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Update, April 2007

 
Uniquely Madison
 
"Ever forward, but slowly."
-Von Blucher

Maddie at 2 Years, 9 Months
Our little girl continues to amaze us!  Madison has made some great strides over the last few months. She is flourishing in her preschool program, and we are definitely seeing a very strong, personality develop in our little girl.
 
Physical Milestones
Madison is officially pulling her self into standing, and this has been very exciting to watch. There were some "sightings" of this occurrence starting about six months ago, but now she is doing it consistently. Once she is up, she doesn’t quite know what to do with herself, and if she doesn’t have her braces on, her feet are very unstable. However, with time, we know she will fine tune this skill, as she has been doing with all of her milestones.
 
She’s a climber! Madison has decided that she likes to climb on to everything she can find. We are sometimes quite surprised at the things she can get on top of. This is wonderful exercise for her, and her motivation to practice this new skill is very encouraging. This is actually how she figured out she could get herself into standing - while trying to climb up on a few things, she ended up standing and didn’t even realize it.
 
Maddie continues to do physical therapy, occupational therapy, speech therapy, and horse therapy every week.  One more therapy has been added to the mix - she is just starting sensory integration therapy which is one to two times a week (more info. about that one below...)  Unfortunately, she missed out on a lot of her therapeutic horse riding during the rainy, wintery seasons.  It is at an outdoor arena that floods very easily, so the moment it rains, the therapy gets canceled.  We just started up again, and she loves it more than ever!  Unfortunately, her horse Bullseye has moved on to that great green pasture in the sky and she has a new, much spunkier (and taller horse) name Zip!
 
Maddie has a love/hate relationship with her gait trainer (her purple walker). Because she has developed a very efficient crawl and can get around so easily that way,  I think the gait trainer is frustrating to her because it definitely slows her down and is quite limiting. However, we do try to get her in it at least once a day. She’ll bear with it, but it takes a lot of encouragement (and bribery!). It is hard to find good places to go in her gait trainer - we need nice open, flat spaces, but we definitely have our spots now. If we have an extra hour, Madison will "walk" down the hallway to pick up Savannah at school. On Fridays now, we like to go to the mall in the morning - she has lots of space to roam, lots of things to explore, and lots of people to watch. We usually get there around 9:00 and it’s fun to watch the mall "wake up". She’s always quite a hit, and we have met some great people while we mill about. Our last favorite place to go walking is at Savannah’s gym. They have a great, huge waiting room, so while Savannah is at her gymnastics class, Madison walks around and makes new friends. It’s been fun figuring all of this out, and I am finding myself doing things I never would have expected.
 

To read a little something I wrote about our first trip to the mall, click here...

To see some new pictures of Madison at therapy, click here.

 
Speech Milestones:
Last November, we received some terrible news that Madison’s amazing speech therapist, Carol, was in a bad accident. Even after she recovered, she knew she would have to retire from doing such active speech therapy, and we had to start the hunt for a new therapist. After finding out the waiting list was more than three months long, we were very fortunate to get hooked up with her new therapist in late January. We tried to get private therapy set up in the interim, but the field is so impacted, we were unsuccessful. We did receive some therapy through our insurance, but it was very sporadic and the therapist did not have a speciality in toddlers.
 
Though relieved to get a new therapist, I was very skeptical of anyone new, as Carol, our prior therapist was so amazing. We were pleasantly surprised when we met Josette, and realized there was more than one great therapist in the world. While Carol focused on having Maddie use AAC (communicating through pictures, buttons, electronically, etc.) as that was her specialty, Josette has her own specialty. Because we have been trained so well in AAC, we don’t necessarily need that help and support anymore. Josette said we should definitely continue everything we were doing with AAC, but she had some other things she would like to focus on with Madison.
 
Her first observation with Madison was that she should be able to do more signs. She had about three signs before her new therapy started, and we had basically just accepted the fact that her fine motor skills were just not good enough to do any more than that. Josette looked at Maddie’s "volitional movement", and started teaching her signs that we knew she already had the movement for. For instance, Madison knows how to throw a ball, so her body knows how to move her arm in a throwing motion. Well, the sign for ball is to do a throwing motion. Wallah - she knew a new sign. Within two weeks, Maddie could sign for ball, dog (her favorite), cat, phone, sun, flower. Her signs are definitely not perfect and just approximations of the actual signs, but we know what she means, and we know that will get better with time. So between all of her picture cards, her electronic buttons that talk, and her new signs, Maddie is not as frustrated as she could be at this time in her life. Trust me, she is still EXTREMELY frustrated quite often, but I can not imagine what it would be like without all of this.
 
Josette, and many of Madison’s other therapists and teachers have been very impressed with Madison’s receptive language skills.  That is, Madison is understanding most everything we are saying, and that is hugely important.
 
Maddie's list of current signs:  more, eat, drink, sister, Nana, Grandma, daddy, mommy, hat, ball, flower, dog, cat, sun, shoes, phone, please, thank you
 
Developmental Status:
Madison's current developmental "status", as of 1/2007 (30 months):
Social Skills:  24 months
Communication:  11 months (expressive), 20 months (receptive)
Self Help:  17 months
Gross Motor:  11 months
Fine Motor:  16 months
Cognitive:  17 months
 
Maddie's Out-of-Whack Senses
We had a sensory evaluation done on Madison, and she was officially diagnosed with "Sensory Integration Dysfunction".   This diagnosis is fairly typical in kids with Madison's condition.   This explains many of her rather bizarre behaviors - pulling out her hair and sucking on it, her need to always be rocked, her unwillingness to touch certain things.  It's a long story... 

To learn more about Sensory Integration Dysfunction, click here.

Maddie is getting some new "wheels"!
As Madison approaches the 3 year mark, it has become noticable that she is outgrowing her stroller.  She is okay in it for now, but in talking to her physical therapist, the time has come to plan for the future.  Even if Maddie does happen to start walking in the next 6 months, she is still going to tire out fairly easily.  She will need some type of stroller for at least the next few years, no matter when she does actually walk.  A typical stroller is no longer appropriate, or comfortable, for her.  (It's not good to have your feet dragging on the ground!)  On order, is a new, fancy "Convaid" stroller - in pink!  It's a bit much; it's a bit wheelchair looking, but it is the next step...  If you'd like to check it out:

http://www.bright-start.com/index.asp?PageAction=VIEWPROD&ProdID=649

A few thoughts:
Occassionally the realization hits us that we have a child who is almost three who is not WALKING or TALKING. Wow, that’s crazy, and a bit surreal at times. However, if someone had told us a long time ago that we would have a 2 ½ year old who wasn’t walking or talking this is not what I would have imagined. I would have imagined a very sad life, with a lump of a child not capable of doing much of anything. This is so far from our reality. Maddie has a very happy life; she’s very active, moves around quite well, is very expressive and is extremely intelligent. It’s like she can do everything else in life, EXCEPT for walk and talk... I guess I didn’t know that was possible!

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I did it! Maddie was very proud of herself the first time she could climb on this chair!

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Um... That's the wrong crib, but good job climbing in!

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I'm standing all by myself!  Madison has been doing a great job pulling herself into standing, and it's so much fun to watch.  When she doesn't have her braces on, though, she has a hard time finding the right footing.  In this picture, you can see how her little feet turn in when she stands naturally.

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Maddie is going to camp!
 
It was about a year ago at this time, when we discovered a therapy called "Conductive Education".  It sounded pretty amazing, but we were a bit skeptical.  After much thought and research, we have decided to give this "alternative" therapy a try. 
 
Conductive Education originated in Budapest, Hungary.  In the United States, Conductive Education programs are hard to find and few and far between.  The most prominent, well-known program in the states is in Grand Rapids, Michigan.  So, Michigan, here we come!   Madison and mom will be leaving for Michigan in July for four weeks for what we hope is an amazing adventure.
 
Conductive Education is basically a therapy that focuses on children solely with movement disorders, especially Cerebral Palsy.  The main thing that drew us to this program is that it focuses on the WHOLE child.  While Madison currently receives some amazing, very effective therapy through Early Intervention, her program is a bit disjointed.  She has so many different therapists and teachers, and each focuses on a different "part" of Madison.  One therapist works on her legs, one works on her hands, one works on her mouth, etc. but it is not very often that all of Madison is worked on all at once. 
 
In Conductive Education, the teachers are trained in all aspects of development.  In the therapy, they are working on the entire child, all at once.  The teachers are specialists in Madison's specific condition.  It is intensive - 3 to 4 hours a day of therapy, five days a week, but it is fun and exciting.  The program we have been accepted into is a parent/child program, so while they are helping Madison, they will be training me on how to help her once we get back home.
 
No one has promised us miracles, which I appreciate, and that is not what we are looking for.  We just want to make sure we give Madison every opportunity possible to be the best Madison she can be.  Will this program get her to walk and talk?  Maybe...  maybe not... but she will certainly be closer to walking and talking after 60 hours of any type of therapy!  I have been told that this type of therapy is most effective on children that are on the verge of a new skill.  Maddie wants to walk, and she is getting closer to that goal, and this big, extra boost might really help her along. 
 
So we will just have to wait and find out...  We feel grateful for the opportunity and are excited for the adventure.  If we don't at least give it a try it, it is something we might always regret.  Our family will be separated during this time, and that will be challenging.  However, Derek and Savannah are coming out to Michigan to visit us for a week, and then they will be off to Texas to stay with Derek's sister's family for another week.  I think they, too, will enjoy this special time together.  We are also looking forward to Grandma and Grandpa coming out to visit us for a week while we are there!
 
If  you would like to learn about Conductive Education and the Conductive Learning  Center in Michigan, please click below:
 

http://www.aquinas.edu/clc/

Friends and family are trying to help us raise money to pay for Madison's trip to Michigan.  The trip will cost us about $7,000.  To learn about Maddie's different fundraisers, click below:

Fundraisers for Madison

Maddie and Big Sister
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Savannah continues to be the best big sister in the whole world.  She is very, very proud of all of Madison's accomplishments, and makes sure she tells everyone when Maddie is doing something new.  They seem to have their own language, and Savannah always knows exactly it is that Madison wants and needs.  But, Savannah also seems to understand that she shouldn't speak for Madison and do things for her.  If Madison wants something, Savannah always makes her do a sign for it or point to a picture.  She's the best little speech therapist around!  If Madison is having a hard time getting up on something, Savannah doesn't carry her there or push her there, she gently guides her there, as though she has years of physical therapy training.  We are very lucky to have these girls getting along so beautifully.  They are learning so much from each other.

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Maddie cruising the neighborhood in her gait trainer!

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Big Sister cracking Maddie up.

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Maddie watching the Wiggles, Live in Concert!  She had a great time, and was able to sit all by herself in a seat.  She tipped over and fell off a few times, but momma caught her!

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Look at me washing my hands!  Maddie can now stand up by herself to wash her hands at the sink.  She feels like such a big girl when she does this, and is always quite proud of herself!

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A friend of the family was trying to help her little girl understand more about Madison.  After a thorough explanation and a great talk, the little girl said, "Well, if Madison wasn't the way she was, then she wouldn't be Madison!"  Couldn't have said it better myself - thanks, Abby!

 
The Good, the Bad, and the Perfect
-on life with Madison
 
The Good

Some of our friends with very verbal toddlers and children do seem to admire the peaceful and quiet nature of our home...

Maddie is still one of the most snuggly children I know.

The fact that every, little, teeny tiny milestone is a miracle to us.

 

The Bad

Maddie’s horrible frustration when she can’t tell us what she wants and needs.

Being the parents of a completely nonverbal almost three year old and trying to get her what she wants and needs without "spoiling" her.

When Maddie’s uncontrollable leg movements wake her up in the middle of the night, and we can’t help her get back to sleep.

When she falls down - a lot...

Having absolutely no idea what Maddie’s future holds.

 

The Perfect:

If Madison is really, really excited to see you, she tips over.    At least we know she loves us!

Her beautiful laughter - we don't get to hear her voice very much, but her laughter give us an inkling of the noise we are going to someday hear when she is talking.

The smile she gets on her face when we talk about her Nana and Papa and Grandma and Grandpa.

That she belly laughs when Savannah tackles her.
 
Her sign for please; just about the cutest thing I've ever seen.
 
Her extremely prominant froggy legs while she is sleeping.
 
Her amazing flexibility (this is not a good thing, but is still quite cute...)  She is the only contortionist I have ever known.
 
She has taught us more about life and love than I ever thought was possible.

Go, Maddie, Go!