Cerebral Palsy Family Support Network TM
Dedicated to helping families find the support services they need for children with disabilities.

Cerebral Palsy Family Support TM

Dedicated to helping families with children who have Cerebral Palsy or any other Neurological and/or Learning Disability find the support, resources and services they need.

Family Blog of Amber's Trials as relates to her Disabilities

Our family, like most everyone’s, has its good days and its bad. Like most who have a child with Cerebral Palsy or other physical or mental disabilities, the bad sometimes far outweigh the good, but we do what we can to make the best of it. I have found it difficult to deal with a lot that has happened to us over the years, Mostly as relates to Amber’s condition but also the other family matters that contribute to the overall welfare of this family. Because everything that happens either effects Amber or the family as a whole and therefore Amber indirectly I have decided to call this a family blog instead of Amber’s blog. It is sometimes difficult to write of personal issues and so much will be left out but I will try to hit on the highlights in hopes that some may find our actions useful in deciding what they should be trying and what they shouldn’t. For a quick overview of how we came to this point you might want to read the page of Amber and that of her parents linked on the left nav-bar. I could easily write a book of all that we have encountered over the years but I’ll leave that to a time when there is less pressing matters. Here I will concentrate on medical issues, school issues and family matters that have had an impact on Amber or the family as a whole including Amber. What major things that have happened or what things we have done to try to get needed services or help for both Amber and the family as a whole.

I cannot remember all the dates prior to starting this blog, nor will I name individuals. But as the overview pretty much hits the highlights till the 1st of the year 2008, I will attempt to keep up to date with current events since then.


SITEMAP 

Alphabetical listing of most pages on this site: Exceptions will be state and county pages. Some are not linked from this sidebar but from within a page

The CP Links Page is where you will find most Federal, State and local County pages.

THE HOMEPAGE

WHAT IS CP
CEREBRAL PALSY

My attempt to clarify CP you may find the information provided by NINDS is more specific and detailed

TREATMENT of  CP
There are many different treatments and I only name those I am familiar with

Physical Therapy
How it is essential to maintain range of motion

Occupational Therapy
How it is essential to maintain quality of life

Speech Therapy
What I know through my experience By far not even close to what you should know

Medication and Orthotics
Again what I know through experience Much more can be had searching the net or talking with doctors and therapists

CP LINKS
To Federal, State, County, City / Town and School District WebPages. Health links and hopefully links to local disability sites and activity and events calendars just drill down to the page you want

Cerebral Palsy Glossary
Terms used when referring to items related to CP . Many of us may see these on a doctors report and not know what it really means.

More Information of CP provided by NINDS
Perhaps a bit more concise and informed than my attempt to tell of what CP is. 
  • What Causes Cerebral Palsy?

  • What are the Risk Factors?

  • Can Cerebral Palsy Be Prevented?

  • What Are the Different Forms?

  • What Other Conditions Are Associated With Cerebral Palsy?

  • How Does a Doctor Diagnose Cerebral Palsy?

  • How is Cerebral Palsy Managed?

  • What Specific Treatments Are Available?

  • Drug Treatments

  • Surgery

  • Orthotic Devices

  • Assistive Technology

  • Alternative Therapies

  • Are There Treatments for Other Conditions Associated with Cerebral Palsy?

  • Do Adults with Cerebral Palsy Face Special Health Challenges?

  • What Research Is Being Done?

  • Where can I get more information?

447 Specific Neurological Disorders
Many of these 447 Neurological disorders do not fall under the heading of CP but are disabilities nonetheless. Links to resources for all 447

My take on the IEP, IDEA 2004 Public Law 94-142 & Public Law 101-476, and the 504 plan.
In 1990, changes to Public Law 94-142 arrived through the Education of the Handicapped Act Amendments of 1990 (Public Law 101-476). Most apparent was the law’s name change – instead of the Education of the Handicapped Act, it is now called the Individuals with Disabilities Education Act. IDEA 2004

IEP overview
A Guide to the Individualized Education Program with sections highlighted and comments by me

504 plan & IDEA Q&A
Protecting Students and others with Disabilities also a list of accommodations and modifications as would relate to the school environment.  More on accommodations in the Parent and Educator Guide Appendix E

Parent & Educator Guide of 504 Plan concepts and real life accommodations. Drafted by the OSPI and 5 Puget Sound area School Districts but would be a valuable asset to any fighting for their child's 504 accommodations anywhere U.S.A. 

IDEA 2004 summary&
Title 1 IDEA as written (Public Law 94-142 &
Public Law 101-476) 
A lot of legalese and unless you are a lawyer or are looking for specific law probably will not be of much benefit. You will better spend your time reading the Parent and Educator Guide, the IEP overview and the 504 plan & IDEA Q&A

Washington State Chapter 392-172 WAC SPED special education and the IEP
This is Washington State law as regards the IEP and special education
Also a bit about our (current Nov 08) personal battle for Amber

Pierce County Events
Local events for the disabled If you know of any let me know I'll post them here

CONTACT US

DONATIONS/GIFTS

AMBER'S STORY
Amber's story from birth to I started this website. Her continuing story is in the Blog

AMBER'S PARENTS
A bit about us and maybe you will get to know why we did what we did and continue to do what we do by knowing a bit about us.

Blog of Amber and Family
The continuing story of Amber and family updated as I have time.

SHARE YOUR STORY
In the share your story section people like you will post their unique experiences and through what is said you may find you are not alone. You may also find a friend and someone you can relate to. And possibly a way to realize your own goals.

MEMBER PAGES
Those who have joined with me to try to educate everyone of the trials of having a child with CP or other disability and where to find information

CP FAMILY LINKS
Websites created by people who have CP or someone in their family has CP. Sites whose pages are not directly disability related.  Net-etiquette applies. All sites are subject to approval. Banners and text allowed on these links.

DISABILITY LINKS PAGE
These would be links to commercial disability links pages where you may find more detailed information of specific disabilities as well as commercial products and services for the disabled. Links are text only with a line or two of information of the link posted.. 

NON CP RELATED
OTHER LINKS PAGES
Posted 1st come 1st served. We hope to have many of our friends  and supporters post their pages here. Net-etiquette applies. 
All sites are subject to approval. All Non-CP links are text only with a line or two of information of the link posted.
Please notify me of any broken links so I can remove or fix them

JOIN OUR NETWORK
Join with me in trying to educate the public of CP and other disabilities

WHY THIS SITE?
What motivated me to build this site

  CONTACT US
Direct your comments to Robert.

Making Money Online (or not) 
What I've tried and what I believe. The things to watch out for.  Many with disabilities have a very difficult time working a 9 to 5 so working online is a viable alternative. However be wary of those who will take your money and not deliver any worthwhile information.

Other sites I have or to be more precise the wife has and I take care of.

http://tamicraft.com 

http://vintageslips4u.com

 

 

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January 17, 08 Amber has been in severe pain from her Dystonia for several months now and we have tried to get the neurologist to find a medication that works. We have been through clonosapam, leva-dopa, and lorasapam. So far to no avail. They work for a week or two then nothing. Clonosapam gave her severe headaches so we stopped it early. We have contacted the therapists at Good Samaritan Hospital who are giving added attention to the Dystonia and have created some Orthotics to help hold the leg/foot and arm/hand in place. Some relief is noted but not enough. We have gotten appointments at Children's Hospital in Seattle for pain management and have had another EEG done as well as are contacting Psychiatry at Mary Bridge Children's Hospital for a consultation for Ambers depression as a result of the pain and school problems (see the about Amber page)  You will find we deal with quite a few Hospitals, Doctors and Therapists.

Why is the 17th important enough to stick in my mind? I was horsing around with my son after a large family dinner and broke my left leg. No actually shattered it and had to have it operated on. 2 metal plates and 16 screws. I am wheel chair bound for at least 3 months. They say with therapy I should get 90% use back. ( update Jan 2010: had to have another operation and now have a metal rod down the entire leg from knee to ankle. Walking is a bitch and forget about ever running again. I guess I'm going to be disabled myself for life now. But because we have assets I cannot get any State or Federal help.)

Feburary 08 Amber continues to be in severe pain and the Doctors so far have refused to prescribe narcotics to knock the pain down. Amber is crying most all the time and becoming very despondent. She cannot concentrate and school work is suffering which is contributing to the stress and anxiety she is feeling which in turn adds to the Dystonia. I know it is not right but I can no longer watch Amber suffer. I have begun giving her a vicoden every once in a while and allowing her a glass of wine to help relax the muscles and alleviate some of her pain. They can haul my ass to jail; I'll not watch her suffer so.

She also saw a special Eye Dr. and was prescribed bifocals and some exercises to do to make both her eyes to work together. She has such a 'who cares' attitude lately I think it will be hard to get  her to do her eye exercises.

Beginning March 08 Amber continues to suffer but we have been able to control the pain somewhat through the E-Stem that the Therapist have loaned her. This electrical stimulus confuses the nerve impulses and has been of some relief to the Dystonia. Though she still has bad days that even the E-Stem will not help. Her new medication, Baclophen worked for a week or so but no longer has any effect. We are unable to move any of her appointments up so we continue to give her vicoden and wine to relieve her pain and muscle tension. She started wearing the E-Stem part time but now wears it all day and its effects are not as great as they once were. The E-Stem is different than a TENS unit and the therapists say the TENS will not do what they want. The E-Stem is about $1500.00 we can't afford but luckily the therapist is willing to loan Amber one till they need it back or we find meds to control the Dystonia. 
End March 08 We saw the pain management Doctor at Children's in Seattle and what a wasted trip. He took her history and her current problems then said he would schedule her to see the Children's therapists for an evaluation. In 3 months! Hour and a half drive there and more back as we hit rush hour and nothing to show for the trip except frustration. He also would not prescribe pain killers nor any medication for Ambers pain. Some pain management (*%(*&$*)& and we waited almost 3 months for this appointment. 

We've been to Children's in Seattle about a dozen times or more and I have always seen it to be a wasted trip except when she was being seen for children's rheumatoid arthritis. The Dr. that we saw then was good and took the time to get the tests and give us answers and meds. He eventually went to Colorado and we stopped going there shortly after as Amber was in remission.

Amber's mom has been delivering a pill to Amber in school for pain every so often as she cannot make it through the day without crying.

April 4, 08  Tami came home from having given Amber a pain med and cried on my shoulder. Apparently Amber was crying and in severe pain. Tami could not bear it. I decided to make a few calls. I called her primary care but as it was so late in the day on a Friday they had no openings. I called the State department of health and got nowhere I called the County Department of heath and got nowhere. I called her social worker at DDD (Division Developmental Disabilities) All she could suggest is going to the Emergency Room at the Hospital. We had already considered this and as I could not find any that would intervene and help get us access to a psychiatrist or other medical professional we took her to emergency. We had to wait 4 hours as she was not considered a priority but once seen she was prescribed vicoden and a muscle relaxer.

Now at least we could give her Vicoden publicly and the muscle relaxer ,Valium (Diazepam) was of some help as well.

2nd week in April Ambers condition has not changed. The meds make it somewhat bearable but she is still wracked by pain 24/7. I have tried to get the appointments moved up to no avail. She sees her primary care April 22 and the neurologist April 23.

Got the news I have 10 kidney stones, six on the left and 3 on the right and 1 is blocking my left tube leading from the kidney to the bladder. I am scheduled for an operation the 5th of May. Being in severe pain from the kidney stones and wheelchair bound due to the broken leg only compounds my own frustration at not having been able to get Amber any help.

Called several State and County agencies for help in getting counseling for Amber. Finally Pierce County Health dept referred me to the United Way and they referred me to 3 counseling services in the Tacoma area and 1 of the 3 takes our basic health Insurance. Have yet to make an appointment but will after we see the neurologist. Apparently Pierce County has contracted with the United Way to handle all their community health calls. Way to go Pierce county. Waste more tax dollars and kudos United Way, making money just to do referrals.

April 22, 08 Primary care gave Amber a script for vicoden and the muscle relaxer; Valium. We asked for Prozac for depression but was told there was an interaction with the tegretol she takes for seizures and would need to clear it with the Neurologist.

On another note our son has been complaining of chest pain during exercise and some pain in his knees. You have to understand our son is very active playing most all sports and loves soccer and football. He never complained till just the last week or so. Said he could not run more than a fifty yards without resting. We had him seen as well. He has an appointment with a cardiologist on the 1st of May 08  and I'm not sure when, but he does have an appointment with an orthopedics sometime in May as well for his knees. We're hoping that this chest pain is not a serious issue.

April 23, 08 Neurologist prescribed a new med not sure of the name. We are to take her off everything and see if this new med will do anything on its own. He said we could give a muscle relaxer if necessary but advised against any other meds. or wine. Did say however that Prozac would be OK. So need to get the primary care to prescribe it.

Spoke with the social worker to try and get the Psych dept to bump Amber up but were told the waiting list is a year out. 

Did get some information that we might be able to get a gas card for taking Amber to all her Dr's appointments paid through the public transit. Apparently being on the medical coupon allows for this. All we have to do is contact them 48 hours prior to our appointment and they will credit the card with what they think we will need in gas. The problem is not many stations will accept the card and we need to give plenty of notice. Still it is something, 'IF' we can get it. Won't know for sure till next week and geez why didn't anyone tell us of this before. Do you have any Idea of how many trips to Seattle and Children's therapy and Dr's appointments we go to for her every week. I'm sure we could have saved thousands by now. If you have a child on the medical coupon check into whether there is a program to reimburse you for gas to take your child to appointments. We still do not know if we will qualify and get this but this is something any low income in WA. State and elsewhere should look into.

Was able to stop in at my urologist (close to Ambers Neurologist) and get some percoset for my kidney pain as my primary care refused to give me any more. He once mentioned he was afraid of being audited and losing his license for prescribing narcotics. Hell take care of your patients needs and you will not be in violation of anything. NO, he would rather I drive 25 miles to get a script cause percoset is one they cannot call in to the pharmacy. Ass.

Tami had to leave town on a family emergency as soon as we got home, so am here with the kids. Yea me and my wheelchair. Anyway will wait on making any more appointments till Tami returns.

Amber's "Aunt" took her to therapy today as Tami and her mother had to leave town.

April 24, 08 Today the DDD worker came to do the yearly evaluation. More wasted time. She was polite and tried to help Amber say the right things to get more services which I thought was nice. But Amber did not grasp the situation and so did not tell it like it was. For example one of the questions was "Do you need any help in bathing or in your personal hygiene?" The responses available were ' None', 'Some', 'Quite a bit', 'Total'.  I am paraphrasing here. Amber of course likes to think she is independent and can do for herself and so initially answered , "None." But I had to remind her that she often asks her mother to do her hair as she cannot wash and rinse it completely nor style it. She also cannot cut her fingernails of her right hand as the left has no fine motor control and she still requires help with zippers which was on another question of clothing herself. If Amber was to have been left to answer all the questions herself she would probably have lost DDD, though they have not provided much in the 13 years she has been on it.

She also kept saying things that made her appear totally self sufficient but again I had to remind her that there were many things she was incapable of doing without the use of her left hand and now that the Dystonia has such an effect on her motor control there are even more things she has lost the ability to do. Also as a minor she does not have a drivers license so just going to the store is impossible without someone to drive her. Another question she answered as if she could be self sufficient. The nearest public bus stop is over 2 miles away and what with the Dystonia in her left leg she can seldom walk the halls of her school without taking a break because of the pain. A 2 + mile hike to the bus stop is way beyond her ability.

Remember as a Parent or Guardian you must be on your toes and see to it that any question posed is fully considered in all its aspects. There are many things that seem very simple or even go unnoticed that will affect the outcome of your eligibility. Like the simple not being able to cut her right hand fingernails. This is a life altering event. Sure she can go and have a manicure but the question is can she do it for herself and the answer is NO. And also even if she could have manicures how is she to get there?

Anyway we made it through the 2 hour question and answer session and I think we came out at the same level as last year. She has gained in some areas but due to the Dystonia has lost in others. DDD should have her on the roles for another year. This year we asked that they fund the purchase of an E-Stem for Amber. I told the worker that we would not have any difficulty getting tons of letters from doctors and therapists to vouch for her need for this. But I hold no hope of their even considering it as they have never really done anything for us in the past. 

Amber is supposed to be entitled to $2000.00 a year in money for use to purchase needed equipment but in 13 years we have only been able to coax about $200.00 out of DDD and that only with tons of documentation and the threat of a lawsuit. We have been denied so often even with tons of letters that for the past 10 years we have not asked DDD for anything. I just want her kept on the roles in case we ever do find we have a need that we can sue them to fill.

*****

Amber was looking forward to visiting her cousin and her cousin's daughter of 4 years old, but that will have to wait till another day. Her cousin is 27 and has severe kidney stone problems right now and is in considerable pain. She does not have any medical insurance so is waiting to be accepted for Basic health to get anything done. They do not have the funds to afford any operations. She also has Fibromialgia, anxiety issues and other problems. I hope the State will help her and not consider it a pre-existing condition she has to wait another 6 months for. Last I heard she had one stone stuck in the tube from kidney to bladder and 3 stones in the kidney. At any rate Amber wanted to go over and play with the 4 year old and see to her cousins well being. Her cousin having had Fibromialgia since she was a kid can relate to Amber and her pain issues and they get along quite well. They only live 5 minutes away and Amber's "Aunt" her cousins mother was going to take her over.

Been a busy 3 days; hope the rest of the week is uneventful.  

April 30 2008 Man sometimes you wonder what the hell people have for brains. Someone turned us in to CPS for giving Amber vicoden and wine. Well she now has her own prescription for vicoden and a muscle relaxer and she did not like the taste of wine so she hasn't had any in a month or more. CPS took our statements and said they saw nothing to indicate a problem. Still we now have a record with CPS and that pisses me off. 

But turning lemons to lemonade the CPS worker said she knew of a couple of counseling services that she might be able to get Amber into. Nothing promised but at least a possibility.

If you are interested in this blog I will be continuing it on another page:

Go to page 2 of Family Blog  

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If you have a site that deals with any disabilities then consider either joining CPFSN.org  (it is totally free) and having a link to your site on the appropriate page (e.g. State, County) as well as the ‘Members’ page and the disabilities links page.

Or doing a simple link exchange and having your site appear on the ‘CP Family’ links page, if you or your child has CP or any disability. Your site does not have to be about any disability so long as you or your child has a disability.

If you do not have a disability or a child with a disability but have a site devoted to any disability you can have a reciprocal link placed on the disability links page

If you do not have a disability or have a site devoted to any disability you can still have a reciprocating link placed on the Non-CP other links page. A link exchange would not only show your support of this site but would increase your ranking with search through having another outside link (SEO).
  
Use the ‘Contact Us’ page and email Robert if you are interested in any link exchange or joining CPFSN.org. Send the information of the site you want us to link to and the Title and information as well as the URL you would like entered. I cannot guarantee that all requests will be honored but I will take a personal look and make a fair and unbiased decision.

To speed up the process have a link to my site on yours and send me the URL. Our preferred links can be found on any of our links pages (left nav-bar)

 

 

 

 

 

 

 

 

 

 

 

 

  


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