Hi! My name is Nikki. I am Canadian but have lived in India since June 2013. I am a foster mother to 12 beautiful children with special needs. I use this blog to write about the methods that I use to teach my children, and to share about any supplies, activities, or therapies that have been helpful for us.

My children are: Lily (age 10, cerebral palsy), Molly (age 8, cerebral palsy), Nolan, (age 8, cerebral palsy, cochlear implant user, has g-tube for feeding), Jasmine (age 7, blind and autistic), Dinah (age 7, cerebral palsy and nystagmus), Cedar (age 6, blind and autistic), Chloe (age 4, blind and autistic), Theo (age 3, cochlear implant user, spina bifida, hydrocephalus), Selah (age 3, cerebral palsy), Louise (age 3, cochlear implant user), Charlotte (age 2, blind), and Brianna (age 1, blind).

If you would like to sign up for my newsletter and view the private blog that I write about my foster children, you can do so here: http://eepurl.com/bgYswD or contact me at ncochrane3@hotmail.com

Wednesday, September 24, 2014

Letter From A Special Needs Foster Mama

The following is not directed at anyone in particular. It is just an accumulation of thoughts that have developed over the past year of fostering. I was sitting and talking about this with some of the volunteers the other day, and I thought it might offer an interesting perspective. 

We love visitors.

Really, we do.

We love meeting people who have followed God's call to take care of orphans, and have traveled halfway across the world to do so.

Thank you for your obedience. Thank you for your heart.

I know many of you have never been to India before. This might be your first time working with children who have been orphaned or with children who have special needs. I know it can be intimidating and even scary. These are just a few things to keep in mind that will help make your experience here even more positive!

Remember, my home is not an orphanage. 

My children are orphaned, but they are also part of a family. They are loved. They are our daughters and sons. Treat our home as you would treat your neighbour's home; knock when you walk in, and introduce yourself to my child before you pick them up or play with them. I know my kids are cute and a selfie with them would make an awesome new profile picture, but please get to know them first before taking pictures, or just run it by us and let us know- we will probably say yes!

Please don't kiss my children or tell them you love them (unless you have been here long term and have developed a loving relationship with them). My kids have experienced a lot of loss and change in their lives. We are trying to teach them what it means to be safe in a family. When strangers come in and excessively cuddle them and say that they love them, it can be confusing. That said, it will make them happy if you wave hello and give them a big high five or a pat on the back!

Don't judge.

We may do things differently than you would. We have 10 kids with extensive needs, and parenting them can be difficult. You come from a world where children with special needs are given a free education and have access to many services that we don't have access to here. Remember that we are not only moms, we are nurses, physiotherapists, occupational therapists, speech therapists, and special educators. Sometimes some balls drop and as hard as we try, all our kids' needs cannot be met.

Please be understanding to how crazy this life can be. It's not that I don't want to hear your suggestions- I do! We want to make our home the safest and happiest place for our children. But if you have ideas, please offer them in a loving way. Don't moan and groan about how horrible my kids' lives are and how much more they need. I am the first to tell you that we can't give them all they need, but until they get adopted (if that happens) this is the very best that we can give them and we work tirelessly to ensure that they live rich, full lives.

My kids' history is private.

We are happy to share with you bits and pieces about our kids' histories, but for the most part, we prefer to keep that information private and not dwell on it. Our kids are listening when you ask your questions, and they notice when you talk about them and make sad faces. They aren't objects to be pitied. God has rescued them and brought them to a safe, happy place. Their past is a big part of who they are, but unless it is essential for us to share that information with you, we would rather you just focus on how they are doing now, rather than where they came from.

Above all, they are kids... just like all other kids!

Don't feel intimidated by their special needs. Sometimes they stim, or scream, or drool all over the toy you have out for them. It's okay. A lot of them don't respond to questions, and for those who speak, you might not understand what they are saying to you. It's okay. You may have never spent time with a child with special needs before, and you don't even know where to begin. It's okay. 

My kids love to play. They love to dance, to sing, to ride their bikes, to throw balls, to finger paint, to swim, and to go on walks.

If they aren't interested in a certain game, try something else! Ask us for help, and we can point you in the right direction. Don't be scared to get messy and try something new, like painting the bathroom walls with shaving cream or filling the kiddie pool up with bubbles!

My kids can see your heart. If you are invested in them and want to make them happy, they will pick up on that and will have fun. And our kids LOVE to have fun!!

Tuesday, July 29, 2014

A Voice: Part 1

The past year our home has been heavily focused on PT. We have four new walkers and all the kids have become stronger and made many gains in their mobility.

I decided that when I went to Canada, I would spend a lot of time researching how to get my kids communicating, and that when I returned, I would really make a focus on that in therapy. I spent many hours researching and planning, and met with a speech therapist friend Narmilee who gave me a lot of advice.

The first day I sat down with Lily and tried out her new Proloquo2go program is a day I won't forget. I think it was an important day for her as she was able to use this program to communicate her thoughts for the first time, and she was so, so excited about it.

Narmilee suggested that I start simple. We began with activities. I took photos of 2 toys in our house; a ball and a baby doll. I made 2 folders, 1 for "ball" and 1 for "baby doll". If she touched "ball", the folder would open up to 3 options (each button with a photo of her doing the action); play basketball, throw the ball, roll the ball. If she touched "baby", the folder would open up to 3 options (each button with a photo of her doing the action); rock the baby, feed the baby, push baby in stroller.




She caught on quickly, and her eyes lit up.

My girl surprised me. Instead of choosing the baby doll that she loves, she selected the ball. I suppose it is a toy that she doesn't often have a chance to play with, as she needs a partner to play with her. When the options opened, she chose "play basketball". We practiced saying "Ball. I want to play basketball" and did the ASL sign for "ball". Then we went outside and played basketball, and she laughed and laughed and laughed. She had been in a grumpy mood that morning, and I couldn't figure out what was bothering her, but this activity totally cheered her up, and when we were finished she raced back to the iPad to tell me what she wanted to do next.

She selected throwing the ball, so again we practiced saying the word, signing it, and then we played a throwing game. As her third and final game, she wanted to push the baby in the stroller, so we went outside and had races across the balcony pushing babies in our several toy strollers. She laughed so hard. When our game was done, we opened the iPad and worked on learning how to spell the words "baby" and "ball" and she typed the sentence "I am throwing my ball". Even our Indian staff stopped and took notice. Our ayahs and nurse crowded around her as she typed, cheering her on and looking impressed with how well she was doing. Ramana used my iPad to take photos as we raced across the balcony, and Lily was excited to be the center of attention and the one that everyone was cheering for.

Shortly after we were done, Tori told me that Lily crawled up to her with a big smile, tapped her shoulder to get her attention, and explained using a mix of sign and speech that she and I had thrown a ball, and she had typed the sentence. Wow!

When she first came to us, Lily spoke only a few words. Now she speaks so many, but is trying hard to say more. Tori and I and our ayahs can understand her sometimes, but most other people don't understand much at all. When we don't know the context (for example, if she just crawls over and tries to tell us something) it is harder to guess what she is saying. And lately, she is trying to tell us a lot.

I am really excited to watch this unfold, and I can't wait to understand all the thoughts that Lily has going on in her head.

This week I am going to add more options to her program, and slowly build it out until she is able to communicate more and more to us. I am also building out a communication program for Nolan and Dinah, and Tori is working on communication with Molly and with Theo in relation to speech and his cochlear implant. Stay tuned for more stories, as I am really excited about where this is going! 

Wednesday, March 19, 2014

The Behaviour Code

How can we love our kids with such a deep, unending love, and yet at the same time be so frustrated with them that we could cry? I have been there so many times with many of my kids, but most consistently with Nolan. It comes from a place of love. I love him so deeply and want so much for him. When he engages in behaviours that limit him, it can be difficult to watch. 
"You are capable of so much more than this!" I want to scream at him. I don't scream that, but sometimes I do lose my cool. I storm out, send him to timeout, let him see my frustration, or speak to him with anger in my voice. On a bad morning, I can let it ruin the rest of my day, affect my interactions with my other kids, and raise my stress levels significantly. 

I have written a lot about Nolan's education and different activities we are working on with him and ways we are changing school to better engage and motivate him. Today I want to write about the way that Nolan's education affects ME and how changing my interactions with him helps Nolan to make better choices. 

When you have a child who is oppositional, stubborn, or easily distracted, it can be incredibly frustrating. Homeschooling Nolan is the most creative and fun part of my day sometimes, but on other days I dread going into that room with him as I can anticipate what is coming.  

I do school with Nolan every morning. On a bad day or even an average day, these are behaviours that I see:
  • Signing "no" when I ask him to do something
  • Asking if he can go on time out 
  • Getting distracted and finding the tiniest things to obsess over and stare at, such as a speck of dirt on his leg. 
  • Crying (especially if there are other people around that he thinks he can get sympathy from!) 
  • If four letters are in front of him and he is asked to hand us "A", he will hand us "B", "C", or "D" purposely making sure he does not give us the correct letter.
  • Smacking the iPad or the letters in front of him rather than pointing and making a choice.
  • Asking for excessive clarification; 10 minutes of repeating over and over again "you want me to pick up the letter and put it in your hand? you want me to pick up the letter and put it in your hand?"
  • Trying to hit me when I give him no choice but to participate by doing a hand over hand activity. 
  • Complete refusal to participate. 
We have tried so many different activities, ways of teaching him, ways of dealing with his behaviours, etc. Many people suggested that he is bored, and we have gone above and beyond to keep things interesting. We have tried it all! The behaviors persist.

The Behavior Code: A Practical Guide to Understanding and Teaching the Most Challenging Students by Jessica Minahan and Nancy Rappaport is helping me to look inwardly at the above behaviours, rather than getting frustrated at Nolan and blaming him. What can I do to help him be more successful? What can I do leading up to school to prevent these behaviours from ever starting? The authors write that misbehaviour is communication and is the result of an underlying cause. Why does Nolan tell me "no" when I ask him to perform a simple task? Why does he give me all the options but the correct one? 

We are looking at the antecedents to Nolan's behaviour. Certainly there are some environmental factors that play a role (his deafness, growing up in an orphanage, being raised in Indian society where usually behaviours like this lead to a child getting what they want) but there are also other, simpler factor that can be controlled. I used to stop communicating with Nolan and would stare down at the activity, with the hopes that he would stop playing games and would look at the activity as well, as my eye gaze was directed there. I realized that this turned out to be something that was setting him up for bad behaviour. Instead of focusing his attention on the activity, it would cause him to disengage and get distracted, and once that happened it was very difficult to bring him back. I realized that he felt satisfaction seeing me get angry and when he saw it, it would set him off and the negative behaviours would escalate. I began deep breathing and doing self-talk to ensure that he didn't see even a hint of the frustration I was feeling. I would plaster a smile on my face and every so often would reach out and rub his back, give him a little kiss, and remind him of the reward waiting for him at the end of the activity. Rather than him vs. me, I wanted us both to think of it as us working together.

Right now I am doing a lot of thinking and trying to develop a behaviour intervention plan. It is hard!! I need to figure out why he behaves the way he does and what factors trigger it. I need to try to think of replacement behaviours that I want to teach him and to help him develop skills that will allow him to make better choices. I am only halfway through this book and already know I am going to be re-reading and re-reading it. I have always said that I needed PT, OT, SLP, and special education teachers to come help us here in India.... add behaviour interventionist to that list!!

I am also really focusing on Nolan's amazing qualities, and all the reasons why he has taken up so much of my heart. He is affectionate and gives and receives love so well. He takes care of the children who are younger or who have more severe disabilities. He is fun and active. He loves to be a helper.  He is funny and charming. He is joyful. 

I want to be the best Mom to Nolan that I can be. I want to set his life up so that he can be successful. I also want to be kinder, more patient, and more loving in my interactions with my kids and with everyone that I meet. Nolan is teaching me that. 

Everyone has moments where they are overwhelmed or frustrated or sad or angry and as a result, they don't make the best choices. Nolan has moments like that. I have moments like that. I am praying for wisdom, patience, and self-control so that I can be a better Mom, and as a result, Nolan can be more successful in the classroom. It can be so hard and frustrating, but the victories are so sweet; when Nolan learns a new letter, when he excitedly asks to go to school first thing in the morning, or when he cheers for himself and raises a triumphant fist in the air when he is doing well. I love this boy. 

Resources:
They Would Behave Better If They Could (the blog post that introduced me to this book)

Monday, March 10, 2014

He Hears!

Over the past few months, the idea of Nolan hearing brought me to tears. Today, at several points throughout my day, I began getting choked up and had to force my thoughts elsewhere so I wouldn't begin bawling. But this evening, as I watched my little boy hear for the first time, I could do nothing but laugh with a giant smile plastered onto my face. The joy that I felt in that moment is something I wish I could bottle up and remember forever!

The audiologist put Nolan's implant on his ear and hooked it up to the computer, beginning the mapping process. Nolan showed no reaction and we began to talk amongst ourselves, watching the screen and waiting. The beeps stopped and we assumed he was taking a break. The audiologist went in and out of the room a few times and sat tinkering with the computer. Out of nowhere, Nolan began bawling. We all jumped, completely startled.

"He is hearing," the audiologist announced.

Nolan looked up at me with wide eyes and tears rolling down his cheeks, then he buried his head in his hands and refused to look up. Tori, Audra, and I all exchanged looks.

"You turned it on?! He can hear us?!"

Between the giddy feelings of happiness that Nolan could hear combined with the disbelief that he had turned the implant on without warning us, we laughed. We laughed, and laughed, and laughed. I kissed Nolan and rubbed his back and tilted his head up to look at me. As the audiologist turned the volume down so it wouldn't frighten him so much, Nolan began pointing at his ear and then he began to laugh too.

After he had a chance to calm down, I held his face in my hands and said over and over again, "I love you, I love you, I love you". My baby heard me. He may not know what those words mean yet, and he may not even realize yet that what he is hearing are words, but I signed it as I said it and I kissed his cheek and he knew what I was telling him.

The implant is at a very low setting right now so he can get used to it without it upsetting or scaring him. In 4 days we turn it up, in 8 days we turn it up even more, and in 12 days we return and they do another session of mapping.

Nolan is lying beside me fast asleep. I am sitting here typing on my computer, giddy with excitement. How could anyone not believe in God when He has worked miracle after miracle in this boy's life. I know without a doubt that He has big plans for Nolan. I am overwhelmed with awe right now. One moment he had never heard anything before and just like that, he hears. That is nothing short of a miracle.

Thank you to each and every person who believed in him. Thank you to those who donated, who advocated, and who prayed for him. Hundreds of people came together to make this possible. You have no idea how much that means to me and how much your love and support is going to affect Nolan's future. My eyes are welling up with tears just writing this. Grateful does not even begin to express how I feel. Thank you.

Saturday, February 22, 2014

Nolan's Education, Post Surgery

There are approximately 3 weeks between the day that Nolan had his surgery and the day that his cochlear implant will be turned on. We are using these 3 weeks, and the week before he had surgery, to prepare him for hearing. We are making a major push towards teaching him some signs that are important that he still doesn't know, while still working towards some of our old goals. Knowing signs for important words will help him so that when he hears, he isn't starting completely fresh. He will be able to associate sounds with signs and will already have a form of language that we can spring off.

We have had a lot of help from experts guiding us in the right direction with him. I have been reading several books that are giving me ideas on helping to guide him behaviourally. I have been emailing with teacher friends for creative ideas on appealing to his kinesthetic learning style. I have also been in contact with a woman "Borrowed Mum" who has CIs and whose son has CIs, and she has been explaining what is most important for Nolan to know before his cochlear implants get turned on. Here are some of the things we have been doing with him lately...

Colour and animal signs: I have been told that the most important signs that Nolan needs to know before his CIs are turned on are colours and animal signs. We have decided to focus on 6 colours: red, blue, green, yellow, black, and white, and 4 animals: dog, cat, bird, cow. After he is hearing, the animal signs will come into great use as teaching him animal noises (hearing/recognizing them and making the sounds himself) will be a great activity in his speech and language therapy. Colours are some of the first things that young toddlers recognize, however Nolan missed out on that developmental milestone not being able to hear the names of the different colours. In the photo to the side, I hid the blue and red crayons around the room. I would sign to him a colour, and then he would have to go look for a crayon in that colour and bring it to me. When they were all found, we coloured in the circles.

Currently, aside from the above signs that we are working on teaching him, these are the signs Nolan knows and uses: bath, help, eat, drink, pee, poop, school, go, play, sleep, pray, wait/stop, yes, no, A-G (letters), his name, Lily's name, Molly's name, walk, and Mom (me). When he came to us in July, he knew only eat and drink. 

Tactile activities: As much as possible, I have been trying to incorporate sensory and tactile activities into Nolan's day. He learns better when he can touch and feel and do. We started out with a fun water game. I filled up two buckets of water and dyed one bucket of water blue and the other red. I gave him a selection of toys that were coloured either red or blue, and he had to do the sign and put it in the proper bucket. Once they were in, I then signed to him a particular colour and he would have to hand me an object in that colour. I included some clothes as well, as he loves "washing" clothes. So he worked on his colour signs, his sorting, and had some fun water sensory play too, as he splashed around and cleaned the clothes!


One of my favourite activities we have done has been the rainbow spaghetti game. Tori and I put a bunch of long noodles into hot water to soften it and separated it into 4 bowls. We set it out on the floor along with 4 packages of food colouring. We asked Nolan to find the red food colouring by doing the sign, and he would have to find the red and give it to us. Then, he would get to drop the food colouring into one bowl. We repeated this until each bowl was a different colour (red, blue, green, and yellow). This was the first time we introduced green to him. He had known red and blue for about 5 days and had been introduced to yellow that morning. Once all the bowls were coloured, we played different games with it, for example letting him pick up some of the noodles and mix it around or put it in a different bowl when he found the colour we were asking for. He was very motivated by this activity and so had great attention and got the colour signs correct almost every time! Once we were finished, he spent over an hour playing with the noodles, squishing them between his fingers, moving them from bowl to bowl, having a food fight with Lily, and then cleaning the bowls in the water. It was a fantastic activity that really engaged him!


Phys-ed and creative play: Kids learn by playing (this post is brilliant). Nolan had one game that he played over and over again; he would find a bag, fill it up with toys, and crawl around the balcony waving bye and blowing kisses to everyone pretending he was going on a trip. I recognized that Nolan needed to be challenged in his play and that he needed more physical activity, particularly in combination with his learning. We went to the store and bought a giant slide with a basketball hoop attached to the side. We also made a Wish List of even more toys to challenge the kids' imaginations, totaling $450- yikes! The kids were so excited when we showed them the slide/basketball hoop. After a little while of playing, I brought it into the living room and set up a school game for him.

Before he could climb up the steps on the slide, I put out some letter cards and would sign him a letter and he would have to hand me the corresponding letter card. Then he took the card, climbed up, slid down, brought it through the tunnel and to a bowl at the end of the tunnel. There were balls waiting for him there with various coloured paper taped to them. I would give him a colour sign, he would choose the corresponding ball, would crawl over to the basketball hoop, shoot it in, and then repeat until we had gone through all the letters and colours. I couldn't believe it, he got every single one correct on the first try! No games, no pouting, no refusing to participate. He loved it! We were chasing each other with the balls, racing to get to the slide, and having tickle fights through the tunnel. I didn't take many photos because I was just enjoying him so much, and the photos I took don't really capture his pure happiness and engagement. He did a great job!




We are also taking Nolan to Kidihou Children's Museum 2-3 times/week. He spends time playing with other kids, using his imagination, painting, role playing, and doing school type activities with me like puzzles and letter recognition using their letter magnets. He really thrives in this environment so we are treating this as his "school" for now. 

Resources:

Thursday, February 20, 2014

Conversations With Molly

For the first time in her life, Molly is able to communicate using the Yes/No app. I wanted to record some conversations we have had with her. Some of these were asked in English (using words she knows) with a combination of sign language or gestures, and others were asked through translation in Telugu. We are starting with the Yes/No app and working up to using Proloquo2go, once I program it and work out some kinks. We want to transition to her using her left arm to press the Yes and her right arm to press the No (rather than right arm for both), to make it even clearer, although using her left arm is a challenge for her.

Some days she is not interested in participating, perhaps because it is challenging for her and she is tired. She is going through a bit of a stubborn phase where she has days where she really fights us when we ask her to do things; to creep to a toy, to do school, to practice sitting, to use her communication app, even to eat. When she's doing this, she stares at the ceiling and slaps the iPad randomly, or refuses to touch it at all. Quickly many people write her off when she does this, telling me she doesn't know what yes/no mean and doesn't understand how to use the app. It makes me beyond frustrated when this happens, and I am working at being patient with her and when she doesn't want to communicate, giving her that choice, but also balancing it with the consequence of she doesn't have another way to let us know what she wants. I am trying not to guess what her needs are; she needs to tell us and that is how she will get what she wants (ex. asking her if she is thirsty, rather than just giving her a drink, or asking her if she wants to go outside rather than just bringing her out).  Most of the time she loves to communicate though. Sometimes she hits the wrong button, but you can always tell right away when that happens. You can see her eye gaze on the button she wants, and she keeps moving her hand to try to touch it until she eventually does, whereas if she presses the button that she wants correctly, she will move her hand back to her lap. We have considered just using eye gaze, but she gets so distracted that touch has been more consistent. I know yes/no isn't a lot, but it's a start and this is only the beginning!

While getting ready for bedtime...
"Molly, can I sleep here (draping myself across her body and fake snoring)?" No.
"Molly, can I sleep here (using her stomach as a pillow and fake snoring)?" No.
"Molly, can I sleep here (draping myself across both her and Lily and fake snoring)?" No.
"Molly, can I sleep here (pointing to my spot on the end of the bed beside Nolan)?" Yes.

While getting ready for bed another night...
"Molly, do you want to sleep here (lying her across Lily, Nolan, Jasmine, and Cedar)? Yes (with giggles).
 
After telling her that we are going to take her and Lily to the cinema at the mall to watch a movie...
"Molly, do you want to go see a movie on a huge screen at the mall with me, Tori Akka, and Lily?" Yes.
"Molly, do you want to watch a scary movie?" Yes.
"Are you sure? Or do you want to watch a sad movie?" No.
"Do you want to watch a funny movie?" No.
 (Molly is the most sensitive of our kids... no way am I taking her to watch a scary movie, but I thought it was funny that that is what she requested!)

On school...
"Do you like learning your ABCs and going to school at home with Tori Akka and Nikki Akka?" Yes.
"Do you want to go to a real school like Lily does?" Yes, yes, yes, yes. (pressing over and over again)

What she wants to be when she grows up. I began by telling her that when we get big and finish school, we get a job. I listed 4 jobs and told her I was going to ask each 1 by 1 and she could tell me which one she wanted to be when she grows up. 
"Molly, do you want to be a cleaning lady?" No.
"Molly, do you want to be a nurse?" No.
"Molly, do you want to be an ayah?" No.
"Molly, do you want to be a teacher?" Yes.
I found that glimpse into her mind so exciting!

On her favourite foods (and healthy appetite!), following an explanation that she can only choose one of the options I was about to give her.
"Molly, is pappu your favourite food?" Yes.
"Are you sure? Isn't upma your favourite food?" Yes.
"Is mutton your favourite food?" Yes.
"Is ice cream your favourite food?" Yes.
"Mol, you are supposed to choose only one. Do you have only one favourite food?" No.
Okay then :)

When she was feeling sick...
Molly wasn't herself one day. She didn't eat lunch or dinner and when I went to work on her sitting with her, while watching a Storybots video, she cried and cried. Mol never cries like this! Sometimes she gets stubborn and refuses to sit, but she has her stubborn pout on when she does that and there aren't ever tears. I knew something was up so I got Sarah's daughter Amira to ask her in Telugu:
"Do you feel pain?" Yes.
"Is it in your stomach?" No.
"Is it in your head?" Yes.
I then thanked Amira and thanked Molly for telling us and took her upstairs to ask some more questions. Now that I knew the word for 'pain' in Telugu I pointed to various body parts and asked if she had pain, just to confirm it was her head. She continued to say no to everything but her head.
"Molly, do you want medicine?" Yes.
I gave her a bit of pain meds and her reaction was priceless. She was so excited that she had found a way to communicate what was bothering her! We cuddled in bed together and I sang to her and kissed her. To me, this is the most amazing thing about her being able to communicate. She can now tell us what she wants and needs. Our nurse was speculating that it was her stomach and we should give her something for that, but now we know. We don't have to speculate. It's awesome!!

We have also introduced yes/no wrist bands. This is the exact same concept, but they are around her wrist so they are more portable. She gives us a high five with the hand she wants to answer with. We were going to have her just lift the hand, however often when she lifts one hand, the other goes up as well, so to make it more clear, she needs to give us a high five with the hand wrapped with the band she wants to answer with. We put the "yes" band on her left arm as that is the side it is on in the yes/no app on the iPad. We took her out to the Museum recently and she got to practice with the bands in public for the first time. It was a bit rough, to be honest. She started out fine, but then it went downhill. She doesn't seem to have the concept grasped as well as with the iPad, or perhaps it is just hard for her to use her left hand so she doesn't. She was on complete sensory overload with it being her first time at the Museum and it was all just too much. She broke down. We are going to bring her back to the Museum when it is quiet (this day there was a party and it was just too noisy and busy for her). Then, we will have the opportunity to have her work with the arm bands in a less stressful environment. At this point, she is really struggling with them. I think the left hand is hard for her to stretch out, so she gets frustrated and just says "no" all the time. I am going to try a little more, as I love how portable they are, but am not sure if they will work for her.


We are really hopeful that Mol will begin to understand that these forms of communication are not meant to be stressful, but rather as a way for her to make choices and have more control. Some days she loves it, some days she hates it. We are taking it slowly and letting her set the pace. 

Wednesday, February 19, 2014

Surgery Day

Na koduku,

I woke up at 5:30am on February 18th with butterflies in my stomach. The day had finally arrived. After so many months of researching, tests, advocating, and fundraising, you were going to be getting your cochlear implant.

I woke you up after I got ready and you smiled and lifted your hands up to be held. You had no idea what was happening, but you were excited. It had been your birthday the day before. You are 7 now. Such a big boy!

We didn't wait long at the hospital, and as we waited for a few hours, you spent time charming the nurses (as usual!). By 9am I carried you into the waiting room outside the operating theater. I dressed you in a cap and gown and that is when your eyes began to fill with tears. I started praying for you. You pointed to me, pointed to yourself, and did the sign for prayer. I nodded. Then you asked if you were going in the doors, and if I was going too. When I told you that I would be waiting there, your face crumpled into tears. You wrapped your arms around my neck and whimpered. Neither of us were prepared when they took you out of my arms and carried you in. I could hear your cries as they walked you down the hall and as soon as you were gone, I cried too. I knew that this is the right thing for you, but in that moment I hated it.

"Is he your son?" an older woman asked.
"Yes," I answered.
You are.
She put her hand on my shoulder.
"He's going to be okay," she reassured me.
In that moment, as I stood by myself, completely overwhelmed and worried about you, her kindness meant a lot to me.

Four hours later I put a cap and gown on myself and went to see you in the PACU. You were still sleeping, big bandages wrapped around your ear. You looked so little in bed. You whimpered in your sleep. When you woke up, I placed my head on the bed beside you and wrapped my arm around your shoulder, so you felt like I was holding you even though they wouldn't let me pick you up. We had to wait there for three hours. An hour and a half in, you began crying hard. I asked several nurses for more pain medicine, and it still didn't come. I stood up to find someone to help, and in that moment, you thought I was leaving you. Baby, the scream that came out of you is something I never want to hear again. You thrashed wildly, clawing in my direction trying to grab at me so I wouldn't leave. I never want you to even consider the thought that I would ever leave you.

We spent the night cuddling. You didn't sleep. You whimpered a lot, and cried whenever anyone came into our room. If I shifted away from you in my sleep, you cried until I groggily woke up and wrapped my arms around you again. You were still so scared I was going to leave you alone. I used the call button a few too many times; when some blood trickled from your nose, when you began crying and I knew the pain meds were wearing off, and when I needed a bucket of water to sponge you down and wipe off the remnants of the tape and cotton stuck to your body.

By the time morning finally came, your pain was under control and you just badly wanted to leave. You smiled for the first time since your surgery when I brought you to the mirror and you saw the big white bandage wrapped around your head.

We are home now. You were welcomed home by all the ayahs crowding around you and a big hug from your sister. You smiled, crawled to the toy box, found your new backpack that you got for your birthday, and began to play.

Several times during the past few days I looked at you and felt overwhelmed with love. It still blows me away how many people came together to make this surgery possible. So many people believe in you, baby. So many people love you. You don't know it now, at 7 years and 2 days old, but God is using you to change so many lives. Most especially mine!

Love you Nolan.

Friday, February 14, 2014

My Kinesthetic Learner

Nolan is an emotional, sensitive kid who can cry at the drop of a hat, or can be laughing hysterically just as easily. He hurts deep and loves deep. I hate leaving the house because ayahs can't control him and he is always getting into some sort of mischief. When I come home, I may find him fully clothed in the bathroom dumping water on himself, or perhaps having just pooped on the floor and using our bath mat to "help" clean it up. He is my baby and he makes that clear, wrapping his arms around me at bedtime and kissing my face all over. He is also difficult to discipline and hard to motivate, if he doesn't want to do what you want him to do. He gets bored quickly with activities that require sitting and he is always getting his hands into absolutely everything! I love him with a deep, special kind of love, and sometimes he frustrates me like no other child can!

Nolan struggles in school. When we first began doing school with him back in September, his attention span could barely reach 5 minutes. He would shut down after that and zone out. He couldn't complete a puzzle, he wouldn't look at pictures in a book, he had no energy or desire to colour, paint, or sort objects by various categories. Since then, with daily school at home, he has improved drastically. On some days he can do school for 45-60 minutes and he has learned so much. He has mastered many iPad games, is learning his ASL alphabets, and continues to excel at activities like puzzles, shape sorters, object sorting, and other fine motor games.

That said, many days Nolan acts out in school. He always looks forward to school and asks when he can go, but sometimes once he gets there he pretends to be completely clueless. He will put an act on as if he doesn't understand what we are wanting him to do, although we know very well that he understands perfectly. Sometimes he will cry and refuse to do what we ask him to do. He will smack the iPad with his hands, for example, as if he doesn't know that he has to drag the object to the proper place (a game he has done before). Or if he is doing the peg board, he will try to ram the peg in backwards, or will just keep dropping it over and over again while staring at the ceiling. Our tactic was to not give him any attention and to stare at the activity, and eventually (sometimes a loooong time later) he would complete the task. Between his tears, our frustration, and the amount of time it was taking to get him to do a simple activity, we knew something had to change.

We realize that he is smarter than he lets on, and also that he tends to be lazy and wants people to do many things for him. Many people suggested that he is bored and wants a challenge. While probably true, on the other hand he also needs to learn to obey and participate, otherwise getting him enrolled in mainstream school is going to be a challenge. I was struggling with finding a balance.

While at the Children's Museum recently, Nolan was engaged in play and I decided to sit him down and do a short activity. There was a wooden board with pegs on it, and you have to take the pieces and put them in the proper place to form the body of a man. We do things of a similar difficulty level with Nolan regularly at home. With him being so involved in what he was doing at the museum, I expected he would not be interested in participating at all, and would refuse as he would want to go continue playing. I was very surprised when he sat down with me, looked at the activity, attended to it, and completed it in 5 minutes, clapping for himself and then continuing along with his playing. It made me want to start thinking outside of the box in doing school with Nolan. Clearly, the museum environment, and all the moving around and creative play he was doing, was contributing to his attention and participation.

The next day during school at home I set out a big obstacle course for Nolan on the porch and living room. He began by walking to a sheep toy that has holes in it, where he has to take a string and thread the string through the holes. Fine motor can be a challenge for him, so he has to really focus on what he is doing, and he did a great job. Then he stood up and walked, working on taking big steps over small sticks that I put on the ground (something we are working on to help him pick up his feet as he walks). Next, he went and got his sheep toy and brought it to his bag, put it inside, slung it around his shoulder, and brought it to the next activity while walking. From there, he took the scooter board and got to slide it through the balcony over to the living room. The tunnel he would get to crawl through was sitting at the end of the obstacle course, but in order to crawl through the tunnel (which he loves doing) he had to complete the Sorting 3 game on the iPad, sort of like a shape sorter on the iPad. This game is one where he usually shows a lot of behavioural challenges while doing. Today, I was so excited to see that he completed it in 10 minutes, clapping for himself with each one he got correct and rarely needing redirection. He crawled through the tunnel and I gave him kisses all over his cheeks! He did great!

While doing some research on kinesthetic learners, I found that a lot of kids enjoy doing arts and crafts and working with their hands. Today we went on a walk downstairs and through the baby's home to follow a trail of letters. He carried his bag, crouched down and picked them up, until he found all the letters and reached the end of the trail. As he found each one, I did the ASL sign for the letter. Then we sat down and did some letter work. I would put some letters down, show him the ASL sign for a letter, ask him to find it, and then we would trace it on a paper, or I would draw a big outline of it and we would colour it in. I am also working on having Nolan colour in the lines and to look down at what he is doing, rather than scribbling while staring at the ceiling. He was motivated by the colouring and kept asking to colour, but he didn't enjoy it quite as much as he did the activity yesterday. There were still a few instances of refusing to participate, where he would tap all the letters at once or try to pick them all up. These behaviours didn't last as long as they do in the school room though, and he eventually re-directed and participated with the incentive of getting to colour in the letter and trace his hands. I introduced the letter "G" today, so he is now working on A-G. I really want him to learn these letters, and I think it is such a good challenge for him. Tomorrow I am going to try to do more letter work, but maybe through an obstacle course like we did the first day, to see if that works. I think I will incorporate the letters more into the game. Rather than sitting down and doing it, he will have stations in the obstacle course where, in order to continue along, he needs to look at the letters and give me the letter I am signing to him. Then he can move on to the next station via crawling through a tunnel or scooting on the scooter board, or something like that. I think that may work better than the colouring.

(disclaimer: I do not usually dress Nolan is fuzzy red pants that are far too short for him :) As it is Valentine's Day, I decided to be festive and dress the kids all in red and pink, and this was the best I could find!)


I want Nolan to continue to learn and to find a deep love for learning. Please pray as we search for a preschool that will accept his enrollment. Please pray as we continue to think outside the box to educate Nolan. In the meantime, until we find a great school for him, I am going to continue doing activities like those above with him at home. We are also going to be going to the Museum once a week, giving him an opportunity to play with other children and to use the awesome activities and toys they have there, mixing play with school.

Resources I have been reading:
A Running Start: How Play, Physical Activity, and Free Time Create a Successful Child by Rae Pica
Raising Your Spirited Child by Mary Sheedy Kurcinka
9 Ways to Teach Tactile-Kinesthetic Learners 

Do you have a kinesthetic learner in your family? Any ideas to share on new and different ways we could teach him?