Thursday, March 15, 2012

HeLLo SuNsHiNe!

It has been absolutely beautiful out! And gorgeous weather = parktime! We went the other day after A got out of school (have I mentioned how much I LOVE having my afternoons back with him!). As I sat back and watched him, I was amazed at how far he's come gross motor wise. There is NO.THING better for OT and PT challenges than the.PARK. Last summer he made leaps and bounds (which I attribute to all our park visits), but watching him on this particular day I was amazed how he was a madman running, climbing, and all over the place with NO falls!


This same day, a little boy came up to Aiden and asked, "How old are you?" Aiden looked him right in the eye and belted out (with great confidence), "I four years old!"

Okay - first off, he's three for a few more days, but I loved how he wanted to take this stance of "I'm a big boy and can hang with the big boys"; and second, he typically never looks at, much less talks to, any strange child or adult without me urging him to answer back. This momma was smiling ear to ear.

A couple days before, I got all three of my kids to come outside and enjoy some fresh park air. Ryan and I played a few good games of tether ball while K & A played hide-n-seek and ran around.

 my girlie-girl.
mom's boys.

 we played 'til the sun went down
(then went out for chocolate shakes!)

my life.

Hope you are getting to enjoy some sun-shiney rays too ... perfect therapy for the mind & soul.

Monday, March 12, 2012

change {the school}

I want to start this by saying THANK YOU to three special CI mommas, my sister-in-law (who is also a TOD), and a pretty awesome AVT who truly helped me through this difficult decision. Your support, advice, and guidance meant the world!

I could go into many details, but bottom line,

...not everything you are told or learn or see is the right thing for your child. Everyone has a different hearing journey and this was not the first time I've had to remind myself, this is Aiden's journey. We tried. We wanted it to work (because it was supposed to). But it wasn't, and the time for change was now.

The oral preschool Aiden attended is a good school for many kids, but it wasn't the right fit for Aiden. He left at 8am and didn't get home until 4pm. By the time he got home, he was worn out; him and I had no time to work together due to me starting my part time jobs right about the same time - taxi driver (aka soccer mom), tutor, cook, among many others.

So even though we were told time and time again, that an auditory oral environment with teachers of the deaf teaching the class would lead Aiden to be mainstreamed by kindergarten, we pulled him.

because it's definitely not the only option of reaching our goals for him.

My advice:

OBSERVE. Just because they say it's the right placement and what your child needs, doesn't mean they'll thrive. I observed MANY times through a two-way mirror, and it was there that I sat and cried as I watched my lil' darling barely talk, not interact much, not do much at all except attend. It hurt my gut.

RESEARCH ALL OPTIONS. In the meantime, I visited (and observed) many preschool classes trying to find the best fit for Aiden. I knew he needed more of a free-choice/centers, get up and move type environment in order to build his social and expressive language. He is a sensory seeker and it takes a lot of input (physical movement) to get output. But he also needed an environment that was at least somewhat acoustically appropriate to start with. He needed a place where I could tell they were ready to embrace his hearing loss and learn all about it, about him (believe me, you can tell who wants to take on the task and who doesn't). Options are a good thing. I didn't rule anything out. Oh, and be OPEN MINDED. Just because they've never taught a child with a CI doesn't mean they can't.

COMMUNICATE. I voiced my concerns with his then teacher and SLP. But the best thing I did was make an appointment with our district's special education DIRECTOR. Not the intervention specialist, not the psychologist we typically dealt with, the director. We had an hour plus conversation about Aiden, his needs, and what his least restrictive environment (LRE) looked like. We agreed he was not currently placed in his LRE and what my options were to fix this. We talked about how we could prepare him NOW to be ready for kindergarten in their district with very little needs outside of an FM. We defined what it would take to make him successful now, not later. I asked her if she'd help me get the district to pay for this LRE (if it so happened to be a (private pay) mainstream preschool).  She said absolutely, then asked if I would come work for her (and later followed up with an email asking if I would help them become a district who didn't have to send their kids with hearing loss out).

I have to say, this meeting was huge. We connected. We chatted. We talked about Aiden's future. TOGETHER. No politics, no IEP in our face, no my side/your side. Just two people with a similar interest. After this meeting, I gained a whole new respect for our school district's special education program. I learned they don't have to be the enemy, they can indeed (and should always be) an integral part of the team. Sometimes it means taking that first step/effort to make it happen.

In the end, we didn't move him to one of these "private pay preschools" that we considered his LRE. No, we broke another rule we learned early on and moved him to our district's special education preschool. Yep. I said it. The special education preschool. I didn't want to speak it aloud, as the just "sound of it" seemed like a huge step back. Yet it's not. It is honestly above and beyond; a place that will meet and exceed his current needs. It's not the same one I toured last year (and I was very open and honest with the director about why I would never put my child in that particular preschool), but a different one that I promised the director I would tour along with other preschools. There were a couple private pay preschools that I would've loved to send Aiden to, IF there weren't 20 kids in the class. Too many too soon. This placement is a perfect transition from 4 in a class to over 16 in a class. Maybe next year.

and here's why we chose his new school:
  • Ten kids total with one master teacher and two aides. 
  • GREAT language models - Aiden does not have the best language nor the worst - right where I  want him in any educational setting. I can't tell which kids are on an IEP and which are the typical peers (right now there are four typical peers in his class, next year there will be 8). 
  • Aiden is not the only boy in the class anymore (he was the only boy in his old class with three girls) - he now has 6 boys to play with. Not that playing with girls is bad, believe me, I encourage it, but girls can take over - I am one and I have one. {smile}. 
  • Two and a half hours a day, five days a week (and 5 minutes from my house) vs five full days a week (and 30+ minutes from my house) This allows every afternoon to US alone. We play. We have fun. We speak. We laugh. We learn. i love it.
  • 45 minutes of speech a week (which I am having them focus mainly on articulation and pragmatic skills/language). I was going to ask for more, but sought out some advice and decided with such short days, 45 minutes a week of articulation work is enough. If we see him falling behind, we'll make changes.
  • Push-in OT to work on things such as crossing mid-line, cutting, and firming up his fine motor skills.
  • Vocabulary words that are above and beyond that go along with each weekly theme. This past week they read all kinds of pig stories - ask him what the pig's nose is called and he'll tell you "snout". The week before that they were imagination, think, and discover. They always have at least 4 new vocabulary words a week.
  • They have free choice time for a solid 40 minutes. They can build, play at the "vet center" or "grocery center" (this changes every couple weeks too to a new themed center), read books, puzzles, sensory table, etc. And during this time, the teacher and aides are facilitating language. This is huge to work on Aiden's pragmatic skills and it keeps him moving.
  • They create journals (seriously mini-experience books), they learn 3-4 new songs a month (and the words are sent home!), parents are given the book titles they'll be reading and vocabulary they'll be learning - before hand.  
We will see how this goes. So far, he loves it. I love it.

In the first week:
  • He has told me on a couple days two to three things he's done at school! This is HUGE. Whenever I would ask before, he'd just say his teacher's name. 
  • He's talking a lot more and his spontaneous speech/sentence length has me grinning ear to ear. His OT was floored how well he was talking. 
  • He doesn't bat an eye when I drop him off and is excited to go every morning.
I could attribute this to many things, (shorter days, being around such great language models, not as tired, more physical activity to get that input and motors running).

Two other big things that have come out of nowhere this week:

  • he's eating MUCH better (he'd barely eat before and now he's having seconds), and
  • he's sleeping in his own bed - without a fuss - and we almost went a whole week without him waking in the middle of the night. 
Coincidence? Maybe. or maybe he's just that much less stressed with his new daily routine. I know I am.

Friday, February 24, 2012

and yet some more Out of the Booth mapping

There's not too many CI moms I know out there that would be happy to walk out of the sound booth with this audiogram (top line = left ear and bottom line = right ear):


now look at the speech banana and mentally place his audiogram in it (and remember, anything above the connected lines, he CANNOT hear).

not good. at all.

but, if you were a fly on the wall in the booth with us, you'd know why I am quickly learning to take his audiograms with a grain of salt. Bottom line,

Aiden does not perform well in the soundbooth. period.

How can I take this audiogram too serious when this same little boy can repeat each the six ling sounds with me (each ear alone) standing 10-12 feet behind him and speaking them at just above a whisper? According to this audiogram, he's far from hearing the /s/, and pretty darn close to barely hearing the /m/ or /sh/, yet he can imitate them and uses them all in speech pretty perfectly. Now, he has been dropping his /p/ and the endings of words (t, ed, s, k), and his audiogram does show this. But it's not a great representation of what he is truly hearing.

Aiden clams up in the booth. When he's not sure of himself, he does nothing. He's not one to sit still. He knows what he's supposed to do, but shows his power. He does great on the NUCHIPS (a speech perception test where he has to repeat back a spoken word) and even did sorta ok on the HINT (hearing in noise test where a sentence is presented in noise and listener has to repeat it back. He scored 49% on this, not good, but not bad for first time ever taking it). Listen and drop to pure tones? ya, whatever. He'll hold that block or marble or peg or whatever it is to his ear for.ever. Goldfish, he eats them. m & ms, chocolate melting all over. Stickers, sometimes, but just for a bit. Marbles, he's shaking the can (and when we move it, he reaches out to touch it just to hear it make the slightest noise, on purpose, then looks at us with that grin, again, showing his power). Tones mean no.thing to him and so it is very hard to get a true solid audiogram. 

And without a good solid audiogram, how the heck does an audiologist provide a good solid map?

based on phonemes.

Leaving the booth I was terrified at the thought of the changes they were going to do to his maps, but once we got to her office, I saw right away she was all ready to test him herself, by having him imitate back the different phonemic sounds which make up the words in our language.

and by doing this, she verified that he is actually hearing the /s/, /ah/, /sh/ and /g/ among a few others, and that he really is missing the /p/, /k/, /t/ and /f/ among a couple others. She'd then map him based on his imitated responses and test him again to confirm. 

(a little funny by my wee entertainer - as the audiologist was asking him to imitate a sound, she noticed aiden was watching and responding by which letter her finger was on instead of giving the sounds based on hearing. After a good laugh, she had to pick up her paper so he couldn't see which letter she was wanting him to imitate. She didn't realize mr. smarty pants knew all the sounds of the alphabet).

By the time she was done he imitated back a /th/ and /v/ sound! Now, he may not be able to perfectly voice these sounds in words (saying a sound in isolation is a little different than putting it together with other sounds to produce words), but the fact that he can near perfectly imitate them back, tells me something that his audiogram doesn't - HE IS HEARING ALL THESE SOUNDS! 

Here are a couple other posts about this out of the booth mapping experience.
We have gone round and round with his maps since six months post activation. Some would blow it off that he just doesn't use his CIs as well as others, that he needs more time, that he's just a "late talker" a "boy" and that "he'll get there". Well, I don't have time to wait and see when it comes to my child's hearing and spoken language. I've learned, when a child isn't performing at a level they should be, first things first, CHECK TECHNOLOGY. and for this reason, we started this phonemic "out of the booth" mapping. We needed to know that Aiden had a good map before slapping another diagnosis on him. Yes, Aiden does have additional {small} challenges, but by golly, this has been heaven sent, and at least now we KNOW he has a good map to better tackle his other challenges; we KNOW he's hearing all the sounds in order to put them together and into words; we KNOW what he is hearing is what he should be hearing.

and if that's not enough for ya, based on the Goldman-Fristoe 2 Test of ARTICULATION, Aiden has made:

12 months progress with his speech sound production in a matter of five and a half months!


oh, and btw, we started phonemic mapping him six months ago. 

Tuesday, February 21, 2012

love

love
is watching my deaf son
dance
(with quite the rhythm)
to the latest Wii craze
Just Dance 3


and then later,
listening to him
hum or sing
parts of the songs he just danced to,
probably because he HEARS them
replaying in his cute little head.
--------------------
love
is watching my deaf son 
write his name and the alphabet with chalk on the driveway and
speak 
each letter out loud as he writes it.


and then later,
seeing his face light up as he
hears
the kids from ACROSS THE STREET, come outside.
so he grabs his bike and chalk, 
and let's me know through
spoken language,
"MOM! Friends outside! Let's go!"
--------------------
love
is watching my deaf son
try his hardest to get his fingers to work
in order to sign
 i.love.you
and then {moments} later,
running up to me,
in his pure silly aiden way,
to tell me with
spoken words
"I love you mom!"
--------------------
love
is
cochlear implants


and the
amazing gift
 they provide my deaf son to
 listen and speak
each and every day.

Friday, February 17, 2012

New Beginnings

As we approach Aiden's third hearing birthday (and fourth birthday - WOW), I have to say that I never thought we'd be where we are today. I envisioned that all therapy would be behind us, except for check-ins here and there; that he'd be talking in full blown sentences, excited to tell me all about his day at school; that he'd be making up stories with details galore and talking so fast I have to tell him to slow down; that he'd be singing songs from front to finish as he danced around the living room. I envisioned he'd be at least caught up, if not beyond, his hearing peers, both receptively and expressively. To me, this wasn't a doubt. It's where we'd be.


But I was wrong. What I didn't envision is that he'd have social/pragmatic challenges; I didn't see us in weekly OT sessions for sensory processing and praxis challenges that not only effect many motor tasks, but things (that seem) as simple as multiple syllable words and sentence production; that we'd need a speech therapist on top of our AVT in order to close the gap on articulation challenges and to help him expressively speak, what he knows, more intelligibly. I never knew just how much work it is to talk and if all the "systems" aren't planning and working together, talking is one of the most difficult tasks even for a hearing child. I didn't envision awesome speech (and balance) on some days and pure mumble-jumble (speech and balance) on others.  I didn't envision hearing the words, "I'm just not sure what's going on. He's such a good listener, he gets it, he's a hard worker, and he's such a happy child, BUT SOMETHING'S MISSING." I certainly didn't envision that we'd possibly have another three years of therapy ahead of us. THREE MORE YEARS.

because I've been working my ass off. and it's SO frustrating.

What's crazy about all this though, is his hearing and listening skills are AMAZING! His technology is right on. He hears me as I yell for him from upstairs in the back bathroom and he's downstairs watching tv. He can repeat all his lings, each ear on it's own, from 10-12 feet away; he repeats all the phonemes pretty darn perfectly; he hears whispers, and well in noise. Receptively and cognitively - he's well ahead. He gets it.

I started writing this yesterday, as a "whoa-is-me-andmybaby" post. It's bittersweet hearing about other {amazing} kids implanted around the same time as {my also amazing} Aiden, speaking circles around him, graduated from therapy, and well caught up to their typical peers, all knowing we still have quite a road ahead. But, this is OUR JOURNEY; it is what it is, so we continue to move forward, and trust in our hearts he will get there (and he will).  Sometimes I feel I'm all over the board with Aiden. Like nothing's good enough for him. I promise you, it's not that. Yes, I am VERY particular when it comes to any of my kids and their education and success, but I believe every parent should be. But this is different. If it's not working or we're not seeing the support and fight needed to get him to where he needs to be, it's time to move on. We don't have time to "wait and see". Time is of essence at this stage and most importantly, I have to listen to my mommy gut. (and yes, I'm a bit of a control freak).

So we're making some changes.

and here's a glimpse at our new beginnings:
  • changing his AV therapist - not because we don't love his therapist (we do), but logistically, on both sides, it wasn't working, and therefore lacked consistency. We will now have a WEEKLY session via the internet with a new AVT. There are so many positive and exciting things about this! More to come.
  • changing his school - this sounds crazy, especially with his lack of language, but we're taking him out of his current oral deaf-ed program (which is 5 days a week all day) and placing him into a preschool which is 2 1/2 hours a day for four days a week. He will be the only deaf kid in his class. and it's a good thing. When I get him ready for the bus, he says, "NO mommy, new school!" He loves the new school and we've only visited twice. More to come.
  • adding in a weekly (or possibly biweekly) speech therapy through our insurance - he had a wonderful speech therapist at his current school, but he was only allotted 15 minutes a day, 3-4x a week, and usually not one-on-one. I'm also working with his awesome SLP from his IFSP (before 3yo) days, to include her on his IEP to work with him one-on-one once a week, but also as a "push-in" in the classroom with him a couple days a week (in addition to a TOD). So far, the district is very open to requests and ready to work with us to meet Aiden's needs. More to come. 
  • continue with our wonderful OT - there's so much I've learned from her about Aiden in the last eight months, and most importantly, Aiden is making HUGE strides. Six months ago, he couldn't stand on one balance bucket, now he can walk across six, WHILE TALKING! I tell her we get a free speech therapy session too when we see her. She's heaven sent and we still have quite the work ahead of us. 
  • SOLID at home one-on-one sessions - with the change of school times, I will be able to dedicate myself to him alone. It was near impossible to work with Aiden at night. He didn't get home from school until 4pm, the same time R and K got home, then as I tried to help K with her homework, keep R on track doing his, getting dinner on the table, running to all their after school activities, bath, and bed, there was VERY little (if any) one on one time with Aiden, unless it was reading him his bedtime stories. Changing schools gives back our precious one on one therapy (aka playtime). and I think it's key to moving him forward.
We also have a neurology appt set up in May, just to see if there is something we're missing and hopefully get some answers. Maybe, just maybe, it will help us better understand his EVAS or if there's something else going on and possibly help in our plan going forward. I don't know, only hope.

Three years ago, there's no way I would've thought we'd still be here, with all these therapies, still trying to figure out why some days he speaks in clear 5-6 word sentences, but others we can barely understand a word he says. Why some days he jumps down the steps, but others he needs to hold my hand to get down. I can't waste my days worrying though, I have to keep my faith and know in my heart that he will be okay and that one day it will all come together - verbally, socially, physically. We will keep on keeping on. No regrets.

oh, and by the way, there's one other thing I envisioned almost four years ago - my child walking into a mainstream kindergarten, not feeling different, fitting in right along with all the kids -

and he will. 

Friday, February 10, 2012

whenever I doubted myself
and decisions to be made,
your grandpa  always told me
three.simple.words-

"FOLLOW YOUR HEART"



{exciting} changes are in the works.

more to come soon ...

Thursday, February 2, 2012

don't forget ...


to water those rocks!

I came across this picture last night (taken last summer) and just had to share. I remember he was "helping" me water the flowers.

LOVE the INNOCENCE.