A New Normal

The bombing of the Boston Marathon this spring has taught us many lessons. One of the greatest is that anyone, at anytime can join the community that embraces people with disabilities. The stories of those who are recovering after the attack are a strong testament to the human spirit.

Doctors amputated Roseann Sdoia’s right leg after the bombing. She now uses a hand-cycle to get around and exercise. Roseann is waiting for a prosthetic leg, so she can give up her crutches. Roseann views her disability as “temporary,” until she can learn to traverse places that aren’t handicap accessible. It’s a matter of attitude, adjustment and getting the right assistive help for those who have recently joined the community.

Surrounding the grief, pain and anguish from the senseless blast, there are tremendous stories of healing and grace. Many of the 265 wounded are now just taking their first steps after multiple surgeries. Many of those struggling with wheelchairs and crutches have discovered a renewed sense of optimism.

“I’m ready to move on. I feel great. It’s just a different normal,” one amputee said.

His brother said that the tremendous injury has instilled a new sense of hope and understanding of determination.

“It sound weird, but it’s probably changed me for the better a little bit,” J.P. Norden said. “It made me realize how great people are..so I’m happy, overall. I really am.”

You can read more about the stories of those recovering from the bombing in
“Marathon bomb victims adjust to a ‘different normal’” by Miranda Leitsinger, staff Writer, NBC News

 

New Day at AADD

It was a great day at the Atlanta office of All about Developmental Disabilities (AADD) yesterday. The staff held a joyful thank you celebration to those responsible for the opening of the new Family Support Center. A local church, St. Phillip’s Cathedral held an antiques show to help raise funds to boost AADD.

Because of the wonderful gift from the Cathedral Antiques Show,  there is now a place that any family can come and find help. This center means that families facing the challenges of raising a child with developmental disabilities (DD) have a strong support team.  Families and caregivers responsible for adults with DD can also use the Family Support Center.

The center helps perform an organized program called Person Center Planning.  Our son participated in this and it was a huge boost for our entire family. There is also Navigational Consulting.  Trying to navigate the bureaucratic system to get financial support for a person with disabilities is an extremely daunting process, no matter the educational or socio-economic level of the family.  I am going to use their navigational services because I find that dealing with governmental bureaucracy for disability supports is exhausting. I need help.

The family support center also provides counseling.  So many families find they are in a crisis when caring for their loved one with developmental disabilities. It will give  families the resources they need to get out of crisis and find stability.  Finally, many people with developmental disabilities feel alone.  The center provides peer support groups to help them find outlets for fulfilling lives.

AADD and the Family Support Center can’t do everything, but it can be a tremendous resource to keep families together, and help improve the lives of those living with developmental disabilities.  For more information, contact AADD at www.aadd.org.

 

The Magic of Golf

Last week I hit a hole in one. It was a cold miserable day, temperatures were in the  20′s when I unloaded my clubs. But I had committed to play in a tournament. I was stuck. Then the sun came out, I shed a layer of clothes and something magical happened.  I hit a hole in one on a very tough par three.  It looked and felt surreal, like a dream, like a miracle.

That made me think about the many stories linking golf to boosting the quality of life for people with disabilities.  There is a study in Arizona where Alzheimer’s patients who once played golf are brought to the golf course. If they are non-verbal, something magical happens; they start to talk about their clubs and game.  If they had lost their memories, they begin adding up their scores. If they were agitated, they grow calm on the links.

Researchers speculate that because golf is such a complex game,  once you learn it, the process becomes deeply imbedded in the fibers of the brain, a little like learning a Bach fugue.  You do it over and over again, so that there is a pattern that the brain never seems to forget.

I was a sickly child, frail and never very athletic.  So the fact that I learned to play golf mid-life feels like a miraculous gift to me. When I read the story, “I’m A Walking Golfing Miracle,” in the April 2013 Golf Digest, I deeply understood.  Zakki Blatt is 19-years-old, and doctors had predicted he would die by age 9, because of a severe heart defect.

Zakki has survived dozens of surgeries, but has struggled with breathing. Walking and swinging a club seemed like a fantasy. At age 15, he thought he was going to die, but wanted to visit a golf course as a final wish.  Zakki participated in the First Tee of Greater Philadelphia.  He arrived pushed by his mom in a stroller, trailed by his oxygen tank. Despite his assistive technology, a coach taught him how to putt.

“It was about the happiest day of my life,” Zakki wrote.

It is this kind of story that gives us hope.  Our son, Phillip, who has cerebral palsy, loves golf.  He deeply enjoys riding around the course with his family, and would give anything to play.  If Zakki can play,  it may be possible for Phillip,too.

Zakki is now getting ready to go to college, and said the doctors can’t believe his progress.  “When you’re relaxed, the body can heal faster, “ he said. “It’s the golf, stupid.”

“You’ve Got to Have a Voice”

Those were the words of a mother who has a daughter with a speech disorder. Smantha Grimaldo has used a voice box to speak all her life. Her story was eloquently told yesterday on NPR, “New Voices for the Voiceless: Synthetic Speech Gets an Upgrade.” When she was young and weighed 70 pounds, Samantha had to drag around around a box that weighed five pounds, so she could speak.

Today, technology has reduced the talking devices to the size of a cell phone. But the voices still sound robotic, like your computer is talking to you. They are the kinds of voices that Star Scientist Stephen Hawking uses when he speaks. They are not the friendly kinds of voices that a teenager feels comfortable using around peers. Smanatha complained that the old voice just sounded, “weird.”

A speech scientist from Northeastern University decided to tackle the problem and developed voices with more natural sounding speech patterns. Although this is a breakthrough, it is not widely available for everyone. But in the near future, it may be widely available for those who struggle to be heard.

There are so many people with disabilities who are not only unable to speak, but may be unable to use a voice box also. If you don’t have a voice, who talks for you? Sometimes, it is parents and caregivers. There is such a sacred bond between  parent and child. This bond is even more obvious in parents who have children with disabilities. Countless times, health care professionals witness mothers and fathers translating sounds and movements for their children who appear speechless to the rest of the world.

Regardless of the age of the child, parents and caregivers continue to interpret and “speak” for the best interests of those who cannot. They become part of a small army of advocates. It is the advocates who speak up powerfully, who will make a difference. They will help change how we view people with disabilities, so that everyone can “have a voice.”

Technology is helping boost the quality of life. But it is slow to come, and hard to integrate once developed. Robotic limbs, driverless cars and more human sounding speech devices can help people with disabilities navigate a world that is not always accessible to them. But the true spirit of living integrated lives requires having voices, even for those who are unable to speak for themselves.

Pat Nobbie Goes to Washington

I have been thinking a lot about Pat Nobbie, Ph.D. In Georgia, she was a tremendous advocate for children with disabilities. She served as the deputy director for the Georgia Council on Developmental Disabilities for 12 years. Pat did amazing work and I was fortunate to get to know her better when we created the Champions for Children Program, which helps medically challenged children when they are facing a crisis in Georgia.

The best part of Pat’s story is that she is not only moving to D.C. to study as a fellow with the Joseph P. Kennedy Public Policy Foundation, she leaves Atlanta with the knowledge that her family will be okay. This is really a big deal. Many parents of children with disabilities have a nagging fear in their heads that they always have to be around, even when the children are adults.

But Pat’s daughter Mia has learned to live her dreams and carve out her own life. Mia is charming and has many talents, along with living with the challenges of Down’s Syndrome. It was another mother’s story that led Pat to see a future where Mia could “live in her own place with people who care about and support her, and it wouldn’t necessarily have to be me.” (Making A Difference, Winter 2013.) Mia now lives with a family that cares for her and helps support her.

At first, Mia had wanted to work in a day care program. Mia was told she couldn’t work with children because she had to pass the tech school entrance exam or get the certificate. Yet Mia had an incredible record of successfully working with children for 12 years in Sunday School. Then another advocate shared a story with Pat of how her daughter with a disability loved working in a day care center. That gave Pat and Mia hope about finding the right job.

Then an unexpected great job developed.  Mia now works 20 hours a week doing office support at a local hospital.  ”She loves it and she’s doing great,” Pat said.  Mia even takes paratransit to work three days a week.

In Pat’s goodbye article, “GCDD’s Pat Nobbie Taking on a ‘New Club’” in “Making a Difference” magazine, she urges parents to share their stories. It is through stories that we can think in a different way and make sure that our children are included in real ways with their peers, and in the communities. Indeed, it is this kind of storytelling that spreads the word that everyone is better when our homes, jobs, schools and communities are truly integrated and welcoming….where “Everyone’s Included.”

You can see some great pictures of Pat and Mia at GCDD.org. Just click on their website and go to the “Making a Difference” magazine, Winter 2013.

What Is Home?

Home is the safe warm place where someone feeds you, protects you, coos over you, and wants you to have the best life possible.  I just finished assisting on a documentary that is about the opposite…”Not Home.”  We investigated the lives of children who had no place to live, but institutions and nursing homes.

Two months ago, I was riveted when one of the young men in  “Not Home” died in a nursing facility in Alabama. His single mother had to place him in the institution 11 years ago. Her family was in crisis  and  she had no other options.    This Georgia mother loved her son fiercely, and would drive three and a half hours every other week to hold Zach in her arms. Nola would kiss him, bathe him, stroke his cheek and generally “coo” over him. As hard as she tried to make his surroundings feel like home, Zach lived full-time in an institution. So Nola  worked desperately hard to bring Zack out of the sterile nursing facility and back to Georgia.  The bureaucracy was overwhelming and time ran out.  Zack died at age 25 in the nursing facility.

His story sears my heart.   Zach was just two years older than my son, Phillip.  They looked alike.  Their childhood photos  were almost identical.  When Phillip was five months old, he had to endure batteries of tests, because of his developmental delays. No diagnosis was conclusive, other than cerebral palsy, like Zach.  One neurologist suggested we put Phillip in an institution, because raising him could become too difficult.  We knew the road ahead would be different and challenging.  Secretly, I lodged in my heart the fear that someday, Phillip may end up in a facility, rather than a “real home.”

I learned to take life with Phillip, “one day at a time.”  This was a huge relief for me. I had to dig deep in my soul about the meaning of love and being a parent.

I just read an article by Emily Knapp. (“Taking Care” Vogue, March 2013)  She describes her journey of parenting a child with a terminal illness and articulates the gift she discovered. “To love our children wholly and truly, without conditions or strings, while learning to let them go—something which I’d soon come to understand as the deepest most wrenching kind of love.”  This kind of love happens in what we know of as “home.”

Like Emily Knapp, I learned to feel like the luckiest mother in the world. It didn’t make any difference what Phillip’s diagnosis was, I loved to cuddle and cradle him. He had the same downy skin and soothing baby smells, regardless of any diagnosis.  We felt fortunate again when Phillip started to move and speak around age five.

Phillip went to regular school and started developing a wonderful network of friends. Then  when he was 15,  Type I diabetes struck, his outlook was bleak and he became more isolated again.  Surrounded by the support of his family and life at home, Phillip learned to deal with his diabetes, went on the insulin pump, and surged ahead. Today,  he lives and studies on campus at the University of West Georgia, during the week.  That is his choice.  I remember that despite all the medical complications of his life, and his near death experiences, the day I drove away from the University of West Georgia, was the most difficult day of my life. He was no longer living in the safe nest of home, and I was learning to “let go.” That is also the lesson of what a real family and real home means. It is a haven where we live and sometimes die with dignity and meaning.  Letting go is an act of love that is nurtured and fostered inside a family and home. I also have let go of my fear of Phillip having no choice but to live in an institution.  I know he will be able to live life on his terms.

Like Emily Knapp’s parenting of her son “Ronan,” the experience of loving Phillip has transformed me. I remember telling my friend who lost his wife to cancer last summer, that I am not afraid of anything. I wasn’t bragging, just revealing how I’ve changed.  Phillip has taught me to love fiercely, freely, and without fear. Home is the place where these true lessons are learned.

Phillip Rides the Bus

Yesterday, Phillip successfully rode the bus on the campus of the University of West Georgia in Carrollton. After living on campus for two years, it had been a struggle for him to use his power chair and take advantage of the campus shuttle system.

It really was the result of the Person Centered Planning (PCP) meeting that encouraged Phillip to consistently drive his power chair on the campus bus to get places. The PCP group members had agreed that Phillip needed to learn how to use mass transportation better, so he can achieve his dream of living in his own home or apartment, when he leaves UWG. The college campus is the perfect setting for him to learn this skill.

Unknown to us, Phillip had neglected his power chair for several reasons. First, Phillip is fortunate that he can walk short distances and uses a walker to get around his dorm area and class buildings. It was just easier. At other times, it was more convenient for him to ride in his caregiver’s car and get to class. Secondly, there were problems with his power chair. His chair scraped the bottom of the wheelchair ramps, and the bus drivers said they didn’t want him ruining their lifts. When technicians had previously examined the chair, Phillip and his caregiver were told the power chair was not meant to be driven outside. We were shocked. Since things seemed to be going well at the University of West Georgia, this problem did not get revealed, until the PCP meeting.

For people who use a power chairs, at times they seem like living with another person. The chairs have their own complexities, personalities, need for extra space and are pretty high maintenance. So we went back to Mobility Designs, the company that sold us the chair, and questioned the technicians’ assessment that Phillip’s chair was not meant to be driven outdoors. Prior to purchasing this chair, Phillip worked with a physical therapist to write a prescription for the chair. The main reason for getting the power chair was for him to be able to drive it outdoors, especially around a college campus.

After a few phones calls, we got another Mobility
Designs technician on campus to examine the problems. Fortunately, he said the chair was an “outdoor chair. “ It just needed some intense adjustments so that Phillip could ride the campus bus, without scraping the lifts and irritating the drivers. On Friday, Phillip practiced his skills with renewed confidence. He said he can get on the bus pretty easily, but navigating the crowds of students and getting off at the correct stop are going to take more practice. But these steps are critical to helping him have greater freedom and independence when he strives to live on his own. Practice on the UWG campus is a wonderful opportunity.

It is clear that the PCP has helped steer Phillip to work on what he can, so that he can be as included and live in his community as he chooses. Next step…working with a social skills coach to help enrich and deepen his friendships.

 

Phillip’s Elegantly Possible Path

Fear often grips the hearts of most parents who have a child with a disability.  Our family did something different yesterday to help minimize that fear. We participated in a “Person Centered Planning” meeting. This program is meant to intervene and provide assistance to people who are in the most danger of becoming isolated. That could happen to our son, Phillip. Surrounded by the people most important to him, we mapped out a five year “Person Centered” path to help Phillip live the most vital and inclusive life possible.

The office of All About Developmental Disabilities helped organize the innovative session and we met in the new  AADD Family Support Center. None of Phillip’s nine team members who came were sure what to expect. At our first meeting, we sat in a circle and let Phillip talk about his dreams and hopes.  I have done too little of this in the 23 years of his life. But I am not alone. Most able bodied people fail to consider what the person with the disability really wants, because so much time is spent on caregiving.

But there is something meaningful that happens when I or anyone actually stops and inquires about Phillip’s cares, wishes and dreams.  I think this is true for anyone with a disability. ( When a person is  non-verbal, the ones who care the most about the individual find that they can be very articulate in describing a meaningful and fulfilling life’s plan.)

Our first meeting was run by an outside facilitator, Stacy. She drew a big diagram on the wall and then started by asking Phillip what he was good at doing and what he liked. She wrote down his answers: Hip-hop, American Idol and the University of West Georgia, where he attends school, were at the top of his list.  His father, sister, tutors, caregiver and case manager then added to Phillip’s strengths and weaknesses. He also loves French, public speaking and hanging with friends. But making meaningful friendships are difficult for him because of his many awkward social skills.

As a group, we then did some problem solving. What can be done to help Phillip develop better social and conversation skills?  Kathy Keeley, the AADD interim executive director, was observing our group and gave an excellent suggestion.  Ms. Keeley would help connect Phillip with a coach who could improve his social interactions on the UWG campus.  This sounded like just what he needed.  I felt a sense of relief that we were no longer alone in helping guide Phillip through his life’s journey.  There were other helpers along this path.

Another big problem is Phillip’s failure to manage his time wisely.  His tutor, Maria, suggested spending an hour at the beginning of each week, writing in detail the tasks that need to be done.  Phillip just learned how to write in his I-phone calendar, so this will be very helpful.

We also looked into the future and what Phillip would need.  He does use a power chair, but not very often.  His facilitator suggested that he practice riding it on the bus on campus, because he will need the power chair to get around on his own. One thing Phillip was very clear about was his dream to live in his own apartment.  But he hadn’t thought about how he was going to go shopping or the doctor, if he didn’t know how to use mass transit and his power chair better.  Phillip agreed he would practice riding more on the bus.  We would also encourage his caregivers to support him in this practice.

Then the facilitator, Stacy,  asked everyone at the meeting to sign up to support Phillip in the coming years. One by one, we signed our names for Phillip and the world to see.  At the end, we all wrote one word that helped clarify this process.  Phillip’s word was “difficult.”  It will be a difficult journey.  Other words from his team were “hopeful, clarifying, scary, loving, caring, enlightening, inspirational and new.”

The group agreed to meet again in three months to celebrate the positive things that have happened and develop strategies to solve the negative.

Phillip’s 28-year-old sister, Greta, who is an architect looking for a job, summarized the meeting by saying, “I think I’d like to have a person centered plan for me.”    Indeed, the world would be a better place if more people had such planning.  I can’t help but wonder if such a plan could have been of immense benefit to someone like Adam Lanza, whose isolated life led to horrific violence in Newtown, Conn. There is a huge need for more programs like Person Centered Planning to combat isolation and clearly improve the lives of anyone, but especially a person with a  disability.

Before the group disbanded, we titled Phillip’s plan, using his nickname “PMO.”  It is:  “PMO’s Elegantly Possible Path.”

The Unstoppables

Last week I met an amazing American. There is a good chance that Jessica Long may never have been an American nor competed as a Paralympic athlete, because she was born in Siberia, without legs.

Her parents adopted Jessica and her brother from a Russian orphanage when she was 13 months old, embracing whatever challenges lie ahead. Jessica quickly caught on to the American spirit of unlimited possibilities.

“Even though I was born without legs doesn’t mean I can’t do great things.” Jessica said.

At 18 months, her legs were fully amputated below the knees so she could be fitted for prosthetics and learn how to walk. That unleashed her. She then became active in basketball, cheerleading, biking and running. But it was the water that was her wonderland.  She would spend hours in her grandparent’s pool, where she would pretend to be a mermaid.

She joined her first competitive team at age 10, then at age 12 she was the youngest athlete on the US Paralympic Swim team.  She now holds 20 world records,12 gold Paralympic medals and dozens of other awards.

Maybe it is because of better prosthetics, but more than ever before there is a growing spirit that anything is possible, if you work hard and have the right attitude.

The Weather Channel is devoting an entire series to these powerful athletes with  “I Am Unstoppable.”  One of my favorite stories is about Sarah Reinertsen. Like Jessica, she had a leg amputation as a child.  And like Jessica, Sarah learned to work hard, and went on to be the first woman on a prosthetic leg to finish the Hawaiian Ironman.

Then there’s the gut-wrenching story of Melissa Stockwell, she was serving her country when she lost her leg. She too learned how to walk, run with a prosthetic leg and plans to get her Paralympic  medal in China.

“It’s not always about the medal,” Melissa said. “It’s the journey to get someplace and the obstacles you overcome.”

Sometimes it is the little things that bring these amazing athletes joy.

Even though,   Jessica is dedicated to training  for the games in Beijing, she still relishes  the  comfort and appearance of the newer  prosthetics.  “I can now paint my toenails and wear high heels.”

But it is the determination and dedication of these young women that sends a strong message to anyone who will listen.  Many things can be possible, despite major challenges.