Smooth(ie)

Breakfast is challenging. Morning is challenging.

I know, I know: Most families with young children probably find it difficult to get them fed, groomed, and out to the school bus on time. Breakfast with Martin presents certain additional factors:

1. Martin doesn’t like his breakfast food options. I’ve given him as many choices as I can, subject to the parameters of what fits his current diet and what I can manage in a smaller window of time. His enthusiasm peaks at “meh.” Certainly nothing gets put in his mouth voluntarily.

2. Martin also needs to take supplements and medications and homeopathic drops (lots of them), which I assemble and administer during the meal, dividing my attention.

3. Mornings, for whatever reason, are Martin’s most distracted time. Often, despite the plate sitting in front of him, he seems to forget even that he’s supposed to be eating. I lob hints and suggestions. (“What’s 9+3, you ask? Try some turkey bacon and we can talk about it.” “Hey Martin, guess what you can use that fork for?”) Occasionally I resort to spooning the food into his mouth. Okay, fine. Often I resort to spooning the food into his mouth.

In order to be ready for the school bus on time, Martin needs to leave the breakfast table and go to the bathroom by 7:25 a.m. He knows this. While asking questions, drawing pictures, and dropping food on his school clothes instead of eating, he counts down the minutes until 7:25. The instant the clock turns, he springs from his chair, remaining food be damned.

If by some miracle Martin finishes his breakfast—or if he manages to bargain me down to some reduced food portion that he’s willing to cram into his mouth in order to escape the table—before 7:25, he’s allowed to go into the family room and play for whatever minutes remain.

One recent morning Martin was drinking a smoothie: coconut kefir, avocado, kiwi, papaya seeds, and strawberries. By 7:18 (the dance is precise) we had finished morning supplements. I headed to the bedrooms for my three minutes of “me time” (pull on jeans, straighten hair, add enough layers to hide pajama top so I can escort him to the school bus). Martin remained at the table, his smoothie glass still half-full.

Typically I would return to the kitchen at 7:21 and devote four minutes to cajoling him to finish breakfast. That morning, however, I returned to the kitchen to find the glass, empty, in the sink waiting to be washed.

“Martin!” I exclaimed. “What happened?”

“I finished my smoothie. I’m playing,” Martin responded from the family room.

I’m no Pollyanna. Quickly I scanned the sink and garbage for evidence that Martin had dumped the smoothie. Nothing. The kid was for real. He’d actually decided just to finish breakfast and go play. I swooned.

And lest you think that’s the only victory of recent days, allow me to say that, this very day, February 21, I asked Martin to get dressed “within five minutes.” After some debate about where he would agree to get dressed—he insisted on standing on my and Adrian’s bed, which apparently offers the best view of our digital clock—Martin completed the task in three minutes flat. Except for his socks. Socks are hard. Also, his underwear and shirt were on backwards, which I considered an improvement, because yesterday his pants were on backwards.

Victories are everywhere.

Martin, assisted by his partner-in-crime, George the Cat, plays in our family room.

Martin, assisted by his partner-in-crime, George the Cat, plays in our family room.

Avonte

By now we use only his first name: Avonte. Last Tuesday afternoon, a friend texted me to ask about the whether a snowstorm had hit us yet. I texted back that we had three or four inches on the ground already, that I was worried about Martin getting home from school, and that I could not stop crying. “They just confirmed that it’s Avonte,” I wrote, to explain. The friend and I had never discussed the matter before. Still, she knew what I meant.

If you live outside the New York area, maybe you don’t know. He was Avonte Oquendo, he was 14 years old, he had autism, and he was nonverbal. On October 4, 2013, around midday, he exited his public school in Queens’s Long Island City neighborhood, alone, and vanished.

More than three months later, on January 16, a human arm and legs and a sneaker were found in College Point, Queens, along the shore of the Whitestone Bay. Over the next few days, divers found a second arm, and teeth, and clothes that looked like Avonte’s, and finally a skull.

Last Tuesday, five days after the first remains were found, DNA confirmed what no one had wanted to admit. Avonte was never coming home.

Avonte’s special-education school “shared space” with both a mainstream high school and a mainstream middle school. This is a common practice in New York City, whereby entirely separate schools, each with its own administration and faculty and student body, operate within one building. The students intermingle in common spaces; an adult or fellow student who saw a teenage boy slip out of a building full of typically developing kids might have no reason to realize the gravity of what transpired.

None of the administrators or staff at Avonte’s school had passwords to access the security footage that showed him leaving through an unattended, unlocked side door. The school officials apparently believed for some time that Avonte, who was unaccompanied by any aide, was hiding somewhere in the multi-school building. An hour passed before anyone notified the police or Avonte’s family.

Once the police were notified, they began duly searching. Yet, as far as I can tell, there was no immediate, massive effort to put eight million New Yorkers on the lookout. I am a constant media consumer, listening to the radio and checking bulletins throughout the day. I found out from a Facebook post that Avonte had disappeared. I didn’t see it on the news until hours later. Days passed before “missing” posters were widespread. A week-and-a-half passed before the search expanded to New Jersey and Long Island, despite Avonte’s known fascination with trains.

A red tent in front of Avonte’s school served as headquarters for a volunteer search effort, led by Avonte’s family. At least one member of his family was in that tent 24 hours per day. Nothing helped. Their beautiful, vulnerable child was just gone.

For me, Avonte has become a symbol of the reality—and with every day, I believe more that it is a reality, not a notion or a possibility—that our society isn’t going to care about autism until it’s too late.

Avonte should never have been unsupervised in a building with unguarded doors. The instant he slipped outside, the police should have known. Everyone should have known. We have the AMBER Alert™ program to recover abducted children. We have no corresponding program for the safety of missing persons on the spectrum, despite the tendency of many to wander or bolt. Avonte is gone. We’re left slapping our foreheads and saying, “Gosh, we should have done more to prevent that.”

Autism rates are exploding. The increase isn’t due to “greater awareness and diagnosis”; there are more and more cases across the spectrum, not just on the high-functioning end where diagnosis might have been an issue in years past.

Some other numbers increasing concurrently are chemicals, antibiotics, GMO’s, environmental toxins, electromagnetic fields, radio waves, and the number of recommended childhood vaccinations. (Yes, I believe vaccinations are connected with autoimmune disorders like those underlying autism. Excoriate me.) Is any one of these increases causing the rise in autism rates? Are all of them together? I don’t know.

I would like to think that one day, I hope not too far in the future, we’re going to start getting some answers, but probably not. There doesn’t seem to be much funding available for studying topics like autism rates in vaccinated versus unvaccinated populations, or the effect of electromagnetic fields on synapses in developing brains, or whether pesticides harm beneficial bacteria in the gut.

We’ll wait until the autism rate is one in 10 boys, or one in five, or one in two, and then we’ll say, “Gosh, we should have done more to prevent that.”

I’m sorry, Avonte. I’m sorry, Avonte’s family. We let you down. Every one of us. We let you down.

Avonte Oquendo

The Club

Adrian and I attended the Metropolitan Opera last Friday, to hear Russian soprano Anna Netrebko perform Adina in Donizetti’s Elixir of Love.

Adrian was super-duper excited about this event, really quite out of his mind. He adores all things opera, Anna Netrebko is his favorite soprano, and we narrowly escaped disaster, insofar as Ms. Netrebko fell ill and had to cancel her January 9 and January 13 performances. We’d long had tickets for Friday’s performance, and that happened to be her return.

I was mildly excited about the opera, which is four degrees north of my usual reaction to opera. My usual reaction to opera can be summed up as, “Are the Rangers playing? No? Okay, I’ll go to the opera.” I was mildly excited Friday because Ms. Netrebko and her former partner, the Uruguayan bass-baritone Erwin Schrott, have a son named Tiago who is about Martin’s age and who also has autism.

I feel a kinship with parents who have children on the spectrum. The kinship extends as well to celebrities. Doug Flutie (just from a football perspective, the Bills should have kept him, not Rob Johnson!), Dan Marino, Toni Braxton, Sylvester Stallone, Aidan Quinn, that “real housewife” from New Jersey, of course Jenny McCarthy and Holly Robinson Peete—I know them all, even the stars who appear to have children with autism but don’t comment. (Not going to call out any celebrities here. My family also has chosen not to “go public” with Martin’s diagnosis.) I want to support all these celebrities and their careers, because in some way, they know what we’re going through. They know us. We’re friends, even if we’ve never met and this post makes them think I’m a stalker. The fact that Anna Netrebko’s son Tiago has autism means that I want to see Anna Netrebko perform. I want to cheer her on.

Adrian says he doesn’t feel the kinship. Without trying to speak for Adrian, I think he just wishes he weren’t a member of the families-affected-by-autism club. But we are. Regardless of whether, or how long, Martin remains on the spectrum, we’re in the club for life.

It isn’t that misery loves company. I’m not miserable, and I don’t think autism should make any family miserable.

It’s that hope and understanding multiply. It doesn’t matter whether other parents choose biomedical intervention, or homeopathy, or only traditional behavioral therapies. The point is that they want to help their children. We all want to help. What a cool club.

(One more thing about Friday evening: Mr. Schrott, Ms. Netrebko’s former partner and Tiago’s father, was also on stage, playing Dulcamara. He was fantastic. Apparently he and Ms. Netrebko broke up recently, so every time they sang together, I was thinking, “Oh, awkward!” Maybe I’m just a celebrity gossip-monger after all.)

(Okay, one more “one more thing” about Friday evening, this one for readers who’ve stuck by me for a while: Adrian and I were seated next to a retired schoolteacher from Berkeley, who said he flies to New York once or twice per season to catch a string of Met performances. We started talking about which productions he’s seen, and he mentioned Madame Butterfly. What did he think? I asked. “I liked it,” the schoolteacher replied, “except for the puppet. That ridiculous puppet ruined the show for me.” I could have high-fived him.)

Dark Days, Wise Counsel, and the Revenge of a Dead Duck

Martin’s symptoms have not alleviated much since my August 26 confession. They improved while we were on vacation in the middle of nowhere, but since our return to New York City, it’s more of the same. He’s still engaging in self-stimming, repetitive behaviors, mostly skipping, as from the sofa to the dining room and back, and to, and back. His attention span, unless he’s watching a video—preferably Sesame Street, and most preferably an episode he’s seen enough to memorize—is 4.6902 seconds, give or take. He seldom responds to his name until I’ve said it politely four times, then barked it, twice, while jumping in the air and waving my arms.

There is some piece to the Martin puzzle that we are missing right now, some key that we haven’t found.

Have I given up hope? No. Not by a long shot. Adrian and I will recover our son.

And when we have recovered Martin, I will look back on this time—summer 2012, beginning of fall, and not too much more, I hope—as the dark, difficult days.

Throughout these dark days, I’m searching, and not only for the solution to Martin’s puzzle. I’m searching for a more peaceful approach: a way to explore every avenue to recovery, without also fretting that most avenues are too cluttered to lead anywhere.

Yesterday, after church, I discussed my pervasive anxiety about Martin with my awesome pastor. This morning I received an email from him that states, in part:

The pivotal moments we seek in life to change us and those around us are always laid on top of another quieter, grander story that has been unfolding on our behalf since the very beginning.

Martin’s recovery is happening. Even when we are plagued with symptoms, like now, Martin’s physical health is sound, he verbalizes new observations, and he’s happy. He’s a happy boy. My job is to continue struggling for his recovery with the comfortable resolution that, however long the path, the direction is right.

My right arm (see picture, below) is speckled. From the base of my thumb to the crook of my elbow extends a splatter of burns. They’re superficial, for the most part, and healing, though some still open painfully if rubbed. I had a vegan-cooks-meat accident. The tongs were in the dishwasher, so I decided, in my inexperience, to flip a duck breast with a spatula into the crackling, liquid fat, which, it turns out, splashes.

Adrian, an American-history buff, is forever prattling about George Washington’s failures as a general before he led the Colonies to independence, and about the number of elections Abraham Lincoln lost before the victory that counted.

I’m rather enjoying the burns on my arm. They mark me as an autism warrior, which reminds me of a helpful adage:

I can lose many battles and still win this war.

My battle-scarred arm, photographed spontaneously on a bus.

The Good Kind of Sleeplessness

I’m drafting only a short post this evening.

I’m tired, you see.

I’m tired because I didn’t sleep well last night. I lay in bed awake for several hours, until 2:00 a.m. I woke when Martin clambered into my and Adrian’s bed, around 8:00 a.m.

Here’s the thing: Martin didn’t keep me up until 2:00 a.m. He didn’t wake at midnight and rustle for hours while I hovered nearby, iPad in hand. Nor was I anxious, thinking that he’d be up as soon as I closed my eyes, or pondering his future.

Incredibly, I wasn’t able to doze off because I wasn’t tired. Each of the previous several nights, I enjoyed eight or more hours’ sleep. My body, apparently, felt sprightly enough to play a few additional games of on-line Scrabble and then gaze two hours at a near-full moon.

Since Martin’s ASD diagnosis almost two years ago, and even before that (from age 14 months on, he had sleep troubles), and even on vacation (I worry a lot), I cannot recall a single night when sleep eluded me because I wasn’t tired. Between 16-hour days managing Martin’s recovery process, and worrying about whether we’ll succeed, and sitting up with him, I function in a state of permanent exhaustion, punctuated only by degrees. Most nights, I lose consciousness before I finish a 30-second prayer. The remaining nights, anxiety so clogs my mind that I give up trying to sleep and wander the apartment “getting things done” throughout the night.

We’re on vacation this week, in a rented seaside house that compels relaxation. Martin has been sleeping well. My mother-in-law is traveling with us; she wakes with Martin each morning and washes and dresses him before releasing him to me and Adrian. Despite the crap summer we’ve been having, I am sleeping.

I’m off to sleep more now.

4:25 a.m.

Just in case anyone thinks our life with ASD recovery has got too easy nowadays, I’ll reveal that I’ve been up with Martin for four hours now (I slept for less than 45 minutes before he woke at 12:30 a.m.) and he shows no sign of sleeping anytime soon. These nights are rare; unfortunately, we’ve had two in the last three days, and he always seems to pick the times when Adrian is traveling.

Ah, sleeplessness.

ASD Recovery Recipe: Zucchini Mini-Muffins (Have Grains)

This is my mother’s recipe for zucchini mini-muffins. (They don’t taste like zucchini. For some reason, my mother bakes a lot with zucchini. Her glazed carob-zucchini cake is legendary.) These are gluten-, soy-, and casein-free, but they are a newer development for Martin; he was previously grain-free entirely. My mother is making them now with duck eggs. Martin gobbles these muffins.

3 cups grated zucchini
3 eggs, beaten
2 cups almond flour
1 cup quinoa flour
1/3 cup ghee
1/2 cup sweetener (honey, agave, coconut crystals)
2 tsp cinnamon
1 tsp baking soda
1/2 tsp sea salt

Combine all ingredients and pour into oiled muffin or mini-muffin pan. Bake at 350º until a toothpick inserted into the center of one comes out clean.

Microwaving Goodbye

NPR, via Facebook, recently ran a question along the lines of, “I must have missed that day,” or something similar. The idea was for people to write in with some terribly obvious facts/ideas that they did not realize until adulthood. Thousands of people posted.

I’m going to add this obvious fact to my “I must have missed that day” pile: Apparently I should not be using the microwave around Martin, and certainly not for his food. Despite all I’ve learned, I managed to miss that, and I’ve been microwaving left and right, even microwaving the water to “cook” Martin’s homotoxicology drops.

My bad, again!

I still have a lot of environmental changes to make in our apartment, mostly having to do with electromagnetic fields. The cordless phones are already gone, and the flat-screen television and entertainment center are unplugged unless in use. But there are still the wireless router, the wireless printer, the 24/7 Blackberries, and, of course, the microwave.

I’m overwhelmed again. As usual.

Laser Energetic Detox

Martin and I are in a hotel outside Chicago. We flew here, only slightly delayed by an angry, lingering rain at LaGuardia. Tomorrow afternoon we begin two days of laser energetic detoxification (LED) treatments, which involve applying customized vibrations to help pathogens exit through Martin’s meridians—something like a souped-up, high-tech version of his cranio-sacral therapy. Adrian had to be elsewhere for business, so my mother has flown in from the Southwest for support. The LED procedure sounds more “out there” than Adrian and I are used to, so we’ve been researching on-line and discussing with each other. We’ve found relatively little evidence of potential side effects, so it’s a go. I will post later this week about what happens.

Adrian said, “We’re doing all this work to detox. How do we know he won’t, you know, ‘re-tox’?” I need to do make more inquiries so that I can answer his question.

Meanwhile, Martin is a little off, still. His language is strong, and his behavior is good, with no trouble transitioning and only mini-tantrums that fade fast. But his attention span is zero, his eye contact is sporadic, and he’s engaging in more self-stimming. Understandable, I suppose. We’ve just put a weighty week behind us, with the allergist, new HANDLE exercises, a visit to Martin’s homotoxicologist, a party marking the last day at his old school, and a housewarming for friends in Westchester. And then I hauled him onto an airplane to Chicago.

Martin’s getting better is a lot of work for me and Adrian. It’s easy to forget that it’s a lot of work for Martin, too.

Duck Eggs

We’ve lost some more foods.

A couple months ago I took Martin to Connecticut see a naturopath-allergist, who used a metal rod and a fancy computer set-up to test Martin for sensitivities to different phenols. This testing was at the recommendation of Martin’s homotoxicologist, who also referred us to this naturopath. The panels came back and said Martin is sensitive to a lot of foods he currently doesn’t eat anyway (soy, corn, milk protein, potatoes, berries, etc.) and also some foods he does eat—a lot. Foods like garlic, onion, eggplant, peppers, and egg whites. That allergist said we must avoid all those foods. Then he gave me some drops that I was supposed to add twice daily to Martin’s routine, diluted forms of the phenols that would help Martin overcome his sensitivities.

After that appointment I made the mistake (or not?) of getting on the phone with my older brother Rudy, who suffers from numerous allergies. Rudy said he’d been to a naturopath who used a similar metal-rod testing method, then later found out that “the whole thing was bunk.” The drops he was prescribed were too diluted to have any effect. Moreover, he’d read that the tests themselves don’t work, that you can be tested on different days and get totally different results. A waste of money, Rudy said. He even backed up his opinion by sending me a handful of links to people making the same complaints about this testing method.

In truth, I had not liked the naturopath. He had said dismissive things about other facets of Martin’s treatment—“You can’t starve out yeast from the gut. That’s just ridiculous to try”—and blown off the questions I raised about food sensitivities. He had talked down to me, which is hard for me to countenance. This general distaste for the naturopath combined with Rudy’s warnings and left me with a negative impression about the whole experience. I kept garlic and onions and eggs in my cooking. I never did start the prescribed drops with Martin. I was supposed to pull out Martin’s lower lip and let each drop sit on the lip for three seconds. For crying out loud, what three-year-old would let a parent do that?

The next time we visited the homotoxicologist I voiced these concerns and told her I hadn’t liked the recommended naturopath one bit. She said, however, that she believes in the testing method, and that if the first naturopath wasn’t a good fit, she could recommend another, one better at taking the time to address my concerns. I pondered. I did some more research on-line—here’s a good time to point out the unreliability of on-line research—and found some additional testimonials about the allergy testing method (it’s called the Orion® system, and I did not have an easy time finding information about it). Finally I fell back on my mantra: If I can’t find any evidence that a treatment will hurt Martin, I’ll give it a try.

And so Martin and I spent Saturday morning in the office of a second naturopath-allergist, Darin Ingels, ND. Indeed, Dr. Ingels was a better fit for me than the first allergist. He listened patiently to my concerns and did a lot of explaining. We clashed over the issue of vegetarianism (a subject for another post), but he seemed to respect my opinions. He said nice things about Martin. Most importantly, he also used the Orion® system, and the results came back exactly the same as the first allergist’s. (I did not mention that I’d seen another allergist previously.) This put to rest a lot of my Rudy-generated fears about inaccurate testing or different results from day to day. Finally, this allergist allowed that I could put the prescribed drops onto Martin’s wrists and rub them in. I can live with that.

Based on this second set of tests, I am admitting that maybe we do need to lose garlic, onion, tomatoes (were limited anyway), peppers, eggplant, nightshades, and eggs from Martin’s diet for six months or so, further narrowing his universe of allowable foods. Garlic and onion will be tough; they are mainstays of my cooking. But eggs will be worse still. Since adding eggs to Martin’s diet several months ago, I’ve become quite dependent on them for breakfasts and baking, and my mother uses them in her baking for Martin, too.

No problem, the allergist said. Try duck eggs, or quail. You can bake just as well with those, and they are a totally different protein than what Martin is sensitive to.

That was Saturday. Today is Wednesday. In between I’ve visited two Whole Foods Markets and two natural-foods stores, to no avail. I may have found the one item in desperately short supply in New York City: duck eggs. Next up, the farmers market. If I don’t find duck eggs (or quail!) there, I guess it’s on to . . .  an actual farm?