We are two-thirds of the way done with various evaluations for Little Dude to get him re-started in special education services here in Pennsylvania, and to get him set up for Kindergarten. We have spent a lot of time sitting in munchkin-sized chairs, while Little Dude showed off his scissor skills and identified letters and numbers.
He's always disappointed that they don't want to hear him count past twenty. What's up with that?
Another activity that's involved in these evaluations is having Little Dude look at pictures, and say what's happening in the pictures. The speech therapist flips the pages in the book, asking questions, and Little Dude is supposed to explain the action, such as it is. I mean, it's not like explaining the intricacies of the Jedi Battle level in Lego Star Wars, but whatevs. He participates anyway.
Today the explanations went like this:
Speech Therapist: "What is the girl doing?"
Little Dude (bored): "Riding a bike."
Speech Therapist: "What is the clown holding?"
Little Dude (with a shudder): "Balloons."
Speech Therapist: "What is the boy doing?"
Little Dude (visibly perking up): "Crying! I know why he's crying! Becuse of the clown on the last page!"
Seriously, I almost peed my pants. Okay, I may have actually peed my pants a little but it's not my fault, my bladder's been stomped on by four babies and frankly those Kegels just don't put everything back exactly.
Other than that, the evaluations were pretty routine. Except that Little Dude was acing everything. He should still qualify for speech therapy. When the speech therapist asked him what he likes to play, he said "Lego Star Wars." She thought he said "little dogs." So obviously, we'd like to work on that clarity. Because it's extremely important to Little Dude that you know that he loves Lego Star Wars and hates little dogs.
In terms of physical therapy, he may qualify for periodic consults. He's pretty up to speed on everything, except that he might freak out on the stairs when there's lots of other kids in the stairwell. That's probably not so much a genuine motor issue as it is him not wanting other people to touch him. I think he believes that other kids are so unpredictable that they might just shove him down the stairs. I guess that's one of the things about autism -- he just doesn't know what other people are thinking, and it scares the crap out of him.
Speaking of crap, no one has any suggestions on what the heck to do about the potty training situation. So far, bribery has been only moderately successful. The boy can hold it for just about forever, so it probably won't be too much of an issue in half-day kindergarten, but still, it's an issue for me. He can't figure out how to poop on the potty, and I can't figure out how to teach him. Our next meeting is with a school district psychologist, and I totally plan on taking advantage of that and picking her brain on this topic.
And then there's Occupational Therapy. This is where the bittersweet comes in. His skills are where they need to be, at least for now, so he doesn't need any OT. This is the whole point of early intervention: you try to solve the problems early, and then the kids catch up. Is he caught up, because we've worked so hard, and for so long, and now the OT issues are gone? We don't know. His teacher, the OT, and I will all keep an eye on him throughout the school year to see make sure he continues to make progress.
It freaks me out, to see any of his supports fall away. As much as it was like a knife though my heart the first time someone said the words special education to me, full-on mainstreaming now worries me. I want him to have that cushion. I want him to be protected. It's not what he needs, though.
We'll be putting into place all kinds of other supports in terms of an IEP, accommodations, and transition planning. And I know this is how it's supposed to work. He is gaining skills, and needs less help. He still can't put his own sneakers on, but I realized today that he can blow his own nose. And that's huge.
At one point I sat in the hallway of the kindergarten, and watched kids go by, headed to the bathroom or the front office or the nurse. And while I marveled at their independence, I also noticed that their hair was messed up, their pants were on twisted, and they're all generally goofy and awesome.
Just like Little Dude.
Oh thank goodness! We have also mastered pee on the potty but poop still alludes us. Chocolate, toys, nothing works. Heck, we promised to buy him a bike and still nothing.
ReplyDeleteI anxiously await some brilliant ideas from another reader.
Same potty issues here. The SPED director has an autistic child and she tells me it's "normal" to have these issues. He goes to all day kindergarten, but at least he can pee in the toilet at school... you know, if there's no one else around and has "the sock" to put over the auto flush sensor. Baby steps, right? He lost a lot of his services this year also. OT is only coming in once a month to "consult" and he's not getting any speech therapy any more. The speech I'm okay with, but he really needs the OT help. Luckily I'm friends with the SPED director, so she does everything she can to help me out.
ReplyDeleteyou hit exactly the conversation I had with a friend the other day. We WANT our kids to succeed and not need the supports, but the idea of them without the supports scares the crap out of us. And if they fail when the supports are taken away? Even more scary. Our OT warned us that our son would be "graduating" from direct service in kindergarten next year.
ReplyDeleteBut the key here is that you said all the teachers would be watching him. It sounds like you have a terrific team working with him and they won't let him fall down. On the stairs or anywhere else.
Mainstreaming . . . oh, the thoughts that have been swirling in my head in that regard, but I won't take up have this page with those. I wish you good luck in finishing the plan and progressing toward the mainstream. I think it will be okay as long as you are vigilant and the therapists are too. If you have any uneasiness, concerns, thoughts Little Dude might be regressing, I'd ask to redo the IFSP/IEP. It sounds like you have a really receptive district, so they should understand. And if they don't understand, he is your kid and they have to respond. Good luck!
ReplyDeleteWith Ian's "withholding" issue we ended up having to do miralax because it ended up causing all sorts of awesome GI problems! HOORaY!
ReplyDeleteI can't imagine the horror of having things set up in one state, moving to another state and setting things up there, moving back to the first state adn having to start all over again. Holy. Stinking. Crud.
So glad to hear that Little Dude is movin' on up in the world of Special Ed. I get that it's freaky to think of all his supports falling away; but I've known these kinds of kids for a long time and it always amazes me how they rise to the challenges placed before them. These kids are survivors!
ReplyDeleteI am having the exact opposite issue with my little girl with Autism. She poops on the potty just great (as long as I get her there on time) but pee still eludes us. She's also just not aware of when she has to go, I don't think. And I have no idea how to teach THAT.
I know, it's great and scary at the same time, especially when you come to rely on supports.
ReplyDeleteJust remember that Response to Intervention also implies response to (non)intervention. Make sure they are continuing to gather data as there's a reduction in services to determine if he's still making adequate progress. Hope that helps...
@ Domestic Goddess... I had to use the miralax with my son for a while also. Luckily he loves raw nuts: almonds, pecans, walnuts... So I just put a small handful in his lunch everyday. Great for him and keeps everything moving down there! He still has enough control that he doesn't have to go at school, but I can usually count on it shortly after he gets home.
ReplyDeletePlease let Little Dude know that I am not so much a fan of little dogs either.
ReplyDeleteOh--I remember being *so* scared when our son "graduated" from both Speech and OT! Thankfully, because we knew his issues, I was able to be his advocate at school even though he didn't "qualify" for services.
ReplyDeleteI know what you mean. Our IU has decided that after 3 months of going to playgroup once a week for 2 1/2 hours my 4yo should go to a mainstream preschool in August. I personally think their off their freakin rockers and he needs more services, but what do I know? It sounds like you're in a good district. That will make ALL the difference in the world through this transition for you and your son.
ReplyDeleteOh and potty training, I've got nothing. Neither of my boys would do it until THEY decided they were ready. No way, no how, no amount of what anyone said worked. The first one would pee at 3, but the rest didn't come until about 6. The little one is really just starting to get serious about it at 4 1/2. It's going to cost us a small fortune in Squinkies, but I'm just happy we've got a start.
How funny to hear his "clown" conversation. When my now 11 yr old had his Kinder assessment, he was told to draw a pic of himself. He put 3 squiggles on the paper. His OT said, "Can you tell me what you drew?" His answer "Sure, these are my eyebrows and this is my moustache!"
ReplyDeleteAnd since my 13 yr old daughter just came off her IEP totally, I get your fear!. I say, hold on until you're really sure. It's a pain for them, BUT if our kids need that support, it's already in place. I'm my teacher/support staff, etc thought I was a pain in the butt at times BUT we have to live with these guys so . . . For us, it has paid off very well.
Sorry-also no help with the toileting issue. For my son, we used Boardmaker picture cards (even tho I'm not a big fan of Boardmaker). I put every single step in order and put the cards on a key ring. But this doesn't address the issue of getting the **** out of the body. Only what to do when it's out. Good luck.
Hey SRMM,
ReplyDeleteI have discovered the best underwear for us ladies who have trouble doing anything (coughing, laughing, running, sneezing) without leeking. http://www.strideeveryday.com/
Yee haw!!
And we've been told to video tape Daddy doing the washroom routine to help our son (autistic) "get" toilet training. hello iPhone. I'll let you know how it goes.
Does your school district have a STACK (autism) unit? My son is in one and it has been an absolute blessing. His Jedi Master is a teacher AND a parent with a kiddo on the spectrum. She is so many forms of awesome, I can't even believe our luck.
ReplyDeleteIm so glad he did so well on his evaluations. IEPs always make me quesu, nervous, and anxious to get it over with. Sky never seems to cooperate with what they are saying.
ReplyDeleteShe is still in the special ed classroom for half a day so hopefully she will transition to full day soon. Than Kindergarten
I cant even think of that day, I know how you feel with the support falling away Im terrified of the day they tell me we no longer will ne ot pt and st although I will be happy she mastered everything, that was her support system.
I know hell do great in Kindergarten
My Mom, who works in a school with the Special Education Department, particularly with Autistic/Asperger's kids, had this suggestion for you (it's how she did it at school): make your son wipe up his own messes. Well, she helped, of course, but made the kids do a lot of the wiping themselves. Yes, they'll hate it, yes, they'll have sensory issues, and yes, sometimes you'll have to catch them by making them sit there for a while. But, with patience and time, it has worked with EVERY kid she's done this with. Doesn't hurt to try, at any rate, does it? And if you've tried this, feel free to disregard. :D Good luck! And glad he did well on his evaluations!
ReplyDeleteMy ASD son also has serious poop withholding issues, even though he has been pooping on the potty since he was 3. We have to work very hard to keep him regular. We've done the Miralax, but that just makes him have "accidents." He used to eat three or four prunes every day, and that worked for a long time. Now he's a pickier eater and won't touch the prunes. But he will eat a pint of raspberries, and they make him poop like crazy. Raspberries are expensive. I'm paying like $5 per poop. So our current and rather successful program involves massive amounts of canned and fresh fruit.
ReplyDeleteOne of the reasons it's so hard to teach a withholder to poop (and wipe his own butt--don't get me started on that) is because he really has very little experience pooping. Even when my son was a newborn, he pooped only about every third day. So to this day, pooping is not your average, everyday experience for him.
Once you get your son pooping regularly (there will be accidents at first, until he learns to identify the I-have-to-go feeling), he will start using the potty. So my first thing would be to get the poop flowing regularly--like at least every three days. Keep him hydrated with maybe Gatorade or fruit juice, and give him big servings of fruit (if he'll eat it). Decide when you're going to have him sit on the potty. If he's had all this fluid and fruit in the breakfast/lunch time, put him on the potty either before or after a bath at night. Let him sit there and relax while you talk to him about Star Wars Legos. If he poops, great. If not, try it again the next day. It's best to start a routine like this over the summer, so you avoid accidents in school. It's a tough challenge. I feel your pain.
hee hee...I give that test all the time...I once had a kid say "crying...he's crying because there are so many words to say!" lol
ReplyDeleteHow unfortunate that OT is slipping away. Personally, I think the issues with potty training speak to a problem with body awareness, which is related to sensory processing, which you know, which is why I probably don't even need to be writing this as a run-on sentence on your totally public blog.
ReplyDeleteSlip a little Miralax in his chocolate milk? That could totally backfire, huh?
It's great that Little Dude is growing up and succeeding in coping with a lot of the everyday skills. I know it must be hard to relinquish the safety net you've had until now, but it sounds like you have a good plan and excellent support system to keep an eye on him. I gather that he has not gone back to preschool since you returned to PA. Is there a plan to re-acclimate him to the classroom setting prior to starting kindergarten? It's hard enough just coming off summer break (for all kids) and for LD it will be about 9 months. I don't want to give you more to worry about, but just thought it would be worth the suggestion to see if a late summer program could be included in his plan. Good luck, as always, you are your children's fiercest advocate. Go SRMM!
ReplyDelete~physicsmom
I sooo wish I would have read your blog years ago because I struggled so much with, I swear, the BEST "poop holder" in existence. It was terrible and the peds just told me he will grow out of it, meanwhile I dealt with his "stomping' (trying to hold it) and my crying and once a week poos. I dealt with this for about 2 1/2 years feeling helpless. It was horrible until I met my friend Miralax. And it wasn't the peds that suggested helping me with the Miralax. Yes, there can be the occasional accident and since little Dude is in school that makes it a little harder to train because you don't want the accident to be at school and messy and embarrassing. I know he will be successful in "his time." My son had to realize it wasn't going to hurt, and that it had to happen and was part of life. I am confident little dude will make up his mind soon, even if it takes going broke getting a matchbox car every time he goes in the potty (us), in your case lego star wars!!!!
ReplyDeleteAFTER my 3.5 yr old ASD daughter got started with speech and OT at our district's early childhood center, THEN I found out that we live in a crappy district that has essentially zero parent support and no recognition of autism (they target her developmental delays based on the evaluation and ignore the medical diagnosis). Moving a few miles away would put us in a whole new world for support, services, and QUALITY of services. BUT, she HAS been making progress, SO I'm afraid of going through all the evals again and consequently being evaluated right out of services she needs. Progress is great, but doesn't mean we should quit what's working!
ReplyDeleteWorking at several colleges/universities, I've seen kids who have had special services for so long that they start abusing the system. And even when they do need the services, they've lost the ability to self-advocate because their parents did it for so long.
ReplyDeleteSo celebrate the small steps with Little Dude, and keep practicing the skills that have gotten him to this point! And remember that help is always there if you need it again!
I was smiling through this entire read! Good for you, utilizing the services available to your son. My sister has a son who has made progress in early intervention, but now that he in in kindergarten, she is trying to avoid all programs bc she is worried about him being labeled. It drives me nuts! As a former teacher, I have a feeling both sis and her son will be paying for it in the long haul. ugh!
ReplyDeleteAnyway, love your blog, and will be back ;)
I've been reading your blog for quite a while now...and from everything you've written about Little Dude, he seems like a normal little kid. Yeah, he might be a late bloomer on some things, but every kid is different... What makes you positive he has autism? From what I've read, he just seems like a regular little kid that's maybe just more sensitive than the 'norm'... Everyone has anxieties over school, friends, relationships, homework, etc...That doesn't mean something is necessarily 'wrong' with you, or that you need medication..Everyone has to deal with life, and what life throws at you, that's what growing up is all about....
ReplyDeleteClearly you have no children with any disorders like autism, rad, ocd, adhd... Or you would know that parents don't just wake up one morning and slap a label on their kids. Kudos to you tho for being able to diagnos Little Dude over the internet and without extensive testing that he has already endured. And here I've been taking my rad to a PROFESSIONAL. PSH..
ReplyDeleteI know this may sound awful to a lot of people, but my X-man also refused to potty train. We finally got him started on not peeing in his pullups by allowing him to pee on a rock in my yard. He enjoyed the open space, not having to aim at first, then aiming for a point on the rock, then taking it into the bathroom. As for pooping in the potty, I wasn't going to allow that on the rock! I explained that I knew he didn't like being messy, and I didn't like to clean him up. That after 5 years old he was a big enough boy to either try to go to the bathroom, or he needed to start learning to clean himself up. Dad and I wouldn't always be there to do it for him and he was fully capable of doing it. After the second time (we think he thought we wouldn't make him do it a second time) he never went in his pullup again.
ReplyDeleteIt's all in what you know your child is capable of. We knew he could, but, God love him, aspergers or not, he's male and he's lazy. lol
It's great your eval went so great! Make sure they stay on top of things and you are happy with what they decide. Also, make sure your nuero agrees with what they says he does/doesn't need. District has always said my son, HistoryBoy, didn't need speech because he speaks clearly and has an awesome vocab but as the doc pointed out he tends to speak pedantically. (did I spell that right?) So they are working on expressive language with him. It has made a big difference.
ReplyDelete