“In the golden city of the heart dwells The Lord of Love, without
parts, without stain.”
The Upanishads
I remember the first time it rained in our basement. It was spring time. I had been upstairs in my “office,” which is
really a small breakfast nook behind our kitchen, happily tapping away on my
computer keyboard into some blog post, when it suddenly occurred to me that the
clothes in the washing machine needed to be put into the dryer. And I had come downstairs to take care of
this task to find it raining in the laundry room.
Now, our “laundry room” is really an unfinished part of our
basement, complete with grey, cinder block walls (the actual foundation of the
house), crumbling concrete floors, and a spectacular view of pipes, wires,
furnace ducts, and toilet drain. And the
only thing that bothers me about this “laundry room” is that it also doubles as
Shane’s home office, which he works out of, for
his actual job, all day long, Mondays through Fridays.
I’ve tried to talk Shane, repeatedly, into moving his office
upstairs into my breakfast nook instead, because he would at least have some
light, and because I can put my little desk any old place and be just
fine. But he has consistently declined
my pleading for one reason and one reason only.
Our kids are loud, especially when they’re all at home during summer
vacation (Cale’s screaming, in particular, could be extremely detrimental to
Shane’s business calls), and my breakfast nook doesn’t even have a wall between
it and the kitchen, much less a door.
I’ve also brought up the idea of Shane using one of the
kids’ bedrooms for an office. However,
since two of our children already share a bedroom (and putting all three of
them into one bedroom would probably result in someone being seriously
injured), this idea was quickly ruled out.
And he can’t work out of the middle of the living room because, again,
it would be too noisy. And our own
bedroom is barely big enough to walk around our bed in. His big desk doesn’t even come close to being
able to fit anywhere in there. In short,
the breakfast nook and the “laundry room” are the only options, so Shane just
stays in the “laundry room,” day after day, week after week, month after month
after month.
At first I couldn’t figure out what was going on. I mean, it wasn’t an ordinary leak. With an ordinary leak, you can see which pipe
or drain the water is coming from. But
the water seemed to be coming from the entire ceiling, and it was pouring down
in sheets onto everything in the room.
I looked at Shane, who was staring at me wide eyed. He was on a business call, speaking Greek as
usual, “Well, the M4230 needs to have SCR in order to be EMV compliant, and I
checked with ESI Links, and we need to have GCAG and GFSG certification for the
M4230 in order to take full advantage of its IP connectivity capability.”
People ask me what my husband does for a living, and I say,
“He works for American Express.”
The next question is always inevitably, “Oh yeah? What does he do for American Express?”
“I have no idea,” I reply, “But if you ever figure it out, could
you let me know?”
I actually looked, for a moment, out the small basement
window above the washing machine. I
expected to see it raining outside, and was trying to figure out how the entire
roof could be leaking that badly (a blond moment – I was in a basement for
crying out loud). And that’s when I
realized that the water had to be coming from the bathroom, which is directly
above the “laundry room.” I put two and
two together and finally realized that Cale was flooding the bathroom.
I grabbed an arm load of towels and ran upstairs to the
bathroom. And, sure enough, the entire
bathroom floor was covered in at least half an inch of water. I looked at my son. He was sitting in the bathtub with a giant shampoo
bottle (which he had apparently emptied the shampoo out of somewhere). He had clearly been using it to pour water
onto the floor with, and he had just finished filling it with water again as I
came into the room, so he looked up at me and smiled his gorgeous little smile
while he emptied the entire bottle right onto the floor.
Cale has been obsessed with water this summer. I mean, he’s always been obsessed with water,
but he didn’t used to flood the bathroom.
Then, he only occasionally flooded the bathroom. And now, he floods the bathroom every time he
has a bath.
The solution seems relatively simple, don’t you think? Stop giving him baths. The only problem with this idea is that all he
wants to do is take baths. He pulls me
to the bathroom repeatedly (and he won’t stop) until I turn on the tub faucet. And the only time, all summer long, that Cale
has NOT been destroying the house, hurting himself, or hurting other people,
has been when he’s been in the bathtub.
He’s flooded the bathroom so many times now that the
floorboards underneath of it will no longer dry out. I’m actually afraid of them rotting to the
point of the entire bathroom landing with a crash on top of Shane. Therefore, I’ve been insisting the Cale play
in water outside a lot these days. He
has a wading pool in the back yard, and a garden hose of his very own. But the only problem with Cale playing in
water outside is that he can’t be left outside un-supervised, even though I
have two other children and dishes and laundry (and I’ve been wondering if I
shouldn’t just kiss my writing “good-bye” entirely).
The last time Cale was left outside alone for a few minutes,
he shattered the bowl of water that Alden had left outside for the dog. It hadn’t occurred to us that Alden would use
a giant glass bowl to give the dog water in, and we hadn’t noticed it. So when I came outside to check on Cale, I
found him sitting in the middle of a bunch of broken glass, naked, bleeding,
and pulling shards of glass out of his own feet.
This happened just four days after Cale hurt his leg. And the leg thing was so strange. I had put Cale to bed at his usual bed time
when, about an hour later, I heard him screaming, so I went in his room to
check on him. He was lying on the floor
in the middle of the bedroom (which is nothing unusual actually), and I
realized that he had a temperature. I cuddled
him for awhile, but I eventually went to bed myself because he’d stopped
crying, and because I figured that he just had a flu bug or something.
It took us another day and a half to figure out that Cale
had hurt his leg. Shane, who had had the
same flu bug the week before, told me that his whole body hurt when he had that
particular bug. Alden and Isabel, who
had both had it recently as well, told me the same thing. So it didn’t surprise me that Cale cried anytime
we tried to move him (to change his diaper or sit him up so that he could drink
water). And it wasn’t until his fever
broke and we knew that he really should be feeling better, yet he still cried
anytime we tried to move him, that something else was wrong.
It was the doctor who confirmed which leg Cale was favoring
(all I knew for sure was that Cale wouldn’t stand up, but I suspected that
something was wrong with his right leg in particular because he seemed to cry
extra loudly when I lifted it during diaper changes).
The doctor x-rayed the leg from his hip to
his ankle, but nothing was broken. So he
told me that it must just be a sprain or something, and to alternate Tylenol
and Motrin. I told the doctor that I
wanted to know exactly what was sprained, but the doctor told me that since
Cale is still non-verbal, there was really no way to know.
The only thing I can figure is that Cale, after I’d put him
to bed that night, must’ve climbed up on top of Alden’s dresser and then either
jumped or fell off of it. You see, he
had never done this before. In fact,
Alden keeps his toys on the shelf above his dresser so that Cale can’t get into
them. And some of these toys were on the
floor when I went in to check on Cale that night, but I had just figured that
Alden had gotten them down earlier. It
might’ve been Cale though. It’s the only
time that I can think of that he could’ve hurt his leg without me noticing.
I can’t think at all about the fact that Cale spent that
entire night alone with a fresh sprain and no painkillers, and that he had the
flu on top of it for the next two days in a row, during which his mama picked
him and moved him around and pushed his legs up to change his diaper, etc., all
without knowing that his leg was hurt, because the very thought of it causes me
instantaneous vomiting. And just two
days after the doctor’s visit, during which Cale was still limping heavily on
that leg, we dug the shards of glass from the water bowl out of his feet. And the leg thing had happened just two weeks
after Cale had gotten out of the hospital.
It’s been one thing after another, it seems, all summer.
Needless to say, Shane and I have become so exhausted from
being on “red alert” every moment of every day (particularly since we still
don’t have any respite care), that sometimes we actually just let Cale flood the
bathroom. We literally put him in the
bath tub with a big cup (so that he doesn’t pour out the shampoo), turn on the
water, and leave the room, because it’s the only time that he’s safe and
occupied enough to not cause any real trouble.
And I just keep praying that the bathroom doesn’t fall on Shane.
My mother-in-law’s nephew, the one who has Autism and is
still non-verbal even though he’s nineteen years old now, has just lost his
mother. She passed away a few weeks ago.
I asked my mother-in-law if this nephew had gone to his
mom’s funeral, and my stomach sunk when she replied, “Oh, no. He doesn’t know that she’s passed away, nor
would he understand it if we told him.”
This makes sense I suppose.
Even if they did tell him, he wouldn’t understand the words coming out
of their mouths, much less the concept of death. So this sweet boy’s mom is just gone
now. And she’s going to be gone
forever. And he can’t even have an
explanation.
My mother in law and I talked, for awhile, about the group
home that this boy lives in. And my
mother-in-law finally said to me, “You do know that you guys will be facing
this with Cale soon, don’t you?”
I just looked at her.
She seems to be bringing this up a lot these days.
“By the time my nephew was nine years old,” she continued,
“he couldn’t be left alone with his mother at all without him injuring
her. That was when they gave up custody
of him to the state so that the state could put him into a group home. And, even though it was a very difficult
thing for them to do at the time, it was the best decision that they could’ve
made for him and for themselves.”
I touched the chip in my front tooth with my tongue, and
recalled the day (which was about three weeks earlier) when Cale kicked me in
the face as hard as he could with both feet as I was trying to get his seat
belt on him in the car. It hurt really
bad, and I tried to imagine what Cale (who’s going to be six years old in a
couple of weeks) would be like if he was the size of his nine year old
brother. I cringed.
It always bothers me when my mother-in-law talks this way,
because, out of all of the people in our family with Autism, Cale is the only
one that she ever compares with this nephew.
Of course, Cale’s also the only one, besides this nephew, who’s stayed
non-verbal until the age of six, but it still bothers me. And it took me a couple more weeks to realize
that my mother-in-law, after everything that has happened over the summer, is
probably done just talking about it.
I think that my mother-law-in consulted her brother (the
father of the nephew in the group home) at a family reunion we had a few weeks
ago (during which I had to take Cale home because he was hitting the other
children and banging his head onto ground), regarding how to go about getting
Cale into a group home. The reason I
think this is because, right after the family reunion, Shane’s sister let us
know that she was looking for group homes that could take Cale now.
Is Cale really that
profoundly Autistic? Or, maybe it’s not
the Autism at all, but the “developmental disorder” that Cale has been
diagnosed with in addition to the Autism.
You see, Autism presents a whole series of challenges in learning how to
function in this world, but “Autism” alone doesn’t mean that the child will
never learn how to function. Many
children with Autism learn how to function in spite of the challenges. So, why doesn’t Cale seem to be able to?
The word “disorder” instead of “delay” implies that Cale’s
problem is a fixed and permanent thing.
The only problem with this diagnosis, in my mind anyway, is that it followed
a ten minute long evaluation, during which the doctor didn’t run any tests, but
only stared at Cale before assigning him the forever condemning “developmental disorder”
in addition to the Autism. I do plan on
getting him a proper diagnosis some day, once (or if ever) he’s able to
actually participate in the required testing.
Is Cale’s problem, whatever it is, really that bad? – is the real question. I wonder this often. And the answer is that I don’t know, but I do
know that if he never gets therapy, the way that this nephew never got therapy,
then the answer will always be a big, fat, irrevocable YES.
Our state caseworker came to our house to makes some changes
to Isabel’s therapy plan. And I told her
about all of the things that have happened with Cale this summer - about how
Cale was hospitalized (which I wrote about in previous blog posts), and about
how he hurt his leg, and about how I found him sitting naked in broken glass,
and about how he’s pulled all of the pictures off of my walls and shattered the
glass in them, and about how he’s repeatedly hit me and kicked me in the face,
and about how the only peace and quiet we’ve had all summer long has been while
he’s flooding the bathroom. She reminded
me that she had come over to talk about Isabel.
I told her that Cale had roughly ten words that he could
communicate with at the time that we moved here to Montana last December,
because he had gotten multiple hours of therapy every week (thanks to the state
of Arizona) for nearly two years. He had
gotten to the point of being able to attempt an imitation of any word actually,
but there were only about ten of them that he actually knew the meaning of. He was also playing with toys, following a
basic routine, and wearing clothes. And
he was toilet trained too (well, he would pee in the toilet, but we hadn’t
figured out how to get him to poop in the toilet yet).
I figured that once all of his therapy stopped, that Cale’s
progress would stop as well, but only until we could get services set up for
him here in Montana. I reminded the
caseworker that we applied for a Medicaid waiver for Cale the moment we got
here, but that we’ve been on the damn waiting list for nearly eight months now
and there’s still no sign of him being selected.
I also reminded her that our medical insurance doesn’t
contribute one single penny to any Autism therapies (American Express
self-funds its medical insurance, which means that they’re not technically a
medical insurance company, which means that they’re exempt from the state laws
that require medical insurance companies to cover Autism therapies), and that
since the out of pocket cost of Cale’s therapies come in at around $4,000 per
month, which we don’t come anywhere near being able to afford, we’re entirely
dependent upon Cale receiving a Medicaid waiver in order for him to get the
therapies that he needs. She knew all of
this already, of course. She reminded me
again that she had come over to talk about Isabel.
I explained to the caseworker that I knew Cale would cease
to progress without therapy, but that I had never realized how much he would
actually regress without therapy. Not
only is he no longer verbalizing at all (imitation or otherwise, all of the
words are completely gone), but he’ll no longer play with toys, follow a basic
routine, or wear clothes.
I told her about how I’ve tried to keep clothes on Cale this
summer. I put them on him, and he takes
them right off. So I put them back on
him again, and he takes them right off.
So I put them back on him again, and he takes them right off. So I try to hold the clothes on him, and he
screams and hits me in the face, or, while I’m trying to wrestle pants onto him
for the fifteenth times in ten minutes, he kicks me in the face as hard as he
can with both feet. So I go and check
myself for more broken teeth while he takes his clothes off again.
And the toilet training?
Well, since he’s naked all the time now, he just pees right on the
floor. I cannot even begin to describe
to you what the carpeting in his bedroom smells like. I invited the caseworker downstairs to Cale’s
bedroom for a sniff, but she reminded me again that she had come over to talk
about Isabel.
“It’s like having a poorly trained dog. No, it’s worse than that, actually, because
dogs don’t pull the pictures off of your walls and shatter the glass in
them. It’s like having a monkey. A BIG and very poorly trained monkey. No, I’ll tell you what it’s like,” I said to
her, “It’s like having a feral child, right in the middle of a loving
family. It’s the weirdest damn thing
that you can imagine. And now he seems
to be injuring himself whenever nobody is looking, yet we do have two other
children (one of whom has Autism also) who occasionally need tending to as well. So how is it that the state can just sit back
and completely ignore this? I mean, I
don’t want to sound like I think that we’re entitled to help or something, because
I don’t think that. But at what point do
we, as parents, have a legal obligation to inform CPS of the things going on in
our home?”
She stopped reminding me that she had come over to talk
about Isabel.
“Our family is looking for group homes for Cale as we speak,”
I continued, “And from what I understand, we would have to give up custody of
Cale to the state in order to get him into a group home because it would be too
expensive for us to pay for ourselves.
So if the state doesn’t kick it into gear soon, and if my family develops
any say in the matter, then it’s quite possible that the state will soon be
receiving custody of this mess. And I
know from all of Cale’s past experience with getting therapy that there’s
absolutely NO NEED FOR HIM TO BE DETERIORATING LIKE THIS!”
I breathed. And I
calmed. And I decided to stop talking to
her as if this was her fault personally.
“I’d like the people up in Helena to know exactly, detail
for detail, what they’re ignoring here,” I continued, “ And I’m going to start
with daily informative phone calls.
Would it be better for you to harass them with these or should I?”
She told me that we
would both do it, God bless her. She
could see that I was in no fit state to discuss Isabel.