Thanksgiving Has Come and Gone for 2013

Thanksgiving Day has come and gone for 2013. It was much like other holidays in our house – busy. As usual, I peeled 15 pounds of potatoes the night before and had them ready to cube, cook and mash Thanksgiving afternoon. This year I did something I have never done – prepared the typically large (23 pound) turkey a day early. On Wednesday morning, I popped this large bird in the oven where it stayed for the next several hours ~ until it was done and a beautiful, perfect, golden brown. Since most of my sons don’t pay much attention to how the turkey looks when it is finished, I decided to carve it all the way to the bone and made the gravy. What a relief to have all that behind me when I woke up early Thanksgiving Day to finish preparing our meal.

I try to arise early to allow myself enough time to begin cooking (without interruptions). I peeled apples and put the pies in the oven. I chopped celery, water chestnuts, bacon, and olives to add to the stuffing, which I baked in a large roaster pan. I made deviled eggs for my sons to snack on until the feast was ready. Then, it was time to get the guys up: toileted, dressed, in their wheelchairs, medications and breakfast.  Our friend Linda was here and gave me a hand in peeling yams, fixing a vegetable tray and mixing the punch (just like my mother did for years).

About 10:15 I took off for San Jose to load the large van with four sons. None of them live in the same location, so it’s more than a two-hour trip to drive from their residence, load in the van, secure wheelchair to the floor and on to the next son’s apartment or house. When we arrive back to Los Altos, it’s unbelt the chairs, unload and get everyone into the house. I quickly whip up two pumpkin pies and serve snacks while we wait for others to arrive and the potatoes to cook.

Once the pies are done, the potatoes and yams mashed, turkey, stuffing and rolls warmed up, I begin to prepare plates, with the help of Sergei, Greg and Linda. We decide who will help feed whom and begin eating in shifts because many need assistance with their meals. Ben, Jose, and Alan need to have their food ground since they can’t chew. Linda feeds Ben (I’ll admit I don’t have much patience for this) since it takes an eternity for him to get his mouth open so he can enjoy the taste of holiday meals (this is the reason he has a feeding tube).   Alan is much faster to feed but we must be careful there are no lumps in the potatoes that can get stuck in his esophagus. Greg helped David and Sergei helped prepare plates for others. I’m so thankful for their assistance or we’d be eating Thanksgiving dinner until midnight.

After everyone has had their fill, and as other families do, I fix some leftovers for the guys to take home and begin to clean the kitchen. Soon, I start loading up the van to drive my sons back to their homes in San Jose. I’m happy for the sons who were able to come home for our meal and share in conversation and laughter (although most of the time I don’t know what they are laughing about). However, for various reasons there are some who don’t make it: they were scheduled to work, they live too far, lack of transportation, or what might be conflicts with siblings. That’s correct – not everyone gets along in such a large group. That’s hard for me to swallow since I want everyone to get along and respect each other. I try to understand each has his reason for coming or not coming. The one thing that hurts the most is when I am so very close to where some sons live but I already have a van full. I can’t even find a few minutes to stop in and say hello. I must admit that I’m stretched to the limit at times like this.  Yet, I find comfort in knowing their group homes have parties and dinners where they seem to fit in well.  I vow to make time to go and visit these sons when life isn’t so hectic and I can give them some individual attention, but will it happen?

As you read this, Christmas 2013 has come and gone as well. It was much a repeat of Thanksgiving (without Linda’s help) and a few different sons coming and going than in November. Instead of a large turkey, I fixed Swiss steak (lots of it). And to replace the apple and pumpkin pies was a birthday cake for Ben – Grandma’s chocolate cake made from scratch per his request.

Once again, everyone ate their fill, conversed, joked and laughed with each other. They were able to come to a place they can call home – regardless of how they arrived and became connected with each other. And I pray there will be many more Thanksgivings and Christmases where each feels welcomed, loved, and comfortable coming home.

May 2014 bring you great moments of joy and harmony among all you meet.

 

 

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Adopt a Special Kid 40th Anniversary Celebration

On November 1, 2013, I had the opportunity to attend a dinner and program to help celebrate forty years of success for Adopt A Special Kid (AASK). Several of my sons have been placed in my home through AASK. AASK is an agency that was established in the basement of Dorothy and Robert DeBolt’s home because they saw a need to find permanent families for children with special needs. Over the past 40 years, more than 3,500 special children in California and thousands more through AASK offices throughout the country have found stable and loving homes.

The celebration took place at Scott’s Seafood in Oakland, CA with almost 300 people in attendance. I was able to bring one of our church ASL interpreters with me. What a treat it was to be able to understand what was being said and to be among others who have been involved in adoption! My table chairperson is the current AASK board president (which I didn’t figure out until later in the evening). How special!

Several awards were presented throughout the celebration, and although neither my family nor my name was mentioned, we were referred to indirectly. One person, who received recognition, spoke about how some children placed in her home didn’t necessarily mean it would always work out because the social workers and birth families might find another home which they felt was a better match. I sort of slid in my chair knowing I was the mom for one such child who had initially been placed in her home. I shouldn’t feel guilty that he wasn’t raised by her, but by me (and I’m not). I’m so happy to be his mom! I was not even aware of his presence until a social worker from AASK contacted our family, so it was not like I was trying to steal him from her. It was an awkward moment during the evening.

Later in the program another person, who was also honored, spoke about a young boy who happened to be at a Christmas/Hanukah party on a cold, wet day many years ago in the Santa Cruz Mountains. It seemed others were a little down because of the dreary weather. Suddenly, a young boy born without legs and only short stumps for arms pulled some drumsticks from the back of his wheelchair and began tapping an upbeat rhythm on the table. As the honoree watched this boy drum with delight, he realized this is what life was all about – make the best with what you have. It also helped him realize this child had a life because he had a family. That family was mine. I didn’t slump in my chair as this man spoke, but signed to my interpreter, “That’s my son he is talking about.”

Sadly, Dorothy passed away earlier this year and was not able to be present. However, her daughter, Mimi presented the Dorothy DeBolt Legacy Award that was acknowledged by her loving husband, Bob. Another daughter, now AASK Executive Director, Doni, was wearing Dorothy’s dress and her children were in attendance. I know her spirit filled the large room with the hope that AASK will continue to find homes to transform the lives of children with special needs.

For more information about AASK and the gala go to: www.aask.org

 

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Alan’s Communication Development (Part Three)

This is the system Alan uses today – DynaVox EyeMax System for eye tracking.

As with Alan’s other systems, his device is mounted to his wheelchair. There is a more secure mount on the market today where the post slips into the frame clamp and then is secured with a lever.

This shows the height and distance of his device from his eyes.

We are having trouble finding the best position for the device that works best for Alan. It’s wise to keep a set of Allen wrenches (hexagonal shape) handy.

Our friend, Karen, went to the day program Alan attends to help make some adjustments. Here she is holding the device and slowly changing the position to pick up his eye movements.

You will see two small green lights at the bottom of the device (EyeMax Accessory). These LEDs will light up when the accessory has a lock on the position of Alan’s eye.

Note we had to angle the device greatly to accommodate the tilt of Alan’s head. You’ll note one green light only, which means the camera is picking up movement of only one eye.

On the EyeMax Accessory you will see purplish areas on the left and right. These are infrared transmitters that help the camera track the movements of Alan’s eyes. The circular part on the EyeMax Accessory is the camera that works with the infrared transmitters to track the eye movements. You will also note there is only on green LED here. That indicates only one of Alan’s eyes is being tracked at this time.

When for whatever reason Alan’s high tech device is not working, we fall back on low-tech communication. Here is a fine point laser designed for hunters to use on their rifles that I fit into an nonroll elastic headband (sorry this picture is blurry but between Alan’s head movements and my camera skills – well, you guessed it – blurry pictures!)

I simply taped a ready-made icon sheet on the front of his non-working device for him to use. Of course there is no voice and the listener needs to stand where he can follow the light beam. As for the headband, I make it so the elastic fits around the shape of his face and under his chin. Then I add a piece that goes around the back of his head and under both ears. I place a little loop with Velcro inside and on the pointer to secure in place.

Last I sew a strip of elastic down the center back of his head to prevent the light from slipping forward on his forehead. These are easy to make and seem to work great for Alan. You’ll notice that Alan still uses his yes/no words on his tray. You might be interested in checking out www.abledata.com for more information on assistive technology.

 

 

 

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Alan’s Communication Development (Part Two)

Here Alan is being evaluated to see what his accuracy would be to use a switch and scanning method. You can see nine sections (the squares on the top part of the box). Each section has a light and the light would move from left to right from row to bottom row. Once the light reached the target area (where the paper is placed), Alan would activate the cheek switch being held by the tester. Scanning requires full attention and the user must be able to activate a switch consistently. To activate the switch shown, Alan needed to slightly turn his head to the right and touch the switch with his cheek.  The evaluation kit allows the therapists to adjust the speed that the light moves and measures accuracy.

 

Here Alan is being evaluated with an Epson Real Voice/ Speech Pac device. He is using a larger laser pointer (same as shown in last picture of part one) to activate a light board.

It was decided that Alan did well with the Epson using the light pointer method and this became his first voice output system. We also moved the light from the center of his head to his right side. It’s difficult to see but there are red sensor targets (dots) that Alan needed to hold his head still enough for the laser light to activate the desired location. We also decided he needed to have his arms restrained to provide him with better posture and positioning. His right arm is extremely spastic and usually in constant movement. Having his arms restrained increased his accuracy and speed to use the Epson. The Epson is mounted to his wheelchair and can go where he goes. It’s basically always in the same position which allows Alan to hit the targets more accurately.

 

This is a picture of a banged up mount (they are shiny black when new). You will see a small pin to the right of the hole. The post fits into the hole and is secured when the pin fits into the collar. I learned to make certain the pin was in the correct place so the post wouldn’t turn while moving the wheelchair.

 

This is an example of the post placed in the mount and the communication device is secured on the post and positioned properly for the specific user.

 

Some educators felt he needed a more advanced system. He also enjoyed going to different technology labs and demonstrations. This was a Light Talker manufactured by Prentke Romich Company. This system could be set up for different scanning techniques and two switch scan.

 

Alan is being evaluated for yet another system, Delta Talker, with a smaller light pointer positioned on the right side of his head. The factory made headband was not secure enough to withstand Alan’s head movements. The elastic bands worked much better. This  system was also manufactured by Prentke Romich Company.  After Alan used the Epson Real Voice Speech Pac for several years, he transitioned to a Liberator (Prentke Romich Company). His method of selection was via scanning and switches. I never understood this system and couldn’t follow all the lights and where he was. It had audible scanning feedback but that didn’t help me. And for some reason, I don’t have a picture of Alan using the Liberator.

Once again, please check back for more on Alan’s communication development.

 

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Alan’s Communication Development (Part One)

Alan was born with cerebral palsy and is nonverbal. He has no functional use of his hands, cannot sit unsupported, or bear weight on his legs. Alan’s communication shines through his laugh, his body language and his eyes.

Alan's Chair for Yes/No response You will notice the words yes/no on Alan’s head support. When asked questions that he could answer with ‘yes’ or ‘no’, he would turn his head to the side to indicate his answer. Alan’s ‘yes’ response is on his left and his ‘no’ response to his right. He also has many other ways of saying ‘yes’ or ‘no’ through body language. Some examples are how he’s very good at opening his mouth wide and sticking out his tongue for YES or how he purses his lips, with his head slightly tilted to the right, which means ‘no’.

Alan's Flip Chart

Here Alan uses large icons on flip sheets and a modified bicycle light secured to his head. I made head bands to hold the light in place with soft, non-roll woven elastic. We also tried to use a soft neck brace to give him better control over his head but it really didn’t help much.

Alan's Flip Chart 2

This is what the charts look like from Alan’s perspective. Maybe you can see the faint red circle from his light on the picture of juice. This icon chart was quite large and cumbersome to carry around but it allowed Alan to communicate his basic needs and thoughts.

You will also see the word ‘NO’ on his tray on his right    (‘YES’ is on the left corner of the tray). With this wheelchair, he did not have the head supports and the yes/no words were placed on his tray where listeners could follow his eye gaze to know his answer.

Alan's Communication Chart

Here is Alan using a different communication chart. He worked to learn symbols and codes that would be useful for various communication devices. He is using a different light pointer here. This is a laser pointer that had a rechargeable battery pack. It also was stronger than our modified bicycle light and the width of the beam was adjustable.

These communication charts had their drawbacks. First, they were large and needed to be where a table was available to set them on. Alan’s listener had to stand either behind Alan or off to the side to see where his light beam was pointed (there was no sound from these charts) which hindered continuous eye contact between Alan and whoever he was talking with. The initial bicycle light beam was rather dim and it loved to use a lot of batteries.

However, once again, the charts allowed Alan to have more control over his environment, to express his feelings, and make choices of activities he’d like to do.

(There is a lot more to come. Please check back later to follow Alan through his journey of communication development.)

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Sean’s Communication Development

Yes No Board

The first step was to have Sean learn how to answer yes/no questions. We put large color-coded words on his wheelchair tray.

Yes No Board
These pictures are taken from different angles to show what it would look like from Sean’s point of view and how things appear from standing in front of Sean.

 

Yes No Board
As you can see, Sean used his right hand in an open position. Sean also uses a modified sign for ‘yes’ and a slight turn of his head to the left for ‘no’. These are answers that he can use any time when he is not in his wheelchair with his tray or when he doesn’t have his communication device available.

 

2 picture choice
We then made various sheets with only two large pictures that could be removed easily. The goal for Sean to be able to identify the pictures when asked.

 

Basic needs choices

As his comprehension improved, we placed icons on his tray to allow him to communicate his basic daily needs. To prevent the pictures from moisture and dirt, I used clear contact paper for each icon and then placed a sheet of Plexiglas over the entire area. The Plexiglas was secured with small pieces of Velcro in each corner.

 

More choices

Sean is now able to increase the number of pictures per sheet in this photo.

 

Binder

I made a binder with many icons. The icons were organized in categories (foods, animals, activities, etc.)

I was able to decrease the size of the pictures as Sean’s fine motor skills improved with practice. Also, he learned to better scan the pages to find which icon he wanted to use.

 

Increasing icons

This picture shows the increase in number of icons placed on his tray for daily needs.

 

Smaller binder

Sean has now moved into a smaller binder with color-coded pictures. I placed index tabs on each page to help him locate which page he needed. The smaller binder allowed Sean to turn the pages himself because his range of motion (the ability to reach forward) was limited.

 

Sean's tray with icons

This picture shows Sean’s tray. (It’s rather hard to see because of the glare from the Plexiglas.) You will notice that Sean is now using smaller, 1” square, pictures. The pictures are also black and white.

 

Pointing at icons

Sean has learned to use his finger to point. We did all kinds of things to encourage him to gain strength in his pointing finger and to isolate it from the other fingers. One exercise I remember was having Sean press a tube of toothpaste.

 

This shows Sean trying a simple beginning device with a computerized voice. These were large areas that were pre-programmed with phrases. He didn’t show much interest in this device.

 

AllTalk DeviceHere is Sean using an AllTalk device. He loved this and had four different levels programmed in this. The voice was of a real person’s voice that was taped into the AllTalk. Colby, a friend of Ben’s from church, became Sean’s voice. One interesting thing I did not learn until after we had begun this process, Sean and Colby had the same birthdates. So, the voice sounded age and gender appropriate.

 

Sean and Kim

Here is Sean having a discussion with his cousin, Kim. You will also notice on the AllTalk there is a Plexiglas sheet with holes. This sheet enabled Sean to have better control over his pointing and activating the correct keys.

 

Sean with DynaVox

Here is Sean today using a DynaVox communication system. This has a much improved computer voice than what devices had years ago. The new systems allow users to select voices to match what their personal voice might be if they could speak for themselves. Sean’s DynaVox is mounted on his wheelchair using a special post. His range of motion has decreased greatly over the years and his sitting position is not what it used to be. Therefore, he no longer uses his wheelchair tray to carry his device. However, he still has a basic daily communication sheet of icons on his tray to use when his device is not available.

 

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Moving On

Two years and ten months to the day, Donald, then 35, moved back home from a respectable group home where he’d lived for more than six years. The reason was some glitch with a fire marshal in the area of that city. His move back to our house was to be temporary but his stay got longer and longer.

Donald enjoying a few last minute quiet moments before packing up.Donald waves good-bye to his wrestling idols who protected his during the night.Two years and ten months ago was also the first time since Donald was adopted as a child that he had a large and private room to himself. For once, he was able to decide 100% what television shows and DVDs he wanted to watch and which radio station he’d like to listen to.

Packing Donald’s large collection of WWE DVDsLast week I received an email from his social worker that told of an opening in a group home. Things moved along very quickly and tonight he will once again share a bedroom with a resident at the new group home. He will lose most of his privacy, not only because he will share his sleeping area, but also because the other residents must pass through to use the bathroom that is off his bedroom. His newly shared room is about the same size as his room – which was all his – here at the family home.

Arriving at Donald’s new group home.DSCF1723

The new group home is located in a nice area but the house is very different from ours. Donald must enter through the garage because there is a small step at the front door that he can’t navigate. The home has a nice living room with a large T.V. and couches. The kitchen is a fairly good size with a long table, small office area for the staff, and a small T.V. (which Donald probably can’t see). The doorways are narrow and Donald’s chair barely fits through. There is a nice backyard with patio and BBQ area. The residents can have summer meals outside. There are no carpets or rugs (licensing regulations). And I have to admit that the house is much cleaner and more organized than mine!

Donald has some adjusting to do and I do too. I’m not sure why the social worker felt Donald was a good match with the other residents in this particular group home. When I finally met some of the residents yesterday, I didn’t see many similarities among them other than they, too, require care and supervision.  At 37, Donald is the youngest and only resident with cerebral palsy. From what I could tell, Donald seems to be able to make his needs known and carry on conversations at a higher level than his new housemates. I hope my observations prove wrong and that the other residents and Donald will be able to interact well together.

As with many of the group homes in this area, I find there’s a language barrier between the caregivers, my sons and myself.  This is an enormous obstacle that weighs heavily on me emotionally. In some ways, I feel guilty placing my adult children in homes such as the one Donald just entered where the primary language spoken is not what we speak in our home, English. I find it difficult to force myself to visit my sons because I can’t understand the speech of the caregivers who have heavy accents and many do not speak fluent English. However, it was Donald’s decision to move into this home and I wish him well.

There were benefits for Donald and me when he moved back to our family home on a short notice. Once he was home, I became his primary caregiver and advocate, which I was not when he was younger (his father was). The last couple of years have enabled us to better understand each other.

Donald is not a small man and to meet his physical needs has certainly helped develop my upper body strength by shoving, pulling, pushing, and jacking a Hoyer lift daily. Maybe I’ll have to start lifting weights to keep my upper body strength now that he’s moved on. It’s difficult to think there will be a time when I can’t physically care for my adult sons. In Donald’s case, I’m grateful he has found a home, and like an athlete, I feel I’ve gone out on the top.

I’m pretty sure I’ll be seeing Donald around for holidays, birthdays, medical appointments and when he might want to come home for some home cooking!

Donald’s new space at the group home.

 

 

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Switches and Adapted Toys

Finding purposeful toys for children with severe physical limitations can be quite a challenge – at least it was when my sons were young. Following are pictures of some toys I adapted for my sons.  Thanks to my dad, I knew how to use a hammer, power saws, and other tools but I knew absolutely nothing about switches, wires, soldering, etc. However, I made some feeble attempts to create cause and affect toys for Derek and Ben. Through much trial and error, I was able to develop several different types of switches for them, as well as several for their brothers as the family expanded.

I used two books as my guides:

From Toys To Computers: Access For The Physically Disabled Child” by Christine Wright and Mari Nomura

Homemade Battery Powered Toys and Educational Devices For Severely Handicapped Children” by Linda J. Burkhart

Today there is a wide selection of adapted toys on the market. I’m sure many parents, educators, and therapists are glad they are available but I so enjoyed making my own and watching my sons find pleasure in entertaining themselves.

1Ben plays with a spatula switch. The goal is to push the spatula and activate the toy – a bear that plays a drum. He would torment Derek by stopping the bear when Derek wanted to watch it play. This helped develop social interaction between the two as well as some fine motor skills to push the spatula.

2This is Alan using a pincher switch with his mouth. When he closed his mouth on the switch, the toy was activated. The toy used here was a police car with flashing lights and a siren.

3b3cThis is Ben using a mercury switch, which is inside a pill bottle secured to a hat my mom knit. The hat was perfect for keeping the switch in place. As you can see from the pictures, as Ben practiced, he became more proficient at lifting his head while on his stomach. When his head is raised, the puppy would walk forward. When he lowered his head, the puppy would stop.

4Here is Sean using a rocker switch connected to two different toys. Sean had a bit more use of his hands than many of my other sons. When he put pressure on the dots at the end of the top board, it would tilt and activate the switch hooked up to the toy. This motivated Sean to reach farther to his left as he had to stretch his arm and also to focus visually on the dots and toys.

5aHere is Ben with a pedal switch mounted near the right side of his head. He is able to turn his head to the right versus to the left. Therefore, that is where I placed the switch. I made it so it could be flipped back out of the way when he didn’t need to use it or to adjust the angle if necessary. (Note the wing nut on the mount for easy access to flip switch away.)  As you can see, Ben was able to use this switch for many activities: 5bplaying computer games   img737turning on a bike light. This was his “hand raising” light when he knew the answers to questions in the mainstream classroom or when he wanted to ask a question himself.img712to turn pages with a page-turner. Sadly the switch worked okay but he would get frustrated because the turner tended to turn more than one page at a time.

6a6bHere is Alan using a different pedal switch to play the computer and make the car go around a simple racetrack. I did not make this switch but want to show that manufactured switches do the same things as the ones I constructed.

7Here is Sean practicing fine motor skills of tracing a path cut on construction paper. He had to guide a bolt through the path on a cookie sheet. When he stayed in the path, the music would play. The cookie sheet is hooked up to a tape player. For Sean, grasping and holding an object was hard. This also encouraged hand-eye coordination.

8Here is Sean playing with a puzzle. This puzzle is three different shapes connected to three different toys. When Sean placed the shapes in their corresponding openings, the toys would be activated. Once again, the goal is to develop hand-eye coordination.

9Here’s Ben using a different type of lever switch constructed of a wood box. I learned that cardboard wasn’t sturdy enough for my extremely stiff and spastic guys. I covered this box with fake fur to prevent slivers (all wood boxes were sanded and finished too) and also allow for different texture. I also learned to device ways to secure the switches to their wheelchair trays so they wouldn’t get knocked on the floor.

10aDonald using the spatula switches. He has very limited use of his right hand.  I propped the car up so it wouldn’t move around as he is an auditory learner.10bplaying a musical computer game.

11Here are David (using the spatula switch) and Alan (using a head switch) to play the interactive computer game of tic-tac-toe.

12aI found several toys that would allow Derek to enjoy that were not simply related to sound, but provided visual movement because he was deaf. However, it seems like most of the pictures here are of this drumming bear but we had a selection of 12 or so toys to keep him happy and not be bored. When Derek was lying on his side, he had a little more control over his left arm (above) versus his right arm when seated in his wheelchair (below).

12b13Here is Derek using a switch with his left foot to play a computer game.

14Here is Ben using a complex joystick system to drive a power wheelchair with his head. The goal was for him to become independent with mobility but once again, things just didn’t go his way because of the degree of spasticity he has. He was able to drive the chair in large, open areas but to maneuver through tight spaces ~ just wasn’t a skill he could accomplish. There are several types of head controls for power chairs today but Ben still hasn’t found one that he can master.

I hope you have enjoyed viewing these pictures. Please remember I am not a professional photographer and some are not of the best quality. You can find many sites on the web if you look for “Switches and Adapted Toys for Special Needs Children”. If you have the skills for wiring, constructing, and being creative, how about developing and donating something to a child with special needs or your local school? I’m sure they would love to have a toy or game meant just for them.

 

 

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Cleaning Closets, Emptying Drawers, and Letting Go

I never thought about the emotions that would surface when a friend suggested I develop a website. Once I got started, infinite memories surfaced ~ most more pleasant than others. I knew many boys had come and gone in my life but it wasn’t until looking at my home page and seeing all those smiling faces lined up – well, it was truly overwhelming! It actually registered with me how many young fellows have been under my care. I saw each as an individual and not as such a large group. Although several are still living at home, many have moved out and have lives of their own. I still see them from time to time and communicate with them and/or their caregivers. But, five of those guys with smiling pictures have passed away.

Yesterday, I started to clean a closet and came across a suctioning machine, then another and a feeding pump. In drawers under a raised bathtub were more suctioning machines, suctioning catheters, feeding tubes, feeding pumps, paper tape, duoderm, and much more. What should I do with all these things, I thought with a lump in my throat and tears running down my cheeks. I can’t just throw them away.

All these supplies were not being used. In fact, they hadn’t been used for several years. Memories came back of my life being mom to Raymond, Derek, Coco, and Ilan. They all required extensive medical care and required the use of these supplies before they passed away.

Several years ago I donated wheelchairs to Wheels for the World. Maybe I could donate these things too? I emailed a person I know from church who goes on medical mission trips to ask if such medical equipment was needed. Her answer – YES! So, I continued to empty drawers, cabinets, and shelves until I gathered all that was no longer being used.

Letting go of these things can be more difficult than one would think. To some people, it might just be a machine or a piece of plastic or rubber. To me ~ it meant life for my sons ~ one more breath without choking on secretions when I used the suctioning machine or a few more calories when formula could go through a feeding tube. It’s hard to part with such things because of my attachment to the equipment in relation to my sons. I sorted, dusted, tested machines, and organized. I shot off an email when I was finished and everything was ready to go.

Lynne and Marian with photos of Coco, Raymond,Ilan and Derek

Lynne and Marian with photos of Coco, Raymond, Ilan and Derek

Today Lynne, the lady from church, came by to take what I had gathered. First, I asked her to be in this picture with me as we held pictures of four of my sons. Their pictures will continue to hang on my wall. Memories of each one will stay with me but this medical equipment will be given to Doctors Without Borders or a similar organization. These things will be used to allow someone to breathe one more breath without choking, receive more calories while receiving nutrition through a feeding tube, and maybe even ~ just maybe ~  feel the love my sons had to share during their short lives.

We donate unused clothing to organizations. We donate food to the food bank. We donate used furniture to Goodwill. We donate blood to the blood bank. We donate our old musical instruments to schools. If you have wheelchairs, crutches, walkers, medical supplies, or such – who would you donate them to?

 

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Traveling with Wheelchair Users, A Driver Who Is Deaf and A Van on Fire!

Ben, Kyle, Kolya, and I were close to the California border. I’d been traveling at a good clip and making good time when I decided to pull over at a rest stop to use the restroom. I was stiff and slowly slid out of the driver’s seat and to stretch a bit. Suddenly a lady came running up to me, obviously shouting. “What did you say? I can’t hear you. I’m deaf. Do you need help?” I asked.

“Your van is on fire! Your van’s on FIRE!”

“What, you say my van’s on fire? No way!” She grabbed my arm and pulled me around to the passenger’s side where she pointed under the van to something that was on fire. I thought it was an old spark plug that must have been left in the engine from being serviced before our trip.

I opened the passenger’s door where Kolya sat, grabbed a bottle of water and put out the fire. Then I went around, climbed back in and moved the van to a different parking spot so it wouldn’t be over that ‘burnt spark plug.’ By this time this lady was jumping up and down, yelling at me, “Your van is still on fire! Please get those people out of the van,” she shouted. She was gesturing to my sons and making a sweeping movement of getting them out.

I was dumbfounded but, sure enough, there was smoke coming from the motor cover and I smelled something burning. It was easy to get Kolya out because he was sitting on the front seat. Of course he didn’t have shoes on and the concrete was extremely hot. I asked the lady to take him to some shade, put his shoes on (which I’d handed to her and he hadn’t yet tossed out the window), and not let go of him because he might run away. I can only imagine what she must have thought about this child without arms, who didn’t speak and who was traveling in only his shorts. Holding on to Kolya with no arms is complicated. Even if he had a shirt on, he could squirm out of it. However, she kept him seated at a picnic table a short distance away.

Then I quickly lowered the van lift and yelled at Kyle to get out. “Mom, my chair is belted to the floor!”

Oh yeah, I thought as I quickly scrambled up on the lift to unfasten the tie downs and get him out of the van. At least he could drive his chair away from the van and take care of himself.

Ben wasn’t even in his wheelchair: he was propped up with a bunch of pillows and belted onto a large bench seat in the back. I quickly grabbed a sleeping bag and threw it on the sidewalk, climbed through the back doors and unfastened Ben’s seatbelt. By this time there were some truckers around and I was able to lift Ben’s stiff body over the back seat and hand him to one of the men while I gave instructions to place him on his back on the sleeping bag. I also became aware that some truckers were using fire extinguishers to put out the fire in the motor.

Once I got Ben out, I hopped back in, unbelted his wheelchair and quickly rolled it out the side door where the lift was lowered (his chair was manual and didn’t weigh 300 pounds like Kyle’s).

Was it safe to jump back in the van to get my purse, I wondered? What about my $6,000 hearing aids that were on the motor cover? Whether it was safe or not, I did it. Now we were all safely out of the van, in Arizona, in the middle of nowhere, on a Sunday afternoon in 115 degrees heat.

Great.  Now what? I need to focus on the situation here, I told myself.

Once I got my thoughts together, I lifted Ben off the sleeping bag so I could put him in his wheelchair. The black vinyl upholstery was already blistering hot and I was afraid I would burn his legs and arms but I didn’t have much choice of what to do. Once in his chair, I pushed him over to the picnic table where Kolya still sat in a little shade with the lady who, basically, saved us. I thanked her for helping with Kolya.

“What will you do now with these children?” she asked.

“I honestly don’t know. I guess get my van fixed and then continue my trip”, I spoke as I choked back some tears. I really didn’t have any idea how far we were from anything, but I would soon find out.

Someone had called the local volunteer fire department and a group of firefighters and rescue squad members had arrived in their personal vehicles to help in whatever way they could. I tried to stay calm but had no idea how I would transport my sons to a hotel, let alone how to finish our trip home. I didn’t want to believe what the men around us seemed to be saying ~ that my van was ruined beyond repair. I couldn’t understand most of them even when I put my hearing aids on. All I could hear was the rumbling of the big trucks parked nearby. I had to depend on what Kyle told me.

I texted the pastors at church to see if they knew anyone in the area but they were in the middle of Sunday evening services and no one responded. Kyle tried to call with his cell phone, but got the same response – no answers. We were stuck in this incredibly hot place for almost three hours with the volunteers from the fire department.

Kyle was my “interpreter” in situations like this, and I could speechread him most of the time. He talked up a storm and made friends but I was sort of reluctant because most our “rescuers” were half drunk having brought their cans of beer along for our emergency. I was also worried about my teenaged son because of a woman who stuck around the entire time. She was big busted, wore a low cut, bright red tank top, and no bra. I was certain he would get a couple of good glimpses at her breasts and I wasn’t ready for him to be exposed to such things. When I asked him recently what he remembered about this event, he said he remembered the lady yelling, “Your van’s on fire!” He didn’t recall the lady in the tank top, thank heavens. Actually, everyone was nice and wanted to help.

The fire was restricted to the engine and fuel line, so my four new tires and all of our belongings were undamaged. I had some snacks to hold us over, but Kolya was struggling with the heat (many amputees become overheated more easily than people with all their limbs). I tried to keep him hydrated with ice from the food cooler. The heat also affected Ben. It was easy to pour water through his feeding tube but his mouth was constantly dry.

After a couple of hours, Kyle and some of the people who had stuck around drinking their beer decided it would be best to load him and his wheelchair into the back of a pickup truck using our motorcycle ramps (I carry ramps in case of emergencies when I travel). Then, we could put Ben’s chair in the back of the pickup and sit him on the truck seat. Kolya would be easy to handle since he could walk and sit but he was hungry and tired and becoming difficult because of his autism. The driver of the pickup (husband of the large busted woman in the tank top) said he’d drive slowly and carefully with Kyle in the back. We aren’t talking about a two or three block ride: it was something like 20 miles to get to a hotel. Kyle was game for this but another man said it was definitely illegal and also very dangerous. Unknown to me this man had reached a company with a wheelchair accessible bus and it was on its way to take us to the hotel. And someone else had arranged to have the van towed to a Ford dealer. I was relieved, but I understood Kyle’s disappointment as he drove his chair down the motorcycle ramps to transfer from the truck bed to the bus – he’d been ready for a real adventure.

When we got to the hotel I asked about the charge for the wheelchair bus. Blessed news, it had already been taken care of and I never knew whom to thank for that generous act. It was late and there were no restaurants open but at least I had some clothes, medications and Ben’s feeding supplies from the van. I hit the vending machines for our late dinner. What a night I was in for. I was to be at the Ford dealership early in the morning but my flashing light alarm clock was in my van. How would I know when to awaken? Kyle could hear but once on the bed he couldn’t move to wake me up. I was close to despair when an important text message came in just before I tried to sleep. It was from our pastor and said, “Marian, we will discuss the church buying you a new van as soon as you get home.” I cried tears of exhaustion, frustration, and joy.

Kyle made phone calls the next morning as we tried to decide how we could continue our trip back home. School was to start in two days and we still had a 9-hour drive to go. Nearby there was a small airport that had some rental cars: the person Kyle spoke with said they had a cargo van. GREAT! A cargo van would work and I’d be able to get Kyle’s power chair in using the motorcycle ramps. So, off to the airport Kolya and I went while Ben and Kyle stayed behind at the hotel. My heart sunk to my stomach when I saw what they referred to as a cargo van. “There is no way I can get those two wheelchairs in this van,” I whined.

The lady tried to convince me other people had used this van and put their wheelchairs in the back. I explained that ours were not the typical manual chairs that can be folded and put in the trunk of a car. Kyle’s was a 300-pound power chair that can’t be tipped and Ben’s was constructed with a special seating insert and can’t be folded. By this time, I was in tears trying to decide what to do. To me a cargo van was like my first Ford Ecoline that had nothing in it other than two front seats. This van had seats in the middle that folded down and storage space in the back. I asked the lady if she could make some phone calls for me to find a U-Haul truck to put the chairs in. She made the calls but none were in the area. Bad luck. I was stuck with this “cargo” van that really wasn’t a “cargo” van!

On the way back to the hotel, I stopped by the Ford dealership to get my motorcycle ramps and some pillows. Brave Kyle said he could fit in the back: he drove his chair up the ramps while I fretted until he made it in. He managed to get his chair in but he couldn’t sit up because the back of his head was touching the ceiling and his switches were a mess on his headrest. The only choice we had was to leave the chair in there and get him out. I struggled to get his body out of the chair, carry him around to the front seat and belt him in there. He was no lightweight baby any more but a much heavier teen. All the while I kept Kolya in my line of vision to make certain he’d not take off for some adventure only he would enjoy.

Then it was what to do with Ben and his chair. I worked for an hour trying to maneuver these two chairs around, take the wheels off Ben’s to make it fit, lift, maneuver, take out, start again, and silently cuss AND all the while make sure Kolya didn’t run away (never let your guard down with Kolya!). Sweat made my glasses slide down my nose and I couldn’t push them up because my hands were too busy trying to fit the chairs in a too-small space. I couldn’t leave the middle seats folded down because I had to put Ben and Kolya in there somewhere. Ironically, the man who owned the hotel used a wheelchair and many times said to me, “I’d be sure to help you if I could.” I just wish he’d have offered to let me drive home his nice wheelchair van that was parked in the handicap parking place and bring it back the next day!

At last the chairs were in, the few things we’d brought for the night were in and the guys were in. Of course only Kolya and I could get out to use the restroom on the way home. Well, I’d deal with that problem when I had to. We stopped to say goodbye to our burnt van and I got as many things out of it as I could fit into what we had to drive. Sadly, I had to leave behind some things I wish I could have kept.  After two hours of loading in another day of 115-degree weather, we continued our journey home.

With Kyle in the front passenger’s seat (not something he had done before), he decided I needed to tune in the radio so they’d have something to listen to. It’s easier to speechread in the rear view mirror when driving than to speechread someone sitting in the passenger’s seat. At least that’s true for me. So, the challenge of finding how to turn on the radio, learning how to change stations, finding the one he wanted and then adjusting the volume was about all I could handle. I get so frustrated and angry with radios! But at last I got it right and that kept him quiet for a short time.

Need I remind you that neither Ben nor Kyle can sit independently? I had done my best to prop them in with pillows, put duffle bags under Ben’s feet to help keep him from sliding and not place things where his arms might get stuck. We’d been on the road no more than an hour when Kyle started complaining about pain in his legs and that his feet were numb. With no rest areas in sight, I pulled over along the road, walked around to his side and tried to readjust his position to allow come circulation in his lower limbs. Then, I’d reposition Ben. Kolya, who was accustomed to sitting in front with me while we traveled, was now in the back where I couldn’t reach him to give him fluids to keep him hydrated. So, I added him to the routine, which took place about every hour and a half. Then off we’d go again.

Of course, we got hungry and had to stop and eat. Again, Kolya and I were the only two who could get out, stretch, and use the restroom. Kyle and Ben had to suffer and wait. I thought we’d never arrive home! But about twelve hours after we started the last leg of our trip in a not-so-cargo-cargo-van we pulled into the driveway at home. It was late and everyone was in bed. I quietly put Kolya to bed first (remember he’s the easy one because he can walk). Then, I grunted, huffed and puffed and pulled Kyle off the front seat. Getting a good grip to carry him was tough but I managed to get him through the front door and carry him to his bedroom. He was so thankful we made it home so he could use the bathroom and be in his own bed. Then, I went back to get Ben. Kyle and Ben weighed about the same at that time but Ben is much easier to carry because of his body shape. Kyle’s body is pretty much folded in half because of the severity of his arthrogryposis and the person carrying him just can’t grab him under the arms and pick him up. Ben’s body is straighter and I could throw him up over my shoulder and see better where I was walking. The biggest problem was he’s about the same height as me so I had to be careful not to trip on his feet going up the ramp toward his bedroom. Once I had all three taken to the bathroom and in their beds, I crashed on the couch.  A couch never felt so comfortable! The wheelchairs and all our belongings would just stay in the van for the night.

How Kyle and I managed to get his chair in the rental van is beyond me. It took three people to unload that chair the next morning. The pastor began the process to involve the church in raising funds to replace the burnt van. Within weeks, I had ordered the van I drive today which meets the needs of transporting multiple wheelchairs at once. When I reflect on this experience, I’m thankful that things weren’t worse. No one was hurt and because I didn’t require adaptive controls, I could at least drive the rental van. I still was strong enough to lift and carry Kyle and Ben. I had Kyle along to help make phone calls and assist with communication. Kolya didn’t run away. So many positives – and the rental van had good air conditioning.

As I write this, we are in the fourth day of a heat wave. Sometimes I complain about the heat but I should not. Believe me, these past four days don’t come close to what we experienced on this journey.

Aiken family with van donated by our church

Aiken family with van donated by our church. Photo courtesy of Town Crier.

 

 

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