Tuesday, April 26, 2016

Don't Label Me


I love this poem, it captures the essence of what Zoé probably feels at school everyday. And not just Zoé, all children. I must remember to keep it in mind when I help her do her HW.
I hope you enjoy.

TEACH ME: DON’T LABEL ME©
By Barbara K. Given, Ph.D.
I am not “disabled.”
I learn differently.
I am not “handicapped.”
I take in and use information that is somewhat unique to me. Others may see me as handicapped when they
insist on teaching me in ways through which
I cannot learn or when they insist that
I demonstrate my abilities in ways that are
comfortable for them but not for me.
It is not I who is out of step, inadequate, handicapped or disabled.
It is the system.
I don’t want my teacher to be my pal,
but I do want a model and a friend.
I don’t want my teacher to make life easy for me,
but I do want a teacher filled with a
conviction that what he or she teaches is
important enough for me to learn and
I do want a teacher who has enthusiasm that
encourages me to keep working until I learn.
I don’t want to be the teacher’s pet, but
I do want to be treated as a person worthy of
respect in spite of my learning style or
because of it.
I don’t want a teacher who demands praise, but
I do want a teacher who understands my
respect even if I show it in an awkward and
sometimes hostile way.
I don’t want a brain transplant, but
I do want to learn as much as
I am able.
I don’t want a label, but
I do want an appropriate education.
I don’t want to be called “learning disabled”,
but
I do want to learn.
Teach me. Don’t label me. 

Saturday, March 12, 2016

No easy feat.

It has been a few hard months, adjusting to the demands of 2nd grade, the lack of social emotional component in the school curriculum, the fact that every recess at school is spent alone in the library and the lack of empathy kids show.  I hurt at drop off and pick up. I hurt when no play dates are offered, or reciprocated, I hurt and I try to not show Zoé.

I have been thinking about what I wrote a couple of years ago when I first started this blog...How Zoé's disability and mine made me a better person, and in fact, I think I was misguided. I am not a better person, I am a different person. Different in every way, ready to conquer all challenges, ready to advocate for my child, ready to not let go of the fact that we all deserve a chance. It has been so hard to drop Zoé off at a school where she is misread and misunderstood.

I have explained to the teachers how her body impacts her every day life,  how her muscles weaken, how her lack of focus and attention stem from this fatigue, how Zoé can do great things if she is given the time to think, if you break down the tasks, if you shorten the exercise, if you give her a chance! If you use the "reset button",  a strategy that has been working at home, when Zoé loses control and feels overwhelmed, we pause, take a breather, massage the weakened body, run twice to the fireplace across the living room and start again.

Teachers find it hard to adjust to such demands. I get it. You have 23 kids in your class, you cannot provide your attention to one kid.  But when that specific kid has an aid, you can use the aid for other classmates and as a teacher you can focus 3 minutes to the child that is having a tough time understanding the math exercise..

I have been teaching in preschool for the past 6 months where some of my students are difficult, with sensory issues or anger management. I try to use the reset, I try all I can to help these kids. I have no aid, but there are ways you can help.
Anyway, I am a bit angered at the system, and wish parents could instill empathy and acceptance in their children.
Life is hard, and tough and it is no easy feat to keep the chin up.
Hope this finds you well wherever you are.

Monday, November 9, 2015

Fall Update

Dear blog readers, it has been too long, I know. The summer has been long gone and every day, I think I will find the time to fill you in with the latest news from our side of the screen. So where should I start?

Summer was glorious as usual, Brittany by the seaside, Annecy by the lake, Trento in the mountains, culminating our trip with a romantic getaway to Venice, and its vaporettos, its chichetis, the gondola ride, incredible food, and the most splendid time spent with Morena, Massimo, Francesco and Lorenzo.

Back to the states was an arduous trip with Zoe not sleeping, wanting to walk the miles of aisles, back and forth. When we had to recover from jet lag. It took Zoe 5 days of restless nights, eating cereal and watching videos at 3 in the morning.
The first day of second grade came and went, the horse show, the MDF family day on the bay, the conference in DC on Myotonic MuscularDystrophy, and the dreaded triennial IEP, after 30 days of ongoing tests to assess Zoe and her unique needs.

I like to speak of uniqueness, because this is truly what it is. DM Type 1 or Steinert, is a disease that defines all aspects of school life. It explains why focusing is hard, why math concepts are difficult to grasp, why reading and blending sounds are taxing for the brain. Why making friends is the most daunting task of all.

This year in second grade is not an easy ride. Zoe started with one aide, then midweek after a couple months, she was given another one.
She is in a class with co-teachers, which means that half the week she has one teacher, and the last two days of class she has to adjust to a new teacher, a new personality, new methods, and though it can be a good format for some children, it is not for Zoe.
At the meeting we were told that she seemed lonely. So hard to hear.
Her anxiety level increases due to her daily report, when the aid assesses her behavior, her attention span ( which is limited) , focus, her whole body listening, her watching eyes...I could go on and on.

So we keep chugging along, and I don't give up.
We quit Kumon, which was Zoe's most dreaded class, and so I added reading comprehension and writing to our homework load. I try to break the work with physical activities that enable her to reset her body and mind, so throwing a ball ten times, running to the fireplace and back, chair push ups (the aide enables her to do some of these activities in class). It is amazing how it helps. 
Some of the various assessments were hard to read,  in most areas whether it is gross motor, and adaptive physical education, Zoe is " below average" in all areas. I know I should accept that because it is the nature of the disease, but being reminded doesn't help.
Anything involving fine motor skills is also difficult, the reason why Zoe never likes to draw or color. 
We have not yet signed her new IEP goals, we will take our time to make sure we know what they entail.
David and I wrote our letter of concerns, and I will be sure to post it on the blog, as it can be helpful for those of you out there who have to go through IEPs.
I did remind the teachers and service providers not to forget that for Zoe to carry her body all day is exhausting. We take for granted the fact that we can sit for hours at a time, that we can walk here and there, but one step we make is 3 or more steps for Zoe.
Myotonic Muscular Dystrophy is a vicious disease that compromises everything, that affects your muscles, your brain, your stamina, and your emotions.

I am writing this blog on the plane on my way back from my 3 day trip to Iowa.
I took part in an extensive study on the brain and the incidence of the disease on brain functions.
The study started with a neurological assessment, followed by blood work. They will send my blood to the lab to separate my DNA and keep a sample of it in their data bank, and send another one to Scotland where a lab works specifically on CTG repeats.
Urine sample to root out pregnancy, and then 20 or so memory tests, cognitive tests, psychiatric evaluations. 
Some of the tests were amazing. The research coordinator, Stephen, gave my two lists of 20 words, and then I had to repeat them from memory and within a limited time, 25 words to define as if I was taking the definition from the dictionary, symbols to reproduce, cube to make three dimensional figures, face recognitions, hand grip strength. Sketch a geometrical drawing, and then 20 minutes later reproduce it, always with the timer in hand. General culture test, mathematical problems to resolve without pen or paper, lists of numbers to repeat and lists of words to classify in numerical order within your head! No pen، no rough draft. I had to fill a multitude of questionnaires
The culmination of the study was an hour plus MRI of my brain. 
I have to admit I enjoyed wine o'clock at the hotel bar after more than ten hours of testing, including 30 minutes for lunch.
The Hospital and Research Center of the University of Iowa are truly impressive. The campus is beautiful. I am ready for my next two visits back to Iowa, as this is a three year study.
Dr. Nopoulous, the psychiatrist in charge of the study wants to extend the study to assess children's brains. 
Do you know that 50% of all children having the congenital form of DM are autistic. 
Just like the Washington DC conference where I went again this year, I feel elated by the idea that we are all in it together, fighting to find a cure.  I feel blessed by the dedication all these researchers display, their enthusiasm is limitless and their care is remarkable.

I go to Stanford this week to finish my family history study. So I will fill you up on it.

And then on to new adventures... I hear there is a study in Florida. 

Well, I guess I will close this post here for now.
See you soon on the other side of the screen.
Fondly.

Thursday, September 10, 2015

Living with DM: The community speaks



So proud to be part of this community. The members' dedication, care, love and support are outstanding.
This movie is bittersweet, a constant reminder that the disease is there and progresses.
The battle continues, every day to find CARE and a CURE.


Thursday, August 20, 2015

Compensating

 Compensating: I am not going to define the word, you can look it up in the dictionary or on wikipedia.

Yesterday was the highlight of my year so far, after spending 2 hours with a developmental pediatrician who just "got it". She managed to understand what our life has been all about and how much loss we have been facing, the beauty of having Zoé in our life and her reality. How Zoé navigates her world in a way that none of us can come close to understanding.
How she has had to become malleable, pliable to fit in a school, in a world that is so different from the world her peers live in.

Yet, she has known no other way.

But nothing fazes her. I have said it countless times. What do I know, actually? Maybe she does suffer from social anxiety, maybe she frets about not being able to swing on the monkey bars like her classmates, maybe she wishes she could draw and write and read as fast as her friends.
And maybe not.

What I know is that Zoé has mastered the compensating skills like none other.

"I am in clinic" you are disrupting my play when I come into her room while she cares for her stuffed animals, stethoscope in hand.

What does she know about clinic, oh let me tell you, that is a word part of her lexicon, her jargon. Should a 7 year-year old need such a word? Well, Zoé has gone to numerous "clinics" where you see a plethora of specialists, where you are the center of attention, where doctors probe you and touch you, and poke you. So when she does the same to her stuffies, that is her way to compensate, that is her way to diffuse the woundedness, to make normal what should not be normal. Maybe I am being too wordy, you'll have to excuse me, but I am still elated by yesterday's meeting with Doctor Amazing (Will keep her anonymity, not sure she wants to be featured in the blog.)

Old Post I forgot to publish...

2nd Grade: here we come.


Another year, another description, another addendum to the file, another testament of how far we've come and how far we've got to go as well.
Here is the painting in words of our Lil Miss Zoé for her new second grade teachers.

Zoé Berman:

Zoé is a fun-loving girl with a wild imagination. She loves to pretend play and we sometimes have to channel that imagination.
She is bilingual in French and English and loves to sing and perform.
Zoé was diagnosed with Myotonic Muscular Dystrophy (Steinert, Type 1) at birth. Her diagnosis means that she has a multi-systemic disease that involves gradual atrophy of her muscles (Heart, hands, neck, feet, trunk, etc.)
Due to her disability, she can get tired and lack stamina. Sitting for a long period of time gets really tiresome and therefore it compromises attention span and her staying focused.
We would like to make sure that we take into account energy preservation and perhaps allow some short breaks to enable her to regroup and stay on task.
Zoé is very comfortable with adults less so with her peers, perhaps this being due to her facial configuration and low facial muscle tone. Her speech is compromised and therefore it is not very clear. We would really like the social aspect to be taken into account. Making sure that all social activities such as lunch and recess take place outdoor as opposed to room 20.
As far as classroom accommodations, we would like for Zoé to use a stadium chair (we will provide one) during rug time instruction. We also have a slanted board that can be helpful. Making sure Zoé can sit in front of the teacher to read cues would also be helpful.
All in all, we look forward to this year in 2nd grade for Zoé to thrive and blossom. We would love to see her become an avid reader and for her to make new friends.
As far as services go (OT, Speech, PT), if possible, we'd like for them to be as less disruptive as possible, of course taking account the class' schedule and other arrangements.
We thank you in advance for your care and dedication.
Fondly,

Let's not forget to mention the glorious summer we spent in France and Italy, with a short trip through the Swiss Alps. Reminding Zoé along the way, that she was in Heidi's homeland.
We enjoyed the company of wonderful friends, family and newfound friends (Lorenzo and Francesco, in Italy). Seeing old friends 15 years down the road, as if no time had elapsed, picking up where we had left off. It was just wonderful seeing Morena and Massimo in their gorgeous house surrounded by the most beautiful mountains of northern Italy.
A short getaway to Venice was the highlight of David's summer.
Annecy by the lake with the cousins was wonderful: paddle boats, water slides and make-believe.
Deolen was our haven of rest and relaxation.
We got back a week ago, got over jet lag and we've already started OT, Kumon, and a first appointment to Shriners Hospital. Never a dull moment.
Wishing you a blissful start to the school year.
From our side of the screen to yours.

Tuesday, June 23, 2015

Just stuff

I don't know where to start, all I know is that I have let you down for a while.
So much has happened, and though this blog is about Zoé it is also about a lot of "stuff", the daily load, the ups and downs, the challenges, the good and the not so good, but above all about our life.

Utah 2015--Round 2 was awesome, as usual. The dream team of nurses and doctors, of Speech, Physical and Occupational therapists were above and beyond amazing.
You know why they deal with pediatrics, because it is what they do best. It is hard, to see our kids poked and prodded, but yet handled with so much care and consideration.

The last visit to our new pediatrician's office was unbelievable. She didn't even look at me, the mom, but looked at Zoé as the little person, the patient asking her a plethora of questions about her life, school, her family, etc. and then asking her whether it was ok if she discussed Zoé's medical condition with me! Who does that? Unbelievable.

On a side note, the doc asked Zoé: "What do your parents do?'
answer from Z: "Well, my mom she mainly cleans...and my dad he is on the computer a lot, and he is really funny when he does the chicken dance..." Oh my G-d....I contained myself to not burst out laughing...and was thankful that she didn't go on giving more details.

Cranio-facial follow-up not much to report. Zoé's sleep study went fine and her oxygen level stayed at 94%, so we are all good.
The bad part is that she needs braces...I do not know how she will do with a retainer in her mouth when she cannot stand a cleaning. But being Zoé, and the trooper, she will probably do fine.

Remember the helmet, she did great.

I didn't do so well, at first, but then it became part of the routine. The orthotics, same thing, the Kinesio tape on the feet, easy! The glasses, piece of cake.

Neuro-Study at Stanford and muscle biopsy #2 done and healing.

Hard to know how much I have changed. I can see it in my calves, the atrophy is rampant, and the lack of balance and the lack of stamina.
I tried a gluten-free diet to see whether it would help for energy level and in fact it didn't do anything.

Back to eating more protein and sleeping more for energy preservation.

Neuro-Psych Eval: NO AUTISM !  Oh my gosh, we met the most amazing doctor yet. Unbelievable. she feels that Zoé is super smart in the way she navigates her world. How she sees it in such a way, it takes people years to do so. They pretended-play together and in every situation Zoé had one of her characters in a wheelchair, it is part of the woundedness, how she transcends it and accepts it the way it is for her.
I asked the doctor why Zoé never drew hands on the people she drew. Simple answer, because for Zoé, hands are difficult, the fine motor skills are not quite there yet, so why bother with the hands.
The doctor will come to our IEP and gave us practical ideas for Zoé to preserve energy. We'll discuss it with the team upon returning to school.

Graduating to 2nd grade we are proud of our champ who finished the year beautifully. The reading has picked up and so it is all good. We need to still practice, but I will be sure to take a lot of books with us to read, and the math games we do.

We are leaving for France on the 1st of July, it has been one year and way too long.
We cannot wait to have NO therapies, to sleep in, go to the beach, to see the cousins on the Swiss border and Italy with Daddy-O.

Come a long way? Oh yes we have!!!!

have a blissful summer and we'll see you back on the blog in the fall.