Conductive Education Journal, July 2008

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Maddie's Next Adventure Begins...

Well, we are back at it and trying out another month of Conductive Education. Another new Maddie adventure, and we are excited to see the results of our latest endeavor.

We are closer to home again and Maddie is attending "Beginning Steps to Independence" in San Jose. Fortunately, our living arrangements have remained the same, and the Roberts family has generously taken us in once again. We could not do this without them and we will be forever grateful.  They are the most kind and generous people I have ever met.  We are living here again with the Roberts Family and Judit, one of Madison’s conductors (teachers) and her daughter Hanna, who is 5.  They have a house full, but somehow it works out amazingly well.

Savannah is only going to be joining us for part of the time. The first week we are gone, she is going to be traveling to Texas with her Nana and Papa to visit her cousins. The second week, she is going to be staying home with Derek so she can go to Vacation Bible School. The third week she will finally be joining us! And the fourth week, she has to be at home again because she is starting FIRST GRADE! Can you believe it? I will be very sad not to be home during her first week of school, but she will be with her Daddy. Her hair might not be so cute, but this controlling mommy is just going to have to accept that.

Week One:

It was definitely a rough week for Madison. She has not transitioned back to this program very well. And who could blame her??? Her entire world has been turned upside down, they make her work very hard here, and she is just mad about it I think! She has amazing crocodile tears when we get to the program every morning, but they have reassured me that the crying stops soon after I leave. They also told me that even when she is fussy and cranky, she still follows directions quite well, so she’s got that going for her!

I have had a few opportunities to stay with her and learn the magic of the conductors here. It is quite frustrating, though, because she definitely works better when I am not around. However, I do love seeing what they do here, and how they do it. They are trying to teach me how to help Madison, and as hard as that is, I think it is best in the long run. There is no point in doing this unless I can apply the things she is doing here to her life back home. They have such clever ways to help the children get where they need to go. I help Madison every morning get to the bathroom, and she knows exactly what to do. She walks from the door holding on to a ladder back chair, gets to the wall, walks along the wall, turns the corner, grabs the counter in the bathroom, and cruises down to the toilet. It is just amazing to watch, and gives us such good ideas on how to help her get around at home.

One of the conductors, Nora, gave us some wonderful advice this week. Madison didn’t have her shoes on, so I was carrying her to the car after school. Nora said, "Maddie! You need to help your mommy carry you!" I never really realized it, but when I hold Madison, she basically leans backwards. This makes an already very heavy child even more difficult to hold. Nora told Madison to put her arms around me and lean in towards me. Maddie did this immediately, and I can’t tell you the difference it made on my back! So now when I pick her up, I tell her to hold on to me "like a monkey" and it has completely changed our world. It is so amazing to me when people point this kind of stuff out to us, and I appreciate it very much. We are so used to our own little world, and have such habits, it usually takes someone from the outside to pick up on these very small things that can make such a huge difference.

Of course, all of Madison’s equipment has come under question since we got there. We were expecting this, and we welcome it. No one, even her therapists back home, feel that Madison’s equipment is perfect for her right now. They have recommended a new knee brace for Madison that is a little less cumbersome than what she currently has, and her PT back home is going to help us order that. Her walker, as well, is not ideal for her. She leans into the back of it and walks bent over (on her heels with her knees bent backward!). They will help us figure out what might work a bit better for her.

We left San Jose on Friday afternoon to get back home to Derek and Savannah. Even with the crazy traffic, we were home by 4:30!

Week Two:

We had a wonderful weekend having the whole family back together again! The girls were so happy to see each other, and had an amazing time playing together. Savannah was just adorable, and it really seemed like she missed us just as much as we missed her!

We are getting used to this commute back and forth to San Jose every Sunday. We leave around 4:00 and get here by 6:00. The Roberts family has made us feel so much at home, I do get a very comforting feeling every time we arrive back at their home. It’s like we’ve known them forever and that we actually belong here.

We have had some very touching experiences since we arrived here. Sunday night after Madison and I went to bed, Judit and Hanna decorated the hallway for Madison. Hanna hung up crafts she made at school and pictures she had colored a little above Madison’s height all the way down the hall. Judit hopes this will encourage Madison to stand at the wall and walk down it. AMAZING! Judit has also been working with Madison at home helping her climb up and down the stairs. Madison has also figured out that she can say Hanna’s name, and that is very exciting for every one. You have to listen really hard for it, but she says a little "HA" and then about 5 seconds later says a little "NA". It is SOOO much work for her to talk, but she is trying so hard! Seeing that she can say Hanna, we’ve realized that she could probably say at least the last part of Savannah’s name. So, (just to be fair!), we have been working on Madison saying "AH NA" for Savannah. It is working, and I think Savannah will be so happy to finally have her sister call her something!

On the potty training front, things have been going very well. She has only had one poopy accident in TEN DAYS! The pee is still quite an issue, but she has been relatively successful with tinkling on the potty as well. This little girl just pees a little bit all of the time, so it’s hard to catch it all in one sitting...  Still trying to figure this one out.

Another amazing feat for Madison this week, is that she is able to walk holding on to parallel ropes. This is very hard to do, and wasn’t even a remote possibility for her the last time we are here. I hope to get a picture of this very soon.

Just like last time, I am starting to notice that Madison’s body is beginning to change and feel different again. Each time we do this, there is a new strength and new confidence about her and it is so exciting to watch!

 

Maddie doing some wonderful walking with Judit!
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Getting ready for her first day...
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Week Three
Maddie has had her ups and downs this week, but I would say overall that it has been a pretty good week. 
 
We did have some pretty amazing news!  According to one of the conductors, Madison stood, unsupported, for one minute.  Now this, I can't even imagine.  I have seen her maybe let go of something and stand for perhaps 2 seconds...  I'm not saying I don't believe her, but she must have just been having a pretty amazing day.  I've tried to get her to do this for me, but to no avail.  However, to know that she did it once, and that she CAN do it is very good news. 
 
Even though I haven't actually seen THAT trick, I have to say she seems much more stable overall.  One thing I have never been able to do is walk with her by holding her hands.  This is now how we get her to school everyday.  And once we get to the ramp, she actually puts one hand on the ramp, and holds my other hand.  This might not sound huge, but for Maddie it is.  This mode of walking was unimaginable to me before.  And just to feel her little hands in mine is the most wonderful feeling ever. 
 
Another beautiful, wonderful thing is that Madison has been saying her sister's name!  As previously mentioned, we have cut Savannah down to "ANNAH", and it is totally working!  She says AHHHHH   NA!  Savannah is so proud and happy that Maddie can finally call her something.
 
Madison still screams bloody murder every morning when we get to school.  This is disconcerting, but the screaming stops right when I walk out of the door.  Literally - I shut the door and she immediately stops crying.  So I am just trying to deal with the screaming and not let it make me sad, because I know she is safe and in good hands.  As one of the conductors said, Maddie just has a really hard time dealing with her emotions.  I think that is true, and is just part of who Maddie is.  She now knows the sign for sad (putting her finger downward on her cheek like a tear), so my dramatic little girl is trying to walk to school, pointing to herself and signing that she is sad.  But since it is hard to sign and walk at the same time, she usually falls down and then that really does her in.  Bless her little heart.
 
Bless Savannah's heart, too.  She is with us this week, and it is really hard for her to put up with all of Madison's crying.  She is the most patient 6 year old I know... 
 
Savannah and I have had a wonderful week together.  We kind of blew the budget and did just about everything - movies, shopping, jungle-adventure-place, children's museum, and lots of eating.  We have been apart for two weeks, so this time together has been wonderful.  She is quite a fun little side kick.  Grandma and Grandpa Keller came to visit us this week as well, and that really made our week special.  More shopping and eating.  ;-)  Grandma helped us get Savannah all situated for her first day of school - new backpack and sneakers, so now she's all set!
 
We are not traveling home this weekend.  We are going to stick around here and go to Santa Cruz with Judit and Hanna.  Derek will be picking Savannah up on Sunday - to get her ready to start first grade in FIVE DAYS!
 
Only one more week left!   This has certainly become a home away from home, and I do love it here.  However, it will be really nice to get back home and get back into our old routine.  It will be nice to have the family together again...
 
 

Week Four
I can't even believe this is our last week here.  Amazingly, this time went by extremely quickly.  I am soooo ready to get home, but I am enjoying this last week as well.
 
We had a wonderful weekend.  This is the first time we have not gone home on the weekend.  Though it would have been nice to get home, it was almost a relief not to pack/drive and pack/drive some more.  I am not used to just "hanging out" here and relaxing, so it was kind of nice.  Judit and I went on quite an adventure with the girls!  It was absolutely exhausting, but I am so glad we did it.  On Saturday morning, we drove to Felton, boarded the Redwood Train at Roaring Camp and headed to Santa Cruz.  It was a bit surreal to me, bringing back some amazing childhood memories, but that's another story... 
 
Once at the Boardwalk (it was CRAZY crowded), we walked around and the girls went on some rides.  Then we headed to the beach.  I am not fond of the beach, especially with Madison (stroller/crawling child in sand etc., etc.) but with Judit's encouragment, we got this crawling child in the sand and she seemed to have a great time.  She went head first into a little inlet, because she didn't understand how quickly it got deep, but Momma-Hawkeyes swooped her up right in time.  Judit is so strong and energetic,  she did end up carrying Madison all the way out to the beach to see the waves and I am so glad that Madison had the opportunity to experience the ocean just like the other girls.  Sometimes I am just too darned exhausted from this little girl to give her these opportunities.  And quite frankly, sometimes it is just a pain in the booty to let her experience these things!  Carrying a 40 pound child, in the blazing hot sand, all the way to the water is just NOT fun...
 
After cleaning up after the beach (quite a process in a public restroom with a child who doesn't feel like standing), and trying to get sand out of all of those places "where the sun don't shine" Savannah and Madison were ready for some more time on the boardwalk.  Several hotdogs, cotton candy, and carousel rides later, it was time to get back on the train.  It was beautiful traveling through the redwoods, but no-nap/sand-crusted Madison was not too thrilled to be on the last leg of our adventure. 
 
We got back "home" around 7:00, and the adventure continued around 9:00 when Judit asked Madison if she wanted her to cut her hair.  (Long story about the hair - Madison desperately needed a haircut, and I haven't been able to take her anywhere for 6 months because of her horrible beauty shop tantrums.  Sensory issues with her pulling her hair out, bald spots because I pull her hair so tight in rubberbands to prevent her from pulling it out, etc. etc.)  And sure enough, Madison sat in a chair for ONE HOUR while Judit worked on her hair.  Cutting the hair of this moving target is a huge task, and Judit did a wonderful job!  It is now above her shoulders and looks SO cute!  It is such a relief to finally have this done.
 
Sunday, Derek came to get Savannah, and we had a nice time altogether.  We went out to lunch, packed up our biggest little girl, and Derek and her were on their way.  Momma was sad.
 
Okay, so I realize I haven't talked about Madison's therapy one bit yet, but because we are able to spend so much time with Judit, I feel like all we do here is therapeutic to Madison.  Poor Judit never gets any time off, but it seems to be part of who she is.  I am constantly getting amazing information and feedback about Madison and it is invaluable.
 
When I brought Maddie to therapy on Monday, her tantrum was almost comical.  She was throwing a huge fit, but working so hard.  She was crying really hard, but that little girl walked all the way to the door, grabbing on to everything she needed to grab on for support, sat on her little stool just inside the door, pulled herself right up onto the parallel bars, stormed through the parallel bars (doing some of the best walking I have ever seen!), grabbed on to the wall, and walked to the toilet.  I tried to help her and support her where I usually do, but she didn't even want my help.  It was almost like she was saying - "look, you crazy people, I can do it darn it, so just back off!!!".  She did calm down on the toilet, had some wonderful action there, threw one last fit before I left, but the crying magically stopped again when I shut the door.
 
This kid is EXHAUSTING ME!!!  ;-)
 
I stayed with her on Tuesday morning, and she wasn't too thrilled about it.  I feel like I still have so much to learn, though, and I want to understand how to work with her better.  She was basically just spaghetti legs for me most of the morning, and it was very frustrating.  I think I'm done "participating" for now.  I want her to get as much as she can out of this last week, and I think I hinder her from doing so.
 
I had a wonderful conversation with Nora, the other conductor, Tuesday morning, though.  We talked about many things, but a few I would like to share...  Her or Judit may have the opportunity to come visit Madison's preschool back home and offer advice and help to her teachers there.  They can explain the best ways to work with Madison and perhaps make sure the classroom is set up in a way that can help Madison be mobile.  This would be a wonderful opportunity and I do hope it works out.
 
We also discussed the possibility of doing monthly follow-up sessions for Madison.  This means Madison and I would travel to San Jose once a month, and have a private session with one of the conductors.  This way, they could monitor her progress, and offer us continuous advise and help.  Not sure what that kind of set up would cost us, but as we all know, when it comes to Madison "money is no object".  ;-)
 
The rest of Madison's last week of therapy went quite well.  It seems very sad to leave now, as she is finally situated and adjusted.  Everyone at the school, too, seems to finally know and understand Madison.  It took quite some time for her beautiful, sassy, hilarious little sense of humor to come out, and now that it finally has, it is time for her to go.
 
Ending these sessions is always extremely bitter sweet.  SOOOO excited to finally get back home and back to our everyday life, but so sad to leave something so great and helpful for our little girl.  She has made some tremendous strides, and I am always a bit anxious to get home and see what she does with these new developments in her regular environment; to see if the month really "paid off". 
 
Also, we have become extremely close to the Roberts Family, Judit and Hanna.  They have done so much for us, and we really had such a great time staying with them.  It will be hard to say goodbye.
 
In Conclusion...
Well, we have been home for a couple weeks now and it was like we were never gone!  It is amazing how quickly we can get back into the swing of things... 
 
It was a little hard for Madison to adjust to life back home, but under the circumstances, I think she has done remarkably well.  We certainly expect a lot from this little lady in terms of how adaptible and flexible we expect her to be.  We returned home on a Friday, and she started her preschool program here on Monday!  There were some tears that first week, and I think it was a hard week for her and her teachers.  However, the relief on her face when she got there on the first day was obvious!  She seemed so happy to be back, and I think she remembered that this place is a lot of fun.  She was so relieved and happy to see familiar, loving faces, and everyone seemed very glad to have her back.
 
It is interesting to watch her apply her new skills back home.  The most remarkable thing we saw was when she climbed up the ladder to our slide in the backyard!  I turned my back for a moment, and before I knew it, she was halfway up the ladder.  I was floored, and that is the last thing I expected from her!  Out of fear that she would fall, I did help her up the last few steps, but once she got to the top platform, she got situated on the slide, and went down it ALL BY HERSELF.  For most kids, this is not a huge milestone, but for Madison, it is incredible.  This kid IS going to walk someday.  Someone who wasn't going to be able to eventually walk would NOT climb up the ladder of a slide, I don't think!
 
She has also been getting around the house remarkably well.  She'll let go of things while she is standing and cruising to get to something else, and this was just not a possibility before.  She is walking very strongly in her walker, though steering it and controlling it are still extremely hard for her to do.  You have to watch your toes if Madison is near you in her walker, because she has been known to run right over people.  We're working on that...
 
So much more to say, but I think I have the basics covered!  Thank you to everyone for your kind thoughts, prayers, and wishes while we were gone.  It is SO nice to be home.  

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Miracle! Madison finally got her hair cut. Judit working her magic... Turned out so cute!

Enjoying a ride at the boardwalk.
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Big sister enjoying the San Jose children's museum. Loved the rabbit hole!

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Look what I found, mom! Savannah loving the museum...


Go, Maddie, Go!