I almost didn't write this story.
I can name several reasons not to...
The first reason would be because my Prince may hate it. He will likely get caught in the details I deem unimportant. He will probably be embarrassed and want me to NOT say parts of the story.
But, some day, in his future...he needs to know.
So I'm writing it.
At the beginning of this school year, his 7th grade year, we told him he had to pick a fall sport.
See, he's a lover of the couch. He likes video games and TV and movies. He's an amazing student and a talented communicator. But he is not an outside-loving kid.
I want him to be active and on a team. I am convinced teams and shared purpose with teammates teach skills we cannot otherwise learn.
His options were football, cross country, or girls tennis.
He chose cross country.
In 7th grade, being on the cross country team means daily practice and weekly meets.
It's awesomely active.
It's an entire sport of running...so it's hard.
But it's doable.
At his level, the race is 1 mile.
So, here's the part he won't like me writing.
Running isn't easy for him. And he doesn't particularly love to run.
Some 7th grade boys are really fast.
My Prince finished his first race in 11:21. Not dead last. But very close.
His time isn't the point of my story.
The point of my story is this:
As the gun went off to start the very first race of the season, my eyes (against all control and choice) filled with tears.
I tried to cough it away.
I mentally tried to count days until my next period (I know, lame) wondering if maybe it was hormones. I was baffled. I was crying. Against my will. At a middle school cross country meet.
But the next week, at the next meet, I did it again.
And again.
It's a real thing for me.
I cannot go to a cross country meet and hold back my emotion.
I mostly feel stupid. I wear sunglasses and run to my car as soon as it's over.
You may have stopped reading this story 4 sentences ago. But if you didn't, if you are wondering what could possibly be so emotional about a pack of middle school kids running around a field, I will tell you.
This group of kiddos, all dressed in identical uniforms...ALL of them...line up at the starting line. The 5:55 minute finishers and the 11:21 minute finishers line up shoulder to shoulder. There is not an A team and a B team. There is no bench. There is no "put me in coach, I'm ready!". **Before anyone gets all pissy about my comparisons to other sports, don't. I love basketball and football. I love the kids who choose those sports. I don't think the whole football team should abandon football to join the cross country team. I simply have an emotional reaction to this sport.** When the race is about to begin, the entire team lines up and waits for the gun to fire. As the shot rings out, every single kiddo runs the same race, has the same job, struggles with the same hills and turns. They suffer together, yet they are each running their own race.
And then my eyes get cloudy and tears threaten to spill over.
Every single meet I watch the coach, a young man not yet a father himself, take off. He runs to various points along the race to encourage his athletes. He pushes each one to keep moving forward, to fight for the next step, to struggle for his/her personal best...but he is beside them...running with them.
Today, just like every meet before, I stood beside the course and waited to see my brave runner go past. I watched the first finishers go past with such intense speed. I watched the next wave of kids go by, all in a rotation of jockeying for best times as they chase each other towards the finish line. And then a break. There is a short break before I see my Prince fighting his way to the end of the race. Today as I looked out over the field, he suddenly came into view from around a turn, and right there, just outside the designated course lane, but beside him still, was his coach - running with him, pushing him, keeping him going. And I lost it.
My Prince may not understand the significance of those few moments until many, many years from now. But I was overwhelmed. For today, if only for a few minutes, an adult shined his total attention on my Prince for no other reason than to. help. him. finish. well. If only we always had the gift of a coach running beside us as we took hard steps when we weren't at all sure we could.
And the story isn't finished, yet.
There is more.
The last 100 meters of the race is lined on both sides with a sea of cheering fans.
Every single athlete...the one who finishes first, the ones who finish all on top of each other in a pack, the one who finishes very last...is cheered across the finish line.
And then it's over.
Just like that.
But it inspires so much in me.
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The Corners of My Mind
I could speak on his behalf. I would make changes. I would use my voice. I would tell my version of this man's story. I would improve care for families of children diagnosed with IBD. I was so excited!
I am existing in this sweet spot of what I believe will be the end of one kind of health care experience and the beginning of another. Not just for me. And not just for one place. I am talking about a sweeping change in health care to partner with families.
The trending vocabulary includes: collaboration and co-production. I am certainly still wrapping my head around the definition as it is defined by the thought leaders in this movement.
But I am on the ground. Right now. Today. Doing the actual work.
I am a warrior mom. I am a persistent advocate. I am bold enough to ask questions. I am thoughtful enough to understand my role. I am old enough to push for new definitions. I am young enough to stay the course.
I am certain that the best sort of health care is the sort that comes from all the experts working together. In my definition, the patient and family members are on the expert list.
Recently I had the opportunity to be included on an audio program.
What strikes me about the title for the audio program is the part that says: "The New World"
It could also say, "Unheard of" or "People just don't do this" or "Fantasy to reality" because this is how it's presented.
It's so foreign to so many people.
Yet, for me and the team I work with...it's sincerely a natural experience.
We are a team.
We have created community.
We communicate. Sometimes we communicate poorly and sometimes we nail it. But we keep doing it.
Here's the transcript from my talk. Included in parentheses are additional thoughts I had to eliminate from the actual talk for the sake of time. Yet, these were included in my first draft.
It started as silly joking and bedtime stories.
It usually happens this way.
Out of the blue and without warning.
The sky was lighting up every few seconds with flashes of light from a storm 15 miles north. We could hear occasional distant claps of thunder.
He's five and he's "not scared of anything." But he asked if he could sleep in our bed.
I know these days are numbered. I know that at 15 years old and 12 years old a distant thunderstorm doesn't drive them into my room. Maybe they've realized I have no special power against storms. Maybe they just aren't scared anymore. But whatever the reason, the big kids just head to their own rooms. But not my little Knight. His place in a storm is right in between us.
His words are exploding from his little mind. I wonder sometimes if we forget how much he knows and absorbs as he struggles to articulate fully all of his thoughts. In spite of Apraxia of speech, he is working so hard to show us how much is going on in his little head.
It breaks me. Every time I feel physical pain as he works out great big thoughts...knowing every beautiful word is a precious gift and a result of so much work.
I think it was the storm and the soft bed and the cool room. He wasn't quite ready to sleep. He was glancing out the window and alternating between stealing pillows and somersaulting around the bed.
The questions began.
"What is Heaven like?'
"I don't want to die and the day to be over."
"Why did God make us to die?"
"How do people die?"
We answered the questions as simply as we could. In all honesty and without drama or fanfare. But gentle and loving.
As he asked each question, he fought his emotions. His voice wavered his eyes filled just slightly. But he needed to know the answers. So he worked to ask each question...sometimes having to repeat certain words until we understood.
In an attempt to move towards another conversation we slowly steered the talk towards travel and vacation. But if I've learned anything about a curious kiddo...it's that they can seldom be led far from their current thoughts.
He brought us back around to his thoughts with more questions.
"What was I like as a baby?"
"What did you say when you saw me?"
"What did dad say when he saw me?"
"What about my old mom?"
And there it was. Without warning.
"What about my old mom?"
"What did my old mom look like?"
"What did she say when she saw me?"
Adoption.
It's such a miracle.
But my perspective of adoption is just one of three.
I consider my perspective the least difficult. And I certainly feel strongly that my perspective needs to be communicated. But I won't force my ideas. The truth of the matter is my perspective is probably the easy one. I only gained.
I am committed to giving space to each of my 3 miracle kiddos as they explore their own perspective of adoption. I will not communicate any level of shame over talking about a "real mom" or an "old mom" or "tummy mom" or any other term they use as they work it out. I will not pretend to understand their feelings. I will not over sensationalize my perspective as the only perspective.
It's not easy.
I would love to scoop them up and prevent any emotions of grief or loss or confusion. But I'm 3 for 3 with conversations very similar to the one we had last night. I do not know if this process is typical in all adoptive families or if this is the culture of our specific family.
But I do know last night, snuggled in our bed, my little Knight asked question after question about his birth story. I teased him about how I held him all night (true) and didn't want to share him with daddy (true). I told him I snuggled him tight and chased everyone away if they tried to hold him (not true). He giggled. But the questions continued. It wasn't until we told him the true story of how we all sat together, side-by-side, and passed him from mommy to daddy to "tummy mom" and back to mommy and round and round the circle that he finally seemed to find some sort of comfort and rest. Our last words as he snuggled down between us were centered around the idea that every person in the room lovingly held and snuggled the little baby Knight and then shared him with the other people in the room that loved him just as much.
I know we are just beginning these conversations.
And I'm never really ready. But I love to participate in the journey.
The Corners of My Mind
Where I've discovered my little niche doesn't just take up a corner - it fills the entire room.
"If you wish to know the mind of a man, listen to his words." ~Chinese Proverb
Thursday, September 22, 2016
Tuesday, June 7, 2016
Shhhhh...
I saw this shirt the other day.
It's literally a window into my soul.
I didn't buy it, but I probably should have.
I don't think it applies to *other* people. I almost never feel this way when people talk to me.
But, it certainly applies to me talking about myself.
I'm in a less talking (about all the stuff) cycle.
As a kid I didn't talk about myself a ton. My family probably disagrees. But to the general population, my friends, etc. I didn't over-share.
I distinctly remember my mom giving me this advice as I left home for college my freshman year: "You are going to have to open up and let people in." I'm not sure what she saw in me. I know I was a big talker at home with my family. But it was spot on. I stood guarded - always.
That shifted at some point along my journey.
I wanted to talk and share and process and explain. I suspect it happened at around the same time things got hard. Gut-wrenching hard.
But I think I've settled back in to my default.
I don't want to talk.
I am finding it harder and harder to tell the same story to the same people. My people, they've all done their time with me. They've listened. I've talked. But my story is frustratingly stuck. And I'm done talking about it.
I'll tell funny stories about the life I call mine. We've got a lot of funny here on a daily basis. And I love to answer questions like: "tell me about your adoption process" or "how do you find the best doctor for Crohn's disease" or "Who do you call when you need to ask autism questions."
But the feeling questions...the "how are you doing?" and "what's going on?"...
Those conversation are on hold.
Therapy taught me not to overreact to my emotions. To ask myself questions. To be present and curious.
It's good for now.
Quiet more.
Listening more.
Learning more.
I didn't buy it, but I probably should have.
I don't think it applies to *other* people. I almost never feel this way when people talk to me.
But, it certainly applies to me talking about myself.
I'm in a less talking (about all the stuff) cycle.
As a kid I didn't talk about myself a ton. My family probably disagrees. But to the general population, my friends, etc. I didn't over-share.
I distinctly remember my mom giving me this advice as I left home for college my freshman year: "You are going to have to open up and let people in." I'm not sure what she saw in me. I know I was a big talker at home with my family. But it was spot on. I stood guarded - always.
That shifted at some point along my journey.
I wanted to talk and share and process and explain. I suspect it happened at around the same time things got hard. Gut-wrenching hard.
But I think I've settled back in to my default.
I don't want to talk.
I am finding it harder and harder to tell the same story to the same people. My people, they've all done their time with me. They've listened. I've talked. But my story is frustratingly stuck. And I'm done talking about it.
I'll tell funny stories about the life I call mine. We've got a lot of funny here on a daily basis. And I love to answer questions like: "tell me about your adoption process" or "how do you find the best doctor for Crohn's disease" or "Who do you call when you need to ask autism questions."
But the feeling questions...the "how are you doing?" and "what's going on?"...
Those conversation are on hold.
Therapy taught me not to overreact to my emotions. To ask myself questions. To be present and curious.
It's good for now.
Quiet more.
Listening more.
Learning more.
Thursday, May 19, 2016
I Have a Dream
It's so true.
I do have a dream. Actually, dreams.
Though, that title belongs to another speech.
So I'm developing a list of sorts, and the title is going to have to be more like: Wouldn't it be awesome...?
It's things like this:
~Wouldn't it be awesome if my 8 week summer class - Pathophysiology - text book wasn't 1081 pages long.
or
~Wouldn't it be awesome if the way to prevent Zika was as simple as NPR suggested...which included knowing the enemy and recognizing Zika carrying mosquitos by the white stripe on their legs.
or
~Wouldn't it be awesome if crowdsourcing was as easy as I want it to be. Meaning, if my great ideas could somehow become everyone's great ideas and spread! By great, I clearly mean great...for me. But I'll be honest, I try to be thoughtful about my great being universally great. Currently, I am working to advocate for my Princess. She is at a pivitol age. I have great ideas and limited resources. You can read about it in a blog coming to my corners soon.
~Wouldn't it be awesome if my Princess didn't suddenly get a boyfriend and freak me the heck out.
~Wouldn't it be awesome if I had thought to add a few more items to my cart at Walgreens. Buying 3 boxes of tampons and 2 rolls of duck tape made me look extremely suspicious.
~Wouldn't it be awesome if Speech/Debate and Forensics were offered at our local middle school. Because let's be honest...middle school boys are spending 20 hours a day eating or asking for food and the rest of the time debating. If we cannot beat 'em...we should figure out a way for them to harness their super powers.
~When the Princess says:
"I'm really sorry-but that egg sac I have in my room hatched and there are a LOT of spiderlings ...but they will stay on my lamp...so don't worry." Wouldn't it be awesome if:
~Wouldn't it be awesome if all 9th grade students wrote "my parents were being stupid" on the check-in log at high school. The Princess made her feelings very clear for all to see when she was late to school one day.
~Wouldn't it be awesome if all my dreams came true?
Oh wait...
Once upon a time, I dreamed about growing up.
Check
I dreamed about a big wedding, in a white dress, with the man of my dreams.
Check, check, and check.
I dreamed about a perfect space to live.
Check.
I dreamed about being a momma.
Check, check, and check.
I dreamed about being the perfect mom raising perfect kids.
Check.
**Yes, I just left out 1 check. I haven't decided who the problem is, yet.
I do have a dream. Actually, dreams.
Though, that title belongs to another speech.
So I'm developing a list of sorts, and the title is going to have to be more like: Wouldn't it be awesome...?
It's things like this:
~Wouldn't it be awesome if my 8 week summer class - Pathophysiology - text book wasn't 1081 pages long.
or
~Wouldn't it be awesome if the way to prevent Zika was as simple as NPR suggested...which included knowing the enemy and recognizing Zika carrying mosquitos by the white stripe on their legs.
or
~Wouldn't it be awesome if crowdsourcing was as easy as I want it to be. Meaning, if my great ideas could somehow become everyone's great ideas and spread! By great, I clearly mean great...for me. But I'll be honest, I try to be thoughtful about my great being universally great. Currently, I am working to advocate for my Princess. She is at a pivitol age. I have great ideas and limited resources. You can read about it in a blog coming to my corners soon.
~Wouldn't it be awesome if my Princess didn't suddenly get a boyfriend and freak me the heck out.
~Wouldn't it be awesome if I had thought to add a few more items to my cart at Walgreens. Buying 3 boxes of tampons and 2 rolls of duck tape made me look extremely suspicious.
~Wouldn't it be awesome if Speech/Debate and Forensics were offered at our local middle school. Because let's be honest...middle school boys are spending 20 hours a day eating or asking for food and the rest of the time debating. If we cannot beat 'em...we should figure out a way for them to harness their super powers.
~When the Princess says:
"I'm really sorry-but that egg sac I have in my room hatched and there are a LOT of spiderlings ...but they will stay on my lamp...so don't worry." Wouldn't it be awesome if:
- I didn't actually need to worry.
- I could actually believe her about the "staying on the lamp" part
- I did not underestimate what "a LOT" actually meant.
- I didn't have to be the one to go straight to her room, grab the lamp (along with hundreds of spiderlings) and run outside.
- I didn't dwell on the fact that she had an egg sac in her room and I didn't know.
~Wouldn't it be awesome if all 9th grade students wrote "my parents were being stupid" on the check-in log at high school. The Princess made her feelings very clear for all to see when she was late to school one day.
~Wouldn't it be awesome if all my dreams came true?
Oh wait...
Once upon a time, I dreamed about growing up.
Check
I dreamed about a big wedding, in a white dress, with the man of my dreams.
Check, check, and check.
I dreamed about a perfect space to live.
Check.
I dreamed about being a momma.
Check, check, and check.
I dreamed about being the perfect mom raising perfect kids.
Check.
**Yes, I just left out 1 check. I haven't decided who the problem is, yet.
Wednesday, May 18, 2016
It's what makes a small town feel so sweet.
Every year we have the big town celebration.
I've written about it before, here.
This year was a little different.
The Princess brought her boyfriend.
B.O.Y.F.R.I.E.N.D.
In all reality, she is delightful when he is around. She is calm. She is more aware of herself. She is happy. We are happy to have him join our weekends!
I loved the carnival as a kid. Now, I can hardly go without feeling a little nauseated.
Seems I am not the only one.
We loaded the 3 royal kiddos up plus one boyfriend and headed to the carnival. Armed with tickets, we sent the older kids off to spin, flip, and twist their way into carnival happiness.
I followed the little Knight around with my camera.
However, I'll tell ya...at one point we tried to get on a ride that was suddenly closed down and a couple of the carnival employees came running with big buckets of water. They started throwing the water on the ride deck with instructions to return in "about 30 minutes because someone puked."
This is called foreshadowing for the rest of my story.
The little Knight picked a different ride, but I couldn't shake the visual of those big buckets of water.
I started looking for the Princess.
She was nowhere.
When I did finally find them (Princess and boyfriend), she was mad as a hornet.
Apparently she had been texting me for help and I missed the texts. Boyfriend was the vomiter. His aim protected my girl - for which I will always be grateful. His clothes didn't stand a chance.
But here's the deal. He lives 20 miles away. He needed a shower and a change of clothes. And making him walk seemed mean.
Full disclosure, I did stand and stare at him for longer than I should have. I was considering all of my options and realized I had only one.
I loaded him in my car and drove him home. 20 miles. In a car. With a adult-sized boy who was covered in his own vomit.
This drive required a verbal filter.
I have a well developed verbal filter.
The Princess does not.
She moaned and writhed and threatened to vomit the entire 20 miles. We pulled over once so she could deep breath and walk around the car.
Boyfriend was a doll the entire ride. He checked on the Princess. He didn't complain.
As we dropped him off, we sent him inside with lots of well wishes and the promise that next weekend...movies only.
P.S. While I drove boyfriend home, I left hubby, the Prince and little Knight at the carnival to continue on with all the fun. An adult friend of ours rode a few rides with the Prince. When I called hubby to tell him we were almost back to pick them up from the carnival, he said..."You are not going to believe what happened." That friend riding with the Prince...needed the bucket brigade to clean up after her ride as well. At the end of the day, the carnival employees were happy to see us leave.
I've written about it before, here.
This year was a little different.
The Princess brought her boyfriend.
B.O.Y.F.R.I.E.N.D.
In all reality, she is delightful when he is around. She is calm. She is more aware of herself. She is happy. We are happy to have him join our weekends!
I loved the carnival as a kid. Now, I can hardly go without feeling a little nauseated.
Seems I am not the only one.
We loaded the 3 royal kiddos up plus one boyfriend and headed to the carnival. Armed with tickets, we sent the older kids off to spin, flip, and twist their way into carnival happiness.
I followed the little Knight around with my camera.
However, I'll tell ya...at one point we tried to get on a ride that was suddenly closed down and a couple of the carnival employees came running with big buckets of water. They started throwing the water on the ride deck with instructions to return in "about 30 minutes because someone puked."
This is called foreshadowing for the rest of my story.
The little Knight picked a different ride, but I couldn't shake the visual of those big buckets of water.
I started looking for the Princess.
She was nowhere.
When I did finally find them (Princess and boyfriend), she was mad as a hornet.
Apparently she had been texting me for help and I missed the texts. Boyfriend was the vomiter. His aim protected my girl - for which I will always be grateful. His clothes didn't stand a chance.
But here's the deal. He lives 20 miles away. He needed a shower and a change of clothes. And making him walk seemed mean.
Full disclosure, I did stand and stare at him for longer than I should have. I was considering all of my options and realized I had only one.
I loaded him in my car and drove him home. 20 miles. In a car. With a adult-sized boy who was covered in his own vomit.
This drive required a verbal filter.
I have a well developed verbal filter.
The Princess does not.
She moaned and writhed and threatened to vomit the entire 20 miles. We pulled over once so she could deep breath and walk around the car.
Boyfriend was a doll the entire ride. He checked on the Princess. He didn't complain.
As we dropped him off, we sent him inside with lots of well wishes and the promise that next weekend...movies only.
P.S. While I drove boyfriend home, I left hubby, the Prince and little Knight at the carnival to continue on with all the fun. An adult friend of ours rode a few rides with the Prince. When I called hubby to tell him we were almost back to pick them up from the carnival, he said..."You are not going to believe what happened." That friend riding with the Prince...needed the bucket brigade to clean up after her ride as well. At the end of the day, the carnival employees were happy to see us leave.
Thursday, May 5, 2016
Oh Come On Now
Yesterday my little Knight asked to go for a bike ride. He has been practicing in front of our house - still with training wheels and a little teeny tiny red bike. His speed increased from adult walking speed to "adult tearing after him down a busy road in regular clothes, converse and a non-supportive-for-running bra" speed in one walk. It was beyond fun!
We stopped mid-ride at a park to play. And by we, I mean he played. I sat. But God was smiling down on us. There was a little boy at the park the same age as the little Knight and they become fast friends.
He had so much fun with new found park friends, I lost track of time. When I suddenly realized how late we were...our ride home became strategic shortcuts, which required me to mostly push the teeny tiny red bike through the grass and up a ridiculous hill with the little Knight peddling his heart out. I do not want to know how it looked, but if the smiles and knowing glances from passers by is any indication...well, we looked cool.
We arrived home at exactly 11:49a.m. PreK starts at 12p.m. and he needed to eat lunch first! Lunch was strawberries, cheese, and some snap peas. I have no idea what he actually ate but I promised him Smarties if he ate lunch and got into the car as fast as he could. It's good parenting, I think.
He made it to school a little late, but not much.
After school his eyes just got heavier and heavier. Finally he gave up and fell sound asleep at 5pm. Every mom knows this is not ideal. Best case scenario: it's going to be hell on bedtime. Worst case scenario = sick. We got both.
At 6:15 the next morning our little Knight was on fire. No other symptoms. That is my red flag for strep...every single time. But my day was already full. So the second words out of my mouth (I won't admit the first words) were to my hubby. He needed to stay home.
We regrouped, planned, aimed and fired.
The Princess and Prince woke up and got ready for school. As soon as the Princess found out someone in the house was sick...she derailed. It's standard. We aren't sure if she's opportunistic and wants a free ride on the virus train? Or if she gets worried? Maybe her brand of empathy? Whatever the reason, she gets pretty needy.
We sent her to school anyway.
The Prince went to school with instructions to be in the office at 9:45 for a 10 a.m. dentist appointment.
At 9 a.m. my phone came to life. The Princes is at school, sick (ish) and manically texting me. I am giving a breathing treatment to my little Knight - to cover all the bases. I'm also looking at the time as I know it's close to time to head to the dentist with my Prince.
The following several hours were:
I may or may not have quickly fit in a 6pm CincoDeMayo celebration!
We arrived home at exactly 11:49a.m. PreK starts at 12p.m. and he needed to eat lunch first! Lunch was strawberries, cheese, and some snap peas. I have no idea what he actually ate but I promised him Smarties if he ate lunch and got into the car as fast as he could. It's good parenting, I think.
He made it to school a little late, but not much.
After school his eyes just got heavier and heavier. Finally he gave up and fell sound asleep at 5pm. Every mom knows this is not ideal. Best case scenario: it's going to be hell on bedtime. Worst case scenario = sick. We got both.
At 6:15 the next morning our little Knight was on fire. No other symptoms. That is my red flag for strep...every single time. But my day was already full. So the second words out of my mouth (I won't admit the first words) were to my hubby. He needed to stay home.
We regrouped, planned, aimed and fired.
The Princess and Prince woke up and got ready for school. As soon as the Princess found out someone in the house was sick...she derailed. It's standard. We aren't sure if she's opportunistic and wants a free ride on the virus train? Or if she gets worried? Maybe her brand of empathy? Whatever the reason, she gets pretty needy.
We sent her to school anyway.
The Prince went to school with instructions to be in the office at 9:45 for a 10 a.m. dentist appointment.
At 9 a.m. my phone came to life. The Princes is at school, sick (ish) and manically texting me. I am giving a breathing treatment to my little Knight - to cover all the bases. I'm also looking at the time as I know it's close to time to head to the dentist with my Prince.
The following several hours were:
- texting with the Princess to tell her to stop texting!
- filling a seat at the dentist office as the Prince had dental x-rays, a cleaning and a tooth extraction. Poor kid had zero control over the left side of his cheek. I may have laughed a little.
- communicating with my hubby as he took the little Knight to the doctor to get a positive strep screen and antibiotics.
- a second appointment for a doctor in a town 30 miles away for the Prince in the afternoon
- and two pharmacy runs!
I may or may not have quickly fit in a 6pm CincoDeMayo celebration!
Tuesday, May 3, 2016
Advocacy, Collaboration, and Co-Production
In 2012 Dr. Bass, a pediatric gastrointestinal physician and one of my heroes - as she takes beautiful care of my Prince and in turn my heart - asked me to join her on a path of improvement for kids with IBD.
| See...don't we look uber professional? |
In the beginning, as a very attentive and thorough improver, I made it a point to be "on" at every encounter inside and out of the clinic. If it pertained to patients and/or families and their IBD care...you better bet I would notice.
One day, in the waiting room I watched as a mom, dad, and little patient came through the doors and collapsed into chairs. The little patient looked stable, so I wasn't feeling any urgency. But something about the dad in particular struck me. He was tired. He was possibly crabby. He was clearly overwhelmed. Who knows why. Maybe the parking lot was chaos. Maybe the drive to clinic had been too long. Maybe he was scared for his child. Maybe his work day was rough. Again, I don't know the story. What I do know is he sat in a chair and looked around the waiting room of a clinic in a children's hospital and loudly said, "why are there no good magazines! Do they think these kids drive themselves to the hospital? I want something to read." Now, it would have been easy to dismiss this dad. His actions, tone and comments bordered on rude. But his awareness and statement were actually really insightful. He was trapped in this room. His child had cartoons, colorful walls, crayons and picture books. For one minute - possibly the only minute that day - he could have escaped into a magazine of his own.
I had found my passion.
| The Team...QI Rockstars |
As part of my new role, I attended quality improvement meetings with Dr. Bass, nurse practitioners, nurse coordinators, research managers, and an IBD psychologist. A very impressive group.
It would be at the next QI meeting where I would speak up. Tell the story. Encourage and hopefully inspire change.
And then the day arrived.
I was new to the team. I was still nervous. I wanted to be seen as professional and knowledgable. I wanted the team to believe they chose well.
So I told the story of a tired dad. I laid the foundation. I gave plenty of details. I painted a picture to help my cause.
And to seal the deal...
I asked that the IBD program strongly consider supplying the clinic waiting rooms with adult magazines.
I literally said, "adult magazines." And the team went radio silent and stared at me.
Yes. Adult magazines = porn.
I can see that now.
In hindsight, I should have said: Time, Good Housekeeping, and Sports Illustrated.
Details. Geez.
In all seriousness...
The trending vocabulary includes: collaboration and co-production. I am certainly still wrapping my head around the definition as it is defined by the thought leaders in this movement.
But I am on the ground. Right now. Today. Doing the actual work.
I am a warrior mom. I am a persistent advocate. I am bold enough to ask questions. I am thoughtful enough to understand my role. I am old enough to push for new definitions. I am young enough to stay the course.
I am certain that the best sort of health care is the sort that comes from all the experts working together. In my definition, the patient and family members are on the expert list.
Recently I had the opportunity to be included on an audio program.
WIHI: The New World of Co-producing Health and Health Care
While this was one of the most exciting public speaking opportunities I have had, it was the same story I have been telling - over and over - as often as I can since 2012, when my journey as a parent partner to a medical quality improvement team began.What strikes me about the title for the audio program is the part that says: "The New World"
It could also say, "Unheard of" or "People just don't do this" or "Fantasy to reality" because this is how it's presented.
It's so foreign to so many people.
Yet, for me and the team I work with...it's sincerely a natural experience.
We are a team.
We have created community.
We communicate. Sometimes we communicate poorly and sometimes we nail it. But we keep doing it.
Here's the transcript from my talk. Included in parentheses are additional thoughts I had to eliminate from the actual talk for the sake of time. Yet, these were included in my first draft.
I am very honored to be here today.
It’s incredibly exciting to hear any conversation around the topic of doctor and patient collaboration and co-production.
So - As a mom, when I heard the words life-long disease for my child…the world definitely tilted (As you know, my son was diagnosed with Crohn’s Disease at a young age. He was 4). I dove in as: lay-researcher, advocate, and guardian of my family’s health care experiences. I wanted best care at each visit from each provider.
I found myself asking: “what is best care?” “Who gives best care?” “How do I find best care? (I was suddenly thrust into many roles that I wasn’t at all skilled for and, quite frankly, would have preferred to avoid. But once the words, “chronic”, “life-long”, and “no cure” are spoken…the wheels are in motion.).
In many ways, Care for IBD felt like it was highly dependent on where we went, where we lived or could travel to, who we talked to, what magic formula of words we said, and other confusing factors.
Early in our journey, we did find a doctor whom I would argue is as good as they get for IBD care. When Dr. Bass asked if I would be interested in joining a Quality Improvement Team to focus on improving care for IBD Kids…it was a significant shift in focus for me…so often I felt helpless, but now I was given the opportunity to act rather than to be acted upon. And that felt huge.
I do think it’s true that parents of children diagnosed with a chronic disease assume they have substantial input already. And I think it’s true. I think that’s a great example of collaboration between one family and one provider…But I believe it’s different than what we are speaking about today. In this case, Dr. Bass and the QI team invited me to became intentional about improvements that could impact most families at most visits across most providers in our program.
We get to speak together about our Partnership and it's such a sweet perk!
(It was in the following weeks, as I stepped into the role of partnership with this QI team, that I learned several things.
First, They treated me like an expert. Immediately. And that was highly motivating to become as professional as I could possibly be. I think it’s important to realize the unsung heroes in this process. The research coordinators on the QI team began to include me in email conversations right away. The administration and upper management for the clinics and hospital were not obstacles to be overcome, but supporters of our shared goals. That is not to say that everyone agreed or that perspectives matched. But disagreement didn’t mean the idea of partnership was wrong. Disagreement meant more discussion was needed.
Another important realization is Dr. Bass and the QI team didn’t pretend to already know my perspective. In spite of the 600 families they care for, they openly admitted they needed added parent perspective.
And my favorite part of this entire experience is that...)
This team turned theory (maybe this is a good idea?) into action (It is a good idea…let’s do it!). Very quickly. I want to share one particular example today.
A Little more than a year ago, I asked if we could expand our partnership beyond one parent with one perspective to a group of parents. As is typical for our QI team, everyone discussed the possibility and decided to test the idea. We found fast and enthusiastic interest and formed a parent advisory council really fairly quickly. During one of our parent only brainstorming meetings, another parent on the council expressed the need for more formalized discharge planning following clinic visits. As a parent council we discussed what is important to parents and families as they leave clinic visits. I then took the idea and even an example form to the QI team. The idea and template went through several iterations and a few back and forth looks by both the medical team and the parent council. Eventually the result is a form available to all providers for discharge planning and in turn improving care for all families seen at CMH. As a parent I am very proud to be a part of creating a tool for families- I truly believed would change their care. And then Dr. Bass said, sort of in passing, this form has changed the way I practice medicine in my clinics for the better. That comment was a game changer for me in the realization of what this partnership was all about.
Meeting of clinical team and Parent Council.
Sunday, May 1, 2016
Prince Talks-a-lot.
I have to be intentional about giving this middle child space on this blog.
It's so cliche about being a forgotten middle.
He would vehemently disagree with me, but he is certainly not forgotten.
He isn't quite as theatrical as The Princess...although, he's putting in some work to that end.
He isn't little and cuddly anymore - so he feels usurped by The Little Knight.
But the reality is, he has the capability of being pretty darn easy - if he would embrace that truth about his life and character he would recognize how much his dad and I long for "easy."
The other big truth is we spend much more one-on-one time with our Prince than we do with either of his siblings. We have logged hours upon hours in the car, at appointments, and focused attention surrounding the process of a chronic disease diagnosis.
But still, there is something about being the middle kid.
He was the middle kid long before his brother was born. He just experiences his world as a middle kid. He's older than his years. He craves attention (who doesn't). He wants to remain private, sort of (which is another big reason he is not a frequent topic of blog posts). He likes the idea of fair and equal...and he keeps tabs.
I found this recently in an article I read on-line:
So for the record books...because we know he's keeping score...
Dear Smart, Witty, Persistent, Brave, Analytical, Detail-Oriented, Prince:
I have proof that you are not a forgotten child.
But it's true. We think you are funny. Like ReALLy funny!
And we DO like to spend time with you.
For your record books...we do spend a lot of time together in the car. But you aren't always super engaged during those hours!
At the end of the day, we are your people. We love you big. We are proud of you.
It's so cliche about being a forgotten middle.
He would vehemently disagree with me, but he is certainly not forgotten.
He isn't quite as theatrical as The Princess...although, he's putting in some work to that end.
He isn't little and cuddly anymore - so he feels usurped by The Little Knight.
But the reality is, he has the capability of being pretty darn easy - if he would embrace that truth about his life and character he would recognize how much his dad and I long for "easy."
The other big truth is we spend much more one-on-one time with our Prince than we do with either of his siblings. We have logged hours upon hours in the car, at appointments, and focused attention surrounding the process of a chronic disease diagnosis.
But still, there is something about being the middle kid.
He was the middle kid long before his brother was born. He just experiences his world as a middle kid. He's older than his years. He craves attention (who doesn't). He wants to remain private, sort of (which is another big reason he is not a frequent topic of blog posts). He likes the idea of fair and equal...and he keeps tabs.
I found this recently in an article I read on-line:
Middle children tend to feel that they are unseen, so they may suffer from low self-esteem. Even if they are capable of doing something, they may constantly ask for your help in order to get your attention. That old saying, "The squeaky wheel gets the grease," tends to be something that middle children live by. They tend to beat themselves up over the tiniest of failures and do not set goals for themselves. For some reason, if you look at most families one parent tends to bond with the oldest child while the other tends to form a bond with the youngest. The middle child takes notice of this and feels unloved. This leads to their feelings of inadequacy and that empty feeling that many of us often experience. Jealousy also comes into play here because they resent everything that the other children do. In extreme cases, middle children even act out with what some would call "psychotic" behavior. All of that jealousy and resentment just piles up inside of them until they just lash out in anger or violence.I'm not going to say whether this describes my Prince or not. He would hate this description. But it's worth the read and the realization.
So for the record books...because we know he's keeping score...
Dear Smart, Witty, Persistent, Brave, Analytical, Detail-Oriented, Prince:
I have proof that you are not a forgotten child.
| I know...you are shocked. |
But it's true. We think you are funny. Like ReALLy funny!
And we DO like to spend time with you.
| It bites that often those times are in a hospital. But you seem to be fairly comfortable in that environment. |
For your record books...we do spend a lot of time together in the car. But you aren't always super engaged during those hours!
At the end of the day, we are your people. We love you big. We are proud of you.
It's fine if you don't really believe us. We'll keep telling you.
Saturday, April 30, 2016
I very literally almost died.
I've been a mom for 15 plus years now.
And I still have no earthly idea what I am doing. Faking it every single day is how this gig is going to shake out.
But I have had my fair share of "taking one for the team" moments.
I've logged some hours at Chess Tournaments. I've played Legos far beyond my ideal time limit. I've put on a swimming suit and paraded around the pool to entertain my kids on hot days.
I'm not bragging. The truth is, I've done far too few sacrificial activities. But I've done a couple.
The ultimate sacrifice was 2 weeks ago.
See, I'm an introvert. This means I love to be home and alone. I'm not particularly an "outside" girl. I do fine. No squealing and crying, but if I get to choose, I choose inside. I am also not a risk taker. And by not a risk taker I mean I am as opposite of taking risks as you can find. I'm not even a risk manager. I am a risk eliminator.
Enter stage left: The Princess.
She blasted her way into my life and has been making waves every day since.
Two weeks ago, I (along with my dad and mom) took the Princess on a snake hunt. Actually it was a herp tally. Be impressed. Go ahead. I am.
In case you don't know what a herp tally is, I'll tell you. It's a snake hunt.
No, I'm kidding. It's a gathering of scientists, explorers, naturalists, and general outdoors man who survey a location and record their findings, particularly snakes and other crawly things. **the beginning of the description is pretty spot on, the crawly things part is sort of my own paraphrasing.**
Early Saturday we loaded up all of ourthings crap bags of stuff weird tools GeAr and took off for the 2 hour drive to the tally location.
Cute side story: my mom was in charge of packing the lunch. She is also dieting. But on trips like this diets are on hold and calories don't count. When we opened the lunch container it included PB&Js, chips, pop, candy bars, cookies, and HoHos. Hilarious!
The day was divided into two separate experiences. We surveyed one large area before lunch and then drove to a different area for the afternoon. I took the morning duty. I spent 3 hours following the Princess as the Princess followed the experts. They found all kinds of things I would have stepped on (accidentally) or walked past or tried to run from.
They picked most things up. They gathered in groups to share and talk. They sprinted through pastures to see what other folks were finding. It was fascinating. The Princess was in heaven. I was extremely impressed with everyone I met. I love watching people do what they love. I have big dreams about her abilities and huge hopes she will meet that one person who can believe in her and help her conquer the world.
It's what we do as moms. We clear the path for our children so they can soar.
After lunch, I decided to spend some time in the car studying and give my dad the chance to hike along with the Princess.
But I have to confess, I sort of got a little over-confident after my 3 hours of herping. There was a piece of me that felt like it was a treasure hunt and you never knew what might be right under the next rock.
The afternoon was quiet. The herpers were long gone on their hike. Mom and I spent time chatting, reading, napping, and even a little walk. Near the end of the afternoon I got antsy. I knew the herpers would be returning and I was anxious to hear stories from my dad and my girl. I decided I needed to get out of the car and go for a walk before the drive home. We were parked beside a big open pasture. I grabbed my camera, a walking stick and flippantly told my mom I was going to go into the pasture and find a big snake and show all these experts how it's done.
I'm so stupid.
I walked slowly through the pasture. The grass was very short and there were almost no rocks. It was literally just wide open space...30 yards from the car. I stopped to look around, took a few more steps, and repeated this for about 10 minutes. Slowly the herpers started to trickle back towards the cars. One guy split from his group and walked my way. As is typical with these folks, he walked up to me and said, "Are you having any luck?" I smiled and responded, "No! But I'm glad, I'm just here as a driver for my daughter."
The words were barely out of my mouth and he said, "Look!"
Pointing to the right of my foot about two feet.
He yelled to his group.
They came running. As in, they were running towards a pair of rattlesnakes. I was completely paralyzed. Well, most of me was. Not my mouth. It wasn't my best moment. I just kept talking. These guys (the humans) got all excited and and used snake hooks to move the snakes and look at them. The snakes just got pissed. How do I know, you ask? Because they rattled!!!! A lot!
At one point one of the guys stood sort of in front of me (ish). After my 16th question about wondering if the snake was at any point going to strike towards me or lunge at me or chase after me, the nice stranger took a few steps and put himself between the snakes and my mouth.
At some point they decided to let the snakes go back under the rock. And that was it. They just walked off. I considered asking for a piggy back ride out of the pasture. I did follow them. Right in their footsteps. Awkwardly close. As we made our way back to the cars, they were already talking about something else.
I almost died! And they were casually heading to their car to grab a beer.
In all reality, I'm not sure if I would have even seen the snakes until I was stepping on one. Maybe I would have walked past without noticing. But almost worse than either of those two scenarios is the one that still plays in my mind. What if I found the snakes all by myself? What would I have done? Would I have screamed? Would I have run?
We won't know.
Ever.
I retired my skills.
Letting the experts do their thing.
I will embrace them and encourage them and cheer for them.
From a safe little distance.
Also, behind glass.
And I still have no earthly idea what I am doing. Faking it every single day is how this gig is going to shake out.
But I have had my fair share of "taking one for the team" moments.
I've logged some hours at Chess Tournaments. I've played Legos far beyond my ideal time limit. I've put on a swimming suit and paraded around the pool to entertain my kids on hot days.
I'm not bragging. The truth is, I've done far too few sacrificial activities. But I've done a couple.
The ultimate sacrifice was 2 weeks ago.
See, I'm an introvert. This means I love to be home and alone. I'm not particularly an "outside" girl. I do fine. No squealing and crying, but if I get to choose, I choose inside. I am also not a risk taker. And by not a risk taker I mean I am as opposite of taking risks as you can find. I'm not even a risk manager. I am a risk eliminator.
Enter stage left: The Princess.
She blasted her way into my life and has been making waves every day since.
Two weeks ago, I (along with my dad and mom) took the Princess on a snake hunt. Actually it was a herp tally. Be impressed. Go ahead. I am.
In case you don't know what a herp tally is, I'll tell you. It's a snake hunt.
No, I'm kidding. It's a gathering of scientists, explorers, naturalists, and general outdoors man who survey a location and record their findings, particularly snakes and other crawly things. **the beginning of the description is pretty spot on, the crawly things part is sort of my own paraphrasing.**
Early Saturday we loaded up all of our
Cute side story: my mom was in charge of packing the lunch. She is also dieting. But on trips like this diets are on hold and calories don't count. When we opened the lunch container it included PB&Js, chips, pop, candy bars, cookies, and HoHos. Hilarious!
The day was divided into two separate experiences. We surveyed one large area before lunch and then drove to a different area for the afternoon. I took the morning duty. I spent 3 hours following the Princess as the Princess followed the experts. They found all kinds of things I would have stepped on (accidentally) or walked past or tried to run from.
They picked most things up. They gathered in groups to share and talk. They sprinted through pastures to see what other folks were finding. It was fascinating. The Princess was in heaven. I was extremely impressed with everyone I met. I love watching people do what they love. I have big dreams about her abilities and huge hopes she will meet that one person who can believe in her and help her conquer the world.
It's what we do as moms. We clear the path for our children so they can soar.
After lunch, I decided to spend some time in the car studying and give my dad the chance to hike along with the Princess.
But I have to confess, I sort of got a little over-confident after my 3 hours of herping. There was a piece of me that felt like it was a treasure hunt and you never knew what might be right under the next rock.
The afternoon was quiet. The herpers were long gone on their hike. Mom and I spent time chatting, reading, napping, and even a little walk. Near the end of the afternoon I got antsy. I knew the herpers would be returning and I was anxious to hear stories from my dad and my girl. I decided I needed to get out of the car and go for a walk before the drive home. We were parked beside a big open pasture. I grabbed my camera, a walking stick and flippantly told my mom I was going to go into the pasture and find a big snake and show all these experts how it's done.
I'm so stupid.
I walked slowly through the pasture. The grass was very short and there were almost no rocks. It was literally just wide open space...30 yards from the car. I stopped to look around, took a few more steps, and repeated this for about 10 minutes. Slowly the herpers started to trickle back towards the cars. One guy split from his group and walked my way. As is typical with these folks, he walked up to me and said, "Are you having any luck?" I smiled and responded, "No! But I'm glad, I'm just here as a driver for my daughter."
The words were barely out of my mouth and he said, "Look!"
Pointing to the right of my foot about two feet.
He yelled to his group.
They came running. As in, they were running towards a pair of rattlesnakes. I was completely paralyzed. Well, most of me was. Not my mouth. It wasn't my best moment. I just kept talking. These guys (the humans) got all excited and and used snake hooks to move the snakes and look at them. The snakes just got pissed. How do I know, you ask? Because they rattled!!!! A lot!
At one point one of the guys stood sort of in front of me (ish). After my 16th question about wondering if the snake was at any point going to strike towards me or lunge at me or chase after me, the nice stranger took a few steps and put himself between the snakes and my mouth.
At some point they decided to let the snakes go back under the rock. And that was it. They just walked off. I considered asking for a piggy back ride out of the pasture. I did follow them. Right in their footsteps. Awkwardly close. As we made our way back to the cars, they were already talking about something else.
I almost died! And they were casually heading to their car to grab a beer.
In all reality, I'm not sure if I would have even seen the snakes until I was stepping on one. Maybe I would have walked past without noticing. But almost worse than either of those two scenarios is the one that still plays in my mind. What if I found the snakes all by myself? What would I have done? Would I have screamed? Would I have run?
We won't know.
Ever.
I retired my skills.
Letting the experts do their thing.I will embrace them and encourage them and cheer for them.
From a safe little distance.
Also, behind glass.
Tuesday, April 26, 2016
Find My Phone
It's an essential/must-have/cannot live without app.
The Princess has an iPhone.
Short of "chipping" her, this is my best bet for keeping very close tabs on her. I can basically look and tell when she is moving from class to class during her school day.
We are going into a newish season of parenting and autism. The princess is testing her freedom (totally developmentally normal). She is desperate to get out of the house (totally developmentally normal). She is longing for non-family-member friendships (totally developmentally normal). She went looking for all of the above at the local law enforcement center yesterday (Hello! Autism).
Very often my girl hops on her bike and takes off for a ride around the park. I have been cautiously allowing her this little bit of freedom. I ask her to check in. I often FaceTime with her while she is hanging out at the park. I check her location via "Find My Phone". We give her strong boundaries (that she crosses). We live in a small town, so often I hear about her actions from watchful friends. Until yesterday she has (mostly) explored the park. Played at the playground with kids. Visited with strangers. She did crash a 2 year old birthday party one day, but the family recognized my girl and graciously engaged her, even offered her treats. They were rewarded with an impromptu Cotton-eyed-Joe solo! Oh, and she did drive by the local middle school and ring the buzzer (like a door bell) until the assistant principal finally opened the door and visited for a bit. He didn't let her in to check the animals in the science classes, which was a bummer...but he was nice. Basically, I have felt like these bike-rides were within normal limits. Until now. As I write this I realize the foreshadowing is actually pretty clear.
Yesterday, after school she asked if she could go for a bike ride.
The conversation went like this:
Me: Where do you want to go?
Her: The parks.
Me: Where else?
Her: That's it.
Me: Ok, for a little while. NO houses. NO buildings. NO people you don't know. NO getting injured. (That's been another bike riding activity. She seems to have a lot of accidents even though she is an excellent bike rider. Her preferred solution for cuts and injuries is to visit the closest gas station for bandages. They apparently keep their first aid kits very well stocked.)
Her: Oh, I know! I am just going to ride my bike. That's it.
A little while later I headed out the door for the gym. I passed the parenting job to my hubby with instructions to check on the Princess.
He didn't.
I'm not throwing him under the bus.
He threw himself there without any help from me.
See, the deal is - so often she is fine. Quirky and bold. But not worrisome.
So it's easy to let her have some limited freedom.
We thought.
When I came home from the gym...
No bike in the driveway.
I asked where the Princess was.
My hubby quickly said, I'll call her and tell her to head home.
I popped open "Find My Phone" app and found her...
Clear across town...
Nowhere near a park...
At the Police Station.
He jumped in the car.
I dialed her number.
No answer.
I used the Find My Phone app to ring the phone. **Apparently that is the moment the owner of the phone becomes aware that Find My Phone even exists. I am going to regret showing my hand like that.
Still no response.
When my hubby got to the police station, he was met by an officer immediately. The Princess had seen him coming. She was angry.
I cannot even fully explain the why and what.
At some point on her bike ride she decided she needed to fix her bike. Someone suggested she go the the police station for help. She did. Then she wanted to chat. The conversations ranged from deaths in the family to fights with mom to teenage angst. She dialed up the drama.
I am not making light of her feelings. I get it. I've had to live with estrogen for 39 years. It bites. One minute it's all laughing and squealing and the next minutes it's tears and threats of running for the hills. Sounds like she took the later part of herself to the police station and rang the bell (which they didn't answer quickly enough so she knocked on the window...Of.The.Police.Station.).
I really don't know what the conversations included as I have to rely on her variable retelling and the officer debriefing. I do know it ended with peanut m&m's and hugs.
Small towns are really the best.
She's home. She's banned from her bike for an undisclosed period of time.
And I'm trying to decide if chipping her is a realistic possibility.
The Princess has an iPhone.
Short of "chipping" her, this is my best bet for keeping very close tabs on her. I can basically look and tell when she is moving from class to class during her school day.
We are going into a newish season of parenting and autism. The princess is testing her freedom (totally developmentally normal). She is desperate to get out of the house (totally developmentally normal). She is longing for non-family-member friendships (totally developmentally normal). She went looking for all of the above at the local law enforcement center yesterday (Hello! Autism).
Very often my girl hops on her bike and takes off for a ride around the park. I have been cautiously allowing her this little bit of freedom. I ask her to check in. I often FaceTime with her while she is hanging out at the park. I check her location via "Find My Phone". We give her strong boundaries (that she crosses). We live in a small town, so often I hear about her actions from watchful friends. Until yesterday she has (mostly) explored the park. Played at the playground with kids. Visited with strangers. She did crash a 2 year old birthday party one day, but the family recognized my girl and graciously engaged her, even offered her treats. They were rewarded with an impromptu Cotton-eyed-Joe solo! Oh, and she did drive by the local middle school and ring the buzzer (like a door bell) until the assistant principal finally opened the door and visited for a bit. He didn't let her in to check the animals in the science classes, which was a bummer...but he was nice. Basically, I have felt like these bike-rides were within normal limits. Until now. As I write this I realize the foreshadowing is actually pretty clear.
Yesterday, after school she asked if she could go for a bike ride.
The conversation went like this:
Me: Where do you want to go?
Her: The parks.
Me: Where else?
Her: That's it.
Me: Ok, for a little while. NO houses. NO buildings. NO people you don't know. NO getting injured. (That's been another bike riding activity. She seems to have a lot of accidents even though she is an excellent bike rider. Her preferred solution for cuts and injuries is to visit the closest gas station for bandages. They apparently keep their first aid kits very well stocked.)
Her: Oh, I know! I am just going to ride my bike. That's it.
A little while later I headed out the door for the gym. I passed the parenting job to my hubby with instructions to check on the Princess.
He didn't.
I'm not throwing him under the bus.
He threw himself there without any help from me.
See, the deal is - so often she is fine. Quirky and bold. But not worrisome.
So it's easy to let her have some limited freedom.
We thought.
When I came home from the gym...
No bike in the driveway.
I asked where the Princess was.
My hubby quickly said, I'll call her and tell her to head home.
I popped open "Find My Phone" app and found her...
Clear across town...
Nowhere near a park...
At the Police Station.
He jumped in the car.
I dialed her number.
No answer.
I used the Find My Phone app to ring the phone. **Apparently that is the moment the owner of the phone becomes aware that Find My Phone even exists. I am going to regret showing my hand like that.
Still no response.
When my hubby got to the police station, he was met by an officer immediately. The Princess had seen him coming. She was angry.
I cannot even fully explain the why and what.
At some point on her bike ride she decided she needed to fix her bike. Someone suggested she go the the police station for help. She did. Then she wanted to chat. The conversations ranged from deaths in the family to fights with mom to teenage angst. She dialed up the drama.
I am not making light of her feelings. I get it. I've had to live with estrogen for 39 years. It bites. One minute it's all laughing and squealing and the next minutes it's tears and threats of running for the hills. Sounds like she took the later part of herself to the police station and rang the bell (which they didn't answer quickly enough so she knocked on the window...Of.The.Police.Station.).
I really don't know what the conversations included as I have to rely on her variable retelling and the officer debriefing. I do know it ended with peanut m&m's and hugs.
Small towns are really the best.
She's home. She's banned from her bike for an undisclosed period of time.
And I'm trying to decide if chipping her is a realistic possibility.
Monday, April 25, 2016
Old Mom
It started as silly joking and bedtime stories.
It usually happens this way.
Out of the blue and without warning.
The sky was lighting up every few seconds with flashes of light from a storm 15 miles north. We could hear occasional distant claps of thunder.
He's five and he's "not scared of anything." But he asked if he could sleep in our bed.
I know these days are numbered. I know that at 15 years old and 12 years old a distant thunderstorm doesn't drive them into my room. Maybe they've realized I have no special power against storms. Maybe they just aren't scared anymore. But whatever the reason, the big kids just head to their own rooms. But not my little Knight. His place in a storm is right in between us.
His words are exploding from his little mind. I wonder sometimes if we forget how much he knows and absorbs as he struggles to articulate fully all of his thoughts. In spite of Apraxia of speech, he is working so hard to show us how much is going on in his little head.
It breaks me. Every time I feel physical pain as he works out great big thoughts...knowing every beautiful word is a precious gift and a result of so much work.
I think it was the storm and the soft bed and the cool room. He wasn't quite ready to sleep. He was glancing out the window and alternating between stealing pillows and somersaulting around the bed.
The questions began."What is Heaven like?'
"I don't want to die and the day to be over."
"Why did God make us to die?"
"How do people die?"
We answered the questions as simply as we could. In all honesty and without drama or fanfare. But gentle and loving.
As he asked each question, he fought his emotions. His voice wavered his eyes filled just slightly. But he needed to know the answers. So he worked to ask each question...sometimes having to repeat certain words until we understood.
He brought us back around to his thoughts with more questions.
"What was I like as a baby?"
"What did you say when you saw me?"
"What did dad say when he saw me?"
"What about my old mom?"
And there it was. Without warning.
"What about my old mom?"
"What did my old mom look like?"
"What did she say when she saw me?"
Adoption.
It's such a miracle.
But my perspective of adoption is just one of three.
I consider my perspective the least difficult. And I certainly feel strongly that my perspective needs to be communicated. But I won't force my ideas. The truth of the matter is my perspective is probably the easy one. I only gained.
I am committed to giving space to each of my 3 miracle kiddos as they explore their own perspective of adoption. I will not communicate any level of shame over talking about a "real mom" or an "old mom" or "tummy mom" or any other term they use as they work it out. I will not pretend to understand their feelings. I will not over sensationalize my perspective as the only perspective.
It's not easy.
I would love to scoop them up and prevent any emotions of grief or loss or confusion. But I'm 3 for 3 with conversations very similar to the one we had last night. I do not know if this process is typical in all adoptive families or if this is the culture of our specific family.
But I do know last night, snuggled in our bed, my little Knight asked question after question about his birth story. I teased him about how I held him all night (true) and didn't want to share him with daddy (true). I told him I snuggled him tight and chased everyone away if they tried to hold him (not true). He giggled. But the questions continued. It wasn't until we told him the true story of how we all sat together, side-by-side, and passed him from mommy to daddy to "tummy mom" and back to mommy and round and round the circle that he finally seemed to find some sort of comfort and rest. Our last words as he snuggled down between us were centered around the idea that every person in the room lovingly held and snuggled the little baby Knight and then shared him with the other people in the room that loved him just as much.
I know we are just beginning these conversations.
And I'm never really ready. But I love to participate in the journey.
Sunday, April 24, 2016
Here's one way to help.
I'm a mother of special needs kids.
There, I said it.
**Warning, this post is purely vulnerable and without filter. I recognize on the re-read that a million holes could be poked through the reasoning. I understand that it could easily offend any number of people. That is not my intention. Please do not take these words as anything more than my words, about my family. It is my way of connecting my reality to my sense of guilt to my understanding that it's always better and worse in every direction.
Mom of special needs kids is not my favorite way to frame up my life's work.
I usually talk about my children in terms of their exceptionalities.
It's probably semantics. I already know.
But there is something about saying "special needs" that gets under my skin. I don't mind it for other people. But for me, I feel like a faker. My kids have special "needs", but they are fine. By fine, I mean, high functioning. By high-functioning, I mean they are lucky. By lucky, I mean blessed. And then I just feel like a jerk for saying anything.
Let me try again.
Families, every day, deal with significant barriers. Children with severe restrictions. Children who have beautiful outlooks but are confined to their reality (chemo, wheelchairs, cognitive delays, debilitating biological disruptions). Those families get to claim the title.
Our family deals in grey.
We are not:
There, I said it.
**Warning, this post is purely vulnerable and without filter. I recognize on the re-read that a million holes could be poked through the reasoning. I understand that it could easily offend any number of people. That is not my intention. Please do not take these words as anything more than my words, about my family. It is my way of connecting my reality to my sense of guilt to my understanding that it's always better and worse in every direction.
Mom of special needs kids is not my favorite way to frame up my life's work.
I usually talk about my children in terms of their exceptionalities.
It's probably semantics. I already know.
But there is something about saying "special needs" that gets under my skin. I don't mind it for other people. But for me, I feel like a faker. My kids have special "needs", but they are fine. By fine, I mean, high functioning. By high-functioning, I mean they are lucky. By lucky, I mean blessed. And then I just feel like a jerk for saying anything.
Let me try again.
Families, every day, deal with significant barriers. Children with severe restrictions. Children who have beautiful outlooks but are confined to their reality (chemo, wheelchairs, cognitive delays, debilitating biological disruptions). Those families get to claim the title.
Our family deals in grey.
- We have autism, yes. But the brand of Autism we have looks like a perfectly neuro-typical child with really strong behavioral issues (read: naughty...hysterical and brilliant and magical...but naughty).
- We have Crohn's Disease, yes. And it's a life-long, no cure, constant treatment brand of Crohn's Disease, but it's also in remission and mostly not interfering with daily life brand of CD. Yet, this child is choosing to be naughty as well. Is it stress and anxiety from a chronic disease? Is it PTSD from medical interventions that exceed what any child should experience? Is it learned behavior from a lifetime of living in the shadow of autism? Is it parenting? Is it hormones? Is it a phase or a habit?
- We have Apraxia of speech, yes, as well as a learning delay. Also, allergies and (at times) scary asthma. But he's happy. He's growing. He's thriving. He has yet to fully realize the impact of his exceptionalities. He does a lot of medication every day for asthma and allergies. He is in speech 5 days a week. He has no idea this is not typical for 5 year old boys.
We are not:
- under-resourced
- impoverished
- prematurely terminal
- without support systems
- enduring catastrophic loss
- living daily with severe limitation
So when I think about families with special needs kiddos, I reserve that title for "other" families. Not because we are better - oh, gosh no. Not even close. But rather because we might be fine and I just am too much of a wimp to know.
However, every once in awhile, I hear someone describe me as a special needs mom. And I wonder. Am I? Is this why I feel so overwhelmed? Is this why I cry so often and feel so desperate to act? Is this why I get so angry with people who seem oblivious to reality (or at least my reality)?
Sunday's are often the worst day of the week for us.
It's been true for 15 years.
We manage to get up and ready 5 days of week for work and school. But Sunday...getting up and ready for church feels like an act of torture. I've never been able to understand why. Today was no exception. Every step was a battle. We believe strongly in the practice of attending Sunday morning worship. We believe it is God acting on us and within us. We believe it is not about us but Him. So we go. But I'll tell ya, it's miserable.
Today at the end of the morning - after I sat through an hour of continual whispered correction to all my children:
- "stop"
- "don't hit your brother"
- "no, it's not over"
- "shhh..."
- "you cannot draw pictures of bloody wolves killing each other"
- "people can see you doing that"
- "why are you poking him with a pencil?"
A women approached me and asked if I worked. She is gracious and wonderful. She was not implying that I didn't work as a mother. She was asking if I had a job I got paid for. I told her I was at home full time. Her next question was the kicker. "Could you help with Vacation Bible School this summer?"
Here's the deal, folks. This is the point of this entire blog post. I don't want to presume to be the voice of special needs families. But I'm appointing myself spokesman for me and anyone else who needs an advocate. If you know a mother of special needs kids...If you have ever wondered how you can help...here is step one: Do not ask her if she can volunteer with children. Just don't do it. Tell her she's doing a good job. Compliment her kids. Give her a high five. But for goodness sakes alive...don't ask her to come work with kids!
Alright, that's all I've got for today.
Go Team!
Alright, that's all I've got for today.
Go Team!
Friday, April 22, 2016
Just like that.
She woke up better.
Healed!
In her classic way, she came bounding up the stairs from her bedroom yelling, "I feel so much frickin' better today!" And then she didn't stop talking for three straight hours.
I used the morning to de-flu-ify my bedroom. She claimed it during her siege of illness. All blankets, sheets, and pillows needed washing. Windows needed opening. Surfaces needed decluttering. It's like coming out from under a rock. So much freshness.
And also this,
We added a little piece of heaven to our home. Fully screened and nearly perfect.

Healed!
In her classic way, she came bounding up the stairs from her bedroom yelling, "I feel so much frickin' better today!" And then she didn't stop talking for three straight hours.
I used the morning to de-flu-ify my bedroom. She claimed it during her siege of illness. All blankets, sheets, and pillows needed washing. Windows needed opening. Surfaces needed decluttering. It's like coming out from under a rock. So much freshness.
And also this,
We added a little piece of heaven to our home. Fully screened and nearly perfect.
Thursday, April 21, 2016
Seasons
I love all 4 seasons.
And we get to experience all 4.
Usually.
Although, this winter was a little lack-luster with zero snowman snow.
In spite of my anticipation of new seasons: different smells, sights, sounds, landscapes, all of it...I usually find myself anxious about winter.
Let's be honest, I'm anxious. The bottom line is, I'm sort of plagued with anxiety much of my life. It's annoying and exhausting. I don't mean for it to happen. But I'm prepared for it.
Winter is my typical nemesis because of illness.
If I look back on my life, my anxiety about this season started with becoming a mom. My fierce, protective, momma-bear nature really blossomed that first winter. My princess was born in January. As a nurse, I listened to concerns and warnings about seasonal viruses for babies. I kept my baby as close and covered as possible. And yet, RSV descended like a terror. She was 3 months old - so technically not that winterish anymore. It was spring. But winter still felt like a bully. My princess wasn't able to breathe well enough to stay home. She was admitted to the hospital, transferred to a pediatric ICU via ambulance, and kept stable under the watchful eyes of seasoned nurses and doctors. I still have PTSD.
Then 3 years later, my Prince was born in November. On Christmas Eve, I found myself in a hospital room with a 1 month old baby as he struggled to fight a respiratory virus. I did not cope well.
Since then, I've been extra jumpy. Extra nervous. Extra everything.
And as I sit here today as the mom of a 15 year old Princess, a 12 year old Prince, and a 5 year old little Knight, I'll tell ya...my heart still beats faster when I hear a cough or a cry for "mom!"
Today the Princess is on day 5 of Influenza. Stupid winter virus in the spring. And this virus isn't just fever and coughing and general misery...it's also head to toe body rash. It's making her crazy. It's making me crazy.
And we get to experience all 4.
Usually.
Although, this winter was a little lack-luster with zero snowman snow.
In spite of my anticipation of new seasons: different smells, sights, sounds, landscapes, all of it...I usually find myself anxious about winter.
Let's be honest, I'm anxious. The bottom line is, I'm sort of plagued with anxiety much of my life. It's annoying and exhausting. I don't mean for it to happen. But I'm prepared for it.
Winter is my typical nemesis because of illness.
If I look back on my life, my anxiety about this season started with becoming a mom. My fierce, protective, momma-bear nature really blossomed that first winter. My princess was born in January. As a nurse, I listened to concerns and warnings about seasonal viruses for babies. I kept my baby as close and covered as possible. And yet, RSV descended like a terror. She was 3 months old - so technically not that winterish anymore. It was spring. But winter still felt like a bully. My princess wasn't able to breathe well enough to stay home. She was admitted to the hospital, transferred to a pediatric ICU via ambulance, and kept stable under the watchful eyes of seasoned nurses and doctors. I still have PTSD.
Then 3 years later, my Prince was born in November. On Christmas Eve, I found myself in a hospital room with a 1 month old baby as he struggled to fight a respiratory virus. I did not cope well.
Since then, I've been extra jumpy. Extra nervous. Extra everything.
And as I sit here today as the mom of a 15 year old Princess, a 12 year old Prince, and a 5 year old little Knight, I'll tell ya...my heart still beats faster when I hear a cough or a cry for "mom!"
Today the Princess is on day 5 of Influenza. Stupid winter virus in the spring. And this virus isn't just fever and coughing and general misery...it's also head to toe body rash. It's making her crazy. It's making me crazy.
I'm searching for some peace from the anxiety.
I'm hoping to find it in the warm sun of spring.
Tuesday, April 19, 2016
Looking Back and Moving Forward
On this post, I made a bold statement about making this year the year of the blog.
Hmmmphh.
Hello, April.
But the past few days have come with such a strong desire to write. I've been listening to stories about people who write. I've been reading books about writing. And still, I'm not writing.
Until today.
See, I've missed so much. So many moments and stories. How can I pick up today when I need to figure out how to go back and record the yesterdays I missed? I've been feeling it for a long time now.
And just today, I decided.
I am missing the recording of today's stories out of regret for not recording yesterday's.
I suppose I live a lot of days in much the same way.
Missing so much.
I'm living in a war-zone right now. I hesitate to admit that out loud. Our life is beautiful. We have more than we need and almost everything we want. And still...nearly every day is filled with much strife and anxiety and chaos.
Autism - whether you consider it a personality gift or a disorder or a difference or exceptional moreness - it's hard.
Twelve year old boys are hard. Or at least mine is - he seems determined to choose a path that appears to be miserable and immeasurably hard.
My little Knight has turned 5. He is such a sweet boy. However, he didn't want to be left off the list of "things that make mommy drink." He is struggling with allergies and asthma. Many days, most days, he is just fine. But then he isn't...and it happens lightening fast.
I'm sad.
I feel guilty.
I get defensive about all the issues.
I wish for an easy life.
I feel like a brat even writing those words.
I keep secrets.
I am desperate to be real.
I am terrified of being vulnerable.
But at the end of the day, I write.
We'll see where it goes.
Hmmmphh.
Hello, April.
But the past few days have come with such a strong desire to write. I've been listening to stories about people who write. I've been reading books about writing. And still, I'm not writing.
Until today.
See, I've missed so much. So many moments and stories. How can I pick up today when I need to figure out how to go back and record the yesterdays I missed? I've been feeling it for a long time now.
And just today, I decided.
I am missing the recording of today's stories out of regret for not recording yesterday's.
I suppose I live a lot of days in much the same way.
Missing so much.
I'm living in a war-zone right now. I hesitate to admit that out loud. Our life is beautiful. We have more than we need and almost everything we want. And still...nearly every day is filled with much strife and anxiety and chaos.
Autism - whether you consider it a personality gift or a disorder or a difference or exceptional moreness - it's hard.
Twelve year old boys are hard. Or at least mine is - he seems determined to choose a path that appears to be miserable and immeasurably hard.
My little Knight has turned 5. He is such a sweet boy. However, he didn't want to be left off the list of "things that make mommy drink." He is struggling with allergies and asthma. Many days, most days, he is just fine. But then he isn't...and it happens lightening fast.
I'm sad.
I feel guilty.
I get defensive about all the issues.
I wish for an easy life.
I feel like a brat even writing those words.
I keep secrets.
I am desperate to be real.
I am terrified of being vulnerable.
But at the end of the day, I write.
We'll see where it goes.
Saturday, January 2, 2016
Change
He says I don't like change.
Does anyone?
The truth is, that isn't fair.
I like change just fine.
My hairstyles through the years can certainly back me up on this statement.
What I'm not wild about is the unknown.
2016 has the makings of being a year of change.
I say bring it on.
I also say, don't sneak the change in...give me plenty of opportunities to see it coming and do a little research.
Does anyone?
The truth is, that isn't fair.
I like change just fine.
My hairstyles through the years can certainly back me up on this statement.
What I'm not wild about is the unknown.
2016 has the makings of being a year of change.
I say bring it on.
I also say, don't sneak the change in...give me plenty of opportunities to see it coming and do a little research.
Friday, January 1, 2016
2016 - Day 1 of a New Year
True confession: I always wish January 1st was on a Monday.
Starts things clean and new with the new year being on on the first day of a new week.
I tend towards the obsessive compulsive side of life.
Also, I'm an introvert.
And a lover of words.
Sad, sad irony.
I plan to make 2016 the year of the Blog.
Cheers!
Starts things clean and new with the new year being on on the first day of a new week.
I tend towards the obsessive compulsive side of life.
Also, I'm an introvert.
And a lover of words.
Sad, sad irony.
I plan to make 2016 the year of the Blog.
Cheers!
Tuesday, January 6, 2015
The Tale of the Purple Elephant
This Christmas, I received one of the most meaningful gifts of all time.
Meaningful because it represented, for me, the things that I hold to be the most important in life.
On Christmas Eve night, while I was driving the streets of my small town trying to get my little Knight to fall asleep in the midst of his illness of coughing and fever...I stopped by my friend Sarah's house to give her the gift I bought her for Christmas.
She came to the car and sat with me for a few minutes and gave me this:
Meaningful because it represented, for me, the things that I hold to be the most important in life.
On Christmas Eve night, while I was driving the streets of my small town trying to get my little Knight to fall asleep in the midst of his illness of coughing and fever...I stopped by my friend Sarah's house to give her the gift I bought her for Christmas.
She came to the car and sat with me for a few minutes and gave me this:
I cannot tell you what this meant to me.
Except to tell you the story.
Sarah is my friend, first and foremost. She is the mother of 4 amazing kids. She is priceless in so many ways.
She is also the owner of the CrossFit gym I belong to.
This makes her my coach on most evenings of the week.
Her youngest son is in Kindergarten and he has spent many, many days and evenings at the gym.
I was a youngest child of parents who owned their own business.
I have loads of memories spending spare time and sick time and bored time at my parent's business.
I have watched Sarah's youngest son live this reality for the past 2 years.
In many ways, his life (and mine when I was his age), provides richness that many children never experience. He (and I, once upon a time) gets to watch his parents work together in partnership. He sees their work ethic and passion for people. He gets a first hand account of what it means to provide for a family and the dedication and devotion that is required to sustain a business. These things will not be lost on him.
But for today - as a Kindergarten boy - with more energy than hours in the day...
He doesn't always see this reality for what it is.
I've always tried to make an effort with him.
But I get lazy or distracted or busy.
I breeze into the gym to get my own workout done. Refuel my own low tank. And visit with adults.
I see him there and I am sad to admit that, sometimes, I've only said, 'hi" to him.
But many times, I stop and I ask him things.
It's important to love kids.
To show kids that they are important.
Sometimes he doesn't have time. He is busy collecting rocks or swinging from a rope like a ninja.
But one day,
It was magic.
We spent a long time talking.
He was in a phase of asking about favorites. He pummeled me with questions about my favorites and he told me about his. Favorite color, favorite animal, favorite food, favorite person, favorite number, favorite day, and on it went for a very long time.
I loved it.
He asked and listened.
I asked him and listened.
When he asked me what my favorite animal was, I said, "elephant."
When he asked me what my favorite color was, I said, "purple."
We had to spend some time laughing about this because it turns out that he HATES purple. But he didn't hold it against me for long.
What I didn't know, at the time...
Was,
He remembered my favorites.
The conversation, in all it's silliness, was not lost on him - or me.
And he passed my favorites along to his mom.
And this Christmas,
The Purple Elephant came into my life.
It sits in my kitchen. And each time I look at it, I smile.
I think of what I believe to be important each time I see it.
It reminds me to slow down.
To look people in the eye, no matter their age.
To give everyone respect and time and attention.
And in the end, to love people.
Thank you, Caleb for teaching me an important lesson.
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