Thursday, November 24, 2011

Balancing a marriage and kids with special needs


Noor Al-Shaikh (above) and his wife Rita have three children. Gisele, 10, and Sienna, 5, have a rare, non-progressive condition called Juvenile ALS type 2. They can’t walk on their own and use canes, walkers or a wheelchair. Sister Iliana, 7, is not affected.

While challenging, Noor believes raising children with disabilities has strengthened his relationship with Rita.

In this BLOOM clip he shares strategies for keeping a marriage strong. To view this on a full screen, go directly to YouTube.

Wednesday, November 23, 2011

When is autism an advantage?

Changing perceptions: The power of autism is an interesting piece in the online Nov. 2 issue of Nature magazine which has produced a lot of blogger discussion.

Author Laurent Mottron, a University of Montreal researcher in the cognitive neuroscience of autism, has eight people on his research team who have autism.

"As a clinician, I...know all too well that autism is a disability that can make daily activities difficult," Mottron writes. "One out of ten autistics cannot speak, nine out of ten have no regular job and four out of five autistic adults are still dependent on their parents. Most face the harsh consequences of living in a world that has not been constructed around their priorities and interests.

"But in my experience, autism can also be an advantage. In certain settings, autistic individuals can fare extremely well. One such setting is scientific research. For the past seven years, I have been a close collaborator of an autistic woman, Michelle Dawson. She has shown me that autism, when combined with extreme intelligence and an interest in science, can be an incredible boon to a research lab.

"...Autism's many advantages are not part of the diagnostic criteria. Most educational programmes for autistic toddlers aim to suppress autistic behaviours, and to make children follow a typical developmental trajectory. None is grounded in the unique ways autistics learn.

"In cases where autistic manifestations are harmful — when children bang their heads on the walls for hours, for example — it is unquestionably appropriate to intervene. But often, autistic behaviours, although atypical, are still adaptive."

Facing Autism in New Brunswick has written a piece in response to the Nature article: Autism advantage? No! Connor Advantage? Yes!

"It is my deeply rooted belief that it is important to speak honestly about autism and the challenges it presents, particularly for those persons who are severely affected by autism. I do not believe that autism, a mental disorder, is an advantage and my commentaries reflect that belief.

"That does not, however, mean I agree with the flimsy argument that describing autism challenges honestly means that I am not recognizing the rights of autism persons or recognizing that an autistic person has any intrinsic value as a human being. That argument is based on nothing more than ideological rhetoric."

What do you think?

Filmpossible fever





























Gabi Cherng and Gavin Daley, second and third from left, were recognized at the filmpossible awards last week as the stars of the first-place entry in the photo category -- Lucky fin love -- and the I can be me! video, which won the Cisco Visibility Award.

They accepted the first award for Toronto photographer Annya Miller, who was unable to attend. Their submission included the comment: "Left hands are so over-rated!"

Holland Bloorview's filmpossible is an online contest where filmmakers and photographers submit videos and photos that bring visibility to disability.

Tuesday, November 22, 2011

Parents play critical role in safety of hospitalized children

A study published in the Canadian Medical Association Journal this week underscores the importance of families in identifying adverse events or near misses (medication errors, treatment complications, equipment failures or miscommunication between staff or between staff and family) in the care of hospitalized children.
  Over one year, 544 families of children on a single ward at British Columbia's Children's Hospital were asked to answer a questionnaire about adverse events and near misses during their hospital stay.
  The purpose of the study was to test whether the new family reporting system would change the rate of reporting of adverse events by health-care providers.
  The study found that family reporting did not alter the rate of safety reports by health-care providers.
  A total of 321 adverse events were identified by families. Almost half were deemed by independent clinical experts who reviewed the data as legitimate 'near misses' or to have caused some degree of patient harm.
  Only 2.5 per cent of the adverse events reported by families were reported by health-care providers.
  Of the 321 events reported, 139 families received apologies for the incidents.
  "We found that families observe and report safety problems differently than do health-care providers," researchers said. "Further research is needed to delineate how best to harness the potential of families to improve the safety of the health-care system."

Monday, November 21, 2011

Talking about limb difference


In the first of a series of BLOOM clips, Janelle Cherng talks about explaining daughter Gabi's limb difference in social situations.

In BLOOM clips parents and experts talk about childhood disability. Send us your ideas for future topics! Thanks, Louise

Violin solo: 'It's not something I thought I'd be able to do'


We've written about Eric Wan (above) before, a graduate student in engineering at Holland Bloorview who helped develop the Virtual Music Instrument, a software that allows children who can't manipulate conventional instruments to make music. Eric, who was paralyzed at age 18, will play violin -- with head movements -- with the Montreal Chamber Orchestra tomorrow. Watch this YouTube video and read more in this Montreal Gazette piece.

Friday, November 18, 2011

'The third parent'



















Sophia Isako Wong (left) is an associate professor of philosophy at Long Island University in Brooklyn, New York. She is also a sister to Leo (right), who has Down syndrome. Below is a short story Sophia wrote about her childhood. But first she speaks about her research into children who take on a parent role in caring for siblings with disabilities or other members of the family.

In my research, I analyze existing psychological research on ‘parentified’ children in the US and the UK to explore how distinctive elements in the early caregiver role negatively impact children’s emotional and moral development.

The research shows that taking on the parent role prematurely as a child has mostly negative impacts, to be honest with you. Of course there are many positive things that come out of growing up with a sibling with disabilities, some of which I've tried to show in the story, but I feel that children are harmed when parents ask them to take on responsibilities requiring adult skills. Hope the story doesn't come across as too hard on my parents. It wasn't their fault they didn't know about respite for the first 25 years of my life.


‘The third parent’
By Sophia Isako Wong


It is a hot summer afternoon and I am looking at a pig. Large, pale pink, smeared with dust, bristly, and panting, the pig lies on its side in the shade of a wooden shed. It hasn’t moved in the past 20 minutes. My 10-year-old brother sits cross-legged on the cement, having positioned himself directly opposite the pig, so that he can look straight at its face. He is staring attentively at the pig, watching its every move, even though it never moves. He looks like a besotted lover watching his beloved sleep. In fact, the pig is probably asleep; its eyelids are almost closed.

I examine my brother’s face. Chin propped in his hands, elbows on his knees, he is blissfully unaware of my impatient mood. He is daydreaming about the pig, perhaps imagining the pig’s dreams. He is utterly content and at peace.

“Leo? Let’s go see the river otters. Remember when we saw them playing in the water last week?”

He doesn’t turn his head towards me. “Not yet. I’m watching the pig.”

“Still? Why do you have to stay here so long?”

“I love pigs.”

This is our weekly routine. Every Wednesday, our mother teaches violin students in our living room. She hands me money and kisses us goodbye as the doorbell rings. Hand in hand, my brother and I walk up the hill, then down the gentle slope to the Storyland Valley Zoo at the end of the road. I pay our admission, and snatch glimpses of other animals as Leo pulls my hand with determination, heading straight to the pig. Leo sits down in his appointed spot, right across from the pig, and refuses to budge until he has had his fill of pig-watching.

I am bored. I explore the entire area adjacent to the pig’s enclosure with my eyes. I see dirt, dead grass, the fence against which Leo presses his face, an intriguing house-sized cage next door with tropical birds drowsing in the afternoon heat. I sidle toward the cage and position myself so that I can watch the birds while still keeping an eye on my brother in the background.

Sometimes I play a game in my mind, fantasizing that I walk away from him and go to visit two or three other animals while he is entranced by the pig. Unlike Leo, I don’t have a favourite animal. I like to see them all, to take in the different sights and sounds, to explore the whole zoo as much as possible. I hate staying in the same spot every time. When I’m with Leo, and I’m always with Leo because our family takes him everywhere, we never get to see more than a few animals each week, because we spend most of the time pig-watching.

Walking away from him is just a fantasy; I am fully aware that I can’t take that risk. If anything happens to him, my parents will never forgive me. I’m responsible for getting him back home, safe and happy, once the lessons are finished. If he makes any mistakes, gets into trouble, or bothers anyone, perhaps by going up to them and hugging them, or sitting in a man’s lap to stroke his beard admiringly, it will be my fault for not watching closely enough. I am the third parent. I am 11 years old.

During Leo’s pig phase, he drew pictures of pigs, made pig-like sounds, received toy pigs for every special occasion, and watched that same pig every week for the whole summer. When we asked him not to “eat like a pig,” he would reply, “Why not? I love pigs.” He squealed with delight when our grandmother brought him a huge life-sized pig toy from Japan, covered with fabric in a curious floral pattern reminiscent of an Irish granny’s dining room. The two of us spent many happy hours throwing the pig at each other in a game we called “Dodgepig.”

As Leo matured, he stopped worshipping pigs. Now a middle-aged adult, he paints many kinds of animals, especially African wildlife, and his #1 top favourite is hyenas. I think he first fell in love with hyenas when they appeared onstage as masked humans in military-style khaki combat boots, snarling rebelliously and plotting against the Lion King.

These days we don’t see each other more than once a year or so. The New Year has started, and it is the night before Leo has to get up early to catch his flight home. We’re both tired, but we don’t want to go to sleep just yet. So we are lying side by side, enjoying our time together, not wanting to say good-bye until the last minute.

I ask, “Leo, why do you like hyenas so much?”

His reply is simple: “Because they’re carnivores.”

I think I know what he means. Hyenas are powerful, strong, clever animals who eat fresh meat. Like dogs, but they get to run wild and free. They watch larger predators kill their prey, then move in to scavenge their meals. When Leo eyes my unfinished plate, asking “Ummm.. do you have plans for that?” he is scavenging extra food along with the hyenas.

Leo opens his mouth and emits a sound I’ve never heard from any human throat before. It is a low growl, almost like a Tuvan throat-singer’s undertone, which I cannot reproduce no matter how I try. After years of voice lessons, he can relax his throat and reach below the normal range of his baritone voice to produce this frightening, throaty growl.

This sound inspires me to make a hyena mosaic. I select shades of Mexican smalti (glass) for the hyena’s body and mix dark grey marble and glass to make that fearsome growl come alive. While I outline the shape of the hyena, a bright red and orange crown emerges unbidden on her head, so I call the piece “Hyena Queen.” I mail it to Leo in celebration of his 40th birthday.

He calls me while I am at work and leaves a voicemail: “Hey, Sophia! I want to give you a message. Your parcel just arrived. For my birthday present. The hyena mosaic. And… I like it!”

Above is a photo of us with Leo’s hyena collage and drawing, a sculpture of a hyena, and my mosaic on the wall behind us.