For those who were wondering about Tuesday

"...he believes that we should increase funding for the Individuals with Disabilities Education Act to truly ensure that no child is left behind."

I kept going back to that single statement, which lead me to make up my mind in the voting the booth that I would indeed support Barack Obama. This comes up in the Special Ed Advisory Committee meetings all the time - the fact that IDEA is an unfunded mandate, meaning we get very little from it. Having IDEA fully funded would make a huge difference to kids with autism all over the country, instead having it passed through to the local school districts as an unfunded mandate. I am all for research and better treatments, but fully funding IDEA now is a fantastic goal and one I believe he could and would achieve with the help of Congress.

Having said that, I hope Senator John McCain eventually makes an equally strong policy statement on autism as part of his platform. This is not a one party issue - at least it shouldn't be.

Better Living Through Chemistry

I start Jimmy on Lexapro tomorrow to combat the OCD and anxiety issues.  The thought is maybe if we address these issues, he will pace around less.  Failing that, we will treat the ADHD separately, but only after we look at the anxiety.  It is becoming increasingly debilitating for him.  I like the doctor he went to today - she was accommodating and supportive.  She even commented that she had never seen a child with so many services, which is something I will take credit for because I have busted my butt to get the help we have (which, according to the recommendations of the developmental pediatrician, still isn't adequate for his need.)    

Tomorrow I go back to the Community Services Board so they can determine that he is indeed still autistic.  Like its changed.  We are getting services from the CSB through FAPT already, so I am really unimpressed that some underling is making us jump through hoops - I am cooking up a whole post on this debacle, oh just you wait.  The phone call to schedule this appointment last week put me in the foulest of moods.  

Before I go, I feel the overwhelming need to apologize to all the people I am blowing off right now while dealing with Jimmy.  There are several - it is sort of all consuming at the moment and even if I am not directly dealing with, I am too emotionally exhausted to deal with much else.  I have good friends going through a lot right now and it makes me sad that I can't seem to be there for them the way I would like.  

So we didn't go...

Jimmy's toileting is becoming more unpredictable.  He spent 30 minutes last night doing laps around the house.  He is more OCD than ever.  Loud places have made him increasingly anxious of late.  He cries a great more than normal.  His vocal stims are out of this world.  For all these reasons, I wound up not going to the Hillary Clinton Town Hall at Metz.  Jimmy comes first.  Yesterday I decided my poster child just needed to be my child.  I doubt the world missed us.  ;)  

He goes to be evaluated for meds tomorrow.   I am hoping this helps to address some of the more problematic behaviors of late.  I am beyond frazzled at this point.  I just want to crawl into bed and hide under the covers.

Still on for tomorrow...

I hope Jimmy is up for this. Heck, I hope I am.

Reality Blah covers the campaign...

Hillary Clinton is coming to Manassas on Sunday. Jimmy will go with me. Bloggers qualify for press credentials... who knew?

My sister hates me right now...

Your weekly update...

I have been busy the past few days.  I took off last night to go to this Primary Matters events, where only the Democratic candidate reps actually showed - Huckabee's people were supposed to, but never did.  Hey, I was at least able to score the bottle of water marked for Huckabee.  I heard people from Obama and Clinton's campaign.  Clinton's guy (a volunteer who had a fellowship/internship in the last Clinton administration) was much more engaging, but I am not completely sold on her platform or policy positions.  Obama's guy was such a pro that he seemed completely disconnected from the voters.  I liked a lot of the policy points he made and left thinking I would vote for Obama, but found his professionalism and lack of engagement a little off-putting.  I really don't know what I am doing on Tuesday.  I still wish John McCain had an articulated autism platform.  Everyone should.

I lined up an appointment for Jimmy on Tuesday to look at medicating for the ADD/ADHD, OCD, and anxiety stuff that we are working through right now.  I am having such a hard time with him right now, that I am kind of shutting down.  I am starting to shut people out a bit - I know I am, but I can't help it.  I have all this weird interpersonal stuff going in my life in every setting.  Jimmy spends half his time running in circles.  Jacob is so lacking for attention that he just is a hellion regardless of the setting.  He wants our attention and can only feel it when he is acting up and out.  I am feeling so overwhelmed by everything that I feel like I would break if one more thing touched my shoulders.  It's the weight of the world, you know...

Maybe Jimmy's new doctor could write a prescription for me... some valium perhaps.  

Putting that bright side... I have lost seven pounds this month.  Something has to go right, in spite of everything...

Mac Mini Disaster

As I reported earlier, Jimmy has become much more proficient in his computer ability with all of his surfing and such.  The one thing Jimmy has not mastered is ejecting disks from the Mac.  We found out the hard way when the husband tried to use the computer to find it jammed.  Jimmy had stuck his new shark DVD on top of his Spiderman DVD.  I got a panicked phone call while I was at Tysons (location of the Apple Store) with Jacob for Jimmy's respite day at McLean.  We were just wandering the mall anyway, but I had to go to the store, schedule an appointment for later in the afternoon, drive back to Manassas to get the computer and drop Jacob off, then return for Jimmy, and then to kill an hour waiting for the appointment, then waiting 30 more minutes in the store as the Genius Bar was running late.  That's a long wait for Jimmy, but he did well - or at least was doing well until I got him back to a car and realized he had an accident during the wait...  He had started to cry while we were waiting, but I assumed it was just the wait.  I felt so awful.  

At any rate, Genius Bar guy couldn't help, so the guy took in the unit so one of their technicians could pop the top off (not as easily done with a Mac as a PC.)  He said it would be two or three days, but we got a phone call last night saying it was ready.  Another drive to Tysons and $85 later, we have our computer back.  I would love to still have that $85, but at least he didn't fry out the drive.

Pictures from the escapade...

Jacob at lunch... the one luxury I afforded myself.  He wasn't horrible, but I have had time better well behaved with me.

Jimmy playing the Star Wars Lego game in the Apple Store.  Yes, I still have to use a stroller from time to time.  A hour and a half wait in the mall.. yeah, I used it.  I need to clean that tray up - it still has stickers from the fall campaigns.

I need a weekend off to recover from my weekend!

Second Part of the Auditory Therapy article...

Kudos to the journalist for a job well done (though Alex Granados is always first in my book - personal bias!!!)

Our local paper does another story on autism

I have been interested in this auditory training for a while now.  Sadly with the husband out of work, I don't have the extra $4000 lying around.  Since there is now someone in Prince William County doing this, maybe if he gets a job soon, this could be a possibility.  I am pleased that they continue to follow this topic so closely.  Now if they could do an article on why HB83 didn't get out of committee and how much it would mean to families of kids with special needs.  

Friday's interview went pretty well.  Hopefully he gets a callback this week.  This is starting to take a toll.  

On the next episode of Reality Blah...  How Jimmy killed our Mac and our afternoon in the Apple Store.

Late Nights

So Jimmy sleep meds aren't working as well as they use. We were woken up by Jimmy at 2 am, who thought that was the perfect time to begin his day. While we took turns trying to sleep, Jimmy stayed up and surfed the web all night for Boohbahs. I am completely serious. I went through the history. He played games, looked at Boohbah images, and a bunch of YouTube Boohbah videos. Nutty stuff. The husband got to make up some sleep (certainly not enough), so I caught a nap when I got home. I am still tired. I think I am going to head to bed now. And, from the looks of it, Jimmy is going down tonight sans medication. He has to be pooped as well.

Tomorrow I met with Jimmy's teacher to check his progress. He had a string of potty accidents last week, so I want to make sure that has been addressed.

We're #3

Well, if you google "autism john mccain," I am the third post that comes up for my earlier post on John McCain and Hillary Clinton's stances on autism as they related to their candidacy. This has resulted in an increase of traffic for my little blog. Nothing dramatic, but encouraging me that I am not alone in consider autism as a campaign issue. If you are dropping by for that little post, please consider checking the rest of my little blog out and setting out to make autism that is something discussed during this election cycle. My experience with HB83 leaves me a little disheartened with the process and my ability to get anything done by myself. Yet, 1 in 150 children has autism in this country. These kids have parents, grandparents, aunts, uncles, teachers, and so on that feel strongly about the need for medical and therapeutic care, the right to education, and any hope these kids have for the future. Jimmy doesn't have a voice, so I raise mine for him and every child like him. If you care about someone living with autism, I beg you to raise yours.

A letter to the editor that explains a little more about what happened to HB83

"Unfortunately, the House Labor and Commerce Committee has decided more study is needed and has forwarded HB 83 to a commission to study the bill and provide recommendations for next year's session. I hope they will realize the error in the current insurance company interpretation of federal education law and recommend passage of the bill. I urge all of our delegates and senators to join Marshall in his efforts to level the playing field for children with disabilities."

So it isn't dead forever, just for this year.  It could easily be studied to death, though.  If you feel passionately, you should call your elected officials and urge them to help out kids like Jimmy.

Jimmy's first post

boohbah

walmart

He typed the words and posted the photo.

Sad News from Richmond

From the Potomac News

"HB 83 Mandated insurance coverage for children.

Del. Jackson H. Miller, R-Manassas is a cosponsor of this bill.

It was killed by the House Commerce and Labor Committee and would have required insurance companies to provide coverage for habilitative services for children."

First, I can't believe the reporter left out that whole "autism" thing.  Habilitative services for children with autism.  

This proves yet again that most legislators in Richmond don't give a crap about kids with autism.  If my past experience hold true, the business lobbyists went in there to speak on the bill, saying it would cost companies too much in premiums.  Poof.  Dead.  

More Presidential Stuff

"As Super Tuesday draws nearer, it seemed to me to be time to look more closely at what candidates have to say about autism. Interestingly, the three top Democrats all have honest-to-goodness autism "platforms" - while the Republicans seem to have sidestepped the issue. This is not to suggest that Dems care more about people with disabilities, but the issue does seem to be more prominent on the Democratic radar."

The American Association of People with Disabilities sent a survey to all the candidate on a variety of issues. No Republicans responded to the survey, though John McCain participated in one of their candidate forums on disabilities.  

With the number of families struggling with autism and just the number of people with disabilities in general in this country, I can't imagine not taking the time to answer a survey.

Job Search Update

Still unemployed.  The search goes very slowly.  I am sort of disgusted that this economic stimulus package won't extend unemployment benefits.  We will likely need them.  He applied for two jobs with the local newspaper - not the only jobs he has applied for, but the ones I am most optimistic about.  I am hoping and praying that one of those works out.  The jobs close at the end of the month.  The husband really is trying - he applies for multiple jobs a day and has been on a few interviews.  He just isn't coming up with anything.

I got Jimmy's therapy schedule - early for the first time.  I am really happy!  I got to put it in my planner so I can plan the rest of my month.  It relieves a huge burden just to be able to do that.  He is having a rough couple of days, too.  He isn't feeling well and had a bathroom accident at school today.  Dad had to take him a change of clothes before he went to his first physical therapy appointment.  

Wow, life really has been a drag this year.  And it's only January.  It's got to get better.  

'Underdiagnosed' Girls With Autism Struggle to Fit In

"It is exactly this desire to please that Myles believes may explain how a girl with autism could fool the experts, so to speak.

"We overtly teach social skills to girls," Myles said. "They are told not to get angry, they are told to be nice, they are told to share -- all of those behaviors."

Myles believes these social skills are not as ingrained in boys as they are in girls. "It's more appropriate, if you will, for a boy to have a tantrum and major meltdown than a girl," Myles said. "

This article is very interesting... I never thought of autism this way for girls, that we are socialized to overcompensate. The last paragraph goes to the stigma that still exists for all parents of children with autism, especially those who are among the highest functioning.

""Nightline" recently followed Kaeda around school and met a faculty member who was skeptical, suggesting that the children's challenges had to do with the way they were parented. Myles said that kind of reaction is "heartbreaking, and indicates a gross misunderstanding of autism spectrum disorders. And I'm not blaming that indiviudual staff member, but he or she doesn't understand.""


Brenda Myles is much more understanding than I am. Jimmy seems to be much lower functioning than these children, but for years autism has been equated to and dismissed as bad parenting. If anyone suggested that to me about my child or any other child with autism, like my son's classmates, they would catch hell from me. I am stunned that an educator working in this day and age would say that.

My birthday weekend...

Went well, except for tweaking my lower back.  I made it out to see Cloverfield today, which was very good - well hyped on the Internet, left more questions than it answered.  I can't wait to see what sort of sequel they come up with for it.  

Watched the UFC last night - Jorge Rivera had an Autism Speaks logo on his shirt.  I was thrilled to see a fighter raise awareness for autism.  My husband sent an e-mail to ask about the shirt and to ask about doing an interview for his MMA website, so we are hoping to hear back from him.  It probably is a silly thing to get excited about, but it made my night.  Oh, and he won his fight - made his night as well, I guess.  

Sorry I don't have more to say, but my back hurts a lot.  I am going to take a muscle relaxer and contemplate my navel for the remainder of the evening.  

Happy Birthday to Me

I must go get the boy up and get to the mall.  It's my birthday and I am going shopping with my mom.  Jimmy is a little under the weather - he has been very anxious and doesn't seem to be feeling well, so I am leaving him home this trip.  Makes me sad - I really like taking him around the mall.  

Went to Cheesecake Factory last night (note to those interested, CF and Alli - the weight loss med - are not friends) where we didn't wait for a table and got a parking spot easily.  Of course that makes up for Jacob crapping his pants in traffic and Jimmy having a huge meltdown en route to respite at the church.  But we had a nice meal - that counts, right? 

My Continuing Quest

I sent e-mails to the Romney and McCain campaigns tonight.  I hope to hear back from them soon.  I think every candidate should articulate autism as a policy issue this cycle.  One out of 150 children in this country has been diagnosed with autism.  Doesn't that make it one out of 75 parents have a child with autism?  And these people have grandparents and other family members too - many of whom vote as well.

An e-mail from the Edwards campaign...

Dear Rachel-

Thank you for writing John Edwards about autism.  He appreciates that
you took the time to share your thoughts and concerns.  Hearing from
people all over the country about the issues important to them
strengthens our campaign.

Autism is a quiet crisis, affecting an astonishing 1 in 150 children and
four times as many boys as girls.  Nobody knows why diagnoses have risen
tenfold just over the past decade.

We need to find the causes so we can help protect our children.  The
National Institutes of Health have concluded that childhood vaccines are
not the cause, but many families are not convinced.  As president, John
Edwards will double funding for autism research, issue an all-hands-on
deck challenge and follow the results wherever the science takes us.

We also need to take better care of children affected today.  Our plan
for universal health care, guaranteed coverage of autism care in
Medicaid and private insurance, and better investments in special
education and home health workers will assist families to support and
treat children with autism and help children, and adults, reach their
full potential.

We should also invest more in recruiting, training and paying
sufficiently teachers, therapists, psychologists and others working in
the special education field.  It's time to finally get on a path to
fully funding special education.

This is an area John Edwards has been involved with for a long time.  He
started fighting to help families with autism when he first arrived in
the Senate.  One of the very first bills he introduced and help make law
was the Fragile X Breakthrough Research Act, which provided new
resources for a genetic condition that results in autism for thousands
of children.  The Senate passed the bill into law, providing new
resources for research devoted to Fragile X.

Again, thank you for sharing your ideas with the campaign.

Sincerely,
The Edwards Team

The Countdown

My birthday is on Saturday.  No, I am not going to tell you how old I am (a few kids asked me today at work.)  Suffices to say that I am old enough.  I am supposed to go shopping with my mom if the weather holds.  I think I have to take the kids though - I would love to have an afternoon off of them, but I don't think I will get that.  Jimmy's the healthy one at the moment.  Jacob was off school for two days after vomiting all over the doctor's office at my appointment.  In this house, the adults are on antibiotics.  I have a respiratory infection and the man has a sinus infection going on.  It's slowed his job search to a crawl - no live prospects this week.  I really want him to get something going soon.  Beginning of the year, sick, bad economy - it really is a horrible time to be looking for a job.  

Jimmy came in our bedroom doorway (he doesn't like to come into our room - a little OCD thing that makes me crazy) at 6 a.m. and kept saying "Mommy, Mommy, Mommy."  He has rarely called me that in his life.  In the past, he didn't address me in anyway.  He generally doesn't address people by name without a prompt.  Yet, he kept saying it over and over - Mommy.  It was beautiful.  

Great news on HB 83!

From my delegate today:

"I have decided to co-patron HB 83. I look forward to following it through
committee and voting for it on the House floor."

Thank you, Jackson Miller!

I didn't rig this outcome...

I took a personality survey... guess who I am?

You Are Cookie Monster

Misunderstood as a primal monster, you're a true hedonist with a huge sweet tooth. You are usually feeling: Hungry. Cookies are preferred, but you'll eat anything if cookies aren't around. You are famous for: Your slightly crazy eyes and usual way of speaking How you life your life: In the moment. "Me want COOKIE!"

The Sesame Street Personality Quiz

Is Cookie Monster Silly?

Jimmy's question of the day.  He doesn't normally ask questions.  Even his requests are more like demands - "I want," instead of "May I have?"  But as he was putting together a Sesame Street puzzle, he turned to his therapist and asked.  She was stunned.  So was I.  Of course, I had to e-mail "Cookie Monster" from this summer to tell him.  He was pleased as well.

House Bill 83

Well, autism is making another appearance in the General Assembly this year.  This bill is being introduced by Delegate Bob Marshall, requiring insurers to cover autism.  I very much would like to see this bill make it out of committee.  If you are a Virginia voter, contact your delegate today to ask them to co-sponsor this important bill.  I sent an e-mail to Jackson Miller, my delegate to ask him to do the same.  I will keep you posted as to his response.  

Referred to Committee on Commerce and Labor

----------

Be it enacted by the General Assembly of Virginia:

1.  That § 38.2-4319 of the Code of Virginia is amended and reenacted and

that the Code of Virginia is amended by adding a section numbered

38.2-4318.15 as follows:

§38.2-3418.15. Coverage for habilitative services for children.

A. Notwithstanding the provisions of § 38.2-3419, each insurer proposing

to issue individual or group accident or sickness insurance policies

providing hospital, medical and surgical, or major medical coverage on an

expense-incurred basis; corporation providing individual or group accident

or sickness subscription contracts; and health maintenance organization

providing a health care plan for health care services shall provide

coverage under any such policy, contract, or plan delivered, issued for

delivery, or renewed in the Commonwealth on and after July 1, 2008, for

medically necessary habilitative services for persons younger than 19

years.

B. For the purposes of this section:

"Habilitative services" means health and social services directed toward

increasing and maintaining the physical, intellectual, emotional, and

social functioning of developmentally delayed individuals, including

occupational, physical, and speech therapy; assistance, training,

supervision, and monitoring in the areas of self-care, sensory and motor

development, interpersonal skills, communication, and socialization; and

reduction or elimination of maladaptive behavior. "Habilitative services"

does not include services for which coverage is provided or required to be

provided pursuant to § 38.2-3418.5.

"Medically necessary habilitative services" means habilitative services

that are certified by the Department of Mental Health, Mental Retardation

and Substance Abuse Services as designed to help an individual attain or

retain the capability to function age appropriately within the

individual's environment and shall include habilitative services that

enhance functional ability without effecting a cure.

C. An insurer, corporation, or health maintenance organization subject to

this section shall not be required to provide coverage for medically

necessary habilitative services to the extent that such services are

provided through the individual's school; however, this exclusion from

coverage shall not alter or diminish the obligation of an insurer,

corporation, or health maintenance organization to provide coverage for

medically necessary habilitative services that are not provided through

the individual's school.

D. An insurer, corporation, or health maintenance organization subject to

this section shall provide notice annually to its insured and enrollees

about coverage required under this section.

E. The provisions of this section shall not apply to short-term travel,

accident-only, limited or specified disease policies, contracts designed

for issuance to persons eligible for coverage under Title XVIII of the

Social Security Act, know as Medicare, or any other similar coverage under

state or federal governmental plans, or to short-term nonrenewable

policies of not more than six months' duration.

§ 38.2-4319. Statutory construction and relationship to other laws.

A. No provisions of this title except this chapter and, insofar as they

are not inconsistent with this chapter, §§ 38.2-100, 38.2-136, 38.2-200,

38.2-203, 38.2-209 through 38.2-213, 38.2-216, 38.2-218 through 38.2-225,

38.2-229, 38.2-232, 38.2-305, 38.2-316, 38.2-322, 38.2-400, 38.2-402

through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620,

Chapter 9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023,

38.2-1057, Article 2 (§ 38.2-1306.2 et seq.), § 38.2-1306.1, §

38.2-1315.1, Articles 3.1 (§ 38.2-1316.1 et seq.), 4 (§ 38.2-1317 et seq.)

and 5 (§ 38.2-1322 et seq.) of Chapter 13, Articles 1 (§ 38.2-1400 et

seq.) and 2 (§ 38.2-1412 et seq.) of Chapter 14, §§ 38.2-1800 through

38.2-1836, 38.2-3401, 38.2-3405, 38.2-3405.1, 38.2-3407.2 through

38.2-3407.6:1, 38.2-3407.9 through 38.2-3407.16, 38.2-3411.2, 38.2-3411.3,

38.2-3411.4, 38.2-3412.1:01, 38.2-3414.1, 38.2-3418.1 through

38.2-3418.1434.2-3418.15, 38.2-3419.1, 38.2-3430.1 through 38.2-3437,

38.2-3500, subdivision 13 of § 38.2-3503, subdivision 8 of § 38.2-3504, §§

38.2-3514.1, 38.2-3514.2, 38.2-3522.1 through 38.2-3523.4, 38.2-3525,

38.2-3540.1, 38.2-3542, 38.2-3543.2, Article 5 (§ 38.2-3551 et seq.) of

Chapter 35, Chapter 52 (§ 38.2-5200 et seq.), Chapter 55 (§ 38.2-5500 et

seq.), Chapter 58 (§ 38.2-5800 et seq.) and § 38.2-5903 of this title

shall be applicable to any health maintenance organization granted a

license under this chapter. This chapter shall not apply to an insurer or

health services plan licensed and regulated in conformance with the

insurance laws or Chapter 42 (§ 38.2-4200 et seq.) of this title except

with respect to the activities of its health maintenance organization.

B. For plans administered by the Department of Medical Assistance Services

that provide benefits pursuant to Title XIX or Title XXI of the Social

Security Act, as amended, no provisions of this title except this chapter

and, insofar as they are not inconsistent with this chapter, §§ 38.2-100,

38.2-136, 38.2-200, 38.2-203, 38.2-209 through 38.2-213, 38.2-216,

38.2-218 through 38.2-225, 38.2-229, 38.2-232, 38.2-322, 38.2-400,

38.2-402 through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through

38.2-620, Chapter 9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through

38.2-1023, 38.2-1057, § 38.2-1306.1, Article 2 (§ 38.2-1306.2 et seq.), §

38.2-1315.1, Articles 3.1 (§ 38.2-1316.1 et seq.), 4 (§ 38.2-1317 et seq.)

and 5 (§ 38.2-1322 et seq.) of Chapter 13, Articles 1 (§ 38.2-1400 et

seq.) and 2 (§ 38.2-1412 et seq.) of Chapter 14, §§ 38.2-3401, 38.2-3405,

38.2-3407.2 through 38.2-3407.5, 38.2-3407.6 and 38.2-3407.6:1,

38.2-3407.9, 38.2-3407.9:01, and 38.2-3407.9:02, subdivisions 1, 2, and 3

of subsection F of § 38.2-3407.10, 38.2-3407.11, 38.2-3407.11:3,

38.2-3407.13, 38.2-3407.13:1, and 38.2-3407.14, 38.2-3411.2, 38.2-3418.1,

38.2-3418.2, 38.2-3419.1, 38.2-3430.1 through 38.2-3437, 38.2-3500,

subdivision 13 of § 38.2-3503, subdivision 8 of § 38.2-3504, §§

38.2-3514.1, 38.2-3514.2, 38.2-3522.1 through 38.2-3523.4, 38.2-3525,

38.2-3540.1, 38.2-3542, 38.2-3543.2, Chapter 52 (§ 38.2-5200 et seq.),

Chapter 55 (§ 38.2-5500 et seq.), Chapter 58 (§ 38.2-5800 et seq.) and §

38.2-5903 shall be applicable to any health maintenance organization

granted a license under this chapter. This chapter shall not apply to an

insurer or health services plan licensed and regulated in conformance with

the insurance laws or Chapter 42 (§ 38.2-4200 et seq.) of this title

except with respect to the activities of its health maintenance

organization.

C. Solicitation of enrollees by a licensed health maintenance organization

or by its representatives shall not be construed to violate any provisions

of law relating to solicitation or advertising by health professionals.

D. A licensed health maintenance organization shall not be deemed to be

engaged in the unlawful practice of medicine. All health care providers

associated with a health maintenance organization shall be subject to all

provisions of law.

E. Notwithstanding the definition of an eligible employee as set forth in

§ 38.2-3431, a health maintenance organization providing health care plans

pursuant to § 38.2-3431 shall not be required to offer coverage to or

accept applications from an employee who does not reside within the health

maintenance organization's service area.

F. For purposes of applying this section, "insurer" when used in a section

cited in subsections A and B of this section shall be construed to mean

and include "health maintenance organizations" unless the section cited

clearly applies to health maintenance organizations without such

construction.

§ 38.2-4319. Statutory construction and relationship to other laws.

A. No provisions of this title except this chapter and, insofar as they

are not inconsistent with this chapter, §§ 38.2-100, 38.2-136, 38.2-200,

38.2-203, 38.2-209 through 38.2-213, 38.2-216, 38.2-218 through 38.2-225,

38.2-229, 38.2-232, 38.2-305, 38.2-316, 38.2-322, 38.2-400, 38.2-402

through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620,

Chapter 9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023,

38.2-1057, Article 2 (§ 38.2-1306.2 et seq.), § 38.2-1306.1, §

38.2-1315.1, Articles 3.1 (§ 38.2-1316.1 et seq.), 4 (§ 38.2-1317 et seq.)

and 5 (§ 38.2-1322 et seq.) of Chapter 13, Articles 1 (§ 38.2-1400 et

seq.) and 2 (§ 38.2-1412 et seq.) of Chapter 14, §§ 38.2-1800 through

38.2-1836, 38.2-3401, 38.2-3405, 38.2-3405.1, 38.2-3407.2 through

38.2-3407.6:1, 38.2-3407.9 through 38.2-3407.16, 38.2-3411.2, 38.2-3411.3,

38.2-3411.4, 38.2-3412.1:01, 38.2-3414.1, 38.2-3418.1 through

38.2-3418.1438.2-3418.15, 38.2-3419.1, 38.2-3430.1 through 38.2-3437,

38.2-3500, subdivision 13 of § 38.2-3503, subdivision 8 of § 38.2-3504, §§

38.2-3514.1, 38.2-3514.2, 38.2-3522.1 through 38.2-3523.4, 38.2-3525,

38.2-3540.1, 38.2-3542, 38.2-3543.2, Article 5 (§ 38.2-3551 et seq.) of

Chapter 35, Chapter 52 (§ 38.2-5200 et seq.), Chapter 55 (§ 38.2-5500 et

seq.), Chapter 58 (§ 38.2-5800 et seq.) and § 38.2-5903 of this title

shall be applicable to any health maintenance organization granted a

license under this chapter. This chapter shall not apply to an insurer or

health services plan licensed and regulated in conformance with the

insurance laws or Chapter 42 (§ 38.2-4200 et seq.) of this title except

with respect to the activities of its health maintenance organization.

B. For plans administered by the Department of Medical Assistance Services

that provide benefits pursuant to Title XIX or Title XXI of the Social

Security Act, as amended, no provisions of this title except this chapter

and, insofar as they are not inconsistent with this chapter, §§ 38.2-100,

38.2-136, 38.2-200, 38.2-203, 38.2-209 through 38.2-213, 38.2-216,

38.2-218 through 38.2-225, 38.2-229, 38.2-232, 38.2-322, 38.2-400,

38.2-402 through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through

38.2-620, Chapter 9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through

38.2-1023, 38.2-1057, § 38.2-1306.1, Article 2 (§ 38.2-1306.2 et seq.), §

38.2-1315.1, Articles 3.1 (§ 38.2-1316.1 et seq.), 4 (§ 38.2-1317 et seq.)

and 5 (§ 38.2-1322 et seq.) of Chapter 13, Articles 1 (§ 38.2-1400 et

seq.) and 2 (§ 38.2-1412 et seq.) of Chapter 14, §§ 38.2-3401, 38.2-3405,

38.2-3407.2 through 38.2-3407.5, 38.2-3407.6 and 38.2-3407.6:1,

38.2-3407.9, 38.2-3407.9:01, and 38.2-3407.9:02, subdivisions 1, 2, and 3

of subsection F of § 38.2-3407.10, 38.2-3407.11, 38.2-3407.11:3,

38.2-3407.13, 38.2-3407.13:1, and 38.2-3407.14, 38.2-3411.2, 38.2-3418.1,

38.2-3418.2, 38.2-3419.1, 38.2-3430.1 through 38.2-3437, 38.2-3500,

subdivision 13 of § 38.2-3503, subdivision 8 of § 38.2-3504, §§

38.2-3514.1, 38.2-3514.2, 38.2-3522.1 through 38.2-3523.4, 38.2-3525,

38.2-3540.1, 38.2-3542, 38.2-3543.2, Chapter 52 (§ 38.2-5200 et seq.),

Chapter 55 (§ 38.2-5500 et seq.), Chapter 58 (§ 38.2-5800 et seq.) and §

38.2-5903 shall be applicable to any health maintenance organization

granted a license under this chapter. This chapter shall not apply to an

insurer or health services plan licensed and regulated in conformance with

the insurance laws or Chapter 42 (§ 38.2-4200 et seq.) of this title

except with respect to the activities of its health maintenance

organization.

C. Solicitation of enrollees by a licensed health maintenance organization

or by its representatives shall not be construed to violate any provisions

of law relating to solicitation or advertising by health professionals.

D. A licensed health maintenance organization shall not be deemed to be

engaged in the unlawful practice of medicine. All health care providers

associated with a health maintenance organization shall be subject to all

provisions of law.

E. Notwithstanding the definition of an eligible employee as set forth in

§ 38.2-3431, a health maintenance organization providing health care plans

pursuant to § 38.2-3431 shall not be required to offer coverage to or

accept applications from an employee who does not reside within the health

maintenance organization's service area.

F. For purposes of applying this section, "insurer" when used in a section

cited in subsections A and B of this section shall be construed to mean

and include "health maintenance organizations" unless the section cited

clearly applies to health maintenance organizations without such

construction.

What up, T!

John Mayer says hi...

Meet my oldest nephew...

This is JJ.

Why did they put this on YouTube? Hawaiians love their karaoke a little too much.

I did do one more thing today...

Autism Speaks launched a multi state insurance legislation campaign today.  I sent a link to their website to Delegate Jackson Miller.  Since I have spoken to him about the problems related to coverage on several occasions, I fully expect that he will be in touch.  I can't wait until we get something going here.  Reminds me that I have a few letters to write tonight, including one to Governor Kaine.

I will take up knitting one day.  I promise.

Combating Autism Act has been funded...

Now hopefully the money can get out and do some good.  

Not much going on here.  Jimmy had therapy this afternoon.  He paid attention well, but had sort of an off day.  He took a nap, which never happens.  He needs the rest, though.  He has session again at 8 a.m. tomorrow.  

I contacted all three major Democratic campaigns this week.  My messages were promptly thrown into the policy abyss.  John Edwards campaign did take the time to call me back and said that their policy people would likely be back in touch.  I like Edwards a lot right now.  

Maybe I should call McCain's campaign next week.  They seem like they are doing well.  Maybe Huckabee too.  I have no idea who could be considered third in the Republican race.  It seems in flux.

Genetic glitch raises autism risk

Chromosome 16 is what they are suggesting now.  I would love for them to find a cause or a set of causes that cause autism.  It would be a place to start forming real treatment.  

"They found that in people with autism, a segment of a chromosome that has genes linked to brain development and various developmental disorders was either missing or duplicated far more often. The defect was inherited in some cases, but more often the result of a random genetic accident."

The Indignities of Therapy

Okay, I have kind of kept quiet on one of my biggest life stressors - Jimmy's therapy schedule - for fear of appearing ungrateful.  I am pleased for the level of help my son is getting.  I have worked hard to secure it for him.  But let me tell you what having nine hours of therapy a week for your child is like.  It's nine hours out of a life that has 40 to 50 hours a week cut out of it for work already.  Juggling it wouldn't be so hard if the "professionals" (and I am using the term loosely) working with my child actually got me a schedule in a timely fashion.  Getting January's schedule on New Year's Night isn't helpful.  It does beat the heck out of the months I received no schedule at all.  I guess that schedule would have also been better received if it had been correct (they scheduled him for 11 hours when he only gets 9) and if they had asked about our weekend availability before they scheduled him every single weekend.  We got the schedule straightened out, at least I thought we did until I got a phone call saying that the therapist wasn't going to be there at 3:30, she would come at 4:15.  

When your child has autism, I guess the people working with you expect it to be your life.  Is that healthy?  I don't know, but it certainly isn't fair for Jacob, who I can't even sign up for soccer or swimming lessons this spring simply because I don't know from week to week what schedule the lead therapist is going to present or rescind.  Try to live your life at the whim of others.  It sucks.  

It bears repeating...

From the Autism Society website...

• 1 in 150 births
• 1 to 1.5 million Americans
• Fastest-growing developmental disability
• 10 - 17 % annual growth
• Growth comparison during the 1990s:
  • U.S. population increase: 13%
  • Disabilities increase: 16%
  • Autism increase: 172%
• $90 billion annual cost
• 90% of costs are in adult services
• Cost of lifelong care can be reduced by 2/3 with early diagnosis and intervention
• In 10 years, the annual cost will be $200-400 billion

Hillary Clinton has an autism plan as well...

That means all of the "Big Three" Democratic candidates have an autism platform, while the other Democrats and Republicans do not... 1 in 150 children and possible 10% of boys my son's age are autistic. At least Hillary Clinton, John Edwards, and Barack Obama recognize the pressing need - insurance companies do nothing for you when your child has autism (especially Kaiser Permenente) and there is little help to shoulder the crushing burden of the needs of these kids.

I know it is politics and what not, but I thank Senators Clinton, Edwards, and Obama for taking a stand (at least on paper) to help kids like my son. It means everything to me.

Maybe I am a little too political, but I love Jimmy. If you were in my shoes, you would be screaming too.

We had his evaluation today. I will post at more length when we get the full results. Suffices to say that he is not MR.

This is why we should be afraid...

This is from another parent's post on a list that I am on.  10% of young boys in this country are autistic to some degree.  What will be out there for them in the future?  

"Like a lot of parents, I am concerned about what will happen when my
son's generation (9 years old) and the rest of his peers with autism
(10% of male population that age, according to CDC) mature and need
services. My son also does not have mental retardation by the "book"
and so does not qualify for group living by current standards. This
is going to be a huge social problem for our country, and for us, as
aging parents and caregivers."

Melting Down

Jimmy melted down for an hour last night and a good half an hour this morning.  I have no idea what this morning was about.  Last night was a battle of the wills.  He wanted to get in the window naked and we stopped him.  Then he wanted to flip the switch on the wall - it's the outlet the computer is on.  We battled over that and it devolved into this kicking and screaming tantrum that I am not used to seeing from him.  I can't wait to talk to the doctor tomorrow.  

It's Friday

The husband had his third shot in his spine today - the herniated disks from the car accident.  We still are unsure about whether or not he will actually need back surgery.  There is a chance he won't - it's pretty wait and see.  He got a call for an interview on Wednesday with a company that he has submitted resumes to for a variety of positions - some contract, others full time.  That's the live one at the moment.  We are only a week into the "paid vacation" as my sister likes to call it, so I guess it isn't too bad.

Jimmy has a touch of a stomach bug.  I heard his stomach make a weird noise as he raced to the bathroom.  He made it, but it was messy - wound up in the tub.  I hope he is feeling well enough to go to respite tomorrow.  I am solo with Jacob for the afternoon at the mall again.  I am giving the husband a day off to recuperate.  Maybe I can get him to do Sunday so I can sleep.  I need sleep.  I am a little deprived this week.  

Two Dems that didn't mention autism on their campaign website...

Dennis Kucinich and Mike Gravel did not mention autism on their campaign websites.  In fairness, Congressman Kucinich is a member of the Congressional Autism Caucus, so I am fairly sure that he is active on the issue.  My husband, being the darling he is, just wants to vote for him because his wife has a tongue piercing and is gorgeous and half his age.  I am sure she is more accomplished than merely all that.

Bill Richardson's on board...

Bill Richardson's healthcare platform mentions autism - the sad thing is it had been so long since I have heard about him that I forgot he was running:

Autism

First of all I am for strongly increased research on autism. The number of children in this country affected by autism is just staggering. [1 in every 150 children] Comprehensive and universal access to health care is part of the solution. I fought for increased funding in New Mexico for outreach, education, treatment and awareness. This is something that I have been talking about on the campaign trail everyday and it will be a priority in my administration.

Who doesn't talk about autism? Part 2

You can add Ron Paul and Duncan Hunter to the list.  Mitt Romney?  The L.A. Times article above quoted a parent who was at a campaign event:

"Among the disappointed Iowans was Republican Linda Wessels, 41, of Rock Rapids. At a Romney forum in Sioux Center, her autistic 5-year-old son, Sam, asked the candidate how he would help children with the disorder.

"Cute little guy," Romney responded before launching into a monologue on topics including stem cell research and cloning — but not autism.

"I felt avoidance of the issue," Wessels said."

John Edwards' autism position

Autism made John Edwards' campaign website...

"Autism affects families from every walk of life. Sometimes I talk about the Two Americas – but when it comes to fighting for families affected by autism and autism spectrum disorders, we must come together as One America to deliver on our national promise – helping every child realize their full potential." -- John Edwards

Autism and autism spectrum disorders affect an astonishing 1 in 150 children. More children than ever before – a 700 percent increase over the last decade – are being classified as having an autism spectrum disorder. We need to learn more about why the number of children diagnosed with autism and autism spectrum disorders has been growing. We know that early intervention is often crucial to helping children with these diagnoses reach their full potential, but the education and health care resources needed to help them and their families are strained to capacity. For families, caring for a child with autism can be expensive and emotionally draining. While Congress took an important step last year by dedicating more than $900 million to address autism over the next five years, more can and must be done. [IDEAData, 2005; CDC, 2007]

John Edwards believes every child deserves the opportunity to reach his or her potential. Helping everyone reach personal independence and assume social responsibilities is a responsibility we all share. His Promise and Potential plan will:

• Guarantee quality affordable health care for families living with autism – ending insurance discrimination.
• Help unravel of mysteries of autism by issuing an all-hands-on-deck research challenge.
• Fund schools so they can provide essential services.
• Strengthen supports for families dealing with the diagnosis.
• Ensure a continuum of care with lifelong supportive services.

Hillary Clinton and John McCain both speak out on autism...

While neither candidate had autism referenced as part of their website, I did find videos from Senators McCain and Clinton discussing autism and their thought of the government's role.  

Who hasn't talked about autism?

After some googling and searching...

Mike Huckabee

Fred Thompson

Rudy Giuliani

I only got through three more candidates last night.  Sort of disappointing that only one of four so far has made it part of a campaign statement.  I think I will check out Hillary Clinton and Mitt Romney next. 

Obama's Campaign actually says something about autism...

"Support Americans with Autism. More than one million Americans have autism, a complex neurobiological condition that has a range of impacts on thinking, feeling, language, and the ability to relate to others. As diagnostic criteria broaden and awareness increases, more cases of autism have been recognized across the country. Barack Obama believes that we can do more to help autistic Americans and their families understand and live with autism. He has been a strong supporter of more than $1 billion in federal funding for autism research on the root causes and treatments, and he believes that we should increase funding for the Individuals with Disabilities Education Act to truly ensure that no child is left behind.

More than anything, autism remains a profound mystery with a broad spectrum of effects on autistic individuals, their families, loved ones, the community, and education and health care systems. Obama believes that the government and our communities should work together to provide a helping hand to autistic individuals and their families."

This was the first search I have done on a candidate on this issue. I am pleased to see that he is addressing it as part of his healthcare policy. I am going to Google each candidate and see what they all have to say. Especially to a family living with autism, how a candidate sees addressing this issue is as important as any other policy issue.

Could someone explain...

Why my text goes from properly spaced to cramped when I have done nothing to make such a change?  I am officially annoyed.

Mommy, is your butt going to get smaller?

Jacob wanted me to drive him through Dunkin Donuts this morning.  I explained that I couldn't, that I was working on eating less and exercising more so I would lose weight.  Since I realized that wouldn't register for a four year old, I said I was trying to get smaller.  He asked if my butt was going to get smaller.  Nice.  

I did go ahead and rejoin Weight Watchers last night.  The longest I have ever stayed on the program is five months.  I am going to try for the year this time.  I haven't made it to the gym yet, but that will probably get added this weekend.  That is a hard one to schedule for me.  Wish me well.  

Speaking of schedules, Jimmy's psych eval was rescheduled to next week.  The doctor got strep.  I know that if you work with kids, these things happen.  Anyway, I did get to talk to her a bit.  At the recommendation of his therapists, we are going to ask her to recommend her someone here in town who could work with us on medication to address the hyperactivity and his emerging OCD tendencies.  He has to take the steps every other step going up or down a flight.  He insists on having the purple Venom first in his Spiderman fruit snacks.  He has some highly ritualized stuff going on now, things that never really were apparent before.   It was a trait of autism that I thought we had dodged when it didn't show up in his initial evaluations at Children's.  I guess that I never thought of autism as something that evolved over time - I though that he had the symptoms at diagnosis would be the only ones we dealt with and that the work would be to shed the symptoms.  Things change, I guess.  

Happy New Year

Happy New Year everyone. In 18 days I get be another year closer to 40. Whoopee. Lose weight, exercise, stay in better touch with friends, yada yada yada for the New Year goals. Yeah, I will work on those, but I am also hoping to make one of the presidential candidates answer a question about autism. That's my goal for the year. What do you think?

New Year, New You

I did a much needed template update for this blog.  I am going to work on assigning labels for the individual posts over the next several weeks (it's the librarian in me) as well.  I hope you enjoy the new look!  

W is for Worksheet

Just when I thought I would be without a cute Jimmy story this morning.  I was so tired when Jimmy's therapist arrived this morning that I forgot his first words to her.  Session always starts with a trip to the bathroom, but Jimmy wanted no part of it.  His first request - "I want worksheet."  As an activity to work on his sitting,  they do some math worksheets.  She models one problem and he takes off on doing them.  She wanted him to go to the bathroom, so she explained that there was no worksheet until they had a trip to the bathroom.  He responded "W is for worksheet!", very emphatically.    

Christmas Break Winding Down

It's been a pretty good break with the boys.  I managed to take both to the mall yesterday by myself.  I don't think I have done that since we lost the double stroller.  Of course Jimmy rode in the single stroller and Jacob walked.  Both did pretty well, though.  The only thing on my list that I didn't manage to do was Starbucks in the middle of mall.  A line that long was a recipe for disaster.  We stayed up to watch the UFC last night, but I had to turn around and get up for an 8 a.m. therapy appointment.  Fortunately we were both late.  

I need that coffee now.

A nice day

Aside from the layoff, today was a good day.  I saw Melanie for lunch at Panera.  I saw my friend Beth and her husband and boys.  They are in from California and I honestly haven't seen her in years.  We took the boys to House of Bounce and for pizza today.  Jacob was a bit of a pill at the end, but we had a good time.  It was really good to see her - as I have said before, I don't keep in touch with people the way I should.  But seeing her is a reminder that I should try harder.

My husband has left the building...

He is on his way home.  I feel awful... my initial excitement about his interview is tempered by the fact that it was one of his Hail Mary passes, where he applied for something on Monster that isn't something in his field and job is very vague.  Still, it is not even New Year's yet and I can't imagine too many people doing a lot scheduling before the holidays are over completely.  I am totally harping on the guy too - "Did you see this job?," "Did you apply for this?"  I can't seem to help myself.  Maybe I should try harder.  As if autism wasn't enough of a variable to deal with...

Welcome to the ride...

Autistic Kids - The Sibling Problem

"The "typically developing" siblings of autistic children are, in fact, the furthest thing from typical. Often, they are wiser and more mature than their age would suggest. And they have to be, given the myriad challenges they face: parental responsibility; a feeling of isolation from the rest of their family; confusion, fear, anger and embarrassment about their autistic sibling. And on top of all of it, guilt for having these feelings."

An important subject finally sees the light of day...  To my many friends, if you get a chance, please read this.  

A positive sign

DH just checked his e-mail and got an invitation to interview from one of the resumes he sent out.  I am sort of unclear about which job it is, but I feel better that he has one interview lined up.  I think he needed a positive sign as well - tomorrow is his last day!

I feel like poo...

I can't sleep.  I have the cough.  The one I wait for all year that turns into a month long battle with bronchitis.  It's arrived.  Lucky me.  I am coughing so much that I have abandoned my bed so my spouse can get some sleep.  I have Sudafed and cough medicine in me, so it is a mix of being too restless to sleep in a body that's ready to fall down.  Part of me feels like I should wait to go to the doctor until it presents with more symptoms, but the other part just wishes I would hurry up and get there so I can get the requisite drugs and get better.  When your body does the same thing once a year, every year, at roughly the same time, can't they just phone it in?!

Jimmy's fascination with the Boohbah episode entitled Islands continues.  He watched it six times in a row yesterday.  I cannot wait until it falls off the OnDemand rotation.  I can't remember if I mentioned it before, but the week we get back from break, Jimmy finally has his appointment for his psych evaluation.  It's an important step in getting him waivers for respite and other community based services from the state.  Of course the waiting list is years long, but I am thrilled at being closer to getting on it.   

Merry Christmas!!!!

So another one has come and nearly gone.  The boys had a good day, making out like bandits as usual.  I am glad the food fest is over.  If I can ditch my cold, I am back at the gym Thursday.  That was the only negative - that I was under the weather today.  I think the whole job situation is making it go a little faster this year.  The 25th has sort of lived in the shadow of the 28th for the past few weeks.  I want to get the tree down, get my husband through the next three days, and move on to what's next, whatever that is.  I am still hoping that he gets something fairly quickly and much closer to home.  

Jimmy did pretty well.  We went to my mom's, which is the first time we have done that in a while.  Of all the situations that can present themselves to us, taking Jimmy to someone else's home, even my mom's, is the most stressful.  It's a new environment and he wants to check everything out.  If the house isn't child proofed, Lord help us all.  Any kid has that problem, but it is to a much greater degree with Jimmy.  He kept wanting to go into my stepdad's room, which was the one room he was forbidden from entering.  Who can blame him?  It's all trains!!!  We all survived to face another holiday next year.  

I hope everyone had a wonderful Christmas.  Remember, 365 shopping days to the next.  (No, I am not wrong.  It's leap year in 2008!)  

Pantless at McDonalds

We took Jimmy to lunch at McDonalds today. He came out of the tube construction without his pants. We had to send another kid in after them. No, I am not making this up.

Autism is priceless...

An Interview with Jamie Lynn

A Christmas Eve laugh for you...

Good Morning...

I woke up hearing Jimmy downstairs.  He was almost chanting "Presents Now" as he was at the tree unwrapping gifts.  Only the ones for him and his brother, all of which will be rewrapped.  At least he read the tags.

Decisions, decisions...

Which should I buy for Jimmy over the break for his first day back?

On the first day of Christmas...

We are stretching our celebration out into four days this year. Day one was spent with a morning therapy session with a community outing to the mall. He is doing a much better job of walking with an adult, but anytime he has to wait in a line, he goes limp. I won't completely knock improvement, but we aren't ready to be stroller free. And it will be a long time before I can take both out solo. But you have to start somewhere.

Shortly after we arrived home, Uncle Mark arrived. It had been awhile since he had been for a visit, which went fairly well. Except for Jimmy peeing in his cup... he was shifting around as I went to try to get him to the bathroom. Just leaked right there, as he was drinking his medicine (I have never seen anyone move as fast as Mark did to get out of the way.) So Jimmy used his cup... I can feel you cringe, but this is my life. It's why my house doesn't really get clean or neat - I can barely stay ahead of putting out the fires. It's an effort just to get him to keep his pants on at home. Unless you are living it, it is so hard to understand what we go through.

Yeah, I wish that it had been the perfect visit, but I can't knock it - the husband made prime rib for dinner. The food was great. The boys each got a present early as Mark opened his, so Jimmy got his little Padme and Anakin action figures for his Galactic Heroes set. Rosa, their old sitter, dropped by with gifts for them as well. They both were very happy to see her as well.

Tomorrow is another packed day. We have therapy for Jimmy in the morning, a visit with Auntie D in the afternoon, and I am planning to Jacob to a kids church service here in town tomorrow night. Hopefully I can fold some of the clean clothes in the basement and put a dent in the loads of work I have to do over the break. I get the feeling it will be over before I know it.

For those keeping track of the car saga...

The guy who hit my husband and son plead guilty to "Failure to maintain proper control" of his car on Thursday.  He had his case continued once and my husband was subpoenaed to appear.  I think the expectation is that, for misdemeanor traffic offenses, people won't honor the summons and the driver charged gets a lucky break.  When my husband appeared and gave the prosecutor his side of the story, our bad driver decided to plead guilty to max instead of drag it out.  The $250 fine he got was the max, but I wish he could have lost his license.  

A Needed Break...

The holidays are here.  I need a break.  My husband is off with me until Wednesday and then returns to work for his last two days.  It's sort of weird.  I am okay with it at the moment... then I drop and want to breathe into a paper bag a whole lot.  The poor guy has several dozen resumes out there, but I think every HR department in the metro area is sitting on them until New Years.  The worst part is, even when I try, I can't shut up about the whole job thing.  I am just pecking away at him and he hasn't even stopped working.  Heck, he has round three with his back coming up in two weeks.  And I am asking, "How many resumes have you sent today?  Has anyone called?"  Now that I think about it, I hope I don't go completely insane over the next 11 days...

Jimmy decided that he wanted McDonalds for dinner.  He started crying as we drove past it, then started yelling "Chicken and fries, chicken and fries!  McDonalds!!!"  Then he started saying "Now!!!"  Such a basic word, but I have never heard him use it before.  Now... It was such a burst of communication - I was very taken aback.  It was pretty thrilling.  And, yes, he did have a Happy Meal for dinner.    

Autism Study Lends Credence to 'Fever Effect'

"For the first three years of his life, Rene Craft's son, Jackson, communicated primarily through screaming tantrums. He never spoke. He didn't point to things. He didn't make eye contact. He had the classic signs of severe autism.

Then a couple of years ago, Jackson got sick. His mother, Rene Craft, says he was running a high fever.

"He was lying in our bed, and he was recovering," Craft says. "And he said out of the blue, 'I like the sheets, Daddy. They're really comfortable.' And then later that day he looked out the window and he said, 'Oh, it's raining, and squirrels eat nuts."

Craft says that she and her husband got a brief glimpse of a son who had been locked in his own world of autism. Then the fever went away, and so did Jackson's improvement."

This is an interesting article. Thanks to Edwin for sending it to me. I am going to go to bed finally. Maybe I will dream about what he would say to me if he could. He has thoughts, ideas, even a sense of humor and its all locked up inside. I long for a day when it will all come out.

Autism, Welcome to My Inner Circle...

For the longest time now, I have felt like Jimmy was one in 150. It's the statistic, it's the norm now. I figured I probably knew more autistic kids by benefit of being a parent of one - people who we met through autism rather than people we had know having kids with it. Today, that all changed.

We got a Christmas card from a couple we have know for years - someone my husband worked with in the comics industry. Taking you back... he, an incredible creative individual in many ways, got engaged and married this wonderful woman. We hung out a bit, until we started having kids. Then it got a little harder. I think as Jimmy's problems became more obvious, we both started to shut people we had known in the past. I had my friends from Mason, women who having been walking this road with me since the day autism entered my vocabulary. The husband has been sort of walking alone. Both of us found our paths easier than constantly having to explain or apologize for what has happened with our son. I will freely admit that I have shut my own family out to some degree, just because it hurts too much to have explain or defend or justify.

At any rate, eventually they moved away and we didn't stay in touch. In part for the reasons above, but also because regular old life has kept us extremely busy. Today, their family Christmas letter revealed that their son had recently gotten a spectrum diagnosis. The husband is crushed, but I am just shocked. I think maybe we collectively have 50 people that we consider friends between the two of us. Relationships are hard to maintain in adulthood in the best of circumstances. These are the people who we manage and even work at staying in touch with, even if we don't get to see them the way we would like or should. People he knew from his store, people I knew from grad school or my job, people we know now. Of those 50 people, not one had a child with autism or anywhere on the spectrum, save us. Until now.

By my estimation, that isn't 1 in 150. That's 1 in 100. The activist in me would really like to know how many kids it takes to make autism a national emergency, so people are motivated to find a cause, a treatment, and a cure. So kids like mine can speak and interact and live a more normal life. So families don't feel like they have to hide or apologize because their child doesn't act like his or her peers. How many kids and how many families have to suffer before the rest of the world cares or acts? Or does it have to strike everyone's inner circle first?

One more week...

Until Christmas break... I need some rest.

A follow up e-mail...

Someone e-mailed the husband about a job today.  He is still pretty out of it, so he will answer it tomorrow.  It's our first line on something else.  I don't know if its the job for him, but it is a place to start.  I was telling him I just needed someone to respond to feel better.  It worked.

Shot number two has left him in a lot of pain.  Want to know what it looks like?

The left side seemed to have worked with last round, so this focused on the right.

Date Night

We went out tonight.  He took me to see "No Country For Old Men."  I generally like the Coen Brothers, but I am not a fan of this.  Depressing.  But the husband's the one having surgery again tomorrow, so I indulged him.  He is kind of having a run of it - the injuries from the car accident, the job thing...  I think he is healing from the car accident, so it really isn't as much of an issue.  But to have that and the job thing and having it all come to bear during the holidays is a bit much for anyone.  He still is cranking out the resumes, but he hasn't gotten a call for an interview yet.  It's only been a week and a half, but I can't seem to get that through my head.  

My sister is begging me to look at it like a three month paid vacation - before I make myself completely mad.  She is probably right.  

I would say my sister is better at rolling with the punches than I am, but I don't think that is entirely correct.  She has long said she could not handle the situation I have with Jimmy - having to advocate, the unknown of it all.  It's never easy, but it is what I am used to.  Her husband got laid off after 9/11, not once or twice, but three times.  She is used to that, that uncertainty, being stressed out about when he was going to have a reason to get off the couch (I say that jokingly - my brother-in-law is a great guy!) or how the bills were going to get paid.  Heck, they went through foreclosure.  Money stuff makes me crazy.  Maybe it's true - God gives us what we can handle.

I just hope the Almighty helps with the whole interview thing, because I think He may have sorely misjudged me...

Never anger PETA

Oh my...

Freaking hysterical...

I was just checking my IP addresses to see who has been reading and found that my Jif post was read by the J.M. Smucker Company.  Hope you didn't mind the shout out.  If you want to send me a year's worth of peanut butter, just e-mail me!

Too funny!

A sick kid...

Jacob is running a fever, which means I have a day off tomorrow.  It's bad timing, with a lot going on at work and having to be off Wednesday afternoon.  These things happen, I guess.  But it sucks.

A cute photo from summer....

Buying stock in Jif

Jimmy ate a cubed peanut butter sandwich today without any prompting whatsoever.  His therapist got it ready and sat it in front of him to start working on the food program and he just dove in!!!

Meeting with Jimmy's Teacher

I had my first lengthy one-on-one meeting with Jimmy's teacher. When you are dealing with a cast of a dozen characters in helping and educating your son, direct face time is scarse. It is also the most valuable thing you can have.

Allison is amazing. It is her first year teaching, yet that doesn't scare me. I think initially she was overwhelmed, but this is now her life and passion. I honestly think she wouldn't have it any other way. It can be so hard to be Jimmy's mom sometimes - I carried that boy inside me for nine months. I have loved him more fiercely than I have loved anyone in my life. I need to know the people who I turn him over too for so much of the day love and believe in him.

I have always felt that Mr. Booty (the instructional assistant) believes him and now I know Allison does too. I am thrilled. She is anxious to continue consult and working with his therapists, which I think is great. I walked out of there for the first time this year really confident in his school situation. That helps me get through everything else I have to do with my day personally and professionally. It's huge.

Hey...T...

Why is your phone always busy?

How to spend your snowy evening? Posting your husband's resume on hotjobs.com, careerbuilder.com, and monster.com. Am I good or what?

Please let there be a two hour delay tomorrow morning!

An odd side effect...

We have noticed something odd.  We tried Strattera for several months with Jimmy earlier this summer and fall.  We had a marked increase in his fecal fixation.  We stopped it a few weeks ago and, well, we haven't really had the problem since.  Kind of nice, I must say.  

I am getting ready to try something else in terms of medication.  I figure the upcoming Christmas break will give us the opportunity to try something new.  I just need to get into the doctor again. Anything to get him less hyper and more focused.  When he is more focused, he talks more, he is more engaged, and he is less prone to tantrums.  There is no magic pill for autism, but I am still hoping to come across a medication to help some of the more trying aspects of his behavior.

Sigh.  If there was only a magic pill...

FAPT Today

Services were continued.  Thank God for small favors.  The school staff sent in this glowing report of progress being made without any data to support it.  Our therapist provided actual data demonstrating regression over the past several months.  I am so frustrated with the school system - I want to hear good things about how Jimmy is doing, but you can't ignore the problems and the lack of progress in some areas.  

The speech therapist has asked that the goals be modified - they were great goals, but there is no evidence of data collection in these new ones and the benchmarks have been set too low.  The reinforcement plan in the last IEP wasn't followed.  I still have not seen a BIP from either the consult or the school.  We haven't addressed the gym issue for the winter.  Looks like I get to call an IEP meeting.  

Happy Holidays!

Season's Greetings from the boys...

Waiting for the Sunday paper...

Jimmy went to McLean Bible Church for respite today.  He has such a great time there and the people in the ministry are just so wonderful to us.  I ran into Melanie briefly, but she was working in another room.  I went to lunch with my friend Amy.  Jim took Jacob to the Christmas parade and sat with a friend of mine from work and her son.  I think it was a fairly nice day all around. 

DH's job search kicks off in earnest tomorrow, with the arrival of the Sunday paper.  I think I applied for about 8-10 jobs when I did my job search a year and a half ago.  Nine or ten resumes yield four invitations to interview, two interviews, and two job offers. I hope my husband's goes as well.  He is already up to five jobs applied for in five days. 

What a year - the car accident, his injury, and now this...  I am more than a bit overwhelmed at this point.  I know he is too.  Keep good thoughts for us.  And if you have any jobs in desktop publishing or need someone who know Quark, Illustrator, InDesign, etc..., send me an e-mail.  I know a guy...

  

An Update...

My husband has already applied for five jobs.  That should cheer me, and I do appreciate that he is throwing himself into this, but I just am in knots about him losing his job.  I know he is as well, so I shouldn't be complaining, but it's just awful.