults (it's a blur) & one of the nurses giving him a needle to his thigh. 

He was able to walk (albeit unsteadily) when he was discharged. He slept the rest of the day & well into the evening until I finally got him to wake to shower & eat something. He went back to bed probably less than two hours after that. 

After-care includes soaking the finger at least a couple times a day, ointment application after, & dosing an oral antibiotic 3 times daily. Antibiotic for Hayden must be a tablet that is safe to crush or a capsule that can be opened. He will not eat a chewable, or drink a liquid, or certainly never swallow a pill. He needs a follow-up tomorrow to check that it's healing. Let's review said after-care: if we can convince Hayden to put his finger in warm water, he will not keep it there long enough for it to soak. Ointment application & re-bandaging with a little gauge will be hit or miss. Three times daily dosing of the oral med-- let alone for 5 days-- is going to take a mini-miracle. As it is I have to hide his crushed meds in his daily breakfast & the horse capsule antibiotics have a lot of powder in them. Nothing else that he takes in the morning is re-dosed during the day, but timing of other meals is less predictable because that always depends on how long since he last ate... vs it's such & such a specific time so he's ready to eat. Doesn't work that way in our fragile x world. 

Any problem that needs to be tended to, is only the beginning of the problem. An injury itself is just the preface. So for this particular awareneXs post I raise Hayden's infected middle finger to fragile x. 

Although... I do place my hand to my heart for the rare healthcare providers who bother to truly listen, have an appropriate sense of urgency, & are receptive to doing everything we can to safely assist Hayden together. Thank you. Thank you.

--

Wednesday, July 8, 2026

stick a fork in me

 Hunger can be one of Hayden's behavior triggers. The new day program he just started is BYO lunch, as most similar programs are. This is a challenge for someone who prefers warm meals & such meals that fit into his sensory preference-- not just taste. A deli sandwich is hit or miss with him & there is no other regular-ish sandwich that he would entertain (such as PB&J). 

On Monday I did send him with a sandwich & he ate half. I don't think he touched his snacks. Yesterday I sent popcorn chicken that I put in the toaster oven that morning & while still hot they went right into a stainless steel container. He ate his BYO lunch that day. Tuesday night we discussed Wednesday lunch options & I talked him into taking meatballs with parmesan cheese on them. Fifteen minutes before we were leaving I heated them up, put them in a container to retain the heat, & right before I put the lid on I gave them a generous sprinkle of cheese. Looked very Hayden-approved in my opinion. After his hot lunch was packed I went to put the parmesan cheese back in the refrigerator & noticed literal mold in it. I nearly wanted to cry. I had no backup plan so in my haste I grabbed something very similar to what he had for lunch the day before & threw in the last cup of applesauce with his other snacks. I really needed today to be a good lunch day because I was picking him up early for an appointment-- easily 30 minutes in the opposite direction to get home.

After I dropped him off I stopped at the grocery store to get fresh parmesan, more meatballs for the freezer, replenish his applesauce, etc. My list was about two grocery bags worth. Got in the car & about half way home I realized I forgot to get the meatballs. Couldn't dwell on that because now we have to get dinner ready. I am usually proactive about this out of necessity-- (certainly not pride or anything--) so it only needs to be re-heated when we get home. Today, especially, knowing we would inevitably be in traffic coming from his appointment. That said I had the brilliant idea of putting our planned meal in the crock pot even though normally I would have made it on the stove. But a quick online search assured me it could be a one pot meal-- just said to be careful how much water & stir occasionally. About an hour after I put it in the pot-- meat topped with dumpling-like noodles-- I check on it to do just that. Give it a stir. Took the lid off & it was a gross mushy mess. The noodles were definitely not salvageable but I used tongs to get all the meat out & then transferred to a pan on the stove. Dirtied another pot to boil a fresh bag of noodles. Second attempt, including one dirty crock pot, a large stainless pan, & a pasta pot later, it came out just right. Sink was filled with plenty to clean but hey, dinner was cooked & cooling off so it could go in the refrigerator. 

Picked Hayden up early for the appointment & of course when he got in the car he told me he didn't eat his lunch because he didn't like it. I had a banana in the car for him (also something he didn't eat the two days prior), but luckily this time he did. This was going to have to hold him over after not having anything substantial since breakfast. Awesome. Not like the traffic wasn't going to add to his behavior if his discomfort from hunger didn't already set him off. 

Let's just fast-forward to getting home. His dinner plate was already in the microwave when I saw him in my peripheral going to the cabinet to grab a snack. I told him I was just about to put his food on the table & he said, "I know, I'm having dessert first." I can generally gauge when to pick & choose my battles & this one was not worth the fight. I truly believed once he started crunching on something else, that would sort of get him going so he would eat his food. I let it be. I put his plate down, he brought his snacks of choice over & started on that first. 

I was straightening up in the kitchen & by the time I was done, he was finished with his snacks. I was just about to ask him if his dinner plate was still warm when he pushed it away & said, "I can't eat this. I just had dessert." 

I'm done, too, Hayden. You know what... I am done. 

--

Saturday, June 13, 2026

Path

The little kid with light curly hair & the most genuine smile that would sparkle through his eyes like no other kid I know (unbiased of course), graduates for good next week. Days later he turns 21 on the 22nd. He's taller than his parents now & while you can still see some wave in his hair when it starts to get long enough, the warm shade of brown complements his dark yet bright eyes. Even though his smile alone is often more reserved than it used to be, it still adorns his handsome, now-maturing face with plenty of expression. 
I might describe him like a storybook character, but Hayden is a most significant part of our story.

At the completion of 8th grade Hayden was given a cap & gown as well as a yard sign but it was during the pandemic, so he was among many who did not have a commencement ceremony for us to attend. When he finished 12th grade we had a small celebration for him because the end of the school year coincides with his birthday anyway. But completing "high school" was less symbolic as it was known he would continue to attend for two more years. Qualifying students with IEPs (Individualized Education Plan)-- because not all students with IEPs would qualify-- can benefit from an 18 to 21 program (inappropriately named, because they could be near 22 depending on their birth date vs the school calendar). After 21 they transition to Adult Services, when their DDD budget (NJ Department of Developmental Disabilities) becomes available. So that's why when Hayden finished Grade 12 there was no pomp & circumstance at school because they officially graduate when they complete (what used to be known as) the Young Adult Program (it's been renamed Path 360 at his school). 

In the absence of an 8th Grade Graduation & no official 12th Grade Graduation, his Path 360 Commencement is emotionally a big deal for this mama! Hayden has been in a school setting since he aged out of Early Intervention at 3 years old, so this is a significant transition vs all the previous steps. And because of his date of birth, the fact that graduation is coinciding with his milestone 21st is a biggie.

This blog update is to announce that Hayden has been accepted into an ARC program to continue refining his daily independence skills, community interactions, & pre-vocational training. The ARC is a nationwide nonprofit leader in supporting people with disabilities as well as their families & the professionals who support them. Their mission includes promoting civil rights, supporting inclusion, community acceptance, & planning for their future. 

I technically began researching next steps a couple of years ago & started touring programs (the ones who would permit visits, which is most) in late 2025. The greatest challenge finding appropriate placement for Hayden is that he is not ready yet for vocational as he still needs some behavioral support. Thankfully his social skills have remained one of his greatest strengths but that said, I was finding that most of the programs checking the appropriate "support" boxes have a lot of participants who are otherwise quite developmentally different than Hayden, especially from a social aspect. Where he is graduating from, Path 360 is just one of at least half a dozen incredible programs under the "360" umbrella. While Hayden has benefited greatly from being a part of their community, at the same time because of his developmental & behavioral needs he hasn't been able to take advantage to the fullest extent their vocational & some of their other programs. 

This particular ARC program is similar in that way, where they have a comprehensive structure of their own services. This can include a wide range of support through different programs depending on level of independence, interests & needs such as day hab, residential, collegiate experience, vocational, clinic supports, & more. 

Hayden will accomplish what he does, when he is ready & not before. While it's of no help to Hayden & other individuals like him that certain supports are no longer mandated when turning 21, I am grateful to have found a program that is at least structured to guide us.  And they've been extremely receptive to our input & even participated in his Exit IEP to gain more insight into Hayden & his nuances

I hope as Hayden graduates from one Path he will only continue to enjoy the next. May this be an acronym for his Protection, Adoration, Tenacity, & Happiness-- for himself & those closest to him. Especially the latter... my wish is that he will always have people around him who make him happy. That he always feels fulfilled, in whatever capacity that means for him. Hayden Zem, we love you beyond measure & we know that you'll continue to do all that you can in your own time. 
Your own path at your own pace.




--





Wednesday, June 11, 2025

in between smile lines

I ran outside to respond to sudden commotion, barefoot in my haste, and witnessed my son with special needs who is in every physical sense a large man-- but developmentally otherwise a very young child-- yelling and cursing profusely at an Amazon delivery driver. A woman. She stood behind the truck and said, very matter-of-fact, that this was the second time he has harassed her.

In the immediate I first cared about trying to prompt Hayden to go back inside the house, while awkwardly picking up the oversized, cumbersome 30lb box from the street to walk it up to our front door. There was also a small, light box loosely balanced on top. The driver took a picture of me when I leaned over to pick up the box. After I brought the packages inside she lingered, parked in the truck for several minutes in front of our home. I actually went back out wondering if maybe a neighbor was interacting with her but as I got to our front porch she was driving away. 

That day, Friday, she reported the incident to Amazon. I was first contacted by them the next day via email, in a (seemingly automated) message timestamped 3:50am. 

This particular Friday started out a very difficult behavior day and Hayden didn't make it to school. One of our neighbors who happened to be outside at the time of the delivery kindly tried to engage with Hayden by inviting him to come look at something "cool" on her phone. He would normally have been receptive to that but he was at the top of the bell curve at that point-- a metaphor many specialists use to refer to such a heightened state. So when they're already at the top of this so-called curve, any behavior intervention technique is highly unlikely to be successful. For everyone's sake we may still try to distract or redirect his attention, but usually the best thing to do is unrealistic... such as clearing the immediate environment until he is decompressed or sort of re-regulated. 

At first glance Hayden looks like a typical young man. Some amount of awkwardness may be apparent pretty quickly in addition to his speech sounding a little different. We have had our fair share of public incidents and there have been times I have been quick to apologize and offer, "he has special needs". But in this moment I did not address the driver. I did not want a back-&-forth and in the immediate I just wanted to get Hayden away and I wanted the driver to leave. We have all different delivery drivers and I do not know when the first time was that Hayden had an interaction with this particular driver. 

I sent a short reply to the initial email from Amazon stating that I would rather respond in writing, and asked if that would be the appropriate email address to use. The initial email said that I would be contacted via phone the next day, but because of the time stamp I am not sure if that meant Saturday or Sunday. Either way I never received a phone call. Instead there was a second email (timestamped after 9pm) the following day which, although the bottom portion was slightly different, again seemed automated. That is why I did not respond a second time. But then two more days after that, which is now four days removed from the day of the incident, a nearly identical email arrived and was timestamped after 8pm. I did send a brief reply to that last email to say that the interaction was with a person with special needs, who also has an intellectual disability. I will update my blog if or when there is a response to that. But I can share that we have had deliveries since then without incident and I am assuming it was not the same delivery driver. 

I don't know how many times I have shared stories on my blog involving a behavior incident which, short of putting my son in a florescent vest that says "special needs" I could not have made sure that anyone else had a visual cue to help explain context.

When Hayden was still very young I offered a mutual agreement with the school, if you will, that we share the good and the bad and the beautiful moments and the ugly ones too. Because either way we should all be on the same page-- whether to encourage Hayden, or to work together towards a solution to a current challenge. But the idea being that we are helping to set him up to be successful. 

I hate talking about these behavior incidents. Hayden still has two scabs on his forehead from a very fragile x day three weeks ago. But I think it's worse if I don't talk. I understand sometimes there's a fine line between awareness or drawing unnecessary, unwanted attention. 

In the larger picture I wholeheartedly believe that this may be his only proactive protection. 
I can imagine that woman, the delivery driver, must have been quite surprised and confused and concerned. I am sorry for this and also sorry for her first impressions of Hayden. Fragile x gets in his way here and there all of the time. And worse, the fragile x specialist who is primarily managing his current medication regimen, is moving to the other side of the country. There is a nurse practitioner who is somewhat familiar with his case, and they will ensure there are no gaps in his medications, but ultimately we are back to square one. There is nothing specifically indicated to treat fragile x syndrome so medication management includes ongoing trial and error to target some of the symptoms. Difficult and exhausting. 

I hope, emotionally, the driver is okay. No one deserves to be yelled at that way. It's as if there's no holding back because in the moment he can't stop those awful words from escaping. I am on the receiving end of it more often than anybody and I can't always just let it roll off my back. It can be extremely upsetting. But I promise-- on my life-- underneath all that Hayden has the most pure heart. It is the absolute worst when people don't get to see that. To think about Hayden's fragile x behaviors being on full display when I am no longer around one day to advocate for him, is a level of terrifying I would not wish on anyone. 

I am not looking for sympathy because this is our reality. And even if you think I am handling this as best as anyone could, I am not looking for a pat on the back either. I just want as much awareness as possible for everyone's mutual safety. 

Because we know Hayden can also deliver the biggest smiles, too. And I mean the biggest, most genuine because when he does... he doesn't hold back. 

--

Thursday, January 16, 2025

how's H


Near the beginning of November, one day I was at the grocery store with Hayden & I actually had to call Dan for help. Hayden & I were there picking up just a few specific items, as it is not a good idea for me to tackle an average shopping list with him. There are triggers from a sensory standpoint, as well as potentially unpredictable wait times, & items that he may become fixated on & not able to move past-- such as thinking he needs something that he wants. This is kind of what had happened that day, after we found the items he knew that we went in for in the first place. 
He got very heightened & took control of the shopping cart & it was awful. And it's always worse when you have an audience. He ended up yelling at complete strangers & one of them marched right over to the Customer Service Desk & unleashed all holy hell on them about how they deserve to shop safely. A couple of managers approached us & I thought this is the beginning of the end & someone is going to end up getting arrested. I was nearly sick with fear & not knowing what to do next. Dan arrived & was able to safely escort Hayden out of the store & I do not know what on earth I would have done without him. 

Many years ago I heard a perspective how parenting an individual with a lifelong disability can be like a mourning process that comes & goes in waves. You mourn (for lack of a better word) the loss of expectations & dreams & plans & all the things that you imagined would be down the road. You learn to measure progress in inch-stones instead of milestones (I did not come up with that, other parents did, & it's quite accurate). Treatment plans of therapies & other supports, in conjunction with a medication regimen, may work for a certain number of years until it doesn't anymore. And for those who can relate to surviving through those pockets of time when something needs to be revamped, there are so many different levels to that struggle. 

Not only are medications trial & error, but in our case we are not even certain which symptoms we need to target the most. Is it the ADHD? The anxiety? The aggression? All three? Which medications are or aren't working? There's nothing specifically indicated to treat fragile x syndrome but truthfully whether you're targeting symptoms for someone who is nonverbal, or for someone who is verbal but doesn't have the necessary communication skills... it's a scary thing. Are they feeling side effects we can not see? And mind you, before we even get to this point, maybe the person can not swallow a pill. There's a limit to medications which can be crushed before safely administering. Throw in some sensory processing disorder, & what do you do, to hide the unpleasant texture & bitter flavor? 

So you struggle through & hopefully find a regimen that is stable. Then like I said it may work for a while until it doesn't anymore. Undoubtedly the worst part is how this must make Hayden feel, & unfortunately it can be a bit draining for caregivers as well. 

I recently heard a perspective about grief that was truly profound. 
Back in the fall the Christopher Reeve documentary was released & I saw an interview of his son Will Reeve speaking with Anderson Cooper. Raising an individual with special needs is obviously not the same as the Reeve family tragedies. However, Reeve talks about the great long journey of grief that began when his father passed & then the lowest moment in his life when this pain was multiplied upon losing his mother just over a year later. He spoke about the silent grief that he felt & even as a kid he said he became painfully aware of how grief is received by others. Anderson Cooper asked him if he grieved-- I think he meant how do you even begin to do that-- & immediately Reeve says no. He did not grieve at the time. He says he learned quickly that whenever he did not seem like he was grieving, people remarked how strong & adjusted & tough he was. And that the stronger & happier he seemed, the better he was received by the world around him. Why? Because this facade makes others feel comfortable & safe... because grief is weird, grief is scary, & grief is even "yucky" as he put it. 

I've learned it also takes practice to answer someone when they ask how Hayden is doing, & it takes discipline to control any emotion behind my reply. Even if it's someone who is genuinely asking how he is versus, "Hayden's good?"... even then... I may not be ready to talk about it in that moment. But if I am ready to share perspective I have to tailor my reply according to the time, the place, & who is asking. Another parent shared a similar perspective with me when Hayden was very young, as far as learning how to adjust your reply to others, & I think it's an important one. 

Will Reeve, during that interview, also remarked that grief is permanent. And the one thing that would be disruptive is if you ignored it & pretended the grief doesn't exist. So you must go to that dark place in order to bring light there. This is how he put it. Dan & I ended up watching the documentary on New Year's Eve actually-- Hayden had an impromptu sleepover at Grandma & Pop Z's so we had gone out to dinner & didn't have any plans after. Even before I watched the documentary, of course I recognize the stages of mourning with raising a son with special needs is so very different from the grief (horror, really) of being a Reeve kid & losing your parents. But writing allows me to speak from my dark place in order to bring some light there.

You opened this blog to a picture of a seasonal snack from Trader Joe's, of all things. Seemingly insignificant. But there was some light today & when fragile x awareness happens, I take opportunities to share perspective.

Behavioral challenges have been creeping around again recently. Part of November (post- the grocery store incident) & most of December, I thought we were finally turning a corner. So much so that in our next follow up, I was hoping to discuss scaling back on one or two of the meds likely contributing to an undesirable side effect.
Then this week became an unwanted test.
First of all, they've made a schedule adjustment at school in light of some of these recent challenges. Next, Hayden's routine was a little bit different this week due to Dan's work & we've had to adjust accordingly. Last but certainly not least, we have had road work on our street & in front of our home. It's driving both Hayden & Gracie nuts. We live in a quiet spot, tucked all the way up at the top of the neighborhood, situated shortly before the road ends. They've been arriving daily around 6:45AM, loud engines, bright headlights, construction vehicles moving about, a lot of workers, tools & equipment everywhere... & as soon as there's enough daylight, the seemingly endless jackhammering begins. By Tuesday, Hayden already had enough. We did make it outside & to the driveway on schedule, right around the time we'd need to leave, but it was downhill from there. Hayden got as far as half in with one leg hanging out of the car, & obviously I couldn't get him to close the door. Trucks had backed up, workers had paused, everyone was respectfully waiting to let us through. Except for the only neighbors on our street who we do not get along with, who unfortunately live right across the way. The husband stood on their front stoop in the bitter cold smoking a cigarette & watching the scene unfold. As he or the wife often do, if they hear commotion. After nearly two decades I promise they know what's up, they're not concerned. They are bullies. They are aware of how uncomfortable the extra eyes make us & Hayden feel. 
Long story short, I can summarize Tuesday by saying he never made it to school & we have property damage to show for it. 
Wednesday I did get him to school. Late, but we made it. He knew in advance that he would likely be seeing Grandma & Pop Z that afternoon so I think that's what finally got him out the door. But when I pulled out of the school after I safely dropped him off, my cheeks were wet as that grief consumed me once again. It's odd because I feel a fine line between grief & relief sometimes. When the dust settles, & I don't know when that storm is going to pick up again, for the moment it's as if I exhale my protective emotional armor & I guess I unravel a little bit.

Today, Thursday, was the day I was most worried about. I didn't have any exciting incentive to offer, such as seeing his grandparents. He knew he had a scheduled CBI trip with school (Community Based Instruction) & today's outing was to purchase items at a Trader Joe's. That could either be motivating or have the complete opposite affect-- depends if we're having a fragile x day or not. Randomly, I ended up stopping at a Trader Joe's as well & I almost always survey their current seasonal items. So when I saw these sweet, heart shape rice cracker bites I thought it would be a fun new thing that Hayden might enjoy. Imagine my surprise when he happily came to the car after school not only to tell me he went to Trader Joe's, but to show me that he bought me a pouch of the very same snack I had picked up for him. And a tub of animal crackers to bring to his grandparent's house on Saturday. Of course when we got home I looked at the change he gave me (two cents) & I said to him, "You gave me two pennies. Shouldn't there be three more dollars?" 
The grin across his face as he pulled his wallet out of his pocket told me everything I needed to know. 
I let him keep those singles. 
So if you want to know how H is right now, he's happy that he has a few extra bucks in his wallet. 
Mom is relieved that the unwelcome tests this week are almost over. And when I walk past something in my home that was broken or where something used to be that was destroyed, I hope the property damage never overshadows days like today that I was sure we would barely make it through. And it was almost uneventful. 
Those sweet, crispy heart snacks are pretty good too. And if you get to a Trader Joe's while they still have their seasonal Valentine stuff, the Xs & Os gummies (although not a texture that Hayden would try) are really worth it. Figures, the candy with the Xs. 
--

Wednesday, October 30, 2024

I am a mom, hear me roar

I agree with cutting taxes for the middle class & lowering health care costs. 
I agree with ensuring that anyone earning less than $400k annually will not pay more in taxes. 
I agree with having plans in writing to make this a reality. 
I agree with increasing access to capital for small businesses. 
I agree with stopping big corporations from price gouging, especially by exploiting an emergency to rip off consumers.
I agree with making affordable healthcare a right & not a privilege. 
I agree with bringing down the cost of lifesaving prescription drugs for Medicare beneficiaries. 
I agree with protecting Social Security & Medicare for the long haul.
I agree with investing to help connect Americans to accessible, affordable Internet. 
I agree with creating good-paying jobs, including Union jobs, & jobs for those without college degrees.
I agree with building on American industries to help workers thrive. 
I agree with zero tolerance for unfair trade practices from China or any competitor who undermines American workers.
I agree with ending sub-minimum wages for tipped workers & people with disabilities. 
I agree with establishing paid family & medical leave. 
I agree with eliminating taxes on tips for service & hospitality workers. 
I agree with fighting to ensure parents can afford quality child care & preschool.
I agree with keeping a Department of Education.
I agree with strengthening education & fighting for more affordability. 
I agree with implementing policies to also create career pathways for non-college graduates.
I agree with expanding home care for senior citizens & people with disabilities.
I agree with passing legislation to ensure American's energy security & independence. 
I agree with funding to hire & train mental health professionals for our schools.
I agree with continuing to invest in funding law enforcement. 
I agree with training officers & people to support them. 
I agree with expanding proven gun violence prevention. 
I agree with working with our allies to ensure NATO is stronger.
I agree with protecting U.S. forces & interests from terrorist groups by whatever action necessary. 
I agree with understanding Israel's right to defend itself while also addressing the war in Gaza, ensuring hostage release, as well as dignity & security for the Palestinian people. 
I agree with working around the clock for a hostage & ceasefire deal. 
I agree with standing up to unfair economic practices. 
I agree with supporting service members, veterans, their families, caregivers & survivors. 

I agree with expansion of benefits & services for veterans, including legislation for mental health support.
I agree with fighting to end veteran homelessness. 
I agree with fundamental freedoms about one's own body. 
I agree with doctors & healthcare providers not having to fear jail time for caring for patients.
I agree with funding Offices of Civil Rights across the federal government. 
I agree with anti-discrimination protections. 
I agree with fighting to keep communities safe from gun violence. 
I agree with securing our borders & fixing our broken immigration system. 
I agree with comprehensive immigration system reform & stronger border security. 
I agree with tackling the opioid & fentanyl crisis. 
I agree with investing in removing illegal guns from the streets. 
I agree with passing common sense gun safety laws. 
I agree with expanding background checks. 

I agree with ensuring no one is above the law, including the President. 

I also agree with some things that are not specifically written out in anyone's campaign plan promises.
I agree with not spreading false Election fraud.

I agree with accepting voting results. 
I agree with not using scare tactics & fear mongering.
I agree with not placing blame to an entire group of people, or demeaning an entire culture based on a small percentage of people from a given country. 
I agree that certain offices should be held to a certain standard. 
I agree that people in the highest offices should stop rather than encourage riots aimed at overthrowing our government. 
I agree the media should not be called fake especially when covering unedited footage, & there is proof that words were not twisted or taken out of context. 
I agree that reporters should not be insulted, reasonable questions should be answered, & that the people deserve much more than the concept of a plan.
I agree is not okay to leave certain rights up to the individual states, when protections for anyone-- but especially women & children-- can & have been stripped away by poor-minded extremists who refuse to recognize actual human rights (or decency). Whether it be because of their own personal religious beliefs or lack of education or their hunger for power & control... 
I agree with leaders who respect people by how they communicate & in their actions. 

But most importantly, if none of your plans or promises address how you will help protect someone like Hayden then you will never have my vote or even my respect. 

--



Thursday, August 22, 2024

different books

 


On this week's episode of normalizing differences, a piece of mail that arrived while we were in Maine was confirmation of H's first annual re-filing of his Guardianship. (Yes, papers need to be re-filed every year. It's an abbreviated process compared to the initial filing, but it is not a one-and-done thing.) We submit an annual report of well being, accompanied by a doctor's certification. The timing of our re-filing just happens to coincide with Back to School & because I know so many people with same-age young adults, my social media feed has been absolutely flooded with dorm tours, parents coping with leaving a piece of their heart in another state, or adapting to becoming empty nesters altogether.

I am adapting to another Chapter of Different, too, but in this story my young adult is not going off to college. I've thought about somewhat re-doing Hayden's room & allowing him that excitement of his own room tour, ahead of starting his own new chapter in the Young Adult Program at his school. I still may but as far as he's concerned, this would simply be in the context of replacing his comforter which I just recently noticed has a tear in it. And/ or his two dressers because a couple of drawer bottoms aren't holding up. (Knowing Hayden he would expect the same room refresh again, this time next year.)

On the heels of our annual Guardianship reporting we also have an upcoming assessment next week for Hayden's DDD eligibility. The DDD (Division of Developmental Disabilities) uses a standard NJ comprehensive assessment tool (that's the literal acronym for it, NJCAT) to help providers & support coordinators understand needed services. It is a couple hours long evaluation (say a little prayer for us next Thursday) to identify the need for support in three main areas: self-care, behavioral, & medical. The results also establish Hayden's tier, which will determine an annual budget for services.

Ahead of this assessment we also have another important upcoming appointment which was rescheduled from late July. If you saw my last blog post you are correct, this is the Fragile X Clinic follow-up that we were supposed to have about a month ago. The day we missed said appointment was one of three very fragile-x days that Hayden had within the span of about a week. 

To sprinkle on a little more uniqueness, ahead of our Maine trip I noticed that Hayden would run out of one of his meds while we're away-- unless I had the script refilled early. This has happened to us before, & the doctor called the insurance company to put in a vacation code for the script (or something like that). But he is still a newer patient with the current Clinic. When I called to explain the circumstance-- which by the way sounds so simple but the process was beyond-- ultimately a clinic coordinator told me the nurse practitioner rejected my request to put a refill through because this one med (for ADHD) is a controlled substance. I am well aware of this but (a) I wasn't reinventing the wheel here & more importantly (b) what did they expect me to do. (About a week later, during out rescheduled follow-up, I would learn that this situation was also a result of the Nurse Practitioner not yet "knowing" us, as newer patients of the Clinic.) 

As I was literally at the point of changing the start of our vacation over this whole thing, the pharmacy finally told me that I have done everything I need to do & they would take care of it on their end. To which I did not understand so I repeated (through my building anxiety) the issue of the timeline... to which the pharmacy manager said I don't need to take that tone with her (you know, the tone of a special needs mom who is fighting back tears through this high anxiety situation who knows she has done everything she can & should do & is being told there is no more for her to do so it's sounding like her son isn't going to get his medication). But it turns out this was the pharmacy manager's way of communicating that they will fill his script before the insurance authorization expires & then I can pick it up 2 or 3 days later (whatever it was exactly) right before we leave. Which if she had said that in the first place, instead of me having to figure that out on my own, perhaps I wouldn't have sounded like I was taking a tone. Which was never a tone to begin with, but rather me trying to speak without crying because I had just about had it

For future reference, Hayden's doctor has recommended (especially in terms of the ADHD medication) that lowering his doses leading up to a trip will help stretch out a prescription. I think this would depend on Hayden's behavior trend at a given time, but otherwise duly noted.

At this point I hope September is borderline boring. Because the end of July & August (so far) have delivered up plenty of things

One of my favorite quotes-- unfortunately I do not know who authored it-- is:
"On particularly rough days when I'm sure I can't possibly endure, I like to remind myself that my track record for getting through bad days so far is 100%, and that's pretty good."

So whatever stage you're at, let's raise our imaginary glasses together in recognition of the next Chapter... however different our books may be. 
 
to be continued...

Wednesday, July 31, 2024

endless X

I have one more thing I want to share as we close out Fragile X Awareness Month. And thank you again to everyone who posted on July 22nd for World Fragile X Awareness Day! And especially to everyone who continues to raise awareness throughout the year.

Just in case I don't say it enough, the continued support is appreciated immeasurably.

So, here we are, July 2024. In recent months Hayden had a pretty good start to the Young Adult Program that I previously spoke about, which they started transitioning him to as he was finishing 12th grade. When I talked about his new job training (a different location than the previous school year), it was one of those happy successes that I was excited to share on social media-- including (which some may remember) that he was very happy to be paid in pizza.

Unfortunately, the following week, Hayden's fragile x got in the way on work training day & escalated to the point that a difficult decision had to be made to end that particular opportunity. The goal, or hope, is to revisit a different one in the fall. While I understand the perspective of the school having had such a long-standing relationship with this particular business, & giving their students opportunity which they certainly do not want to jeopardize... this was of course upsetting for obvious reasons. And furthermore as Hayden was getting to know his new schedule he would be hyper aware of something missing or being different. 

Then the very next day, during Community Based Instruction (CBI), that damn gene got in his way again. He was just mentally stuck on something, & the fixation made him heightened & caused another difficult behavior in public. It's my understanding that start-to-finish the incident was about 45 minutes & required them to call the school for backup where two more staff were requested at the particular location where they were, to help de-escalate & get him safely back to school. By that time he had missed his lunch period so he ate lunch in someone's office when they got back (or wouldn't really eat). It ended up the next thing on his schedule was Culinary class anyway, where I was told he made a grilled cheese sandwich & was excited about that. But you see this is what happens... we live in a world of bell curves.
Individuals with fragile x syndrome, when they are ascending up that bell curve, there is little intervention that can be successful. Sometimes distraction techniques will work but there isn't any one thing that is going to work every single time. That x chromosome can seem endless sometimes but when they come back down the other side of that bell curve, that particular incident is done. Sometimes we just have to wait for that, while making sure that safety is a priority.

With these two incidents occurring on back-to-back days, I did not finish responding to one before the next happened. But my initial response following the incident at his work training, was to redistribute his Positive Student Profile which I last updated when he started 12th grade & remains relevant. (This positive profile is basically a brief guide about fragile x & specifically Hayden's learning style, as well as common triggers & possible solutions.)
When the second incident occurred the next day I tried to dissect the situation & then responded to their email to offer some perspective about his anxiety. If you yourself or someone you know suffers from anxiety, you may understand it can be a bit like depression in the sense that it is often not immediately apparent. But it is within a person & it is something that they are not able to control. In Hayden's case I think sometimes when he feels so out of control, he tries to control anything that he can. And imagine you have an intellectual disability on top of that, so in that moment he was not able to communicate verbally. But instead, wouldn't move forward with the task at hand & this was his way of gaining some amount of control (vs the loud cursing & wall kicking from the day prior). Being that they were off-site & not in the school building, this was an added problem. Like I said that x chromosome can sure seem endless sometimes. But his heightened state will always finish when he's ready, just not before. 

That Monday was Fragile X Awareness Day, so I had previously reached out about sending in little swag bags for the staff & peers in his class. Everything was so well received & they even took a group photo which I shared on the NFXF NJ Chapter page. It was a relief that we got through those tough days & it ended on such a positive note.

So I thought.

The behavior finale of that very fragile-x week he had was the next day, the day after World Fragile X Awareness Day. 

When I arrived to pick Hayden up he came out of the building very heightened & immediately stood at the passenger window leaning in, yelling at me, spitting a little bit in the process, & refusing to get in the car. At one point he did open the door & started punching me in my arm which quickly turned to trying to trash my car-- by throwing anything & everything about-- whatever was within arms reach. When the staff was able to move him towards the building he then proceeded to move whatever else he could-- this included planters & a sort of outdoor storage box that they use for deliveries. Pretty quickly he turned his attention to the landscaping & then they had him surrounded with blue gym mats-- to help contain his wrath I suppose & for mutual safety. This was all unraveling out in front of the school, during pickup time, for all to see. 

At this point Hayden was on (& pretty much covered in) the ground, tearing out plants & flowers, & then he uprooted a small tree. By himself of course, & needless to say with his bare hands. An entire small tree. There was no landscaping left in that immediate area to the left of the school entrance. It was thrown about along part of the grass & walkway. looking similar to the aftermath of a storm. Enough time had passed that I missed my appointment-- I had arrived a few minutes early to get home in time for a virtual appointment. We were supposed to have a follow-up with the Fragile X Clinic that afternoon.

Can't make this stuff up if I tried.

Eventually when Hayden was calm enough I handed one of the nurses the spare bag I keep in my car & they brought him back inside to change his clothing. I have to say we did see glimpses of Hayden in the middle of all this, while that damn x was rearing its nasty head beyond his control-- he may not be able to suppress it, but you can actually witness moments when he works around it. I mean at one point when they were bargaining with him to get him inside to change, he looked up & smiled in agreement-- through his dirt-covered face, hat, & everything else. It made me think of the grilled cheese sandwich in culinary following that CBI incident. These are some of the moments that pain my heart so much it feels like it could break. I absolutely hate what that fragile x gene does to him.

Anyway, Dan ended up abruptly leaving a meeting so he could leave work to meet me nearby & follow us home. The original plan was for him to meet me at the school because I didn't feel safe traveling with Hayden, but he seemed calm enough for me to start driving & we decided not to add a transition. 

Last month I shared a memory on Facebook that is very heartwarming to me, from when Hayden finished elementary school. At the time that I shared it, the local Seniors were finishing their last week of high school classes-- the graduating Class of 2024, which is technically Hayden's graduation year. Even though, as I've explained, school for him will continue with a Young Adult Program until age 21. This memory I shared was one of-- (not the only one, but one of--) the last positive memories while he was still a student in-district. I explained that suddenly there were new hires in the Administration & although these people are no longer part of our local school district (& have been gone for years), at the time this change was very negative. Then I added in my post that even though Hayden landed on both feet in a wonderful place, between the abrupt change all those years ago & more unexpected changes that we've been faced with since then... I wouldn't wish this journey on someone else. Doesn't change the fact that we feel beyond blessed for the teacher he had at his last school, as well as the teacher he had the past couple of years in his current school... & certainly doesn't change how grateful we remain for the experience Hayden had through the end of elementary school. I was just pointing out that this one memory-- from nearly eight years ago-- was one of the last great memories when he was in district. 

People we've known since way back when added some very heartwarming comments-- people who were arguably as strong advocates for Hayden as us. Then, suddenly, someone had the nerve to send me a nasty message on Facebook after they saw that post, to actually tell me how insulted they were. I do not have an explanation for this, but after I picked my jaw up off the floor I responded by saying, "I beg your pardon but you were not responsible for what happened." But that didn't stop them. They even added that despite me, they will always have love for my son (?) & I need to get over myself. At this point I ended the conversation by wishing them well-- with whatever they were going through, which clearly has nothing to do with me-- & I also said, "Your words actually make so little sense I'm borderline concerned your account was hacked." There was no additional reply after that so I unfriended them. 

I will not get over myself. For the rest of my son's life there will be people whose job it is to be responsible for him. Let that sink in & then try to tell me I should get over myself. Hayden is not my job, he is my life. Being an advocate for Hayden is a combination of never-ending support & gratitude for anyone who does right by him-- I've always said there's a reason that we hold those people so dear, & are forever grateful for those who have remained a part of our life. But another part of being an advocate is of making sure that other people do not do wrong by him or if they do, we get to work & we use our resources & our knowledge to right that wrong. I know that x chromosome seems endless & very strong sometimes but all the more reason why I need to help Hayden navigate through it.

Should anyone ever be insulted by what I share, then please don't read what I share. I am endlessly & unapologetically going to continue doing what I do. 

Thank you from the bottom of our hearts for joining us for another month of awareness! I remain confident these efforts will guide the community to acceptance. xo

Monday, March 4, 2024

hope springs back

Spring fever. Nowadays this is synonymous with behavioral changes or mood swings which coincide with the season. But historically-- you know, 200 to 300 years ago-- spring fever was also known as spring disease because of a common seasonal illness which was actually not allergy-related at all. Symptoms were mild to severe including fatigue & malaise, to bone pain & hemorrhaging of the scalp & gums. Who knew! I wonder if it had to do with poor hygiene & warmer weather meaning people were spending more time together, & therefore contagious diseases had more opportunity to spread? No idea. But now the term is somewhat downgraded & practically slang for simple restlessness. I only ever knew of spring fever in that context & I thought it had to do with a post-winter mindset of people no longer being cooped up. 

Until Hayden. Because he has way too many behavioral challenges almost like clockwork this time of year, yet he is not what I would consider cooped up during wintertime. Often times snow or rain or temperatures for that matter, will not stop him from dragging his bike out or playing in & around his shed. Sometimes, because of the weather, I am trying so hard to get him to come back inside that it turns into an argument. This is why his spring-fever-like symptoms never made sense to me-- he's not emerging after being cooped up! 

More research & reading taught me it's not just flowers blooming & baby animals coming out of hiding, or the Easter bunny & egg hunts, or families gathering for Elijah at the Seder table. Or maybe you're a glass half empty kind of person & you associate springtime with mud, bugs, pollen, brown grass, & bare trees that have lost their magical winter twinkle. Our surroundings are in limbo & I've learned that research shows especially for people with ADHD, or depression, or bipolar disorder, this time of year can trigger manic episodes or other heightened symptoms even more.  

As Hayden's mom I associate springtime with IEP season, also the prerequisite to the one season of the year when his typical daily schedule is abruptly & significantly reduced, & worst of all the season when his behaviors always increase. Personally, daylight savings does not make me feel like I fall back or spring forward, but rather quite the opposite... as if I am falling forward and springing backwards. March Madness, pun intended, would be more accurate.

While the duration of Hayden's behaviors is often less than in his younger years, the frequency really isn't. As far as the severity, that fluctuates. But one major difference versus his childhood is dealing with said behaviors in manhood. And it sucks. It's emotionally draining, & sometimes scary, & needless to say he is not just going to grow out of it-- like teething, or terrible twos, or puberty. 

When I started this post I actually had no idea that today is National Son's Day. This observance was started only about five years ago by a mom of sons, who apparently created this because there was already a Daughter's Day. Well, I started this year's National Son's Day with a conversation with one of the behaviorists at Hayden's school. He was sharing some challenges they've had as of late, & I shared some of this seasonal perspective with him... as well as offering whatever possible insight that I could, when said behaviors occur.

Most of you know there are select staff who have supported Hayden similarly in previous schools... the special few who see right through Hayden's behaviors & they know it's not him talking (or worse) & it's not him being destructive. It's that damn gene. 

The BCBA shared with me that when he walked Hayden to my car after school on Friday, Hayden said to him-- (something along the lines of--) I know you're just trying to help me. Upon hearing that both my heart & eyes seemed to swell but with a lump of pride in my throat & a cracked voice, I said that was very mature of Hayden. As always I made sure to express my gratitude in keeping the lines of communication open, & also for doing so in such a way that is less reporting & more sharing & brainstorming. Hayden sometimes takes a break by chilling out in his office for a little bit & before we got off the phone the behaviorist said, "I have to admit it's partly selfish. Hayden just makes my day."

From the glass-half-full perspective which I am less likely to recognize this time of year, it is people like this BCBA who give me hope in this world. And maybe even springtime. 


--

Wednesday, November 1, 2023

mrs. capela

Mourning someone once is a process in itself but mourning them twice is a different kind of heartbreak. The only thing bearable is if they're not aware of it. Let it be tougher on the rest of us, that is fine... because knowing they're comfortable does give us peace. I was talking to a childhood friend of mine and I said when my mother-in-law got to the point that she didn't know who any of us were anymore, still every now and then when there was a smile or a glimmer of engagement with us-- maybe she even knew someone's name-- I swear we could almost get lost in the moment. As if she only had temporary amnesia instead... that somehow she would magically get better.

So now I am writing to you because that's how I cope. Your health took a bad turn about a week ago after you fell. As Dana said as much as this hurts and we are devastated, you will be better off in heaven than living a life you can not remember. 

But here's what I remember. The first time Dan introduced me, you and Dad were cleaning out the Perry Street house. Infamous Perry Street I would soon learn, with the Capelas being one of five families who raised their kids together... different siblings among them are still friends to this day. Anyway it was evening and you were both elbow-deep in everything you were doing, but perfectly kind. Even though there wasn't much conversational exchange that night... we didn't have a meal together or anything... Dan and I were just stopping by. But eventually there were plenty of dinners, a Yankees game, and various specific family events I remember from very early on. 

We probably all remember my first Easter dinner-- but in my defense it's not that stuffed shells were new to me, it's just not my favorite cheese. That didn't stop Dad from asking me what the heck I was doing-- gutting those poor pasta shells. But while I was also of course the only one at the table not eating your cherished meatballs, for some reason Dan didn't say to heck with me. At least my future son would become arguably your favorite customer of all time. And you know stuffed shells and meatballs aside, years later Dan said since I'm short with brown hair, my name ends in an "a" and my middle initial is "M"... I blend anyway. I also remember my first Christmas with the Capelas. I was so excited to get a stocking-- I think it was filled with toiletries, candy, socks... those sorts of things. Whatever it was, I loved it. We bought you a sweater from the mall and the style was a little bit too fitted for your liking, but I learned to shop much better for your preferences. Over the years we would buy one another lots of purple things and for you, I new anything decorative with cows was always safe.

I remember your excitement for all of the milestones... engagement, wedding, baby, birthdays, etc. You were also both at our home together with my parents when Dan & I went to that first pediatric neurologist follow-up, after Hayden's surprise diagnosis. Every step of the way our memories are inclusive of you and Grandpa. You were both always present for school events, like music concerts or Halloween parades. I hear your voice all the time talking to Hayden, "My guy," you would say. Your grandkids were your world. Logan, Kaitlyn, and Hayden pictures everywhere-- and so much thought with the PA house to accommodate having the kids there. And then Abby came along and re-ignited that twinkle in your eye even more. (Thirteen years between the youngest and the oldest, yet somehow their birthdays are barely a month apart.) 

For most of Hayden's school-age years we would spend time together weekly. When Hayden was very little you would be at our home for him one day a week when he got off the bus, and we would usually get pizza for dinner from the same place every week. You always had the NJ12 local news on the television in the background. Maybe, possibly, complaining about the dog. Dad would say with a smile, "Angelina, relax! Relax like a big ball of wax!" He gave Sammie a treat every time you walked in the door and would sort of box you in with the ottomans after you got situated on the couch, to keep her away. Eventually Dana and Rob moved about fifteen minutes away and you would make the rounds to see all your grands! Once a week-- usually stop by our house and then go there. 

When Hayden was around middle-school age, it was sometime during those years that you became a bit more withdrawn and your visits were more routine than anything else. If you spoke you would re-tell the same childhood memories, typically stories about your cousins and about living in Newark. But eventually you weren't really engaging with us much at all. 

But what I can promise you, is that we will forever hold all the memories that you no longer could. 

When you had to be moved to memory care a few years ago and Dad was moving south with you, it was overwhelming from various perspectives. The least of which was going through each room and all the decades of memories they held-- many of which were first moved from Rockaway, and then Hackettstown. Piles of odds and ends were set aside for donation, or even the dumpster. But I wouldn't ignore all that and I would take a moment to go through them, each time we were at the house. Here and there just a small number of things would come home with us. I noticed how Dan started to recognize and appreciate reminders of you that I put to use or found a nice spot for. And then I remember Grandpa holding that woven blanket decorated with the 12 months-- a holiday or a seasonal design to represent each one. It was always draped on the sofa and folded to display the one end that says the family name just above the bottom fringe, near October, November, and December. Anyway, I remember that moment because he looked at me as he held it up to hand it to me, and he said, "you're The Capelas". Now the blanket is often draped on a sofa in our home, too. 

I hope where you are, in addition to regaining time with loved ones who went before you, that you are doing all the things that made you who you were. Whether it be finding all those sales-- from a department store to a yard sale. (I love how you sometimes picked up something purple for me... I still have one of those little purple glass bowls, I use it all the time.) Or maybe where you are, you can clip all the good coupons from a Sunday paper... make delicious food just like your mom did (so I am told)... definitely tell silly but witty jokes-- (I mean the way you and Dan would go back and forth to the point that we couldn't catch our breath, my parents still talk about that--)... and of course loving and watching over your family and grandkids. 

We are not just continuing on without you, because in truth we are all blessed to continue on because of you. I may share the name but you will forever be the Mrs. Capela. I know I hardly speak for myself when I say I will hear your voice and picture your smile often. Thank you for my beautiful family. And by the way sugar doesn't count anymore so please enjoy all the sweets your heart desires! 





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Tuesday, July 18, 2023

parent or guardian

This Fragile X Awareness Month post is brought to you by equal parts gratitude and grief.

We're in a new phase right now: Guardianship.

According to the law, Hayden is legally an adult now. So that means we have to apply for something called Guardianship in order for there to be certain safeguards in place. Parents can begin that process through a private attorney or through Arc.

The Arc of NJ supports children and adults with disabilities and where we live it's the Sussex County Arc, or SCARC. Guardianship should feel like a relief I suppose, but as a process it is not fun. It is not only lengthy including all the steps, and time consuming forms and evaluations... but on top of that it can be costly. More so if you need or choose to use a private attorney (roughly up to $4k or $5k). But I was still surprised at the many fees (and some hefty!) even if you file without one. It's up into the four digits either way. You also have to re-file every year-- while not at the same level of expense or time, Guardianship is still not a one-and-done process. It also needs to be established in order to maintain decision making with regards to healthcare, and to be able to apply (or re-apply) for other state services, and much more. But the problem is there's a window of time in between when you temporarily lose some of that access as soon as your child turns 18, because you can not proactively have the Guardianship already established. So at that point you're at the mercy of the state's timeline.

I've learned we are lucky that we are able to file through SCARC, but even more so as Sussex County residents (because they also offer Guardianship services for other counties with Arcs that do not). They have been beyond wonderful. I sometimes think about the slogan on the road signs when you cross over the line into the County, and it says "People and Nature Together"... and how that did not sound like something I would want. The first time I saw one of those signs I didn't even know what to think. I grew up in an upper middle class, suburban neighborhood about 25 miles from Manhattan. When Dan & I moved to this unfamiliar County shortly before Hayden was born, and then learned of our son's diagnosis when he was 17 months, there were needless to say a ton of concerns. Among them, was the fact that we now lived in a rural area. And not knowing what that would mean as far as services and support. And we made assumptions that perhaps a different County with more population, could mean more money, and therefore better resources. We were wrong. Instead of a smaller population of people per square mile translating to less local services, for the most part its meant a little less struggle to compete for providers and availability of said services. My mom recalls this coming up in conversation at one of the specialist appointments early on in our journey, and in response to our concern they said I wouldn't be so sure. And commented that it may work to our advantage.

The Guardianship process itself is a difficult pill to swallow, though... the whole paper trail... I hate the wording.... we are listed as plaintiffs in the manner of an alleged incapacitated person. Our son.


Establishing Guardianship is streamlined for everyone... even a person having been born with a medical diagnosis of fragile x syndrome, for which there is no cure. It's further absurd that persons with disabilities are also required to register with Selective Service, even if their disability would not qualify them for military service. Filing for Guardianship for some people, should automatically cancel out having to register in the Selective Service System.

For as much as Hayden doesn't understand, he also notices nearly everything. He has seen these big envelopes arrive in the mail, he's seen me filling out forms, and he has overheard me on the phone. I also had to try to explain to him why we were going to have a virtual conversation with someone we didn't know (evaluation by a SCARC-appointed psychologist as part of the process), And then I tried to explain why he was leaving school early one day for an appointment with someone else unfamiliar to us, as part of this thing I kept calling "Guardianship". I chose to say something along the lines of... we have to make sure the state knows that we're taking of you, because some people when they're your age can make other adult decisions. Your Guardianship is to make sure they know we're helping you with those decisions. It was not that exactly, but when he still seemed a little bit confused I said that his aunt did the same thing for his cousin a couple of years ago (my niece with Down syndrome).

We had a lot of hiccups with the Physician Certification portion which I don't have the energy to get into. However, if you are a parent who is going to be going through this in the near future, I will gladly explain and answer any questions I can. I am eternally grateful for the moms who did the same for me! At this point I am just hopeful this necessary evil will be completed soon. We will be in receipt of a hearing date and when the case is filed, a court appointed attorney will be assigned to represent Hayden.

This doesn't feel like a happy occasion to me, but I use this blog primarily for awareness so that's why I'm here! On that note, since Hayden's birthday is a week before Fragile X Awareness Month, we happen to be going through this Guardianship process during a lot of awareness being promoted. And World Fragile X Day is coming up on July 22nd! Be sure to post on social media and tell people why! You can wear green, or any other color in the NFXF logo. You can share informative social media posts from the National Fragile X Foundation's page or photos from FRAXA's page-- they coordinate with people in different cities to have landmarks illuminated in blue or teal for awareness on World Fragile X Day as well.

As in previous years, Hayden has his annual page to support the NFXF. Donations can even add up to a chance for Hayden to win some fragile x swag! Another way to participate in the awareness is to simply share his page through this link!

From grief to Guardianship to gratitude... this is certainly a different parenthood journey than we expected. Yet right on par with both the likeness and uniqueness of Hayden.

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Wednesday, October 26, 2022

community

Let's jump right in with this one. There are some side stories here, but what prompted me to write this are some of the dangers which individuals with hidden disabilities face. 

Neighbors who do not know us, but moved to this neighborhood a couple of years ago, recently called the police one afternoon because the daughter was fearful of Hayden's behavior.

There are only a handful of homes on our street and there's a short hill at the bottom where all the mailboxes are. Hayden enjoys going down to get the mail, and I can just see the top of his head from our front porch when he goes to get it. A couple weeks ago something happened at school and unfortunately Hayden was upset and heightened, which more unfortunately carried over even after school. It also happened to be a Tuesday, and sometimes Hayden is very distracted by things that people may have put curbside for garbage pickup the next day (pickers and scrappers are among his top interests). Sometimes neighbors who know us even give him things, luckily (usually) with our permission.

So that particular afternoon we were just about home and before we made the turn onto our street, we passed by a young lady on the right and she was walking a small or medium size dog. I did not see her face because when I glanced over her back was turned. I brought my stuff in the house and whatever else I needed to bring in from the car (with the exception of Hayden's backpack which was still on him, but it usually is not when he gets the mail). Then I got the dog settled and Hayden should have been back in the house by then. So I went outside to get him and I could actually hear him before I even went out the door.

I saw him and another young man who I did not recognize, and I heard the young man say, "Well I don't know you either..." And so as I was walking towards them I said to Hayden, "Hey, Bud-- why don't you go bring your backpack home?" And he angrily replied no, so I suggested he go home and call Pop Z to ask him how his appointment went. And Hayden said, "He's busy," and I said he wasn't and that he could go call him. He actually started back up the hill and before I turned to follow him, I had a brief conversation with the young man. Without knowing exactly the context of what happened I went ahead and apologized, and then I briefly explained Hayden has special needs and sometimes he gets heightened... and the young man seemed understanding and explained that his dad told him to come outside because a neighbor called him, that something was going on. 

When I asked the young man what happened he didn't seem like he was entirely sure, but I believe he said there were two girls who were outside, and Hayden was saying stuff... but at that point there was no one else around (anymore) except for an older woman walking into her home, and those neighbors know who Hayden is. I think I said we live up there, pointing behind me, and then I asked him if he was a neighbor and he pointed in the opposite direction. He was very cordial and I went back home-- I felt bad but there didn't seem like there was anything else for me to do, and I thought that was the end of it.

For approximately a month and a half to two months now, we've had a rough patch with fragile x behaviors. And as I have said many times before, in the interest of sharing our perspective-- which can not possibly be obvious to everyone else-- I try to use challenges as an opportunity. Most importantly to hopefully protect Hayden. 

On October 1st I published a blog udpate which didn't generate much attention but in that update I talked about some of the turnover in our neighborhood. Unfortunately there are unfamiliar people who have already had to get our attention from some of Hayden's recent behaviors. We can hardly ignore these situations and we can't just expect strangers to blindly understand. But trying to tell people they are not in any danger... it's not easy. Separately, we are also trying to help Hayden through working with his school (including one of their BCBAs), speaking with his developmental pediatrician who manages his medication regimen, and also making sure our care manager and providers through Perform Care (state services) are aware of what has been happening. 

So back to that particular Tuesday afternoon, by the time I came back in the house after the brief interaction with the young man, Hayden was already on his way outside again. I watched him go to our neighbor's house (they're friends of ours), and a moment later she called me. I knew he was still a little heightened, so I answered the phone, "I'm sorry--" 
I don't even know that she heard me but she said Hayden was over there having some matzoh ball soup. I looked down at my phone and noticed she had texted me a couple pictures of him with the soup. I said oh, okay, and thanked her... not what I expected, but of course I was appreciative. She said she just wanted me to know where he was--- and I said I saw him walking down their driveway. I think I mentioned something had just happened down by the mailboxes, but we got off the phone pretty quickly because suddenly there was loud pounding on my front door. 

Two police officers greeted me when I opened it and immediately asked if my son was home. I recognized one of the police officers from Hayden's birthday, back in June. It was early in the morning that day, 6:45 or 6:50AM-- I know it was before 7. The people who live directly across the street from us had called the police because they said our dog was barking. Different dog than the one we have now, but that's another story for another day. The only thing I will say is that we do not get along with them... they have bullied us on and off for as long as I can remember (online and offline), and their late dog is part of what started the tension between us in the first place-- many years ago, even before we had Sammie. Unfortunately they used to allow their dog to roam free, simply because she didn't run away. But she also did not understand boundaries so not only did she go the bathroom on our lawn countless times, she even pooped on our deck as well as in our basement (it's exterior access). They would get angry with us for reacting to this, and one time the wife even yelled at me that you can't teach an old dog new tricks. She was not able to recognize she essentially admitted their own fault. 

So the most recent stunt back in June, on Hayden's birthday, was a claim that the time and length that we "allowed" our dog to bark was against town ordinance. I believe it states for no more than thirty minutes, between 10PM and 7AM. And truthfully, for our own sleep schedule but more importantly our son's-- it is not okay with us for our dog to be barking for that long, especially during those hours. Nothing ever came of it because they were exaggerating and at the end of the day, it was just another way for them to bully us. 

But anyway, one of the officers who responded to the incident I am writing about, was the same officer who responded about the dog back in June. So back to this current incident, they came to our door and asked if my son was home. I told them that Hayden was at my neighbor's house (I think I even mentioned he was having soup). They asked which one so I pointed, but I explained he has special needs and they could talk to me instead. They either asked or said that something happened by the mailboxes, and I told them about my brief interaction with the young man who had been outside at the time. 

By the way, behind them I did notice a man pacing back and forth in the street in front of our home. I still don't know who that was but he seemed to be checking up on things. Maybe it was the Pastor-- I'll get to that in a minute. 

The exact conversation with the officers is a blur, and partly because that was one of two times that the police showed up at our house that afternoon. Because by early evening they were back again-- it wasn't even dark out yet. But from the first time they showed up that day, I still did not know very much context-- just that a neighbor had called the police because of some sort of incident with my son. So when I saw my neighbor (the friend with the soup), because she came outside to say hi to our dog before they were on their away out again, I told her what happened. She was so confused how they, too, had missed the whole thing because they got home right around the same time as us. I told her the little bit that I did know, and a few minutes after they left she called me. She already got the scoop and she said it was not good. 

It turns out the young lady who we passed on our way home is a middle school student at a private school, and she was walking another neighbor's dog. So I guess she was still down near the bottom of our street when Hayden went to get the mail. They both live in our neighborhood although neither one of them actually lives on our street-- the girl, and the neighbor whose dog she was walking. The home where the dog is from is much closer to us though.

Not sure what started the interaction between Hayden and the girl with the dog, but like I said Hayden had been heightened that afternoon. And the girl felt cornered and scared, so much so, that she facetimed her mom who I believe is a police officer in Essex County. Her mother said she was leaving work to head home and told her daughter to record everything so she would know she was safe. 

Either the mom or the daughter called another neighbor for help, a Pastor I believe, who lives maybe two houses down from theirs. (May have been the man I mentioned, who I saw in the road when the officers showed up.) I believe he is the neighbor who then told his son to go and see what was going on. The son is the young man who I spoke with in the street earlier. 

An hour or so later I was able to speak with the mom because my neighbor who had called me, gave me her phone number, because they know one another as well. When I was on the phone with the mom she explained that she was the one who called the police, and she said she would not have if she knew who it was or who we were. We had actually met very briefly when they just moved to the neighborhood. They had taken a walk up to my neighbor's house, and she lives just diagonal across the way so we were out in the road and had a quick introduction. I remember Hayden being outside at the time with his bike and trailer, and my neighbor was telling them how my dad is always building stuff with him-- the trailer being one of the latest examples at the time. This was a really quick interaction though and they truly may have forgotten. 

I sincerely apologized for how Hayden made her daughter feel and I explained that no one was in any physical danger. And not that she would know this, but I also wanted to explain that Hayden seeing the phone most definitely heightened him even more. He knows that whatever he was feeling to cause him to behave in such a way, was not how you're supposed to behave. And just as his mind can get stuck, his body can too-- so unless she had walked away and ignored him then he would not have been able to begin de-escalating or move on. I was not accusatory in any way whatsoever... I was only sharing for perspective and maybe understanding. But I imagine this was a lot for the mom to take in. And worse, I also learned that Hayden said something to the daughter about going back where she came from... or going back to her neighborhood... I am not sure. I can only guess that he literally meant for her to go home, probably because he wanted to be left alone and for the attention to be taken off of him. But the facts are (a) she was afraid and did not realize he has special needs, (b) he is a young white guy and (c) she is a young black girl... and it stands to reason how his words could be misinterpreted.

They would not know that racism isn't even in Hayden's vocabulary. They would not have known that we are an interfaith home. And truthfully, there is no commonality between my ancestry and Dan's. We do not even share the same political views. For such a small household, we are actually quite diverse.

Later on that evening, Dan suggested I ask the mom if a brief introduction between Hayden and her daughter might be beneficial for both of them. She was very receptive and I said you're welcome to come out and say hello if you see us walking by with our dog, or we can kind of set a time... and she said weekends are best... so I reached out that Friday and said we would be around the next day... but unfortunately I did not hear back after that. 

At some point in our conversation though, I did explain how I used to speak with the students every year from 1st through 5th grade (until Hayden went out of district), to have a conversation about fragile x. I never called attention to things they didn't already notice, I was just explaining why they may hear speech or see behaviors that are different. But I also wanted to reinforce for them that he has a lot of the same interests as they do. I shared a flyer with her that I used when Hayden was in middle school, and I said she could certainly share it as well-- with anyone who may be interested. 

But during this part of our conversation she also said if I had approached her, she would have definitely appreciated that. As glad as I was to know this, I said I honestly never went to any homes in our neighborhood to introduce myself and/or distribute any information about fragile x or Hayden. I said there was never any appropriate opportunity or setting I suppose, and for me personally, unfortunately I don't feel comfortable doing that. 

As previously mentioned, yes, the police were called to our house twice that afternoon. The second time there were three officers. One of them was one who had been there earlier (the officer who had responded about the dog on Hayden's birthday), and another officer was someone who knows us a little bit... years ago his sister had worked with Hayden. Also, not sure he remembers this, but he was the officer who responded when the bullies across the street called the police on us another time, years ago, over our (now) late dog. Again, something about barking and in the same breath they were accusing Dan of vandalizing their truck by blowing leaves on it. Unfortunately for as long as we can remember they have encroached on our property. While we never vandalized anything, they have always parked one or two of their vehicles next to our property line. And in addition to the vehicle or two, there was (until recently) a boat and trailer as well. And before that it was a camper. And this little area that they have assumed as their own-- even went so far as to put a little retaining wall of railroad ties (with reflectors) and had gravel put down (twice)--is not their land. But it is not ours either. It's across the street from their house and it is owned by the water company in New York. And I don't think the water company cares what the heck they do, as long as they are not blocking access to the water tower. One time said neighbors even mailed us a letter to say that they have permission to use that spot, and included verbiage such as, "don't make us contact our attorney." I am borderline embarrassed for them, but either way we never complained enough to fight to have their stuff removed... because they would retaliate to no end. They are the reason we finally got security cams around our home a few years ago. 

As far as what just happened with the police being called, I don't even know who the neighbor is who called the second time that day. (It wasn't those neighbors though.) I just know that it was also in response to Hayden, but the police were rather vague. 

What I do know, is that there needs to be some sort of protections in place for individuals like Hayden. I wish I knew what or how. There's no sign for that-- like the yellow ones you see in a neighborhood to alert people of a "Deaf Person Area" or "Blind Person Area". This is for the safety of those persons. 

For the most part, Hayden looks like nothing should be different. I've tried to find statistics about people with hidden disabilities, to better understand the prevalence. NJ.com published an article back in February citing that an estimated ten percent of the country's population has a condition that may be considered an "invisible disability". And NJ alone has the highest rate of autism in the country. Worth noting that among the genetic causes of autism, fragile x is the most common known inherited single-gene disorder... and according to the CDC, a national parent survey revealed that 46% of males and16% of females with fragile x syndrome have been diagnosed with autism spectrum disorder. And if more individuals with autism were tested for fragile x, then we know those percentages would be even higher. 

When we talk about hidden disabilities it means it's not immediately apparent. When people do not have a visual cue to give them some sort of immediate perspective, then they often judge because expectations do not match what a person is used to. Even people having a diabetic episode or seizure can be misunderstood as being under the influence of drugs. 

When an individual with fxs is experiencing a heightened state, it’s called hyperarousal—when their central nervous system is in a heightened state of altered arousal. Any fragile x expert will maintain that individuals with fragile x do not have anger and aggression issues by nature of their character, but may manifest when they can not cope (as with most human beings). The issue being of course that everything is heightened in their world… their senses unable to process all the information around them… their chromosomal defect making them more prone to dysregulation… and thus everything is either under-expressed, over-expressed, or expressed inappropriately… all while they are constantly battling anxiety.  (And neurotypicals think they have it bad.)

A bell curve is often used to illustrate this state of dysregulation or hyperarousal, whereas they can barely process information during those moments. A behavior intervention will not be successful during a state of hyperarousal because their mind has to finish ascending before it can descend. But once they come back down the other side of it, the dysregulation has passed (hence the bell curve) and they are returning to a centered, balanced state of mind. And in Hayden's case, he is terribly remorseful-- he is aware when he is dis-regulated and he hates that it is happening (as I explained when the girl had her phone up, because she was very scared). 

It's inappropriate for Hayden to have a consequence from such an extreme misunderstanding. But in the immediate, we did want to take preventative measure to reduce the probability of a repeat incident. So since Hayden had gone beyond where he should again that day (prompting a second call to the police), we took some privileges away within the context of not listening to mom. And that's all that we focused on. We also said if he was going to get the mail, he needed to come straight home. One time I tried to get him to stay closer to the house by telling him there was a bear sighting. He immediately responded that the bear was gone. 

I know that I have been in countless situations when someone is making me feel uncomfortable so I do my best to ignore and move on. This young lady may have been so terrified that she froze. I never want anyone to feel that way... I never want Hayden to feel as heightened as he can get... and I do not have all the answers. But I will continue to make sure our perspective is known, and hopefully increase understanding to decrease misunderstanding. Because the worst thing is probably not having the cops called, but people distancing themselves from him. I think that breaks my heart the most. 

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