This is Autism, but I Still Love Him

We’ve been having a rough summer.

My son always has trouble with summer, because he is autistic. The normal trials of summer bother my son too like boredom and cabin fever. In that he is like all other kids, but there are a lot of other issues that come into play.  For example, thunderstorms. He’s terrified of them and yet gets upset because we aren’t having a storm every time there is a cloud. There is also the heat. He loves to be outside but the heat gets to him as well as the allergies that come with summer.

This year has been particularly bad because not only has it been over 90 the whole summer but the air has been filled with smoke from all the wild fires. Outside is not healthy. Inside is boring. It’s a brewing storm. Then you add in things like fireworks from the 4th of July. Loud unexpected noises that sound like thunder happening throughout the nights makes him very edgy. For weeks after the 4th he jumps at every little sound.  He wears sound proof headphones, but the fear is there even if the sound is not.

It finally came to a head one day when he hadn’t been sleeping well. It was a couple of weeks after the 4th and we’d been fighting to go to bed every night . He hadn’t been sleeping and neither had I. Bad combination. He was playing video games. (He likes mini golf) and he couldn’t go into a shed in the background. I told him that it was just part of the scenery and he got upset and started to bite his arm. I told him to go into his room until he could be calm. In the few seconds it took for me to set aside the game controller  he had gone into  his room and slammed his head into his window with enough force to splinter it. 

It didn’t hurt him any, although he had some broken glass in his hair. I had to first get him calm and then get all the glass cleaned up. But he was upset to begin with, then he was upset that he had broken the window, then upset that I couldn’t magically fix it, and upset that I was upset.  It was a long time before we could get sorted and then right after that a thunderstorm hit. Needless to say it wasn’t a good day.

It was a this point that I began to think about medication. I hate myself for thinking about it. I don’t like pills. I don’t like how I feel when I take them and usually I have bad reactions to them. So the thought of putting my son on them when he can’t tell me if he is feeling weird makes me shudder. We had tried him on medication once a long time ago when his violent outburst were getting out of hand and it had turned him in to a weeping pile of mush that was still violent. We gave up, threw away the pills, and learned to live with the outbursts.

But he is getting bigger now. He’s 12. He’s almost as tall as me and weighs 120 lbs. So off we went to the doctor. After a long discussion, the doctor decided that it was probably anxiety that was the route of the problem. If we could get that under control then he might not be a danger to himself. I was willing to give it a shot even though I was wary of the possible side effects.  The second problem was sleep. I found some chewable melatonin and I hoped that would help.

The first week was amazing. He was going to sleep because of the melatonin and although he was still getting up in the middle of the night, it was still an improvement. The Sertraline was working. He was in a great mood. We had to make a trip to Helena, which is a two and a half hour drive, for my daughter’s orthodontist appointment and I was expecting a blow up when we had to go home. But he was great shopping and he was great coming home. I didn’t even know how to handle a trip without a melt down.

It was great while it lasted.

About a week into the medications, we were watching tv during dinner and the character’s gloves had run away and gotten into some trouble and were sent to jail. In the blink of an eye, my son exploded. He was pounding his fist on his tray knocking food everywhere and then started to bite himself and hit me and his sister.  It was weird! Usually there is some warning before a meltdown but this was like a lightening strike out of a clear blue sky.

Over the next couple of days he started to get worse. He just kept getting really angry over such small things.  Then the big blow up came. My daughter had another dentist appointment this time to get five teeth pulled. (I know that’s a lot, but her regular dentist hadn’t been doing his job and let 4 years go by without telling us that she was going to have a problem with her baby teeth not coming out. So now we are in dental crisis, but that is another story.)

Now here was my first mistake. My son is scared of the dentist but is also really fascinated by it and as soon as he knew my daughter was going, he started asking if he could have an appointment. I told him he would have to wait for his appointment. The longer we sat in the waiting room, the more agitated he became.

Here was my second mistake. I should have known this trip to the dentist would be hard on my daughter and I should have found someone to watch my son while I took her to the dentist.

You have to understand at this point that my son doesn’t handle other people’s pain well. When he sees you cry he gets upset because he doesn’t understand the reason. Often he will attack the crying person. I am assuming because he believes that will give them a reason to be upset so it makes sense to him in a backwards kind of way. Needless to say our family tries to keep the crying to a minimum and let it out only when he isn’t looking.

Unfortunately my poor daughter couldn’t help it. She’d never had dental problems before so this was her first experience in having teeth pulled and five at one time was traumatic. She couldn’t help it she cried.  This set my son off. He didn’t understand why his sister was upset.

Here was my third mistake. My daughter wanted to get somethings from the store despite how she was feeling after the dentist. I warned her against it but she insisted that she was fine and she could handle it. So I stupidly listened. Half-way down the street my daughter changed her mind. She was in too much pain and wanted to go home. Before the trip I had warned my son that if his sister didn’t feel up to it then we were NOT going to go shopping and we would just go home. I thought he had understood, but when we started down the street toward the stores and then turned around, he got upset.

Here was my fourth mistake. I didn’t take him to get food.  It was about lunch time when we finished at the dentist. Because my daughter was feeling so awful I didn’t want to make her sit and wait while we ate. Instead I took my son to a gas station and grabbed some of those deli burgers and chips and a bottle of milk and headed out. He really wanted to get food at a restaurant and got upset.

Here is my fifth mistake. I didn’t stop at the car wash. It is a treat for my son when he is good to go through the automatic car wash before we leave town. Again, I didn’t stop because my daughter was feeling so badly.  I should have know better. Foregoing the car wash always causes a melt down. It was the final straw.

From that moment on it was a nuclear fallout meltdown. The drive back from Great Falls in an hour. Usually the meltdowns don’t last more that half an hour and usually we can get him out of it by playing I-spy or something. But this time I think the medication was in play. Nothing would stop him from pulling his sister’s hair or punching her from the back seat. He was spitting and trying to break the window with his fists and his feet. Foolishly I stopped on the side of the interstate to try and switch everyone around so that I could keep my daughter safe from his attack.

We ended up chasing him around in the ditch and trying to tackle him to keep him out of traffic. I’m sure the people driving by thought we were trying to kill him. He was punching and kicking me while I tried to get him to calm down and get back to the jeep. He grabbed handfuls of my hair and ripped some out. Finally we got him to the jeep but he got a hold of my daughters neck. In getting him to let go of her he got a hold of my hair and pummeled my head with his fist. I got kicked in the chest, repeatedly bit and he grabbed handfuls of my skin on my arms before I finally got him into his seat and buckled in. My daughter drove while I sat in the back by him and tried to keep him from kicking her and bashing his head through the window. Unfortunately that put me in the strike zone. He was so deliberate with his attacks. This wasn’t like his normal meltdowns. I kept telling him that I would be okay, that he needed to take deep breaths, that I still loved him and he would be alright, but nothing stopped him.

That was the longest hour of my life.

By the time we had gotten home I was near hysterical with terror and guilt. I had to wrestle him into the house. I sent my daughter downstairs out of harms way and took my son to his room. It was dark and he was still agitated. Then almost as quickly as it started he was back to normal. He wanted a drink and a snack. He sat down and started to watch tv. At that point I was doing my best to stay calm. I wanted to sob and curl up into a ball and shake, but I knew it would only set him off again. I stayed out of the room where I wouldn’t trigger him but also where I could keep an eye on him.

This is the damage that I came out with. I was so  stiff and sore. This doesn’t show all the damage. I have a lot of bruises on my head and legs, but you get the idea.

I am pretty proud of myself. Considering the craziness that we went through, my son came out without a mark on him.

My daughter only had a little welt on her neck. I managed to protect both my kids from harm. I don’t know how, but I did.

I called the doctor when things looked like they were as calm as they were going to get. We went over and the doc was shocked at the level of damage on my arms. He thought maybe we needed to up the dose of Sertraline because it seemed like it was working, and he get me some Risperdone pills to use as needed when things were out of hand. We went back home and I followed the doc’s orders. But over the next few days, my son stayed angry. He was mad about everything. He kept biting himself for tiny little upsets. So I talked it over with my husband and we decided to stop the meds.

 

It’s been three days now and he hasn’t had any blow ups. Well, there were a couple of small ones, but I’m not expecting miracles.

The thing is this is our life. I can’t say I’m not affected. I’m a wreck.  I love him completely and I’m terrified for the future. I’m not scared if him. I’m scared of what he’ll do to others. This whole episode has turned my fears into reality. What happens when he goes to school? What happens if we go to Great Falls again?

I know that it may get worse as he gets bigger. I may end up with broken bones at some point. I don’t want that to happen, but I’m not going to fool myself. This is Autism. This is melt downs. It’s hard. I hope that we can get past this someday and he can have a productive life, but I fear the alternative. That it may get too bad and he’ll have to live in a home where he’ll be doped up and live a miserable existence. I don’t want that either.

Right now I’m not feeling real positive. I’m bitter at the world for the lack of help. I’m angry at myself because I should have known better. I’m disillusioned with my life right now. But it doesn’t matter. This is Autism and we get up every day and keep going. I love my son regardless.

What Happens When Mom Gets Sick?

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What happens when Mom gets sick? Same thing as everyday. She gets up and takes care of the same things she always does. There are no sick days or breaks. There is only the normal routine but doing it feeling terrible.

But what happens when it’s more than just sick? What happens when you really need to be out for the count?

I recently broke a tooth. It had a crack and I knew that it was going to go someday, but I chose to ignore it. Not just because I am Mom, but because I am terrified of Dentists. I don’t just mean kind of nervous. I mean full blown shaking and hyperventilating, with crying and throwing up kind of terrified. I don’t know why exactly. Something in my childhood probably. I have blanked out every visit to the dentist I’ve ever had. I used to be able to handle going. I was scared but not too bad. Then as the years progressed it’s gotten worse. Last time I went, I had to take a Valium before going and one again while I was there. But this time, it was the worst.

I went in to have them see what was going on with my tooth. I almost ran out of the waiting room. When I did get back to the actual room, I started to shake. I made it almost through the X-ray before starting to cry and hyperventilate. I never made it to the actual examination. I freaked out completely and they told me they would have to sedate me to do anything. That involved a “trial run” of the sedation because I react strangely to drugs.

For most people this wouldn’t be a big thing. They just get a family member to help and all is good. I, however, have a complicated life. First of all the only family that is around here is my kids. Granted my daughter is 17 and she could help me but I didn’t want to put the whole thing on her shoulders. Not only watching me but having to take care of her autistic brother at the same time.  My husband would be the logical choice. I would have to make the appointment for when he was going to be home,  but he works away from home for 6 weeks at a time. That kind of made it hard to schedule.

Eventually, I got the appointment and we went in for the work. I was praying for them to do the work if the sedation worked so I didn’t have to wait another six weeks for the next appointment. Thank God they did. My face is sore but the work is done. I’m not really sure what they did. I guess I have a crown, whatever that means. (Like I said I blank out any dentist appointments. )

Good thing my husband was there. I was at the dentist from 7 am until 2:30 pm then went home and slept until 5:30 pm. How could I have done it without him? By the evening, everyone’s tempers were getting short because my son was being difficult. He didn’t understand why mom wasn’t there. Mom is the one constant in his life. Mom is never gone or sick. He wasn’t completely awful, but he didn’t handle it well either.

No one really realized how important Mom is until Mom goes down. I’m not saying that Dad isn’t important because he is. I’m just saying that families rely heavily on Mom always being there and always being functional. It is hard on everyone when Mom goes down. SO go and hug your mom and tell her you appreciate her then give her a day off. You will all be better for it. Kind of like an emergency preparedness drill.

Best Dentist Office for Kids

         IMG_5304                 Dr. Keven Rencher’s office is the best place I have ever taken my son for dental work. Pediatric Dentistry  is located in Helena, MT.

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Everything there is oriented toward kids. From the lobby to the exam rooms there is a running theme of exploring the world. The lobby is like an African or South American jungle. The exam rooms are themed from Whales to Birds, to Bugs.

The staff is always friendly and helpful. They work with a lot of kids like my Autistic son or those who have other disabilities and know how to handle their fears and pain. The nurses are always willing to go the extra distance to help any way they can. Dr. Rencher himself is a miracle. He knows exactly how to handle my son and get everything taken care of with the minimal amount of trauma. I personally am terrified of dentists but working with Dr. Rencher has shown me a lot about how great dentists can be. (If I could go to him as my dentist, I probably wouldn’t need Valium to get through the appointment!)

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Each time a child gets finished with their appointment they are given a token or two for the toy machine. So every visit ends on a positive note.

I highly recommend going to see Dr. Rencher and the lovely staff at Pediatric Dentistry. It truly is a wonderland.