tamela_j: (old smelly books)
[personal profile] tamela_j
Note about Blog: This is my first time discussing my “personal life” outside of what I am as a writer. This is certainly my first time blogging about Matty and what I feel for him and what he means to me.

Therefore, this first blog will be just a bit about his Syndrome and how to diagnosis and recognize it and some of its challenges. In additional Special Needs blogs I will more than likely get into specific things such as behavior, sibling relations, cognitive functioning and the, oh so scary, sexual and puberty issues. *yikes*

“It is important to remember that a person is a person first, and the diagnosis is secondary. Because of the wide variation within this syndrome and the lack of a single, defining characteristic to confirm the diagnosis, the general label of Cornelia de Lange Syndrome (CdLS) may or may not be helpful in understanding how a child will develop. Ever person is unique and decisions regarding care should be made on the basis of what is best for the individual.”

--Facing the Challenges: A Guide to Cornelia de Lange Syndrome (Pg. 12)

As I write this on October 9th 2009 I am celebrating my 10th anniversary of this job and this life as a nanny for a special needs child.

I first came to work with Matty when he was four. And it’s times like these, anniversaries and birthdays that I think about how it all started. How little I knew then and the things I’ve learned.

I knew he had Cornelia De Lange Syndrome even if I didn’t fully know what that meant. I knew he was developmentally, physically and verbally delayed. I also knew he was completely adorable. Still is.



The syndrome Cornelia de Lange was named after a Dutch pediatrician who was a pioneer in medicine, a scholar and a defining force in pediatrics in the first half of the twentieth century. She wrote a paper in 1933 describing two children with similar features and was said to be the first to recognize the symptoms.

Before she made this comparison, there was no documentation of what became known as Cornelia De Lange Syndrome (CDLS). Which seems a shame, because, while it is a rare syndrome (1 in 10,000 live births), it is relatively easy to tell if a child has it. So easy that when we first started receiving the CDLS Newsletter in the mail, Matty took one look at the baby on the cover and convinced it was him when he was little. He would continue to think this for the next couple covers, all of different children.

If your child looks like this:



No matter what other symptoms, what other health issues or physical abnormalities, your child has Cornelia de Lange Syndrome. But that only gives you a diagnosis and something to tell all those pesky government busybodies who need proof your child has special needs.

Yes, most children who have CDLS have the same facial features: long eyelashes, eyebrows that meet in the midline (synophrys), short nose (anteverted nares), broad or depressed nasal bridge, small or square chin and thin, down-turned cornered lips. But there are a myriad of other symptoms that the child may, or may not have in differing extremes. For a full list go here.

I remember looking at this list of possible challenges and thinking that we were lucky that his case wasn’t as extreme as some, and it’s true. There are children with missing limbs while Matty has all of his; there are children with severe retardation while Matty is a high level that will allow him to continue to learn new things every day. There seems no limit to what he can comprehend, given enough time and patience.

Some of the things I felt lucky about at the time are things that in later years would become apparent that he hadn’t in actuality dodged. They just took time to manifest. Things that we didn’t even know to look for--even though they were on the list--but so were 100s of other things, and to worry about one would to worry about all--and really, who needs that kind of stress and worry?

So, we found out he had been having seizures when one morning, I went to wake him and found him in his bed, eyes open, body rigid, unresponsive and barely breathing. I’ve never been so scared in my whole life! Through that episode we realized that his beautiful little brain was in a constant barrage of little seizures. He started taking medication and though he still has brain activity that would be labeled “seizure”; he hasn’t been affected adversely.

One day, when he was ten, he swallowed a dime. No big, right? His esophagus was so small it got stuck there and he had to be rushed to the hospital to have it fished out. It was then that we found out he had Gastroesophageal reflux. He started taking medication and though, he still delights himself with the volume and range of his burping, it no longer seems to bother his stomach lining.

We knew that he had behavioral issues, really, what child these days doesn’t? But we never really knew how many of these issues were manageable until his neurologist subscribed him Adderall. The change was immediate and awe-inspiring to watch. We watched this frantic, self-harming through impatient and unfocused attentions boy become a child who paid attention to where he was going and who could spend more than five minutes on a task without a desire to move to the next. (This behavior, however, doesn’t translate to museums, aquariums and festivals where he can still go through the entire facility in about 15 minutes and ready for “What’s next.”)

It is impossible to gauge what of Matty is the CDLS and what is just him, though we tend to blame all his bad behaviors, obsessions and difficulties with the CDLS and his good qualities and the things that makes him such a good, friendly kid that everyone likes with “Matty being Matty.” But you know what? That’s fine. Why not? They are both valid and they both make him special and unique.

I wouldn’t have him any other way.


OTHERS BLOGGING ABOUT KIDS WITH DISABILITIES TODAY

Elisabeth Carnell

Clairvoyant

Sabre Babe

Sonoran Mamma

Benevolent Goddess

Another Damned Medievalist

Tudorpot

Date: 2009-10-26 08:51 pm (UTC)
From: [identity profile] clairvoyant12.livejournal.com
I'm touched you care so much about Matty - a child who isn't related to you - to write about him. Raising a child today is challenging enough, but a special needs child demands even more TLC. Every day brings about a new discovery, which can often be scary (seizures, GE reflux, attention deficit, etc.), but it appears Matty has improved and is thriving with the proper medications. He's lucky to have loving advocates in his parents and you, TJ. :)

Date: 2009-10-26 10:44 pm (UTC)
From: [identity profile] tamela-j.livejournal.com
It's really impossible to know him and lot love him! I seriously choke up at the mere thought of ever leaving him. And yet... I'm so glad the responsibility of raising him rests all on me. I am just a member of Team Matty!

Date: 2009-10-26 09:09 pm (UTC)
ext_76731: Painting of Ron by Elspethelf from LJ (Holding hands)
From: [identity profile] oncelikeshari.livejournal.com
I think one of the kids at Habbit Shed has that.

While we have everything on record I've never asked what any child has. One visitor to the group once saw me dancing with Daisy, who walks with a frame and speaks with a very laboured rasp, and asked me what was wrong with her.

My first response was to snap 'Nothing!' but I bit my tongue and just answered honestly, 'I never asked'.

Of course you wouldn't choose to have a child in your life effected with special educational, physical or emotional needs but having worked with so many over the years I have to admit that the idea of having a child like that in my life isn't as scary as one might think.

Though it always helps to be able to give them back, their parents amaze me.

Date: 2009-10-26 10:52 pm (UTC)
From: [identity profile] tamela-j.livejournal.com
Yeah...it's so strange how people who are used to being around Special Needs children, or are parents of them talk to others and those who don't. What's wrong with her?

Rly? What's wrong with her is that she has a lousy dance partner! *snirk* I wouldn't know how to respond to that!

Parents of Special Needs children amaze me too! I remember when we first started getting Matty involved in things like Challenger League baseball and Special Olympics and I would see so many kids there without their parents and it bothered me. These kids were doing amazing things, and where were their parents? But then I realized...these few hours, this one weekend a year was the ONLY time in their lives that they had where they didn't have to worry about their child and they could have a moment to themselves. I realized how lucky Matty was to have so many people loving and taking care of him that none of us ever felt the need to "get away."

Date: 2009-10-27 07:32 am (UTC)
ext_76731: Painting of Ron by Elspethelf from LJ (Ickle Weasleys)
From: [identity profile] oncelikeshari.livejournal.com
One of the dads used to drop his child off, then sit in the car until the session was over and come back to pick her up.

Suse told him he could sit inside and wait but he said it was such a big deal that she could be left in the first place he didn't want to ruin it.

Date: 2009-10-27 12:42 pm (UTC)
From: [identity profile] tamela-j.livejournal.com
Oh! That is the cutest thing!

Yeah, independence is one of the hardest things...for parents too. You spend so many years taking care of them it's hard to imagine there would come a time when they could do things by themselves.

The Challenger League coach now comes and picks up Matty every week during off season for a thing he does where he brings kids to a gym and plays soccer, volleyball and other sports with him and at first Matty was not happy to be going without one of us, but now he enjoys his "Guy Time"

Date: 2009-10-26 11:30 pm (UTC)
capitu: (pic#)
From: [personal profile] capitu
You're an amazing person, did you know that?

Date: 2009-10-27 12:39 pm (UTC)
From: [identity profile] tamela-j.livejournal.com
Awww. Thanks! But he does make it easy, being so cute and funny and loving me so much!

Date: 2009-10-28 12:31 pm (UTC)
From: [identity profile] pennswoods.livejournal.com
You and Matty are both very luck to have met each other and to have established such a terrific relationship. Thanks for sharing this SRS bzns blog entry with the rest of us. :D

Date: 2009-10-29 12:30 am (UTC)
From: [identity profile] tamela-j.livejournal.com
Thanks! We are very lucky those who surround ourselves with people we love, no?

And srs bzns doesn't happen all that often, but I shall let you know when it does. :D

Thanks for reading!

Date: 2009-10-28 05:29 pm (UTC)
From: [identity profile] aunt-agatha.livejournal.com
Definitely keep writing about this! This is fascinating and kind of chokes me up. ♥

Date: 2009-10-29 12:31 am (UTC)
From: [identity profile] tamela-j.livejournal.com
I'm sure I will...he's a fascinating subject, no?

Thanks for reading!

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