Showing posts with label Sunday Scribblings. Show all posts
Showing posts with label Sunday Scribblings. Show all posts

Friday, January 24, 2014

Yes! Sign Me Up!



Would you subscribe to your faith even if you knew you would suffer in the midst of it? 
 

Many people falsely believe that Christianity will bring happiness.  But, even when we are blessed and in the presence of God, we can still feel darkness; we can still experience depression.  In Genesis, Abraham, the father of our faith, even faced darkness:

Now when the sun was going down, a deep sleep fell upon Abram; and behold, horror and great darkness fell upon him. Genesis 15:12

God was telling Abraham about the future nation that Abraham would be the father of; but that nation did not have a “sunshiny” future.  There would be pain, oppression, persecution, and uncertainty.  Had Abraham signed up for that? 


Today we subscribe to many things that bring us pleasure; weekly or monthly magazines, news feeds on the internet, even the jelly of the month club.  A subscription means we are signing up to receive something over and over, usually because we want it.   A subscription is an official way of saying, “I want what you are offering to me.”

So, will you subscribe to your faith even knowing that it won’t promise you an easy life; rather a life worthy of eternity in Heaven with God?  Will you sign up to receive the blessings that God has to offer you even if you know that you will also suffer pain, persecution, oppression, and uncertainty?  


This morning, and every morning, I need to pull out that little renewal card and say, “Yes, I want another day of ‘Life in Christ’!”  I will “refer a friend” for her trial subscription by inviting her to a great Christian music concert, or to Sunday morning at my church. Lastly, I’ll mark the little check box that says, “Yes, I would like ‘Life in Christ’ to send me e-mail updates about special offers and unique opportunities to experience personal growth and abundant blessings.”


It’s Friday morning…and it’s time to decide; will you subscribe today?

(In response to Sunday Scribblings writing prompt: Subscribe)

Monday, January 20, 2014

Leather vs Pleather



It’s trending in fashion today; leather…or pleather…whichever one I choose.  I could wear a sweet leather jacket, or I could choose a top that just had accents of leather on the shoulders or elbows.  I’ve found that I would prefer pleather (plastic leather) to the real deal because it’s more affordable, and I find easier to clean.

However, as much as I like the faux leather in my fashion, I would never choose the imitation in my friends.  I want my friends to be REAL.  The Apostle Paul tells us in Romans 12:9 to “Let love be without hypocrisy.” 

Saturday, January 18, 2014

On the Second Day

We talk about Good Friday, and Jesus being crucified on the cross.  We talk about Easter, and Jesus being raised from the dead.  But what happened on the second day?  That dark, desperate day in between...

The day second day after my dad died was one of those days where I woke up, exhausted, and dehydrated.  My tears had drained me of nourishment and energy.  I wanted to wake up and find it was a dream.  I still couldn't believe I wouldn't hear my dad's voice or laugh again here on earth.  

On the second day after my dad died, we made the trip back to my hometown.  I hugged my mom and my sister, my grandma and my cousins, aunts and uncles.  The pain in my stomach had turned into an emptiness.  Slowly, the reality was setting in.  The finality of it all was becoming clear.

On the second day after my dad died, I watched Evie try to cheer people up, try to process how quickly her world had changed.  We had just seen my dad the week before, and he was fine; he was grandpa.  Now, suddenly, he was gone, as was a piece of Evie's security in this world.  

On the second day after my dad died, I thought about Christ on the cross, and the promise that it gave me to see my dad again.  Someday...but when...?

I think the second day may have been quite similar for Jesus's friends, family, and followers.  They woke, they cried, they hugged, and wished.  On the second day they hurt, they healed, they wondered, and they thought.  

On the second day, they hoped; as we all hope, for that future when we will see our loved ones again.  We have faith in God's promise that Christ was sufficient and has the power to save us all.  We have love eternal which lives on after us; because God first loved us.

Hope, faith, and love; on the second day, and for each day forward, until we meet again...

Monday, January 13, 2014

Goodwill Toward Fashion...


Most people who know me, know that I have a passion for fashion.  This has been the case since my years in elementary school.  

I wasn't a girl who dressed to blend in with the crowd, I dressed to stand out in the crowd.  I would even face personal ridicule at time.  In junior high, for example, I recall a classmate telling me that I always dressed so "weird"...that day I was wearing a solid pink sweater, and had tied a grey and pink scarf around my waist as a belt as an accent piece.  

Tammie, you remember what you were wearing on a particular day in middle school?
Yes, because I'm kind of a fashion freak like that. 
I kind of took pride in the fact that I was dressing like the glamor gals in Vogue, and getting made fun of by the girl in the standard sweatshirt with a scrunchy.

Now, my "trendy" tendencies did NOT, however, mean that I wore the name brands.  Not at all.  For me, Esprit was elusive, Guess was a no-go, and Doc Martins were a delusion.  

Knock-offs were my niche.

As I got older, I continued to love fashion and worked in the retail industry for about 15 years.  I loved helping others find their perfect shade of lipstick, their new favorite shoe, or their most comfortable corset.  However, the employee discounts seemed to be more of a pain in my wallet than one would expect.  I found that I would buy, buy, buy as a reflection of stress, stress, stress.  

"You deserve it, Tammie...you worked so hard today." 

But, did that mean I deserved the stress of trying to pay our bills?  Of trying to figure out how to explain the bag of clothes I DIDN'T need to my husband?  I walked around feeling guilt and shame on account of just wanting to feel good about how I looked.

So, with all the fun choices out there, and only a limited amount of resources, how do I keep my fashion afloat and my our finances firm? 
The answer is simply this; never buy it new.
I fell in love with second-hand stores about three years ago.    I have been finding brands like Banana Republic, BCBG, and White House Black Market for $4 a piece!  Sure, you have to weed through some rubbish on your way; but the sewage is secondary to the delicious designs you can find for your dime!

Now you all know my secret...I'm a dumpster-diving, bargain-striving, economically thriving, markdown-momma.
Peace on earth, and Goodwill toward Fashion...
Written in response to a writing prompt from www.sundayscribblings.blogspot.com from September 2011.

Friday, January 10, 2014

Et Cetera~Part VII

...And other things...
Sleep deprivation...
The Duck wishes Evie didn't Sleep so Well...
Everybody hates the feeling, and everybody experiences it at some point in time.  But, it turns out that this is another common theme among those with WAGR Syndrome...the inability to sleep.

As one of the last parts of my "Et Cetera" series on WAGR Syndrome, I'll talk about the commonality of the sleep disturbances for those with WAGR, what recent research, including the study on WAGR/11p Deletion and Aniridia at the National Institutes of Health has revealed, and how we have been learning to work with another of those "WAGR things". 

Evie has always been a pretty good sleeper.  I can honestly say that, even when she had colic, she would turn off by ten o'clock at night. She would wake in the night to nurse, but would fall back to sleep easily.  Once she got into school, however, that changed.  It was like she couldn't turn herself off.  This made OUR nights grow later and later, and less productive with each passing week.

Finally, when I wrote about Evie's difficulty with falling asleep in our WAGR support group, a parent suggested melatonin.  Oh my goodness, why hadn't I thought of that?  In the previous years, as part of the support group, I had heard a bunch of parents suggesting melatonin to our other WAGR parents and proclaiming the positive effects it had on the sleep patterns of their children.   

The fabulous thing is that no one in our support group ever says, "Tammie, we've already discussed this.  Please check your archives."  (*phew*)
Melatonin is a chemical that the body produces to help regulate sleep patterns.  Many people take it (in the US it's an over-the-counter drug sold in the vitamin and supplement aisle), especially those who may work the "graveyard shift."  When people have a schedule that is countered against what our typical sleep patterns might be, (for example, when it's light rather than dark); they need the extra melatonin because their body may not produce enough naturally on its own.  (To read more about melatonin and sleep disorders you can visit http://www.sleep-disorders-help.com/what-Is-Melatonin.html ).  
Research on patients with aniridia, and WAGR/11p Deletion Syndrome (having a PAX 6 mutation or deletion in more specific genetic terms) has revealed that many of the patients had under-developed pineal glands (accessed 1/10/14 at http://onlinelibrary.wiley.com/doi/10.1002/ana.10576/full).  The under-developed pineal gland causes a decrease in melatonin production, thus causing a disruption in how the body regulates its circadian rhythms, therefore leading to disrupted sleep or a difficulty in falling asleep.  (I really hope I explained that correctly...)  

The study at the NIH has an extensive sleep portion to it, and the families who participate get back in return extremely helpful observations and suggestions regarding sleep patterns and any disturbances during sleep that the patient may experience. 
My family is fortunate... 
Evie responds very well to the right amount and right kind of melatonin.  We just recently discovered that we can't use the time released melatonin because it must not be "enough" at the beginning of the dose to cause her to fall asleep.  It would take her 2 to 2 1/2 hours to fall asleep when we were giving her the time released.  I mentioned this on Facebook and received a slew of affirming responses from friends with WAGR and aniridia who have experienced negative effects from the time released melatonin.
Just another "one of those things" that our 11p Deletions seem to have in common.
So....*yawn*...all this talk of sleep has made ME sleepy.  

I have written for a full seven days now on "Et Ceteras", and I'm trying to determine how many more of these I should write.  Frankly, I'm getting a lot of ideas for other things I'd like to write about, but, in all honesty, there's more I can write about WAGR and the "other things" that come along with it like the increased risk of pancreatitis, high blood pressure, renal failure, etc...etc...etc...
Instead of anguishing over this decision, I'm going to ask all of you!
You're my readers, you seem interested in learning more about WAGR, but I know that some of my stories in the past that have not been focused solely on WAGR have also been some of my most popular posts.  Please, please, please, let me know what you think...
Should I:  
A.  End my series here and go on to new topics?  
B.  Continue my "Et Cetera" series, but only post on Wednesdays about WAGR and call it WAGR Wednesdays? 
C.  Keep going daily on the "Et Ceteras" until I am all.tapped.out...?
Again, thank you for your loyalty, interest and encouragement.  I am truly touched by the outpouring of support that I have received from all of you, and I know that our WAGR family around the world is benefiting by this "buzz" and all that people are learning about this rare disease which only has a few HUNDRED cases WORLDWIDE.  

Sweet Dreams...


Thursday, January 9, 2014

Et Cetera~Part VI



Badgers Through and Through
I thought Evie had autism.  She would crawl into a room and start looking for something and I would cringe, because I knew what would happen next; she’d bang her head against whatever she had found.  She would lay on the floor and rock back and forth and flap her arms up and down against her sides.  She would grab her hair and pull it out of her head, she’d grab her shirt and put it in her mouth and tear it with her teeth.  I’ll admit that I had fears of the demon-possessed people in the Bible who “rented their robes and gnashed their teeth.”  

A good friend of mine whose son has autism helped me figure out where to go to get Evie evaluated, AND she gave me a book called The Out-of-Sync Child, by Carol Kranowitz.  I started reading the various descriptions of types of Sensory Processing Disorder.  I recall reading the description of a child who had Sensory Modulation Disorder and was sensory-seeking; oh my, did that ever sound like Evie.  

As it turned out, Sensory Processing Disorder (SPD) was another common “Et Cetera” of WAGR Syndrome.  I wanted to be sure to cover SPD in my week of writing about the “Et Ceteras” of WAGR because it CAN seem like an endless nightmare until you find out what you can do about it.  We have had many conversations about SPD in our support group for families with WAGR, and we share lots of tips and tricks for how to deal with SPD.  As a matter of fact, we even have The Out-of-Sync Child in our lending library for our families.

The best thing we did once we found out Evie had SPD was start meeting with an Occupational Therapist.  In Evie’s case, she needed sensory input.  Evie wanted to feel things, and I think it was because she couldn’t identify where her body was, or what it was doing.  It was almost like she was looking for some sort of “grounding.” 
 
Our initial course of action included the following: (Please, understand that NONE of this should be done without the direct supervision of an Occupation Therapist.  Things can get seriously messed up if this is done without the training and supervision of a professional.)

Modulated Music Therapy:  CD’s were provided by Evie’s OT that had modified music recorded on them…Evie was to listen to the music through headphones for a certain length of time every day.  We noticed changes in Evie almost immediately. The music would calm her if she was having a “meltdown.” And her “meltdowns” became fewer and fewer.

Wilbarger Brushing Protocol:  When we first started this, we were trained on how to do it, and then we had to train others because for the first week, we had to do this every 2 hours while Evie was awake.  It involved using a soft (although from what I hear, various children prefer various textures) brush (the one we used was like the brushes they use on infant’s scalps in the hospital).  With very specific directions, we were trained to brush the arms, hands, back, legs (NEVER stomach), and feet.  I’m telling you the honest truth…it took one day of brushing Evie every 2 hours and we saw immediate changes in behavior.  She got up out of her bed for the first time EVER and walked to our room in the middle of the night.  Prior to the brushing protocol, if she woke in the night she would sit in her bed and cry.  I don’t think she was confident that she had control of her body prior to the therapy.  Evie’s speech improved, and she toilet-trained within a couple of weeks of brushing.
Here is a good link to follow to learn more about the brushing protocol: http://www.ot-innovations.com/content/view/55/46/

Joint Compressions:  I had heard about this at several of the conferences we attended put on by the Wisconsin Center for the Blind and Visually Impaired.  I didn’t realize how much it would actually help US!  Once Evie started the brushing protocol, the joint compressions were usually part of that whole routine.  Even after we stopped the brushing, we continued with the joint compressions and still use them from time to time if Evie needs to “chill.”  This process is kind of like giving a massage, but it’s done by compressing various joints in the body rather than massaging the muscles.  To learn more about the joint compressions you can check out this site http://sensoryandmore.com/2011/08/11/joint-compressions/ .

There is so much hope to be found in learning about SPD and how to create a “sensory diet” (a staple, consistent system on which the individual can rely that gives him or her just the right sensory feedback for which they search.) It takes research, it takes time, it takes professional help and input; but it is so worth it.  

Things we do to help Evie continue to get the sensory input she needs include:

  •  Jumping, running, spinning, dancing
  • Working with play-dough
  • Carrying heavy items from point A to point B
  • Using rice packs, weighted blankets or bean bags on Evie’s lap or across her shoulders when she’s transitioning between activities or seems distressed
  • Preparing Evie for unusual days, and changes in schedule or routine in advance, if possible 
  •  Using schedules to help her “visualize” her day

This is not an exhaustive list by any means, and every child is different.  I’m quite pleased, (now that we know how to manage it), that Evie is sensory-seeking…that also equates to “thrill seeker” which makes amusement parks quite an adventure, plane rides a treat, para-sailing a literal “breeze,” and loud music concerts awesome!   

To be quite honest, I think many of us have some sort of sensory issues and we can all benefit from a sensory diet.  Take a look at the success of the candle industry, aromatherapy, and ambient sound-makers; there’s some real evidence that we all benefit from some sort of sensory input to help regulate our systems and keep us feeling content.  

Speaking of ambient sounds, I’m ready to turn on a little sound-therapy myself so I can get my mind, body and spirit ready for bed.  Tomorrow I’ll write about sleep, actually, or the lack there of.  That’s right, another “Et Cetera” of WAGR is disrupted sleep, or trouble falling to sleep, or not even sleeping at all.  (*gulp*)

Wednesday, January 8, 2014

Et Cetera~Part V

I have now been writing for four days about the "et ceteras" of WAGR Syndrome.  "And other things..." is what et cetera means.  So today I'll talk about the other things such as obesity and high pain tolerance. 

Wait, Tammie, weren't you just going to talk about the four letters that make up the WAGR in WAGR Syndrome? 
 
Not quite. 
 
As more and more parents were able to connect over the internet beginning 20 years ago or so, they started to realize that their children with WAGR exhibited more in common than just the W-A-G-R.  A few of the amazing leaders who formed the International WAGR Syndrome Association decided to create a MedQuest.  It was a questionnaire for other families with WAGR to fill out so there could be some statistical data to present to medical professionals and researchers. 

Yes, you read that correctly, it was the parents of individuals with WAGR who did this.  I stand in awe of these parents every day and marvel at where we would be without them.
 
The results of the MedQuest got the attention they were hoping for.  To make a long story short, it generated enough excitement for pediatric endorcrinologist at the National Institutes of Health to start a study on WAGR Syndrome.  As phase one of the study progressed and the data was being compiled, the similarities of persons with an 11p chromosome deletion were so striking that the study's name was changed to the WAGR Syndrome, 11p Deletions, and Aniridia Study.  In the first few years some interesting discoveries have been made, and some have been published and/or presented at one level or another. 
 
One such discovery was the high correlation between a particular deleted gene and obesity in the patient.  The name of the gene is the Brain-Derived Neutrophic Factor (BDNF for short, but you can memorize the full name and dazzle your friends and acquaintances at cocktail parties and tailgating events...)  According to the NIH,

Expression of this gene is reduced in both Alzheimer's and Huntington disease patients. This gene may play a role in the regulation of stress response and in the biology of mood disorders. [provided by RefSeq, Jan 2009]  Accessed 1/8/13 at http://www.ncbi.nlm.nih.gov/gene/627
Playing at The Children's Inn at the NIH

Interesting...it regulates stress response and is part of the biology of mood disorders.  Hmmm...didn't I mention in my last post that Evie has "off the chart" anxiety and has trouble dealing with homework and learning new things?  Hmmm...

If you're not much into "science" but still like to read about these things in layman's terms, you'll find a great article on BDNF at the Livestrong website  http://www.livestrong.com/article/214646-brain-derived-neurotrophic-factor-exercise/ .  According to this article, BDNF "plays a key role in how easily your brain can adapt to and learn how to effectively complete new challenges, called neuroplasticity."  Well, hot-diggity...I think we're on to something.

But what does this have to do with obesity? The BDNF and obesity weren't really connected until the study at the NIH for 11p Deletions.  Guess what?  For all you research buffs out there, I actually found the article from the New England Journal of Medicine about the WAGR/11p Deletion, BDNF deletion and Obesity.  Check it out:  http://www.nejm.org/doi/full/10.1056/NEJMoa0801119 . 

For some reason, on some level, knowing that we participated in this study and it yielded such important results makes me feel like a celebrity.  Look out, Miley, your chain just broke on your wrecking ball, make way for the double helix (that's just some biology humor).

Sleep Study at the NIH
I'll sum up for you the findings of the study:  By 10 years of age, 100% of the patients with heterozygous BDNF deletions (95% confidence interval [CI], 77 to 100) were obese (BMI ≥95th percentile for age and sex) as compared with 20% of persons without BDNF deletions (95% CI, 3 to 56; P<0 .001="" font="">

Now I would call that a pretty darn strong connection between the BDNF gene deletion and obesity.  We parents struggle and struggle to help keep our children out of that "obese" bracket, but it is extremely difficult.  We don't WANT to deny our children the right to candy, chips and ice cream any more than anyone else does, but sometimes we have to be more vigilant than other parents.  It's VERY difficult to do when society rewards children ALL THE TIME with food!  I recall a parent once saying, "I want to hang a sign around [my child's] neck that says, 'I know I'm cute, but please don't feed me.'"  We've had to crack down on Evie's calories and try to encourage physical activity, but it has to be a family lifestyle for us.  I don't want to preach to her about staying healthy and then not follow my own advice.

Believe it or not, BDNF is tied to another common characteristic in our loved ones with WAGR; high pain tolerance, or at least a different way of perceiving pain.  I'll quote the article and then explain it in my terms.

Patients with BDNF [deletion]... had lower pain scores than patients with intact BDNF...suggesting impaired nociception similar to that described anecdotally in the case reports of a child with a chromosomal inversion of the BDNF region...These data are consistent with results of studies in mice that suggest that BDNF plays a role in the modulation of pain sensation. (Citation from http://www.nejm.org/doi/full/10.1056/NEJMoa0801119 ).  


Double IV's during the NIH Study Stay
Let me give you an example of Evie's pain threshold.  A few years back Evie was stung by a bee on her right hand.  She cried a little, we put ice on it, and then we headed off in the car for Detroit, Michigan for WAGR Weekend (I mean, when WAGR is so rare, you never want to miss a chance to hang with your WAGR peeps for a weekend.)  We got to WAGR Weekend without incident, but when we woke the next morning Evie's had was swollen, hot to the touch, and reddish with purple blotches.  Now you or I would avoid using that hand, but not Evie.  She was opening doors, feeding herself, writing, and coloring with her right hand!  A trip to the ER confirmed that she had a staph infection.  If you've ever had any infection, you know that this had to be painful, yet Evie showed no distress concerning her hand. 

Oddly enough, once we started Evie on occupational therapy, she started to perceive pain more like a "typical" person.  That was good and bad.  It was good because a high pain threshold can be dangerous.  For example, Evie wound up with a horribly burned hand when she was 3 years old because she had held it on a hot oven door and didn't respond to any sort of pain stimulus.  Now that she processes pain more normally, she dreads having a blood draw, and actually cries when she is hurt.  It breaks my heart to see her fear and pain, but I know that it's better for her to respond to,and accurately process pain in the long run. 

So you see, there is still more to WAGR than just W-A-G-R.  Here I've identified the high incidence of obesity, and the high pain tolerance expressed by a great majority of our loved ones with WAGR/11p Deletions.  Tomorrow I think I'll tackle Sensory Processing Disorder (SPD).  You'll hear about head-banging, biting and hair-pulling (oh, my...), and find out how many of our families have found successful ways of dealing with SPD through occupational therapy. 



 

Tuesday, January 7, 2014

Et Cetera~Part IV



Et Cetera…And other things.  
Our Family 2013

I’ve been writing about all of the “other things” that are part of WAGR Syndrome.  I remember reading about WAGR when Evie was first diagnosed with it; reading about the cancer, the aniridia and possibility of vision impairment, the genitourinary abnormalities and what it all could imply for her future; for our future.  I remember the “R” in WAGR being the least of my concerns.  “I can handle whatever the ‘range of developmental delays’ may come,” I thought.  But it’s not that easy…

This “range of delays,” you see, creates an enormous sense of uncertainty.  As Evie was growing and maturing, I couldn’t tell what her future would look like.  Would she walk?  Would she talk?  Would she read?  Evie started to “miss” the milestones that often mark the growth and development of babies from her early infancy.  I remember getting mailings from the hospital where she was born.  They would read like this, “At age 6 months your baby is now doing this…”  No, my baby was not.  At age 18 months, when my baby still wasn’t talking or walking, I just started throwing the mailings away without opening.  They weren’t going to be able to tell me anything about my baby anymore.

Starting at about three months, Evie was getting speech and physical therapy in our home.  She also had an early learning specialist who would work on more general development skills.  All of those people meant so much to us.  They had gentleness, hope, and understanding for what we were going through that was hard to find in every-day life.  They challenged Evie, and she would rise to the challenge.  They taught me how to push her; that’s not easy to do…as a mother I didn’t want to watch my child struggle, but the therapists helped me develop the gut to tolerate it by knowing that I was doing Evie no favors by letting her just survive in life without the skills to thrive in life.  Somehow, each of them had the ability to put me at ease by helping me focus on where Evie was at today rather than me worrying where she’d be, or not be in the next week, month or year.

Evie sat up for the first time when she was 15 months old.  She started walking with assistance when she was about two years old.  She really started to use words around age three years, but it wasn’t very understandable.  Despite all these delays, we knew Evie was quite “bright.”  She could use sign language quite well and could communicate most of her needs through sign language that her speech therapist had taught us.  She memorized songs and could hum them and sing them without the words, and they’d be spot on.   

When Evie was around four or five years old, I had applied for her to get covered under a county program that helps pay for therapies and assistive technologies for children with developmental delays.  Evie was turned down because they said she didn’t qualify under their conditions.  I couldn’t believe that she didn’t qualify, her delays were obvious; so I filed an appeal.   In order to strengthen our case, I would up taking Evie to a barrage of assessments which yielded reports that clearly demonstrated her delays.  That appeal process was mentally draining.  I felt as though all I could do at that point was focus on Evie’s deficits.  That’s what parents HAVE to do when they are fighting for services for their child.  They HAVE to walk a tightrope with positive outlooks on one side and negative reality on the other.  So, even when people would say, “But, Tammie, look how far she’s come,” I’d have to say to the courts, “Look at everything my child CAN’T do…”.  If you know any parents going through an appeal for services, or an IEP (Individual Education Plan); be patient with them, it’s not easy. You can really start to feel like a negative person when you have to focus on the deficits; and that’s NOT me, but I had to be that person for Evie’s sake, as her mother and advocate.


Despite Evie’s delays, she is in a mainstream classroom with some pullout time for special help on math and reading.  She still gets speech therapy and is learning Braille and cane-traveling skills.  Evie’s friends are amazing, and the school district we are in has encouraged me to continue to communicate closely with them on how Evie is doing, and what, if anything we need to change or alter for her.


Evie has a great memory, but her logic skills are lacking.  She can memorize her multiplication tables, but she doesn’t understand how or why the numbers equal what they do.  Evie can listen to me read a chapter, and she can read words herself from a book, but I don’t think she quite “comprehends” what is going on.  She might be able to give you the “facts” of the story, but interpretation would be lacking.  She’d write a book report that Sergeant Friday would highly approve.   “Just the facts...”


The hardest thing for me is to watch her struggle with her homework.  She doesn’t like me to correct her, she easily becomes enraged.  (And I do not use the “enraged” lightly here; I call it “Unleash the Dragon” because it is such a fit.)  However, she doesn’t want to walk away from unfinished work either, and that really complicates things.  A neuropsychology report from an evaluation she had a year ago says that Evie’s IEP goals should be written to mastery.  In other words, Evie’s anxiety about unfinished work is such that she agonizes over moving on to another topic before fully understanding the current topic.  That’s not really how our education system works.  Often, the students have to keep up with the pace set by the majority; so we will have to see how Evie does as her curriculum continues to grow increasingly difficult.


Having touched on the “R” here, (and there was much more I could have expanded on), tomorrow I’ll begin talking about the Et Ceteras that have not necessarily been well documented in the medical arena; but that, through the IWSA, families who network together have, through shared stories, determined are “other things” that are typical of people with WAGR Syndrome.  Toe-walking, tight heel chords, speech apraxia, Sensory Processing Disorder, disrupted sleep…the list goes on and on!  Thanks for hanging in there with me as I tackle this topic from a “mommy” point of view.  

P.S. I hope my typos are few and far between, but with our Polar Vortex, and having Evie home with me from school, I think I may be missing things in my proof-reading.  :)