UPDATE: To Pea Soup

So here's just a little update to my last post. I spoke to Oli's vision teacher, Miss Judy, when she came for her home visit yesterday. She basically told me what everyone else has said. That Oli does what she does because she's totally blind. She has been a TVI for 20 years and said that Oliana is not doing anything more abnormal than what all the other kids she has taught have done. She said that if she thought there was something wrong with Oli she would not hesitate to address it and that she is definitely not autistic. I told her that of course I appreciate her expert opinion but, would still like to investigate the matter a little further and get other professional opinions. So today we went for her outpatient therapy and I spoke to her occupational therapist, Miss Heidi. She told me that yes Oli does display common characteristics of sensory processing disorder but, she is blind and it is very hard to distinguish and label what is abnormal for a sighted child and what is normal for a blind child. She additionally told me that SPD is not recognized by the DSM and they are trying to get it published and recognized in the new addition that comes out in 2012. So even if I could get someone to diagnosis her with SPD it would not count as a dual diagnosis because it isn't recognized and she wouldn't get any more services. She said that in her therapy sessions they are already addressing both the sensory and the blindness issues so her therapy wouldn't change. I believe that all her therapists are addressing both issues so I'm not as concerned that we're missing something.
I also spoke to Tanya, the genetic counselor at the Albert Einstein Medical Center, today. She was the one who diagnosed her with OTX2 and the AEMC is the research hub for anopthalmia. She said that it was ironic that I called about this issue because right now they are working on a grant to address this very concern. She said that I do have a right to be concerned about Oliana's behavior and delayed speech. They have been looking at the kids with anopthalmia and discovering that some of them have sensory processing disorders, some of them are autistic, and some of them develop just as a sighted child. But, there ARE DIFFERENCES. You cannot explain all of these behaviors on blindness. Especially not the delayed speech. They are submitting their research for the grant in January and hoping to open a clinic in July. The clinic will include a developmental pediatrician, genetic counselor, OT, PT, and ST. All of these individuals will evaluate the children and decide where on the spectrum the child lies and make recommendations for their therapists and teachers. She said they have had major problems with some of these kids ending up in autistic classrooms when they are not autistic. These kinds of environments (if the child is truly not autistic) can deprive the blind child of the tactile and sensory stimulation that they need to learn. On the other hand, many blind children that are truly autistic are getting missed and are not getting the services they need.
Tanya agreed with me that, although I would love to bury my head in the sand and ignore it, we need to evaluate her and find out what she has going on and to what degree. So we will be flying out to Philadelphia in August for the clinic. She did say that it is very promising that Oliana does not just repeat everything I say. She is specific in what she repeats. If I say something that she doesn't want she will not say it, instead will just ignore me. When I get to the correct thing that she wants then she will repeat the word. She has also been signing a couple of words independently, without me prompting her. She will ask for milk by herself and she will ask to be picked up. She signs these words. I have to be careful and pay attention though. Sometimes I'll have my back turned and then when turn and look at her and she will just be sitting there patiently signing for milk. In fact a couple of times Kekoa has come up to me and said "Mom, Oli is asking for milk". Sure enough, when I look at her, there she is, squeezing her little fists. How do parents of deaf children do it?
In conclusion to my update I'm going to re post the poem that I had originally posted last year. It's about the privilege of being a mother to a special needs child. It still makes me cry and I think it's quite fitting for this stage in Oli and I's relationship. I hope you all enjoy it.


THE SPECIAL MOTHER by Erma Bombeck

Most women become mothers by accident, some by choice, a few by social pressures and a couple by habit. This year nearly 100,000 women will become mothers of handicapped children. Did you ever wonder how mothers of handicapped children are chosen?Somehow I visualize God hovering over earth selecting his instruments for propagation with great care and deliberation. As He observes, He instructs His angels to make notes in a giant ledger.

"Armstrong, Beth;son. Patron saint.. give her Gerard. He's used to profanity."
"Forrest, Marjorie; daughter. Patron saint, Cecelia."
"Rutledge, Carrie; twins. Patron saint Matthew."
Finally He passes a name to an angel and smiles. "Give her a handicapped child."
The angel is curious. "Why this one God? She's so happy."
"Exactly," smiles God. "Could I give a handicapped child to a mother who does not know laughter? That would be cruel."
"But has she patience?" asks the angel.
"I don't want her to have too much patience or she will drown in a sea of self-pity and despair. Once the shock and resentment wears off, she'll handle it."
"I watched her today. She has that feeling of self and independence that is so rare and so necessary in a mother. You see, the child I'm going to give her has her own world. She has to make her live in her world and that's not going to be easy."
"But, Lord, I don't think she even believes in you."
God smiles, "No matter, I can fix that. This one is perfect - she has just enough selfishness."
The angel gasps - "Selfishness? Is that a virtue?"
God nods. "If she can't separate herself from the child occasionally, she'll never survive. Yes, here is woman whom I will bless with a child less than perfect. She doesn't realize it yet, but she is to be envied. She will never take for granted a 'spoken word'. She will never consider a 'step' ordinary. When her child says 'Momma' for the first time, she will be present at a miracle, and will know it!"
"I will permit her to see clearly the things I see... ignorance,cruelty,prejudice..and allow her to rise above them. She will never be alone. I will be at her side every minute of the day of her life, because she is doing My work as surely as she is here by My side."
"And what about her Patron saint?" asks the angel, his pen poised in mid-air.
God smiles, "A mirror will suffice."