ouch!

My poor baby...



He broke his arm at school on Friday.

It was 7 years ago today...

Ricky was in the hospital for two weeks with a very nasty pneumonia. He got out last Wednesday. At one point he was on oxygen for 6 days continuously.

Today Ricky turns 7. Yes, it was 7 years ago right now that I was carted on my gurney to visit him in the NICU. Such bittersweet memories. Mostly I feel old, knowing that I have a 7 year old. :)

setbacks

9/11 3:40 p.m. Heather from day care calls to report that Ricky has hurt several teachers (including biting Sue) and is destroying the classroom. Tried to tip over the lizard tank. I ask if I can speak with Ricky and he won't speak with me. I tell Heather that I am on my way there. Karen tells me she will mark me out at 4 for 1/2 hour of SIC/FMLA.

4:05 p.m. Sue calls my cell phone to find out where I am. I tell her I am on my way, having been stuck in traffic on 87, and am almost to the Cottle Rd. exit. She says he's getting worse and probably some other things I don't remember.

4:08 p.m. or so I get to the day care. Heather waves at me from the main door over to the other door where Sue's arm is waving at me from the mostly closed door. I enter the classroom and it is completely wrecked. Styrofoam peanuts, bookshelves turned over, toys everywhere, cardboard blocks. Sue tells me he punched her in the jaw, and also tried to run away but she told him she'd call the police if he did that. At some point I tell her he is obviously in a manic cycle. I catch him and hold him. Sue tells me that he can't come back until I meet with her and Mitch. I tell her I will make other arrangements for Thursday the 12th.

4:20 p.m. or so I leave a voice mail for Mitch at CDI asking him to meet with me as soon as possible. Around this time I give Ricky a Zyprexa tablet.

4:55 I speak with Dr. Joshi at Stanford Child Psychiatry. He says I've done what I should have done. We go over Ricky's history again and he says we won't change meds at this time but that we can discuss this further when we see him on the 23rd. He says we'll be getting a new psychiatrist in the future but he will remain involved in Ricky's care.

5:10 or so Dr. Lee calls to see how Ricky is doing because of his cut on the head and ER visit the night before. I end up telling her about his behavior issues and then we get into the aspergillosis. She expresses her sympathy and says she'll be faxing a lab slip to Good Sam.

5:55 I get off the phone and call CDI and talk to Mitch. He claims he never got my message. He says "nothing has changed". I tell him that Ricky did very well for a month and this is just a temporary setback. He says it's more serious because staff and students were put at risk. He says he can't meet with me until Friday morning. I emphasize that I need day care ASAP. He says he's waiting for a fax from Sue at the day care and does not know the background yet. I press him and he says that we can meet only with Sue if she is comfortable with that.

6:00 I call the day care and have Tiffany call Sue to have her call me.

6:04 Sue calls me back and we discuss the situation. She has just gotten off the phone with Mitch. I tell her that Mitch has said that I could possibly meet just with her. She says Mitch never said anything of the sort to her and that he needs to meet with us. I tell her that I wish they would take into account all of the good behavior and not just look at the bad. She says it's more serious now because he hurt her and other staff members, and ran into the other classroom to hurt other children, unprovoked. To me it sounds like he is not going to get to go back. She promises to call Mitch and call me back whenever he calls her, whether it be tonight or tomorrow morning or whatever. I say okay and give her all of the phone numbers.

9/12 7:35 a.m. I drop Andy off at Tiny's and press Tiny to take Ricky tomorrow. I explain the busses to her and she reluctantly agrees. We briefly discuss her taking him on a more regular basis until we can work something out.

9:20 a.m. or so I leave a message for Susan Duncan at SARC.

11 a.m. or so Susan calls me back. She expresses that Ricky would qualify for SARC services if he is mildly retarded i.e. depending on his IQ scores. We talk a bit more and I tell her I'll send a copy of his IEP to her. I get her mailing address.

bipolar

Ricky has recently been tentatively diagnosed as bipolar and has been switched to Zyprexa, which is an anti-psychotic/mood stabilizing drug.

Triumphs and Challenges

Ricky had his first day of special day summer school yesterday. It went well aside from the bus abandoning him! The day care called in the morning to say that the bus hadn't shown up. I had to call the school district and get them to send "another" bus (they claimed one had already been there).

Day care was apparently a nightmare. The rest of the day care was on a field trip, and one teacher stayed behind to supervise the kids who'd been in summer school (including Ricky) and apparently Ricky didn't get something he wanted and proceeded to terrorize everyone -- the teacher and twelve other kids! Biting, raging, etc.

I called the psychiatrist in a panic and he was of little help, but we are adjusting his medication. The psychiatrist now thinks Ricky may be bipolar. He did very well on Wellbutrin (which gave him seizures) but does badly on other meds... And that's usually how bipolar kids react. So we'll figure out what happens next.

seizure

Ricky had a seizure two weeks ago, and the neurologist thinks it was due to his antidepressant medication (Wellbutrin at nearly an adult dose). So he was taken off that and put on another one.

mini-update on Ricky

We finally had the IEP meeting this month. Ricky is in special ed at last (it's what he needs) and will be going to summer school. He will get to go to first grade -- he won't be held back. That is great news. He has learned to read many words and is getting help with his math and fine motor problems.

school stuff

On Friday Rick went to Ricky's parent teacher conference because I couldn't get away from work. The teacher was very concerned about Ricky. She sees him moving backwards in many skills and possibly having a learning disability (which the school psychologist once told me is impossible before third grade -- like they suddenly develop it at that age? Give me a break!).

For instance, he can identify a letter if you show it to him. But if you show him a bunch of letters and ask him to locate a particular one, he has a problem. This is a sign of a specific learning disability, apparently.

So he's looking at definitely having summer school, and most likely repeating kindergarten as well. The summer school would be a stop gap measure to keep him forgetting everything he has learned.

I need to talk to the kindergarten teacher, obviously, but what I'm concerned about is Ricky's IEP. The last thing I had heard, he was having the testing done. I requested this IEP back in December so we are, by law, due to have the meeting regarding his future plans for special education. I had called the school psychologist numerous times and she hadn't called me back.

Friday (when all of this was happening) was an inservice day and there was no secretary in the office, so I randomly dialed an extension and got... the principal! He transferred me to the teacher, and I expressed my concerns to her. She said she'd speak with the psychologist and have her call me. I also called the district office to complain about the IEP taking so long (there's a limit by law as to how long the whole process can take, I think 50 days).

This morning, bright and early, I got a call from the school psychologist on my cell phone! And before I forget, what she said...

1. She is continuing to do testing. He will only pay attention and sit still for 10-15 minutes at a time. He also gives strange answers as if he's just trying to get out of the session.
2. She wasn't able to call me back because she's been too busy. She's forever in meetings, plus the February holiday break set her back in progress.
3. She needs to consult with the adaptive PE teacher and the speech therapist before she can make a final determination.
4. I expressed concern about him being kept back in kindergarten. She stated that if he qualifies for special ed (and she is certain he will) he may not be retained. (Is this good? I can't decide.)
5. He shows signs of depression. We talked about this. I reminded her that he sees a psychiatrist every week (who she was supposed to call, and hasn't) and has been on meds.
6. She is shared between two schools, the special ed preschool, and private schools, which is why she has a hard time getting everything done. I reiterated what I keep saying, that every school should have a full time school psychologist. Maybe I should write to the school board.
7. I stated that Ricky's speech problems are fairly obvious, and asked if the adaptive PE teacher was consulted with because of his clumsiness. She stated that it was because he has trouble walking in a straight line, walks strangely on his feet, and may need PT services.
8. I told her I looked forward to hearing from her about scheduling the IEP meeting. She said that regardless of the testing being finished, she would contact me to schedule the IEP meeting once the consultations were done. This made me happy.

I met with Ricky's school psychologist yesterday and we went over his whole history. He's already had academic testing and she's going to start on social/emotional and speech testing, among other things. I expected her to be a pain in the butt as many of her colleagues have been in the past, but she was actually very sympathetic. I so far have high hopes, especially after hearing her say that he had a number of issues that qualified him for special education (which is what I feel he needs at this point).

At the parenting class last night, it came up in discussion that one sign of a learning disability in a child is him not respecting other people's personal space, getting in their face, not understanding proper social cues. Ricky has this occur quite frequently, and yet the school psychologist claims that it is impossible to diagnose a learning disability before second or third grade or so. The teacher of my class disagrees.

The parenting class was great too, by the way. We had some great activities within small groups.

Guess that's it for now. I'm leaving work in about 25 minutes 2 o'clock PST to take Ricky to the eye doctor. He has amblyopia and a lazy eye and his eye has been crossing again, so I think he's going to need a stronger prescription. Oh boy, expensive glasses to buy again! Ugh!

psych and school stuff

I took Ricky to see his psychiatrist yesterday (he goes once a week). Dr. Cendana brought Ricky out of their session looking rather grim. I don't pry into what they talk about, but Ricky knows he can tell me if he wants to.

On the way home, the school psychologist finally called me back. I've been leaving her messages for weeks in regards to the assessments Ricky is supposed to be having for his IEP. The only message I'd gotten from her was that they had no record of a previous IEP, which horrified me because a whole stack of papers from the school district (who did testing on him last May) was supposed to have come over in August. Well, so this time she told me that she'd found the paperwork and was going to take it home and read it tonight.

So, anyway, I'm meeting with her next Thursday morning at 9 a.m. to discuss Ricky, and then she's going to start testing him at 10 a.m. that morning. She was making comments like, "Oh, we don't need to do such-and-such testing, they already did it in May." I informed her that lots has changed since then and I'd prefer if they did all of the testing over again. She also mentioned that he's been traumatized by this whole thing with his dad moving out[October of this year] and such, and maybe the results of the testing would be skewed. Nice try. I assured her that his behavior has been awful for several years, having nothing to do with recent events -- something she'd've known if she'd already reviewed his paperwork.

When we got home, the lady from the YWCA (where that "Parenting the Child With Challenging Behavior" class is held) finally called me back and got me all registered for the class, so I hurriedly fed the boys and took them to my mom's, and then I was off to the class!

The class was really great. The therapist who runs it is a little abrupt and brusque, but she knows her stuff. The bulk of last evening was taken up by us introducing ourselves. Several of us (me included) got pretty emotional. Many of the kids represented there have ADHD, as they say Ricky does (I'm still in denial, and proud of it). Some also have ODD, as Ricky probably does. There were a few parents of kids on the autistic spectrum (PDD, autism, Aspergers) and some bipolars and others. I actually felt fortunate that Ricky's problems are as "mild" as they are.

Afterwards I drove to my mom's and got the boys (who were asleep). I stayed up too late, went to bed, and got up around 7:15 this morning. We were sure running to get ready in time. Both boys had to eat at day care, and as a result I forgot to give Ricky his Risperdal. Ack!