Friday, March 26, 2010

Donny Osmaond speaks for me.

Donny Osmond has slammed Lady Gaga and Beyoncé for including "profanity, sexual exploitation, nudity, and graphic violence" in their "Telephone" video -- insisting he's "upset as a parent."
Good! More musicians need to speak up and say stop the trash our children are subjected to. From clothes to music to TV. Every where children go they are subjected to foul potty mouth humor, shows that make fun of grownups, sexual images, violence and dysfunctional families.

Ever try and shop for a 8 year old girl? Slut clothes in size 7/8.
I refuse to buy anything objectionable and hope you do to.
HT: Big Hollywood
 

Thursday, March 25, 2010

Why abilify works

Why abilify works.

Abilify is a atypical anti psychotic used for the treatment of several psychiatric disorders.

•Use as an add-on treatment to an antidepressant for adults with Major Depressive Disorder who did not have an adequate response to antidepressant therapy


•Treatment of manic and mixed episodes associated with Bipolar I Disorder in adults and in pediatric patients 10 to 17 years of age

•Treatment of Schizophrenia in adults and in adolescents 13 to 17 years of age

•Treatment of irritability associated with Autistic Disorder in pediatric patients 6 to 17 years of age
 
Most common side effects (≥10%) from all clinical trials involving adults or pediatric patients include:

  • ADULTS: Nausea, vomiting, constipation, headache, dizziness, an inner sense of restlessness or need to move (akathisia), anxiety, insomnia, and restlessness

  • •PEDIATRIC PATIENTS (6 to 17 years): Sleepiness, headache, vomiting, extrapyramidal disorder (for example, uncontrolled movement disorders or muscle disturbances such as restlessness, tremors and muscle stiffness), tiredness, increased appetite, insomnia, nausea, stuffy nose/sore throat, and increased weight
My experience with abilify is with pediatric and adult populations. It is not my first line choice anti psychotic but for some people it really works.

Sunday, March 21, 2010

Sunday morning bath time, mommy quiet time

My daughters recovery is going well. All post-op visits are infection free and no further retinal tears. She is home with me as she recovers and homeschooling is going OK. I still get riled up over the math homework but I am incorporating my "old fashioned math" so she will have some skills without a calculator.


We are also home schooling for her First Communion as she is skipping CCD while recovering.

As a product of a Catholic education and the daily Mass and daily religion, I'm saddened I can't give her this Catholic experience and I want her to feel a closeness to God but also a connection with a faith. I am one of those people who thinks a faith benefits a life and I want everyone to feel Gods love. But I also think the Catholic faith is the authentic church; as failed as it's members are.

I know the Catholic faith will continue. If the Catholic Church had to sell off everything and begin again to restore it self, it would. Evil will not destroy it.

OK, back to my daughter. Hubby and I decided we wanted to keep both of he kids in public school so they wouldn't be separated. If GL needs special ed and he Catholic school can' provide it, then they both will go to public school and we will bring our faith to them.

Speaking of GL, we were weaning the Abilify and hoping the Concerta was enough;sadly we were wrong. His level of aggression and anger was getting uncontrollable. We will just have to deal with he metabolic effects.

When I write this blog I always think I'm talking with another parent of a RAD child and not just a random reader. Without the experience of living with a child with RAD, it is nearly impossible to understand our life.

The looks we get in stores when my 9 year old son walks up to a perfect stranger mom and hugs her and lovingly looks at her. The rage and destruction he saves for his family.

Last night I made a great GL meal (he is a carnivore). Pork chops, mashed potatoes, snap peas;all home made with love. As we sat down and after prayers he turned to me and said this meal is "poop". Of course I calmly told him to go to his room. After dinner, when I brought him out and he was hungry I told him to help himself as I will not serve "poop" to the son I love so much. He piled all the food on the plate and ate up every bit of it.

He has also been doing a lot of art lately, unfortunately it is on his walls and with his own feces. Yes, we buy bleach in bulk and yes, he is the one who cleans it up. And thank you to who ever invented the magic eraser, it removes sharpie and crayons from any wall.

All in all, hubby is busy with his new job and I'll return to nursing as soon as my Family Medical Leave is ended in April. BTW: school is going well. Count down, 5 semesters left and I'll finish grad school. Shhhhh! Don't tell hubby I'm thinking of finishing my doctorate. They need some conservatives in nursing health care leadership.

Monday, March 08, 2010

Some decisions are suckish

My daughter and son were playing UNO this afternoon when my son said" I suck at this game' of which my daughter replied "You can't suck at this game, but you can make suckish moves". How insightful!

Tuesday, March 02, 2010

My baby girl

My baby girl, well not much of a baby at 8 but still my munchkin, is having surgery tomorrow. She was adopted at 22 months and we knew she had one blind eye and low vision in the other. Well, her blind eye has finally started to die and it has developed staphlomas or growths that make it impossible for her to fully close her eye and will eventually rupture. She has also developed a small retinal tear on her "good" eye. So tomorrow we are off to the Eye Institute for surgery where the tear will be lasered and stopped and the other eye will be enucleated (removed).

I'm going to home school her for 7 weeks until her prosthetic is made and back to school. She is also having her first Holy Communion  late April so she will look beautiful and holy. Of course to me she is always beautiful.

Here is my little raspberry tartlet ( I always call her by the name of food) and her big brother.

Friday, February 19, 2010

My favorite poem

This is my favorite poem which I read and memorized at Pius High School many years ago. I still can recall the cadence of speaking the poem as I recited in class.

Reflections On a Gift of Watermelon Pickle
Received from a
Friend Called Felicity


by John Tobias (1966)

During that summer

When unicorns were still possible;

When the purpose of knees

Was to be skinned;

When shiny horse chestnuts

(Hollowed out

Fitted with straws

Crammed with tobacco

Stolen from butts

In family ashtrays)

Were puffed in green lizard silence

While straddling thick branches

Far above and away

From the softening affects

Of civilization;



During that summer-

Which may never have been at all;

But which has become more real

Than the one that was-

Watermelons ruled.

Thick pink imperial sheaves

Melting frigidly on sun parched tongues

Dribbling from chins;

leaving the best part,

The black bullet seeds,

To be spit out in rapid fire

Against the wall

Against the wind

Against each other;



And when the ammunition was spent,

There was always another bite;

It was a summer of limitless bites,

Of hungers quickly left

And quickly forgotten

With the next careless gorging.



The bites are fewer now.

Each one is savored lingeringly,

Swallowed reluctantly.



But in a jar put up by Felicity,

The summer which maybe never was

Has been captured and preserved

And when we unscrew the lid

And slice off a piece

And let it linger on our tongue:

Unicorns become possible again.
 
 
Have a peaceful night.

Thursday, February 04, 2010

IEP day

Today was my sons IEP. We have these annually to update and add any changes needed for his education and to modify his behavior plan as needed. Since most of his behavior problems are at home, they don't see or have to cope with the worst of it.

Everything was updated and we carry on. Reading, math and speech special services and 1:1 at school.

The Concerta is helping is chatter talk and hyperactivity. A very good day.

My daughter is dealing with 2nd grade girl drama. They are already forming little cliques. I thought that didn't start until 6th grade. What do I know?

I continue to fight the school on the "new" math curriculum. My 2nd grader was told to use a calculator. I refused. I told her when she can do it in her head or on paper she can check with a calculator and not before.
I was in Office Max a few days ago and I needed them to take 10% off a $230.00 item. The 2 twenty somethings were running around asking for a calculator. I watched amusingly and said the discount is $23.00.
They were SHOCKED I could figure it out in my head. They didn't believe me and continued to look for a calculator. When they found it and verified my calculation they were a little short with me when I implied they were idiots. They said they learned math on a calculator. I reminded them they were helpless until they found it.

Tuesday, February 02, 2010

A contented evening

I sit here this evening feeling tired yet contented. My son has been a psychiatric pharmacology lab rat for the last 2 months. I know something has to work. I know the mood stabilizers such as Lithium, Tegretol and Depakote did not and in fact made him sicker. I don't even want to list the meds we have tried over the last 6 years.

A few days ago I called the psychiatrist because GL was raging, running in circles and it was pathetic, heartbreaking and distressing for him. I tried a sedative to calm him but he was too ramped up. The doc suggested we try a stimulant even though we had in the past and it didn't work. Well this time it worked.
I couldn't believe it. After all of this time the racing and hyperactivity was manageable with Concerta? He still has RAD and is angry and unattached but at least we are able to calm his mood and he can listen and focus a little better. Small miracles in my book. And that is why I am content tonight.

Tuesday, January 26, 2010

This is really hard

Well, the Tegretol doesn't seem to work and is causing the same agitation and mania that the Lithium did.  My baby boy came home from school and began a hypo manic rage and was so unfocused i couldn't even understand him. I tried to comfort him but he pushed me away. He thinks the medications are making him "kook coo". I agree, they certainly seem to be. We're going to hold the dose tomorrow and contact the doc.

Where we go from here is unknown, the mood stabilizers are working in the opposite way they should.

Sunday, January 24, 2010

More roller coaster times

The Lithium is gone and we are now giving our son Tegretol. The Lithium caused hyper aggression and he even assaulted a younger female on the playground and that hasn't happened for a long time.

The Tegretol may take up to a week to have a noticeable difference so in the mean time I pray for patience and forgive myself when I loose it. I hate this but at one point today I said "Just shut up". first of all I hate that sentence, i don't allow my kids to say it and i find it really mean. But I said it out of complete frustration when i was busy with cooking and getting a project wrapped up and he just stood by my side chattering in the RADDY way about nothing to irritate me. So I will push him away. And i did. As soon as i said it I stopped and asked him how he felt. He said he wasn't sure; I think he was in shock. I told him how his chattering make me feel and how irritating it is. I asked him to not talk for 5 minutes but stay by me. He did and we got through it. I also put the project away since i should know that i can't do 2 things at once and parent my kids.

Wednesday, January 13, 2010

Cross your fingers

The lithium is on day 3 and all is well. The evidence states that most children with adverse effects of lithium will be seen in the first week or so. Let's hope this helps. I'm also pleased with the effects of the alprazolam. The medication makes him sleepy and calm. I needed to find a med for rage periods and not for daily use. I also know about the addictive properties of Xanax and I want to minimize his dependence.

I've also ramped up the home therapy. He is shut down. No second chances, only consequences and lots of time in with mommy. I get all of the love... I told him I'm so glad he made me aware that my breath stinks and my butt is big. I'm very grateful to hear about those physical aspects that i was never aware of :)

Yesterday we started reading "Me and My Volcano" by Deborah Hage.  After we discussed a few pages he was very angry and said the book made him angry. I'm glad. He needs to continue to use his words and not his hands to communicate his anger.

My daughter is asking us to "get rid of him". I told her he would always be her brother, whether he lives here or not. But that mom and dad want to try our best to keep him home.

I'm trying to do more one on one play with her; it sounds like she needs it.

Monday, January 11, 2010

New Meds

We had a retched weekend. My son had one of the most exhausting days with me Saturday. Hubby was gone helping his dad so he wasn't home to help. We like to work as a tag team when GL is raging. It gets so tiring and when tired it is easy to get mad and not be in control. I admit there are days I have to put my son in his room with the alarm on just so I can get refocused and remember getting angry or taking it personal doesn't help.

So, Saturday he started out very disrespectful, hurtful and destructive. He recently acquired a few decorations for his room and they were destroyed. All morning it was time out, time in with mom, strong sitting and finally a call to the doctor for some help. Thankfully, a local church offers a respite program once a month and I dropped my son off for 3 hours so that I could take my daughter bowling and shopping. A tomboy girl day; sports shopping for snowboard equipment. We both had a blast and it was fun to be with someone who is happy and fun. I only hope my son can get there some day.

OK, the doc called me while I was on the way home from work. we discussed his prior meds and suggestions for treatment. We are going to start Lithium and I wanted a prn (as needed) med for rages so we are going to try alprazolam (Xanax). He really wants to wean off the Abilify. My sons A1C test (diabetes) was elevated at 5.9 and this is the pre-diabetes status. A A1C over 6 used to be diabetes but the ADA just revised this to 6.5. Atypical antipsychotics such as Abilify, Geodon,  Seroquel, Risperidone, Zyprexa and others have the adverse effect of increasing the risk for metabolic syndrome and diabetes. If the Lithium works as a mood stabilizer, we will wean the Abilify off. I started the meds tonight. I wondered about the Xanax since it should relax my son but everyone has a different reaction and I know that it can dis-inhibit some patients and cause an opposite reaction. I was glad to see him yawning 20 minutes after receiving it.
Sweet dreams baby boy.

Tuesday, January 05, 2010

The medication waltz

Well we saw the new psych MD yesterday and I'm not sure what to report. They all seem nice the first meeting. It isn't until a few meetings when the disinterest and arrogance shows up.

We have to get labs tomorrow and see him again next week. I already told him we need more help with a mood stabilizer and a prn like Seroquel for really raging days. I hope he hears me and we start on a right path again.

Sunday, January 03, 2010

Another psychiatrist!???

Tomorrow we are off to meet a new psychiatrist. Number 4 in 5 years. Now I'm a patient woman and I respect the medical profession. I'm part of the medical profession in a nursing psychiatric kind of way.


I'm in school to be able to prescribe psychotropic medication. But I can't seem to find anyone who respects my "mom" knowledge. Who will believe me when I call and need help, a prn medication, a tweaking of the meds or an ear to listen. I need someone to hear me; not just say "hospitalize".

No, I am not expecting a miracle from meds but I know that a mood stabilizer may help, that meds need changing because of loss of effectiveness. We had that happen with the Abilify. It worked with the guanfacine for over 2 years when it just didn't. We did a med wash. What hell was that! No meds at all, daily continuous rages, the distress of watching my baby boy suffer from anxiety and confusion. The trying risperidone, depakote, lamictal and the anti-depressants.

Well, we'll see what happens...tomorrow.

Saturday, January 02, 2010

A day in a RAD mom life.

This article is an excellant example of what we as RAD parents go through every day as we tightrope the issues of patience and guidance.

Through the house the words rang as they had rung hundreds of times before,

No anger, no edge, no tension, just,

"Come into the bathroom, kids.

Hang up your wet towels.

They'll never dry on the floor."

And so the children come,

pick up their towels,

so they'll dry.

No problems, no fuss,

just grasp it with both hands and hang it over the hook.
Yet one child seems to cower in his room.

Facing me in the bathroom with a wet towel at my feet is too much for him.

I call again, knowing whose towel it is that is left.
Stiff with fear,

his bony thinness evident through his pajamas,

he slowly approaches the bathroom.

Standing in the doorway, his eyes watch my every muscle,

trying to discern the first twitch indicating impending violence.

None comes.
He enters, steps above the towel so that it lies between our feet.

I try to say, gently, again, "Hang up your towel".

But five minutes after a 30 second task should have been done leaves an edge of impatience

in my voice.

He stands, unable to pick up the towel for fear of losing sight of me.

For fear of bending his head and not seeing the blow that is sure to come.

What do I do now?

My mind races over the possibilities.

Do I pick up the towel for him and relieve him of his fears?

Do I master my voice and say again as kindly, as softly as possible, "Honey, you need to hang up your towel."

Do I stand quietly, waiting for the trust that will allow him to bend over and pick up

the towel?

Do I give him a hug and suggest that together we pick up the towel so he can still see

me every second?

Do I leave and let him pick it up alone?

I am not used to watching my few relaxing evening moments evaporate while a child wallows in fear

over the seemingly simple matter of hanging up a wet towel.
There is accusation in his eyes.

Accusing me of inflicting pain,

bearing the accusation for those who did.

My patience ebbs away.

The ebbing he had been waiting for.

The ebbing he knew would come.

The ebbing which would prove his fears were justified.
I abandon the reasonable options my mind has outlined and enter the world he has imagined for me.

Harsh words bark out!

"Pick up this towel immediately!"

In an instant he has grabbed up the towel,

wadded it into a ball,

thrust it onto the top of the hook,

no more able to dry than it had been on the floor.
His eyes have never left me.

The new position of the towel is worse than the old.

I am angry.

To wait so long and see such a mess made of it.

I grab his hands,

force him to take the towel down,

shake it out,

rehang it properly.

His stiffness is alarming.

His eyes try to veil the well of tears,

the sense of rejection and failure.

He flees to his room.
I go from room to room and bed to bed,

kissing each cheek,

settling everyone in for the night,

sharing evening blessings and small talk of the day.

One small body huddles against the wall,

refusing my touch,

rejecting my feeble efforts at reconciliation.

He stiffens against my embrace,

still I pick him up in my arms and try to hug his straight arms and body.
We are both crying.

Six months of patient effort to bring him out of his tomb of fear.

Lost.
Lost because of a tired mom,

and a wet towel,

lying,

on a bathroom floor.
 
 
  Deb Hauge   http://www.deborahhage.com/

Tuesday, December 15, 2009

Roller coaster of Christmas

My son has been on the roller coaster of Christmas emotions; loving one minute but mostly confused, hypervigilant and destructive. We work everyday to keep him home by keeping US safe. After a really crappy week of violent outbursts, fecal drawing and fighting for control, today was nice. He listened, was respectful, played alone and didn't bother his sister and even took care of his evening hygiene without a mess. I am blessed today.

Mass School Suspends Child For Drawing Crucifix

Mass School Suspends Child For Drawing Crucifix


Have we come to a point when a Catholic child can not draw a picture of a crucifix without needing a psychological exam? I pray for this poor family. Schools need to get real and use a little common sense.

Thursday, December 10, 2009

Late night.

Today was one of those crazy days. I left for work at 6 am, visited my in laws for supper and  help with some physical cares ( my mother in law is in her mid 80's and has Alzheimer's) then off to school for my last class of the semester...yea! A long day but I need to be away and use my mind and help others to feel stronger. Make sense? Hubby stayed home and is wonderful and even more patient than me. He put our son to bed early for disrespect and hitting. I tucked him in at 9 pm since he had fallen asleep on the bed with clothes on. No pull-up on so lots of laundry to anticipate.

I have to work again tomorrow so off to bed.

Wednesday, December 09, 2009

Snow Day


Well, we got through the night. After raging a few hours my son passed out. I covered him up, kissed him and shut the door and set his alarm. He can't live here with us without an alarm. I would never be able to sleep and none of us would be safe.

Today was a snow day! The kids were thrilled and I was glad that it was my day off. As a nurse there is never a snow day and even though I drive 30 miles to work, I would have to make it in. Instead I got a day to catch up with a little homework, make hot tea for the kids, watch my hubby shovel us out. 12 " of snow. Heavy wet snow. Now as a born and bred upper Midwesterner, I love my snow, especially the first few storms. Just like everyone else here I get really sick of it by March and hate those late May snows or freezes. Well, what do I expect; I live in Wisconsin.

My daughter had a blast outside and then she took her new Rip Stick board in the basement to practice-my little jock.

My son tried to play outside but just ended up trying to hurt his sister, threw snow at daddy while he was snow blowing-unsafe. So he won the big lottery, mommy time wit me...all day and I'm exhausted. Let's see, he pulled my hair, tried to scare me repeatedly, made a mess every where and finished it of by defecating in his pants and making such a mess trying to clean up I finally did it myself. I then got to bleach down half the house.

He did sit next to me late this evening for a while and even put his head on my shoulder for about 15 seconds before calling me a jerk. He finally put him to bed at 7pm when he screamed in my ear. And I wonder why I have tinnitus? He raged a few minutes and knew I wasn't going to bye the "I'm sorry"  and "I didn't mean it" and after a few more choice words he settled and went to bed.

Tuesday, December 08, 2009

A new therapist

Today was day one with a new therapist. This time I decided to work with a woman,; our last 2 therapist were men.

I am also considering a new psychiatrist.

Anyway, This is the first time I didn't go in with my son. After an hour he emerged and therapist said it was a great first meeting. Well....It must have stirred up some good strong feelings because he was digging out poop and drawing on the walls for me tonight. He also hit, spit kicked and pulled my hair.

I am almost considering a hospital stay  for respite for hubby and I. And I hate psych hospitals for kids. I think they are expensive glorified day care and my son comes home sicker than before and learns even better profanity and gang signs...yeah ;(

I'll try to keep him safe and quiet tomorrow, I think we will be having a snow day.