Friday, March 15, 2019

Cerebral Palsy Awareness Month




Smiling Girl
March is Cerebral Palsy Awareness month, and our family has a precious link to this disorder.  My daughter, Cecely, has an atypical form of cerebral palsy.  She has made it her life’s mission to not let the disorder to define her.  Instead, she has chosen to find joy and to encourage others who are dealing with any kind of pain or complication in life.  In light of my amazing daughter, I wanted to share our CP journey.

First of all, what is cerebral palsy?  CP is a neurological disorder that affects the control of the muscular system.  There are many types of CP and several manifestations and levels of CP symptoms.  We have learned that CP is very much an individual disorder.  There are a few main types of CP.  They are: spastic, dyskinetic (athetoid, choreoathetoid, dystonic), ataxic, and mixed.  People with spastic CP have increased muscle tone. This means their muscles are stiff and, as a result, their movements can be awkward…People with dyskinetic CP have problems controlling the movement of their hands, arms, feet, and legs, making it difficult to sit and walk. The movements are uncontrollable and can be slow and writhing or rapid and jerky. Sometimes the face and tongue are affected, and the person has a hard time sucking, swallowing, and talking…People with ataxic CP have problems with balance and coordination. They might be unsteady when they walk. They might have a hard time with quick movements or movements that need a lot of control, like writing. They might have a hard time controlling their hands or arms when they reach for something” and mixed CP is can be just that-a mix of any form (Center for Disease Control and Prevention, https://www.cdc.gov/ncbddd/cp/facts.html). 

Cecely was due in late-October of 2003.  Her father was in the military and often working on the base or on deployment.  When we were expecting Cecely, we had a plan.  I had read every book and watched various videos preparing me for childbirth, as Cecely was my first baby.  Having the plan in place, Cecely’s father was at work when I went into labor.  We had just moved into our first house the week before.  There were boxes left to unpack, walls to paint, and furniture to buy.  We had not been in the town long enough to know anyone.  Thankfully, my sister was visiting from college to help me get the house ready.  I woke up on an August morning, went into the bathroom and went into premature labor.  My sister called 9-1-1, and we had the first class, small town experience of a firetruck, police car, and ambulance in our tiny front yard.  My sister then had to call the Red Cross to get an emergency message to Cecely’s dad.  My family lived seven hours away, and they hit the road immediately to get to the hospital.  All I kept saying was “this isn’t the plan!  This isn’t what the books said would happen.”

Baby Girl
Several hours later and after two failed epidurals, Cecely was born on August 20th, approximately 2 months early.  When Cecely made her entrance into the world, she was not breathing.  Her tiny face was blue.  The nurses quickly took Cecely away from her dad and me.  What seemed like hours (but really was a few minutes) later, Cecely began to cry.  It wasn’t a baby cry, though.  She sounded like a cat or, if you are a Harry Potter fan, like a Mandrake.  Initially, the doctor considered having her airlifted from the base hospital to a big children’s hospital an hour away.  Thankfully, Cecely was finally breathing on her own, and she was taken to a special nursery (this was a very small hospital and there was not a NICU).  It was a few hours before we were really able to see and hold Cecely.  She was a healthy weight of 6 pounds even and was 19 inches long…not bad for a preemie!  But she looked so small.  She was also very sick.  Cecely had an APGAR score of 3, intense jaundice, and severe colic from the start.  During her first year, she spent time on a bilibed (which made her look like a glowworm), had several ER visits, and kept the doctors guessing. 

When Cecely was a toddler, there was a lady who volunteered in the nursery at our church who told me she thought something was wrong with Cecely and encouraged me to have her tested.  I had worked with children my entire life, and I was never an advocate for all of the testing and milestones.  I knew that Cecely was behind on motor skills, but she was very early to talk!  I was (and am) of the mindset that every child develops at their own speed.  I hated the idea of having Cecely tested.  Instead, I went crazy-mama-bear on this lady and refused to think about it anymore.

When Cecely was 4 years old, our family moved back to our hometown.  By this point, Cecely had a little brother, Titus.  We found a preschool program for Cecely at a wonderful school.  Cecely was born independent and very social.  She loved going to school.  Titus and I would hang out in the classroom from time to time.  The teacher of this class was a former special education teacher.  She encouraged me to talk to our pediatrician about being evaluated by a neurologist.  This time, I listened; but, our pediatrician didn’t.  The argument was the age-old battle between the medical world and the education world.  We kept trying pediatricians until we found one who would write the referral to a pediatric neurologist.  Once we visited the neurologist, Cecely was submitted to a CAT Scan, an EEG, and several other tests.  I hated seeing my baby girl be medicated in order to complete the tests.  I was scared of what we may find out.

Dancing Girl
The results of all this testing gave us some overwhelming information.  While I was carrying Cecely, she had a stroke that triggered her premature birth.  The stroke combined with the lack of oxygen at birth caused brain damage.  The brain damage was labeled Cerebral Palsy.  At this point, we began to understand and see the academic delay Cecely was experiencing.  Because of the neurologist and teacher, we were able to get Cecely therapy services.  As Cecely continued in school, her academic delay became more noticeable.  At one school, we were told she had plateaued and would not be making any growth academically.  The answer was to move her to the special education classes.  I worked in those classes and loved those children, but those were not the problems Cecely had.  The reality was the school was not staffed enough to handle what Cecely needed, and it would be easier to lump her in another class, put a label on her, and let that be it.  That is when we pulled Cecely from school and began to homeschool.  Yes, she was behind, but she was able to make great strides academically.

We had some changes in our family, and I needed to go back to work full-time.  We lived in a low-income school district.  This time, there was a great staff, but still no real support for Cecely.  By this time, she was in 4th grade.  The delays she had were noticeable to other students.  She was called “stupid, retarded, idiot” by classmates.  There was one girl who found great satisfaction in lording over Cecely.  She used her size and reading level to degrade others.  She targeted Cecely to the point where Cecely stopped using the bathroom at school and developed some urinary tract problems.  As I dug into this, I learned that the classmate would hold the door on Cecely while in the bathroom so she could not get out.  She would pin her in between the sink and the paper towel dispenser.  She would tell her she couldn’t leave the bathroom until Cecely cleaned up the girl’s mess.  I was furious over this and began to go to the school during my lunch break.  I was now a single mom and did not have the ability to be gone from work.  The principal was great, the teacher was great, but they could do nothing.  Expelling the student put her in danger because of her home life.  They tried to keep the girls separated as much as they could, and I would “volunteer” in the classroom as often as I could.  Here is a testimony to how amazing my little girl is…at the end of that hellacious school year, she hugged her classmate, wished her a good summer and told her she would be praying for her.

As we approached the middle school years, I became afraid for Cecely and school.  Thankfully, she won a lottery spot at a charter school.  This was a completely different experience for us.  This school was exactly what Cecely needed.  They gave her every opportunity academically.  They encouraged her.  They kept her safe.  They loved her well.  This was when we started having new realizations with Cecely’s CP.

For Cecely, CP meant academic delay, fine motor skill trouble, some gross motor skill issues, tremors in her limbs when she was fatigued, slurred speech when she was tired, and her left leg and arm turning inward.  The charter school professionals knew all of these and worked well with us.  Towards the end of 7th grade, Cecely began to start having new symptoms.  She began having pain—sometimes so horrible that she could not move.  Her leg muscles would completely constrict and “lock up”.  Writing had become painful.  We went back to the neurologist who referred her to a genetic specialist.  A year later and thousands of dollars later, after many more tests and doctor visits, the answer was Cecely’s form of CP was atypical.  Generally speaking, the CP symptoms a person is born with are what they have forever; they are static, they don’t get better or worse.  There is no cure.  Cecely’s symptoms did not fit in a specific category, so we have the “atypical” label. 

Now, we have a transfer chair at the ready for Cecely.  There are days when she can walk for 30 minutes with no problem.  Other days, after 30 minutes, the pain is so great, she can hardly talk.  So, we have a chair on hand so she can be wheeled around and still get to experience everything she wants.  The neurologist ordered muscle relaxers to help, but my husband (Cecely’s step-dad) and I are very much against the side effects she had with them.  We have found the swimming, stationary biking, and massages give Cecely temporary relief; the same as the muscle relaxers that also turned her into a She-Hulk.  We are operating on the understanding that more changes in this disorder may come our way.  We are so grateful for the severity of her CP, because we know so many other sweet children and teenagers who are not able to do the things Cecely can.

In 8th grade, Cecely’s teacher assigned the class the task of researching and presenting on a topic that could help make a difference in the world.  Cecely chose awareness for people with disabilities.  She used her own experience and the stories of others to present to her class the importance of treating others kindly.  She was asked to present her project to each class in her school.  From that, Cecely started her own YouTube channel called Cecely’s Corner.  Her mission is to share her stories and the stories of other people while giving hope and encouragement to her viewers.  She truly wants to be a light in a crazy world.

Cecely's Support Team
The diagnosis of Cerebral Palsy rocked my world 15 years ago.  I look at my daughter today, and I am in awe.  She is strong, brave, independent, compassionate, and joy-filled.  I believe she was created exactly how God intended her to be.  She has a purpose on she can fulfill.  She has a heart to love others in a big way.  She has a smile that puts any spotlight to shame.  I look at my son, Titus, and see how watching his sister has shaped him.  He has become one of her best caretakers.  He holds her up when she needs extra support.  He keeps her safe.  He is always on the lookout for her.  Cecely’s sisters are also great advocates and have blossomed into an awesome care team.  CP is a part of our family, but it does not define us!