Showing posts with label expectations. Show all posts
Showing posts with label expectations. Show all posts

Tuesday, October 4, 2011

31 for 21: Expectations

I thought I would share a few articles from our book over the course of the month. One article in the first section of the book is written by Jenny Marrs. She's the mom of a teenage boy with DS. She has done a lot of work for kids with DS, but especially her son and pushing to his highest potential. She is well known (especially by the "old-timers" on there) on the Einstein-Syndrome list.

Expectations
By Jenny Marrs

John is 13 years old and has Trisomy 21 Down syndrome.  He took his first steps at 13 months, and began reading at 2 ½.  He knew all the alphabet and numbers by age 3, and was fully potty trained before his 3rd birthday.  Prior to Kindergarten, John was tested in word recognition to be at a first grade 6th month level.  In Math, he tested at a Kindergarten 6th month level.  Today he continues to excel in a regular 7th grade classroom doing the same work as his peers.

John is not the only child with Down syndrome achieving such accomplishments within typical time frames.  John is merely doing the things all children with Trisomy 21 are capable of accomplishing—provided they have not acquired medical or other complications which could affect learning capabilities.  Some complications that could affect learning capabilities are untreated thyroid, hearing or vision disorders, autism, brain damage, attention deficit, fetal alcohol syndrome or constant upper respiratory infections.   I do not believe that there exists a range of functioning in persons with Down syndrome merely due to the 47th chromosome.  I believe every child with Down syndrome is capable of reaching for the stars.  It is crucial that parents believe this, and then help their children to achieve this goal.

For the most part, in today’s world, I do not see a society that believes in what the child with Down syndrome can do.  The available information is outdated and there is an abundance of old stereotypes and misconceptions among professionals---professionals who should know better.  Parents have a hard job helping their child reach for the stars because they go against what most educated professionals think and say.  I began this journey by thinking that John would teach THEM and that we would be opening some eyes.  Some have been opening, but very, very slowly.  In general, rather than give John the credit for his hard work, most just like to shrug and say, “He’s high functioning Down syndrome.”   In reality, John’s function is a reflection of the opportunities he has been given and the hard work he has done. 

I think the biggest burden on our children today is the many labels put on them, beginning with “Down syndrome”.  In 1865, Langdon Down observed these children and made a list of symptoms that he felt made them different from other children. The word “syndrome” is defined as “a list of symptoms”.   Because of this list made in the year 1865, our children are burdened at birth with this label and list.  This label/list is why many people look at John but can’t see the child.  This is why some of his past doctors were willing to accept illness for him, and it didn’t even occur to them to attempt wellness.  This is also why most of society has so many misconceptions about Trisomy 21.  Down syndrome is a label that suggests symptoms that may or may not be there; symptoms that CAN be addressed and for the most part eliminated.

John has a medical diagnosis of Trisomy 21.  Research tells us that there are metabolic issues we need to address to prevent the extra chromosome from wreaking havoc on John’s system.  We address this issue.  However, John does not now carry nor will he ever carry labels designed to hold him back.  We know his many strengths as well as his weaknesses.  This allows us to address each issue as it pertains to John.  Not as it pertains to an entire segment of the population.  Not as it pertains to a study, and not based on past performances of various children in various situations.  Just John. 

Another injustice to our children is the developmental chart suggesting almost everything will be later.  Buy into that thinking, and everything is almost certain to be later.  Because of low muscle tone, John did need more help to accomplish gross motor milestones, but we did accomplish them in a typical time frame.  I believe in the importance of the “windows of opportunity”, and I believe those windows are the same in all children.  I believe that the child who develops within those windows of opportunity has an edge.  The professionals that I first looked to for guidance, my doctor, therapists, and Early Intervention providers, all accepted the “special” charts, and did not strive for a normal development.  Normal development would not, in most of society’s eyes, be realistic.  “Reality” to them was that John had Down syndrome, and their education and experience had taught them to expect less.  My reality and experience tells me that if you expect less then less is exactly what you will get! 

Because of low expectations, professionals are stifling our children’s potentials.  It begins at birth and continues throughout our children’s lifetimes.  As it turns out, the child fulfills all of those dire predictions, not because that was his potential, but because he was educationally deprived by a very archaic system.

Granted, society has come a long way from the days when the child with Trisomy 21 was institutionalized, but we haven’t come nearly far enough.  We have advocate groups whose goals are to have society accept our children’s disability.  Society is much TOO willing to accept disability.  I not only want society to see John, I want society to see John’s potential.  Just look at the list of symptoms that a child with Down syndrome is expected to have.  Next look at the description of Down syndrome in the American Medical Association medical book.  These do not describe my child.  This tells me that we have a long way to go.  These are examples of society’s opinions.  This is what is taught to our future professionals.  This is how they view Trisomy 21.  I will not put my child’s health or educational welfare in “society’s” hands.  “I will not let his schooling interfere with his education.”  (Mark Twain)

I am tired of seeing television shows that are intended to make people feel all warm and fuzzy because they accept individuals with Down syndrome and their so-called disability.  I want to see television programs that concentrate on ability, and will educate the public about our children’s true potential.  When John was an infant, care providers leant me a video portraying a child with Trisomy 21 who was included in a typical classroom.  Instead of focusing on a child beginning his school career, this video takes an older child who has been educationally deprived and who lacks discipline, and then follows him through the school year.  The truth is, the child with Trisomy 21 is capable of learning at an equal or above average rate.  Why do we accept educational deprivation for the child with Trisomy 21? 

I think most children with Trisomy 21 display signs of having difficulties with speech, and this makes it all the more difficult for people to see their potential.  This speech delay, coupled with society’s misconceptions, leads to greater misunderstandings.  If a child has a hard time presenting his knowledge through speech, it is hard for anyone to grasp how smart he is.  John had a very large vocabulary when he entered Kindergarten, but he had a hard time making sentences.   He was not confident with speaking, so he spoke very little.  Naturally, people made incorrect assumptions and judgments based on this child with a speech delay, and a label of Down syndrome.  When I told people of John’s reading capabilities, it was as if their eyes would glaze over.  They smiled.  They were polite.  Finally, they changed the subject.  I found that I needed to make videos for these people, or provide the opportunity for John to prove his capabilities in person.  Then the mouths would drop open, and they would ask, “How did he do that?” 

My heart goes out to the many children who have suffered because of society’s misconceptions.  These children have such wisdom to share and yet are unable to because they have a speech difficulty, and because society has a listening disability.  These children know that we are stifling their potential.  They know so much more than we can even grasp, possibly because they are content to be silent and listen, which is the avenue to true wisdom.

We need to believe what these children can do; we need to help them achieve their potential.  Remember, the syndrome doesn’t have to happen.  When society sees the extra that is in these wonderful children, they will perhaps change their tendencies to labels that predict doom.  Perhaps an amniocentesis that suggests Trisomy 21 won’t be seen as an opportunity to make a choice.  Rather, this child will be seen as the gift that he is; a child with more, not less; a child who will teach us more than we will ever dream of teaching him.  This child touches the heart in a very special way, and has a profound message for those who have the wisdom to listen.



Country Girl Designs

Wednesday, August 31, 2011

Why is There Such a Huge Range in People with Down Syndrome?

A mom, Nina R, on the Einstein-Syndrome list asked why there is such a range of symptoms in people with Down Syndrome. Why do some people with DS seem to be "severely affected" why do others with DS seem to be "higher functioning."

It's an interesting question. Another mom, Kris B, responded with a very in-depth answer that hit the nail right on the head.

With Kris' permission, I am posting her reply here.

Going way back to the cob web corners of my mind, I can pull out some ideas from my freshman genetics course that may answer this.  There is is a huge range of features/symptoms/abilities because there's huge variation in genetic make-up.  Genes exist in many different forms, called "alleles", and there are hundreds of genes on that chromosome.  No two people's genetic make-up is identical (except for identical twins of course).

There are so many alleles and so many genes that the combination possibilities are probably close to infinite.  Genetic variation is what makes us all so amazingly and dramatically different. So an extra chromosome disorder is going to express differently in every single person because of their unique combination of genetic alleles on that chromosome.  There are similarities in symptoms/features because each chromosome has a specific set of genes, so for the most part, the same "things" (proteins, hormones, chemicals, cellular processes) are affected, but how they are affected is dependent upon the alleles on that chromosome and the genes/alleles responsible for how that chromosome is expressed.

For example, say the extra chromosome contained the gene for hair color. Now, everyone with that extra chromosome is not going to have the same hair color.  If my son had the gene alleles for blond hair, then maybe with that extra chromosome, the hair color gene expresses twice as much and he has super blond hair or maybe that extra expression causes the release of more pigment so that his hair is much darker than it might have been.  But (without a completely unrelated mutation) his hair is not going to be black because he had no gene alleles for that.

Even more variation is added in when you take into account mutations that can occur when genes are in the wrong place on a chromosome or are switched between chromosomes.  All of this adds infinite variation into the genetic makeup of the baby even before he/she is born.  And the variation doesn't stop there, once born, there are tons of environmental and natural factors that also have an effect.  Maybe the extra chromosome causes an imbalance so that the child is severely depleted in Vitamin D, but that child lives in Florida and spends tons of time in the sun - that imbalance may never be expressed and/or known because it is already being fully compensated for just by lifestyle.

There is so much variation built into our genes that it is somewhat surprising that people with DS have so many "features" in common.  That is indicative of the 21st chromosome being pretty well conserved - meaning that the genes that are on that chromosome do not change position and/or swap out with genes on other chromosomes very frequently.
There are actually some of the chromosomes for which genes are routinely swapped around, which adds even more variation - because what chromosome and even where on a chromosome a gene is, highly effects how often it is going to be expressed.  So to clarify the difference between genes being swapped within a chromosome, genes being swapped being chromosomes, and chromosome duplication (T21), we can use a cake baking analogy:

Say there is a cabinet with 3 shelves on it and all of the ingredients to bake the cake are placed in specific locations on the shelves.  The cabinet is the chromosome, the ingredients are the genes, and the shelves represent the positions of the genes on the chromosome.

The first shelf i has butter and sugar, the second shelf has eggs and flour, and the third shelf has the flavoring and baking soda.  For a "normal" cake, the ingredients on the first shelf are "expressed" or used first and 1 cup of sugar and 2 sticks of butter are added.  Then the second shelf ingredients are expressed and 2 eggs added and 3 cups of flour.  Then the 3rd shelf is expressed and a tsp of each flavor and the baking soda is added.  Then the cake is baked and turns out as expected.

A gene switch within a chromosome would equal the locations of baking soda and flour being switched.  The baker doesn't know to grab the flour on the 3rd shelf - they just grab whatever's on the second shelf and add it in the amounts told to.  So now 3 cups of baking soda are added with the eggs, and then, when the third shelf ingredients are expressed, only 1 tsp of flour is added.  This would be a bad mutation.  A less obvious mutation would be that maybe two of the flavorings switch places on the 3rd shelf.  This may not even be noticed at all.

A gene switch between chromosomes would equal butter being replaced by something not found in this cabinet - something like carrots.  Two sticks of carrots are added from the first shelf instead of butter.  This would be a pretty destructive mutation.  Maybe instead carrots, the butter switches with lard - that might not be as bad of a mutation and may never be noticed and maybe it might end up being even better.

An extra chromosome would be like adding another second shelf (and second shelf ingredients) so now twice as many eggs and flour is added as the second step.  Therefore, the ingredients are out of balance and the cake does not turn out as expected.  Depending on what ingredients in what ratios are on that shelf will affect how "mild" or "severe" the cake turns out.  That is why people think that there are grades of Down Syndrome, when it's really just a yes/no question. Do you have an extra chromosome?  yes or no.  You can't have a little or a lot of DS.  You have it or you don't.  It's just the resulting problems that are so variable due to inherent genetic variability as well as environmental, parental, and other external influences.

Where TNI comes in is the theory that if you know what ingredients were added in duplicate, then adding in twice of the rest of the ingredients (or removing half of the extra ingredients) should create the proper balance leading to proper baking and development of the cake. I believe that by doing this, it is possible to achieve typical development and above because we are working so much harder at achieving the right balance for growth and development. Everybody - normal and DS alike - have genetic mutations that throw off balances here and there on the cellular level (genetic variation and mutations), most of us do not eat right or take the right vitamins, so these imbalances, which are usually not severe, are not corrected and cause limitations in some microscopic way.  By focusing so much on every aspect of nutrition and cellular balance, we are fine tuning our kids bodies to function at their highest possible level.

Country Girl Designs

Monday, September 28, 2009

Helping

My brother was born into a large family and never put off to the side. We've always treated him just like anyone else in the family, expected & encouraged him to help and do what the other kids do. Of course there are certain things he can't do as well, or it takes him longer to do, or he just isn't able to do yet, but those are few and far between. . . especially as he has gotten older.

If we didn't include him in everything and encouraged him to do things, I don't think he would be as far along as he is. We've never put any limits on him and he's always done well.

If he wants to do something, we let him try. If he thinks he can't do it, he is encourage to try some more. If he absolutely can't do it, then we will help him. But, he always gets so excited to be able to help and do things like the other kids.

He helps the kids empty the trash cans that are around the house. Of course he lags behind a little in keeping up with them running around the house, but he gets a kick out of helping. He empties the dishwasher all by himself and knows where just about everything goes. The dishes aren't necessarily put away perfect. The silverware may just be thrown in the drawer and not sorted, but at least he put it where it belongs. Someone will come straighten it up.

The other day I had Osiyyah & his twin sister, Yophiyyah, out in my bunny barn helping me fill water bottles, feed the kittens, feed the bunnies, hold the new day old baby bunnies, etc. Yophiyyah will typically fill the water bottles while I am feeding if she is out there. This time, Osiyyah wanted to fill bottles. So, I told him to find the bottles that needed filling and fill 'em up.

He took the bottles off that needed filled, had me open them and then he tried to fill them all by himself. Now, it's kind of a hard job, so he was not able to do it without someone's help. Yophiyyah offered to help, so he and her pushed the water jug spout in while the bottle filled up. It was so cute to watch them both work at it together and succeed in filling up the bottle!

Today I explained to him what the bottles looked like that needed to be filled and what the bottles looked like that were full. He'll get the hang of it soon, Lord willing.

And, since we're on the topic, here is a picture of him & his sister filling the bottles:


I think living on a farm has been even more beneficial to Osiyyah. He enjoys helping with all the chores and animals, so it makes him be more interactive and work more.

He waters the garden when everyone else is weeding it or picking stuff. He doesn't only water it though, he also waters himself (i.e. turns the hose towards himself), LOL! But, he has a blast doing it!

All this to say, don't put limits on your kids. Encourage them to do all they can and they may just surprise ya and succeed!

Qadoshyah

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