It takes a community
I (and others) have referred to our “club” … many of us have severely disabled kids and that is a different situation than many other disabled. I don’t think I need to describe further, and to be honest, I don’t know how. Pearlsky has no communication at all, I know two “Sophie’s” who do, yet we are in the same club for so many reasons.
I have readers who are not parents of “our” kids, I know that. Some work with the severely disabled, some know kids like ours, and some just are along for the ride.
All in all, we make up a community. Or, as Hillary would say (potentially), a village. And yes, it takes a village to raise a child.
To what degree are we a community and what are our responsibilities being members of such? Do we have any responsibilities toward each other?
Yes, I have a point.
All of our kids are unique, part of the nightmare of the severely disabled. Even when we have a diagnosis, it is partially meaningless since whatever it is manifests itself in different ways. The part I am interested in at this point is how we deal with our children, how we all handle them in our own way.
Some of us use naturopathy, some use homeopathy, some use herbal therapies, some stick with “main stream” medicine, and many use some combination. And, of course, throw in some praying to the Holy One, Blessed be He, or She, or cursing of said deity.
We read each other’s blogs, hear what is going on, send along words of support. But what happens when we really disagree with how something is being handled? It is one thing to not accept, for instance, homeopathy, but I would never think less of someone for following it (if, in fact I did not believe in it), nor would I offer my opinion … but is that to a point?
What if a fellow blogger in the community is having to spend inordinate amounts of money on something and you know for a fact there are ways to have it paid for? Maybe the blogger is not aware of the specific laws of their state, or the insurance secret words, or whatever. Do you tell them? Do you just offer an opinion unsolicited?
Probably you would. But let’s take it one step further. What if said blogger was not providing the best care for their child, within the confines of their chosen methodology? Again, I could not, nor would I, offer advice to a strict naturopathic methodology because I neither subscribe to it nor fully understand it. Yet, I do know “traditional” medicine very well … so if I see that a blogger is making choices that I know for a fact are not the best, or at least in my strong opinion, do I say something? What if their child is failing, so it is not just better treatments I know of, they are in fact, necessary. Who am I (or you) to offer unsolicited advice?
Do we want unsolicited advice? Especially when we think we are alone in the world (even though we do have this community, loneliness hits us all) and don’t even know to ask for advice. What if we think we are doing everything right, then advice will not be sought, yet our child is failing?
What do I, Single Dad, do when I think someone could be doing better by their child, when I hear from a couple of other community members, unsolicited, and they happen to mention the same thing? Do I have a responsibility to contact the blogger, via comments or try via a more private message, to say that we think s/he should try something else? Totally unsolicited? Does the health and welfare of someone else’s severely disabled child trump the potentially hurt feelings of the parent or discomfort of the parent? And, of course, since we are not there, we can be totally off base. I know that.
Pearlsky is nineteen. In so many ways, I’ve been there. Big hospitals, little hospitals, doctor’s with great bedside manners, doctor’s who are pricks (her first neurologist was always referred to as “Dr. Doom,” and he was world reknown), awful meds, great meds, herbals, prayers, wheelchairs, teachers, IEPs, state licensing boards, Medicare, nannies (sociopaths and wonderful), ex-spouses, and more. Do I know everything? Far from it. Do I know squat about your kid? No. But are there things I do know, and I see you doing in a way inhibits the best results? Sometimes. It is my place to say something? What if it is small like how to get your wheelchair paid for in full? What if it is big like how to potentially save your kid? Even more so, what if others agree and have said to me “what the heck is s/he thinking?” Do we just read and continue to watch?
If it’s me you sure as heck better tell me. But what if it’s you?
But what do I know … I’m a big city teaching hospital kind of guy.
I think everything has to do with the “tone” of the so-called unsolicited advice. What if, in a private email, you were to say…Have you ever wondered that maybe….blah, blah, blah…i’ve had good luck with…yadda yadda yadda. You seem to be struggling and I just hope that this might help…My experience with certain individuals is that they are very good with “delicate” emails. Starting them with “WTF are you DOING???” usually doesn’t do much good. 😉
I’ve given out so much “advice” in all the years I’ve been “doing this,” and I think I’ve learned that people are going to do what they’re going to do. Perhaps I’m not as tenacious as you, Single Dad, but I generally speak my mind, say my peace and then sigh when others don’t take me up on my brilliance.
While parents are always grateful to learn of funding sources, unsolicited opinions about different therapeutic
approaches aren’t always welcome or received as supportive.
Maybe you could simply ask if they’d like your input?
I think you have already started to offer those individuals advice within this blog entry….instead of individual advice which in my opinion is hit or miss. Maybe you can offer your advice to a situation that is bothersome to you in a new entry without naming names. Without direct contact maybe your advise would we taken in the matter in which it is meant. Us with older children do know more…….side note Ana’s first Nuerologist top notch blah blah was so awful rude dismissive that I lunged at her. That was the start of my shit O meter.
I agree with Ivy. I think we all offer advice via our blogs, and at times, I have very specifically directed that advice to certain people (without naming names).
I, for one, want the advice. My children are all approaching adulthood, and I have been doing ‘this’ a long time. But I still need answers. The questions change over time, but the loneliness and quest for support do not.
I am a single parent and though I know other families who have children with disabilties, only one or two have children with disabilities even remotely similar to my daughter’s disability. I also have a son who is 17, adopted by me at age 15. He has spina bifida and his kidneys are failing. I don’t even know where to begin with his questions – will he be able to have sex, will he be able to father children, will he ever find a significant other that loves him for who he is and all that he brings with him? He has those questions and more and I have no answers.
So yes, anyone who wants to offer me advice, please do…
Hey, you wanted some advice:
Yeah, your son will be able to have sex. Depending on his personal ‘set-up’ he may or may not need technological or chemical assistance to do this. If he can already get an erection then it’s very straightforward, if not, then he may need to seek some help. I can find some young-adult-appropriate info about sex for dudes with spina bifida or spinal cord injury, if you like.
He’ll need a sperm count done to see if he’s fertile, and most guys don’t go do that until they’re at the point of being ready to start a family. Most blokes with spina bifida have normal or near-normal fertility, most of the rest are able to make use of assisted conception (eg IVF), a very few do not make any viable sperm and therefore do not have making ‘home-grown’ babies as an option. These guys and their partners will typically consider using a sperm donor as the first-line option if that is the case.
There’s no guarantee of a fairytale ending but I can at least say that I know lots and LOTS of guys (and women) with physical impairments (including a couple with SB) who are in relationships, some who are fathers, one is a grandfather now. Being a teenager sucks pretty much universally, it all gets easier with time and freedom from the pressure to conform at school.
It might be worth trying to find your son a few role models, guys he’s got a few things in common with (eg someone with a similar impairment), who can share their experience and accumulated knowledge from a few decades of life as a disabled person. Adaptive sports teams are a particularly good way to find such people but there are as many ways to make contact as there are individuals. If your son’s remotely interested in sporty stuff then there are a shedload of benefits there anyway.
PS get him to watch as much of the Paralympic Games as possible. LOADS of the wheelchair using athletes have spina bifida – especially in the basketball teams, for some reason.
Long ago, I had a friend who owned a small natural foods/supplements store, and I would cover the counter for her occasionally. I was instructed that when helping customers select supplements or natural remedies, you couldn’t say: “X helps with this”. You could say: “I have found X to be very helpful with this particular thing” or “we have a customer that says that X helps him a lot” or “so and so publication/health guru/organization says that X helps this affliction”. So you’re not stating an absolute fact, you’re sharing experience or the advice of some expert (and crediting that expert).
Now my daughter has a rare syndrome and we are part of a Facebook community for her condition. This community instinctively does a marvelous job of supporting each other and not stepping on anyone’s toes. I don’t believe anyone has established formal rules of engagement for this community, but I have observed that the interaction tends to be similar to the health food store rules. You share your experience, or anecdotes about other people’s experiences that you are quite sure you have the facts straight on. Maybe you share links to scientific papers. But almost never does someone directly say: I think you should do this.
I would take and value the advice of another parent with a child as severely disabled as Hannah. It’s the people around me who are clueless that I can’t stand asking me questions or offering advice. An example is one person in my life who has made it clear that Hannah appears too sleepy all the time. My Hannah is on lots of traditional meds that may or may not make her sleepy. She also has no pituitary gland, so we have to regulate her hormones synthetically. One of those is vasopressin, which controls electrolytes and sodium levels. In other words we control her urine output with Desmopresine, which is the synthetic form of vasopressin. Anyway, she is overly sleepy a lot because of seizure med, or baclofen, or too much urin output (lowers her sodium). It is frustrating. Also, many people do not get it. They do not understand that even the “professionals” have a hard time with kiddos like ours. I get a lot of, “what can her Doctor subscribe that will help her stay more alert? It makes me feel like I’m being accused in some way of keeping her way too sedated. Again we are four years into this world of severe disability. It’s hard for everyone. I just wish people weren’t so quick to judge and form an opinion. Also, I’m tired of explaining her entire situation to someone who really doesn’t understand or want to understand. This is the most demanding, heart wrenching parenting there is. I guess if I wasn’t thrust into it head first I wouldn’t want to know about it either. But here we are.
Exactly Mandy! I am really fed up with people who have no clue offering ‘advice’. I’ve gotten some very helpful advice in the past from others in our ‘community’, but more often than not, it’s the people who don’t get it that seems to offer the most advice. I posted on my blog today about the dumb questions and advice I often get.
And like you, I just get really tired of people wanting me to explain our entire history. I guess I’m getting cranky in my old age…
I completely relate
I believe that parents of children with severe disabilities want their kids to be healthy and happy, comfortable in their bodies and in a place where they are loved. There are many paths to these goals and those paths are chosen by one’s system of knowledge and belief….in most case neither can be really proven correct. Results are what count. My son is non-amb, non-verbal, non-most stuff. My wife and I have chosen quite a non-traditional path and it works for us and Adam. I appreciate any input and value the simple simple fact that someone took time to give us input. Might not agree, but will certainly seriously consider any comments. We do not possess the truth, just many opinions…the fact that some is interested is of great value in itself.
I am an early interventionist, and it is actually my role to offer hints and suggestions to facilitate develop within the rhythm and routines of a families daily activities. That being said, I am constantly putting on the pause button , to think about what I am saying, and how it will be perceived. If it is something really sensitive, say a safety issue, I usually couch it by saying I read an article recently about so and so. I work hard on earning trust with families, so they continue to let me in the door. I also use phrases such as I have seen this…… work for some families, how do you think it would work for you? Unsolicited advice is often a necessary evil, you just need to spin it a bit for your audience. FYI single dad, you are right that everyone has their own opinions about hospitals, I am a huge fan of our smaller faith based hospital for children, as opposed to the bigger clinical research based hospital for kids down the street. Both places provide exemplary care, I just prefer state of the heart, vs state of the art. Thank you for this blog, it keeps me thinking.
Michele, I appreciate your comments and your reading, but I personally disagree. To me, the “state of the heart vs state of the art” is easy when your kid’s life is on the line, when your child is undiagnosed and it takes extraordinary talent to deal with the unknown. I personally will put up with a doctor who is a prick but brilliant as opposed to a doctor with a fantastic bedside manner and personality who is less able to do the best for my kid.
But this is exactly the point of the post. Do I tell someone their beloved doctor in their beloved hospital that gives them warm fuzzies is proceeding in ways that many better trained professionals see as detrimental? Do I point out that their kid may be going in the wrong direction? Leave out how it would be said, should it be said at all?
Yes SD if it is something that you so strongly believe and is weighing on you mind then you SHOULD say something. But you know going in that it may ruin a friendship, unfortunately in work situations NO one wants to be to how to do their job; and let’s face it having a severely disabled child is a JOB. A JOB most of us are already carrying misguided guilt for…..even though I know I didn’t cause Ana’s disease I still feel guilt I over it…..and I think that is why we could get negative reactions to feedback. The feeling of I already messed my child up unintentionally AND now I am being told I am messing up again. Best of luck SD…..
Single Dad, I somehow knew this would be your response. I am blessed with two healthy children, and have not had any health crisises with them up to now. I am sure I would see the issue thru different lens if there was a problem to be dealt with. Several of my families have children with very complex medical and developmental issues, and have been served well at both hospitals. One mom who was still seeking answers for her childs health concerns was unable to get support at either hospital, and she is trying to move to another city for better medical support. Yes, say it as you like in terms of talking to this parent, then walk away knowing you did what you could. As for Dear Prudie, I read this on Monday, and it made my blood boil. How on earth could this neighbor presume to know what was really going on. It seems the last thing this poor family needs is dfs up their butt. In my state, even if a dfs call is unsubstianted, you still stay in their database for 5 yrs, and it would show up if you tried to get a job and had to do a background check. How many employers are going to go to look deeply enough to see the whole situation, vs simply moving on to someone who does not have this black mark. Again, thanks for the healthy debate, I appreciate when folks respectfully disagree, it opens things up for healthy debate.
Peace, Michele
Single Dad, I disagree utterly with you on this point. I have ONLY taken my daughter to big, teaching hospitals for her care in both New York City and Los Angeles as well as consults with “the best of the best” in Chicago, D.C. and Florida. I don’t believe the “care” in these hospitals has been exemplary — not by a long shot. And while I’ve also taken my daughter to see the best neurologists in the country, I don’t give a damn whether they’re “the best” in the end. They’ve actually been a dime a dozen, and those that are kind and empathetic are given far greater weight than the “pricks.” That’s just my experience, though, and it pertains to the dark, dark world of refractory epilepsy.
If it was me whose child was failing because I wasn’t providing the best care for her in your opinion, I would definitely wanted you to talk to me as I have a lot of respect for you, I consider you very smart, I like you and I always valued your input. If it was me though, I would most certainly wanted you to talk to me personally and privately as opposed to blogging about it or discussing it with others. That would probably make me feel pretty shitty.
This appeared in Slate recently and is an appalling example of what can happen when people who don’t know what they’re talking about give advice about special needs kids: CLICK HERE
I think it proves that one must be extremely cautious when doling out “advice.”
Wow that was a dagger to my heart, I was 25 my oldest severely disabled a new born and my mother just passed away. We had no family to help no friends husband worked I never left my house. The only one on one time I gave my baby was when ei therapist came or hubby came home. Neither of my girls were neglected….how did her neighbor know what went on? Was she looking through the window? Some babies love other adults idk if that is a sign of neglect. I am glad my neighbors never didn’t report me. As for the advisor lots of us are 24/7 care givers some by choice some cause there is no other option. Even though Ana goes to school I still feel 24/7
We get 40 hours of nursing a week and 16 hours of respite care a month. I’m still full time care giving! The 16 hours we use for two additional night shifts a month. My profoundly disabled eight year old does need round the clock care. I also have a 13 month old daughter. Luckily, we have two nurses who do an okay job. I say “okay” because it isn’t there kid and her care is there job. I had a job once. Some days I gave 100% and other days not so much. They are constantly asking me questions about her care. It’s great that they can administer meds, start her food pump or manually bolus feed her; help get her dressed, etc. Ultimately, I’m in charge at all times. That article struck a cord because I was horrible about letting anyone help with Hannah’s care until I had another baby. Seriously, I made nurses leave. I had one in tears. It was so hard letting go of some of the hands on care. Not to mention, letting go of our privacy. The husband and I are really struggling. Could I care for both kids on my own? I would like to think I could. Honestly, it is best to keep and accept the help. Caring for a severely disabled older child around the clock is hard enough and then add an infant’s care to that, and it is too much. I know this, and it makes you realize you are only a human; not a super human. Hands on help is good. Now unsolicited advice …I think I’ll always struggle with that one.
Mandy: “… it makes you realize you are only a human; not a super human …”
Does that mean I should remove my mask and cape? 😉
NO keep the mask and the cape…but the Robin tights might have to go!
You’ve obviously never seen me in tights …
Makes you want to go out and lynch someone, no? We should all write to Prudie or point her here …
This shows an entirely different problem, offering advice when you don’t know what the f**k you are talking about, or can not truly understand the situation. Now, it may be true that the child was in fact being “neglected” (hell of a word), but I tend to doubt it. … Just re-read the article … I will post about it later today.
I just re read the entire article and am a bit baffled by something Purdie wrote to a person agreeing with the nieghbor calling CPS…Purdie wanted to know why the child’s doctor never asked who was caring for the child at home. Maybe this is only my experience but NEVER once in my girls 13 years has a doctor ever asked that question. Purdie seemed to think that if a doctor knew the doctor would have intervened somehow. Idk I just don’t get it.
The kind of boat that Michele and I navigate has sailing regulation a-plenty. Still, much of our work is up for subjective judgment, sometimes sloshing enough water aboard to threaten sinking. A decision to address anything legally negligent or criminal is indeed a patch o’ stormy sea. Matey.
Between bloggers advice, while no longer uncharted, may contain more than a few BermudaTriangles, seems to me.
I read a LOT of online chatter about policing words in reference to (primarily) children with disabilities. This discussion is connected to that chatter in my mind. Recommending recent posts & comments at mamabegood dot blogspot dot com
My definitive answer to your primary question, SD: it depends.
I realize how dissatisfying that answer is to a brilliant science-type with extensive parenting experience like yourself. I work on the principle that each person does the best they can. As do I.