Monday, 31 August 2009

Milestone Mania

His enthusiasm caught me off guard. I had grown accustomed to his refusals. His default negative responses when faced with any mention of the word school. "Bye Bye School" had been the catch phrase of the last few weeks. Rory's like that though, he just says no to everything; just in case.

This morning when I crept in to give him is 7.30am feed and meds, he was still bundled under the blankets snuggling up to bear. I worked away at his tube, able to carry on without disturbing him. His eyes opened, just a crack, he took in the light grey morning sneaking in between the curtains. He sat up, and announced, "I'm going to school today". This was a promising start. I thought it best not to rush him so I let him have a little lie in, a few moments to contemplate his new educational fate.

We busied ourselves with the usual morning routine, uniforms were donned, toast was crunched and caffeine was administered in strong doses to the grown ups.

His regulation grey trousers were proffered, and accepted, along with the grey shirt and school jumper, which he had previously deemed to be too 'scratchy'. All were put on without so much as grunt of protest.

I had expected, if not an all out battle, at the very least some very vocal objection, none were forthcoming. He was positively jovial at the thought of the uniform. He completely blind sided me, with his cheerful acquiescence. The lump in my throat came on very suddenly and before I could swallow it down, the tell-tale brimming of the lower eyelids began. I could feel a full scale wobble coming on. It seemed completely disproportionate to the situation as Captain Sensible, just popped on his shoes and asked for his Madagascar school bag. Fair enough, the kid was going to play it cool!

We snapped the obligatory photos, the kids chuckled and off we went.

Simple as that.

The entry to the class was equally low key. He sauntered in like he owned the joint. Charmed his teacher and Special Needs Assistant.

"Slan, Chickenlicken, see ya later" was the last I heard as I rushed out the door - the fear of making a complete show of myself was now even more acute. I had one aim, get past the school gate without making eye contact with any other parent.

I hadn't allowed myself to imagine this day, it seemed far too presumptuous. Now that it's here; all nonchalance and normal, I don't quite know what to do with myself!

It has taken us six years to come from this :















To this :












Sometimes the enormity of normal just knocks the stuffing out of me!

Cheers,

Ann

Monday, 24 August 2009

The Big Six



I can't believe it's six whole years since you blasted into our lives full of fire and fun. You arrived with such a love of life, clenched, vice like, in your tiny fists. Now your hands are bigger - you can pack more in.

Happy 6th birthday boy wonder, long may you continue to amaze us.

Cheers,
Ann


Wednesday, 12 August 2009

P P S Anyone?

Can anyone tell me what exactly a PPS (Personal Public Service) number is good for? I have had cause to ponder this a lot lately. To me it seems like a quirky little Irishism, like the way you might be asked what your mother's maiden name is, or where your people might be from.

Public servants seem to either worship it or ignore it. The neat box designed to hold those hallowed digits seems to blink like a talisman for every civil servant in the land. But what exactly do they do with it?

I, of course, am far too literal and logical to ever fathom the depths of the mandarin mind. The twists and turns of those firing synapses when faced with official form filling completely bypass my sub civil servant brain.

Let me illustrate my point. I am a full-time carer, in receipt of carer's allowance; a social welfare payment which is means tested. Therefore, my means are below a certain threshold.
That's all quite straightforward. If you look up my PPS number on 'the system' it well tell you this.

I have recently decided to return to part time study. I figured I should up-skill in preparation for the day when my carer's duties reduce. I could then re-enter the work force, and maybe pay some taxes. I waded through an ocean of literature on entitlements, what one could and couldn't do in my situation. I made numerous phone calls to the nice people in the carer's allowance section of the the Dept. of Social and Family Affairs. I followed their instructions to the letter. I was officially sanctioned to apply for a Higher Education Grant. I receive the form, and am told, I have to be means tested again. But what about my PPS number? Surely it will give you all the information required? If the good people in the carer's allowance section are deemed competent enough to means test for social welfare entitlements, could we not save a whole other mountain of paper and just, you know, take their word for it?

Absolutely not! They are a completely different section of the public service, a whole new means test is essential.

So I fill out the form, queue for an hour in the dole office, taking up time that could be spent processing the many new claims, they look up my PPS number on 'the system'. It confirms my income threshold and that I am indeed a full-time carer, married with two dependent children. They then stamp the lovely pink form which has been printed by those nice people in the Higher Education Grant office and return it to me.

I then go and queue for my long form birth cert. It costs me 10 Euro. Does my PPS number not tell what age I am and that I was born in Galway some time towards the latter half of the last century? Obviously not, because the nice man in the register of births office spent quite a bit of time looking up my details on 'the system', of course this may not have been the same system.

Then the other kidney gets dragged into the fray, because I have to prove that he was mad enough to marry me 11 years ago, and that we have been living together at the same address for at least the last 3 years. He also needs to 'fess up again to how much he earns, which you know, we already did when I applied for the carers allowance. Then he needs to sign the nice pink form, to prove, well I don't know what exactly. That I have his permission to go back to education?

So then, after a week of queuing in offices and collecting various coloured forms, I bring them all to the nice man in the Higher Education Grants office. He then photocopies all my documents, stamps them, returns the originals, asks for some more evidence in paper form, and sends me on my way. Couldn't he have looked up all of this on my PPS, I am in 'the system' you know? No, they need paper proof!

I had just about recovered from this when, in a rather foolhardy gesture, I now realise, I rang the form E112 people. You know that office that eventually let us go to London to the feeding assessment clinic?It turns out she also needs a form, except this one is white, not pink.And guess what?She needs to means test us! I sheepishly suggested that, since I was in receipt of social welfare which was plain for all to see when they looked up my PPS number on 'the system', that maybe we could forgo the repeat means test. No she needed paper proof!

Am I missing something here? You see, from where I'm standing this seems like the most extraordinary waste of the little gem that could be the PPS number.

If I was a PPS number; I would be Pissed off, Put out and Sulking at this stage!

Cheers,
Ann

Tuesday, 4 August 2009

Hope of Peace

An old friend took his own life yesterday. As the shrapnel of his loss ricochets around his family and friends, it makes me think; there, but for the grace of God, go all of us.

I wish him the peace that so eluded him in this life. I hope he now feels safe.

I remembered this Seamus Heaney poem called The Rescue, it made me think of all of those who tried so hard to save him.

In the drifts of sleep I came upon you
Buried to your waist in snow.
You reached your arms out: I came to
Like water in a dream of thaw.


Safe journey home.

Friday, 17 July 2009

London Calling

I don't quite know where to begin, such has been the level of activity in our hive of late. You may remember I mentioned a feeding assessment team in London. The very sensible developmental paediatrician in Galway had offered to refer us there last November. All very straight forward you might think. Yes very straight forward indeed. As with everything associated with the HSE, it took two visits 4 months apart, approx 662 phone calls, a small forest worth of paper work, 5 hours of misinformation, a bottle of gin (- mine -medicinal ), a very near urge to take up smoking after 9 years of abstinence, and a partridge in a pear tree to actually make it all happen.

A word to the wise here, if ever you are considering dealing with long term illness and the HSE, please, please go into training. Some ex-special forces type boot camp, with some serious 'what to do if you get captured in the desert by the other side' type psychological expertise thrown in. Without it, I fear you may crack at the first hurdle. As I have been doing HSE time for almost 6 years now, my energy is prone to the odd dip into despair. At just one such trough, the bloodhounds in Temple St, came charging down the hill to my aid. They got on the phone, they set up a rota, they badgered, they pestered, pleaded and I dare say even threatened until one day 3 weeks ago, an appointment was extracted at metaphorical gun point. It left me speechless, a rarity for me I can assure you.

We sprang into action, a scramble for the dog eared London A to Z. Pins were stuck in the Tube map, cross referencing address books to see who would be kind enough to put us up for the night. A plan percolated quite quickly. The other kidney was up to his eyes with work so another grown up had to be found to help with the journey. Auntie Mags, yet again stepped fearlessly up to the plate. (One of these days she's going to wise up; and we'll be in big trouble.)

So, on Tuesday, off we went, the 3 of us, on our adventure to see the nice man who was going to talk to Rory about eating with his mouth. Rory agreed to come along but was only going to give this nice man, a very brief moment of his time. Eating with his mouth, while still a hot topic of debate in our house, is paid only, lip service, by Rory!

He handled the journey with aplomb - a seasoned air traveler, the plane held little fascination even though it had jet engines and was actually leaving the country. This was nothing compared to the train that whisked us from the airport. It had conductors in uniform and a whistle at every station; now that was the epitome of cool.

I watched with wonder as he took all of this new environment in his stride, only complaining when we weren't seeing the nice man immediately we landed, as he was in a hurry to get back home.

We got to see the nice man, a gastroenterologist, and his team, a speech therapist, clinical psychologist and a dietitian, at midday on Wed. Rory showed his usual cool, interrupting the proceedings only occasionally to insist that we go to the airport, but generally charming the entire room.

I don't really know what I expected from the visit, I knew in my heart there was no magic bullet for this situation. I did wonder though, if there was something we hadn't tried. I also had very precise questions about Rory's motivation to eat and his ability to recognise hunger. It was really refreshing and comforting to sit in a room with people who see kids like Rory every day. They made no assumptions, no tut tutting, no; I can't classify him, so I should really concentrate on what he can't do instead of what he has achieved. None of the usual; I have no barometer with which to measure, so I'll just go and use the worst case scenario scale, the default setting.

They just agreed, concurred that yes this was all totally normal given his experience. They marvelled at what he has achieved. They gave some very helpful advice, explained some of the probable psychological processes going on for him right now and praised us all in how far we'd come. It was quite amazing really, they had so much faith in Rory, I was almost taken aback. I'm so used to having his shortcomings pointed out by therapists. They just confirmed my gut feelings - let him explore the world, let him get used to feeling well, and most importantly let him lead us.

I had been giving myself such a hard time that I hadn't been consistently working with food in a very structured manner. They understood the difficulties involved and suggested we work on the fly, choosing only activities that he enjoyed. No forcing, no reward system, no passivity. He has to learn to experience and enjoy tastes for himself, not to please someone else. It makes so much sense, I had always felt this but I was a lone voice here in the West.

Very interestingly, in light of last year's Enable Ireland fiasco, the gastroenterologist agreed that any investigations into his ability to swallow are pointless at this stage. We have no evidence to suggest there is a problem, and testing would be hugely traumatic. If you're reading this; Miss crazy lady speech therapist; can I just say, in as smug a tone as I can convey in writing?
I told you so!


I just hope that you are not still working with vulnerable kids, because it has taken me exactly one year, almost to the day, to prove the irrevocable damage you could have done to my son.

Next time you try to bully a parent, just remember you are only a Google search away from being found out.

You have been warned...

Cheers,
Ann

Tuesday, 23 June 2009

A Tale of Two Days.

I remember it was very hot that August night. Somewhere along the road from Galway to Dublin, Saturday had turned into Sunday. My neck was sore from staring at the car wing mirror for 3 hours. I was straining to catch the blue flashing lights as the neonatal ambulance carrying our 2 day old son sped passed. I never saw the lights. We arrived long before them. My apprehension intensified. The ICU staff were surprised but welcoming. We were led to the parents' room down a corridor into a foreign land. Machines beeped, whooshed and pumped. Kids were plugged in and zoned out. Parents keeping a vigil by their beds. Staff were calm, in control but very serious. We were in big trouble, I knew we wouldn't leave this foreign country for a very long time, and when we did, our lives would never be the same again.

The ambulance team arrived about an hour later. They assured us all was well. Rory handled the journey and was reconnected to the ventilator in the adjoining room. It was time to let the staff do their job, someone asked if we wanted to see a priest. I declined. Tests on tiny babies take time, a lot of time. At 3.15 am a very kind consultant urologist knocked gently on the door and introduced himself. First names only, no room for titles or white coats here. He was shaking his head, not in despair, but in disbelief. It had never been seen before. No kidneys but, as he put it, lungs in pretty good nick. This was one hell of a fighter we had. We're not sure though, it's never been seen, we need more expertise. They'll be here in the morning. So we were asked to wait.

I've learned a lot about waiting since then. At that stage, I was still a novice; I didn't cope very well. 12 hours of wondering would we have to steal a last look, kiss him goodbye and turn off a whooshing machine. 12 hours of hell. I couldn't sleep and, having just given birth; sitting was still a challenge. So I walked, I walked every corridor in Crumlin hospital, railed at every holy statue and blessed virgin mocking me with their benign, trust in Us eyes. For those of you lucky enough not to have darkened the doors of that hospital, believe me that's a lot of eyes!

The night stretched into day, the morning bled into afternoon before we were released. His lungs came up trumps. The risk was worth it. It would be tough, there would be a lot of time spent in hospital, there were no guarantees, but he was given good odds. We grasped that chance with both hands and ran like hell! In the space of an hour we had re-ordered our lives, secured a house to live in, plotted our move to Dublin and remembered how to breathe in and out.

Today was just as hot as that August night, but today, he walked into his new classroom, smiled at his junior infant class mates, turned to me and said 'see ya later chickenlicken'.

What a difference a day makes.

Cheers,
Ann

Tuesday, 9 June 2009

These Are Good Days



It's been a great few weeks. The sun had it's best millinery out, and we basked in sumptuous sunshine. We ate in the garden most nights, swam in the chilly bay and ate ice cream till we felt sick.

It all started with Jess' communion - a really memorable day, not for any blingtastic bashes, but just for the fact that we had a celebration. I realised as our neighbours joined us for tea, cake and the odd drop of something stronger, that we had never had the occasion to invite them in before. We've been literally firefighting for almost 6 years. It was lovely to kick back and share a laugh.
It also gave us a long overdue chance to say thank you to all of you amazing people out there, who have opened your hearts, houses and arms to us during the dark days. Look how far we've come, now take a bow all of you, because we couldn't have done it without your support.



We can even report progress on the psychology second opinion. We had our first session last week with the new psychologist, and there's another tomorrow. So far, she appears to be of the non furry, string operated variety, but we will reserve all judgement till the final report. Just the old superstition of chicken counting and eggs hatching, you know how it is.

Plans for Rory's launch into full time education in Sept are gathering pace. So far, we seem to have dodged the cut backs and it looks like he will be approved for a Special Needs Assistant. Again caution is advised on chicken head counts here also. But fools that we are; we live in hope.

I've been busy trying to keep fit - remember those new years resolutions? In an effort to put my money where my cake hole is, I signed up for a sponsored swim (well two actually; but more about that anon). So far we have raised a tidy sum for the Ian Daly Swim a Mile with a smile for Barretstown. Feel free to log on and donate to this wonderful cause. I nearly had to be hospitalized and it cost me a fortune in physio, but I did it. I was not alone; auntie Mags, complete with dodgy arm was one of our star swimmers. A huge thanks must also go to Orla, Jen and Damien in the Ardilaun leisure club, who, bless them, didn't need any coercion to get involved. So we're all feeling nauseatingly smug at the moment!

The twists and turns of this journey will always catch me off guard. This blogging business has become such a major part of my life. I am now involved in the lives of people I've never even met. I worry about their kids, their desire to have kids and their on going health issues. They, in turn come and visit here, to leave messages of support and encouragement. But today, I was literally blown away by two posts.

Steph is facing some major surgery, but with an optimism and chutzpah that just takes the floor from under me. She is an inspiration. The other major news is that Xbox is going to be a Dad.Big sissy that I am, I wept with joy reading that post this morning.

Of course I've heard nothing back from Enable Ireland, but honestly, did you expect anything?

These are good days; so lets not waste them.

Cheers,
Ann