Last week was filled with appointments. Here are the updates:
Elliot saw the urologist — you know, “the tenders doctor!” This was just a follow-up appointment from his surgery this summer to fix an undescended testicle. The doctor was pleased and gave Elliot a quick lesson in self-exam, explaining that Elliot is at higher risk for testicular cancer since one of his was undescended. Paul couldn’t believe the doctor would be so grim, telling a 10 year old he might get cancer. But really the doctor handled it just fine. It is good for Elliot to hear of the importance of self-exam from a doctor who has way more authority in those kinds of things. Did you know that testicular cancer is the #1 cancer in males ages 14-40? Well, now you do.
Chloe got her new AFOs. AFOs are Ankle Foot Orthosis – plastic braces for the foot and ankle. Chloe has worn braces for years. When she was younger, her braces were SMOs (Supra-Malleolar Orthosis) which went up mid-calf. But now she wears braces that only go up past her ankles. These braces help give her support and balance and are a great aid in “grounding” her — helping her realize where she is in space. Don’t know if that makes any sense. Anyway, she has been without AFOs for a few months because we couldn’t get a pair to work for her. I tired of the struggle and just stopped trying. But since she really does need the support of the AFOs, she was finally fitted for new ones. We picked them up this week. My first impression is that they are going to be great for her! She seems more sturdy and solid — the “grounding” part I mentioned before. I will put the new braces on her for an hour or two each day until she’s used to them — her skin is so sensitive, and sometimes the plastic really rubs. But so far, so good!
Zippy went to the psychiatrist. If you remember back before Christmas she tried him on Zoloft to try to calm his anxieties, but the Zoloft wasn’t a good medicine for him. We weaned him off of it the first week or so of December. This week she started him on Prozac, again for the anxieties. We are praying and crossing our fingers that this is a good medicine for him and that it will help bring some peace to our home. (Peace has not shown her face around here very much for the last couple of months.) She also doubled Zach’s Focalin — the medicine he takes for ADHD. She couldn’t believe how active and distracted and crazy he was in her office. ”Well, the obvious thing is that we need to double his Focalin,” she said after watching him do a few back flips off of the table in her office. Just kidding about the back flips. But she was pretty surprised at his activity level. (I always feel like doctors feel a little bit sorry for me at times like that. It’s weird. I don’t think it’s really pity, per se, but it’s something that I can’t quite put my finger on. But it makes me do my nervous giggle and change the subject.) My job for the next month is to monitor him on his new medicine, watching for ugly psych side effects, and to try to decipher if the issues we are still having with him are more ADHD (impulsiveness, etc.) or more Anxiety Disorder (anxious, worried, irrational fears). That is a very tricky distinction. She said with a child as complicated as Zachary that “it all gets convoluted.” Why, yes, I would say so.
I met with Chloe’s teacher and her aide and talked about her Proloquo2Go (P2G). They are very excited for her to use it. But it is tricky to figure out how best to use it at school. Chloe just wants to play with it and reprogram it, but we need to let her see that it is a useful tool – a voice- for her. Very tricky. The aide took it home one night and played around with it a bit. The teacher took it home the next night and played around with it. Then they introduced the P2G at school. I think it went okay, but both days they used the P2G Chloe ended up completely melting down to the point that I picked her up early. It is my guess that it was the P2G that caused great frustration to her. Well, the P2G didn’t cause great frustration. I think the great frustration came when the aide didn’t allow Chloe to have free-reign of the iPod Touch. So it just goes to show that we have some training to do with Chloe, for sure. I still have very high hopes for Chloe and her P2G, but it is a slow process integrating it into life.
And I went to the chiropractor so that she could try to fix me. Carrying 40-pound Chloe is an amazingly difficult thing to do. Lifting her wheelchair in and out of my van is not always an easy chore. Sleeping in all kinds of positions and places while I stay up all night giving breathing treatments is not a kind way to treat my spine. Etc, etc, etc. So I go to the chiropractor, and she fixes me right up. Love her!





