A friend of mine has started a blog on parenting and I know its going to be regularly insightful.  Her post on September 6 hit home with me.  Not so much that my kids run rampant through public areas – (I took Christie’s class – I know better).  The kids she observed were running rampant through a restaurant while their father was totally focused on a phone call.   The reason it home with me is sometimes I find myself engrossed in either my thoughts or a phone call and when the kids need me for something, all they get is my peripheral attention. 

Just a few days ago, Leah was talking to me about school.  Her speech is rather difficult to hear sometimes and I must pay attention when she is speaking to me.  This time my thoughts were elsewhere and I wasn’t listening.  She was talking away about something and I agreed to something and she got really excited.  About what, I don’t know.  When she got excited, I woke up from my fog and realized she was asking me something.  I didn’t want her to know I wasn’t listening, so I tried asking some questions that might elicit what I had agreed to.  It wasn’t working.  Finally, I had to just ask.  “Leah, what are you so excited about?”  It turns out I agreed to go to see the new “Alvin & The Chipmunks Squeekquel”. 

I really need to pay more attention.

Anyway, check out her blog, because she is a great storyteller and she is giving parenting tips from experience and from her position as parenting coach and facilitator of “Love and Logic”.  I have taken “Love and Logic” seminars twice and found them to be incredibly valuable in giving me the tools I needed to be more calm and in control of myself so that I can effectively work with and teach my kids without resorting to my old habit of yelling and getting angry. 

Check it out and enjoy.

We certainly have had our challenges with medication in trying to control my daughter, Leah’s ADHD diagnosis.  When a child has Down Syndrome as well, it further complicates the issue.  We have struggled with finding a medicine that had few side effects and was still effective as well as trying to figure out the effective dosing level.  It has been a challenge.  I thought things had stabilized, then right before the Christmas break, we had a conversation with Leah’s teacher who conveyed concern about her pulling her hair out uncontrollably.  Now, we have noticed this behavior at home and were starting to get concerned and were exploring some potential causes and solutions.  Once we discussed it with her teacher and realized how severe the problem was at school, we accelerated our research.  It turns out she had been pulling out large clumps of hair lately and when her teacher pushed in her chair that day, she noticed a large amount of hair covering the seat of the chair.  She tried to stop the behavior using several clever methods, but the pulling was uncontrollable.

Well, we first called her behavioral therapist who prescribed the meds as well as the school district nurse to discuss.  Fortunately, the nurse was the first to call back.  Once we got her input from observing Leah, we concluded that this might be a nervous tick not related to the drugs.  We got the return call from her behavioral therapist and discussed with her.  To make a long story short, we decided to take her off the drug while she was off for Christmas vacation. 

While we did this, I also started researching some other potential causes of ADHD behavior and found some interesting material on certain foods creating ADHD symptoms.  I decided to try to modify her diet a little at a time to see what would happen and to prevent her from being resistent to the change.  I decided to do this at the risk of modifying too many variables and not being able to really determine a source to the problem.  The result has been very positive.  She has greatly reduced her hair pulling and her ADHD symptoms have also been reduced while at home.  She has been back to school for a week now and her teacher has confirmed that her ADHD symptoms and impulsivity issues are reduced as well.  Her hair pulling at school has been reduced, though not eliminated.  I think this does show little correlation between the drugs and the hair pulling.  This also shows that she may be outgrowing the need for the meds or her dietary changes are having a positive impact on her behavior.  We have an appointment scheduled with her behavioral therapist next week and will be discussing these findings.  Until then, I plan on continuing the dietary plan we are on.

For a quick summary of the dietary changes I made, I greatly reduced the amount of bread she eats.  I also greatly reduced the amount of milk she drinks.  She is happy with the milk reduction as long as she can drink a very small amount of milk in the morning and still have her milk carton at lunch at school.  She is a big fan of bread, so to still give her some fiber and some of her bread, I switched her to Ezekiel bread which is made with non-gluten sources.  It is actually quite delicious and still has the look and consistency of her normal bread.  We also have increased her fruit and vegetable intake and she provided a lot less resistance to this change than I thought.  She is very willing to eat more fruit and vegetables as long as she has some input as to which fruits and vegetables she eats.  So we give her options that we are happy with and she gets to choose from those.   Another benefit of these dietary changes has been a very substantial reduction in her constipation.  She regularly has a BM every other day now, which is much more frequently than before the dietary changes.

I know we made several changes at once and invalidated any scientific controls to our theories, but we are getting a result that we are happy with and she is currently without any ADHD meds. 

I’ll keep you all posted on how this proceeds.

This is a link to a interesting article on development of reading and communication skills in children with Down Syndrome.  The research being performed is related to a controlled study of 40 children who are participating in this program to develop reading and other skills.   The study is quite interesting in that it follows the results I have experienced with my own daughter and the results other families I talk with are experiencing as well.

The research team is beginning working with the children at 2 years of age which is good, but we started working with our daughter from the day she was born by reading to her.  In fact, I remember quite well how I was catching up some casual reading and spent an afternoon reading a Stephen King book to her when she was less than a year old.

I truly believe reading to your children as babies has a great impact on their ability to read and communicate appropriately.  In Leah’s case, I believe she has strong reading and comprehensive skills because of how early we began reading to her.  She was able to experience how reading different types of stories had a different feel and a different style of communicating.  The tone I used when reading Stephen King to her was very different from when I read Dr. Seuss.  Reading from soothing books such as “Goodnight Moon” deliver a very distinct tone while reading from something more character driven such as “Where the Wild Things Are“. 

I think the most important thing is to really have fun with the reading.  Even though the kids are a little older now and can read their own books, we still use character voices and stomp around the room like a monster or make noises with our mouths along with whatever is going on in the story.  It doesn’t matter who is reading.  Both of our girls are good readers and it is such a pleasure to have them read to us – or us read to them.

We now have a “short-round” (baby) at home.  We had our third daughter in March which is why I don’t update my blog as much.  We didn’t start out reading as much with her due to the chaos of life, but we are making it a priority now.  It will be interesting to see if there is much of a differrence in her reading and communication development than the other girls since we got a later start with her.

Reading is so important to developing good and appropriate communication skills whether the child has Down Syndrome or is typically developing.  There are so many good stories for kids and so many fun ways of telling them.  To skip reading to your kids is skipping a really fun part of their development.

That’s my $1.98 worth.  Time for espresso…

I have to say that my daughter’s medical professionals are really working together well.  We have our challenges, but overall I am happy with the results.  Leah has been challenged with finding a medication that works for her ADHD that has few side effects.  We have tried a number of them with too many side effects for our comfort.  Yesterday, we visited Leah’s ENT to have her ears checked following yet another failed ear tube insertion.  Her doctor wondered if her latest side effects – twisting and pulling her hair out – could be from not being able to hear rather than side effects from the medication.  Her frustration and anxiety from not hearing could be the source.  It is something we never considered.  Good thing we have good relationships with these doctors.

In the same vein, Leah’s Pediatrician has designated herself as the single source for all of Leah’s medical information.  She has positioned herself to receive all reports and test results from each of her specialists so she knows what is going on and can better diagnose any problems with drug interactions, medical procedures, etc.  We are incredibly blessed to have her on our team.  I don’t know if it will help her business or not, but her name is Dr. Laura Buthod with Centegra in Crystal Lake.  If it doesn’t bost her business, at least send her some good thoughts.

On the support group front, our Down Syndrome support group is hosting Christie Clarke, founder of Out A Box Group to deliver a 6 week parenting seminar based on the principles of Love and Logic.  The seminar series begins Oct 1, 2009 and will be held in Crystal Lake, IL.  If you are interested in learning more, feel free to contact me at:  onepercent2@gmail.com

Have a great week.