Adapting and Re-Adapting

In my book, I talked about my struggle to communicate with Billy Ray. I was doing everything recommended by the various professionals and nothing was working. Here is a brief excerpt from that chapter:

“I was taking pictures of each step in an activity and writing text about each step. Some activities took more than one page. The consultant assisting us at the time would say, “You will lose his interest if they are too long.” So I shortened them and tried to “do it right,” but discovered he only responded to my detailed visuals that contained real pictures. Again, you must adapt to your child’s needs and responses, not someone else’s ideas.

“Eventually we got a scanner and Larry scanned everything, even old Polaroid pictures. We wrote stories about various events in Billy Ray's life such as the story of his adoption. These were called Billy Ray’s Stories. He loved having his stories read to him and seeing pictures of himself doing the activities. You have to do what works for your child, period.” Excerpt from Chapter 9, Two Essential Words: Communicate and Adapt, used by permission of the publisher from "Parenting Your Complex Child" by Peggy Lou Morgan © 2006 Peggy Lou Morgan, published by AMACOM, division of American Management Association, New York, New York. http://www.amacombooks.org/

Billy Ray may be more complicated than some of your children because he experiences medical issues combined with multiple special needs issues. However, I think the principle of today’s post applies to most children and adults who experience special needs. We, as parents, generally don’t have the luxury of continuing to do things for our children because it is the way we have always done things or because of some established program.

It has been necessary to write addendums to the Long Term Vision and Care Plan through our county case manager for the coming year’s funding for in-home supports. As I wrote it, it occurred to me that I am the one changing more than Billy Ray here. Adapting is not a once and for all times thing, at least for my son. Here is a cut and paste to the addendum for the care plan:

“If his mother, and primary caregiver, remains very aware of potential pain, intestinal issues (bowel regularity), changes in blood sugar, assuring that conditions in his environment are not such as to agitate him, etc., etc. Billy Ray is able to function with less of the extreme agitation (physical aggression and property damage) that he was experiencing in the last writing (11/6/06). However, it should be noted that his tolerance for pain, routine and environmental concerns has actually decreased. Mom must be on guard at ALL times to assure that these matters are addressed BEFORE they go into severe agitation or a meltdown. This balancing act requires constant vigilance on the part of the family.

“Community activities are more of a challenge presently. On the one hand, Billy Ray wants to go. On the other hand, he is experiencing a substantial reduction in energy level so major flexibility must be allowed so that he can go out when he is able. This makes scheduling regular activities much more difficult. The only vocational activity he continues to participate in is his Meals on Wheels delivery. He is able to maintain that route which he loves because his stepfather does it alone when Billy Ray is not able to participate. Billy Ray still participates probably 3 out of 4 weeks but it exhausts him sometimes for several days. He continues to do restaurant meals and trips in the car as he is able because these can be done without as much scheduling.”

Whether it is because of physical changes, development or other issues a child is experiencing the need to adapt and readapt is a sure thing.

We are adapting in another way too. We have frequently talked about Billy Ray’s skin issues. (See here on this blog and here on my website for more details on our skin care regime. ) Until recently they were not on his face. He has a heavy beard and shaving is at times a struggle. We talked with the pediatricians years ago about whether growing a beard might be a good answer. That recommendation was that we not do that for sanitary reasons. However, Billy Ray is now getting lesions on his chin and while he doesn’t get lesions under his chin, his neck is gets irritated very easily from the shaving. After discussion with his present PCP, Brice Stanley, we decided to grow a beard because shaving may be causing more problems than it cures.

However, following the advice of our then pediatrician we taught started shaving pretty early. She suggested that we make it fun by having family who would normally give Christmas and birthday presents (his birthday is near Christmas) give him various types of after-shave and supplies for shaving. That way we could find his preference. It worked. He loves Brut and uses it for after-shave and deordorant. Shaving is a part of his bath routine. Thus, we are doing a gotee and he is fine with that as long as he gets to shave and wear Brut. Here is a picture of our start:

I will post another one when he has grown it longer.

Keep Adapting and Re-adapting,
Peggy Lou Morgan
Blogs: Amazon Author Connect, Parenting a Complex Special Needs Adult and Lighthouse Parents

Websites: Parenting Your Complex Child, Lighthouse Parents and Peggy Lou Morgan.com (under construction)

Club Mom Articles
Parenting Your Complex Child Yahoo Group

Here We Go Again - Update on Billy Ray

I haven’t posted for a while because my readers know me so well and take some of my worries about Billy Ray too seriously for their own kids. I like to be sure about my facts before sharing our struggles. Apparently, I am not going to have that luxury. We are in a struggle to verify Billy Ray’s situation in order to get him appropriate medical care.

Some kids seem to get every potentially bad reaction from medications or their genes. If there is even a .2 percent chance that you will get one condition if you have another one, you might as well plan for it with some children and adults. My son is apparently one of those. Trying to be positive about my infertility, I remember thinking that at least my adopted child would not have to inherit genes from our families that included epilepsy, diabetes, high blood pressure, migraines, and even mental illness. Apparently that was a misplaced hope given all the genetic things we are finding about Billy Ray.

As stated here sometimes Moms (and Dads) just know that there is something wrong even before it is confirmed. I have email to medical providers going back a long time where I said he is better but I still fear there is something we have not found yet. We have dealt with pancreatitis, diabetes that didn’t seem to be effected by diet one way or the other, repeated sinus and ear infections, etc., etc.

In September, he had surgery (the Nissen procedure) for severe acid reflex and seemed to be getting his strength back pretty well. The choking and the breathing issues seemed to improve right after surgery. He started gaining weight, which, at first, seemed like a good thing.

Then all winter it was one sinus infection after another and major bowel issues. Somewhere along the line, I realized he had more thick mucus in his nose and throat even when he didn’t have an infection. He would walk around the room and gag or cough similar to how he did with acid reflex while he was eating but this time no eating or drinking was involved.

I noticed that he was starting to sweat a little, which he had never done even though he tends to wear far too many clothes in hot weather. His energy level dropped rapidly at times. Whereas he used to never stop unless he was extremely ill, he seems to have sprints of energy on occasion but lots of times he seems to have no energy.

We truly have the most thorough and caring medical provider you could hope for but I think he was as baffled by this change as I was.

One day, I called Kate Crowe, genetic counselor, who wrote the foreword to Parenting Your Complex Child. I had called only to tell her that my book was finalist in the 2007 Nautilus Book Awards. She is such a busy lady I usually expect to leave a message. She was there and had a couple of minutes between patients. At the end of our conversation, she asked about Billy Ray and I shared a bit of what was happening. All of a sudden, she told me to hold on and she looked on Kaiser’s computer (Billy Ray had been seen at Kaiser since adoptive placement at 14 months old until we moved here when he was 22 years old). When she came on the phone she said that they had never been screened him for Cystic Fibrosis. Many of the symptoms he is now experiencing didn’t occur until after our move so didn’t trigger Kaiser to screen.

There is more being learned about a possible connection with Down syndrome and Cystic Fibrosis than in the past. I had never heard of that connection before but when I did a Google search for Down syndrome and CF it came back with over a million results. There was an article documenting the connection in the sixties. I don’t think it is that common but apparently it is not new.

So here we go again. His energy level has changed so we have to redo his schedule for things are flexible in terms of time frame and in terms of energy requirement. The one exception is he still goes for his Meals on Wheels delivery most weeks. He is exhausted afterwards but it is important to him to do it.

I will try to keep up more with this blog as we kind of get caught up with his schedule.

Until next time,
Peggy Lou Morgan
Blogs: Amazon Author Connect, Parenting a Complex Special Needs Adult and Lighthouse Parents
Websites: Parenting Your Complex Child, Lighthouse Parents and Peggy Lou Morgan.com (underconstruction)

Club Mom Articles
Parenting Your Complex Child Yahoo Group

Another Development Regarding the Pillow Angel

There were several visitors who had searched using the term pillow angel and came to my post about it. Apparently, there is renewed controversary because the procedures broke Washington law see CNN's article here .

Billy Ray and His Clothes Hangers

Billy Ray loves hangers. They seem to have taken on a whole new facet for him in the last few years.

When he was little his Dad used to buy him toy guns. It was not my preference but I felt Raymond should be able to make decisions regarding our son too and it wasn't a big deal at the time.

After Raymond's death and meeting Larry, Billy Ray began watching Larry's John Wayne movie collection. I became increasingly concerned about how realistically he played with guns. He didn't have toys that could be mistaken for real guns but living in a hunting and farming area, I was afraid he would come upon a real gun sometime and not understand it was not a toy. Larry and I talked to him about it and eventually traded him something (I can't remember what now) for his toy gun collection.

Billy Ray was amazingly accepting of giving up his guns but soon thereafter he started playing the "action scenes" from John Wayne movies using plastic clothes hangers as substitute guns. He began taking over the heavier hangers I kept for Larry's jeans if they were left in the laundry room. Soon we had to color code them in order to have any for Larry and my clothes. Billy Ray's were the white ones and we bought him the heavier ones.

Hangers not only serve as toy guns, they are a blaton that he conducts music with when he watches Mr. Holland's Opus and many other activities. They are with him much of the day. Fortunately he accepts that he can't take them out of the house but he wants to lay the one he is carrying by the front door as he leaves the house. As you can see they have a way of sneakng into family pictures such as the above taken last Thanksgiving with four of his "neecees and nefews" (nieces and nephews).


If all of our blogger friends ever got together, I'll bet we could laugh at the various treasures our kids enjoy.

Sorry I have been so delinquent in posting. A lot going on. It seems we have been sick all winter and dealing with my parents' situation. There may be some more medical news for Billy Ray but I will wait to confirm that until we know for sure.

There is some other news about Parenting Your Complex Child. My publisher, AMACOM Books, entered it in the 2007 Nautilus Book Awards Contest and we have made it to finalist. The winners will be announced at the Book Expo America in early June. I am very honored to even be a finalist.

Until next time,
Peggy Lou Morgan
Blogs: Amazon Author Connect, Parenting a Complex Special Needs Adult and Lighthouse Parents
Websites: Parenting Your Complex Child, Lighthouse Parents and Peggy Lou Morgan.com
Parenting Your Complex Child Yahoo Group

The Sandwich Generation with a Special Needs Child

I have heard a lot in the past few years about “the sandwich generation” where parents are caring for their children and their own parents. Only recently, have I begun hearing about sandwich generation parents where one or more of the children experiences special needs. Maybe I am just paying closer attention to it because that is where we are right now.

When my brother and I talked about my parents needing to be with one of us it was a major consideration for me. There were many things for me to look at in deciding whether we could handle incorporating my parents into our home.

The folks need a single story house which we have but the only bedroom for them was next door to Billy Ray’s room and his noise would keep them awake and stirred up. Additionally, Billy Ray has been in and out of the hospital 5 (or is it 6 – I have lost count) during the past two years. I am not able to leave the hospital when he is there. We have actually rented a motel room a mile from the hospital a couple of times and I have not even been able to get there except maybe long enough to shower. During those times, it would be impossible to care for my folks.

I also had to look at how well my mother and I would get along. I am not going to go into it fully herein but suffice it to say my relationship with Mom has been a challenge my whole life. We are very different people. I am more like my maternal grandma (a people person and a messie) and my mom is a cleanie. Mom is not the animal person that I am. I feared she wouldn’t accept Billy Ray’s service dog (although she has accepted my brother’s dog well).

My brother and I decided that he would bring my parents to his house. One of those chair elevators was put in his stairwell but Dad’s health deteriorated quickly and now he is in a hospital bed in my brother and sister-in-law’s living room until arrangements can be made for a nursing home for him.

We visited my brother’s home in a neighboring state last month. I see how it has taken over the lives of my brother and sister-in-law. I see how exhausted my brother seems. I feel badly that I can’t help more than we are able to do.




As you can see by Billy Ray gently leaning over to hug Papa with Grandma’s assistance in the picture above, he handled the visit as well or better than we could expect. However, when we tried to stay with the folks for a few hours so my brother and his wife could get it, the conflict between the care of my son and my parents became clear. Mom and I did work together on feeding Dad and Billy Ray but it was a struggle that probably would have worsened with time. It was difficult to watch Billy Ray and attend to Dad. I feared he would somehow ruin my sister-in-law’s beautiful décor or be too rough with their little dog (as you can see in this picture with my sister-in-law and "Coda" he loved him but Coda is not as sturdy as the service dog at home).

Billy Ray requires one on one care at home. We have to constant monitor. It didn’t take long to see that it wouldn’t have worked here on a day to day basis.


I finally came to realize that being stuck in the guilt I was experiencing was impacting our lives including Billy Ray’s. Sometimes you just have to get back into the idea of the Serenity Prayer again. Change the things you can and accept what you can’t change. There are just some things we can’t do but it is hard to accept that in times like these.

Until next time,
Peggy Lou Morgan
Blogs: Amazon Author Connect, Parenting a Complex Special Needs Adult and Lighthouse Parents
Websites: Parenting Your Complex Child and Lighthouse Parents
Club Mom Articles
Parenting Your Complex Child Yahoo Group

Our Adoption Anniversary

Today is the 23rd anniversary of becoming a family. I read that you should tell the story of a child's adoption just as any other bedtime story and frequently told him the story rocking him to sleep at night. Eventually I just started telling him the every year on his adoption day. When I started doing visuals I created one for his story. It's on my website here.

Another suggestion from my reading about adoption was to have an adoption birthday just as any other birthday. We have always done that but now we call it our adoption anniversary because it gets confusing as a birthday and because it was really a special day for me too. Throughout the day each year I tell him what I was doing or we were doing at various times of the day. For example, Raymond (my late husband) couldn't get the day off to pick him up so my mother went with me to the adoption agency. We call my mom every year at approximately the time (10:30 a.m.) that we picked him up. That way we sort of share the anniversary with her. They both love it.

Today my thoughts seem to be running to how far we have come and how many expected turns we have taken. Also how much different I am because I have had the joy of being Billy Ray's Mom. Hopefully we have made a difference in his life too.

Earl, my stepson, told me at the time of Raymond's death that Billy Ray was the best thing had ever happened to his Dad. It did change him a lot.

When Billy Ray was little saying "Earl" would come out "girl" so Earl taught him to call him "Bubba" for brother. When we went to California to meet Larry's family, Billy Ray immediately started calling Michael "Bubba". It was like he just recognized him as a brother from the start. Michael is Billy Ray's champion. He talks about him everyday many times a day. The above picture was taken with Michael and his wife, Rebecca, at Thanksgiving.

There is so much more that I could say about our life together but Billy Ray is ready to have his story read to him and we have an adoption anniversary to celebrate today.

Until next time,
Peggy Lou Morgan
Blogs: Amazon Author Connect, Parenting a Complex Special Needs Adult and Lighthouse Parents
Websites: Parenting Your Complex Child, Lighthouse Parents and Peggy Lou Morgan (under construction)
Club Mom Articles
Parenting Your Complex Child Yahoo Group

Establishing Relationships That Last for Your Adult Child When You Can't Be There

You may have noticed I haven’t written much since starting this blog. To be honest, I am struggling a bit trying to decide what to put on this blog and what to put on Parenting a Complex Special Needs Child. My big thing has always been preparing for adulthood and I have written about it extensively. However, sometimes you have to start where you are. Thus, today’s blog.

As parents we expect to around to be a support when our adult children go into an apartment or program. We may not be able to do that. I have a whole chapter on estate planning in my book because I often became guardian or trustee after the parent had died or became too ill to advise in the care and planning for their adult child. I created a form for medical and development history, visuals and documents about the routine and care required for my son so they are available to someone in the event I am no longer able to communicate his needs to the appropriate person.

However, last summer I had the privilege of sitting in several of Dr. David Pitonyak’s sessions at a conference where I was speaking. It gave me real pause to take another look at planning. Dr. Pitonyak kindly puts the handouts for his various presentations on his website. You will find them great reading.

One of the things that hit me hardest was Dr. Pitonyak’s statement “Imagine if the only relationships you had were people who were paid to be with you?”

I don’t mean to imply that every family who has a member with disabilities is isolated; however, many are. Some marriages become real teams and others fall apart when confronted with parenting a child with special needs. Long-term friendships are hard to maintain with the responsibilities we carry. Depending on your child’s situation it may seem overwhelming to go out in the community so isolation becomes the norm.

If your adult child is in a group home or some kind of facility it would be easy to say he or she has plenty of friendships among staff or fellow residents. In The Importance of Belonging, Dr. Pitonyak says: “Although paid staff can be friendly and supportive, they frequently change jobs or take on new responsibilities. The resulting instability can be devastating to someone who is fundamentally alone.”

Fellow residents may also be short-term or your adult child may be moved to another placement. These relationships are not necessarily enduring.

Friendships for your child or adult child can be established in much the same way you develop friendships. You meet someone with similar interests or background. If he or she loves to bowl spend time at the bowling alley. Other people there doing what they love get used to see you and your child there. Comfort level usually increases and sometimes relationships ensue. Whatever he likes to do spend time in a regular setting that enables him to do what he loves and to meet others with that same interest.

Some relationships may come from within one’s family. An example for Billy Ray is one of his “neeses” (nieces). He has good relationships with many of his step-nieces and nephews. One is especially close – if I am talking to this step-granddaughter on the phone and she hears Billy Ray in the background she will say “is that Uncle Billy Ray? Let me talk to him, it will help.” It does help calm him to talk to her in person or on the phone. I have noticed that he interacts with her more than with most people. You can tell he makes an effort to do that because she is important to him.

I was reminded of the importance of common ground in relationships recently when we spent a weekend visiting at my brother and sister-in-law’s house. My brother remarried a few years ago but we haven’t had a lot of opportunity to get to know his wife, Meri. She is a social worker so responses to Billy Ray were probably more natural than they might be for some. However, besides being very good with my son, they clearly shared a mutual interest in dogs. The picture shows Meri sharing her dog with Billy Ray.

Dr. Pitonyak also talks about the importance of having someone who holds a person’s “story”. I plan to write on that in another post. However, I wanted to say that having relationships that endure after parent(s) are no longer available, especially if that person understands what life was with parents and really knows a person is vital to their security and happiness.

Until next time,
Peggy Lou Morgan
Blogs: Amazon Author Connect, Parenting A Complex Special Needs Child and Lighthouse Parents
Websites: Parenting Your Complex Child, Lighthouse Parents and Peggy Lou Morgan.com
Club Mom Articles
Parenting Your Complex Child Yahoo Group