Aware?

May 15th – MPS Awareness Day

I did intend to plan something this year. Something to raise money and get noticed. Make some noise and increase people’s awareness of mucopolysaccharidosis. It’s not really in my nature to draw attention to myself, even so I felt it was something that I should do.

But I haven’t planned anything at all.

To be honest, the last couple of months I’ve wanted to stick my head in the sand and pretend that MPS just doesn’t exist. But of course, my son doesn’t have that luxury. The effects that MPS has had on his brain stop him from knowing what it is doing to him. But I am very aware.

I am aware that his breathing is louder than it was, and he needs to rest more often again.

I am aware that many of his hard-won skills, such as pointing to head, toes or eyes, have faded away.

I am aware that he hasn’t grown in the last six months and is now on the 9th centile for his age (up until he was four he was on or above the 75th centile).

I am aware that he has lost most of the words that he was using.

I am aware that the treatments that should be stopping all this from happening are prevented from doing so by his own amazing immune system.

And most of all I’m aware of what all that MEANS. It means that unless something else can be done we are watching our vital, happy little boy die very slowly in front of our eyes.

Since we moved to our new house six months ago, the practicalities of our situation have been a lot easier to deal with, but emotionally the reality of MPS does hit me hard at times. So although I haven’t planned any awareness events, what I can do – what I have always done – is write.

I write about our experience so that others can learn about MPS; so newly diagnosed families can feel a little less alone. I write to save my sanity and hope that I spread awareness that way.

All the current research points to the fact that the earlier MPS is diagnosed the better; the few existing treatments (and new ones coming through) are much more effective early on while the body is still developing and before too much damage is done. So, please, for Pudding’s sake this MPS Awareness Day wear blue, share a post or two, donate if you can, and spread the word.

I’ll be wearing my blue wig and MPS T-shirt all day, and spreading awareness where I can. Who’ll be joining me?

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Battered

I have a fat lip today.

It happened yesterday when I was changing Pudding. I’m usually on my guard and can stay safe until I’ve managed to distract him with tickles and nonsense, but this time a well-aimed kick when I wasn’t expecting it caught me full on the mouth. It bled a bit and swelled up impressively.

Poor me.

Only that’s not really the full picture, is it? All behaviour is communication and none of it was his fault. He doesn’t like being messed with (who would?!) so sometimes complains vigorously. It wasn’t a well-aimed kick – it was him flailing his legs around to try and get out of a situation he didn’t like. To accuse him of kicking me implies that he is capable of wanting to cause me pain and I just don’t think he could.

Yes, he deliberately hits out and kicks particularly in situations where someone is in his space or he is provoked. But not ever maliciously. There isn’t one iota of nastiness or spite in my boy. And I hope anyone who knows him would say the same.

But in life, of course, we meet many people who don’t know him. And that is why each and every interaction outside our safe zone puts me on edge.

OLYMPUS DIGITAL CAMERAYesterday, we had a trip out to William’s Den, a superb natural-themed play space for families (that also has a Changing Places toilet!). It’s out of our local area so, as I hoped, it wasn’t too busy being that we’re one of the few places where children are still off school. Pudding loved running around the place and exploring. When he discovered the hideout with cushions where some other children were building a den I knew he was likely to start kicking it over, and the children too if they happened to be in the way. They eyed him warily and I dived in as usual to warn, explain and negotiate his way through a world that often doesn’t understand him.

But our story is not really what this post is about. My fat lip was just a reminder about a door that isn’t often opened. A door to an area that many people aren’t aware of: parents who are on the receiving end of violence from their children.

You see, we’re pretty lucky really. Pudding is still good-natured and distractable enough to be managed most of the time. I get the occasional bump and bruise but it’s nothing compared with what some parents face on a weekly or even daily basis. It has been talked about more lately, partly due to the work of the lovely Yvonne Newbold who works tirelessly to ensure that parents and professionals learn from her own extensive experience. (If you are struggling in that position yourself, I do urge you to read some of her resources and join the Facebook page.) I know that our future is uncertain – as Pudding gets bigger and stronger, his behaviour may worsen too, but I know that I’ll be able to turn to places like this for help and advice.

Violent and challenging behaviour is hard to deal with in any situation. But then I also come across parents of (usually) autistic children who feel unable to raise this issue or even mention it for fear of backlash from professionals or others within their community. People who will jump down their throats and accuse them of bad parenting.

All most of us ever want to do is to keep our children safe, understand why they are acting the way they are, and let them know they are loved. And doing that without being judged or criticised doesn’t seem like too much of an ask. I am sometimes very grateful that I only have a small friendly readership and can rant on here in virtual privacy.

Not quite sure what this post has ended up saying really. But I suppose my (rather garbled) message for the day is: Be kind even if you don’t understand what another is going through.

Oh, and be prepared for a kick in the face every so often…

 

Magic

I believe in magic. I really do.

Not the magic from fantasy novels and films that I longed for as a teenager. I still love the escapism that those offer – the ability to vanquish enemies and do good in the world by concentrating your special powers. But I know that doesn’t exist.

I’m talking about a different kind of magic.

There is magic in so many aspects of life: a spring bud unfurling, birdsong soaring me skywards, sunshine on my face, music that has the power to raise goosebumps. The power of words that can tell me I’m wanted and loved. An unexpected gift. We just have to take the time to look for these and appreciate them to the full though I’m not always good at that.

One magic that works every time though is the power of one small boy’s smile.

Whatever mood I’m in, Pudding’s smile will sneak its way past my defences.

OLYMPUS DIGITAL CAMERAWhen I’m frustrated in the morning and am chasing a semi-naked boy round the house to get his trousers on before the school taxi arrives, he’ll look back at me and grin. Suddenly it’s not a chore, it’s a game.

When I’m trying to get the dinner ready while answering a thousand questions from T about Dr Who monsters and simultaneously sending an email, Pudding will worm his way between me and the work surface to look at the food. A hopeful smile and I cave, letting him have a tit-bit before he thunders back to the TV.

Half-asleep when I open his door in the morning, how can I help but respond to his excited grin when he pushes past me to throw himself onto our bed and his Daddy?

Even though I adore the peace and quiet of having the house to myself, the best bit of my day is watching him get out taxi and knowing the smile that lights up his face is just for me.

OLYMPUS DIGITAL CAMERAI love the games of tickle that Hubby plays with him, Pudding’s excited anticipation that breaks into deep chuckles; it makes me smile just thinking about them.

And then there are the times when I watch his face watching the TV. That beautiful slow smile spreading wider and wider until the magic shines out, wonderfully and irresistibly. His joy is bottled in my heart to buffer against the darker days.

There is nothing fake or forced about it – he simply wouldn’t know how.

The magic doesn’t just work on me; countless friends and strangers have been drawn in by it. He may not say hello or goodbye any more, or even acknowledge people as much as he used to. But one smile and it doesn’t matter at all.

Whatever he loses, I hope he never loses that. I know from other boys that their beautiful smile can stay long after much else has gone.

I believe in magic.

 

 

What do others see?

As I watch some children of my acquaintance grow up into teenagers, I see them hit that squirming self-conscious don’t-notice-me phase. I remember it so well. Some adolescents breeze through it and enter adulthood with barely a glance back. Others, like me, never seem to shake it off.

I’ve spent much of my life worrying about what others think of me. (Thanks very much to the bullies at school who shook my self-confidence so thoroughly.) Will people still like me if I say this? What do I look like in that? Etc, etc.

Sensitivity to what other people think got heightened when Pudding’s development delay first started becoming obvious. Any trip out the house became fraught with new worries. What did people see when they looked at him? At me?

A helicopter mother, hovering over her child as he climbed the steps, not giving him the space to do it himself? They could have no idea that his balance wasn’t great and that he had a permanent bump on his forehead from the number of times he had fallen.

Someone who is not concentrating on the conversation going on around her? Even when I let Pudding stray a bit further away from me I’m always watching – aware that at any moment he could hit another child or make a dash for the gate.

A lax parent? If they do see Pudding hitting out or running away they might think I should do more to discipline him. But often when I do tell him off it’s more for the benefit of others. ‘Bad’ behaviour in Pudding is often impulse and no amount of discipline will make a difference.

Too stand-offish? Seeing me standing by myself amongst groups of sociable parents, they could think ‘up herself’. Yet all my thoughts were on the latest clinical results, or concentrating hard on not crying on the school run.

Uncaring? A stranger on the train seeing me scrolling through my phone while Pudding is stuck in his chair watching his tablet and shouting out might expect me to do more to entertain him or keep him quiet. But they would never know that while their journey is briefly disturbed, this is yet another necessary journey to hospital and a film is the only way to keep him calm.

Pudding and me running along track through green spaceIt now happens less and less as I’ve developed a thicker skin on this journey (though I still hate the train situation!). It’s brought out my sarcastic side at times. In the supermarket recently I did say loudly to Pudding, ‘Don’t shout like that or people might stare!’ As we were leaving T very astutely said to me, ‘People were staring anyway, Mummy.’ Not after I said that, they didn’t!

Of course the vast majority of people probably don’t even give us a second thought, let alone think something negative. But my worries about people’s opinions will always be with me at some level, and those who sneer at Pudding or look askance at me will always hurt. But I know that most important are the opinions of those who are close to us. Those who know and love us for who we are. The nurses and play specialist who snuggle with him and insist on me taking a break. Friends who invite us out despite us not having made it out on the previous twenty-three occasions. Family who are always there for us.

 

Magic moments

Those of you who only read our blog on this website may be forgiven for thinking our life is pretty miserable at the moment. The way I write has changed a bit over the years and now I mostly use Facebook to update people of the everyday fun things and cute pictures. And I save my emotional ramblings for a ‘proper’ blog post.

So, my dear website readers, I owe you an apology. Because despite all the struggles and difficulties and horrible decisions, our life is often not miserable at all. There are many, many magic moments and I want to tell you about a few recent ones.

Posting

img_20190114_1802069195b15dAt home, it’s very rare now that Pudding will concentrate on anything for long other than TV. Even playing with cars on his garage which used to be a real favourite only lasts a minute or so now before one of them gets thrown. So when he does truly focus on something I hold my breath and revel in the moment. I just adore the concentration on this face as he posts each chocolate coin into the tin.

Christmas performance

As some of you will remember, the last Christmas performance Pudding was involved in at mainstream didn’t go all that well. He was grumpy and hitting anyone in reach and I watched in tears. This year, his first in specialist provision, I wasn’t really sure what to expect apart from organised chaos. That bit was certainly true, as children careered across the stage in inappropriate moments, forgot words and stood excitedly waving at parents. But it was the best organised chaos I’ve ever seen.

Each class were singing or performing to a song that they’d chosen or helped to write. There was warmth and enthusiasm in bucket loads and I was already in tears when one child who’d chosen to do a solo lost it in front of the audience and was rescued by staff members who gently encouraged him to keep going and finish the song with aplomb.

Then came the moment I’d been waiting for. It was time for Pudding’s class and ‘Let it snow’. When he is let out of his chair it’s a toss up as to whether he’ll join in something or just run away. But he went straight to the bucket the teacher was holding, reached in and pulled out…an indoor snowball!

The joy of schools like this is they can play to individuals’ strengths and boy, did they play to Pudding’s strengths! He threw those snowballs with all his usual enthusiasm into the crowd of cheering teachers and children. And I cried of course – but this time it was definitely happy tears.

PECS (Picture exchange communication system)

img_20190121_1554311055b15dDue to the deterioration of his brain from MPS, Pudding has lost skills over the last year, including most of his speech. So any achievement that he makes is huge to us. So I loved reading the following in his home-school communication book:

‘P has two symbols on the front of his PECS book and today he went inside his PECS book to find the symbol he wanted  – biscuit!’

Typical that the motivator was about something to eat, but I don’t care. Communication is communication, and for him to actively search out the card he wanted shows a leap in understanding of how it works. Even little advances like this might make it possible for him to let us know what he’s after.

Snowballs

You might have gathered how much my Pudding loves throwing, and indoor snowballs have been a godsend lately. They certainly hurt a lot less than most other things that get launched at us! But that’s not why I love them so much. The reason is plain to see in this video – his utter joy when playing is inescapably infectious.

So is our life sad? Well, aspects of it can be, yes. But these magic moments are more than worth living for. Even just the daily routine of watching him watch TV – seeing his ever-expressive eyebrows and hearing those deep chuckles – lifts me out of the abyss.

Pudding is our constant. We may go out to work, school, volunteering; we enjoy time away doing things that he can’t join in with and it’s important that we have a break. But it’s always a joy when we return to him, the pivot around which we revolve. He is the heart of our family and I wouldn’t have it any other way.

Life and Death

*Trigger warning – death and loss*

I’ve never really been a big fan of New Year’s resolutions. Why try and set yourself up to fail in the most miserable dark time of the year? (Eternal optimist, me!)  But maybe this post does fall into the ‘New Year, new you’ sort of vibe, though the subject matter not so much.

When I set up this blog I promised myself and my readers that I would always be honest about what we’re going through and how I’m feeling. I didn’t think it would be fair to hide any aspect of our journey because the whole point of it is to share, so that hopefully others on the same path could recognise their own problems and feel a little less alone.

On the whole I’ve stuck with that, but there’s one area that I’ve often skirted around and avoided tackling head-on. Mostly because I was scared about how people would judge me after reading it. I’m still scared, but a conversation I had recently made me realise that I may not be the only person who has had similar thoughts on this topic.

I think about death quite a lot. You tend to when your child has been diagnosed with a life-limiting condition. (I never quite understood the family member that told another MPS parent that they ‘focus on death too much’.)

But of course death is never a simple subject to touch on. I’ve never lost anyone very close to me. Grandparents and friends, yes. But not a parent, or partner, or child. So I can only imagine the pit of grief that swallows you up after it happens. I know it can never be easy losing a loved one, whether it is fast or slow, expected or not. And I hope I will not offend anyone by what I am writing here. But it feels particularly cruel to face a long, slow decline for someone you love more than anything.

So here goes. Deep breath.

I have sometimes wished my son would die.

Not now. Not while he loves life and embraces it with such obvious relish. But if I could choose, I would choose a swift and merciful end for him rather than losing him bit by bit. And in my darker times I have wished that it was sooner rather than later, just to take away the agony of waiting for it.

One of the very first things I ever read about MPS when Pudding was diagnosed was the Wikipedia page. It refers to a case from 2004 when a father suffocated his 10-year-old son who had Hunter Syndrome. That has haunted me ever since. Never in a million years would I do something like that to my darling boy and this is not a blog post about mercy killing or euthanasia*, but I guess I understand part of why he may have done it.

Faced with the prospect of my son spending years losing the ability to talk (which he mostly has done), to walk, to swallow; thinking of him having more pain as his joints degenerate; knowing that he may be hit by seizures and by the end may not even recognise his family… there have been times where I’m certain I could not go through that. Maybe that makes me selfish, putting my wishes foremost.

Or is it? Is it selfish to hope that your loved one, whether 7 or 70, can live without pain, physical or mental, and can die with dignity? The reason we have these thoughts is because we love them. And love makes us want to end any suffering.

As with anything I write in this blog these are my own thoughts and emotions and I’m simply offloading. I may be in a tiny minority but I’m going to feel better for having said it. My thoughts may change, as so many things I’ve written about have done. Maybe as his condition worsens I’ll be more and more desperate for him to cling onto life with both hands and never let go.

Right now, as I’m writing this, Pudding is clambering onto my lap with his tablet, resting his head heavy against my cheek, his warm bulk blocking my view of the screen and making it pretty awkward to type. I simply can’t imagine him not being here.

But I will always hope for the best for him. In life and in death.

Pudding in front of some greenery. He looks a little pensive or worried.

 

*I do happen to believe that an adult in their right mind with a life-limiting condition should have the choice to die at a time of their choosing, but know that this is a topic fraught with problems and presents a number of ethical issues.

 

Christmas contemplation

Christmas is one of those times of year when we often look back and see how life has changed. Sometimes for the better, sometimes worse.

Pudding in front of a large model polar bear.

I’ve been in a contemplative mood lately. Partly because of the memories that are turning up on Facebook at the moment: three years ago Pudding had just been undergoing testing for the clinical trial that he is now on. Having been through months of heartbreak after diagnosis, the trial brought all sorts of different emotions and worries – would be accepted into the trial? would it make a difference? how long before the treatment would be made widely available?

Three years seems like a lifetime ago now, and although I sometimes speak with other parents who are only just at the start of this MPS journey, it can be hard to remember, truly remember, what those first few months were like. The vagaries of the mind can be quite useful – protecting us from the worst horrors so we (mostly) don’t get stuck in the same loop for ever.

I know I’ve been through so many states of mind – despair, guilt, anger, hope, frustration – and they come and go in unexpected ways, spiralling through the months and years. Never linear, sometimes bursting back in when I think I’ve waved that one goodbye. I’ve come to realise that emotions don’t behave in the way I used to expect.

But lately one has still caught me by surprise and I don’t quite know how to label it. Content isn’t quite right as that implies I’m happy about the situation (I am often happy too but that’s a separate emotion) yet resignation is wrong because it’s too sad. I think the best I can use is acceptance.

I’ve talked before on the blog about accepting this new path, but I guess there is a difference between reluctant acceptance of something that we can’t change and this new feeling of calm deep inside. And that is despite, or possibly even because of, the fact that I do now think we will have to say goodbye to our gorgeous boy way before his time.That will always be something I would change in an instant if I could, and I know that any of those emotions can come back and thump me in an unexpected moment, but for now this is where I am.

All Around the World sticker book. Fold out scenes with 400 animal stickers.Oddly the thing that made me realise it was this book. I bought it five years ago, long before Pudding’s diagnosis and intended to give it to him when he’d grown up enough to be able to use it. Every year I have looked at it in my present drawer and known that time hadn’t come yet. He is nearly seven now, and I’m not sure he will ever reach the stage of being interested/able. And it’s time for it to go to someone else. Previously when I’ve given away a part of the life he will never lead, it has been almost a physical hurt. An arrow to the heart that says, ‘This wasn’t what you expected’. But this time? Acceptance with a smattering of fond nostalgia.

Actually, maybe I was wrong to throw out the word content earlier. I am happy that it will go to another deserving little boy. Content does have a place in this life alongside MPS, and I shouldn’t feel bad about that.

Since moving house, life does seem to have got onto a more even keel. And when I snuggle up on the sofa with my Pudding watching his wholehearted enjoyment of a film, or when Hubby tickles him and brings out his deep chuckle, or when he bounces in excitement with a snowball in each hand, that is what I feel. Deep, deep love and content.

On an end-note, I’d just like to say a thank you to each and every one of you for reading my emotional ramblings and following Pudding’s journey. Wishing you all a contented and loving Christmas!