| Chapter
19:
Somewhere Between Pre-K and High School |
Making A Snowkid January 2004 |
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Just enough snow ... Actually Rose has made snowmen or snowkids before. The big break through this winter was soloing down hill on a sled. Typical us, we're treating her like she has to be protected from everything, doubling up with Rose on the sled. When we're not looking she grabs a sled, dives on it and slides to the bottom of the hill with perfect form. Again, we hold her back but she passes us by because she cam see what all the other kids are doing and, of course, that's what she wants to do and knows she can before we do. I guess that's the benefit from inclusive sledding. Rose is limited by what we can teach her. We have to be sure to give her the opportunity to learn from the whole world.
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Rose's Life Lesson's: Signed and Spoken February, 2004 |
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My wife Cheryl and our
youngest daughter, Rose, who has Down syndrome and is almost five years
old, recently visited our local high school's child development classes.
Over the course of three weeks they met with over a hundred teenagers in
eight different classes to talk about our family, raising a child with
Down syndrome, and our experiences with sign language. The students knew
they would be meeting a mom and her “disabled” daughter but I wonder
if they weren’t quite sure what to expect. Their grandparents’
generation had sent away children with this label to live out their lives
in institutions. Their
parents’ generation had overwhelmingly chosen not to welcome a child
with an extra chromosome into their own families. The students’
generation may have considered these difficult questions of life outside
the narrow norm but they were just beginning to gain the experience
necessary to understand that who we accept into our lives is most limited
by our own prejudices and not by anyone else’s abilities. So a mom and
her daughter stood at the front of the class waiting for their
introductions and ready to share a few of their answers.
Cheryl’s appearance and mannerisms could have easily reminded any
of the students of their own mothers.
Rose had an element of unknown about her. With her neatly-trimmed,
wispy blond hair and preschool wardrobe she could have been a little
sister or a young neighborhood kid but the shape of her hazel brown eyes
and her fine, smooth facial features sent an uncertain message. "Hi, I'm
Cheryl McAuliffe. I'm a mom of three girls. "Rose!"
Rose spoke clearly and loudly, no signs from her hands. Her speech had
come on with a rush through this year in four-year-old preschool.
For many months she had been greeting folks with her voice and not with
her hands. "Can you
sign your name?" Cheryl tried again. "Rose!"
came the answer back, even more firm. The months of overlapping speech and
sign were fast coming to an end. Speech was now firmly Rose's
primary communication choice. What
was Mom thinking anyway? "OK,
thanks. Maybe we'll try later." Cheryl said. A brave but
infrequent public speaker, Cheryl had brought along a few home videos to
fill some of the class time and as an easy guarantee of plenty of Rose
signing. Cheryl started with a brief talk on her
first experiences as Rose's mom. She
touched upon some of the tough issues related to Rose having Down
syndrome, from the initial news of her diagnosis, to her difficult birth,
to our scare as Rose struggled to recover from heart surgery, to coping
with the first year of unexpected medical difficulties, g-tube feedings,
learning to eat and more. It was then as always a difficult and
significant part of our lives with Rose. She has more than her
share of scars but her body has healed and grown, as we all have.
As Rose grew the stories became much less scary and much more
everyday: learning to walk, learning to communicate, working with our
Birth-to-3 therapists, and starting school on her 3rd birthday.
At first,
Rose listened to her mom’s stories and kept close by.
But as she became more comfortable with her new surroundings, she
would move into the audience to find an empty chair and sit alongside the
other students. The students’ attention was drawn between following
Cheryl’s uncommon stories of our everyday experiences and watching
Rose's calm, attentive classroom behavior. Rose enjoyed her freedom
and continued to move through the classroom, finding another open seat
next to another new friend, settling in each time to pick up her mom’s
story. Once Rose noticed that
this classroom, just like her pre-K class, had its own bathroom, and being
an independent child with a need-to-go, she was on her way.
The door banged shut behind her and the steady noise of her
progress competed with Cheryl’s presentation. There were lids banging,
toilet paper roll being played out, flushing sounds, the whoosh of water
in the sink, and paper towels being pulled down until the door swung open
again and an independent and content Rose quietly rejoined the class. Cheryl moved on to the main topic of
their visit, our family’s experience with sign language. Speech was an
early challenge for Rose, as is not uncommon in children with Down
syndrome. Cheryl told of our first exposure to sign language when Rose was
about a year old and our Birth-to-Three therapist introduced us to signing
as a communication aid. The first few signs were simple, whole hand
gestures easy for a one-year-old to form and let Rose express some basic
needs such as more, milk, mommy, and daddy.
Her initial signing progress was noticeable but not spectacular. As
the months went by, however, her spoken words were still few but her
signing vocabulary continued to grow steadily.
Within about six months she had mastered signs for greetings,
favorite foods and family names: Mom, Dad, Erin, Katie, and Pepper, our
dog. We worked
with her, signing and parallel talking through the routines of her adding
words from our guide, ‘the big yellow book’ of Signing Exact English
(SEE). Soon our enthusiasm and Rose’s aptitude quickly outpaced our
Birth-to-3 therapist’s expectations. In a little more than a year Rose
had more than 60 signs that covered her extended family and friends’
names, and many more signs that covered her daily activities.
Most signs were learned through tens or hundreds of spoken and
signed repetitions mixed throughout our days. One obvious exception: after
seeing her two older sisters enjoying a cold sweet treat on a hot summer
evening, Rose learned ‘ice cream’ on the first take. Motivation is
key. By the time Rose was
three-years-old and ready to start school, she brought with her more than a
curiosity to learn; she brought a vocabulary of 150 learned signs and
almost another 100 being learned, and her new school was more than ready
to bridge her nonverbal gap. Rose’s new classroom teacher and speech
therapist both signed with SEE, the preferred sign system in classrooms
like Rose’s, where people are combining sign with the spoken words and
grammar of English. Over the
next year, as Rose started on her academic career, made new friends and
worked on speech, occupational and physical therapy, her signing
vocabulary peaked at over 350 signs. Then speech happened, seemingly
overnight, but really the result of her development and her team’s hard
work. The major pieces fell into place and Rose made the shift from manual
to verbal expression. After
just a few months of overlapping speech and sign she was well on her way.
We had waited so long to hear Rose speak and now we had the pleasure of
her spoken words in abundance. Her
expressive vocabulary, for years limited by the pace of the signs
introduced by her family or teachers, was now hers for the taking. She
jumped at the opportunity and more opportunities opened up for her. Speech
is a wonderful, universal means of communication.
Cheryl popped a video in to show the class
Rose at her signing peak. First
up was 3-year-old Rose sitting on our living room couch, just a little
uneasy that she was being asked to sign to a camera.
Still she ran through a short list of beginner signs: eat,
drink, bed, more, finish, all done (her made up sign), cracker, bottle,
mother, daddy, music, block, boat, ball, cat, and dog.
Then Cheryl followed with another short home movie, filmed by big sister
Erin, of Rose in a more natural setting with me, Dad, playing, talking,
and signing back and forth on a walk to our neighborhood park. Cheryl
added narrations for the class, interrupting Rose’s signs as the movie
showed her playing hide-and-seek, climbing on the playscape and exploring
the park on a cold, early spring day. The videos were just a glimpse of
Rose and her signing abilities but the message was clear to the students.
These home movies weren’t about what Rose couldn’t do; this was about
what she could do. From the
students’ perspectives, here was this active, attractive little girl
wearing a label that carried mysterious fears, and yet she had mastered a
language that went beyond their own young adult abilities. She wasn’t
disabled, she was different-abled. In some areas she was very abled. In
fact, Rose was clearly a very cool kid. After the
videos, Rose helped Cheryl distribute a handout to the class of 15 starter
signs. Cheryl ran the class
through their first signing practice, modeling the signs for them. The
students sat in groups at tables around the classroom working on their new
signing vocabulary. Rose
recognized the familiar roles of the teacher and students from her own
classroom experiences. Then as
always she was more than eager to play the teacher. Cheryl had brought
along a few of Rose’s early board books to share with the class.
Rose picked up one called “Word Signs – A First Book of Sign
Language” and stepped to the front of the nearest table.
She opened the book to the first page, holding it in the classic
teacher-to-class position so the students could see clearly and pointed to
the first sign. “OK, socks.
Like this.” Rose said and then signed ‘socks’ for the group.
“Now your turn.” The students
answered with their signs following Rose’s model. “OK.
Good.” Rose said and pointed
to the next page. “Now crayons.” She signed crayons. “Your turn.”
The students answered again with their signs. “Good.”
Rose said. She turned the page and continued to methodically and patiently
work her way through the entire book, page by page, sign by sign.
It was abundantly clear who was teaching and who was learning.
Rose has had an immeasurable positive
impact on so many lives. If
I had known four-year-old Rose when we first learned of her diagnosis
of Down syndrome, I would have been immensely relieved. But I had no first
hand experience from which to draw my own conclusions.
In my ignorance fed by outdated stories, I imagined all the worst
possibilities. My own understanding was delayed until I could witness Rose
begin to grow into her own person. Now Cheryl and Rose were able to bring
that comfort and understanding to over a hundred high school students, to
be stored away for sometime in the future when they or someone they know
and love learns they are going to have a child with Down syndrome or some
other disability. Rose amazed them like she amazes all people, just by
being herself. She has always and continues to show us that she is a
very interesting, very capable person. Unspoken were the misconceptions
and ill-informed prejudices and fears that were quietly put aside to be
replaced with a healthy, life affirming image. Their witness to her
composure, her model student behavior and teaching contributions, her
beauty and cuteness, her humor and often precocious manner left them with
a lasting positive lifetime impression. But
the students themselves can tell you their feelings much better than me.
Here are some notes from the considerable stack of thank-you letters
Cheryl and Rose received: "You really taught me a lot about sign
language and I thought it was really cool. Rose is a very smart and
adorable little girl …I never knew how simple signing could be, it
amazed me the way Rose responded and knew the different signs at such
a young age. I find it very important for children to experience new
things and Rose showed me that she does that very well. Rose, you're
a very brilliant girl. Keep up the good work." "You really taught me a lot about sign
language and I thought it was really cool. Rose is a very smart and
adorable little girl …I never knew how simple signing could be, it
amazed me the way Rose responded and knew the different signs at such
a young age. I find it very important for children to experience new
things and Rose showed me that she does that very well. Rose, you're
a very brilliant girl. Keep up the good work." "Rose, I am so proud of you! You are such
a smart girl! A couple of months ago I was thinking about learning sign
language but I held off and didn't get the books. But your visit is
pushing me to go start now so I could sign with people and adorable girls
like you." "Rose really is a miracle. She is smart
and has come a long way from not talking at all. It's sad to hear
about her surgeries because she is so sweet and adorable. She shows
her smartness and she has great character." "Thank you for coming and showing us all
the different types of sign language. Rose is very cute and very
smart.” "I think it was a great idea that your
family taught Rose sign language because even though she has Down syndrome
it puts her ahead of everyone." “Thank you for your patience and the effort
you put into talking to out class, and your daughter is really smart for
her age." "I learned a lot about Down’s syndrome
children. I didn't realize that they could live such normal lives.
Your daughter is very cute and smart.” "I just want to say that I enjoyed you
very much and I learned a lot from Rose. Hey, Rose, keep teaching because
you are doing an excellent job!" We celebrate that we live
in a time and place where public high school students can meet a little
girl like Rose. The tide is turning for the better. Still
the reality is that in today’s world children that carry a label like
hers are routinely denied the opportunities of realizing their life’s
full potential, and for that we all suffer. What is possible is that
children like Rose can and do succeed in school and in life.
What is missing is this example widely shared in most people’s
lives. Too few of us have
experienced first hand the differences that are found living outside the
narrow, accepted norm. What
can be done is limited to whatever has been done and any other possibility
is met with a fear of the unknown that can be devastating and
overwhelming. What is the
starkest measure of this? More than nine out of ten expecting parents
given a prenatal diagnosis of Down syndrome decide to not have the child.
A child’s life perceived to be too different is too painful to be
considered possible and that fear of the unknown drives a vital yet
uninformed decision. Most parents-to-be with no personal experience to
guide and assure them will choose not to have a ‘different’ child
rather than risk having a child that won’t belong in the lives they
imagine for themselves. The
need to belong is powerful and the fear brought on by ignorance is so far
from the truth. All the more reason we actively seek and embrace the
differences in all our lives and in our communities.
Differences are not a barrier.
Differences are the path to a fearless, love-filled life of
potential realized. The
student you welcome into your classroom today, the co-worker you learn
from, the neighbor you live with, the
friend you grow up, the child you love into your life tomorrow are all
part of that path. I am hoping
that the seed of new ideas and possibilities has been planted in a hundred
young minds and hearts. Their new found wisdom gives me hope that tomorrow
is going to be so much better than today.
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Turning Five February 26 ,2004 |
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Another year, another birthday, its hard to believe. Time is starting to fly by. And Rose is growing up so fast. Three big major, major accomplishments leap to mind and in no particular order; toilet training, speech and friends. What a great year. Its good to be five.. Another special, special day.
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Easter Pictures April ,2004 |
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Easter eggs and Easter best
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Shad Derby Day May 2004 |
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Out town's annual fair day and parade is always a blast. It doesn't fall anyway near the first day of spring but it feels like it. Rose always enjoys a pony ride. This time was no exception. She talked about 'Honey the pony' for weeks afterwards
Here's one of Rose's many leaps down the big inflatable slide.
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A
Good Dentist is Hard to Find
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As
Rose was traveling through her first year of being up and mobile on her
own two feet she learned to balance her own strong desire to explore the
world around her with her still improving ability to walk.
Often, while traveling along the sidewalk that connected our front
yard to Uncle Joe and Aunt Liz’s house just four doors down the street, pretty much the
initial boundaries of Rose’s neighborhood world, Rose would catch a toe
and stumble. Sometimes, more
often then not, Rose would land face first on the side walk.
Most kids would brace themselves with their hands and come up
crying with two scraped palms. Rose had devised her own strategy using her
own special skills. As she
fell, she would put her hands in front of her, but having quickly learned
the hard lesson that she wasn’t strong enough to catch herself, she had
developed a second, stronger line of defense.
As her arms buckled, she would start to arch her neck back before
her chest hit the side walk. Her momentum would rock her forward lifting
her feet high above her but Rose would stretch her neck back amazingly far
enough to avoid hitting her face. She
would pick herself up, stunned and a little shaken, but unharmed.
Following
Rose on the sidewalk, Cheryl and I had seen Rose pull this amazing
recovery a few times. We had
commented to each other about her clever adaptation, but one day it failed
her. I got home from work and
heard that Rose had stumbled and not caught herself in time and chipped
her front tooth on the side walk. After
her initial recovery, comforted by her mom, Rose settled down.
But Cheryl was concerned and took Rose into the Children’s Dental
clinic to have her chipped tooth checked out. An x-ray was promising, the
tooth was not cracked, but there was still concern that Rose’s chipped
tooth could be sensitive and causing her pain.
A quick attempt was made to seal the tooth and a follow up
appointment was made to apply a more permanent repair.
Cheryl,
Rose and I returned about a week later.
I was still in the habit of attending as many of Rose’s medical
appointments as possible. A
second set of eyes, ears and hands is often a big help, this time more
than most, but still not nearly enough to prevent mistakes.
This appointment started well enough.
The dentist was a student at the state university dental school, to
be expected with a teaching hospital.
His heavy foreign accent was a slight impediment to communication
with Rose and us but really it was his inability to have the patience to
connect with Rose, to take time to build the necessary trust.
The trust necessary to allow a stranger to place hands, and tools
in your mouth for an extended period of pushing and stretching and pulling
is significant. I’m sure
many adults find this difficult to achieve, never mind 2 ˝ year old Rose.
I know now how necessary this trust is and I know now how
skillfully this trust can be gained only because I’ve since seen this
done but that would be another visit to another dentist, not this day.
Initial
assurances that he would get as much done as quickly as possible soon
faltered. Normally agreeable,
Rose soon wanted out in a bad way; Cheryl and I were little help to her.
We knowingly followed the dentist’s lead down the path to failure
and trauma. During the
procedure, Cheryl sat back in the dentists chair with Rose stretched out
on top of her as the dentist leaned over the two of them.
He had offered the possibility of wrapping Rose tightly in a
blanket. We had declined;
taking what we thought was the more humane approach.
I stood by their sides to “help” but really to hold Rose’s
hands down as she started to fight back the intrusion.
Our desire to fix Rose’s tooth and end the possible toothache
blinded us to her very real, very immediate suffering.
Actually, her tooth wasn’t bothering her, at least not as much as
this strange guy leaning over her forcing his way into her mouth.
And what were her parents thinking?
Rose cried, she fought, she squirmed, she’d settle for a moment
to listen to our hurried excuses for an explanation and then she would
fight again. It was a small
scale disaster. We had
obviously done a poor job of preparing Rose for the procedure that was
compounded by the dentist’s approach or lack there of.
He had made nothing more than a glancing attempt at establishing a
trusting connection with Rose. He
seemed to rely only on his speed and the physical strength of his patients
parents. He had sought no help
from Rose, probably believing none was possible.
It
was on of those slow motion train wreck moments that really only takes a
few minutes but feels like it’s full of enough pain and distrust and
injury and mistakes to last months. After
several quick attempts met by Rose’s increasingly firm resistance,
Cheryl and I called a halt to the attacks.
Whatever was going on, however this was supposed to be done, it was
rapidly becoming very clear that we were all doing much more harm than
good. Cheryl and Rose climbed
out of the chair, and we left quickly, trying to comfort Rose, and certain
of only one truth, we would not be coming back. In
the days that followed, Cheryl called Dr. Mascolo (Rose’s family doctor
or pediatrician or primary care physician).
She explained what had happened and the still pressing need to have
Rose’s chipped tooth fixed. Dr.
Mascolo recommended Monica Cipes, a pediatric dentist jus a few towns over
in The
experience was the complete polar opposite from the first attempts.
Dr. Cipes and all her staff were not only technically competent
they clearly understood Rose as a young patient in need of an invasive
treatment. From the
receptionist, to the hygienist to the Dr, herself, they all understood the
need to patiently win and maintain Rose’s trust. There was no request
for parents to restrain Rose. There
was no offer to wrap Rose in a blanket. Rose was not an obstacle to be
overcome. She was not just a
chipped tooth sitting in the hostile mouth of an uncooperative 3 year old.
She was a young child that was, if given the chance, capable of
understanding and cooperating. As
Rose sat in the chair, by herself, first the hygienist and the, Dr. Cipes
each worked, in their turn, to explain to Rose and to us (her hovering
parents) what to expect and then they were careful to work within her
tolerance, staying clear of tripping any trust thresholds.
Rose never did get her chipped tooth completely repaired but it’s
been sealed several times and she’s never shown any sign of discomfort.
She has also been through a few successful non-eventful cleanings
as well. So,
honestly, looking back, what did we do right?
What did we do wrong? I’m
not sure if we were capable of doing things any differently and
catching this sooner.
We had no previously parental experience.
Erin and Katie were much older before requiring any intrusive
dental or medial work of any kind. I
had spoken to a few parents of children with DS when we were going through
the initial visits. One dad
had relayed a traumatic story of laying in the dentist chair with his arms
wrapped tightly around his daughter with an air of resignation and
inevitability. I had taken
this on face value. Would I
have done this with a young Erin or Katie?
I don’t know but it did contribute to my initial willingness to
participate in dentistry through restraints.
I don’t know. We went
into another new experience with Rose, got caught off guard, had a
decidedly, less than perfect experience, regrouped, relearned, recovered
and tried again. I think
that’s who were are, what we are capable as parents and what we’ll be
doing. This is our very human
life and I am ok with that.
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The Start of Summer July 2004 |
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Rose and Halley, her best friend, enjoying a dip in the pool on an early hot summer afternoon |