To navigate the complex world of special-needs (or super-powers) parenting, we need to be resilient- to learn, adapt and grow even stronger given whatever life's circumstances come our way. An integral part of strengthening resilience is sharing our story, our feedback, our imperfections in a connected, grounded way.
We have a choice. We get to choose. We can cultivate calm, non-reactive presence and sit with whatever is. This practice is like mountain with no top; ever-expanding. There is no top. I am constantly learning by trial and error.
Sit with it. Sit with the idea that Lewis has been eating (by mouth) for the last 3.5 years. Is it still disorganized? Hell to the yes! But his whole life revolves around food now. He is completely desensitized from the trauma of the intrusive medical intervention he received in the hospital after he was born lifeless. Considering he has only truly been eating and drinking for the last 3.5 years he is making continual progress. He loves food!
Fast forward to the last two months at school. As much as we love school, it's a lot of new people in our lives who sometimes don't really understand us. Even though we have a team who supports LJ, it somehow can feel lonely. Quite possibly my fear, anxiety and defensiveness enter into the mix. But here's the thing, his team is nervous about feeding him. After the long road we've been on to develop Lew's eating skills, I do not want to entertain the notion of a setback. So I am aware that my reaction is completely founded.
My impression is that the school SLP (speech therapist) and lead teacher don't really want to feed him/feel comfortable feeding him. They've been pressing us to have a
dysphagia team observe Lewbug eating at lunch time so that they can offer an action plan. Josh and I finally consented under the impression it would not limit LJ's food intake but rather give constructive feedback about increasing his efficiency and helping those people that are feeding him. Since there isn't really a lot one can recommend, their knee-jerk-go-to solution is to suggest another swallow study.
Here's my strong conviction on the swallow study. It's not gonna change what we are currently doing. It might confirm what we already know...that there is a delay with Lewis' swallow. But if you don't rush him, give him plenty of time to swallow, and make sure he's cleared his throat before receiving his next bite, he's eating. He's not going to stop eating. When he drinks water from his camel bak with bite valve, he has a compensatory body positioning. He's weak on his right side (he has right-side-hemi-paresis). The result: Lewis has figured out he needs to gain momentum to swing the bottle upward slightly using only his left hand, and tilt his head slightly back to get the water to flow. The school team is concerned that all of the above makes him high risk for aspiration.
On January 5th, the schools dysphagia team came and observed a very chaotic "lunch party" with a bunch of LJ's classmates. They were observing LJ. There hadn't been any consult with Josh and I prior to the "lunch party". Questions about LJ's physical abilities weren't addressed until their very first meeting with LJ. Information about our past attempts at the month-long boot camp in NJ at St Joseph's hadn't been explained. Nor had the team been apprised of our tube weaning with Dr. Markus Wilken. And of course our on-going efforts at private speech/feeding therapy at home also weren't previously brought up. It was very frustrating for me to sit and watch them analyze my courageous, beautiful, vulnerable, happy, complicated, unconventional eating boy. Twenty minutes in, the SLP from the DT asked if we had "ever considered doing another swallow study because he's really got an open airway and that's cause for concern".
My gut reaction was this: "No. He's already passed the swallow study in 2010. He doesn't aspirate. We're not concerned. His doctors are not concerned. He hasn't choked, or gotten any respiratory infections. He's never had pneumonia except once in the NICU. He's not even followed by a pulmonologist anymore."
Sure, somedays I feel like all I want to do is hide under a rock for a few days. When I feel depleted of energy for this battle- recognizing this. Having this awareness that I feel spent, overwhelmed and sometimes furious informs my decision that I need to take all-too precious time to myself to nurture and recharge. And then I regroup my thoughts. It comes to this- anxiety and frustration is happening but ordeal is a choice. The choice is how I get to hold the experience. My choice right now is to thank them for watching my little boy, making their recommendations on their little report and moving along. Nothing's changed. There's no new medical crisis or diagnosis over his eating. He's adapted to life's circumstances. The only thing that's different is a school with new people involved with feeding LJ at lunch time. We'll get through this. It just takes time. The choice is mine.