Friday, April 22, 2011

No-Class Baby?

As I'm sure I've mentioned a time or two, our kids have the good fortune to attend a really awesome school. Awesome academics, awesome teachers -- even a Music & Movement class for toddlers.

It seems a decade ago now, but James and I did Music & Movement at a community center when he was a toddler. Unfortunately, because of the despised music part, most of the movement consisted of James throwing tantrums in my lap for 30 of the 45 minutes. We did not re-enroll.

Because I have given up on life have a very busy schedule, it never occurred to me to put Thomas in any such class -- until I saw it advertised on the door to the kindergarten classroom. It stared me in the face daily this past January, making me feel guilty about spending Monday mornings at the gym when I could be playing and singing with my youngest after pre-school drop-off. Would this be something Thomas would enjoy?

The answer, as it turned out, was a resounding yes. Less enjoyable, however, were the experiences of the music teacher and his fellow classmates. (Although the music teacher is very gracious, and it doesn't hurt that he gives her hugs and kisses every week.)

We spent an entire semester going to "baby music class," where the other babies would clap in time to the music and participate in dancing circles and bang in an adorable manner on their xylophones (waiting patiently in a mother's lap, of course, before getting their instruments).

The entire semester, Thomas would run around the seated circle of parents and babies, jump in the teacher's lap, make a beeline for the forbidden drum kit, and generally raise Cain.

I have learned over time that nearly all of us moms have those days when we think our kids are the naughtiest, most ill-mannered children in the room, but in Thomas' class, that really is the case.

(Not that he isn't the cutest little naughty monkey ever. He really charms the socks off everyone there. But still.)

Anyway, a new semester started a few weeks ago, and two new families came in, including a mom with twins. They were extremely well-behaved, much to my dismay and good for her! It was the first baby music class of the semester, and all the kids were in high spirits. None more so than Thomas, of course, who ran around like a crack-addled spider monkey, opening cabinets and trying to flee the music portable when he wasn't trying to distribute free xylophones or use maracas as hammers.

Two kids got taken out of class early by their mommies that day. Neither of them was mine. I think one was expelled for running and the other for excessive crying. I'm pretty sure neither of them tried to shoplift the guitar (thanks for that, Thomas).

I remarked to the mom of twins that her kids were enviably well-behaved, and that I felt bad for the moms who left because their kids really weren't doing anything terribly naughty. (Let's be honest -- if I left every time someone was sort of ill-behaved, we would be hermits!)

The other mom replied that she had had to take her daughter out of gymnastics for being disobedient, but once was enough.

I'll admit it -- I felt a little like a bad mom. Do I let my kids head-butt people in the face while I turn a blind eye to what the little darlings are doing? No. I'm not that mom, at least. They do get in trouble for hurting their playmates or destroying property. But while Thomas' energy level causes me no shortage of dismay, he's a pretty nice little toddler. And I'm a sucker for my high-energy but generally nice little cuties. Consequently, I haven't removed anyone from an activity since James initiated his exit from swimming class by emitting a series of ear-piercing screams and trying to clamber out of the water onto my head.

After that conversation, I thought about taking Thomas home next time he runs away from the group -- laughing hysterically as he bolts for the door -- or tries to pull instruments from the cabinet when he gets tired of waving scarves to the music. But you know what? He's two years old. He has the attention span of a gnat. Would it help? Maybe there's an off chance. But it would probably sink in about as well as the 500 times I've put him to bed early for throwing food and jumping out of his high chair.

So instead, the next time I ran into one of the moms who had left, I told her I was sorry she'd had to go early, and assured her that all of us have toddlers and that a little toddler-like behavior is to be expected.

I don't know whether to feel happy for her or guilty for endorsing bad behavior. But this past week, she and her son stayed for the whole session. And (with some occasional laying down of the law, of course) our toddler boys ran around wreaking harmless mayhem like only toddler boys can.

P.S. If you are interested in baby music class, contact me. I will put you in touch with the teacher, and offer you my personal guarantee that you will not have the naughtiest child in the class!


Wanted: For disorderly conduct

Friday, April 8, 2011

Breaking Bad

Ahhh, spring break! Remember spring break? When we were in college, it was a time to go skiing or party at the beach, or perhaps to take advantage of the underage-drinking loophole in the great state of Louisiana.

Once you have kids, however, they have spring breaks of their own. And if you do go skiing or visit the beach, it is most certainly not a break for Mom and Dad -- no matter how many tequila shooters you do. (Just kidding! I didn't do any tequila shooters, because we have no tequila. Believe me, I checked.)

Because our children don't travel well, we opted to stay sane home this year.

The week began promisingly enough. The kindergarten's class mom organized a series of group playdates, with the first at one of our favorite local parks. The kids did a fantastic job of not being complete hooligans, and nobody had to have a time-out in the stroller. I started the next day with a 6 a.m. workout and a coffee, confident that this spring break would be different. It would be exciting! Productive! Or at least somewhat less insane, and I would not spend days on end in my pajamas, binge-eating tortilla chips and counting down the hours.

Right now, James is in a contrary phase. Well, the contrary phase has technically lasted about a year and a half, but right now he's in a particularly contrary phase. So we've been trying to keep him out of the other kids' hair on difficult days. Our innovative strategy has involved lots of Scooby Doo in Daddy's office.

However, seeing as how Daddy is the sole wage earner, sometimes James had to mingle with the other children. Occasionally, the mingling involved insisting that everyone watch his favorite episode of Scooby Doo. Other times, it involved throwing a blanket over his head and volunteering for a beatdown (a.k.a. "ghost wrestling"). But this is how several hours of each day went:

James: "You can't play with my Littlest Pet Shops!"

Maddux: That's my Littlest Pet Shop, Jamesy! Stooooooooop!"

Me: "The Littlest Pet Shops are in time out now."

Thomas (fending off James' grabby hands): "Screeeeeeeeeeeeeeech!"

James: "I want that Percy train!"

Thomas (clubbing James over the head with Percy): "You no take my train!"

Me: "James, get in time out! Thomas, time out!"

Maddux: "Mommy, Jamesy's not in his time out!"

James:
"I ... DON'T ... WANNA ... TIME ... OOOOUUUUUT!"

Mommy: "And Scooby Doo is going off the TV now."

James: "Mommy, you're a poo-poo-head robot."

Thomas (escaping from time-out and dancing in the middle of the room with enormous cheesy grin): "Thomas poo-poo-head robot! AHAHAHHAAAHAAA!"

Me: "Sweet merciful crap. I need so much more coffee."

And so were great amounts of coffee consumed.

Because a little crazy is never enough, I decided to undertake two spring break projects (three, if you count the Christmas tree, which is stripped of ornaments but still standing). The first undertaking, Thomas' potty training, was a complete bust -- unless letting a 2-year-old pee in Disney Cars underwear instead of Pull-Ups and then feeding him jelly beans for sitting fruitlessly on the potty constitutes success.

The second project was eliminating James' nap.

I have tried many times to cut out the nap, but James tends to crash hard around 4 or 5 in the afternoon, after which point our adorable child might as well be a wild boar on methamphetamine. But after a nice, refreshing afternoon nap, James was staying up until 9 p.m., or, occasionally, 1:30 a.m., and acting like a meth-crazed wild boar in school.

If my child is going to race about growling and attacking people like some feral animal, I'd rather have it be at home than at school. So we stuck it out through two horrible, irrational days of meth-crazed wild-boar boy, and finally James started going to sleep at a civilized hour and acting human during the day. Success!

Until ...

Somehow, a year or so ago, Maddux got it into her head that there is nothing cooler in all the world than -- get this -- a sleepover.

Raise your hand if you think this is a good idea. No one? Yeah, me neither.

But gut feelings aside, in 2009, on Christmas Eve, I agreed to sleep in Maddux' room along with her and James. They were very excited, because we have a hard-and-fast rule that people sleep in their own rooms. (You know, so they can sleep.)

Maddux was bright-eyed and giggly at first, but she's a morning lark rather than a night owl, so by 8:45 she was exhausted. James, however, chattered away nonstop about trains until 12:45 a.m. Maybe longer. I don't know, because I fell asleep. Then Maddux woke everyone at 6.

I swore it would never happen again.

But somehow, the kids finagled another sleepover during winter break. This time, I was smart enough not to try to sleep in the room with them. Not so smart, however, was Maddi's decision to wake James at 9 p.m. because he was drooling. Having been completely reinvigorated by his 20-minute nap, James stayed up into the wee hours and the sleepover was aborted. Apparently, though, in my half-asleep delirium, I promised the children that they would get a second chance over spring break.

Let me make it clear that neither do I remember making any such promise nor do I find it plausible that I would have done so. Nevertheless, I let the little ones have another sleepover. (Well, once I found them entrenched under Maddux' bunk bed at 8:45 p.m. surrounded by everything James has ever owned and looking up at me with their most plaintive saucer eyes, anyway.) They were asleep by 10, but the next day, James was so tired he had a nap. As the kids say, facepalm.

Add to all that a shopping trip on the penultimate day of spring break, which -- in addition to the usual mirror-licking, begging for everything in a 5-meter radius by Maddux, rejection of any and all new clothing by James, and throwing of decorative rocks in fancy stores -- also included the improper use of the stroller as some sort of MMA fighting cage on wheels.

Corn chips -- check.
Pajamas -- check.
Tequila shooters -- checked. Couldn't find tequila, settled for Riesling.

The only thing breaking this spring was my sanity.

Sunday, March 6, 2011

The Kid's Speech

James has spent most of his life being different from other kids in myriad ways. When he was smaller, many activities left him overstimulated, screaming and clinging to his favorite die-cast toy bus. Things such as jackets, new shoes and his bed being placed a quarter-inch "off" resulted in 45-minute meltdowns. He didn't really seem to understand or care about what people were saying. But the thing that stood out most about James was his speech.

Until he was a bit older than 3, James hardly ever put more than two words together. When he did speak, it was usually during his bedtime story, when he would expertly parrot exactly what I was reading, as if on a two-second delay. Once he learned to express himself, he compulsively said the last consonant of most words three times. (Example: "Maddux-x-x wearin-n-n' pants-s-s.")

Last spring, he had a speech evaluation. Predictably, he was referred for speech therapy, although the waitlist was many months long -- in fact, we still have not been called in for speech or occupational therapy.

I'm not really fond of waiting. (Shocking, I know.) So I researched a few approaches and decided on Stanley Greenspan's Floortime model. In Floortime, you begin by simply observing how the child plays, then engage in parallel play with the child. Once you've tricked your poor, unsuspecting kid into letting you play with him, you encourage expressiveness and interaction. Soon, you can introduce directions and turn-taking.

Since I'm no therapist and playing with a bossy, tantrum-prone 4-year-old makes me need about a dozen tequila shooters frustrated, we're still working on turn-taking and directions. With a lot of guidance, he can sort of play Hi-Ho Cherry-O. For about five minutes. But gone are the days when James lorded over his train table and beats interlopers about the head with Sir Handel.

A good chunk of James' progress coincided with his entry to preschool. The Montessori curriculum depends a lot on routine, which James loves, and teaches independence, which James needs.

Not only is he improving socially, but we've noticed he can finally participate in a decent approximation of a conversation (providing he's not over-tired, at which point any question will be answered with a defiant: "I DON'T WANNA [fill in the blank], YOU POO-POO ROBOT HEAD!")

So great have been his strides that, this Wednesday, the woman who evaluated his speech last year was blown away.

A little less than a year ago, James' speech was coming along, but he mostly echoed others or narrated rather than actually interacting. He had only just begun pointing to things when asked.

This year, he used excellent eye contact (to be fair, he's always done this), engaged the evaluator, participated appropriately in adult-led play, and when the evaluator dumped 10 blocks on the table, he told her, "You take these four and I'll take these six," almost before they were out of the box. (Although now that I think of it, didn't Dustin Hoffman's character in "Rain Man" do that with toothpicks? Hmm, maybe that's a poor example.)

James has gone from being a kid with unintelligible speech, consisting mostly of echolalia, to being able to identify all his colors, numbers and phonics sounds. He identified the crying baby among the happy babies in the evaluator's flip-chart -- a big deal considering his preliminary diagnosis of PDD-NOS in October.

At the end, the evaluator said he has very few red flags for autism, speech-wise. There are still issues for the pediatrician, such as his spells of absence and the outrageous tantrums and the pants-pooping and the fact that he sometimes stays up 'til 1:30 a.m. But the good (bad?) news is, he probably no longer needs the speech therapy he was referred for and still hasn't gotten. Yay. (Pardon me if I'm a bit bitter about the slow access to autism-related services after nearly three years of trying to get help for James.)

Cognitively, James is at or above age level. Speechwise, he's just the tiniest bit behind his peers. We just need to work on talking about abstract ideas.

And that poo-poo robot head thing.


Who has two thumbs and can (sometimes) smile for the camera? This guy!

Monday, February 28, 2011

Last, But Not Least

As the eldest of four children, I've never had much sympathy for the complaints of those born last. Sure, they may not have never had the complete attention of their parents, but the silver lining is that ... they never had the complete attention of their parents.

Example:

Firstborn: Mom, I'm going to South America to help build a school for orphans.
Mom: Well, your Aunt Mildred's friend Bessie's minister said that 10 years ago, some teen-agers nearly fornicated on one of those trips. I don't feel comfortable sending you into that kind of environment until I know exactly where you're going, who's supervising, and who else is going. Also, I'm implanting you with a subdermal GPS chip. And LoJacking your underwear.

Youngest: Mom, I'm going to go party with Charlie Sheen. Don't wait up.
Mom: Oh, how nice. Charlie Sheen needs more good influences in his life.

Mercifully, Thomas is decades away from partying with half-men, but he still gets away with plenty. All he has to do to get out of trouble is blink innocently, cock his head, and ask -- as if surprised and horrified -- "I being bad?" Last night, as I stood sentry at James' door, it occurred to me that even the middle child has it exponentially easier than the eldest: I was playing bedtime prison warden when Maddux was just 18 months old.

Despite the carefree existence a youngest child enjoys, there are tradeoffs. Only now, as a mom, am I keenly aware of how many achievements are overshadowed, how many activities missed, how many pages left blank in the baby book. (Note to self: Buy baby book.)

Maddux gets plenty of blog entries. She's the eldest and hits all the exciting milestones first. Before this blog, there was her baby blog, and before that, my pregnancy blog. Both are chock-a-block full of weekly posts and pictures. James had a few entries, but his blog was nothing like Maddi's. Thomas' personal blog had two posts: One said "I'm pregnant" and the other said "Baby's out." And even in this blog, which I started so the boys would be included in more posts, Thomas is rarely the star. His last post was in April. Whether it's walking, talking, or destroying a room with poop, someone's done it before.

Until recently, Thomas also got short shrift on activities. When Mads was a baby, she went to Baby Talk, playgroup and library sing-a-long. Later, it was ballet, soccer, gymnastics and swimming. James had a few Music and Movement classes, but he screamed at the top of his lungs and clutched his die-cast school bus the entire time. We decided large, noisy classes were not his cup of tea. And it seems we got so used to avoiding activities for James that his little brother got lost in the shuffle. Besides a few seasons of swimming classes, Thomas had nothing until this winter's Music and Movement classes. And we only signed up for those because they were held at his siblings' school, right after drop-off time, and I would have felt guilty missing them to go to the gym.

So now Thomas has classes. He feels very grown-up and toddles into the music portable with a little backpack on his shoulders. (Then he makes a break for the drums and tries to destroy everything. He is, after all, a lastborn child and has a reputation to uphold.)

In the interest of unabashed bragging highlighting more of Thomas' achievements, I should also tell you that he knows the phonics sounds for at least half the alphabet, can count a bit and identify several numbers, is maybe two-thirds potty-trained and can sort of use chopsticks. He likes to shout out the answers to James' homework before James can open his mouth. Oh, and Thomas is an old hand at the iPhone. Or, as he calls it, his iPhone. Yep, he's a youngest child. No doubt about that.

On the social front, Thomas is a very friendly fellow. We are not sure who to blame for that, but it is what it is. His sometimes-playmate Ayden still regards him with faint suspicion after a particularly enthusiastic tackle hug this fall.

Even the grown-ups aren't safe. Once Thomas has spent time with an adult more than once, he feels free to run up and hug that person's leg. If he is picked up by someone who does not have a scratchy beard, kisses aren't out of the question. Today, he ran up to the head of school squealing, "Hi, Mr. Grieve!" and then wrapped himself around Mr. Grieve's knees. (FYI, Thomas has not spent significant amounts of time socializing with the headmaster, unless you count the time he was in a Santa costume and Thomas teleported into his lap from across the room in .005 seconds.)

That's our youngest, in a nutshell. Thomas may not get our undivided attention, but he can wheedle a snuggle out of us -- anytime, anyplace. He's a smart, humorous, gregarious little guy. He likes to tear pages out of books (still!!) and scribble on nonwashable surfaces, and he sometimes slugs siblings or pulls hair, but he always apologizes in the cutest way possible.

One day, the kid will be a great influence on Charlie Sheen.

Everything about this picture is completely normal

Friday, February 4, 2011

An Inconvenient Tooth

When Maddux' bottom incisors came in, late in 2005, they seemed huge. To my slight dismay, these sharp invaders had broken up the pristine pink gum line that featured prominently in her adorable, gape-mouthed baby grins. But as I tried to pull her left mandibular incisor last night, it occurred to me that those teeth -- so conspicuous in her mouth five years ago -- were actually really tiny. And now, just when I've gotten used to them, they've decided to come out.

Of course, while I drag my heels at every milestone, reluctant to admit my children are no longer wee, helpless newborns, Maddux is more than happy to grow up.

She's been shopping for her own clothes since she was 2 -- often gleefully handing the cashier my debit card -- and recently invited six classmates to a sleepover at our house, scheduled for that very night without my knowledge. (Much to her dismay, the sleepover was postponed indefinitely.) A month ago, she started talking about her loose tooth. Remembering with near-certainty that almost everyone I knew lost their first teeth at age 6, I blew it off. After all, Maddux also claims to have superpowers and swears she saw a baby bird trying to hatch out of a white stone she brought home from school.

But the talk of a wiggly tooth continued.

"Wanna see me wiggle my loose tooth?" Maddux asked me one day three weeks ago.

"Sure, honey," I said, playing along like a good mommy.

To my great surprise it was actually loose. Really loose. She's been wiggling it to and fro, backward and forward, pushing it with her tongue and cracking it against her upper incisors with abandon. At least once every five minutes, her friends and family have obligingly watched her perform various feats of dental flexibility and pain tolerance.

Finally, yesterday afternoon, Maddux came to me. Her bright eyes bore a mixture of anxiety and giddiness.

"I'm ready for you to pull my tooth, Mommy, " Maddux announced solemnly, pride tugging the corners of her mouth ever so slightly.

With Daddy wielding the camera, we stood in the hallway, I with a tissue to help me grip the little tooth, Maddux with her mouth open like a manhole -- as much as that is possible while smiling and bugging out one's already preternaturally large eyes, anyway.

Unfortunately, while she's grown into her teeth, Maddux apparently still makes just as much drool as she did when she was a tiny little thing of seven months. Between her slick, ever watering mouth, her penchant for biting down nervously, and the little barley-size kernel of a tooth, it was impossible for me to get enough of a grip to pull. We called it a night, and Maddux slipped off to silently weep. (Yes, she doesn't cry, she weeps, because that's what Cinderella does. Even if her weeping sometimes takes place during a time-out and involves Linda-Blair-like theatrics and the words "I hate you, Mommy!")

Tonight, she was ready again. After the boys were in bed, she pranced up to me, all anxious smiles and sparkling eyes, her tooth jutting out, cantilevered, over her bottom lip. She had been wiggling it furiously all day, her resolve only hardened by last night's failure.

"Mommymommymommy, time to pull out my tooth!" she badgered. I didn't really want to try again, because she is not allowed to get any older, EVER since her tooth didn't seem ready last night, but I can only take so much adorable begging. I relented.

Daddy again grabbed his camera, I revisited the Kleenex box, and Maddux opened up -- only not quite so wide this time (I suppose because she knew she was going to bite me eventually anyway). We tried a few times with the tissue, to the same results as before. But Maddux was certain she wanted her tooth out, and I was certain I didn't want to send her off all teary and disappointed again. Chris pulled out the rubber gloves and we gave it another go.

To give you an idea of what it was like, imagine pulling half a Tic-Tac out of a backed-up sink where it's been craft-glued, while avoiding 19 other closely-spaced (but Superglued) Tic-Tac halves. The faucet is running and a bear trap is threatening to ensnare your hand.

Maddux is lucky she's so cute, or she'd still have that tooth.

The gloves found a non-slobbery surface on the third try. One quick yank and it was done. The tooth that had once seemed so dominant in her infant mouth was surprisingly tiny resting in my palm. I packed it away in Ziploc, with an aching sense of loss troubling my chest. Here was this little tooth -- one that had grown in my daughter's jaw as a fetus and pushed through her gums right before her first Christmas -- and now it was no longer a part of my little girl. Not only had Maddux lost her tooth, she'd shed her babyhood.

Which, of course, delights my firstborn to no end. She is finally a Big Kid. Any day now, she will have superpowers and decolletage and princely marriage proposals and her long-awaited baby daughter, Rainbow Rose. Like a real grown-up, she has decided to defer monetary gratification and show her little incisor off at school before leaving it out for the Tooth Fairy.

On the other hand, in the background of her proud little toothless mug shot, I can be seen blinking away tears.

Gap girl

Saturday, January 29, 2011

Read 'Em and Weep




For centuries, doctors and scientists grappled with the problem of infection. Hand-washing and boiling helped limit bacterial outbreaks, but once infection set in, there was little one could do other than throw a few leeches on the patient and hope for the best. Then, in 1928, Alexander Fleming left a petri dish uncovered, some mold grew on his culture, and the rest was history.

I wouldn't say I view competition as mold, but I do confess to being a little bit of a hippie. I always stress to Maddux that she shouldn't worry about what her friends are doing; she should try to do her best job, regardless. (I realize this may seem hypocritical coming from someone who expected from herself nothing less than perfect scores, but "Tiger Mom" I am not.)

Nonetheless, just like the mold that inhibited bacterial growth on those cultures at St. Mary's Hospital some 82 years ago, competition -- that thing I try so hard not to emphasize -- has proven to be the catalyst for my daughter's reading breakthrough.

At the beginning of this school year, Maddux couldn't read much more than her name. Perhaps it's part of the ADHD, perhaps she's a touch dyslexic, or maybe she's just a late bloomer, but for some reason the letters seem to mix themselves up before her eyes and she quickly gives up trying to decipher the text in front of her. Until this month.

For the past few weeks, Maddux' kindergarten class has been participating in a schoolwide "read-a-thon" in which the house teams compete, based on minutes read, for a gold medal. (At least that is what my daughter tells me. Whether there is an actual medal, I have no idea, but far be it from me to detract from her incentive!)

Because she is a superhero and a princess, Maddux feels that she should be the very best at everything. She wants to be the fastest runner, the strongest lifter, have the blondest hair, be the lead in the class play, lose the first tooth -- I think you get the picture.

For an entire semester, I was under the impression (based on her frequent bemoaning of the fact that "everybody else" was in a higher-level reader) that she was the worst reader in her class -- until her teacher informed me that, upon beginning her ADHD medication, she quickly advanced to perfectly average. I was also informed that she was a pretty darn good mathematician, which Maddux conveniently forgot to mention because she expects to be marvelous at everything.

Me: How are you doing in number work?
Maddux: (Shrugs) OK.

But since her reading contest began, Maddux has been strangely enthusiastic about reading. Gone are the days when getting her to complete her 10 minutes of reading homework requires threats and bribery. No sooner is her backpack hung on its hook on our return from school than I hear "Mommy, can we do some readin' now? I want to read for 90 minutes today so we can BEAT THE RED TEAM! They're CHEATIN'!"

We haven't quite made it to 90 minutes, but she has read aloud for about 30 minutes most nights ever since she realized her team wasn't in the lead. This weekend, she has a sore throat, but she still managed to log 34 minutes tonight without prompting.

Her hard work is paying off. On Thursday, her house team pulled ahead in the competition, thanks in part to the six stickers she earned for the "racetrack" on the wall in the school hallway. Apparently, she read more minutes last week than any other kindergartner -- despite the fact that she still painstakingly sounds out every letter.

Who would have thought that, like the mold at St. Mary's Hospital, the answer to our reading problems was lurking under our noses the entire time? I had tried everything with Mads -- phonics games, interesting books, conversations about phonics while driving to and from school -- to no avail. Apparently, for Maddux, learning is not its own reward. Gold medals are. (Perhaps we will start having room-cleaning contests and not-interrupting-grown-ups-while-they're-talking contests.)

I'm still not sold on competition as the sole motivator for learning (after all, that's how we get test-bank cheating and "ringers" taking the SATs), but for now, I'll take it. Like penicillin, it may not work forever, but it cleared up our reading issues quite nicely.

Saturday, November 13, 2010

Hooray for Band-Aid Solutions (or Why I'm Drugging My Kid)

You’d think I’m injecting my 5-year-old daughter with heroin, to hear some people talk.

“Drugs are just a Band-Aid solution,” they’ll say – these mothers of non-learning disabled children who believe all problems can be avoided by Good Parenting. (This is after I mention the ADHD and before I mention medication. After this quote, I never get around to mentioning medication, funny enough.)

“I can give you the number of a really great naturopath,” says one well-meaning acquaintance, who then tells me a 10-minute story about a former involving this wonderful “doctor” and some blood test (unavailable at the allergist’s office owing to that pesky thing called “a high rate of false positives"). The test proved the child in question was -- as are all people who get their allergy tests at a vitamin store -- sensitive to gluten, dairy, soybeans, carrots, anything yellow or beige, and oxygen. The child’s improvement was immediate and dramatic, of course. (Never mind any nutritional deficiencies or that giant bubble in which he now lives.)

Don’t get me wrong. I’m all for natural foods and positive reinforcement. We've done sticker charts and bribery positive reinforcement. Desserts are for holidays and chips are for computers. We use some natural supplements (like the newly-debunked fish oil chewables) while abstaining from others (marijuana as an ADHD cure? What are these people smoking? Er, never mind ...). Chris and I both have ADHD ourselves, and after I did the quick mental Punnett squares any woman does when considering a potential mating partner, I realized I’d better research solutions for raising kids with ADHD, as any given offspring would have a 50/50 chance of being jittery, distractible spazmazoids like us.

My suspicions were confirmed when, sometime in the middle of my first pregnancy, I read about “kick counting.”

“Who the heck are these lucky women who have to count kicks?” I thought to myself as the world’s tiniest perpetual motion machine pummeled my ribcage.

The pregnancy book suggested drinking orange juice if one wasn’t feeling kicks. I wondered what one might drink in order to sleep for five consecutive minutes without the sensation of being attacked from within by a badger.

The experts said to worry if you didn’t feel 10 kicks in a two-hour period. I was never worried. A quiet spell for Maddux meant only 10 kicks in two minutes.

And one warm May day, the hyperactive fetus became a colicky, hyperactive newborn. The newborn turned into a bright, playful, and curious baby who was remarkably resistant to naps and bedtimes. Soon, the baby crawled, climbed, and beat up all the other babies in her playgroup, and her swimming class, and library storytime. (Did you know that a dainty blue-eyed 8-month-old girl can use another infant as a climbing apparatus? Neither did I. Neither did the mom of the other baby, who stared at my lovely daughter as if she had chewed her way out of my chest rather than spent 11 hours coming out the normal way.)

There was never a time, from the moment our fetal daughter began the never-ending gymnastics routine, that were anything less than certain she shared our disorder. And although Chris and I had both done wonderfully on ADHD medication, I was determined that we wouldn’t Drug Our Child until she was old enough to make the decision herself.

Books directed at parents of children with ADHD unfailingly mention the importance of establishing a predictable routine. Because we spazmazoids are predisposed to chaos and general spazmazoidery, structure and routine are not innate and must be taught from an early age. So, in what felt like a crime against my own nature, I made my first schedule ever – planning out meals, naps, exercise and quiet play down to within 15 minutes (to allow for all the diaper changes, as her bowels were hyperactive too).

Foods were introduced with great care and were organic and hand-mashed (Maddux being my first child and all -- Thomas, being the third, eats a steady diet of dirty, expired Twinkies). Multiple books on pediatric allergies were consulted before I commenced Maddi's initiation to solid food at 7 months with a bowl of shredded and gently steamed organic Gala apples. Any food sensitivities (broccoli and, oddly, rice) were caught and the foods eliminated.

I like to think it would have been worse had I not been controlling her diet, keeping her on a predictable routine, and implementing organizational aids and bribes positive reinforcement. But truth be told, there was a lot of coloring on furniture, assaulting of playdates, shampooing with glue, and bringing cups upon cups of water into her room at naptime and pouring them all over the carpet.

We won’t even mention Poo-casso’s Brown Period. (OK, we will. It lasted from 10 months of age to about 17 months, and it happened at least once per 24-hour period. There was one horrible day when she painted once upon waking in the morning, once at naptime, and then again for good measure that night after bedtime, and I had to put her back to bed with no sheets because all the others were still in the wash. The next week, noting that I had lost the will to rise in the morning, I began taking Prozac.)

Despite all the challenges to my own well-being, I continued with the non-medicinal approach. Drugs are bad. Just say no.

“They” say to be sure you give your child with ADHD at least five praises for every criticism. Some of the praise came easily. The same genes that cause Maddux to feel like there’s a fire lit under her heinie every minute of the day also imbued her with insatiable curiosity and a remarkable hyperfocus. When other moms looked askance at Mads as she spoke (OK, yelled) out of turn at library storytime, I shamelessly boasted of her encyclopedic knowledge, at 3, of the human digestive system (while hoping she did not enlighten her playmates on the female reproductive system, as I was pregnant and she was very fond of telling people her new brother was going to be squeezed out of my birth canal, or be-gina). She also picked up preschool French easily, and was constantly singing made-up songs and telling imaginative stories. Her My Little Ponies had the most amazing dance parties ever (small consolation at 3 in the morning when most of them occurred, but fabulous nonetheless).

However, on days when she threw sand at preschool or used a contraband marker to decorate her very expensive dollhouse bed, five praises for each criticism seemed a tall order.

“Hey, Maddux,” the conversation might go. “I appreciate that you only hit your brother once and told the truth about putting all the hair elastics and barrettes in the toilet, but it makes Mommy and Daddy sad when you punch your classmates. But great work on remembering that we don't undo the deadbolt and leave the house at night, and we’re very proud of you for helping clean up all the yogurt cups you opened this morning!”

The same types of people who now act as if I’m pouring chemicals into my daughter generally let me know back then, in no uncertain terms, that I Had No Control Over My Child.

Had I heard of “1-2-3 Magic?” I was asked. “The Happiest Baby on the Block”? “Raising Your Spirited Child"?

I had. Endlessly.

Just as I’d heard of and tried swaddling, babywearing, natural foods, positive reinforcement, sticker charts, schedules, and 5-praises-for-every-criticism. I’d doggedly followed all the “best practices” for ADHD offspring because the people who sell self-help books to harried mothers insist that if their techniques aren’t working, it’s the mother’s fault because she didn’t “stick with the program.”

So I stuck with the program, and Maddux still met the criteria for combined ADHD, her pediatrician told me this fall when we brought her in. Because unlike pop-psychology parenting books, genetics is based in actual science and your kids’ genes don’t particularly care whether the baby food is hand-mashed organic fare or whether you keep doing the sticker chart even if it doesn’t seem to be working. What I had was the best possible outcome for my little spazmazoid. And she was a happy, confident, hard-working (well, as hard-working as could be expected) little girl.

This year, Maddux entered kindergarten. She had been behind the other kids in preschool phonics, but this year, the teachers really piled on the work.Maddi had only just mastered the most basic phonetic reading, and now she was coming home with diphthongs and “sight words.”

Some people eat when they’re stressed out. Some smoke. Kids with ADHD get into mischief. Maddux threw sand on the playground. She hit classmates. She escaped from storytime and methodically locked all the stalls in the little girls’ room from the inside, offering a shrug and an embarrassed “I don’t know” as explanation for her prank. At home, my adorable blonde pixie continued to draw on walls and shred paper like a gerbil and empty six pots of glitter glue onto the shag carpeting in her room and wake her brothers up at 6 a.m. on weekends for spirited furniture-jumping sessions. In short, her behavioral issues eclipsed James' autism in terms of parental worry. If only it were as easy as a spare set of clothes, extra planning and avoiding activities that involved jackets or strange footwear, we thought.

But those aren’t the reasons she started medication.

Every day at homework time, I quizzed her on her phonics. She did fine, as long as we sounded out one letter at a time. Putting the sounds together, however, required a level of concentration that kids with ADHD don’t have. At least not when the subject matter doesn’t interest them.

Maddux could proudly name the phonics sound for any letter you’d ask, but after a word or two, she’d lose interest. Her eyes would wander the room, searching for something more stimulating than a bunch of boring letters.

If you asked her to read the words on the clip that held our bag of Cheerios shut, she’d sound it out painstakingly. “Ch. Ee. R. Ee. Oh. Z.” Which would be great, if the clip said “Cheerios,” but it in fact said “Bag Clip.”

It didn’t bother me that James was well ahead of where she’d been at his age. It seems only fair that the universe should balance his difficulty adjusting to new clothes with the ability to sound out words he saw upside-down (not surprisingly, both autism and ADHD appear to be caused by large copy number variants on the 16th chromosome). But when Thomas – who is completely typical as far as we can tell – could rattle off as many phonics sounds at 25 months as Maddux did in her second year of preschool, I began to worry.

And then it came to me.

I’d had the same problems with numbers. To this day, if I'm not on medication, it takes me a good month before I can confidently tell you my latest telephone number. To me, 867-5309 might as well be 908-3567 or 866-3355. As a child, I’d wanted to become either a neurologist or a craniofacial surgeon, but I majored in journalism instead because I knew my sloppiness with numbers would bode ill for a future in medicine.

After realizing in my mid-twenties that journalism was incredibly unfulfilling, I rescheduled the follow-up appointment I'd forgotten about after my ADHD diagnosis in college (yes, you read that right) and availed myself of a bottle of Strattera. Suddenly, I was multiplying matrices without absentmindedly ignoring the order of operations. I was also cleaning my long-neglected kitchen and waiting for people to finish talking before I cut in with my own hilarious but completely unrelated anecdotes. ADHD medication enabled me to be me, but better.

As I reminisced, I realized that while medication shouldn’t be the first resort, I’d been foolish to write it off altogether for Maddux just because she was a child. Here we were, doing everything “right,” and Maddux still came home weeping because all her classmates were in a higher phonics reader than she was. We could praise her endlessly for her great science and French skills and her generous heart, but surely having to reprimand her 20 times a day for hurting playmates and damaging property was going to have some sort of effect on her self-image.

And for us, taking ADHD drugs had made a profound difference. My failure to follow a dream because of my math troubles paled in comparison, I realized, with the struggles my daughter faced if her ADHD gave her similar misgivings about something as fundamental as literacy.

Of course, we had reservations about pharmaceuticals. The children in the articles I’d read on medication always seemed to have complaints about stomachaches and feeling “fuzzy” and losing their creative spark. These were things the helpful moms of children with perfectly-calibrated dopamine receptors were certain I needed to know before I began poisoning my kindergartener with drugs.

Nevertheless, I couldn't bear allowing my daughter to develop a lifelong hatred for reading when one 10 mg pill per day could make all the difference for her.

Amazingly, within the first few days of beginning her daily 10 mg dose of Biphentin, a drug that one might compare with an extended-release form of Ritalin, Maddux was experiencing approximately zero of these side effects. Instead, she has listened to lessons and participated eagerly in class instead of tearing up pieces of paper and antagonizing whoever happens to be in the vicinity. Her reading has improved to the point that, three weeks after her poisoning by Big Pharma commenced, she was able to navigate, with little incident, a book titled “The Headache.” Not one pot of glitter glue or Sharpie has been abused in her room (although she and James did empty a third of a tube of AquaFresh into the toilet tank last weekend). And she is once again allowed to use the school bathroom on her own rather than suffering the ignominy of an adult escort.

When the other moms and the well-meaning naturopathy adherents tell me solicitously about the benefits of fish oil (she’s been taking it since she was tiny, thanks very much, and JAMA debunked the fish oil mythology this month anyhow) or how Supernanny does this wonderful star chart, I smile and nod.

Then I go home to drug my kid -- my natural-foods eating, fish-oil-supplemented, oft-bribed positively reinforced kid -- so she doesn’t cry over her schoolwork and endure dirty looks and cruel whispers from the same people who are telling me I’m poisoning her with pharmaceuticals. (And, yes, also so I don't feel the urge to throttle her for disobeying the no-toothpaste-in-the-bedroom rule yet again.)

Maddux doesn’t get stomachaches. She doesn’t feel "fuzzy." She’s not a dull-eyed zombie, but a sparkling, cheerful girl who invents delightful games for her playmates. She still makes up wonderful songs and stories, but no longer suffers from the impulsive and destructive behavior that made her a kindergarten pariah. Shortly after beginning her prescription, Maddux told Chris, "I never want to stop taking my medicine. It makes me so smart.”

Naturally, there are days when her mind still wanders during phonics lessons or she gives her brother a green foam-soap beard while the rest of the house is sleeping. And she misbehaved outrageously for an entire week following Halloween (thank you, chocolate). But so do “normal” kids, and that’s what pharmaceuticals have enabled her to be.

If drugs are a Band-Aid solution, I’m pretty sure people aren’t giving bandages enough credit.