Peter Cottontail

We are a family that loves holidays.  When Chad and I got married, I warned him that I will, someday, become that woman who decorates her whole house for each and every one.  With Nate’s arrival, my ability to decorate has been slowed down somewhat. (Our St. Patrick’s Day wreath is still hanging….and Easter has passed.)  But what we lack in decorations, we make up for in holiday-related treats for Nate and his cousins and friends.

Hannah & Zoe

These are Nate’s friends Hannah and Zoe. Hannah (on the left) is mom to Cubby, who is Hobbes’ cousin.  Small world, eh?

For the smaller holidays (Valentine’s Day, Easter, and Halloween), we try to send a card with a treat, like stickers for the little ones and money for the older ones, to our nephews, grand-nieces and nephews (we have four with a fifth one on the way!), and the kids of our dearest family friends.  Between potty training and weather-related disasters, we totally missed Valentine’s Day this year.  To make up for it, we sent the kids treat bags filled with large Easter eggs that could be decorated foam stickers so they could make a masterpiece like this!

Masterpiece ala Nater Tater

If we’re sending cards, then I make sure to send one to each kid even if they live in the same household because I think it’s a pretty special to find something with your name on it in the mailbox.  In this case, because the gifts were all bagged up, I combined them in padded envelopes per household.  The kids have been receiving them all week and so far the gifties are a hit!

For Nate, we chat with the holiday spokesperson and tell him (interesting that it’s always a “him,” isn’t it?) about certain things that we know Nate will love and are supporting his current goals.  This year, gifts from the Easter Bunny couldn’t fit in one basket this year so he delivered two – plus Nate got a basket of sweets from his Auntie Anne and Uncle Kent!  And to make sure Nate knew they were for him, we used the name card that Ms. Susie created for our family.

Happy Easter!

Each basket had an anchor item with lots of fun things to supplement it.  Big gifts included the brand-new movie Curious George Swings into Spring, which Nate watched two times in a row in glee, and Lakeshore Learning’s Feed the Bunny fine motor skills game, which Nate is obsessed with at school.

Feed the Bunny

Nate also enjoys the line of Peek-a-Boo apps from Night & Day Studios on his iPad.  He loves Peek-a-Boo Barn, Peek-a-Boo Fridge, and Peek-a-Boo People, which uses characters from Richard Scarry’s books to teach professions. Prior to playing Peek-a-Boo People, Nate paid no attention to Richard Scarry’s books, which were my very favorite as a kid.  But after playing it, he started to really study each page in the books we have.  So the Bunny also picked up the Best Counting Book Ever and the ABC Word Book.

ABC 123

Of course, there’s sidewalk chalk (in egg shapes!) for outdoor springtime activities, too. The Bunny, Ms. Susie, and I also had a conference about tasty holiday treats for Easter.  Since Nate’s potty training reward is a Hershey’s Kiss, Nate doesn’t get chocolate unless he went potty.  We didn’t want to mess up Nate’s progress so the Bunny and I asked Ms. Susie if it was ok for Nate to have a chocolate treat or two for the holiday.  Ms. Susie felt if the chocolate did not look like a Hershey’s Kiss, it would be appropriate for the special day.  Well, the Bunny found Grand Slam Bunny, which he had to buy since Nate dreams of being a baseball player.  But the Bunny also found Carrot Patch Pete — how could he not add that to the basket in honor of our family’s newest member!?!

carrotpatchpete grandslambunny

And speaking of Pete, it’s his first Easter in his fur-ever home so the Bunny couldn’t forget him.  A giant jar of catnip and some new toys, including Smacky the Squirrel, a favorite of our late JD and Archibald, filled his basket!

Pete's First Easter

In true fashion, it took Nate a really long time to warm up to the whole affair.  While most kids would tear into the baskets, it took my sweet boy about two hours to even look at the stuff.  He instantly wanted the Feed the Bunny game, which was familiar, and we had to put the Curious George movie in the DVD player for him to get the picture (ha!).  But the rest was too new to be immediately comfortable with. And the funniest thing?  For all of my fretting about if the chocolate treats would mess up Nate’s potty training success, Nate never realized they are chocolate.  The bunnies? Totally missed it and they haven’t been tasted.  The chocolate coins?  Nate thought they were great fun to line up on the windowsill and take for a rolling ride.  However, Nate did figure out that the Lindt carrots were actually hazelnut chocolate and he did enjoy two (kindly asking permission before each one)!

We also colored Easter eggs for the first time, which Nate loved.  After dyeing eleven eggs, Nate didn’t want to end the activity so we also dyed some pasta for Nate’s pasta box.  (Total Pinterest win!)

Dyeing Easter Eggs

We hope your spring is as sweet as ours!

Light it Up Blue!

lightitupblue

As autism affects people of every race and every gender around the world, some smart marketers designated April is World Autism Awareness Month.  And, six years ago, Suzanne Wright of Autism Speaks spoke to the United Nations to get April 2nd designated, in perpetuity, as Annual World Autism Awareness Day.  On that day, there’s a movement called Light it Up Blue, led by Autism Speaks, to have international monuments washed in blue light for autism awareness.  Last year, more than 3,000 buildings in 600 cities in over 45 countries (on every continent!) participated.  It ranged from the International Space Station to Graceland, from the Empire State Building in Manhattan to the Christ the Redeemer Statue in Brazil.  (Go to this link to see an awesome photo gallery of buildings that participated last year!)

Though Autism Speaks uses this opportunity as a fundraiser, our family participates by leaving on our hall light (which is blue) in the evenings.  And on April 2, Nate will be wearing this super special shirt to school, which we bought from CafePress (in blue, of course!).

Autism is My Superpower

Nate’s school also does monthly fundraisers for various causes where kids can, say, wear a hat in exchange for donating a $1 to a charity.  A few weeks ago, I went to a PTA meeting with Ms. Susie, Nate’s lead therapist, where she pitched an autism fundraiser, which was approved!  In exchange for $1, Nate’s school mates will be allowed to wear their pajamas to school.  (Who doesn’t want to do that!?!) The funds will go toward his school’s team in the Autism Services & Resources Connecticut Walk/Run for Autism in May.  And yes, we will be walking (I don’t run) with the team!

So on April 2nd, if you notice blue light bulbs in house porch lights or see a metropolitan landmark awash in blue, know it’s celebrating and bringing awareness to people like Nate.  And if you want to participate, Autism Speaks has partnered with Home Depot, where you will find blue light bulbs for sale; $1 of each sale is a donation to Autism Speaks.

Happiness is….

Apple

There are few things in this world that make my sweet boy more happy than an apple. A bright, crisp apple.  It’s one of the few words that Nate will spontaneously say (it comes out as “app-ah?”) and, if the apple basket is left too close to the edge of the counter, Nate uses his newfound height to taste test each and every one to see which apple is truly the best.  (The last time I foolishly left the fruit basket within Nate’s reach, it took seven tries to find *the* perfect apple.)

Eating foods that are crunchy or soft are part of Nate’s “sensory diet,” which his school-based occupational therapist established a few months ago.  We have seven sensory systems in our body: visual, auditory, smell, taste, touch, vestibular, and proprioceptive. (There’s a really great article about it here.) Your vestibular system is in your inner ear and regulates your body’s movement.  Your proprioceptive system is in your muscles and joints and regulates body awareness and balance.  In order to regulate his body and his behavior, Nate needs “input” throughout the day.  Without it, he becomes unfocused and hyper.  He will jump over and over from high heights onto hard surfaces, spin in circles endlessly (he enjoys the dizzy feeling), and his ability to be productive is severely decreased.  In addition to potty training every half-hour, Nate’s teachers (who do God’s work) also provide Nate with input every half-hour and follow the menu of options that Ms. Jen laid out.

He’s got three menus: Proprioceptive input, applied hourly, which includes skin brushing every two hours (his skin is brushed with a soft surgical brush) plus activities like rolling a weighted ball, wearing a pressure vest, or sitting in a vibrating beanbag chair; Vestibular input, applied every two hours, which includes jumping on a trampoline, rocking in a rocking chair, or spinning on the Sit & Spin; and Oral input, also every two hours (and conveniently scheduled at snack & lunch times), when Nate eats soft or crunchy foods and drinks through a straw. I deliberately pack super crunchy and super soft foods in Nate’s lunchbox and, to work on making choices, Nate gets three snack selections each day.  (Almost always one comes home, unless Nate was super hungry that day!)

By following this menu, Nate’s teachers have seen a huge improvement in his focus in the classroom.  And, somehow, in between the potty training and the sensory menu, they’ve managed to teach Nate some pretty awesome stuff, too.  He’s working on spelling his name and, this week, he identified his name in writing when finding his seat at circle time — with no prompting!!!  (My boy can read!  Yale!  We’re coming for ya!) And he’s blazing through his individual programs at school, too.

So, as I said, when Nate’s eating an apple — part of a healthy and oral sensory diet, he’s the happiest kid I know.  He calms right down, he savors every bite, and he just enjoys life.  I caught this video of him yesterday enjoying his treat.  When I posted it on my Facebook page, Nate’s four-year-old gal pal, Hannah (in Pennsylvania), watched the film with her mom.  She noted that Nate needed to pet Baby Ralph (Nate’s stuffed pup) with his toe because “his hands are full of apple.”  Then she sighed and said, “I think Nater is my bestest friend….” Right back atcha, Hannah.  I think Nate’s pretty dreamy when he’s eating an apple, too.

The Cost of Getting Bigger

Our little Nater Tater isn’t so little anymore. We’re two months shy of being parents to a four-year-old boy (!!!) and this means the useful life of many things we got when he was born are near their expiration.

I assume most parents aren’t in need of their baby monitor anymore; your toddler can, well, now toddle and get in and out of bed on his own.  If he needs something, he’ll holler out or come get you, and he doesn’t need constant audio supervision in his sleep.  Not Nate.  We’re going to be needing a baby (ahem, toddler) monitor for a long time.  Nate still doesn’t get out of the bed if it’s dark and he still lacks the words to tell you what he needs when he wakes up.  Chad and I recognize the different types of cries.  There’s one that makes us run to get him before he hurts himself.  There’s one that means, “Yeah, I woke up but I’m going to roll back over and give this sleep thing another try.”  And then there’s the most haunting of them all: the cry of laughter, which means, “I’m up, people!  I’M UP!  Let’s start our day NOW!”  That giggle has been heard anywhere between 11PM and 4AM.  It’s maddening.

We have two baby monitors – one upstairs, one downstairs.  Sometimes we tend to forget to turn them off so the little green light is on a lot.  A few weeks ago, I noticed the downstairs monitor was on so I went to turn it off.  I couldn’t.  The darn thing stopped turning off.  And it was wicked hot.  I had to take the battery out to turn it off.  Now, to use the downstairs monitor, we have to put the battery back in it and place it on the charger (because the battery’s on its way out, too).  We also recently discovered that we can put it on the charger without battery and it still works.  However, it means we have to be in the room with the charger to keep an ear out for Nate.  So getting a new baby monitor is on the list.  (We’re taking suggestions, folks.)

Old StrollerNew Stroller

P.S. I cannot believe that Chad’s wearing the same shirt in these photos…

Then there’s the stroller.  Chad’s brother and our sister-in-law bought us a really great travel system.  The car seat is long gone and Nate has now reached the height of the canopy, so his head touches it as he sits inside.  (His head touches the canopy whether or not it is fully extended.)  He’s also 34 pounds and I think we’re pushing the weight limit of this thing.  Again, we are going to need a stroller for many years to come.  Nate runs and doesn’t respond to his name so when just one adult is present he’s often in his stroller for his own safety.  The stroller also provides Nate with  personal space so he feels protected when adults and other kids come up to him.  Not wanting to go the adaptive stroller/push-chair route (because a. it’s way more expensive and b. they’re not attractive), we started a search online for a high capacity stroller.  Turns out, they’re all jogger strollers.  Though many friends recommended the BOB, which has a weight capacity of 70 pounds, we went with the Joovy. The Joovy was cheaper (it was $235 vs. the BOB’s $329 price on Amazon — though the BOB is $400 at our Toys’R'Us) and it came with all of the accessories–drink holder, rain cover etc.–that we would have needed to buy separately with the BOB.  It also helped that a lot of the Amazon recommendations said that they preferred this stroller over the more expensive BOB. The Joovy also holds 75 pounds and the good Lord knows that we might need those extra five pounds.  The Joovy arrived last night and we assembled it while Nate was asleep.  Pete was the guinea pig; he approves the new ride.  

Then there’s the ankle braces and the shoes.  Nate’s low muscle tone makes him pronated — a fancy way to say that he prefers to walk on the insides of his feet rather than distributing the weight evenly on his feet.  To help correct this and build up his muscles, Nate wears Super-Maleolar Orthosis better known as SMOs or, well, ankle braces.  Prescribed by his pediatrician and recommended by his physical therapist, Nate’s braces cup nearly the entirety of each foot–from behind the heel, under his foot to the base of his pinky toe, and are tightened up and around the top of his foot and around his ankle.  The braces have made a world of difference for Nate; he falls over less and can run faster.  And they’re super cute!  Nate picked the dinosaur pattern with blue velcro straps.

The braces are worn over socks and in sneakers, so those sassy summer sandals are a no-go.  Because the braces add extra bulk, Nate needs to wear wide-width shoes.  Each time he goes up a shoe size, he needs to get a new set of braces.  Thankfully, the braces have been covered by our insurance so far, but the special width shoes aren’t.  Wide-width toddler shoes aren’t too easy to find and are rarely on sale.  It’s hard to take advantage of online specials, too, because we need to try the shoes on to make sure they’ll close around his foot.  Two weeks ago, I found a store that sold wide-width shoes — and we couldn’t get the velcro to close over the brace!  Thankfully, they had extra-wide toddler shoes (who knew!?!) and those did the trick.  We’re planning on buying Nate another pair of mesh sneakers so his feet can breathe a bit in the summer months.  His socks are often stinky and wet, even in the cold weather, from the plastic braces and enclosed shoes.

First Popsicle!

And then there’s the diapers!  Most kids are done with diapers by age 4 but we are just beginning to pull out of the station on the potty train.  The protocol is to put Nate in underoos – and just underoos – during the training process but, because his ankle braces can’t get wet, Nate wears underoos underneath a pair of pullups.  He goes potty every half-hour and there are a lot of accidents.  In regular diapers, it’s not uncommon for a tot to be wearing one for three to four hours at a time but, when it’s checked every half hour, I can’t bear to make him put a wet pullup back on.  So we go through pullups like water.  And they’re expensive, I think, because the vendors know it’s your last hurrah in Diaper Land and they want to squeeze you for all they can. We go through a case of them every week (we buy them at Costco) – so it’s about $160 a month in pullups.  It makes me miss diapers.  They were so much cheaper….

And the boy keeps growing!  Nate goes to bed one size and wakes up another.  He’s now a 4T in shirts and a 3T in pants but he’ll be a 4T in pants any minute.  I just marvel at growth — no one’s telling Nate to do it.  He just does it, in his sleep, no less.  It’s quite amazing.

After this round of replacements, we think we’re square for a while…we hope….

This Is About All I Can Muster


Snow Day
Today is yet another snow day.  I anticipated that Nate’s school would be delayed today but never thought it would be closed.  As such, I think Nate’s losing the lone day remaining in his April break.  I feel bad for the teachers.  The kids have received a “break,” sort of — but the days were spent as families fretted about losing work and cleaning up after a superstorm and one of the biggest snowfalls in recent history.  There wasn’t much fun and relaxation (not much was open and most of us were trapped in our homes) and the snow/storm days slowly ate away at the February and April breaks.  Now, teachers will have classrooms filled with kids who haven’t had a proper break since December and that just cannot be good.

Today, Nate is bouncing off the walls.  The snow stopped around 2PM but it’s thick, heavy snow.  Nothing’s been shoveled and I just can’t muster the energy to get Nate (and myself) suited up to play in the snow.  It makes me want to take a nap just thinking about it.  So Nate’s bounced on the trampoline, bounced on the couch.  We’ve watched a Daniel Tiger and a Curious George episode.  We played with Pete.  We ate two snacks and two meals.  Nate played golf using a baseball and a bat.  I did two loads of laundry, including a basket of Nate’s friends and favorite blankets.  In short, we are going stir crazy.  I cannot wait for Chad to get home.  (Is he home yet?  No?  How about now?)

I can’t gather enough thought for a singular narrative today, so I figured I’d update folks on what Nate’s up to these days.  He’s a pretty remarkable kid and is growing up at a rapid pace.  He’s very curious (almost too curious) and has really taken ownership over things in the house.  For instance, now that he’s grown (38″!), Nate is tall enough to turn on the light switches.  He enjoys turning on the kitchen light, romper room light and fan, hall light, and bathroom light (which requires him to climb up on the toilet).

Cutie Tater

We’ve got some language but nothing consistent or truly spontanious.  With prompting (which means someone asks or reminds him to say it), Nate can say hi, bye (or bye-bye), open (pronounced “opa”), apple, chip, cook (for “cookie”), Mama (which is often said as mamamamamama and really means “I don’t want you to do this!”), up (pronounced “up-up”), Dad, kitty, shoe, sock, and book.  (Hi, bye, book, and kitty were all words he had around 12 months prior to the great fade.)  Nate can also sign words (apple, eat, up, open, wait — which is usually a sass back at me for asking him to wait….) but almost exclusively when prompted.  Despite a lack of language, Nate gets his point across quite effectively.  He knows how to get an adult’s attention by taking their hand, pulling them to the item, and signing/saying “Up-up” so he can point to what he wants.  Nate also does quite well making choices through his iPad, though he mainly does this at school.  If there’s a snack he wants, Nate tugs at the refrigerator door until it opens, makes his choice, finds an adult (who is always hovering), and hands them the item.  (It’s usually a cup of yogurt or the carton of soy milk.)

Every now and again, though, Nate surprises us.  The other day, Nate and I went to the grocery store after school.  Nate usually eats his way through the shopping experience.  He already had pretzels and was now enjoying a soft frosted cookie.  As we wheeled through the bakery section, Nate, as he always does, made sure I saw the mini cupcakes.  He points his hand, which he twists in a circular fashion, and makes a bit of noise so that I know we passed something he wanted.  I launched into my usual speech. (“Nathan!  Thank you so much for showing me that! If you hadn’t, I might not have seen it. But we don’t need any today.”)  I never said the item’s name.  We turned the corner to go down the frozen food aisle and–completely spontaniously–Nate hollers, “‘UP’AKE!”  I couldn’t turn the cart around fast enough.  If you say it, you get it, and my boy had a soft frosted cookie in one hand and a mini cupcake in the other.  (As I explained to Nate’s Tutu Kathy, we best start building that stable for the ‘ony.)

Snacky Boy

We have one of the slowest moving potty trains around but it is still moving.  Take #3 began in January.  For the most part, Nate goes to the potty every half hour and sits there for five to ten minutes.  Since January, we’ve probably had 15-20 wins–total.  About 70% were at school and 30% were at home, all of which were first thing in the morning.  We’ve learned Nate has spectacular bladder control–he wakes up dry after sleeping 12 hours and will hold it for another hour to 1.5 hours before finally going to the bathroom. Knowing this, we now need to help Nate learn to use that bladder control for good (the potty) and not for evil (the diaper).  Toilet training has also helped strengthen Nate’s self-help skills.  Ms. Susie reports that Nate’s becoming a pro at pulling up his underoos, pull-up diaper, and pants.  And he’s only had one toilet “incident”: after gym class at school one day, Nate was tired.  The shorter potty with the narrower seat was unavailable so Nate got on the big boy potty with his therapist at his side.  Nate started to get a little drowsy and, before anyone could do anything, Nate went for a swim in the pot.  He seems to have forgotten the affair though (thank goodness!) and no other fall-ins have occurred.  When Nate does have a win, the therapists’ screams are so loud that everyone in the teacher’s lounge knows Nate had a win!  As we enter and exit school, I also tell everyone we see.  Adults cheer!  Kids high five Nate! And Tater just beams with pride.  I’m not sure he knows why exactly they’re cheering but he sure does enjoy it!

No Rest for the Weary

For a period of time during the fall, Nate stopped sleeping in a socially acceptable pattern.  He used to go to sleep quite nicely after 3 mg of melatonin (hidden in a spoonful of ice cream).  The melatonin helped him get through the night but, suddenly, it stopped doing the trick.  Nate would fall asleep between 6pm and 8pm and start his day between 11pm and 1am, with or without melatonin.  It was maddening.  He laid in his bed and hollered “Hello! Hello!” while giggling until someone came to get him.  Then he came in our bed and watched a teevee show while Chad and I hovered in a semi-sleep state.  About three to four hours later, Nate would fall asleep.  (It was easier if we could get a second dose of melatonin in Nate but he often refused.)  If Nate didn’t wake up around 1am, then he started the day between 3am and 4am.   We were walking zombies.  Then, in December, Nate randomly got a 103 degree fever.  No other symptoms, just a fever.  It lasted one day and one night and, for that night, Nate slept through it.  Ever since that fever, Nate slept through the night or has woken up once and goes right back to sleep.   Unfortunately, the anesthesia from the dental drama seems to have reset all of this.  Now Nate can sleep through the night only if he has melatonin — but sometimes he falls asleep before he takes it, which means a party will commence between 11:30pm – 2:30am.  When he wakes up, we just put the melatonin in a small cup of Kefir (like a yogurt smoothie) and he’s usually back to sleep in an hour.  Much more humane than pre-December but still…I’d like to return to those sleeping-through-the-night nights soon.

Imitation At Its Finest

Nate’s imitation skills have gone through the roof and I think a lot of it comes from the confidence he’s gained in PT and OT.  In those therapy sessions, Nate’s learned how to throw and catch a ball, jump (in place and slightly forward), and is really, really close to accomplishing a solo head roll.  PBS Kids has these awesome exercise videos called Dash’s Dance Party and Nate loves them.  As many of the dance moves involve jumping or other gross motor skills, Nate couldn’t participate before but now he can!  If he hears one on the tele, Nate stops what he’s doing and comes on over to imitate Curious George and Dash’s dance moves — and he’s really good at it!  Nate’s also taken to physically acting out one particular Curious George episode and performs the back up singers’ (who are, ahem, germs) dance, the lead singer’s guitar playing (yes, another germ), and other silly moments in the show.  Nate’s also started to do some pretend play; as pictured above, he’ll pretend to sprinkle salt on our meals when we go out to eat.  Neither me nor Chad do this so we’re not sure where Nate picked this up–but at least it’s a perfectly appropriate use of salt.

Organizing Oranges

Over the past few months, Nate’s shown an interest in being helpful around the house, a milestone that we completely missed.  He helps Chad unpack the Costco box of yogurt.  Nate unpacked the oranges from Super Grandpa and lined them up perfectly on the counter.  When asked, he’ll return to the wide-open fridge, close the yogurt drawer, and then close the door.  It’s really awesome and has allowed Nate to be included in a lot of regular family activities.  It might take longer to accomplish but we don’t mind.  We’re very proud that Nate is showing an interest in helping!

Folks, that’s all the news that’s fit to print or, in other words, all that I can muster.  Until next time….

Dental Drama Update

Nater Tater came through his dental drama on Monday with flying colors!  All told, Nate had four cavities (all between teeth), one of which required a crown because it was on the edge of his tooth.  He got a white crown (not a silver one like we feared).  The whole procedure took two hours and included a cleaning, fluoride treatment, sealants on teeth, and the four fillings.  Even though Nate did well, it sure took a toll on his poor parents!

Nate had to fast (no food or liquid) from midnight on the day of the procedure so we loaded him up with as much food as we could the night before.  He fell asleep around 6PM and we needed to be at the outpatient surgery center at 6:30AM.  Chad and I packed activity bags for ourselves the night before and set our alarms for 5:15, which we hoped would give us enough time to sneak a cup of coffee before Nate got up. Unfortunately, our alarm woke Nate up so everyone participated in the fast.  We got in the car at 6:00am and barely made it to the hospital by 6:30 because we got lost.

Monster FishThat is not a normal goldfish.

The waiting room had goldfish on steroids and Nate though they were pretty awesome.  Between the fish and his iPad, Nate had no clue he was fasting.  The admitting nurse helped us get Nate’s bracelet around his ankle (it was placed there so he wouldn’t scratch himself when he came out of anesthesia) and by 7AM we were in a pre-op room.

The night before, we started telling Nate about his adventure.  He’d go to a hospital and he’d get to wear a toga!  He would wear a special bracelet and meet all sorts of fun new friends.  Which he did.  Lots and lots and lots of friends.  For a simple dental procedure, we had a pediatric anesthesiology team of two people, two nurses, the dentist, plus a patient advocate who was there to ensure Nate’s experience was the best it could be.  As we walked to the pre-op, we passed many adults who had already changed their clothes.  So we pointed out their “togas” in hopes Nate would be excited to wear his.  It didn’t work.  Nate thought the toga was dumb and the grippy socks, which were adult sized, were floppy and Nate refused to put those on.

It quickly became clear that Nate was not very keen on this “adventure” so one of his nurses suggested a shot of something magical that makes Nate forget the whole thing.  One minute he was protesting and the next he was quite loopy.  We were grateful for the shot because we didn’t want Nate to have bad memories — and he remembers everything.  (We’ll go to a restaurant and return a year later and he’ll take us to the exact seat we sat at during the first visit.)  After the shot, we dressed Nate in his toga and socks.  One parent was allowed into the OR as Nate went under anesthesia so Chad went in.  He needed to suit up in the sterile cap and jumpsuit and held Nate’s hand (he was totally out of it at that point) until he fell asleep.  Then they put an IV in Nate’s ankle (making it less accessible to pull out when he woke up) and Chad was escorted out.

In Recovery

The dentist called us from the OR to share that he found the additional cavities, none of which needed crowns, and we patiently waited two hours until they said we could go back and visit Nate in recovery.  The recovery room was full of patients all, well, recovering but Nate had a special wing with glass doors, a Winnie the Pooh clock, and drawings on the wall by past patients.  As Nate came out of anesthesia, they warned us that he may become violent and angry.  This is normal behavior for all kids; the anesthesia makes for a weird sleep and they’re very disoriented after coming out of it.  Though his procedure was done on a table, Nate was transferred into a crib to recover.  Concerned about Nate’s past self-injurious behavior, the nurses padded his crib with special foam wedges and patiently waited with us for Nate to come to.  Thankfully, Nate woke up very gently.  He knew things were a bit off and wasn’t one bit pleased about the IV removal but, as soon as that was done, the nurse transferred Nate into Chad’s arms and they sat together in a chair to rest.  Nate’s patient advocate returned with gifts for Nate — two brand new Matchbox cars! — and, after a few sips of water, we were able to go home.  All told, we were in the hospital for four hours.

Once we got home, however, Nate was still loopy.  He couldn’t sit up for a while and enjoyed the Winnie the Pooh movie with me on the couch.  Nate got braver after that and sat up to eat some snacks but standing was still out of reach.  When he tried to walk, it was like a newborn horse trying to find its legs.  By 3PM, he was running but still unstable and he took a good spill and bruised his chin.  By bedtime, he was active as could be and you’d never know anything had been done.

One of the benefits of autism?  The funny things it does to your senses.  The dentist said Nate might grind or chomp his teeth because they felt different or run his finger on his teeth for the next few days.  He might also need Tylenol to manage the pain.  Nate?  Didn’t do any of that and needed no pain killers.  The only difference was he went to bed a few hours later than normal.  Otherwise, he was fine.

Nate goes back for a post-op check up in two weeks, at which point we’ll discuss future dental visits.  I’m not sure it’s worth visiting every six months if nothing can be done.  The dentist does believe that, for the foreseeable future, this is how Nate will need to get his exams and cleanings done and it will occur about once a year, which is an exhausting thought.

Dental Drama

On Monday, our sweet Nater Tater will be admitted to a hospital and put under general anesthesia in an operating room to get his teeth cleaned.  While he’s sleeping, he’ll also have one cavity (that we know of) taken care of and sealants will be put on all of his teeth to help guard against future decay.  More kids than you would think have to go through this but, in Nate’s case, it’s autism at its finest.  The whole dental experience is overwhelming for Nate: the bright light, the masks on the hygenists’ faces, that medicinal smell of the office.  It just freaks Nate’s freak.

Our whole dental drama started last spring.  Up until that point, Nate was a champion tooth brusher.  He’d stand still, open his mouth, and let me and Chad get every tooth squeeky clean.  One day, he decided that wouldn’t do.  Suddenly, it was an incredibly overwhelming experience complete with kicking, screaming, and toothbrush throwing.  With the help of his Birth to Three OT Ms. Katy, we started re-introducing the toothbrush in therapy sessions but we were nowhere near a socially acceptable level of cleanliness.  Toothbrushing was cited as one of our family goals at our very first PPT and has been one of Nate’s daily programs ever since he started public school.  (In fact, it turns out all his classmates could use the practice.  So Nate, his classmates, and his teachers all practice brushing their teeth in the middle of the day!)

After Nate turned three, we realized we better get him to the dentist.  So we found two practices in Connecticut that specialize in pediatric dentistry and working with autistic kids.  The first dental office sent us a kit to help Nate prepare for his first trip to the dentist.  It came with a mask and a dental pick for pretend play and a social story explaining the whole experience.  The social story made it out to be such a lovely experience.  (Click on the picture to see how lovely it should be.)

Instead, our story went like this. Nate arrived at the office and was overwhelmed with the amount of kids in the waiting room, who were playing loud video games.  Nate freaked out at the hygienist’s room, which had really cool and colorful chairs.  Nate swung incessantly at the hygienist, who couldn’t get Nate’s mouth open.  With the help of three hygienists, myself, and the dentist, we managed to restrain Nate to have a look in his mouth.  This was done by having each of Nate’s legs straddling my belly as we held him upside down with his head in the dentist’s lap.  She managed to get in his mouth long enough to discover a cavity and called it a day.  There was no point in proceeding any further as everything could be done under sedation in a hospital.  Nate got his treat (and could have cared less) and we were done.  Or so we thought.

Two weeks later, we find out that our medical health insurance, which covers the operating room and the anesthesia portion of the procedure, was out of network for this dental practice so we had no coverage.  They suggested we contact the other pediatric dentist in our community and go there, as they were in network.  (This is when I’m wondering why no one checked before we went through all of this.) The second pediatric dental office had Nate’s records from the first visit but could not book an OR for Nate without doing their own examination.  So Nate needed to go through the whole experience for a second time just so a dentist could book an OR.  Seriously.

Camp

The new dental practice was a little easier for Nate to take in.  We went first thing in the morning so no one else was around and we were greeted by a sign that said “Welcome New Friend Nathan!” when we arrived.  The office was designed to look like the inside of a cabin and, like the last practice, had video games for Nate to play.  He decided to just sit and take it all in.

Chair

The visit to the dentist’s office went better, too.  Nate was willing to get in the chair (which had a television above it) but only when we were alone in the room.  Once the hygienist and dentist arrived, all bets were off.  We wrestled Nate into the upside down position, the dentist confirmed the cavity, and we set about booking an OR.  Nate scored a water bottle and balloon and we went home.

Prizes

This was in November.  The earliest OR appointment we could get was in January but it was on a date that Chad couldn’t take a day off of work. So our next earliest option was Monday, February 25.  Because Nate’s going under general anesthesia  he needs to have a physical by his pediatrician, which we completed this week.  On the morning of the dental appointment, Nate has to fast.  His appointment is at 7:30AM, the first of the day, but we need to be at the hospital by 6:30AM.  How we will get through the early morning with no food or soy milk or water is beyond me.  But we’ll do it, I suspect, with help from Curious George and Nate’s iPad.

In the meantime, we’ve been continuing on Nate’s toothbrushing program.  After about a month or so of the program being implemented in school, Nate suddenly showed a desire to brush his own teeth at home.  It’s a very specific routine, which Nate created himself.  First, someone has to let Nate into the bathroom.  (We keep the door closed otherwise he wants to brush his teeth all the time.)  Second, Nate climbs up on the toilet and turns on the light.  He gets down and stands on his stool in front of the sink.  Someone gets him his Winnie the Pooh toothbrush with rootin’ tootin’ fruity toothpaste.  Nate sucks all the toothpaste off of it, brushes his front teeth (sort of), imitates you brushing your own back teeth (sort of), and gets his reward: a dixie cup of water.  He drinks the water, dumps out what he doesn’t drink, climbs down from the stool, throws the cup away and runs off to play.  Because he’s been so keen on doing this himself, we’ve been loathe to do the two-person upside-down wrestle to really clean his teeth.  Instead, we’re keeping it positive and fully realize that there are likely more cavities that will be discovered on Monday.  But we feel, for the meantime, that establishing a positive experience is more important and will help establish good habits in the future.

This past Tuesday, there was a huge toothbrushing development at school.  At our last PPT, OT was added to Nate’s roster of school services.  Ms. Jen (his school OT) wrote to say she finally got Nate to allow her to brush his back teeth!  It took body brushing (Nate’s body is brushed with a plastic brush to calm his nervous system), deep pressure with lotion, and joint compressions — but he finally let her do it!!!  Jen’s using a special toothbrush (which we bought a case of ) called Dentrust.  It’s a three-sided toothbrush that gets the top and both sides of a tooth in one swipe.  They’re made in pediatric and adult sizes.  Once it arrives, we plan to use this instead of Nate’s Winnie the Pooh toddler toothbrush for better (and faster!) cleaning.

So dear friends, think good thoughts for our Nater Tater on Monday.  We’ll post updates on Nate’s Facebook fan page throughout the day.  In the meantime, we wish you all good oral health!

Follow

Get every new post delivered to your Inbox.

Join 27 other followers