Showing posts with label scars. Show all posts
Showing posts with label scars. Show all posts

Saturday, December 21, 2013

Of labeling a child -- because words matter

It all started about a month ago.

"Hey, Steve," I said look at him across from my way-too-smart phone, "Did you know you were a special needs child?"

I had stumbled upon a support group for parents of babies with EA/TEFs. That is, with the rare birth defect that almost took Steve from us over three decades ago -- before he was yet a day old. The aftermath of that surgery, that defect, continues to be his self-described Achilles heel to this day.

Reading the stories on this support group was much like reading the blogs and tweets and chats of parents of premature babies. Lots of worry, rejoicing at successes, uncertainty about the future, doctors appointments and unanswered questions. And all these parents were talking about their worries for their special needs child.

That label. I'd never applied it to Steve. I don't think Steve had ever applied it to himself.

My husband describes his childhood a lot of ways. He talks about how one of the best things that happened to him was his mom holding him back and not having him start kindergarten until he was six -- and then home schooling him for that. "I was too shy," he would say. He then goes on and talks about how he was friends with everyone in early grade school, and then how he lost the popular status in fourth or fifth grade when he refused to exclude the less desirable classmates in school yard games.

He describes his middle school years by how he sort of dated this one girl that I also knew and how he loved band.  He describes high school by his debate days and a memory of seeing this attractive girl dressed as a hippy playing Peaseblossom in the high school rendition (1970s style) of A Midsummer Night's Dream. (Yeah, that was me.)

He has never, ever, described himself as a special needs kid.

He has talked about how sickly he was and how he learned to love reading because of his many many days home from school. He talked about how amazing it was when his mom finally found a doctor that understood his lung issues. He talks about how to this day when he starts to get sick he HAS TO take it easy because otherwise he won't recover for weeks or months.

But special needs has never crossed his lips.

Until this day, when I stared at my phone and stared back at Steve and announced that he was special needs.

"I guess I was," he said.

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This conversation opened up new possibilities for me. A world where we don't define ourselves by our disabilities.

I've been struggling with how long to consider Jonathan a "preemie."

"As soon as he outgrows his preemie issues," was my initial thought. "As soon as I don't have to explain anymore."

But then came the rub. He will likely never outgrow his special needs. He will always have glasses.  He may see five specialists a year and have to take inhaled steroids to stay well. He may spend a long time struggling with simple tasks like swallowing food or learning to speak.

But so did his dad.

He may always be small. He may have issues with gross motor. He may never be super spatially aware. All these thing that would have been different if he'd not been born so early.
(http://www.accessibleicon.org)

But, to an extent, same with his dad. Steve has had to bend many things in his life because of one small thing that had him have surgery shortly after birth. We cannot have pets. We cannot have wood burning fire places or heavily carpeted homes. We have to take illnesses seriously, because they migrate to his lungs.

So yes, my spouse has special needs. The label applies to him. But it's something he has, not something he is. All the doctors, all the specialists - they were and are a part of his life, but they did not and do not define his life.

My girls love the doctor's office because when they are done, they get a sticker.  One child chooses to put that sticker on the front and center of her sweatshirt immediately. Usually it doesn't come off, gets thrown unnoticed in the wash, and there's a sticky spot on the sweatshirt with little paper bits stuck to it for months.

My other daughter keeps the stickers. She doesn't put them on her shirt, she holds them and looks at them and puts them away in her backpack and then finds them again months later.

Both my husband and my son got stickers at birth. The stickers say "special needs."  If I put that sticker on them, I find myself saying things like "Well, you know, he is a special needs child."  When we put that sticker elsewhere, it ceases to be the first thing we see. When we do find the sticker in a medical chart or a realization that the camping trip won't work if we can't get a smoke-free cabin, we say something like "well, he can't be around smoke, because he has lung issues." Or merely, "he has special needs, so tent camping isn't a good idea."

Did you notice the difference?  When the label is put ON, he "IS" special needs. When the sticker merely exists, the sticky residue doesn't define the person, we don't always see it. He merely "HAS" special needs.

I have a friend from high school. She is a person with albinism. She insisted in high school that she was NOT an albino. "Well, yeah, you are," some people would say, "because those two sentences mean the same thing."

I learned from her that they don't. One ("I'm albino") puts the label as the forefront of your identity, the other ("I have albinism") describes a medical condition that may impact a few aspects of your life but doesn't change the core of who you are.

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Steve isn't his Achilles's heel. He's just STEVE. Funny, intelligent, amazing, empathetic (even though he says he has a cold heart on account of being an economist).  Not special needs. Just Steve.
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We're making a choice for our son. He's going to have to see specialists, yes. He's going to have a slightly more abnormal life than most little kids, yes. (Heck, he already has.) In that sense, yes, he's going to have special needs. But he's not going to be special needs. Because we can choose where to put the label. And as Steve has taught me, where the parent puts the label shows the kid who they are.

It IS so important that he have these medical labels, they help us know how to care for him. They help make it possible for us to give him as full of a life as possible -- even if it's not "what it could have been" -- even if he never outgrows issues from his prematurity.

I cannot discard the "special needs" label. But I don't have to place it at the forefront of his identity, either.  I can hold it in JAM's charts that I carry with me. In this way, I do not ignore his needs or pretend everything's "fine," I have him treated and followed so he can develop as best as possible, but I also don't define him by these needs.  JAM's dad has shown me - I can care for JAM and yet never leave him with the sticky residue of "23 weeker."

Because beyond all the medical labels we've collected for him, picked up at doctor's offices and specialists appointments, underneath all of that Jonathan is JUST Jonathan.

Sunday, July 28, 2013

Day 11 & 376 of J's life: Here I raise my ebenezer

A year ago today I wrote the following on our care page for Jonathan:

July 28, 2012
The good: It looks like J will be able to complete the drug therapy [to close the PDA] today.  A look at his heart tomorrow will tell us if it worked. If all goes well, he will be able to resume feedings tomorrow.

The not so good: He's depending more and more on the machine to breath for him.  His forced breaths per minute is up (from 30 to 45), he's "riding the vent" too often -- which means too much of the time he relies entirely on forced breaths from the vent to sustain him and he's not breathing much on his own. Over the last few days his oxygen level on the vent has steadily gone up (from 25 -- or just above regular air saturation -- four days ago to mid-60s today).  He hasn't maxed out the amount of oxygen he can get from the machine, but it's not so cool that this number has to keep going up.  They are tweaking his TPN (his IV nutrition solution) in hopes that by making it less base of a solution, he'll breath better. (Who knew?)

Oh, also he will get another blood transfusion today for low red blood count in his blood.

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These days are hard. It's easy to look at a peaceful baby sleeping in his crib and know that he's doing exactly what needs to be done to thrive.  When he has hard days, though, I'm reminded of my own helplessness.  He is too young for kangaroo (or skin-to-skin) care -- his skin is too fragile and his neurological system is not well developed. I can't yet hold him and have that soothe him. I want to help him relax, but there's nothing I can do.

Today he is (gestationally) 25 weeks.  Fifteen weeks to go.  This is starting to feel like a long road.
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To end on a positive note, K & E finally got to meet their little brother today!  They've been battling a cold and so weren't able to hang out with him until today.  E's thinks he is the cutest and littlest baby she's ever seen.  K laughed as she looked at him, "He can't speak yet!  He can't even say 'goo-goo, ga-ga'"  They both seem to really like him.









Back to today, July 28 2013, a year later -- a spiritual note
I'm about to get church-y. (You've been warned.)

Our whole family went to church this morning. Jonathan ate his whole bottle while the congregation sang songs. No spitting up, no needing a break even (except to burp). And I'd put a little extra in, so he must have been hungry. A full five ounces down, like a normal baby. Then he went into Ms. Susan's arms. She's one of a few surrogate grandmothers / aunts in our area. He slept on her shoulder for the service. I love it that he can be in church with us. As my daughters say, "It's almost like he's a normal baby now.  He's not a preemie anymore, is he momma?"

The sermon was pretty good. Pastor Nick is talking about psalms. Today he looked at psalms of praise, and he used Psalm 111. He talked about the Israelites in exile. How they tended to forget God, in spite of all the signs he performed among them. That brought him to Psalm 111 - a reminder that God is worthy of praise. He reminded us of God's goodness and steadfastness -- even in his justice and anger. And he reminded us about the tradition of an ebenezer (not Scrooge) -- a "stone of help" set up to remind us of God's great works.

I think of the following hymn when I hear ebenezer:

Come thou fount of every blessing.
tune my heart to sing thy grace;
streams of mercy never ceasing
call for songs of loudest praise
Teach me some melodious sonnet,
sung by flaming tounge above
praise the mount - I'm fixed upon it -
mount of God's redeeming love.

Here I raise my ebenezer
Hither by thy help I've come
and I hope by thy good pleasure
safely to arrive at home
Jesus sought me when a stranger
wandering from the fold of God;
He, to rescue me from danger,
interposed his precious blood.
(or in some versions: "bought me with his precious blood.")


Apparently Pastor Nick thinks of this song, too, because there, half way through the sermon, he made us all stand up and sing it. Being a NICU parent forever shades the way you see the world. And even well known songs like this have put me to tears in the past, because of baby J. I didn't cry this sermon, but down the row Ms. Susan, with Jonathan snuggled in her shoulder, she choked up a bit. (I guess it's not just NICU parents then, after all.)

No matter what the outcome of last year had been, God would be worthy of our praise. He's God. But beyond that we knew that he knew and loved our son. We knew he heard our groaning. Prayers surrounded us. He walked with us. That made all the difference.

But that didn't make Jonathan's path easy or short. You'll see more as his story unfolds here. The next month will be very hard. And those hard days will leave Jonathan scarred. Still, God is worthy of praise.

When the time comes that I finally leave Jonathan in nursery -- probably in about a year  -- you church friends will see that he is a scarred baby. He has about seven easily visible scars, not counting the many that only an ophthalmologist can see.

When you see those scars - when you pick him up and his shirt goes above his belly button, or when he's wearing shorts and you see one above his knee (a failed attempt at a central line placement), or when he is swimming in the lake at a church camping trip - don't be sorry. Those days for sorrow have passed and are gone.  The scars are his ebenezers. They are our reminder - God helps.

Doctors were given skills and wisdom to know when to perform and how to save his life. When things looked the worst, when his kidneys failed or his bowels stopped working (yes, my biggest fear before birth happens to J) -- people prayed, and things started to turn around. Not by our works, but by God's grace.

The pastor today encouraged us to share the ways in which God has blessed us, to raise our own ebenezers. In a sense, that is what this blog does.

It's not that God makes our roads easy, but God walks with us in our troubled times. God still rescues, and God still heals.

This is my praise for today. Thanks for reading.