Chapter 19: 

Somewhere Between Pre-K and High School

Making A Snowkid                                                        January 2004

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.

 

 Rose's Life Lesson's: Signed and Spoken            February, 2004

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.  Erin 's a sophomore here at the High School.  Katie's in 6th grade at Sage Park and this is Rose, my youngest daughter. She does have Down syndrome. She's four years old, almost five, and she goes to school at our town’s Early Childhood Center .  I'm going to talk about my family's life with Rose and about signing today. And Rose is going to help me. Rose, do you want to sign your name for the class?"

"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.

 

Turning Five                                                          February 26 ,2004 

 

   

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.

 

Easter Pictures                                                                      April ,2004 

 

 

Easter eggs and Easter best

 

Shad Derby Day                                                                May  2004 

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.  

 

A Good Dentist is Hard to Find                                     Spring, 2004

  Sometimes we are slow to get things right.  Rose had her first visit to the dentist, at the clinic at Children’s Hospital, when she was little over two years old and not yet walking.  The visit was an uneventful meet-and-greet with a little bit of teeth cleaning.  Cheryl and I thought that the Children’s dental clinic would work well because they would be better prepared to handle a child with special needs.  And they actually did make room for Rose in their full schedule/client list specifically because she did have a disability.  All of our assumptions were soon put to the test.

 

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 West Hartford .

 

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.  

 

The Start of Summer                                                    July 2004

Rose and Halley, her best friend, enjoying a dip in the pool on an early hot summer afternoon

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