Thursday, October 10, 2013

Visit With The Neurologist

 Post to Parent Support Group - Thursday, October 10

Wish I had good news from the Neurologist but I will share our progress so far: Car ride over was 35-40 minutes of pure hell. The kid hates car rides and did not want to leave the house. He was put in the car in his underwear as he refused to get dressed. This is how we brought him in when the doctor was ready to see him. As expected our son was uncooperative to say the least.

My husband & I were asked several questions about my son's history. My son had his eyes looked at and his heart listened to. He refused to be weighed and have his height measured. The doctor is ordering up an MRI (for which my son will have to be sedated) and she wants to have him tested to see if he is on the Autism Spectrum. We do have a psychiatric evaluation scheduled tomorrow. Ride home was equally horrific. I hate torturing my son even though he hates us right now and wants us dead.

Where I see this going: My son will have to be put on medication, and I will be surprised if he is not hospitalized tomorrow after his psychiatric evaluation. If the MRI does not show anything, this will end up being a psychiatric issue. If this is Autism, also psychological / psychiatric.

I have a deeper appreciation for parents of Autistic children as they still don't know what causes it. I had a dose of reality today of what we all face.
I also need to remember that doctors don't appreciate parents that come in with their own diagnosis. I am no longer optimistic that we will get help on the Neurology front.

I have not given up but this is going to be a tough battle on all fronts. I'll keep you posted after the Psychiatrist visit tomorrow.

Tuesday, October 8, 2013

Going Post-al

Post to Parent Group Monday, Oct. 7. 4:33 p.m.


We are a list to be called if there are any cancellations for the Neurologist which is unlikely, so we have 10 days until our appointment. We were, however, able to get a Psychiatric evaluation scheduled for this Friday. Hopefully we can make it through the week.

Today did not go well. My son decided he couldn't go to school today so my husband took him to the pediatrician to get his ears looked at. My older boys have 2 days off, so my eldest went along to help. Unfortunately my son did not allow the Dr. to look at his ears and put on a show.

We took our videos and write ups to all 3 doctors. It felt good to get our "homework" turned in. I was slightly disappointed to learn that the person trying to contact us was not for research but for a psychiatrist that agreed to take us on. I am happy that we can be seen this week. Looks like we're likely to meet our large deductible this year. Yea!

If anyone has any pros or cons for drugs to help with Miso, please let me know. I would like to be prepared when we go in. I'm pretty sure we will have no other option to get my son stabilized so he can be reasoned with. Praying for a "Hail Mary" play at this point. I don't see how we will be able to avoid hospitalization without a small miracle.
 Kristina - "I do agree that until your son can be calmer and more rational meds may be needed. But getting him to take them is another issue. It took putting my then 13 year old in an pediatric psych hospital for 10 days to accomplish this. She's now 16 and better with the meds etc."
 " .... Ugh. We have been in so many meds. Honestly we took her off everything but Zoloft. Then Xanax only as needed which is like flying, family dinners etc. This seems to be key in trying to deal with her miso. ...."
Bernadette - My heart is broken into a million pieces for you. Each person is different, so sad to say, you will have to see what works for him. Antidepressants and mood stabilizers did NOT help my daughter. They made her worse. Each time they convinced me to put her on an antidepressant, 3 weeks into it, she became suicidal. She attempted suicide each time.
Laura - Kristina, does the Zoloft seem to work or make any difference for her? We have been thinking about trying that particular one. It is amazing to me that so many Doctors seem uninterested in MIso and don't want to do the research to learn more about it.
Kristina - It seems to keep her level and more relaxed. It took a while to get her to the correct dosage though. ALSO when she would get her period OMG she was nuts. We ended up getting her B/C pills to keep her hormones in check and level non stop. 
Update:   Looks like we got lucky; Neurologist appointment has been bumped up to this Thursday. Psychiatrist appointment is Friday. This is shaping up to be an action-packed week!
 

 Post to Parent Group Tuesday 2:30 a.m.

Our pediatrician called this evening (last night by now) to check on our son. I filled him in. One of the areas of confusion/misconceptions about Misophonia is that of control. The doctor sees that there is some power to "turn it off" at school and in public and therefore thinks my son has control over it. I had to explain that control is an illusion and that fear of public exposure is what seems to keep it in check. By the time our son gets home he needs to release. I emphasized my belief that we are dealing with a neurological issue with a psychological component. Our doctor told me he has not had time to do much research. I told him about my support groups and that I am able to compare notes with people from all over the world. I also told him about the desire for doctors to join support groups & the Misophonia Association for information. At the very least, I asked him to make sure any interested researchers know that I want to get involved and help them unlock the mystery of Misophonia/4s.

I had a few thoughts I wanted to share here.

1. Pediatricians tend to be overworked and underpaid. Our doctor almost always calls us at night. He is dealing with so many different issues and Misophonia is new to him. He does not have much time for research.

2. I don't like the name Misophonia and either does our doctor. He says it reminds him of miso soup. Sometimes it helps to explain Misophonia as a sound processing disorder where the onset of puberty and the absence of Neural pruning creates miscued connections in the brain. I believe Misophonia to be a Neurological cousin to Autism. It wouldn't surprise me if one day this is part of "the spectrum" of S.P.D.s (sensory processing disorders.)

3. While Misophonia is a HUGE part of our lives and may not be as rare as first thought, this disorder is not on the radar of most physicians. We need to educate. I also have been advised to have a concise list to present to doctors. My husband and I made up lists of triggers and goals we want to achieve. (I made a timeline of triggers and added the page to my blog).

4. "Trust No One" - (from X-Files) - This is a bit of an exaggeration but I think we all have (or will) come to realize that we need to drive the process with our children. I value the information I am getting from groups which empowers my decisions. Do not be afraid to question diagnosis and prescriptions. Get 2nd & 3rd opinions if necessary.

5. Loved the group hug from my last post. I feel the love here! I know this group is saving me $$$ of therapy!

O.K. brain dump over and I will try to go back to sleep for a few more hours! <3
Patti: With my son, he's worse at home because WE, his family, are the worst triggers. I'm not sure your son is "dumping" on you when he gets home. I just think the triggers are worse at home because he is more emotionally attached to you. It is a very misunderstood condition, but talking about what they go through helps to educate people. No matter what category you put it in, people will still have trouble understanding why chewing gum sends our kids over the edge!!
Kristina: OMG!!!! I had a heated discussion with my mom today about this exact topic. She doesn't understand why my daughter doesn't act out in public. I kept saying it's the disorder and we are closest to her etc. She insists Jessie can control it. I'm so glad you wrote this!!!!
Leslie: I have always felt that in addition to my being close to my child and therefore her worst trigger, she reacts more at home because she has spent her whole day "holding it in". I am her "safe" person. My love is unconditional. She is comfortable to express herself and show her emotions at home without judgment.  
 

Monday, October 7, 2013

Sunday Afternoon Kidnapping

 Post to Parent Support Group  Sunday, Oct. 6
Needed a break so my 16 year old son & I "kidnapped" my 12 year old miso-son and took him to my sister's house which is a 40-45 minute drive.
A 45 minute drive from hell!

Kid screamed at the top of his lungs and threw fits the whole way there. Big brother rode in the back to keep him safe. It took a while before my son calmed down in the driveway and my sister was able to carry him inside.

We left and went to breakfast. My sister called after a bit to let us know that my miso-son was calmed down and playing video games with his 15 year old cousin. I am anxious to see how the day goes. It is amazing he is able to function without his headphones. They even got him to play a game called "Mind Flex" which I think may be similar to Neurofeedback. At first their dog was a bit upset as he sensed my son's anger and anxiety, but once my son calmed down, the dog was much happier to be around him.

We are able to get things done around the house today. We are also considering our options. We have 11 days until we get in to see the Neurologist and not sure yet what is happening with the researchers that are interested in our son. As both my husband and I are now triggers for anger we are concerned about our child who tries to be in control of our house and won't listen to us.

One option is to have our son either live full time or on weekends with his Aunt and Uncle. They have a large house with lots of cool toys and technology. My only request was to not let him play "Grand Theft Auto" and it went without saying that any firearms or weapons would be safely locked away!

There are no group homes for kids with Misophonia and we are running out of options. Our pediatrician had asked about family members that our son could stay with when my husband asked about a group home as a possibility if things got any worse.

I'm hoping my son does well today and enjoys his time there. My sister will not (and should not) turn off her air or other household appliances. *fingers crossed*
 
I took advantage of some quiet time at home. I did laundry, went for a walk and relaxed. Around dinnertime, the phone rang. The caller i.d. showed my sister's phone as I answered. At first there was dead silence and then a quiet voice that was barely audible. "Mom, can you come get me and take me home?" I started to ask questions, only to have them go unanswered. I could tell it was a struggle for my son to be civil. I asked him to give the phone to his aunt. Apparently Colin was offered dinner but politely refused. He mainly ate junk food all day. My sister tried to show him their new electric car (Tesla) and our son seemed very uncomfortable about riding in it. 
It was raining even harder than before. I knew we were in for another tough ride and took both my older boys along for the ride. When we got to the house, Colin was in the lower level with his cousin. He seemed fine, just a little quiet the whole day. If my sister had not witnessed my son huddled under a towel, sobbing in the back of my car for 30 minutes when we got to her house, she wouldn't have known anything was wrong. As hard as this was on us, I am glad that I have a witness to some of the split personality that the Misophonia is causing. 
My eldest son went down to fetch his brother while I visited with my sister and her husband. My middle son stayed in the car, playing with his I-Pad. I ended up going downstairs to see what was happening when it was time to go. The rain had let up a bit and according to the weather map, another storm was due to hit in an hour.
 I was amazed to see Colin playing pool with his warden-brother while my nephew was engrossed in a video game. Everyone looked peaceful until my miso-son caught my gaze. He narrowed his eyes into his hateful-squint and softly asked me to "Get out of here". He thrust his pool stick in the air to shoo me away but did not want to make a scene in front of his cousin. 

Bumpy Ride Ahead

The journey home was every bit as horrific as the ride out. I had to use my wipers and defrost. My eldest did the bulk of the work keeping his brother restrained and safe. Middle son was a bit traumatized. He had no idea how bad the rides can be.
When we arrived home, we had to leave Colin in the car to rage. he continued to do so for the good part of an hour. When my husband tried to take him in, Colin refused and stayed in the car. We brought out blankets and towels.When I later brought one of the house phones to act as an intercom, our son was fast asleep, wrapped in his blanket, using the folded down seat as a head-rest. We locked him in for the night.
This morning Hubs ran the heat and requested I leave a bit later for work so Colin can continue to sleep in the back of my car. He will take our "homework"( video of a rage and a list of triggers and goals) to the Neurologist's office today. The biggest things keeping me together are the anticipation of medical intervention and my support groups. I am now part of an elite group of Misophonia Parents that have kids with extreme cases. Not exactly a goal of mine but at least I am in good company. Every day I pray for all of us.
We are a work-in-progress!

Sunday, October 6, 2013

Tired of Waiting

I've never been a patient person and I am tired of this miso-waiting game. We have 11 more days until Colin's neurologist appointment. We are still waiting for the call from Children's Hospital Behavioral Health Center to schedule a visit (psych research?).

Friday morning, I ended up leaving a voice mail for the person our pediatrician told us was going to call. My husband had to spend the day helping his mother fix things around her house. My in-laws live 90 minutes from us and my father-in-law has dementia. I was at work all day and did not want to miss her call. Unfortunately no word yet, therefore I have no details about what the interest is in our son.

Since my husband would not be home on time to pick up Colin after cross country practice, I had the "pleasure" of doing so. The older boys were upstairs, hanging out in their rooms when we arrived home. Colin made a sandwich and took a plate of food into the basement to watch t.v. and unwind. While he was chilling out, I heard his phone ring. I wasn't able to find it in time and checked to see who called. It was the same long-distance number of a telemarketer who called my phone earlier in the day.

As I was scrolling through his calls, I was immediately alarmed. His contacts consisted of swear words for each of us. My number was under "Mother F*cker" and his brothers and father also had swear words for their listings. Our house phone was under "Hell". To top it all off, the banner that flashed across his screen stated " I hate my b*tch Dad". Using profanity is against house rules.

I flipped out. He uses this phone to call us for rides, only to be abusive the whole ride home. I know this is the misophonia talking but I had enough. I marched down the basement stairs, ignoring demands of staying away and confronted my son. I screamed at the top of my lungs so that I would be heard through the headphones and threats my son was issuing. This is the only way to get his attention. I hate that it has come to this.

I stood my ground and refused to leave. I followed my son throughout the house. I had a message to get through to him. I will not be disrespected.The advice of  "Please do not punish him for the reaction to miso. Normal naughty behavior yes punish." stuck in my head. It is hard to know anymore where the miso ends and the bad behavior begins. I filed this under "Bad Behavior". 

Hubs was not as upset as I was but agreed this was unacceptable. He attributed the poor phone choice to being angry and bored. We've taken away all the other electronics and this is what he is left with other than his school books when he is in the "B & B". Dad reprogrammed the phone as Colin was fast asleep by the time he came home at 7:00 p.m.

A New Resting Place?

Friday night was the first night, Colin slept in the basement. When hubs went to check on him, our son was kneeling on the area rug with his head on the sofa. At least he looked comfortable. He slept the whole night down there only to be rudely awakened in the morning by the flush of the toilet. I forgot that the sounds of water rushing through the pipes are much louder in the basement. And thus another triggered start to the day.

Saturday was a whirl of activity. Colin and his oldest brother had cross country meets and my middle son had a quiz team tournament. 

Mid-day I had one of my former employees bring her two boys over to pick up an old boy's bike, a tag-along attachment for an adult bicycle, and a few other hand-me-down books and toys. She was forewarned about Colin who stayed in the basement and refused to come up to visit. My eldest son was home and helped watch the boys on our play set until he had to leave for his lifeguard job. This was the highlight of my day.

Other than taking a shower and coming up for food and bathroom breaks Colin spent the bulk of the day in the basement. Once again he had fallen asleep early, this time on the rug between the coffee table and the television. It was pitch black down there and we needed a flashlight to see where he was. Our miso-son looked comfortable so we him alone. 

I fell asleep watching Saturday Night Live with my 15 year old middle-son and woke up at the end of the show. Unable to sleep, I decided to write this post. It is now 3:30 a.m. Sunday morning and I am finally ready to get some shut-eye. At this point Colin is still in the basement.

Good night or should I say Good Morning?

We are a work-in-progress.
  

Friday, October 4, 2013

Still Standing and Hanging In

Yesterday afternoon I came home to find my husband on the phone with our pediatrician. The doctor was returning a call hubs put in about antibiotics. Colin recently had a blood test to see if he had any signs of the strep virus that causes Pandas. While the test results came back negative, we were wondering if there were any other bacteria that could be causing my son's condition and if antibiotics would help.

Our doctor replied no, however, he had some news. He reported back that there is interest in our case. There is a researcher (psychiatrist?) at Children's Hospital that wants to see our son. Her assistant should be contacting us to set up an appointment.

I wish I had a chance to speak with our doctor, so I could get the information first-hand. Things get lost in translation. It does appear that our pediatrician has been talking to Psychiatric department heads at both Ohio State and Children's Hospital. We know that there are other cases of Misophonia in our area but not sure the extent. From what I can tell from my support groups, Colin is a pretty severe case and a bit unusual. I've been pleasantly surprised at how supportive our pediatrician has been.

This was the one bright spot in our day.

Cloudy with a Chance of Rages


The morning did not go so well. Colin was more triggered than usual for the 1 mile ride and kicked Dad's car door before heading into school. There was no cross country practice after school so he was picked up at 3:30. Hubs got to enjoy raging all the way home that continued for some time. When I called from work to get the evening plan, I could hear yelling in the background.

Our 15 year old had a wake to go to for the friend who had died suddenly last weekend and piano lessons afterwards. Colin decided to skip swimming due to an ear ache (wax or water ?). I used my middle-son as a middle-man to communicate for me. I needed to know if I could get Colin to a doctor or nurse to have his ear looked at. I was told no, it was probably wax.

Shortly after my husband and 15 year old left the house, the lawn crew came to our next door neighbor. This is the source of our worst rages. No room in our house can shield our son from the sound. We quickly escaped the area in my mini van. Colin wanted to go to the movies but I went to Dairy Queen instead. He refused to leave the car and did not want anything. I bought a Blizzard on the off-chance he would eat it and some ice cream for myself.

I endured death threats and curses all the way home. My husband would be horrified that I responded with questions such as how & where?(it's going to be a surprise!)  and threatened to take my miso-son with me when told to "die in a hole". I don't think Colin really hears me during his rages.

Colin spent the rest of the evening watching t.v. in the dark basement. He likes to chill out alone and with the lights out. Eventually he came upstairs to his "B&B". We need to figure a way to install a hidden camera in that bathroom. I'd love to know what goes on.

The last few nights when I opened the door a crack to turn off the lights, he was not lying on the floor. It would appear he was standing up, leaning against the counter. I have no idea if he is trying to sleep standing up or if he is getting any sleep at all. Tonight (3 a.m.) , shortly after I turned out the lights, they came back on. I so want to go in and see what is happening but that is a huge risk for the rest of the family. I would almost certainly trigger a screaming rage and the other boys need their sleep. I am baffled as to how Colin can seem to function as well as he does at school.

At this point we are barely holding it together. We have a son who can not talk to us or even be in the same room. He will not eat food we have either prepared or touched (take out). He eats huddled at a corner of the kitchen  counter. From the moment he enters the house, he strips to his underwear, puts on his headphones and wraps himself in his blanket. This is our new-normal.

Help can not come fast enough.

We are a work-in-progress!!!!!!

Thursday, October 3, 2013

Misophonia Potpourri

Yesterday was a mixed bag of Miso. In the morning my son was only slightly triggered. Colin will usually retreat to a corner of the kitchen when his brothers wake up. He will turn off the refrigerator and eat his breakfast. These days he usually eats at the kitchen counter.

I walked in to find my son with his back to me eating string cheese and drinking a Boost nutritional shake, while packing his lunch. He will not allow us to prepare food for him these days. In a relatively calm voice my son pleaded with me, "Mom, would you PLEASE leave?"

I promptly turned heel and left the kitchen. I decided to take this as a small victory and posted this to my parent's group. A few short months ago, I never would have dreamed that the word "Please" and the absence of threats and swearing would be a good morning. A few short months ago a day never went by without my son telling me he loved me. Several times. Those days are now a thing of the past.

I checked in with my husband mid-morning to see how the ride to school went. Colin had entered the Miata before it was started (he usually waits) and removed his headphones for the ride. He held out until they were approaching the school to unleash his string of "I hate you"s and other unpleasantries. Again we filed that under #progress.

The night before (Tuesday Night), Colin had a cross country meet where he shaved a second off his time for a personal best. We also allowed him to rest/sleep for several hours in my mini van that was parked in our driveway. I'm sure the exercise and rest helped.

Another Dashed Hope


Yesterday afternoon, we had the new garage door installed. Hubs cleaned out and organized the garage so that we could park one car inside. The thought would be that Colin would be safer, especially during the winter months, hanging out in a car that is sheltered inside a warm garage.

Last night, after swim practice, Colin wanted to rest in my mini-van before coming in the house. Dad decided to test out the new door and pulled the van into the garage. Within seconds, our son was howling. The car was backed out and parked into the driveway. Perhaps claustrophobia set in? Maybe the smell of WD-40 the installers used?

Another perfectly good idea was shot to hell. At least we needed the new garage door. Back to the drawing board.......

We are a work-in-progress!


Tuesday, October 1, 2013

Perspective

I just got back from my evening walk. Nothing like a warm, breezy, Fall evening to gather your thoughts and put life into proper perspective. The last few days have given me plenty to think about. Colin has pretty much crossed over to the dark side of Misophonia where my husband and I are concerned.The hate for us is constant now.

Our miso-son still has frequent trigger-induced rages but they are mostly leveling out. He seems to be able to watch t.v. in the basement during prime-time for our neighbors to mow their lawns and is not as triggered as he first was.

The most troubling part of the Misophonia is that at times my child seems a bit feral when he scurries into the kitchen to gather snacks and take them back to his lair. Colin also has become a bit lawless. Saturday night he pulled an all-nighter, watching t.v. in the basement. I tried to get him to turn off the tv and come upstairs to his sleeping area but he refused. My husband came down and asked me to let our son alone so everyone else could sleep. I reluctantly complied.

Tragedy and Loss


Sunday evening my middle-son burst into our room to tell us he had just received bad news. A girl he was friends with in elementary school had suddenly died after a short illness. That was very sad to hear and shifted my view of our situation. I have been mourning the loss of our child as we knew him. This loss is most-likely temporary and I am determined to get that sweet boy back. Sadly there is a set of parents who have suffered a real loss.  One that is permanent. I can't imagine the pain they are going through. Things could be so much worse for us.

 

Where to Draw the Line


Monday night, Colin continued his bad behavior. He refuses to eat food that his Dad prepares for him. Lately when Colin fetches his food, he has been leaving a mess. He has been ripping the labels off  his Boost bottles, shredding them and leaving them in a pile. I have been feeling like we have been too accommodating
and our son has been mistaking our kindness for weakness. I decided to open up a can of worms and pose the question to one of my FaceBook groups:

I need the advice from the viewpoint of a Misophonia-sufferer: Can parents be too lenient on a child with Misophonia?

Our son has crossed over to the dark-side of miso and is very hateful toward myself and my husband. If he sees or hears us, we get messages such as "Stay away" "Leave me alone" "I hate you" "Go die in a hole"... and worse. He seems to think he does not have to follow any rules and at this point will not listen to us without a BIG fight. He will not eat any food we make, he watches t.v. in the basement whenever he wants, and tries to order the family around.

Oddly enough he is still getting along well at school and shows no signs of trouble at home. (We just heard back from one of our "teacher-spies".) We have 2 1/2 weeks till our appointment with a Neurologist. Our son is about a 9 on the MAS-1 scale and not yet on any medication.

We are walking on eggshells as to not trigger our son. On the other hand my eldest son is 16 and will not put up with this behavior. My miso-son is afraid of his brother and will not rage for him like he does for my husband & I. What level of discipline is acceptable? Or do we give him as much leeway as possible until his doctor's appointment? I feel damned if we do and damned if we don't.

 While I had been hoping to get the viewpoint of a Miso-sufferer, I seemed to get more parental advice. Much of which confirmed what I had been told about not even most people with Misophonia understand the few of us with extreme cases.

One comment in particular stood out and was what I was looking for:
For me, speaking as a person who suffers and remembering back to when I was a child. I think talk of punishment and seeing psychologists, and having wires hooked up to the kids head is terrifying for him.

Please do not punish him for the reaction to miso. Normal naughty behavior yes punish. The anger and frustration he feels with miso can't be helped.
If I was in your position I would see the psychologist on your own with out him. Don't for now involve him. I think what you have on your hands is a scared child, who doesn't quite understand what is wrong with him, add hormones and you have a big melting pot of trouble.

Find out how to get him on board then start seeing about treating him.


Another comment that made sense:

It's not the machine or the person it's the sound. Btw I was 12 when my dad died. He may well blame you if that's the case. If you're that mad you have to take it out on something until you learn how to deal with it differently.


Lately it has been hard to separate the bad behavior from the Miso, but last night a spanking was in order. Colin was given a few warnings to clean up his mess or he would face the consequences. When he refused to pick up his mess, Dad gave him a spanking. I wasn't sure if this really made any difference. Our son still was defiant and hubs cleaned up the mess.

Turns out that today when Colin tore the label off his drink, it was not shredded and was thrown away. Score one for discipline. 

Word from the Front Lines


My husband emailed two trusted teachers that are somewhat aware of our situation to see how things are going at school. One of the teachers is a much beloved Science teacher who has taught all of my boys and the other is a History teacher and track coach. Both were shocked to hear Colin is struggling at home. Our son actively participates in class discussions, seems happy and gets along with others. He is showing no signs of duress. 

We were equally shocked and relieved to hear this.

Other Developments


We have an appointment set up with a neurologist two weeks from now. We also have our new garage door scheduled to be installed tomorrow. I am looking forward to being able to park my van in the garage and turning it into an evening retreat for Colin when he needs to escape the sounds of the household. 

I've also been getting a lot of support and advice from group members. I've been warned about the horrible side effects of  SSRI drugs and advised to try going the Probiotic route. One mom offered to introduce her 11 year old son to Colin via FaceBook (too early for this but I will definitely keep them in mind when we are on more stable ground).  

I don't know what I would do without my support groups.  I feel so blessed.

We are a work-in-progress!