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Posts Tagged ‘glaucoma’

Monday morning, and it was so early.  6am, which meant E & J  & Jonah had been on the road since 4, up since, what, 2:30am?  3?  J stayed with Jonah, cat-napping in the van.  E & I signed paperwork and I gulped coffee.  When they brought Boo in we went over to the toys in the children’s area.

He played a little…

… but was mostly very tired.  Yawning...

I suited up and held his hand as they wheeled him into the operating room for his exploratory procedure.  His eyes grew big and frightened.  “Just like when you were born,” I whispered, looking around at all the metal instruments, tables, and lights everywhere.  “It’s okay angel.  Mommy’s here,” I said.  The part where they put the gas mask on your child is the hardest.  Jonah struggled, scared, then a little bit of spittle appeared at his lips and he went to sleep.  It’s hard not to panic.  A nurse kindly ushered me out and I joined E in the cafeteria while J napped in the surgical waiting room.

When Jonah was brought into post-op, they called me in first.  Jonah tossed back and forth and I kept repeating “mama’s here, angel.  mama’s here,”  until his eyes focused on me.    I gave him kisses, brushed his damp hair back.  Then I saw he was gonna puke so I got one of those puke dishes, guided him up, and held it under his mouth, not a moment too soon.  He puked and puked and puked again, before laying back, exhausted.  A kind nurse brought him a popsicle, which I assumed was really some flavored electrolyte-replacer, and Jonah ate a few nibbles.  I put balm on his chapped lips.  After a few minutes he asked for J, then repeatedly, so J and E both came in to see us.  J lay right down with Jonah, almost, cradling him.  This big, muscular, scarred, toothpick-chewing boxer turns softie with my little broken boy.

Then Jonah pukes all over himself.  We replace the robe.  I catch the puke in another basin.  The room is full of puke trays and washcloths and tissues.   Suddenly Jonah says “go baffroom?” and tries to get up, quickly.  “K, homie, let’s go,” J said, expertly guiding both Jonah and his IV pole into the  restroom.  Here I am, all proud that Jonah asked when he needed to go to the bathroom,  reveling in that pride, and as I stare at the restroom door I see a red light flash above it, accompanied by an alarm. “They need help,” I called out automatically.  Someone opened the bathroom door and went in, and I caught a quick glimpse of the chaos within.  Puke and pee and poop, all over the place.

When they finally came out and Jonah came back to the room, dressed in a hospital gown, J excused himself to go wash up.  He’d been, um, spray-splattered.  He was exhausted, nearly gagging, and went off to clean and go outside to get some air and Jonah’s change of clothes.

This man is probably paid twelve dollars an hour.   I might be shooting high on that guess.

When he came back in, he was himself again. “Me and homie on a whole new level now,” he joked, putting his arms around my boy as E figured out all the appointments, coordinating it all.

When we loaded Jonah back in the van, a comfy pillow and blanket set up for him, I watched my boy settle into the soft nest, put his thumb in his mouth, and sigh.

I started crying in gratitude and frustration.  It’s not fair that Jonah has to have autism and have operations and other things wrong with him he can’t even understand, and it’s not fair that people like J and E, and all the caregivers — these amazing, wonderful, patient people who literally care for and watch over our children — are paid so little.  Why? I am not pointing a finger at my son’s school.   It’s like this everywhere.  They don’t have the funding?  Who decides who makes what kind of money?

For that matter, why can’t they institute a sliding-scale tuition based on the parents’ income, and put that money toward salary hikes?  I’d gladly get on board and pay my share.  Not all disabled kids are from poor families.  So the rich disabled kid gets exactly the same free services as the poor one?  It doesn’t seem right.  When the kids become adults I can see the equality, but until then I say the parents who are able to should work together to raise the salaries of people we are counting on and grateful for.

Somehow I got on a rant.  I really didn’t mean to.   Basically his eyes looked good.  Jonah’s left eye had high pressure, but that could have been because he didn’t have his eye drops that morning… so they’ll take a measure in the regular office next week, then see what’s what.

They called me today to tell me Jonah had a one-person takedown (a wrap) to keep him under control.  I was at my doctor’s office when my cell-phone rang, which was weird.  And it’s always a strange conversation, because it’s almost always bad news and so I find myself hoping for news which isn’t that bad.  And there isn’t anything to say – they’re required to call a parent when there is a takedown. Okay then, thanks for calling.  I’m really sorry.  I hope nobody is hurt.  (I know someone is hurt, of course).  Sometimes I don’t even want to know these things.

Sometimes I want to know nothing at all.

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I’m tired, and a little sick to my stomach from thinking about the pain my boo will be in – again.  After the first eye surgery was the first time in his little life that he’d verbally expressed pain.  “Eye hurt!?” he cried, more beg than announcement.  Help me.  Do something.  Why do I feel this way?  And we, helpless, holding him, rocking him, offering him pain meds that obviously weren’t working well enough.

Yesterday my mom and I drove down to see Jonah.  We cycled through our routine – sandwich, bath, barbecue potato chips, black soda (or sometimes, now, cranberry juice), cookie.  Jump jump jump on the bed. Car ride.  “Daddy in backseat?” asked Jonah, but I can’t drive a stick and I wasn’t about to put my mom in arm’s reach of my volatile son, so Jonah had to settle for mama.  On the ride he sang with me and then stared out the window, sucking his thumb two different ways:

Then we drove to the park, and visited the ducks

and he got to swing on his favorite swing

then on we drove, down to the river, where the train tracks run

Jonah and his dad watching the waves from the wake of a ship

When we were done there Jonah wanted another bath and The Wiggles, so we drove back to the apartment…

And all the while he seemed fine –but then he puked.  My mom and I cleaned it up while Andy did the bath part.  I am going to talk to the nutritionist ab0ut the possibility of stomach troubles with Jonah.  He’s been throwing up kind of a lot.

He did very well for his rheumatologist appointment on Friday.  Thank God it was indeed E and J again who drove him up to Albany; I guess it will pretty much always be them.  You don’t know what it means to me to have them.  I will never forget their kindness, to me and to my boo.  Their ability to keep track of everything, keep Jonah busy, keep everything together –it’s all so awesome.  I know I say this over and over but I can’t say it enough.

Still,  I’m not at all looking forward to tomorrow.

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It is Jonah Russell’s 10th birthday today, and time itself must be bending and twisting and teasing me, because I just can’t wrap my mind around that.  I’m off work from noon today until next week.  I was going to drive down to see Jonah after I got off work, but I’m recovering from an ugly stomach bug (I didn’t go to work at all Monday) and don’t want to bring it to him (if he didn’t bring it to me). Plus, I don’t want to upset his special day with an unexpected visit – he won’t comprehend why I’m there.  They’ll have a pizza and cake party for him tonight — and he even gets a present or two.

We had our own birthday party for him at grandma’s house on Saturday; Andy drove him up and grandma had gotten him balloons, all his favorite foods, and cake with chocolate frosting.

Tomorrow morning M and I are flying to Denver, Colorado to see Guster play with the Colorado Symphony Orchestra.  Then back home for two more acoustic shows before (sob) the tour is over.  There is a reason my son learned to sing one of their most complicated songs.  If you click on –> Keep it Together you can see a You Tube video of him singing it, and in pretty good tune & rhythm, when he was 7 — at a time when his verbal language consisted entirely of two-word phrases. (Sorry to long-time readers who’ve heard me say this a dozen or so times).  I guess I brainwashed the child; he was certainly unresistant.  And so together we live happily ever after in Gusterland.

I just sent their album Keep It Together, in fact, to the awesome nursing staff who drive him to doctor appointments.  It was their idea; they said they’d play it in the van for him.  I’m so grateful for the kindness of those who have my son in their care.  There is no better gift to me than to nurture, teach, play with, care for, and maybe even love my little Boo.

PAUSE

At that moment the nurse at his school called to tell me Jonah required another two-person takedown today, after it happening twice yesterday.  I called his glaucoma doc yesterday to ask if the new meds he’d given him (eye drops) could cause pain or increase aggression but they told me no.

I don’t know if I believe this.

I’m going to ask a good doc I know, though, and look into it some.  I don’t want my boy to be in pain, or feeling this compulsion to aggress anymore.

What is it, bunny?  What can I do to make this world softer, better, more tolerable for you?

Sometimes I get mad.  It’s like that scene from Rainman where Raymond’s younger brother Charlie, played by Tom Cruise, loses it while driving in the desert and Raymond insists on purchasing underwear at a K-Mart 5 or 6 states away.  Charlie screeches the car to a halt, throws himself out onto the empty road, and paces wildly, ranting to the desert before returning to his brother, screaming, “You know what I think, Ray? I think this autism is a bunch of shit!  Because you can’t tell me that you’re not in there somewhere!”

It’s the whole theme of the movie, and sometimes the theme of the frustration I feel when I can’t communicate with Jonah the way I wish I could.  Our bright, amazing, incredible little boy has such violent aggressions – and now juvenile arthritis and glaucoma to boot.  It ain’t fair.  He’s so brave.

Despite everything, little Boo, you are ten today — and I love you more than the earth and sky.

Baby Jonah, 2002

Happy Birthday, Sweetheart…

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Tuesday, two people from Jonah’s school drove him up to his glaucoma appointment, and I met them there.  This was his first appointment at a glaucoma doc since they determined he had it.  We knew he had a good chance of getting glaucoma.  In February of 2010 they operated on his left eye, placing a Reticert implant inside (which constantly emits a controlled dosage of a steroid, locally) and they replaced the lens of his eye with a fake one.  Too much pressure in his eye.  Glaucoma was likely, eventually, they said.

In photos you can see his left and right eyes look different.

And so now glaucoma.  At the appointment I was given a brochure called Understanding and Living With Glaucoma.  Its clear, clinical language was interrupted in just one place:  the first sentence (under the heading What is Glaucoma?), which somehow managed to sound both dismal and anthropomorphic:

Glaucoma is an eye disease that gradually steals your vision.

I closed the brochure.  Not now.

During the whole time, Jonah was the bravest little boy ever.  I’m so very proud of him.  The doc was almost an hour late, so we had to entertain him, and the two people who drove him up from school turned out to be incredibly awesome, operating like a well oiled machine.  I don’t mean to say they were in any way cold, either.  E was a short giant of a woman.  She knew her shit.  She was friendly and efficient, and perceived exactly how to handle everyone, from me to the doc to the receptionist.   E put everyone at ease, and kept everything at Def-Con 1.  A compassionate magician of a woman.

She understands the system and works well within it, but she also demands respect and damn well gets it.   I loved her.

With her was J, a muscular young-looking man with a strong-yet-softie look about him.  He and Jonah were like brothers.  (I kept thinking of Rainman:  V-E-R-N.  My main man Vern).  J is definitely Jonah’s main man.  He knew how to re-direct Jonah and did so with a deceptively casual brilliance.  He’d look over at Jonah and say give me the punch and they’d bump fists, Jonah giggling.  J too was friendly and comforting; when I sang with Jonah he said “you got pipes” – and we chatted easily.  He told me he was an amateur boxer, and he was about 10 years older than I’d pegged him for – all the while engaging with Jonah as necessary and wise.  I loved him.

I tell you these people were awesome.  I was so grateful I was nearly in tears.  When other people are in charge of your child, people who are not relatives or even friends, you want to kneel before them as you would royalty, for they have the most important job in the world, to parents like Andy and me.  They care for our little boy.  He will be ten on March 7th,  sharing a birthday with, of all people, Tammy Fay Baker.

Wait!  Wow.  I just searched for “Who was born on March 7th” out of curiosity, and found out Elizabeth Moon shares his birthday!  She wrote one of my favorite books, The Speed of Dark– set slightly in the future, about a man who has high-functioning autism and must decide whether or not to undergo a new procedure to make him normal.  The book is where I got the title for this blog, Normal is a Dryer Setting.  In The Speed of Dark, one character with autism says it during a conversation.  I love that.  Who else was born on March 7th?  Ravel, the composer.  Wanda Sykes, the comedienne.  And even Pam Carter – Wonder Woman’s sister.

But I digress.

Doc was good.  A little cool and clinical, but 99% of doctors are, after all.  (Not you, Jacob.  Or you, Neil. You’re the 1%.  HA!)  Here’s where it gets weird, though.  With both E and J holding Jonah, the doc put numbing drops into Jonah’s eyes (Jonah’s used to eye drops so that wasn’t the big deal you’d think it might be) and then looked through his fancy machine and said “this suture is broken.” He turned to the nurse, asked her for an instrument, and proceeded to (I have no idea how) remove the broken suture from the back of my son’s eye.  Um, okay.  Wow.

Turns out it had been scratching his retina, the suture, and as a result the retina was red and irritated.  “How long do you think it’s been broken?” I asked.  “Months,” he replied coolly.  “At least.”  I looked at the suture he’d set on a tray.  “Could he have been in pain all this time?” I asked.  He paused.  “Yes,” he answered.

But Jonah’s to the point where he can say if something hurts, I was thinking.  After his eye operation, he cried in misery and very clearly stated “eye hurts!”  I don’t understand and I don’t know what to think.

But in a few weeks they’re going to put him under anesthesia so two specialists can take a closer look at his retina.

Then the doctor set me up with the name of a rheumatologist who sees children – something we were told a year ago did not exist in this area…which is why we traveled to Boston Children’s Hospital to get him diagnosed with juvenile arthritis, something all the doctors here suspected he had.  Now, finally, he can be hooked up with a rheumatologist.

There is more but I am tired.  It has been a very exciting day, and I’ll tell you all more about that later.  I have to go watch Tora Tora Tora; my dad said it was the most historically accurate portrayal of the events leading to the attack on Pearl Harbor, and I’m interested in that.

Good night all.  Good night, little Boo.  Sweet dreams.  If there’s any mistakes in this I’ll come back and fix ’em tomorrow.  I don’t have it in me to edit.

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“I been talkin’ to Jesus, but he’s not talkin’ to me…”  ~Guster

Wednesday morning I met Andy and Jonah at the Retina Care Center at 7:30am for Jonah’s eye exam.  The last couple times Andy tried to drive him, they never even made it to the building because Jonah was violent, so we hadn’t been there for a while.  And even though we always ask for the first appointment of the day and it is the crack of dawn, there are always about 9 other patients waiting; I don’t think Jonah’s ever been the first patient actually seen by the doctor.

The staff knows Jonah falls apart quickly – they’ve certainly seen it many times before.  And when I say “falls apart,” I mean falls the fuck apart, aggressing so that Andy has to get him out – biting, scratching, kicking and thrashing – and screaming so piercingly, frighteningly loud you could sell the sound as a special-effects scream for a horror movie.

But Jonah did well this time.  He only needed to be re-directed about 40 times during the course of our 15-20 minute wait.  He begged repeatedly for “ride brown car-ah,” dumped the container of glaucoma brochures, nestled his little face against his daddy’s, asking for hug?, yelling MEOW, walking over toward the exam room and back to mama, announcing boobie!, flopping and flailing on the carpet at least twice.  All this on medication to calm him.

(My friend K just e-mailed to tell me it looks like Thing from The Addams Family is crawling on Jonah’s head, and I laughed my head off.  It totally does.  Creepy!)

It’s funny how you go from being embarrassed by your child’s behavior to not really giving a damn if people think you’re bad parents or your kid is an unruly retard.  It took me a good while to get to the place where you don’t give a damn.  It feels better here.

When they finally gave Jonah his eye exam, though, I was impressed at his cooperation to deal with the dilating drops, more waiting in another waiting room, sitting in a strange chair in a small exam room in the near-dark, holding the black plastic thingee over one eye, reciting his letters.  (How do they get this information from non-verbal patients?)  He tolerated the different slides of  smaller and smaller letters – with both eyes, even.  The doc told me later that his eyes were about 20/25.  After she examined his eyes in another exam room (with fancier equipment he also tolerated admirably), Andy and Jonah went bye bye doctor and I stayed behind to talk with her.

She’s kind, sharp and smart; she was the one who operated on Jonah’s left eye.  I trust her.  I made an appointment for October and left, holding the card in my hand, thinking the next time we bring him, it will be after picking him up where he’ll be living, an hour and a half away, at the Anderson School for Autism.  Halfway down the hallway stairs I stopped walking and turned the card over and over in my hand.  “…where he’ll be living, at the Anderson School for Autism…”

I revisited the thought from a place of detachment, kind of the way you do when you first hear about the death of someone close. There isn’t a right way to react to all that has happened during this past year.  I’ve gone into a mode where I’ve ceased to be surprised by anything at all, where every part of me knows that anything can happen, at any time, to anyone.  Everything comes at us so quickly now, and there is a sense of unshakable urgency.

Yesterday after work Andy and I took Jonah for a car ride, and on the way home there was a beautiful rainbow.  (Whenever I see a rainbow, I stop whatever it is I’m doing to take a picture – even if it means running out into the parking lot at work and getting all wet to do it).   I pulled the car over and took as many pictures as I could before I started to feel like that double-rainbow dude on Tosh.O.


I need to continue to notice things, be grateful for things, believe things.
There is no other way right now.  This is my necessary path.

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