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Seeing the autism specialist tomorrow

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I've been kind of shut down since our first visit with the autism specialist
last month, I don't know why. Since December, I was wishing so much
that someone would acknowledge what I see in my kids... and she did...
and then the new frustration was that we couldn't afford ABA or other
therapy. But I've been getting past all of that, and have found a local
support group - YAY!

I don't feel anything about tomorrow. I'm hardly even curious about how
they act or what she'll say. It won't change anything! And I've continued
to see improvements in both Jair and Lia, despite not having them in any
formal therapy - just what we do at home.

Jair... There are definite moments when John and I exchange glances and
say "he is so autistic!" but then other times he does something great/
normal. Yesterday we were all driving somewhere, and Jair got stuck
repeating "I. hear. car wash. Do you. hear. car wash?" LOL, over and
over, sometimes in his monster voice. But then today, Briana said, "I like
red." And he said, "I like. Bbbblue." Yay!

Socially...
-/+ Doesn't return smiles or use nonverbal gestures like waving (he used
to wave last year), shaking/nodding head, give hugs or kisses... although
we've really been working on the kissing, and he's starting to "get it,"
which is exciting. Today he hurt his finger and kissed it himself. Most of
the time now, when we ask him "Kiss my face," he will kiss it, but
sometimes he still presses his cheek against our cheek instead. "Give me
a kiss" confuses him.

-/+ Ignores/avoids other kids, except for his sisters here at home. I'm so
glad for them, because Briana is like a 24-hour model/coach for him, and
he has great affection for Lia - he asks for her when she's not around,
and likes to make sure she has her sippy cup nearby. He likes to poke
things into her mouth @@ or lead her into rooms (and shut the door on
her, LOL, or try to put her outside!). When they aren't around, he reverts
to crawling around alone, laying his head on the floor and sliding toys
back and forth in front of his face. In public, he just stares or crawls
around under things.

+ He will now sometimes say "Look, Daddy," or "I did it!"

?/- Social/emotional reciprocity? Hard for me to say, because he can be
very different when it's just me and his sisters, and when there are other
people around. He will crawl into strangers' laps, or give them hugs at
the slightest invitation, but he won't talk to them or do anything they ask,
sometimes completely ignores them. Even with me and his sisters, his
reciprocity is questionable. He doesn't take turns, play games, show
affection, or answer questions. He likes to sit near me, and often does
what Briana or Lia is doing, to an extent.

Communication...
?/- He was delayed in speech, with a regression at some point. He would
repeat "bye" around 12-15 months? but stopped and didn't talk again
until 24 months, and that was repeating words/phrases. He's never used
signs, took a long time (25-26 months?) before he started pointing to
label things, but if he wants something, he sometimes ~reaches~ toward
it and screams, or pushes me to it, or asks for it by a word (not
neccessarily correct word) - NOT by pointing to it. He is most
likely to just try to get whatever he wants for himself.

- No conversation! He won't answer questions, except (now) for our
animal sounds game - What does the dog say? etc. "Dog say... Wuff!" He
will tell me "Ouch" or "Funny" but if I ask "What hurts? where is the ouch?"
or "What's funny? Is the cat funny?" etc etc, he will just keep looking at
me, repeating "ouch" or "funny."

- He has a robotic voice, pauses between words, and uses words in
groups... "I-want-it.. ride-it.. Papa's-green-tractor." When it's time for
bed, even if Lia isn't around, he says "Say Good Night, Lia" or "It's dark
outside" (even when it's not) to us, or if he will often say to us, "Say good
bye" or "Go clean clothes" if he wants me to go away. If he doesn't want
something, he might say, "Say no thank you," LOL.

- He doesn't play pretend, even though Briana and I are always trying to
engage him. He just looks at us like we don't make sense, LOL. His idea
of fun/play is limited to pushing buttons, climbing/jumping/crawling, or
watching things move right in front of his face... or wrecking things and
watching our reactions. @@

Behavior...
? I don't think he has an encompassing preoccupation with anything. He
does love balls/spheres/circles, and he goes through attachment-phases
- one was with his sandals, then carrying around some plastic gourds, the
latest was imitating Lia, but that's starting to end, thank goodness.

+ Definite inflexible adherence to Rules. We can switch his daily schedule
around, and he doesn't care, but he will tantrum if we don't do certain
things in certain ways. @@

- No stimming... He will walk around with tightly clenched fists, and flap
his hands occasionally when he's excited, but nothing all the time. He
likes to spin wheels on little cars, and does this mindlessly. Well, maybe
these are stimming behaviors, but not like anyone else would say
anything about them.

- Parts of objects... sure, since he doesn't use his imagination with toys,
he is only interested in how they feel or move or look up close.

He has definite sensory integration dysfunction. He used to slap his face
when the sun hit it, and yell "The face!!" lol, but lately the main terror has
been drops of liquid on his skin, which he slaps at and screams. Soup, or
a tiny splash of water from his sippy, or tears... when he cries now, he
slaps his face at the tears!

My brother was in town this weekend, and instead of calling him "Uncle
Kevin," Jair would sometimes refer to him as "Taco Bueno," LOL! You
could look at his face and see that he KNEW that wasn't "right," and he
would keep trying to retrieve "Uncle Kevin" instead. Also this weekend,
he dubbed one of his blankets his "commercial," which took us forever to
figure out what he was screaming/asking for.

He has definite issues, and comes across as ASD, but maybe he just has
sensory dysfunction and language problems. I know he is at least making
progress, so I'm not too worried about it. Well, I say that NOW, at this
minute!!

~~~

Lia has started waving, finally! Only when I carry her from a room and say
"Say Good Night, Lia." She won't do it when we say "Say bye bye!" LOL, or
if I'm not carrying her away. The other day we got really excited because
she waved at John, when his back was turned, as we approached him. We
couldn't get her to do it again, though. When she does wave, it's usually
one hand, more of a flop, and the other hand flops a little, too. But she is
using it in context, which is what's important.

She still doesn't talk or point or reach, or shake her head, nod, show
affection... She explores, is very independent, and gets offended/upset
when we hold our hands out to her or try to hand her food/drink/toys.
She squeals and crawls/walks away, starting to cry, or flaps her arms and
screams. We have to set it down ~next~ to her. If she does want
something, she does this horrible tea-kettle scream, and sometimes flaps
her arms.

She doesn't react to things that should be painful... She only laughs if you
tickle her - otherwise she always has this blank expression with her
tongue hanging out, LOL. When EI tested her developmentally, she
scored between 4-8 months old in most areas, at 12 months old.

~~~

Look, my marathon post! This is to make up for not posting in a long
time.    I had to give the latest update!

So we'll see what the autism specialist says tomorrow. Our EI program
here is extremely lame... in case anyone here has forgotten all of my
rantings about it, hehe. Our IFSP is a list of problems to work on, and we
are supposed to be meeting for a hour once a week to discuss ideas for
me to try. The social worker cancelled twice in a row, and I never
rescheduled with her. It just seemed too worthless to me. BUT!! After
we met with the autism specialist last month, she must have reported
back to EI, because I just got a voicemail from EI, saying that they're
going to send us a speech/language specialist "who is familiar with
autism and really good with ASD kids." Boinggg! GREAT! We would love
some speech and language therapy! And sensory/occupational, as well, if
possible. Jair can't fed himself very well at all, and messes freak him out.
He often won't eat unless I feed him.. or he will start touching his food
and get carried away and squash it all - and then freak at the mess.

If Jair and Lia are any kind of "autistic," I think the diagnosis will really
help us get more services. I also just want to be able to tell my family/
friends that they really do have something going on - it's not bad
parenting, or bad kids!
sleuth38852.6995023148thanks for the update. 

I'm really happy to hear that Early Intervention is finally getting their acts together in regards to Speech therapy. 

I know what you mean about them seeming "so normal" at times.  I get that all the time with my little guy.  And then the next day it is like I have a completely different kid on my hands.


Great to get an update. And WHAT an update.  Take it from me.  You can only really work on ONE thing at a time.  SInce Jair seems to really want to communicate verbally (and DOES in his own way) I would work on that pretty-much exclusively for the summer.  Sometimes other things fall into place a bit when the communication ability improves.  Pump the speech therapist for info.  Ask about PECS.  Search PECS on the web.  As I've said a MILLION times, it doesn't matter what their dx's are at this point in time.  It matters how you address their deficits.  States are not required to provide anything at all until age 3,which is why your EI is so lame.  At least they are doing SOMETHING, though admitedly, not much.  They don't even HAVE to do that.  But they do have to provide services at age 3 that conform to IDEA.  So, familiarize yourself with IDEA so that you can keep their feet to the fire as soon as Jair gets a preschool age IEP.  I would definitely get my hands on the book Relationship Development Intervention.  There are fun exercises there that Brianna would love to participate in and that will help Jair.  Lia, too, as soon as she's old enough to participate.  Check eBay. Lots of times you can get gently used autism books there.  Or even new ones cheaper than at a bookstore. 

Feeling numb after a diagnosis is normal. But summer is nearly here and it seems to me all kids get developmental leaps during the summer. Probably because there's a lot of stimulation during summers.  I can guarantee that you'll love working with the kids yourself if you get some guidance from the books.  You go, girl!

I enjoyed your update. Let us know what the specialist says.

(((Hugs)))

Thanks for the update.
All the best,
Nowwhat

Man! How fast do you type?????

Glad to see you back, and it seems like things are moving right along.

Let us know how it goes!

 
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