Adventures in COVID Testing

Headphones? Check.

Power Bars? Check.

Chocolates? Check.

I thought I was all set to take Josh to get a COVID test at a local community center.  We are planning to go to a cabin in the mountains over Thanksgiving with my sister's family and my mother so we all decided that we were going to test beforehand.  I talked to it about it the whole time we were driving there, promising him his beloved cheese quesadilla at Taco Bell afterwards.  The strategy was lots of communication, lots of bribing which usually works pretty well. He was in a very good mood and was echoing me eagerly.  

"After the nose test we're getting a quesadilla."

"After the nose test we're getting a quesadilla!"

I should have know that things were going to go south when we stood in line behind a set of nervous preschoolers.  They both started to cry as they moved toward the front of the line and saw the clinical set up inside the community center.  Children crying is kryptonite to my son so he started making anxious noises and putting his fingers in his ears.  

When we finally got up to the table where we were asked to show the QR code for our registration, I was greeted by two very tall, confident Asian men in their early 20s.  Through their PPE I could see that they both had haircuts and tattoos that communicated a high degree of hipness.  

I told them about Josh's autism and intellectual disability and they confidently had Josh sit down and came at his nose with a long swab.  Things went bad pretty quickly.  Josh was not at all interested in having something go up his nose and started screaming, "No! NO! NOOOOOO!" He started to flail his arms and kick with his feet.  The chair went flying.

The cool Asian men in PPE tried to hold him down enough to get 10 swirls of the swab in each nostril but it just got worse.  Josh screamed like he was being tortured.  For a second I thought about the faces of the people in line outside and wondered what they thought was going on and what might be in store for them when it was their turn to get tested.  It made me want to laugh except that I also wanted to cry.  

It was all going to hell in a hand basket when a short, older white woman came over and took charge, ordering the men to stop trying to hold him down.  She took a couple of deep breaths and we all followed suit.  We sat there breathing deeply together while everyone in a large auditorium were all probably very aware of us.  

Then the woman told Josh in a very calm but authoritative voice, "Josh, we need to put this in your nose.  I'm going to let you do it with me and we're going to count to ten."  She held out the swab and let Josh put his fingers around it while she also held onto it.  Then together, they stuck it up his nose and swirled it around.  He didn't like it but he did it.  And when she told him that we were done and that he had done a good job, he said, "Want chocolate."  I quickly gave him a piece of the leftover Halloween candy that I had in my purse.  The lady gave him the rest of the candy while I got my nose swabs.  Just as I was finishing, I saw that Josh was holding her hand and asking her for a quesadilla.  

As we drove from the community center to Taco Bell, I could literally feel the tension swirling around my body like someone had taken all of the stress from the past 7 months and and squished it into a tight bolus which I had swallowed.  Adrenaline pulsed down my arm like little arrows.  It's been a while since Josh has had a full scale melt down like that but, wow, he can still do 'em pretty impressively.

When we got back to the parking lot outside of his school,  I turned around to see my beloved son contentedly eating his prize from Taco Bell like the generally calm, happy person that he usually is. I love this kid so much it hurts.  I took a deep breath and said, "Ok Josh, let's go back to school."  He was quiet for a minute and then he said to me, "But first chocolate."  

Rain Man

 

My husband Alex is very committed to our daughters' movie education.  A veteran movie and TV watcher, Alex loves sharing the excellent films of his childhood, youth and young adulthood with them whenever they are willing.  At 13 and 14 they know more about World War II movies, sports themed movies and movies of the early 80s than most other kids their age.  We are aware that time may be running out on getting them to watch movies with us as they have just started high school and are on the brink of almost always choosing time with friends over time with parents.

Right before the school year started this year we realized that the girls had never seen Rain Man.  Given the fact that it's about a sibling relationship with a brother with autism, we skipped the usual back and forth about what people wanted to watch and just decided that we just had to watch this.  Hope and Anna had never heard of this movie and had no idea what it was about.  

Anna was hesitant at first saying, "It's kinda long, Dad. Can we watch something else?"  

We insisted, saying, "Just trust us. You'll like it."

They did like it.  We laughed.  We cried.  We called out unrealistic and disturbing things (like Tom Cruise's girlfriend kissing Raymond in the elevator).  Mostly, we resonated.  Here are the top four points from our post movie-watching conversation:

1)  Dustin Hoffman deserved his Oscar.  We thought he did a great job embodying a person with autism.  When his character had meltdowns or dealt with stress through saying things over and over again it felt very real to the four of us who have not only lived with Josh for a long time but have also observed his peers.

2)  Not all people with autism have savant syndrome.  Why does it seem like everything that in everything that Hollywood pumps out people with autism also have savant syndrome?  For example, we are fans of the Good Doctor, where the main character has both autism and savant syndrome as well.  He can figure out all sorts of medical miracles with his superhuman capability of picturing the details of the human body in his mind.  If Josh had savant syndrome, what kind would we want for him?  Musical ?  Mathematical?  Is the ability to draw hairdryers and fans on the magnadoodle for hours at a time a superpower?  We once had a music therapist who was sure that Josh was a musical savant with perfect pitch.  About a $1000 in music therapy lessons later, we realized that he didn't.  

3)  People with autism are capable of expressing a wide range of positive human experiences and emotions.  We loved how Raymond had moments of humor, affection and joy.  We really resonated with the movie makers' choice to have Raymond be a well-rounded person who had the whole human gamut of emotions and not just an amalgam of stereotypes of what people think that people with autism are like.  Our Josh is a fount of happiness, peace, confidence and curiosity.  We appreciated that as Charlie got to know his brother as a multi-dimensional person so do we.   

4) In this story, institutionalization was the answer.  Yes, this film was made in 1988 but we were curious about how people's perspective about the need to house people with autism and other disabilities in institutions have changed.  In this particular story, the best thing for Raymond ended up to be living in the institution which he had already lived in for decades. It didn't hurt that Charlie and Raymond's father had tons of money and could afford to house Charlie in a very nice institution.  Also, Charlie was clearly not in a place to be able to suddenly and responsibly live with Raymond.  Still, we wish that there were more examples in the media where families are shown to be living and flourishing with people with autism.

For those of you who know real people with autism, what felt real or interesting about this movie?  What felt off or wrong?  What do you think that this film says about people with autism? 

Family Meeting

Part of our survival strategy during COVID is to have family meetings.  During these times we try to resolve conflicts, agree upon expectations about chores, clarify family policies about online behavior etc.  Now, remember that my husband and I as well as our two 9th grade girls are all raging extroverts and these meetings are places where strong opinions and emotions are being unfurled so you really have to bring your A-game.  Your mind has to be sharp and your timing has to be ON or else you might not get any airspace or you might lose precious time in an endless bunny trail of random disagreements.  I've led a lot of meetings in my life and our family meetings are pretty much the zenith of leadership challenge.  If you lose concentration for a split second, you are bound to lose control and someone will end up leaving the room or crying.  

We were having one of those highly tension filled meetings in our living room when Josh sauntered out of his room and plopped down next to his sister.  We all stopped for a second because Josh does not usually join in on these meetings.  He had his headphones on, his ipad in hand and seemed pretty happy so we just continued on with our meeting agenda. 

At one point, the emotional tension was really starting to build.  I can't remember what the topic was but there was considerable disagreement about it.  Things that were being said by one person were taken as seriously offensive to another family member.  I wondered for a second if this was going to be one of those meetings that we have to halt and come back to later.  

But just at the right moment, Josh entered the conversation by echoing something that was said a few minutes earlier in the conversation.  

"That's totally inappropriate!"

The rest of us stopped, looked at each other and couldn't help but to laugh.  

"That's totally inappropriate!"  

"Joshie, is it totally inappropriate?" I asked my sweet boy.

"Yes." He said, very calmly, focused on this ipad.  

That little moment of levity was all we needed.  We were able to finish our meeting and iron out our differences with much more calmness.  Josh had been just the special guest consultant that we needed to survive another meeting with teen girls who are trying their best to survive a pandemic (and their frazzled parents).  

(This is not from a family meeting but another time where we were just hanging out together.)

Happy as a Clam

 

When we first arrived at our friends' beach house I was already a mess.  I was afraid that our unruly, chaotic mop of a dog would pee in their house.  I kept thinking about all of the things which I had forgotten to pack.  It was hot.  I was already tired.  Of course, the biggest worry, as always, was about how Josh would do.  This was a place where we had never stayed before and Josh is always stressed by new places.  

We always let Josh stay in the car as long as possible while the rest of us unpack the car and get situated in any new place.  Alex brought all of Josh's accoutrements into the room which he would get to stay in all by himself: his stereo, his Ipad, his magnadoodle toy.  When there was nothing left to unpack I went out to the van to coax Josh to come in.  I can't remember if I had to bribe him with a snack . . . probably yes.  

I feel bad saying this but, with our family, going on any trip is a big fat risk.  We're definitely had our share of family trips that have spectacularly NOT gone well.  For the past twelve years, we have had the most success vacationing at our dear friends' lake cabin in the mountains.  Josh gets to stay in the basement family room where it's quiet and he gets his own space.  He loves it and he knows what to expect.  If he hears us mentioning "the lake cabin" Josh will start saying "wanna go to the lake cabin" over and over again.  But this year our friends are in the midst of a remodeling project so it wasn't an option.  Also, we happen to be in the middle of a pandemic this summer so we assumed that we would just stay put.  Just when being in our house was going to drive us fully bonkers, some other friends reached out asking if we might want to stay at their beach place about an hour away.  Uh, yeah!

Today is our third day here and we finally felt ready to take the risk to take Josh down the mini-hike down to the beach.  The last time we took Josh to the beach, he didn't like it and he wanted to go home right away, which was a bummer for the rest of us.  But the beauty of this place was just so ridiculous that we had to try again.  Hope went down earlier than the rest of us and she texted me, "MOM! THERE ARE DOLPHINS!"  I looked out of the main bedroom's window and, sure enough, I could see a pod of dolphins frolicking in the water below not far from the shore.  

That was it.  I summoned the energy to pack up all of our beach stuff and drag Josh down the path and three sets of very steep steps down to the beach.  He was scared but he held tight to the guard rail and my t-shirt and carefully headed down.  

It was pretty much love at first sight.  Josh plopped himself down in the wet sand and, for the next two hours, delighted in the sensory input of the cool waves hitting his body.  He was like a little brown lighthouse of joy, waving his arms in the air, laughing loudly and saying some of his favorite words;  "feelings!", "abortion!", "cocaine!", "train!".  Several people walked by and gave us a smile.  

Alex and I took turns closely supervising him in the water while admiring how well the girls had taken to boogie boarding.  We each got some time to ourselves under the umbrella to read as well.  

To top it all off, I quickly found that if I dug into the wet sand a little bit with my feet, it was not too hard to find clams!  Be still my immigrant heart!  Not only was this day going so well but was I going to have FREE seafood to cook for dinner as well?  This is crazy!  

Ok.  Not everything in a given day has to be perfect in order for a day to be wonderful.  It turned out that there is a quarantine on shellfish in this area because of an abundance of a certain marine bio-toxin so we couldn't eat the clams.  Also, one of my supposedly independent teens elected to not apply sunscreen prior to swimming in the ocean for hours so some amount of wailing about crispy skin ensued.  But we all agreed that the day had been very good and we were filled with gladness and gratitude.  

Abortion, Cocaine and Such

I think I might have solved a long standing mystery in our household.  As I mentioned in my previous blog post, Josh has a habit of repeatedly speaking out a word or phrase which he takes a liking to.  We are guessing that he doesn't speak the word for what it means to most of us but he likes how it sounds.  Sometimes they're nonsense words that he's made up like "recordian".  Oh how he loves to say that.  I'll walk into his room and he'll be saying, "recordian" and just savoring the sound of it with a sweet smile it like he's had some fine wine or gourmet chocolate or something.

One of his favorite real words is "abortion".  He seriously says it all the time. A new word which Josh is fond of is "cocaine".  It's both annoying and disturbing to have him say these words over and over and over again.  They're not lovely words.  I don't like that he says them and I don't know where he got them.

Starting about a year ago, he'll say a word or phrase aloud and then he will keep saying it until we say it back to him.  Maybe it's his autistic way of being relational or interactive but it sure doesn't feel very relational from the neuro-typical side. And if we don't say it back to him, he'll keep saying it with more volume and intensity until one of us breaks down and finally says the word just to get him to shut up, especially if we're in a car together.

"Abortion? Abortion?  ABORTION!"

"Yeah, abortion, Josh"

"Hey, I thought we weren't going to say it back to him!"

"Yeah, we need to break him of this pattern.  It's so annoying!"

"I just can't stand it anymore.  I just need him to stop."

"Yeah, I know."

(3 minutes pass)

"Cocaine?"

You get the picture.  Anyways, today I walked into his room where he was listening to the radio and caught the tail end of someone sharing a testimony on the Christian radio station.  The person was sharing about how he used to be a major cocaine user until Jesus came into his life and now he's sober.  Oh. My. Goodness.  That's it.  Josh has been picking up these words from CHRISTIAN FREAKING RADIO!  I bet that's where he got the word "abortion" as well!  Ok now.  How can I fix is little CD player to not be able to play Christian radio?  And no rap stations either.  That might be where he's getting all his swear words.

Five Blessings and a Bummer During Quarantine

Like most parents, Alex and I are struggling to create some sort of routine for our kids during this time of "sheltering in place" during the 2020 coronavirus pandemic.  I think that all of us are disoriented and stressed.  But do you know who's not disoriented and stressed?  My 17 year old son, Joshua.  He has no idea why we stopped going to school but he seems to be quite cool with it.  School ended a week ago and our household is just barely starting to achieve some semblance of a new structure.

Mostly, Josh gets to hang out in his room listening to music and drawing which he's happy to do.  He takes long baths and goes for at least one walk around the neighborhood every day.  Sometimes, we drag him around to the grocery store or to get pet food.  As long as he has some snacks, he's very chill about running errands.

Today, I was struck again about what a blessing Joshua is.  Here are five things that I have enjoyed about Josh and one thing that I didn't enjoy:

1) Josh has become a good walking buddy.  When he arrives at a street corner, his years of orientation and mobility training kicks in. Josh says quietly to himself, "Look left, look right.  Safe to cross." Then he takes my arm and crosses the street.  It's the sweetest thing ever!

2)  Josh wakes up happy and hungry.  Whereas my other teens have a proclivity to sleep till 11am or noon, Josh wakes up between 7-7:30 am everyday.  I hear him rummaging around in the kitchen and fear of him pouring my sugar canister all over the floor wakes me up in a jiffy.  Once up I decide to make myself a cup of coffee and then I am rewarded with a quiet couple of hours.  Josh has a couple of pieces of toast and some frozen smoothie cubes then he retires to his own room.

3)   Josh is unbelievably happy in the bathtub.  He loves the sensory input of water and our babysitter recently bought him this bath toy which he finds to be a never ending delight.  ("It's like a shower head!!") I am not kidding, Josh can take a three hour bath and make happy noises the whole time.

4)  Josh comprehends that if he wants to use my phone for 5 minutes to watch a YouTube video he has to work for it. 5 minutes with my phone equals at least three chores.  He's actually pretty good at unloading our dishwasher, although if left unsupervised, he can leave all the glasses upside down on the edge of the sink.  Still, I find it helpful to have him contribute in this way and he never complains.  Other chores include taking out the trash and recycling, watering the plants in the front or back yard, brushing his teeth (not a chore but still works in the same way) or putting away clean clothes.

5)  Josh still loves to sniff Mama's hair.  Actually, he sniffs Hope's hair as well.  I think he really has a thing for long black hair.  Maybe blond hair doesn't smell as nice?  Alex has no hair on his head so he doesn't get to participate in this.  One time Hope had a friend over who had the most beautiful long black hair.  The girls were watching a movie when out of the corner of my eye I saw Josh headed over to sniff her hair.  It was like everything went into slow motion, Josh going in for a sniff, me trying to head it off saying, "Nooooooooooooooooo".  Disaster was averted but the friend seemed a little confused.  Anyways, sniffing people's hair is not the most prosocial behavior but it's one of the only ways that Josh initiates connection and affection.  And it makes him happy, which makes me happy.

The Bummer -- Yesterday Josh and I went for a walk to the "Little Free Library" down the street.  For those of you who have not seen these, they are little shelves or cupboards that people put up on their front yards where people can leave a book or take a book.  It tends to be a low key place where people sometimes congregate.  Three people from the same household were there already and as we approached, smiling Josh said in a loud and delighted voice, "F*cker!" Dude, I have no idea where he got that! Seriously, I don't think that I've heard that word in my house ever. (Other not nice words but not that particular one.)  I do know that Josh will pick up a word that he hears and rolls it around in his mind and mouth.  Last month his favorite word, unfortunately, was "abortion".  Oh how he loved to say that word.  Sometimes he'll keep saying it until we say it back to him.  It's the only way to get him to stop.  Well, all I know is that I haven't had a good mortification like that in a while.