Willie had cerebral palsy but we
didn't know it until he was 22 months old. Since Willie had been premature
we didn't worry too much when he didn't do things that other babies his
age could do. We thought that in time he would "catch up " and be fine.
When he was six months old he was enrolled
in our local early intervention program in hopes that some physical therapy,
speech therapy, occupational therapy and the "right" kind of stimulation
would help him develop "normally". Willie couldn't sit up, roll over, hold
his bottle or toys or say any words. His legs were very tense and always
crossed at the knees. He cried allot and when he wasn't crying he was fussing.
I just thought that I had a cranky baby. But..........
On Thanksgiving day 1990 Willie
had his first grandmal seizure. He was rushed to the emergency room where
he was admitted to the hospital's pediatric ward so that a CAT scan,
MRI, spinal tap and various blood tests could be run to determine the cause
of the seizure.
The results were devastating to
my, then uneducated, mind. The diagnosis was partial agenesis of the corpus
colosum. Fancy words meaning that Willie had a hole in his brain. Part
of his brain tissue had never developed leaving a small hole in the center
of his brain. His pediatrician sat with me and explained to me that my
son had cerebral palsy. A condition that is permanent. Only time would
tell how to what degree the cp would effect him. It was also determined
that Willie had epilepsy, which caused the seizure, and he was put on phenobarbital
to control any future seizures.
The change in my son was amazing.
The phenobarbital controlled the seizure activity in his brain. He began
to do things he had never been able to do, he stopped crying all the time
and began to laugh. His smile was the sweetest thing I had ever seen.
Within weeks he was rolling over, holding his bottle and toys and babbling
away. I still didn't know nor did I want to face the truth.
Willie continued in the early intervention
program until he was three years old. He was still having grandmal seizures
at that time and each seizure meant a stay of at least over night in the
hospital. Willie seemed to have more seizures when he was separated from
me. He would throw a tantrum whenever he couldn't find me, these tantrums
seemed to trigger seizures. So it was my choice not to enroll Willie in
school right away. He was only three after all. It was a good choice. He
got physical therapy at home and learned gradually to be independent of
me.
When Willie was four and a half
I decided that the time had come for him to start school. I contacted our
local school district who put me in touch with the special needs child
study team. When I called the team I was immediately accused of being a
horrible parent for not enrolling him earlier. I was not asked why I had
chosen to wait just told that I was an awful mother. I was also told that
they would not be able to evaluate Willie for placement until February
(it was then August). I hung up the phone and looked up the number
for United Cerebral Palsy. (It was to be the first of many calls to them.)
Well, within an hours time I had an appointment to have Willie evaluated
the next week. He started school in September.
Willie was placed in a school for
the physically disabled. The school that had been chosen was called the
Githens center. It was a wonderful 'not for profit' private school. Their
ultimate goal is to ready these children for placement in 'regular' schools
and 'regular' classrooms. But they were located outside of our district.
That meant a thirty minute bus ride to and from school every day for Willie,
and he was only going half day at first.
Willie remained at Githens center
until November 1997. Willie greatly enjoyed attending the Githens Center.
He received intense physical therapy as well as other therapies. He made
friendships that have lasted through to today.
Out side of school Willie was beginning
treatments that would hopefully straighten his legs which were continually
bent at the knees and hips. His feet were pointed down all the time. One
of these treatments was castings. It consisted of holding Willie's legs
as straight as we could get them while a technician put casts on his legs.
These casts extended from the base of his toes to the top of his thighs.
These castings were meant to be four weeks on one week off. The treatments
were supposed to stretch the tendons in Willie's legs enabling his legs
to straighten. That was how it was supposed to work......... What it actually
did was torture my son. (I know this treatment has worked for a lot of
other kids) For Willie this treatment was EXTREMELY painful. He cried non-stop,
slept in twenty minute increments, and had to be put on pain killers at
the age of four. We went through two castings. Our results were nil. I
finally said "no more". The Dr. wasn't happy with me but I saw no reason
to continue putting my son
through all that pain for nothing. The Dr. couldn't
(or wouldn't) tell me if Willie would ever stand or walk, with this treatment.
You see Willie couldn't stand or
walk or even crawl on his hands and knees. He did what they call commando
crawling, where he pulled his body along behind him using his elbows. It
was at the end of the second casting that Willie caught the chicken pox
Now undernormal circumstances when your child get chicken pox you don't
really worry. It's not a major illness just an uncomfortable one. But for
children with
neurological disabilities (which cp is) it can be
very dangerous. The pediatrician kept a close eye and Willie and we made
it through.
That winter Willie got his first
case of viral pneumonia, it was also the first time anyone had said 'asthma',
or 'lung damage'. It was explained to me then that as Willie grew so would
the damage to his lungs. It was a condition that would only worsen with
time. By that time Willie had grown some and weighed 28 lbs, still awfully
under weight for 4 years old, but growing.
In November of that year (1993)
we went to the Alfred I DuPont Children Hospital for the first time. We
had already been to different hospitals in New Jersey and Pennsylvania.
Five of them in all.
I finally decided to try DuPont
even though it was allot further away than we had been going. It took over
an hour to drive there. But the distance was well worth what we found there.
We found a children's hospital that didn't feel or look like a hospital.
We found the most caring staff of professionals that I have ever come across.
And I found a doctor
who was willing to lay the truth completely on the
line for me. No matter how hard it was for me to face.
After four hours (which we were
told about in advance) of medical history taking, x-rays, neurological
and orthopedic exams I finally knew the truth about my son's condition.
The bones in his legs had begun to warp. The tendons were were so
tight that they were pulling on the bones causing the bones to bow
out or curve. The curve was getting worse as Willie's body tried to grow.
I was faced with the fact that if surgery wasn't done soon to relieve the
tension on the bones, the curve would become so bad that Willie would never
walk at all. I was also facing the truth that there was no guarantee that
Willie would ever walk, with or without the surgery.
The decision was mine. Would I
allow my son to under go painful surgery for just a possible chance at
walking or would I allow his legs to become even more useless than they
already were? Could I knowingly keep my son in his wheel chair for the
rest of his life? Was it fair to put him through all of that pain for just
a chance? Would he some day hate me if I said no? The decision was even
harder knowing that Willie could have a major seizure during the surgery.
All of these things ran around and around in my head. It was the hardest
decision I ever had to make. But I chose to go ahead and have it done.
The Dr. assured me that even if
the surgery didn't allow Willie to walk he would atleast be able to help
us move him, which he currently couldn't do. The surgery was scheduled
for February 15, 1994. Willie was five years old. The Dr. said that the
surgery would take approximately two hours with another hour in the recovery
room. Then about three days of rehab and he could go home. With children
who have cp things very rarely turn out as expected. The surgery ended
up taking four hours. It then took two hours in the recovery room because
Willie didn't want to wake up. I was a total basket case. Every nerve I
had was on edge.
When I finally got to see Willie
again he looked awful. His legs were in casts from toes to knees, he had
incisions on the tops of his thighs, the backs of his knees and either
side of the groin area. Willie had a total of ten incisions, there were
ones under the casts that I couldn't see right away. You could see the
pain written all over Willie's face. All I could do was cry. Willie was
then taken to his room where I would be boarding with him for the entire
stay.
It became clear very soon that
Willie's system was very unhappy with the surgery. He began having heart
problems again. Every time he would fall asleep his heart rate and respiration
would begin to drop. We ended up putting him back on the heart and apnea
monitors. I would have to wake him whenever the rates would fall too low.
Willie also wouldn't eat. He lost ten pounds in the week we were there,
he only weighted 33 pounds to begin with.
The physical therapy team at DuPont
worked hard with Willie and with me. They showed me how to stretch him
and to get him to move muscles he had never moved on his own before. They
showed him how to stand and hold on to a walker. Eight days after entering
DuPont we were allowed to go home. Willie was still in a great deal of
pain. He was taking codeine by that time. He had been on morphine for seven
days. He still didn't want to eat and was still loosing weight. We had
an aide come to the house twice a day for two hours each time. She was
great with Willie. She fed him each hour. She also helped with getting
Willie up in the morning and getting him ready for bed at night. Willie
still had the casts on and had to wear special braces at night to keep
him legs straight while he slept.
Willie's at home, physical therapist,
continued to work with him three times a week for two hours, and since
he had returned to school five days after we got home, the school pt worked
with him every day for 30 minutes. The aide and I stretched Willie as often
as we could get him to cooperate. Willie also returned to DuPont once a
week for therapy there.
Within a month Willie took his first steps. His at
home therapist had said that if Willie ever walked, it wouldn't be for
long, because he would quickly learn how to run. This man was very right!
By the end of two months Willie was running with his walker.
The casts were
removed after eight weeks and Willie was put back into mafos. Willie began
using crutches about three months after the surgery. Now he could run even
faster.
Willie was now walking which enabled
me to finally potty train him. Yup that's right, five years old and still
in diapers. It is not easy to potty train a child who can't walk or stand.
In fact due to the increased muscle tone in Willie's lower body, potty
training him was extremely difficult. He would have to try to keep certain
muscles tight in order to support himself while relaxing others (all things
we do without thinking about it). But he did manage to learn though like
many children with cp Willie still has accidents caused by muscle control.
The years have sped by. Willie
out grew the home therapist so we relied on the therapy he was getting
five times a week at school. Willie learned to climb stairs and ladders
and he learned how to ride a bike. Not a regular bike, he can't support
himself enough for that. He learned to ride a rifton bike which looks like
a large tricycle with a back rest and straps to hold him securely in the
seat. He rode the bike in the Special Olympics in the
summer of 1997.
I can't describe the feeling of
pride, that I had, watching my son ride a bike, just like any other child.
He was so proud of himself. I will never forget that day, it was
one of the big ones. Willie came home the winner in six events. But the
difficult days are not behind us. We faced one of the toughest in 1997,
and it had nothing to do with Willie's health. We had been trying for three
years to get Willie switched over to a regular class room in one of our
local district schools. The child study team had given us one reason after
another for Willie not to be placed in inclusion.
1. He needs assistance going to the bathroom.
2. We can't hire personal aides.
3. There is a possibility that Willie has a learning
disability.
4. He is too physicall fragile to be edicated in a
"normal" environment.
I was offered, year after year,
the self contained multihandicapped room in a school that our district
uses as a dumping ground for every child with a mental or physical problem.
No inclusion, no mainstreaming, no time spent with able bodied average
intelligence children. The district went so far as to have a psychologist
watch Willie and speak to him, the problem came when the man returned with
the findings that Willie was "too delicate" to be schooled with non disabled
children. They also had a learning consultant test Willie. The man used
normal sized print to administer the tests, even though it had been in
Willie's records since he was four that he had a visual disability. When
I pointed out that the results were not fair and that the entire test results
should be thrown out, they
retested him by giving him the same test but
allowing him to use a magnifying glass to look through.
At this point I lost all patience
with the district, with the child study team and with the case worker in
charge of Willie's case. I again called United Cerebral Palsy. They assigned
an advocate to Willie's case and I began educating myself on disability
laws. Well to make a complicated story simple, suffice it to say, that
it took several meetings, a lot of yelling and finally a call to a lawyer
about a three million dollar law suit and a call to the newspaper. I was
asked to sign a paper stating that I did not agree with the child study
teams assessment and that they were going against their better judgment
and placing my child according to my wishes. But Willie was finally scheduled
to begin regular second grade in a regular classroom the day before Thanksgiving
1997.
Willie has been doing just fine. He has been
bringing home good grades, making friends and doing all the things normal
kids do. He does have a full time aide at school to help him with toileting
and to write for him when the task requires speed. But he is HAPPY, LEARNING
and ENJOYING IT!
For the most part Willie uses a
computer for doing school work and all of his papers are enlarged to enable
him to see them but that is more than the child study team ever thought
he would do.
Willie's story isn't done yet,
he has many years ahead of him. Some will be very hard others we will breeze
through but I am sure of one thing...................... Willie will be
anything he wants to be!
|