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Garage Door Racing

From a very tender age, George has been fascinated with garage doors. Garages themselves hold little interest for him, but the doors are an endless source of interest and entertainment. Right in the beginning, when he was barely old enough to walk, he would insist on being able to watch the garage doors open and close. Understanding this, of course, was a challenge for us, since George had no functional language to speak of at that time, and could not communicate his desires. We had many, many meltdowns borne of the fact that our boy had this thing he wanted and could not ask for. We accidentally discovered the issue when someone happened to close the garage in the middle of a meltdown. As soon as the door started to move, George instantly calmed down.

George is not fond of garages that are left open. They are pointless to him. An open garage does not have a visible door for him to examine in its minutest detail, and even now, when we are at large in our neighbourhood, we have to watch George to make sure he does not take off in the direction of any open garage he happens to see. If he gets into an open garage, he starts hunting around for the mechanism with which to close it, and this can create an awkward situation for the homeowner whose garage is thus targeted.

In the last couple of years, George has been able to satisfy his garage door obsession by watching YouTube videos featuring – you guessed it – garage doors. You would be amazed at how many videos there are dedicated to this subject. Many of them are demonstrations of garage door opening systems presented by salesmen or manufacturers. That’s good enough for George: he watches the videos over and over, and gives the appearance of actually absorbing the words that are spoken by the presenters. It wouldn’t surprise me: George’s speech is not up to much, but his receptive language is actually quite good.

About six months ago the knowledge came to me that there is such a thing as Garage Door Racing. My son found it on YouTube. To participate in this unlikely activity, all you need is a double garage, and two people, each one with a garage door controller. You start with both doors open, and when the signal is given, each person presses the button on their controller. The person whose door is completely closed first, wins the race.

I know, I know.

But clearly someone enjoys it.

About two weeks ago we started a new phase of the whole garage door thing. George found a YouTube video featuring a guy cutting into a garage door with a jigsaw.  He immediately went off and gathered several long pieces of Lego. He stacked them together in a tower that I later realized was a fairly realistic emulation of a garage door. Then he found a toy jigsaw that someone had given to one of the boys. Armed with the Lego and the jigsaw, he returned to the computer and played the video again. Except this time, he copied the video by “cutting” his version of a garage door with his toy jigsaw.

Since then, he has spent many happy moments pretending to cut his door, both with and without the computer. I am encouraged by the pretend play, even if the pretending is of a somewhat unconventional nature. Gerard is encouraged because his son is showing an interest in power tools.

Today we ran into a bit of a problem. Because I have a cold and took a sick day, I was home when George’s school bus dropped him off this afternoon. He came inside, and without even taking his coat off, he ran into the living room, retrieved his toy jigsaw, and then ran back to the front door and tried to go outside. It turned out that he wanted to use his toy jigsaw on the actual garage door.

Great. That’s all we need. Already I am picturing a day when I come home to find our garage door chopped up into pieces.

(Photo credit: http://www.flickr.com/photos/dumbledad/3398173944)

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Look At The Bridge!

We had a nice George-vs-Autism moment this afternoon while we were driving down the highway. The four of us were on our way to the tuxedo place to get Gerard’s measurements taken.

George was unusually calm: usually when we are out in the car, he insists on McDonalds, Tim Hortons, Wendy’s, or whatever fast food place happens to be closest to where we are. One thing that he definitely has no issues with is his memory – he only has to pass through a neighbourhood once for the locations of stores and restaurants to be indelibly stamped in his mind. As a result, our drives are accompanied by a running commentary. “I want McDonalds chicken burger, please, yes. I want Tim Hortons cheese bagel, please, yes. I want Baby Burger, please yes.” As we drive past a place, taking it out of the running, he starts targeting whatever place will come next.

Today, though, he was silent but alert. He was quietly observing the world as we whizzed by it, and as we approached a bridge going over the highway, he suddenly and animatedly said, “Look at the bridge! Look at the bridge!”

Parents of neurotypicals who have never been exposed to autism are probably reading this and saying, “Yeah? And?”

This is a big huge holy-crap-that’s-phenomenal deal. A completely spontaneous utterance, appropriate to the situation, made for the purposes of social communication.

It was a beautiful moment indeed.

Funny, the things that have power to bring tears to my eyes.

(Photo credit: http://www.flickr.com/photos/ell-r-brown/3815822976)

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Spectrum Musings

Sometimes I wonder if George got his autism from me.

I don’t say that with any sense of guilt. If he did get it from me, I don’t feel bad about it. After all, I can hardly be held responsible for my genetic composition. It’s not as if I had any control over what DNA I landed up with.

I wonder about this question, though, from a purely scientific, curious point of view. Because although I’ve never been screened for it, it would not surprise me one bit if I were to learn that I am on the autism spectrum.

When I was a baby, I cried. I know, that sounds like a ridiculous statement. Of course I cried. That’s what babies do. In my case, however, I couldn’t be soothed. My poor Mom would change me, feed me, rock me, try to get me to sleep. No matter what she did, I cried relentlessly, for hours at a time, for no apparent medical reason. Mom surmised that maybe I was reacting to a feeling of  rejection after my birth mother had given me up for adoption.

Adoptions in those days were closed, and no information was exchanged between the birth mother and the adoptive parents. My Mom knew nothing about where I had come from. She told me in later years that she just assumed there was some factor she did not know about that was causing all this angst in me.

When I was a very young child, it became apparent that I had notable developmental delays. I was a very late talker, and did not show signs of functional speech until the age of five. It took me a lot longer than my peers to learn how to read (although it must be said, once I did learn, it was like a floodgate had opened, and I read everything I could get my hands on).

At the same time, I had issues with motor skills. I was uncoordinated, and stubbed my toes a lot. I did not have the strength to hold a pen, and I didn’t even know, until some species of therapist did some testing on me, that I was left-handed. My hand-eye coordinatin was nowhere and I had to be taught it while other kids seemed to just pick up on it naturally.

There are certain sensory things that I find hard to handle. Flickering lights (although, to be fair, that would probably drive most people batty). The textures of certain foods. Clothing labels have the ability to make me want to chew off my own arm in frustration. When Gerard has the TV on too loud, I actually want to scream. Hearing too many sounds from too many different sources (TV, dishwasher, telephone, whatever) invokes a feeling of intense anxiety.

When I’m stressed I rock back and forth. I find it calming, I find that it can sometimes stop the stressful feeling from escalating.

One of the most telling factors in my musings, however, is my social awkwardness. I have had this problem throughout my life. As I get more comfortable with specific people, my social ineptness becomes less apparent, and I work hard to hide overcome it in my day-to-day life.

Social gatherings can be excruciating for me. High school was just torture – I so badly wanted to fit in, but I couldn’t be social enough and my attempts came across as awkward and embarrassing. The only person at school who I felt completely comfortable with was my friend Jenny, who remains my best friend to this day.

There are certain social situations that make me feel even more uncomfortable: conflict, meeting new people, situations where I unexpectedly have to make small talk, anything to do with telephones.

Gerard has remarked several times that I seem to have a special connection with George. When he is having a meltdown, I seem to have the ability to just know what to do, to know what he needs. It can take a long time to calm him down, but in most cases, I can just know – without explaining how I know – how he needs to be spoken to, held, comforted, soothed.

And I wonder why this is.

Is it a normal motherly instinct?

Or do I, in some ways, inhabit the same world George does?

(Photo credit: http://www.flickr.com/photos/53416677@N08/4972850923)

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Vaccination Vaccilation

Several weeks ago, I got a letter in the mail from Toronto Public Health, informing me that if George’s vaccinations weren’t brought up to date, he would be suspended from school. There is a series of shots that he was due to receive when he turned six, and due to a number of logistical factors, including the retirement of our doctor and George’s phobia of anything medical, we just hadn’t gotten around to getting them. I called the number listed on the letter and spoke to a very nice lady who told me that the six required vaccinations could be administered with just two needles.

While two shots certainly seems more manageable than six, we have still not been able to get this done. Since our doctor retired, we have still not been able to get another one. There is a dire shortage of doctors in Ontario, much less doctors who are good with children who have autism. There is a walk-in clinic that we’ve gone to frequently enough for them to know us, and they do carry all of the vaccines, but it’s one of these first-come first-served places.

Jabbing needles into the arm of my child with autism is something that requires epic planning. We would have to find a doctor who we could make an appointment with. We would have to secure the very first appointment of the day to guarantee no waiting. We would have to prepare George, ourselves, and the staff at the doctor’s office. The whole thing would have to be done much like a military strike: go in, do what needs to be done, and then leave.

You can’t do that at a walk-in clinic. There, you show up and wait your turn, which could give your child up to two hours to have a complete meltdown and make dents in the drywall with his head (I ain’t kidding about that, by the way).

In between our phonecalls to locate a suitable doctor, we have been doing research on vaccines.

I should say at this point that I have never believed in the connection between autism and vaccines, and I still don’t. Whenever I admit this within my autism circles I create a bit of a stir, because it would seem that most people do not agree with me.

I would never presume to speculate on what does or does not cause autism in other peoples’ children, but looking back, I knew that something was not right with George from a very young age, before vaccines even entered the picture for him. If I were to guess at the root of the problem, I would say that it is a genetic roll of the dice combined with certain dietary elements.

Much to the horror of many parents (whether they have children with autism or not) I chose to vaccinate James even after I knew about George’s autism.  That’s how much I do not believe in the vaccine/autism link.

So the research we have been doing is not from an autism angle. It is from a general health and wellbeing angle. Some vaccines apparently (depending on which websites you believe) contain potentially toxic ingredients that really don’t need to be there. These ingredients can do things like challenge the immune system and create a propensity to getting mild upper respiratory complaints.

And as convenient as it may be, we are debating the wisdom of administering three vaccines per needle, all in one session. That is a lot of stuff to be putting into the human body all at once. I’m no doctor, but I’m not sure that the human body is designed to be blasted in such a manner.

We fully intend to get all of George’s shots updated. We may just take our time and spread them out. It will involve more trauma for George, but there is a chance that it will be better for his long-term physical wellbeing. When James turns six, we will have to make the same decision for him.

In the meantime, while we are waffling around trying to decide whether to get George his shots, the Toronto Public Health deadline is upon us. With just two days to go until imminent suspension, we decided to apply for an exemption. We completed a Statement of Conscience, which basically says that we believe vaccinations are not the right option for us at this time.

It just buys us a little time to do this properly, without pressure bearing down on us.

 

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Vaccination Vaccilation

Several weeks ago, I got a letter in the mail from Toronto Public Health, informing me that if George’s vaccinations weren’t brought up to date, he would be suspended from school. There is a series of shots that he was due to receive when he turned six, and due to a number of logistical factors, including the retirement of our doctor and George’s phobia of anything medical, we just hadn’t gotten around to getting them. I called the number listed on the letter and spoke to a very nice lady who told me that the six required vaccinations could be administered with just two needles.

While two shots certainly seems more manageable than six, we have still not been able to get this done. Since our doctor retired, we have still not been able to get another one. There is a dire shortage of doctors in Ontario, much less doctors who are good with children who have autism. There is a walk-in clinic that we’ve gone to frequently enough for them to know us, and they do carry all of the vaccines, but it’s one of these first-come first-served places.

Jabbing needles into the arm of my child with autism is something that requires epic planning. We would have to find a doctor who we could make an appointment with. We would have to secure the very first appointment of the day to guarantee no waiting. We would have to prepare George, ourselves, and the staff at the doctor’s office. The whole thing would have to be done much like a military strike: go in, do what needs to be done, and then leave.

You can’t do that at a walk-in clinic. There, you show up and wait your turn, which could give your child up to two hours to have a complete meltdown and make dents in the drywall with his head (I ain’t kidding about that, by the way).

In between our phonecalls to locate a suitable doctor, we have been doing research on vaccines.

I should say at this point that I have never believed in the connection between autism and vaccines, and I still don’t. Whenever I admit this within my autism circles I create a bit of a stir, because it would seem that most people do not agree with me.

I would never presume to speculate on what does or does not cause autism in other peoples’ children, but looking back, I knew that something was not right with George from a very young age, before vaccines even entered the picture for him. If I were to guess at the root of the problem, I would say that it is a genetic roll of the dice combined with certain dietary elements.

Much to the horror of many parents (whether they have children with autism or not) I chose to vaccinate James even after I knew about George’s autism.  That’s how much I do not believe in the vaccine/autism link.

So the research we have been doing is not from an autism angle. It is from a general health and wellbeing angle. Some vaccines apparently (depending on which websites you believe) contain potentially toxic ingredients that really don’t need to be there. These ingredients can do things like challenge the immune system and create a propensity to getting mild upper respiratory complaints.

And as convenient as it may be, we are debating the wisdom of administering three vaccines per needle, all in one session. That is a lot of stuff to be putting into the human body all at once. I’m no doctor, but I’m not sure that the human body is designed to be blasted in such a manner.

We fully intend to get all of George’s shots updated. We may just take our time and spread them out. It will involve more trauma for George, but there is a chance that it will be better for his long-term physical wellbeing. When James turns six, we will have to make the same decision for him.

In the meantime, while we are waffling around trying to decide whether to get George his shots, the Toronto Public Health deadline is upon us. With just two days to go until imminent suspension, we decided to apply for an exemption. We completed a Statement of Conscience, which basically says that we believe vaccinations are not the right option for us at this time.

It just buys us a little time to do this properly, without pressure bearing down on us.

 

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Things That Go Boing In the Night

This morning I was once again lamenting the difficulty I am having with my running these days. I had planned to get up early to go running – an actual run on the road, instead of that pesky treadmill – but because my beautiful, quirky child with autism has an autism-related sleep disorder, he woke up at three in the morning to jump on the trampoline in the living room.

I had migrated to the couch in the middle of the night, having been ousted from my bed by James, who sleeps like a starfish and pokes knees and elbows everywhere. So what this meant was that I was woken at three this morning by the sound of “boing boing boing” coming from about four feet away from my left ear.

I couldn’t go running. Not that I had any hope whatsoever of going back to sleep, but going running would have involved leaving the kids with Gerard. Leaving sleeping kids with a sleeping Dad is OK. Leaving wide-awake, ricocheting-off-the-walls kids with a sleeping Dad is not a good idea. I would have come back from my run to find Gerard bound to a totem pole with rope, with the kids running around him in circles waving sticks.

It doesn’t matter that we don’t own a totem pole. The kids are resourceful. They would have found one or made one.

As I got ready for work in a haze of exhaustion, I stared wistfully at my pile of running clothes and wondered if I would ever get to go running again. I started freaking out a little. My next race is just under a month from now, and I have a half-marathon coming up at the end of May. I have not been running long distances for a couple of months now, and I need to start training in earnest.

I want to look strong and sexy when I pass the half-marathon water station manned by shirtless firefighters. I don’t want to look as if I’m about to explode. I mean, c’mon. I know I’ll be a lawfully married woman by then, but shirtless firefighters are shirtless firefighters.

When I stopped to think about the recent dearth of road running, I took heart simply by comparing myself to the state I was in this time last year. I was in the midst of being treated for a bundle of pinched nerves and I had bronchitis. Whereas this year I have actually been running – albeit on the treadmill – on a fairly regular basis, last year I was not able to run at all from late December until late March. And I still managed to put in a fairly decent showing at a half-marathon at the end of May.

So I’m thinking I’ll be fine. I’m in reasonably good shape, better than I was this time last year.

And even when the running is difficult, all I have to do is think about why I’m doing it and who I’m doing it for.

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Hat Boy

Me and my Hat Boy

George has a thing about hats. He wears them all the time, even when he goes to bed. We have succeeded in getting him to take it off at bathtime, and both the school and the therapy centre have him remove it for his periods of instruction. But when he is at home, the hat is always on his head.

It’s not just any old hat, either. George is very picky about his hats – he will only wear his hat, and if his hat is not available, things in my household get very noisy and fraught as we struggle to keep him from banging his head in frustration. From time to time we have to switch out the old hat for a new one, because – well, you know – George is seven, and seven-year-olds have this habit of growing really fast.

The “new hat days” are traumatic for the entire family, so we tend to hold on to the current hat until the seams start to pop.

However, with age comes wisdom, and we have learned that whenever it’s time for a new hat, we have to get two that are the same. That way, when one starts smelling a bit ripe, we can throw it into the washing machine and let George wear the other one.

We suspect that George wears the hat to gain that slight feeling of pressure around his head. Kids with autism are frequently big on physical pressure, and George definitely falls into that category. He climbs onto the back of the couch and jumps from there onto the floor, because he craves the deep pressure input to his feet and legs. It would make sense for him to want pressure around his head as well.

In addition, though, I think George wears the hat in order to protect his head from being touched. He really, really, REALLY does not like people touching his head. He allows me to remove his hat and stroke his head, or run my fingers through his hair, but after just a few seconds he gets antsy and squirms away.

This is a problem.

For a start, there’s the practical problem of hair-washing. I don’t wash George’s hair as often as I should, because it is just so stressful for him. Hair-washing is a joint effort between me and Gerard, and it has to be planned with military precision, right down to getting my mother-in-law to whisk James away for the duration. Basically, what happens is that I wait until George isn’t watching, and then I fill a plastic basin with water and lay a shower curtain on the kitchen floor. Then Gerard uses his arms and legs to immobilize a screaming George, and I wash his hair as quickly as humanly possible.

It sounds barbaric, and I always feel so bad that I end up in floods of tears, but it is the only way we can wash his hair.

When people hear of the difficulties, they say to me, “Just keep his hair short”. If only it were that simple. This kid won’t let us wash his hair normally – why would anyone assume that he will let us anywhere near him with a pair of scissors or any other haircutting device?

Cutting his hair is as traumatic as washing it. So what I have to do is creep around my own house in the dark like a burglar, gingerly remove George’ s hat from his head, and then tentatively cut whatever bits of it that I can reach while he is sleeping. Sometimes it takes up to two weeks to complete a haircut because George tends to lie down the same way every night.

We may be making progress, though, thanks to the wonderful folks at the therapy centre that George spends four mornings a week at.

The therapists had me complete a sensitivity questionaire, describing the issues with washing and cutting his hair, and two weeks ago they started a desensitization program. This morning George’s therapy supervisor called me to give me an update.

“We combed his hair,” she said.

“What, ALL of it?” I asked, incredulously. Usually my hair-combing attempts have to be aborted, so each day I start on a different side of his head, just to ensure full coverage every two days.

“All of it,” said the supervisor. She went on to tell me that she had put ear-muffs on George, and that this seemed to help with the sensitivity around his ears.

“He kept on ear-muffs?” I asked. Not sounding very intelligent at this point. Think Village Idiot.

“AND,” continued the supervisor, “We have sprayed his entire head with leave-in conditioner.”

Holy bat, Crapman! Who is this short person and what has he done with my son?

So, it would appear that the desensitization program is working like a charm. It will still be a long time before we can actually wash his hair normally, or cut it while he is awake, but with baby-steps, we will get there.

The staff at the therapy centre are absolutely incredible. Thanks to them, George will be ready for discharge into full-time school (with special ed support) by September.

He might be ready.

Me, not so much.

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Extreme Makeover: Blog Edition

If you are reading this…

Cripes, that sounds like the opening line in one of those videos where a guy has been murdered and is now telling his family, via videotape retrieved from a safety deposit box using a previously hidden key, whodunnit.

Anyway.

If you are reading this, then you will have already noticed that my site looks different. I’ve gotten rid of the oppressive black background and the small font that you needed a magnifying glass to read (why did I ever like that theme, anyway?). I’ve gone to something light and airy, kind of like you do when you move from a small shoebox apartment to a large open-concept house.

I’ve added pages! The About page tells you a little bit about myself – it’s riveting stuff, really – and tells you how you can get in touch with me. Go to My Family to learn about – well, my family, the key players in the drama of my life. And Upcoming Races will tell you about – you guessed it – the races I am registered to participate in. More pages will be added soon – some about autism, some about running.

I have a blogroll! My favourite blogs are now listed in the sidebar. If you’re not listed and you’d like to be, send me a link, and as long as your blog isn’t about something totally inappropriate, like Justin Bieber, I’ll add you to the list.

I even have – drumroll, please – a Facebook page for my blog! Check it out, and “like” me – because, you know, everyone wants to be liked.

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The Juggling Runner

Those who know me well know that I have the dual problem of (a) having way too much on my plate and (b) having crap time management skills. Juggling a full-time job with parenting a child with autism, parenting a child without autism, helping manage Gerard’s business, and everything else that I have going on, can really take it out of me. That is a lot of balls to have in the air, and dropping any one of them is not an option.

Despite all of this, though, I run. I am living proof that the excuse of not having time to exercise just doesn’t hold water. Anyone who wants to exercise badly enough – assuming they are medically and physically up for it – can find a way to make it work.

That being said, it is far from easy, and several people have asked me how I do it. And so, for people who are overtaxed, overworked, and overwhelmed and still want to exercise, I offer my words of wisdom (and thank you to the Running on Empty blogger for suggesting this as a blog topic).

1. Get your partner/spouse/significant other on board. I cannot stress this enough. I’m not saying you have to drag them out of bed to go running with you at five in the morning against their will, just ensure that you have their support. Explain to them what you want to do and why it’s important to you. Let them understand what impact, if any, it will have on them. I am very fortunate in this regard. Gerard occasionally grumbles and complains when I abandon him to the mercies of two lunatic children so I can go for a long run, but he understands that it is something I need to do. Come race day, he is always a rock of support for me, taking me to races at ungodly hours of the morning and cheering me on at the end.

2. Planning is essential for people pressed for time. At the beginning of each week, write down what days you are going to work out and how long each workout will be. Be sure to take into account the amount of time you will need to change into your workout clothes and get to wherever you need to be. Once you’ve done this, schedule the workouts in your calendar. Once they are in your calendar, don’t move them. Schedule other stuff around them.

3. Once the workout is scheduled, just do it. If your calendar says you’re getting up at five in the morning to go for a run, then get up at five in the morning to go for a run. There will be times when you just don’t think you’ll be able to drag yourself out the door, when all you want to do is go back to sleep. Your mind may even try to convince you that this would be healthier. If you give in, though, you will spend the rest of the day regretting it. If, on the other hand, you get up and do your workout, you will feel an amazing sense of accomplishment. As an added bonus, I frequently find that the runs I am really, really not in the mood for turn out to be some of the best ones ever.

4. As much as I’m going on about scheduling and planning, you have to be prepared for exceptions. Sometimes it won’t be possible for you to go running when you planned to. Your child will keep you awake all night, and you will genuinely need to catch up on sleep instead of running. Or your boss will call an emergency meeting that will cut into the time you had reserved for your lunchtime workout. Or you yourself will get sick and be forced to rest. This is all OK. Sometimes life gets in the way of running. If you’re not able to reschedule a missed workout, no problem. Just go for the next scheduled workout and life will continue to be good.

5. Remember that shorter workouts are still worthwhile. If you were planning to run for an hour and only find yourself with twenty minutes, it’s still worth running for those twenty minutes. From time to time, I’m not able to get out at all because I have no-one to watch the kids for me, but even on those days, I manage to do sprints up and down my road, checking on the kids between reps.

6. The key thing here is perseverance. Even when things get so overwhelming that you have to skip runs or take an extended break because you’re ill or injured, don’t give up. Remind yourself of why it is important to you, and think about how great it feels when you complete a great workout. When things get tough, don’t just give up and tell yourself it will not work. Ultimately, you are doing this for YOU, and you should never give up on yourself.

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We Survived The Gastro Bug Of 2011

It has been quite a week, one in which both kids made it to the Emergency Room at our local hospital. James’ visit resulted in an overnight stay, which left me feeling exhausted and sick myself. With George, we were luckier. His condition, while similar to James’, was less severe and did not call for any needles or IV lines. We were seen by a really nice doctor, and then sent home with strict instructions on how to orally administer fluids.

Most parents of boys aged 5 and 7 have seen the inside of an E.R. at least once. With this latest visit, James has now clocked up four visits (3 months: hair wrapped around toe so tightly that said toe was turning purple; 2 years: hand placed on rapidly moving treadmill belt resulting in the loss of several layers of skin; 3 years: arm pulled out of joint at elbow by big brother; 5 years: severe dehydration).

George has been somewhat luckier in this regard, having only needed to visit the E.R. on two occasions. This is a good thing – I cannot describe how good. James takes stuff like this in his stride. Sure, he cried when the IV line was put in place on Wednesday night, and he cried when I explained to him that we would be in the hospital overnight instead of going home, but when these things happen, he understands that the doctors are there to make him better. George has a much harder time. His autism makes him resistant to changes in routine, new places, unfamiliar people, and strange smells.

Doctors’ offices are bad enough. Hospital E.R.’s have the ability to send him right over the top. It is a good thing that George has managed to stay healthy and relatively injury-free.

The first E.R. visit, the day after George’s 4th birthday, was prompted by an accident in the daycare he attended at the time. He had been stimming, spinning round and round in circles. The daycare staff were attempting to move George to the centre of the room where he could safely stim without hurting himself, but he lost his balance and fell, hitting his upper lip on the corner of a bookshelf.

The E.R. we took him to was very understanding. We registered him and completed all of the requisite paperwork, and then wondered out loud how we would cope with what was likely to be a long wait. The admitting nurse, realizing that George’s autism would make a hospital wait unbearable for him, told us to go to the donut shop across the street with him. When it was his turn, and when the examination room was all set up, someone would come and get us.

The nurse was true to her word. A hospital orderly came and got us after about twenty minutes, and we were taken straight into the examination room, where the doctor, a nurse, and two other orderlies were waiting. Before George had any clue what was happening, he was placed on the bed, and the orderlies expertly wrapped him up in a sheet like a burrito, so only his face was exposed. The nurse immediately swabbed his face, and the doctor, who was waiting with an already-prepared suture, gave George the single stitch that he needed.

We were in and out of there in less than three minutes. Kudos to all staff at that E.R.

This time round, George had to stick around for a longer time. His utter lethargy, while certainly a concern from a health perspective, definitely helped the E.R. visit go more smoothly than it otherwise might have. He endured the admission tests, with the exception of the temperature check. He was having none of that thermometer business, either at the front desk or in the examination room.

He  allowed the nurse to put a tamper-proof hospital band around his wrist. In the examination room, he tampered with it and got it off (people who make tamper-proof products should really test-drive them on out-of-the-box-thinking auties). I was very concerned about the prospect of an IV line. The kid wouldn’t even keep on a wrist-band. How were we going to prevent him from ripping out the IV line?

Imagine our relief when we were told that IV fluids would not be needed. We were told how to administer fluids, how frequently, and in what amounts. We all got to come home.

*Phew*

A day later, we are all officially on the mend. Well, except for James, who is completely recovered. George has just eaten a jam sandwich – his first real food in three days. I’m no longer feeling nauseous (I still think that was due more to pure exhaustion than anything else). Gerard is a bit more lively than he was yesterday.

And now, hopefully, we return to a “normal” life in the special needs family.