A few of C’s favorite things… 28 Days of Cayden, Day 25

I thought I’d change gears and write some fun stuff about Cayden. I’ve said how he was such a fun and super kid, but he really was! He was a sweet sweet boy who definitely had personality. His personality really blossomed when he began to hear, and just kept getting bigger!

Mommy & C

Mommy & C, last Mother’s Day as an only child.

He loved his Momma. I know, I put myself first. But really, Cayden was a momma’s boy! He was always with me, more than a typical child would be, and really I loved hanging out with him. I liked watching his wheels turn as he tried to learn new things. Watching him persevere until he could do something new. I really tried to treasure every moment I had with him, as we knew from the beginning he was probably not going to be our child forever. Ironically, now he is a forever child, forever 4.

upside down

Silly play with Daddy was always good for giggles!

Cayden loved his Daddy too, but in different ways. I said before, Daddy was for sleeping and napping. He was for watching NASCAR, and for playing airplane. Daddy was definitely NOT for eating. He started this behavior after Skylar was born and needed her newborn attention. Cayden realized that if he didn’t eat for Daddy, Mommy HAD to come and spend some time with him to feed him.  I would feed him a few bites… no problem. Joey would pick up the spoon to feed him a few bites… no eating! He literally would snap his mouth shut and turn away. It was somewhat funny to me because he was communicating loud and clearly. Joey, however, thought it was more frustrating than funny.  Don’t tell me that kid wasn’t smart! This stubbornness lasted for at least a year or more. Really. No food with Dad!

Elmo coloring

Working hard on his Elmo picture while standing.

Cayden loved to color. After we got his stander, the favorite activity by far was coloring. He loved it. He would color for an hour if you let him. We would choose a picture to color together. I would pick a handful of markers and allow him to choose which he wanted. We’d put the marker in his hand, and as I mentioned before, he would push the marker back and forth to color the area. He would color the ENTIRE section in, and if he missed a spot, he worked really hard to fill that little hole in. If he slid & went out of the lines, he would fuss, and if I couldn’t calm him down, he would stop, throw the marker down & turn his head away, clearly saying without words “This one is ruined. I need a new one!” My little perfectionist! His favorite thing to color was from his Elmo coloring book & he would always color things exactly the color they were in real life. Elmo is red, Big Bird is yellow. Pumpkins are orange. Apples are red. He was quite specific. Then one day, he colored a zebra blue and orange– a break through! He was finally getting a little creative! Yay!

C on vibrating seat

C watching TV on his vibrating chair pad. Like many deaf children, he loved vibrations of all kinds.

Cayden loved his movies! He watched a lot of movies with all of our driving around. How else was I to keep a hearing impaired child with very little arm mobility busy on 3+ hour drives? I’m not sure how much he understood, not being able to hear the movies, but many are pretty easy to understand even without sound. And he would often giggle at just the right places, so I think they made sense to him. First it was anything Elmo, all Elmo, all the time. Then Baby Einstein videos; we would do his listening therapy while he watched these videos with no sound. Very good for visual therapy! He loved Monsters Inc., Toy Story, and Cars, particularly Cars. Lightning McQueen was his favorite. He died before most of these movies had sequels, but I’m certain Planes would have been his recent favorite!

Cayden loved vibrations. Anything that vibrated was a hit with Cayden. From toys, to cushions, to chair pads, to extra loud speakers at church, he grinned when he could feel the floor or the earth move. Like many deaf children, this is a great way for them to interact with their world, and to get some sensation of hearing (without needing aids). We tried to use this to his advantage as much as we could, and I always looked for toys and things that would help him in this area. Baby toys are good for this, so are ‘old lady’ chair cushions & back  or foot massagers.

Monkey C

C swinging in his Halloween costume at a friend’s party.

Cayden loved to move. Especially to feel the wind in his hair (or on his bald head!). Anything we could do that would give him that sensation of wild movement, with strong vestibular input, he LOVED. He would giggle and ask for more. Swinging was fun. Twisting the swing up as far as it would go was better. Twisting the swing, then pushing it sideways, so it would go crazy while spinning was the BEST! I guess driving the power chair was about the best feeling he’d ever had. One day we were practicing, and I was trying to get him to drive up the street. Instead, he kept going into the neighbor’s yards. Bouncing over the bumpy yards was so much more fun (& more input) than driving on the smooth street. He knew he shouldn’t be driving in their yards, but he couldn’t help himself! Offroading in the power chair! I could see the mischief in his eyes as he giggled the whole way, driving so fast, I had to run to keep up. Wee HA!

C on Sammy

Working on arm, neck and torso strength while doing equine-assisted occupational therapy. It also was great for his hips and legs.

 

Cayden loved his horses. We started Cayden on hippotherapy (equine assisted therapy) which was for him considered his OT. He started this around 3 years old and rode until he passed away. He loved to ride, and weekly we would take the long drive to the barn.  The best part for me, was watching him get so excited the moment we turned onto the gravel road that led to the barn. He would arch and pull at his carseat, trying to jump out of the chair. He knew that he was going to get to ride, to pet and groom the horses, and maybe pet the bunny. Sometimes he got to bounce on the trampoline too! So much fun!.

When he began riding at Shining Hope Farms, he could not hold up his head. If I held him on my hip, he would flop backwards, unable to hold up his torso. After 9 months of weekly hippotherapy, he could. I could hold him on my hip without struggling. He could keep his head up to meet your eyes. He wasn’t always staring at his wheelchair tray. He progressed! Then we moved and quit riding for a while, until we found a new barn. At Wings of Eagles Ranch Cayden got to take therapeutic riding lessons with a class. He played fun horse games like leapfrog, and trotting around poles. Putting beanie babies in matching houses and other fun activities. He loved the interaction with the other kids and especially loved the games. It was as much work as at Shining Hope, but more fun!

 

newborn S

This has to be the sweetest picture of sibling love ever.

Cayden loved his sister. From the moment he saw her at the hospital, Cayden was smitten with his baby sister. He loved her and loved to watch her. As she got bigger, she would play with him, bring him toys, toddle around on his chairs or standers. She would push him in the wheelchair when she started walking. She adored him and I loved watching their relationship develop. Skylar went to all his therapy sessions and sat quietly and played. Sometimes she would blurt out the answers that Cayden had to work so hard to find the words for. The frustrated looks he would give her were priceless! But she would sit with him, ‘read’ to him, sign with him… it really was a sweet friendship.

S reading to C

Skylar ‘reading’ to Cayden. She had memorized the books and would tell him the stories. Such a sweet memory!

She was with me when we went to wake him up that fateful morning, and just didn’t understand why he wouldn’t wake up and giggle at her like he usually did. Skylar had preschool that morning, so we sent her to school, so we could handle the situation and the grief. We ended up making the hard decision to not have her see his body again, but when we went to get her from grandma’s after school, she immediately said “Where’s CC?” and the explanation had to begin. She didn’t understand life without him, and oh, how hard it was to explain death to a 2 1/2 year old.

I hated the fact that my child died so young, but we had been preparing for that day from before he was born. We had already grieved and cried and gone through so many of the ‘what if’s’ that when the dreadful day came, we weren’t completely unprepared. We never really thought we’d have as long as 4 1/2 years with him. We really thought we’d get only a few hours to know him. But Skylar didn’t know that. We hadn’t shared that possibility with her. But now we had to! It was hard! It is hard!

I hated that the death of my child, exposed so many of our friends’ children to their first experience with death. Our playgroup, our church friends, our other friends, so many had young children, and we had to explain it, or their parents had to explain why Cayden wasn’t here anymore.  I always explained that Cayden had gone to be in Heaven with Jesus, and could walk and talk and run now, that he was perfectly healed. Perhaps it’s good for children to hear the gospel at that young of an age, the truth of Heaven, but I hated that I was the bearer of that harsh reality because of my child’s death.

How do I know that he is with Jesus? you might ask.

The Bible tells us in 2 Corinthians 5:1, 6-8

For we know that if the earthly tent we live in is destroyed, we have a building from God, an eternal house in heaven, not built by human hands. Therefore, we are always confident and know that as long as we are at home in the body, we are away from the Lord. We live by faith, not by sight. We are confident, I say, and would prefer to be away from the body and at home with the Lord. 

We have a home in Heaven, an eternal house, built by Christ. We can be confident that to be away from the body (that is, dead), we are at home with the Lord.

In Revelation 21:3-5, it says it again:

“Look! God’s dwelling place is now among the people, and he will dwell with them. They will be his people, and God himself will be with them and be their God. ‘He will wipe every tear from their eyes. There will be no more death’ or mourning or crying or pain, for the old order of things has passed away.”

He who was seated on the throne said, “I am making everything new!” Then he said, “Write this down, for these words are trustworthy and true.”

How can we be sad at Cayden’s death, when it means for him, to be at home eternally with the Lord? To be made brand new! With a new body not made by human hands. Knowing this, being confident in this, I cannot have a heavy heart. Cayden is made new. He is at his eternal home. Someday, I will join him and we will rejoice together, celebrating birthdays for eternity with Jesus.

Shira

More about Heaven tomorrow…

 

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Why I’m writing… 28 Days of Cayden, Day 24

Sorry for the late post, I apologize. I was busy getting ready to start school with the kids tomorrow, trying desperately to complete the re-finishing of Skylar’s new/old desk. This is what happens these days… when I am deep in the recesses of my mind, remembering all the good and bad times that came with Cayden, my two living kids find me & demand my attention. Life goes on, doesn’t it?

I was talking with a friend this morning at church and she said how inspiring my posts are, how they make her want to do more for her son who has some special needs of his own. Another mom said how she is a little awed by me and my advocacy and persistence for Cayden. Others have commented on how great a mom I was/am. I feel very humbled by these comments & truly appreciate them, ladies & men (you know who you are). But this praise is not the reason I am sharing my heart and soul.

So why am I writing all this? Why am I putting myself to this challenge?

Spread-Say square w blue fltI write to raise awareness. I’m sure many of you reading have not heard of holoprosencephaly before reading these posts. Its a challenging word, with a challenging life, as long or short it may be. Maybe this little bit of information can bring some curiosity, for you to learn what it all means, how to help, and how not to judge a child who has severe disabilities and possibly facial malformations. Their soul is the same as yours and mine, and worthy of respect and honor. They are not vegetables, they are people! They are not necessary abortions, they are children of God.

For you, fellow HPE parents, I write to show you the HoPE that can be found in the diagnosis. If your child is still alive, you know all too well the struggles and joys that go along with raising one of these special children. If your child is unborn, or perhaps playing in Heaven with Cayden, maybe I can ease your journey a little as you glean something from Cayden’s story. To see that the doctors are not always correct, and that miracles do still happen. Maybe you see a bit of your child in Cayden, and a bit of me in you. I hope so, and if not, I hope you can see that it doesn’t take a supermom to make things happen, it just takes a vocal, passionate mom to speak up for their child’s needs.

family hike in the rainI write to share the journey with my friends who know me now, but didn’t know me then. As time passes, and 6+ years have gone by since Cayden went to be with Jesus, friends change. New friends come into our lives, and old friends sometimes fade into the background as the seasons of life go by. Some of my new friends never knew Cayden, never knew that part of my story, they don’t see me as a special needs mom. They may wonder why I empathize so much with the challenges of special needs kids, but I get it. I get it on so many counts, as you now can see. My kid didn’t struggle with reading, instead he struggled with the simplest things in life (like breathing, swallowing and holding up his head!). He had so many issues, I feel that I can empathize with almost any struggle a child may have. (and if Cayden didn’t have it, one of his friends probably did or does!) I know what IEPs are & how hard those meetings can be (his first IEP/transition meeting had at least 13 people at it. 13!) Cayden had a check mark in almost every area that a child can get qualified for in school special services. He didn’t stand a chance, by many accounts, but he persevered and progressed. His progress was in tiny, little, itty-bitty improvements, but it was progress. Inchstones, my fellow HPE moms call them, milestones are much too big steps for these special kids to take.

kids reading in cribI write to share a big brother with younger siblings. Skylar doesn’t really remember her brother, she was only 2 1/2 when Cayden died. She has inklings of memories, but they are more memories of stories I have told her over and over. Devin was not born when Cayden died, so he needs us to share whatever we can remember so that he has a picture of a big brother in his mind. He used to say how he was mad at Cayden that he died before he could meet him. Devin is such a sweet soul, a family-oriented kid, & it hurts his heart that he could not love on and know this brother that sounds so fun, and had all this cool gear.

I miss those gorgeous perfect curls!

I write to share my heart and my inspiration. People say to me, then and now, “I don’t know where you come up with these ideas!” I don’t either. It is just who I am. I am a creative minded, out-of-the-box thinker. My training is in Theatre Design.  I spent years of my life researching, creating, problem solving and implementing ideas to put onstage, to create interesting and unique sets, lights & costumes. This was not really that much different in my mind. Instead of reading a play & brainstorming an appropriate solution for the scenic or lighting design, I was reading my precious child, seeing what his needs were, and trying to find a workable solution. It’s what I did. It’s what I do. I love researching things, learning things, finding new and creative ideas. This was just a new outlet for my creativity, since I didn’t have time to work with all the appointments, feedings and caregiving. Now, I feed that passion by researching, learning and discovering things to teach my children while we homeschool. It’s just a new way to use the skills I learned in my education, and in my pre-kid career.

C baptism

Cayden’s baptism & dedication ceremony

I write to share my faith. Faith was always a part of my life, but until Cayden’s diagnosis, I didn’t really understand what it meant to RELY on God. To need to know Him, in order to make it through the day, through the pregnancy, through the fear. I needed faith to make it make sense. To make it bearable when we lost him. To know that one day, a reunion will happen as Cayden shows me all around Heaven and it’s streets of gold. And to know that this earthly life is but a mere breath compared to the eternity we will spend together. If I can inspire someone else to see that even though we don’t understand why Cayden and other kids are differently made, we can accept that, love them just the same, and not need to question the whys or wherefores. They just need love, but don’t we all?

hospitals

I had never spent time in a hospital until I gave birth to Cayden. By the time he was 4, we were familiar with 5 of the major hospitals in the state, and could even find our way around them without getting lost! If you know hospitals, that says a lot!

I write to share the struggles. We had a lot of ups and downs. I can’t begin to write about them all in 28 days. We struggled with a lot of things, and always it was something. Medical equipment, insurance, funding, special services, IEPs, school stuff. Pain, sleep, positioning, comfort. Sleeping. Eating. Breathing. Struggles were commonplace, but through them we always felt Christ sustaining us for the day, through the night, and into the next day. Even the day Cayden died, Christ was there, putting things in place, putting people in place to make the transition as peaceful as possible for us. We still cannot clearly see the purpose in Cayden’s sudden death, cutting short such a promising life, but we have faith that HE knows the plan and will make it work out.

family

Our first family picture at home with Cayden, 10 days old.

Romans 8:28 became our family verse while Cayden was a tiny baby.

And we know that in all things God works for the good of those who love him, who have been called according to His purpose.

We didn’t understand why Cayden was made the way he was, but GOD works ALL things for OUR good, and WE have been CALLED for HIS purpose. It is not for us to question, we just have to have faith that it is for OUR good, because we love HIM and are called to live for HIS purpose.

Verse 29-30 says,

For those God foreknew he also predestined to be conformed to the image of his Son, that He might be the firstborn among many brothers and sisters. And those He predestined, He also called; those He called, He also justified; those He justified, He also glorified.

WOW! Do you see that? God FOREKNEW (Cayden), whom he PREDESTINED to be conformed to the image of CHRIST. and Cayden, the predestined, was CALLED, justified, and GLORIFIED. Cayden is now perfectly healed, justified, and Glorified in heaven where he was Called to be.

Maybe it’s not as interesting to you as to me, but I dwell in the fact that God had and HAS a plan for Cayden, for me and for each of us. HE loves us and wants the best for us. And sometimes the best is hard to take, or hard to see amidst the grief and the pain. But it will all be clear in the end.

You see, even though we loved this verse from the time Cayden was very small, we didn’t fully SEE this verse until his memorial service. As we were planning his service and writing what we wanted to share, we had the “A-HA!” moment. Romans 8:28 was Cayden’s verse. He was born on 8/28.

I write to share the awe I feel at the little discoveries we continue to see in Cayden’s story.

Shira

 

Heart in my  hand

A prayer heart I placed at the chapel at Levine Children’s Hospital last year on Cayden’s Birthday.

 

 

 

The long road to walking… 28 Days of Cayden, Day 23

Roll, crawl, toddle, walk. Such a normal progression. So normal, so natural most moms don’t question it, or even really think about it. They may compare their kids to their peers, and wonder, “When will my child crawl, climb, walk?” but they don’t usually think, “If only my child could _______.”

This week I’ve shared with you the myriad of devices needed to keep him supported, safe, and seated, but we haven’t talked about walking at all! You may be thinking, another post about research and trials and blah blah blah. This was my life, people. This was what I DID! It was my job, as Cayden’s mom, to figure out how to help him do these things, because just bringing him to the playground didn’t work. I am sick of writing about it after 7 days, think of how tired I was of it after 4 years!

Bear with me one more day & I promise I will change focus for the last 5 days…

I will just go through the progression towards walking and explain how we tried to get C to work through it, some phases had success, others not. All of them were hard for Cayden, and all required some sort of device.

C rolling on ball

Practicing rolling on the ball was a little more fun than the wedge, but still not well liked by Cayden.

Rolling: Ball

Cayden HATED rolling. Yes, all caps, all italic. This is greatly emphasized, I probably cannot emphasize it enough, just how much he HATED rolling. And the therapists (God bless the Amy’s, they really were great!) worked non-stop in trying to get him to be able to roll. Down a ramp. On the mat. On a ball. It was miserable. Try doing therapy with a kid who couldn’t hear, probably couldn’t see much. How do you explain to him what you want and let him know he won’t fall? We used fans and vibrating toys to try to encourage him to do what we wanted, but it was so hard!

Dad & C

Rolling for Grampy with tickles at the end, made the ball work a bit more bearable.

Every time we tried to roll, he would cry. He hated the sensation of falling & had a strong startle reflex. If he was laying on the bed and a breeze went past, he would flail as if he were falling. So rolling down a long incline ramp seemed like falling down a mountainside. That is all I can figure. I worked on it at home on the ball, daily.  We worked at this weekly at therapy for years & finally at some point, I said to the physical therapist, “Please, let’s just stop. Let’s move onto something else. This is torture for him.”

C creepster Crawler

Determined & Focused!

Crawling: Creepster

Did you know there is a special device made just to help kids learn to crawl? Several varieties actually. We found one at the equipment lending library called the Creepster Crawler. This was a cool thing, that suspended Cayden above the floor while allowing him to use his arms & legs to move, in the manner of crawling. It helped to build arm strength, head control & the basic back and forth rhythm of crawling.IMG_2467

His elbow malformations made this a bit difficult & it was HARD for him to do, but he worked hard in it and seemed to enjoy the feeling of ‘flying.’ This piece of equipment was given to us by an aquantaince, but it was a little too big for Cayden. We made it work, but it certainly was WORK!

 

pony

The pony loaner was a good option, but a little big, so hard for him to move.

Toddling: Pony

The gait trainer is the special needs kid version of toddling. It is a semi-supported walking device that allows them to partial bear weight & stand without having to support their full body weight. Again, blessed by the equipment lending library, were able to demo a pony gait trainer. This worked quite well for Cayden, and he enjoyed spending time in it. It was another way for him to be vertical, and to stand at his height rather than sit. He never complained about spending time in it, but he never really got moving in it either. It became sort of a resting spot for him, rather than a piece of exercise equipment. Because of that, we decided to go a different route on his personal walker.

c napping in pony

Cayden enjoyed being in the pony. It was so comfy, sometimes he would have a catnap in it!

 

 

Walking: Pacer

So many choices of kid’s walkers, but none really seemed to be great. Anything that is fully supportive was so big and bulky and our house was getting full! The kid walk was interesting, it supported him in a similar fashion to the stander, but it was hard to get him into it, being as floppy as he was. He had a hard time moving it anywhere also, and then its legs often got in the way.

We ended up with the rifton walker/gait trainer. It was adjustable for height as well as for capability. A supportive seat helped him  bear weight in his floppy legs, he could rise & push, then sit and rest. It also had a tray for his ECO-13, arm rests, & it was sturdy.

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The ‘Go Blue!’ Rifton Pacer fully loaded & with the supportive seat.

This was Cayden’s ‘Go Blue!’ He was so excited about getting this, after we did a trial at therapy, he was ready to go & walk! As you know by now, the approval and processing time was about 6 months, so he was talking about it for a long time before we got it. The day of delivery finally arrived. The vendor came to the house to deliver it, and fit it to Cayden. It was an afternoon delivery, I think we were his last client of the day. One big problem, he forgot the supportive seat at the warehouse, which was about an hour away. So he told me “Sorry, I will have to bring it back by at a later date.” HMPH. I was supposed to tell Cayden that he had to just look at this long-awaited walker and not be able to use it for another week? Sorry, but no. I became a Momma Bear and told him, ‘No, it was a mistake, but your mistake. I am not going to allow you to punish my son, you will fix it and make it better. You will bring it back tonight. Sorry, but you are working late.’ Pretty sure he didn’t like me much after that! But he did go get it and fit it that night.

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‘Standing’ with his little sister on Christmas day.

For the uninitiated, dealing with equipment vendors is a very large pain in the rear. They are overbooked, probably underpaid, they always seem to put off delivering much-needed equipment, & usually forget things or tools to properly adjust the gear. They insist that they are the only ones capable of properly adjusting the devices, so you always have to wait for an appointment to get things fixed. Joey & I quickly learned how to adjust the pieces ourselves, so we didn’t have to wait on them, but they usually didn’t like us very much for it. However, we had a young child, who was obviously going to need DME for his lifetime, and they didn’t want to lose us as clients, because we could make them a lot of money over the years. I also learned, from the fiasco with the bath chair, that they get better commissions on certain devices and brands, & will push those items whether they are a good choice for your child or not. Advocacy and learning to speak up loudly for your child, is the only way to make this process a success.

The Go Blue walker was a great piece for Cayden. He enjoyed being in it, but it was really hard work. We would bribe him with pudding, oreos, tickles, toys. Each step he’d get a small bite of chocolate pudding, or oreos. We would promise the best movie if he’d make it around the kitchen. Hard hard work. He needed help in lifting and moving his legs forward, but if positioned properly, he would push with the best of efforts. Tiny steps, tiny progress.

Healing

One day Peter and John were going up to the temple at the time of prayer—at three in the afternoon. Now a man who was lame from birth was being carried to the temple gate called Beautiful, where he was put every day to beg from those going into the temple courts. When he saw Peter and John about to enter, he asked them for money. Peter looked straight at him, as did John. Then Peter said, “Look at us!” So the man gave them his attention, expecting to get something from them.

Then Peter said, “Silver or gold I do not have, but what I do have I give you. In the name of Jesus Christ of Nazareth, walk.” Taking him by the right hand, he helped him up, and instantly the man’s feet and ankles became strong. He jumped to his feet and began to walk. Then he went with them into the temple courts, walking and jumping, and praising God. When all the people saw him walking and praising God, they recognized him as the same man who used to sit begging at the temple gate called Beautiful, and they were filled with wonder and amazement at what had happened to him. (Acts 3:1-10)

Now is the time when I say just how great his progress was & “Praise God! Cayden jumped to his feet and began to walk!” Right? That is the history of Cayden’s vision and hearing and talking miracles. It was not the case with walking. He never had the opportunity to walk here on this earthly ground unsupported, unattached.

The truth of the matter is that I don’t think that he would have been able to walk unsupported, ever. His tone was just too floppy, his legs too weak. I think he was progressing toward getting somewhat mobile, but truthfully I think as he made strides in the power chair, he would have just wanted to spend the time working on the speed of the chair, rather than the more turtle-like pace of the walker. And who could blame him?

But here is the great miracle. The last night Cayden spent on earth, his grandparents were babysitting. The bedtime story they read to the kids was from Cayden’s Read with Me Bible & THIS was the story.

A Man Who Could Not Walk (Mark 2; Luke 5)

One day Jesus was teaching. Some men came carrying a man who could not walk. But they could not get him close to Jesus because of the crowd. They made a hole in the roof above Jesus. Then they lowered the man through it on a mat. They lowered him into the middle of the crowd, right in front of Jesus.

When Jesus saw they had faith, he said to the man who could not walk, “Get up. Take your mat and go home.” Right away, the man stood up. He took his mat and went home praising God. All the people were amazed. They praised God and said, “We have never seen anything like this!” 

My parents said that Cayden was so thrilled by this story. He was giggling and cooing and jabbering after it. In my heart, I firmly believe that Cayden understood this story, and understood that healing was possible through faith. I think his prayer that night was to be healed, to be made whole, so when Jesus called his name that night, Cayden KNEW in his heart that if he went, he would be able to stand up, go to his heavenly home and praise God.

Our son is healed. He is whole. He is dancing in fields of grace. As 2 year old Skylar said, He sits in the lap of Jesus, singing ‘Jesus Loves Me.’ Cayden is now made perfect in Christ, hearing, seeing, singing, dancing, running. His chains are gone. He’s been set free.

Shira

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The healed paraplegic from the Children’s Bible, praising God!

 

 

Clean living and potty talk! 28 Days of Cayden, Day 21

Cayden needed full support to sit. & that meant everywhere. Can you think of places I haven’t mentioned yet that sitting might be a challenge?

For those not in the realm of Special needs kids, there are special things for EVERYTHING! the ones you don’t even think about are often the hardest. Bathtime, toilet time, bedtime.

duck tubYes, we had a special devices for bathing. I had a super find of a blow-up baby bath tub that fit right into the big tub. It was soft, had a high back & actually worked very well for our floppy kid. Until his legs got too long.

Once he outgrew that, it became something else to research and learn, and unfortunately I picked (or was steered) wrong on this one. We got the Manatee bath chair, which was a fully adjustable fully supportive bathing seat. It had straps, lateral supports, a tilt-able back & leg supports, and  adjustable height legs.

The main problems with this chair was that you had to fill the tub super high in order to cover his body when he was in the chair. And you still had to kneel or get down to bathe him. And it took almost the whole length of the tub. This wasn’t a big problem, but he was 3 and his sister was 1 and we usually tried to bathe them together so they could play. She didn’t have a lot of room.

Manatee

C in his bath chair. He really enjoyed playing in the water or swimming.

This chair also had other major issues… when it got wet it was very difficult to adjust. Yes, you read that correctly. A bath chair, didn’t work properly when wet. I actually had to bring this chair to the distributor to have them try to adjust it for us, and they had a hard time, acknowledging that it was a poor design. But did that matter? NO! because just like a wheelchair, the timeline you have to get a new piece of DME of the same category is 3-5 years. So we were stuck with a poorly designed, hardly adjustable, but supposed to be adjustable bath chair for 3 years. And the material it was made of, had a tendency to get smelly if left to dry. HMMM… it gets wet almost daily. It smelled a lot. I washed the fabric, but it was so hard to put on and off, it didn’t happen very often. Just a rookie mistake on this one folks! If you are in the market for a bath chair, I truly don’t recommend the Manatee!

DSCF0855There are other better chairs out there, and we were looking. Some suggestions:  Go for low profile if you want your child to stay warm. Plastic ‘fabric’ that will not hold moisture or smells. Easy to adjust, even when wet. No leg supports if you want another child in the tub at the same time. Shower chairs are smaller, but they don’t allow the child to stay warm, and Cayden really didn’t like the shower sensation on his body, so it was out for us. The kids are higher, so easier to wash, but seems a little unsafe in the end. Personal preference, of course, but just don’t let yourself be taken by that lovely blue (expensive) fabric chair!

high back toilet seat

I don’t have a picture of C in the potty chair (some things I guess you just don’t take photos of!) but this is the one we had.

We also had a specialized toilet chair. This one took me months of looking, and months of proving that indeed, Cayden was capable of learning to toilet on his own, in order to get it approved through funding and insurance. We discovered a Rifton potty chair. I liked this device. It had a variety of options for use including: clip onto the toilet, on it’s own with a catch bucket, as a full unit rolled over the toilet, or just as a step. We had the fully loaded model, of course, tilting high back, straps, seat belt, laterals, armrests, foot rest, tray. Yes, they even make an activity tray for the toilet seat. & we had it because of C’s need to push with his arms gave him stability in sitting (& doing those toilet duties).

over toilet seat

The seat could also sit over the toilet to use, and the small part of the chair with back could just clip on by itself with out the stand.

Cayden was actually making progress in this area. It was a challenge, yes, because of his constipation and digestive issues. Often he had a hard time getting the job done. But he was starting to indicate when he was ready to try & was making good steps towards being trained. That was a big deal! He hated being diapered & really wanted to be independent in that area. The work on transferring was paying off, and we were beginning to see positive outcomes!

The thing most people don’t think about is this: these were excellent devices for using at home. But what happens when you travel? or go to the hospital? How do you give your child a bath, or help them use the toilet? Do you take all this stuff with you? As much as things are foldable or portable, there is still too much to take on a trip. Along with the necessities like the wheelchair, the bed positioning pillow, the nebulizer, diapers, wipes, meds, etc. Packing was a pain!  So you just usually tried not to go places because inevitably you would forget something important, the kid would get sick, and end up needing to go to a doctor. Sigh. Just not worth the effort.

We didn’t often get away for fun with Cayden, we did enough driving to doctors, therapists & hospitals that fun was a weekend staying home. I drove all the time and packed for the day usually, for at least Cayden, and then Skylar too. We would sometimes stay with friends on our trips to Raleigh, which called for an overnight, but a pack & play and a stroller worked okay back then. The older Cayden got and the more gear he had, the less we seemed to get out.

But really, staying home, then and now, is a blessing. We spend so much time, running from thing to thing that it is difficult to just be calm and sit. Our society is so go-go-go that a day of rest is really hard to come by. Jesus gives us the answer in Matthew 11:28-30, as he is talking to the public.

“Are you tired? Worn out? Burned out on religion? Come to me. Get away with me and you’ll recover your life. I’ll show you how to take a real rest. Walk with me and work with me—watch how I do it. Learn the unforced rhythms of grace. I won’t lay anything heavy or ill-fitting on you. Keep company with me and you’ll learn to live freely and lightly.”

We can learn much from his words, as we realize that true rest only comes when we walk with Christ, rest in Him, and live in His company daily. He teaches us what is important and what should be released. What we need to stress about, and what we need to let Him conquer. So much of Cayden’s life was out of our control, so we learned that we needed to rest in Him, for Cayden, and trust that His plan was great, and it would be for good. We learned that little things are what matter, the cuddling, the reading, the playing together. And we learned to lay our cares on Him. I hope you too can find the real rest that Jesus brings, because we know that while the kids are young, sleep is hard to come by.

Shira

 

More about sleep (or our lack thereof) tomorrow.

 

 

Riding on the wings of the wind… 28 Days of Cayden, Day 20

C @ party

A good picture of Cayden in the red chair.

Cayden’s first wheelchair didn’t last very long. After we had been using it for a short time, I realized just what a blessing it was, and saw the true need for a well-fitting wheelchair. This bargain one was fine for the time being, but it was not ideal in several ways. After some time we did get approved for one specially fitted for him. It was very similar to the one we got on e-bay, but with a few small differences. We saw the need for full armrests, rather than the round swing away ones on the red chair. We also needed a tray for activities and eating. Better positioned brakes, to lock the chair down more easily (the red chair had individual brakes on each wheel, the new chair had one bar brake in the center of the back which would lock both wheels with a step of the foot.) It also had a quick release seat belt & chest strap, gently curved lateral supports & swing away foot rests.

C July 4

The new blue chair fit him better & was better suited to our needs.

I added on a single bar push feature, since I needed to be able to maneuver him with one hand, while pushing a stroller or holding Skylar’s hand with the other. We also ordered a folding canopy to keep him out of the sun. The new chair was equipped for the ezlock system for future use on the school bus or an adapted van. This would allow him to ride well supported in his locked down wheelchair, rather than needing to transfer him from chair to carseat, put the wheelchair in the back of the van, and repeat, several times a day.

The other features of the new blue wheelchair were a good tilt-in-space, lateral supports, nice curved head support (after the ordeal with the activity chair headrest, this was one feature I was quite particular about). Cayden picked a lovely royal blue color for the frame, and it had his name embroidered on the seat. It also had pneumatic back wheels for a more comfortable ride & anti-tilt safety features. This Quickie Zippie should have lasted for at least 3-5 years.

We did really like the new wheelchair & so did Cayden. He enjoyed sitting in it and never really complained about it. We used it for most things, eating, school, playing, shopping. It was so natural for me to rock & push him around; he went everywhere with me. When he passed, it really was a longing in my body, to have that chair to push. I actually kept his chair around the house for quite a while after he died, because I needed to see it, to push it, to rock it, to feel Cayden’s memory close to me & to gradually ease out of the habit of always having him at my side.

After we got his custom chair, we really enjoyed it. It was definitely well suited for him. But still, Cayden’s quick progress made it clear that he might be able to learn to use a power wheelchair. Once again, it was a case of us saying “Yes, he can!” while the therapists & teachers said “No, he can’t.”

In order for a child or adult to qualify for funding for a power wheelchair they have a list of qualifying factors that must be passed. These include the ability to stop and start on command. The ability to steer accurately. The ability to see where they are going, completing an obstacle course of sorts. The motor skills to steer the chair using some form of steering device: joystick, head tilt switch, 2-3 switches (for stop/start/turn). Cayden had several of these mastered but he still had to work on a few more. We practiced stop & start, green light/red light. We practiced with switches, driving his remote control cars with his SuperTalker. We tried head-tilt switches (a complete failure, this made no sense to him because of his poor head control, he would hit it randomly & we could not be sure he meant to do it.)

The problem was that I saw his desire to be more free. To have more independence as any typically developing 3 year old would want. And he was always at my side. He couldn’t run to the other room to grab a book. I had to see his need, interpret his desire & get it for him, then sit with him and read it to him, turning the pages with him. If I was busy cooking or cleaning or doing something else, he had to wait. I could see this was beginning to frustrate him.

I also could see from his cognitive progress that the ability to drive the power chair was there. But it would take a while for him to learn it, because of his poor brain-motor pathways. But until he learned it, he would not be able to even demo a power chair. Quite the Catch 22, isn’t it? I didn’t like this idea, because I felt that given the proper time and space to practice, he would be able to learn to manipulate the controls to be independent, that his desire would push through the difficulty and make it work.

DSCF1376So what did we do? Can you guess by now? …. Yup, I spent some time on e-bay. ; )  I think I actually found the power chair for C on the special needs exchange website. (not sure it exists anymore, but it was a great group to buy/sell/trade equipment that kids have outgrown). We found a used power chair a few states away at a cost that we felt was more than fair, & decided to go for it. Joey took a road trip one weekend & brought it home.

This chair was not as perfect a fit as the red chair, we knew that. But we are both crafty people & we worked on it, adapted it some and made it work, more-or-less for the time being. It was a trial, to see if we could make it work, and to see if our guess was correct that Cayden had the desire and ability to drive it safely. (We always felt our purchases were well worth it, knowing we could sell them again someday, if they didn’t work).

Power-wheels!

C trying out his new power chair. It was late when Daddy arrived home with it, but he had to try it out!

 

If you think the smiles on Cayden’s face from the first wheelchair were big, take a look at these! This was his first taste of freedom, of feeling the wind in his hair, of moving on his own desire and control. We threw a chest strap on the chair, strapped him in & let him ride. He LOVED it!

This was a great night. He was driving like a little whirling dervish, all over the place, no real direction, just enjoying making it GO! (remember that was one of his favorite words!) & trying to teach this boy to STOP!>>> well, that was not really happening. He had had enough of sitting still, waiting on someone else to move him. He wanted to GO!

This chair was a little big for him, and much too heavy to lift in and out of the van, so it was a stay-at-home, learn-to-drive-it-outside chair for a while. We needed to work on direction, aim and control before it came in the house, or before he was allowed out in public with it. I was afraid he would take off someone’s toe! This chair was HEAVY!

I also needed a way to make the steering work with his arms. He couldn’t really grasp this ball-shaped joystick, so I experimented with a variety of different options. Tennis ball, straight stick. Left Hand, Right hand. Finally I made a T-bar out of pvc pipe that worked really well for him. This was the way he was going to drive.

We got this chair for him in August 2007. Like I said earlier, we got his ECO in October 2007. So I put the power chair learning on the back burner for a bit, while we worked to get him communicating. Plus, it was getting cold, so the driveway was not a great place to practice, with his tendency to get sick. I was trying to find a place to leave the chair (like a school or church) where we could go and practice in the warmth, but hadn’t solved that problem before he died. We did do more work on it in the following months, but I am not able to find any more still pictures of his progress. (I was too busy helping him stay on the driveway!) I do have a great video of him driving the chair in January, that shows his progress & how close he was to being able to go for his evaluation.

I was actually contemplating bringing the chair inside very soon, when Cayden died. I felt he was almost ready to start learning the more subtle steering it would take in the house. The new T-bar steering method really  helped him control the chair in smaller movements (rather than a hurkey-jerkey: go fast & stop, go FAST & stop, he had with the ball).

These memories are so bittersweet to me. I see and remember just how far he had come, and how much progress he was making those last few month. He was progressing so well in so many areas & our hopes & spirits were so high. That made his sudden death all the more tragic to me, and I spent the first few months thinking about what he would be doing now, how great he would be driving, or talking, or listening with all of his technology.

Maybe technically this lame child never did fully walk. But he certainly felt the wind in his hair, of his own accord. He saw this chair and fully understood what it meant for his future. One day I was reading my bible, trying to find some peace with missing my precious son. I read these words in Psalm 104 & felt that they were mean to tell me that Cayden (the He) was okay, & it gave me peace. I will close with this, and encourage you to picture his golden curls, shining in the heavenly sonlight, with a smile from ear to ear, as he rides on the wings of the wind.

Shira

Psalm 104: 1-4

Praise the Lord, my soul.

O Lord my God, you are very great;
    you are clothed with splendor and majesty.

He wraps himself in light as with a garment;
    he stretches out the heavens like a tent
    and lays the beams of his upper chambers on their waters.
He makes the clouds his chariot
    and rides on the wings of the wind.

He makes winds his messengers,
    flames of fire his servants.

 

When Skylar was little, she used to ask us where Cayden was. We just told her, “He is in the clouds in Heaven.” This eased her 2 year old heart. She then would tell us sometimes she saw him up in the sky. So together we would imagine him up there, sitting on the edge of the clouds, just kicking his feet like kids do, watching us & saying hello. We still send him balloons every birthday, & watch until he snags them up to heaven.

Don’t judge a kid by his wheelchair! 28 Days of Cayden, Day 19

Getting a wheelchair is somewhat of a major step to take. It is saying to the public, “Yes, my child is handicapped. Yes, my child is different.” It also feels like you might be saying, “I am giving up on the hope that my child will walk.” It is a hard hard step to take, and a hard hard choice to make.

We had hopes that Cayden would be able to walk. His leg strength seemed to be there, but his body was so floppy the hopes began to fade away the older he got. And the sitting challenges became harder the taller he grew, so it became necessary to take that final difficult step. Yes, we needed a wheelchair.

C's red chair

This was the night we got his first wheelchair. I thought we did a pretty good job sizing it from e-bay!.

Because we had originally gotten the activity chair when Cayden was 2, we were ‘supposed’ to wait until he was around 5 for the wheelchair. (Insurance usually won’t buy a second seating device within 3 years). But by age 3, we saw that it was not going to be possible to wait that long. The double stroller wasn’t working anymore because his legs were just too long. The sit & stand wasn’t a good option for him because he didn’t fit. I needed something that he was secure in and was tall enough for his long legs.

I have said before that surfing the special needs websites like vendor sites and, http://www.adaptivemall.com became a bit of a habit for me. I would just spend time looking around, familiarizing myself with the different devices and equipment, and think about ways to try to make it myself or to make it work for us. If I found things I liked, I was known to spend some quality time on ebay, looking for a used version or similar product, saving searches & trying to find a bargain.

That is where Cayden’s first wheelchair came from. I admit, this is an unconventional way to get a child’s wheelchair, but we were feeling desperate. A good deal came up, it seemed to be a good size, and it was under $100. We grabbed it up.

C new chair

Giddy guy! Squealing with delight.

The day the wheelchair came was so exciting. Cayden couldn’t wait for us to put it together & try to figure out how to make it fit him. Joey is very mechanically inclined so we didn’t really have a problem setting it up. And thankfully, it fit Cayden perfectly. You can see from the pictures, he was so excited! He was just laughing and giggling. All over a used wheelchair.

His giddy response made us realize that the issue we had as adults with the wheelchair and what it symbolized to the world was not an issue for Cayden. He didn’t care what it meant or what it said to the world. He felt secure. He felt safe. He was comfortable and sitting properly for the first time in a long while.

new wheels!

People often make quick judgements based on appearance, or what things seem to be. Not just adults, but kids easily do it as well. We could see how people looked at Cayden and would feel pity, or sorrow or maybe disgust, but what Cayden always gave back was joy, peace and love. He was an open book, a mostly happy, smart, interactive kid, who was a joy to be around.

Lake N

A simple clip on umbrella made a great sunshade for photophobic Cayden, during a day at the lake.

I never minded when strangers or friends would ask me “What’s wrong with him?” or “Why is he in a wheelchair?” at least they were brave enough to ask and learn a little about him. What drove me nuts was when people would just look & stare and wonder, but not ask, and not say hi to him. Just obviously look & talk about him, three tables over. I urge you to remember (and to teach your children) that many kids in wheelchairs can think and talk just like you and I. They can say hi and respond back in their way, and to greet them with a smile and a “How are you?” will make their day (rather than stare, a point and a whisper). They thrive on interaction and want to be acknowledged as much as you would.

Matthew 7: 1-2 (NIV)

Jesus says

“Do not judge, or you too will be judged. For in the same way you judge others, you will be judged, and with the measure you use, it will be measured to you.”

Don’t judge a book by it’s cover is the common phrase we use today.

Judging others without knowledge can cause undeniable pain. It brings misunderstanding, pain and possibly ruined relationships. Jesus warned us to not judge, or jump to conclusions, because it will most likely come back to haunt us later. It’s so hard to make the choice to put your child in a wheelchair, not only because it can feel like there is a lack of hope, but because you don’t want your child to face the inevitable judgement our society so freely hands out.

Family HikingI still feel judged sometimes. I feel like people look at our ‘perfect’ one boy, one girl family and think “Oh, how nice. 2 cute kids, a mini van, and a yellow lab. What a perfect family.” But what they don’t see from the outside is the hole in my heart from missing and grieving my first born child. They don’t see how some days I think what our family would be like if Cayden had been typical. We’d be doing soccer and scouts with him, he’d be going into 6th grade, and I’d have my 3 stairstep blond kids all around me. Or even better, if he were just him, broken and beautiful and driving all over in his fabulous power chair, talking like crazy to his siblings on his ECO-13.

Instead, I have a partially broken heart, a few hundred pictures, and slowly fading memories of a boy born with a malformed brain, a fighting spirit, and a disabled body that needed a whole lot of equipment just to be safe.

Everyone has a hidden burden. Don’t judge. Some burdens are more obvious than others. But the burden of missing a handicapped child is far worse than the blessing it is to love and to raise them.

Shira

 

Stand up! Stand up! 28 Days of Cayden, Day 17

I hope you enjoyed reading about how Cayden communicated with the world. My hear no evil, speak no evil, see no evil boy could hear and see and speak! Amazing isn’t it?!

This week I will share more about how my lame son learned to move, it was not quite a walk… but you will see!

Due to the holoprosencephaly, Cayden was considered to also have cerebral palsy. Cerebral Palsy is just a fancy word for brain damage that affects the motor skills part of the brain. We didn’t often call it that, but usually I explained HPE by saying, the effects on the child are similar to Cerebral Palsy. However, for most children, CP it is due to brain damage either before or at birth. Cayden’s was due to his brain being malformed in the womb, not damaged.

So Cayden couldn’t walk or talk. He couldn’t sit in a chair or on the couch. He couldn’t hold up his head until he was about 3. He had extremely low tone, meaning his muscles were just floppy floppy floppy– like a rag doll. It took a lot of mental processing and a lot of physical exertion just for him to lift his arm, to hold his head, and often just to breathe.

The CP diagnosis was helpful in getting equipment (durable medical equipment (or DME)) that was necessary to help us position him properly. VERY few people we dealt with: from doctors, nurses, equipment vendors, insurance processors, therapists, or teachers knew what HPE was or what it meant for his quality of life. But they knew what CP was and how much equipment was necessary for children with that diagnosis. So having that CP on his file really did help with processing the claims and with getting the equipment we needed.

Children’s medical equipment is ridiculously expensive. It’s complicated because it is designed to grow with the child, to keep them safe and position them properly. I don’t think comfort is usually a big thought in the designer’s head, at least not a priority. Some of these items look like medieval torture devices & Cayden thought they were too!

C baby stander

C’s first baby stander. He did not enjoy the experience at all. Can you tell?

The worst of the bunch was definitely the stander. Kids need to stand and bear weight in their early toddler years in order for the hip sockets and leg bones to form and harden properly. If they do not stand in that age 1-3 year age range, this can cause malformations in the hip joints & later create a need for surgery, as the hips/legs often come out of joint. So standing is a major important necessity. However, this simple explanation was not really given to me, I was just told he needed to stand for digestion, blood flow and strength. Later I learned the main reason was the hip development & I wish I had known! (So I am telling you now… SN moms… get those kids standing!)

C baby stander back

NASCAR on TV didn’t even get him to lift his head!

The stander. UGH. It was a pain. C didn’t like it. It was uncomfortable. It was awkward to put him into. It was hard to strap him in. And then we needed to entertain him while he was in it. He was supposed to stand at least an hour or more a day. That really was a challenge, with all our running around, and his fighting the process. We did our best & it became a habit, but it is not as easy as it may sound.

This baby stander was a loaner from the therapist’s office. He was not a fan. We would put him in it in front of the TV & hope he would lift his head and watch. Sometimes he would, but it was usually an hour’s worth of whining. Who would want to be strapped into this for an hour? Not being able to move, working muscles that don’t like to work? Its worse than a stair climber for you or me!  I didn’t like the style or method of getting him into this stander… imagine trying to make a Raggedy Andy doll stand up while velcro-ing straps around it’s body. And that Raggedy Andy was Cayden & his floppy little head! Not a fun time & usually it took two of us to get him in and out safely.

C in rocket with Bethany

The rocket stander was easy to use and much more comfortable for Cayden. The tilt feature allowed us to slowly increase his weight bearing as his head and torso strength improved. You can see here he is somewhat tilted back so it is not so hard for him.

When it was time to purchase his own, I advocated for a different model & we were approved for the Toddler Rocket stander. It had a tilt feature, so we could lay Cayden down in it & then strap him in. The padding was much nicer & it had an activity tray. This was excellent, and allowed him to play with his cars or toys, color, do school work, or have his talker on the tray. I really liked this stander and thought it suited our needs quite well. He didn’t mind being in it & his hours in it were much easier to accomplish.

C stander with no tray

The tray allowed C to use his arms and hands to help keep his head up. Without the tray in place, and at a complete vertical, this is what he did. No tone whatsoever in his neck. Without a strap on his chest, he would collapse into a puddle.

C drawing

One of my favorite pictures of Cayden, my artist!

 

 

Cayden loved to color, particularly Elmo and Sesame Street pictures. He was quite a perfectionist on the pictures and always had to have just the right color for each character or item. He wanted to keep the coloring inside the line, and if he would make a mistake and scribble outside, he would throw down the marker in disgust, push the paper away and not finish the drawing. You can see here how the fused arm bones made writing and drawing difficult for him. We would hold the tip of the marker down onto the paper for him, & he would push it around to color where he wanted.

Jingle bellsThis stander really became a part of our everyday lives, so we have quite a few pictures of him in it. Here he was at Christmas, I think we were working on singing Jingle Bells & trying to get him to shake the bells to the tune.

rifton_supine_stander_main-wm

The torture device!

When we moved & changed school districts, they ordered him a new stander to use for school. But they didn’t dicuss it with me first, so the one they picked was not a good choice for Cayden. This one was the torture device.

Since we ended up having him on homebound school, they brought it to our house. I think he survived 2 sessions in it before I sent it back, saying it was not going to work for us.  This is similar to what they brought us. Yes, it tilted, & yes it would grow with him, but how comfortable would anyone be strapped to a plank of wood? Didn’t work, not for this kid!

Cayden was an interactive, smart social child and I wanted a way for him to fit into the world of his peers, not to make him feel or be less social. It was hard enough to be a kid who couldn’t talk but could completely understand, not even counting the not walking and playing like a normal kid. So I tried to find ways to make his life as ‘normal’ as possible, as much as I could given the circumstances. With all my attempts at trying to make him somewhat fit in, I am humbly reminded in Psalm 1: (NIV)

Blessed is the one
    who does not walk in step with the wicked
or stand in the way that sinners take
    or sit in the company of mockers,
but whose delight is in the law of the Lord,
    and who meditates on his law day and night.
That person is like a tree planted by streams of water,
    which yields its fruit in season
and whose leaf does not wither—
    whatever they do prospers.

Cayden was set apart. He was unique. He was most likely going to NOT stand in the way that sinners take. But he was going to stay close to us, and close to God. He wanted to be like the other kids, to run & play. I hated to have him sit in his wheelchair at a birthday party & not be able to interact with the other little boys like he wanted to. But he prospered, nonetheless.

mobile stander

The Rifton Mobile Stander was on my short list for a new stander.

As  Cayden grew, I was starting to look at other standers, because his Rocket was getting too small. I spent endless hours poring over websites and catalogs, trying to find equipment that would make Cayden’s life better and more productive & make our lives as caregivers more simple. I was looking at either a mobile stander (with large wheels) so he could potentially roll himself around, or a sit-to stand model, where he could sit down in it, be strapped in, then crank it up to stand. I liked either of these options and we were in the process of determining which was going to be a better fit when he passed away.

EZ Stand

The EZ-Stand could allow the child to be placed in the chair sitting, get strapped in, then rise to standing either with a manual or electronic crank. Then he could go back to sitting to get out.

Cayden was different, we knew that. He was wonderfully made & perfect. But to make him just do the simple things that most of us take for granted was very, very complicated. The complexities of navigating the DME world taught me many things, particularly, patience, perseverance, & HoPE!

Patience because things always took longer than we wanted, and there were always delays. Perseverance because the approval process was always complicated, with more red tape, more people to sign off on things & more battles to fight in proving the ‘medical necessity’ of every item we needed. And then there was always HoPE, that these items would help us help Cayden, and make his life just a little better, day by day.

Shira

Tomorrow, more equipment stories to share!

A SuperTalker for A SuperListener… 28 Days of Cayden, Day 15

 

Cayden switches on chair

You can see here we have 2 micro switches on each arm of his wheelchair. We used velcro cable ties to attach them, and later the terry hairbands worked even better on the arms. You can see all the wires feeding from the switches up his chair into the backpack to attach to his SuperTalker. That was cranked up very loud so he could clearly hear it, but he had to know which page was in the talker so he could communicate correctly. Lots to process and remember.

As I shared in yesterday’s post, (Day 14) Cayden quickly progressed through the switches, and it became obvious to me that we needed a better system. The constant switching of the papers in the SuperTalker was tiresome & really didn’t happen when it needed to. Instead we ended up using the pages on their own as an eye-gaze choice selector system.

We used these frequently for choosing toys, clothing or food. I would have a page with 4 options on it with icons for different toys (or shirts or lunch foods). I would hold it up to him & he would look at the page, then select one with his eyes & smile. I learned to easily see which one he was choosing by where he was looking. If none of the choices were acceptable to Sir Cayden, then he would look away without smiling & a “Seriously, these are my only choices?” look on his face.

SuperTalker-2009

This is the Super Talker, we usually used the 4 choice page for hands-on, and 8 icon page for eye gaze.

 

We learned that this system worked for any number of things & instead of using pre-printed pages, I moved on to small individually laminated icon cards (about 2”x2”). These were stored in a binder in business card holder sheets. This way, I could position them on his tray in any combination, & separate them enough to see his eye gaze selection easily. It worked wonders.

 

We used this method with his hearing impaired specialists to start to test his comprehension and vocabulary. He went from being able to select from 3 items, with one descriptor, to five items with 3 descriptors in just a few months, once we learned his selection method.

Imagine a table with 3 differently colored balls. We would say, “Cayden, show me the blue ball.” He would look at each of the balls in turn, and then… wait for it… wait… look and hold his gaze on the one he was choosing, usually with a smile, meaning “Yes, that’s it.” Then we would do it again, this time saying, “Show me the red ball,” or “Show me the big ball.” (in auditory training they suggest you not use the W question words, because children can become confused by the question words, and forget the real question. So you would always phrase the question in a command. (Show, point, pick, choose, grab, move).

As he progressed we would then have 5 balls, of different sizes, textures & colors. So we would say “Show me the big blue ball.” or “Show me the small, bumpy red ball.” You could say Touch the green ball,” or “Grab the fuzzy ball,” but these involved motor skills that were too complicated for C to do when working on this task. He COULD do it, but then the wait time for him to find the fright one, then force his brain to make his arm move to grab the ball, WOW! Waiting for the answer was so long he would sometimes forget the question & so would we!

I won’t forget the day when he did 3 descriptors with 5 objects. It was a collection of yellow vehicles. (all yellow). Dump trucks, crane, car, truck, bus. Some had things on them. So we would say, “Show me the dump truck with the blue duck. “ Usually you do this trying to trick the child, so we had a dump truck with a yellow duck as well. And a pick up truck with a blue duck. He selected easily. Then we upped the ante. After re-arranging the cars & animals we said, “Push the dump truck with the big yellow duck.” & he did. “Pull the dump truck with the small green duck” & he did. “Dump the duck in the little yellow truck,” & he did. He had mastered this skill. We couldn’t trick him! AND he was so motivated that he even moved his hands to make selections. Oh what a day!

Cayden understood this skill & it showed that he had really mastered hearing the differences between duck and truck, push and pull and dump. He could do it with objects & he could do it with pictures as well. This was a BIG accomplishment for Cayden, as a hearing impaired child,  as a visual impaired child, and as a child with holoprosencephaly.

I have two funny stories to share. It was summer so we had a summer school hearing impaired teacher coming to work with Cayden who was not his usual teacher. She didn’t know him very well, but was working hard to keep him moving forward on his skills. We began working on the selection game. We were working on position words (under/over/on/in/between, etc). The teacher had brought a set of small plastic dolls & furniture to work with, which seemed fine and useful for the task. But Cayden did NOT want to participate. We tried him in a different room. We tried him in a different chair. No go. Wasn’t going to play. Finally, I said, “I think he doesn’t want to work with these because they are DOLLS & he is a BOY and he wants to play with cars or balls or dinosaurs.” As soon as we got his ball bin out, he did his assignment without a mistake. What a stubborn & smart BOY!

books

The other major memory I have of him ‘showing his smarts,’ was when we were reading a new book called “Red Light, Green Light,” by Marjorie Wise Brown. It is a lovely book about animals, people & vehicles & where these things ‘live’ at night. The car goes in the garage. The cat sleeps in the tree. The mouse sleeps in the hole. There were at least 12 items that we read about, first they come out of their home, drive around, hit the red light ‘Stop!’ & the green light ‘Go!” & go home at night. So after one reading, I showed him some matching cards I had made. He had to pick the pairs for the things, matching the item to the home. After one reading, he correctly placed all the items in their home. This was huge to me & really gave me hope on his long-term progress. He got it. He was definitely NOT a vegetable, & by this point I really believed he was not even somewhat learning impaired.

He was hitting his achievement goals, passing all expectations. We started to tease about needing to start saving for college for him, he was so smart. I really had high hopes for his future!

C big brother!Don’t give up on your kids. If my deaf, blind, mute, lame, brain challenged son could do this… yours can too. All kids have potential, you just have to keep searching to find their gifts, find their communication method, find their passion. Even the most challenged kids have a reason for living & a passion that ignites their curiosity. Cayden’s was cars, dinosaurs & trains, NOT dolls & furniture. It wasn’t that he couldn’t do the task, he just flat out didn’t want to with those particular items. Find their interests. Even if it means reading books about legos every night for a year, read them. Buy the legos. Buy the toys. Watch the movies. Find ways to learn that ties into that interest. Find the entry way into their brain by finding the entry to their heart and interests.

No matter how hard we worked or all the progress Cayden made, college was not meant to be. Turning 5 was not even meant to be. We humans keep brainstorming options and plans, but God’s purpose prevails. (Proverbs 19: 21 MSG) I had Cayden figured out. I had options & big plans, but they were not part of God’s plan for Cayden’s life, or for mine. I was meant to be a mom without this child, and he was meant to spend a little while waiting for us in Heaven.

I can’t wait until I get to see him & his great smile again!

Shira

 

 

 

Cause & effect… 28 Days of Cayden, Day 14

So… were YOU able to care for Cayden? I hope so!

Today I will tell you more about his early communication methods besides the obvious vocalizations and whining, so maybe you will feel more prepared to watch him for us!

We went through a series of more and more complex switches with Cayden, trying to see if he would be able to learn cause & effect. The first ones were basic baby toys that play music or light up when a button is pushed. This is a very simple learning step for most children, but for kids with processing and motor challenges this step can take quite some time to learn. Simple switch toys are all over the baby department, we particularly liked the v-tech ones (they had the best lights & sound combos).

C & big bird

Cayden loving his vibrating Big Bird & large panel switch.

Once he realized that his actions could affect his world in a pleasurable way, we were starting to communicate! His first real assistive tech ‘switch’ was a vibrating Big Bird. He learned to push a button & the toy would vibrate. This of course led to the Tickle Me Elmo which was a favorite of Cayden’s for years.

We also found that he worked really well with a switch called a toggle or swipe switch. It was more of a joystick style switch that he just had to push in any direction to make the object respond. As long as the switch was not at center, the toy would work. If he stopped pushing, the toy would stop. This was great for trains & other fun toys.

Police car switch toy

The toggle switch activated police car, it drove front & back & had a great loud siren (that he couldn’t hear!)

Next he progressed to a switch talker. This one was a very basic communication device that had the ability to have switched out sheets with pictures on them, from 1-8 pictures per page (sizes went down as numbers went up). Each size could have several pre-programmed pages so we could talk about a variety of things, just by turing a switch on the side. This one was a good starter communicator, but it required a lot of adult participation, changing the sheets frequently (which took a lot of time to create). We ended up using it for a while as a talker with connected switches on each arm of his wheelchair, and the talker in the backpack. One hand would say yes, the other no. OR one would say please, the other thank you.

 

Trick or Treat!

His Halloween get up. The toggle switch said “Thank you!” the little red switch (behind the horse’s ear) said “Trick or Treat!” Both were connected to the speech generating device in the backpack of his chair.

MY favorite use of this setup was for Halloween. We used one to say “Trick or Treat!” the other to say “Thank you!” Cayden really got into this! The whole time we were going from house to house he would be pushing the “Trick or treat! Trick or treat! Trick or treat!” & we still had to remind him to say “Thank you!” every time. Just like a 3 year old!

We were very blessed early on, to have the Sunday School class from our church donate some money towards Cayden’s fund. That helped us be able to purchase and try a variety of switches to see which might work the best for him long term. We found he could use anything down to a small quarter sized switch, and actually the smaller switches worked better for him, because they required less effort. Placing them on the arms of his wheelchairs really worked extremely well for him, and reused that setup for qute some time. We tried head tilt switches, (he was not a fan), squeeze switches (again, not great as he did not have good hand grasp), large panel switches, ok, but required a great deal of concentration to reach & raise his arm to press the switch. His favorites were the toggle and the micros.

We were also able to borrow a lot of switches through our local assistive technology warehouse and lending library, which helped determine which toys might be worth the money. Switch toys are crazy expensive, and like any toys, kids get bored with them. Some of his longest lasting toys were a light up airplane with spinning fan propeller we got at CVS & used a switch adaptor with; an adapted Chicken Dance Elmo & a vibrating Big Bird. Other were not so popular, like the jumping frog or walking pig. He did eventually learn to use a 2 switch remote controlled car, (using his talker) which really was his favorite.

Roller switch talker

The roller switch talker. This one played a section of a recorded song or book each time he rolled the switch. So to hear the whole recording he had to keep rolling the switch.

Simple switches are everywhere you look too, once you know what to look for. You don’t have to pay the big bucks to get your kids to learn this concept.  Have your child see that pushing the elevator button makes the door open & bing. Pushing the accessible door buttons makes the doors swing wide. Pushing the garage door opener or the doorbell, the tv remote, the light switch. The blender buttons, the ice maker, the fan switch all are good ways to learn cause & effect. Yes, we had special (expensive) switches to access many of these things, but really it wasn’t necessary.

Why spend the money and take the time to train your non-verbal child to use switches? Well these simple steps were the first steps towards independence for Cayden. They helped him learn how to ask for things, and how to respond simply. They taught him cause and effect which… fast forward to the future, helped him learn to drive a power wheelchair, and use a more complex assistive technology device. I will share more about that tomorrow, but know, the effort is worth it in the end. Watching Cayden do something as simple as Trick-or-Treating on his own, and seeing the smile it brought to his face, made the work worthwhile.

Learning cause and effect also allows your child to start learning other things, like the consequences to actions, which in turn begins to allow discipline and training as taught in the Bible. Proverbs 29:17 tells us to “Discipline your children, and they will give you peace; they will bring you the delights you desire.” It is impossible to discipline a child or train a child in proper behavior if they do not understand the simple process whereby this action causes this result. The discipline needed to train a child into a mature adult needs to begin early, and the fact that a child is disabled doesn’t mean that they don’t need discipline sometimes.

Cayden needed to learn that he didn’t always get his way, that being naughty was not acceptable, and that his parents were in charge, just like all kids. Once we learned that Cayden could think just like any other child, he was not cut slack in our house on behavior. Whining was not encouraged (unless it was a communication tool), and tantrums were unacceptable. without the basic understanding of cause and effect, this training could not work, but for us it did. I encourage you to try it with your kids too!

Shira 

Could YOU be Cayden’s caregiver?… 28 Days of Cayden, Day 13

Bethany & C

Bethany, our first CNA, spoiled Cayden, Skylar & me. She was an immense blessing to our family for a year and a half.

Wow. I am getting a bit weary of this daily posting, I have to admit. But I must persevere & keep you informed & entertained. ; )

As I have said, Cayden was blind, deaf, mute and had a variety of other physical issues and motor challenges. It was fine for me to deal with, I was used to his needs & could read him easily. However, when he was not with me I wanted to be sure that his aides understood him as well. Some of our nurses were excellent (Bethany, Kelly, Berkeley, Shanna) some mediocre (no names come to mind, because they were not noteworthy), and some were flat out AWFUL (crazy Donna for one, girl freakishly scared of dogs another). But I needed a break & they were paid to care for him, so I wanted to allow that to happen.

Kelly

Usually if you came to watch Cayden, you got Skylar too. They were a package deal! Skylar just didn’t understand that the caregivers were not there to play with her too! This is Kelly Kelly Kelly Kelly.

Cayden also attended Sunday School and church nursery, and nursery at my MRO Bible Studies (thanks Patti, Melanie, Ann, Josette & Kim). We sometimes had babysitters, and at 3 he started attending preschool. In a few minutes during drop-off, I could go over some of his issues with his aide, but not a whole lot. Luckily, the ladies at the church nursery were excellent with him & had cared for him since he was a baby, so he was pretty well spoiled there.

 

Mindi, Chelsie & Cayden

Our friend Mindi & her daughter Chelsie helped us a lot. Cayden loved Chelsie paying attention to him!

Babysitters were few and far between & usually a friend of ours who could handle the frequent vomit & other Cayden issues (love you bunches–Dana, Stacy, Mindi & Eddie, Amy, Bonnie & John, Coleen & Jimmy… thanks for helping us out). My parents lived across the country, but came frequently to help, especially during surgeries & other busy times. Thanks Mom & Dad! And Joey’s parents came to help a few times too, thanks Jack & Pris. If I have forgotten anyone, I apologize, we do appreciate all the helpers we had at home & out in the community. It took a small village to raise this little man!

C & g & g

Cayden being loved on by not one, but two grandmas at once!

 

I needed a break now and then from the constant caregiving. I needed to feed and play with my other child. I needed to rest. I needed time in Bible Study. I needed time to re-fuel & I needed to trust others to care for my son. It was hard, but it was necessary.

Luke says in Acts 20:35: In everything I’ve done, I have demonstrated to you how necessary it is to work on behalf of the weak and not exploit them. You’ll not likely go wrong here if you keep remembering that our Master said, ‘You’re far happier giving than getting.'”

For those times when we needed to share caregiving duties, I came up with this little book for Cayden that I printed out, laminated & put on a ring. It hung on his wheelchair near the handles. I encouraged people who were caring for Cayden to read it and become familiar with it, so they could learn more about his little idiosyncrasies.

So for the rest of today’s post, I am going to let Cayden do the talking, as he would have if you were his temporary caregiver. I think you will learn a lot about him and perhaps you can begin to imagine how hard it was for us to leave him with others.

As I leave him with you, I tell you this… Remember, he can hear, & he can see you. Don’t talk about him, or over him, talk to him. He might need to be changed, but he should wiggle & let you know it he does. Please don’t let him sit in his chair all morning. He loves to sit in your lap & be cuddled, especially while eating or reading a book. Don’t yell in his ear, but don’t talk too softly either, both are frustrating for him. Sign if you can, but if not, use his symbol pages to see if you can figure out what he needs. Those are in the backpack on his chair. Thanks & have fun! I’ll be back tomorrow!

Shira

(If you click on the picture, it will enlarge the cards for you!)

intro cards 1 intro cards back

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