Seriously…STOP with the Hair!

As adorable as Josephine may look in the first picture (God, I LOVE that smile), I hate looking at it.  Her hair was finally back and beautiful and we CHOSE to get her haircuts, both around Easter and in early July.  But, once again, I was forced to make a decision I didn’t want to make – same as last year at this SAME time – to cut off most of Josephine’s hair because of TRICH.

I wanted to cry while explaining the the hairdresser what I wanted (or didn’t want is maybe the better way to say it), but I held it back and pressed on.  Inside, though, I wanted to shout at anyone to help us with this disorder and get my girl to stop pulling.

So, as we head into her 3rd birthday, part of me is saddened to know that her birthday pictures, while filled with joy, love, friends and presents, will also hold the horrible mark of Trichotillomania, a balding head with bits of peach fuzz sprouting all around.

Trich, Trich GO AWAY! Don’t Come Back ANY DAY!

Contrary to the title of this post, Josephine’s Trichotillomania has reared its ugly head.  Ironically, it is exactly ONE year ago since her first major pull.  Why now?  Josephine is a happy and funny little girl with a love for fish, paper and her brother.  So what is it about August?

My guess is as good as any, but think it’s certainly a path to consider…

Late July of 2010, Josephine started crawling on her own.  New words started emerging.  Progress was everywhere.  Early August of 2010, Josephine started pulling her hair.  She was overwhelmed by what was happening and found comfort in her own hair (and later, mine).

The hair pulling never completely went away, but certainly subsided enough so we could start brushing, styling and cutting Josephine’s hair.

Now we are in August of 2011 and again, we are seeing major progress with her skills – standing independently, cruising and walking independently (when the mood strikes her), improvement on a cognitive level – a lot for a 3 year old to process in a relatively short amount of time (I say relative because everything happens on “Josephine time”, not “the rest of the world time”).

However, while we are seeing great strides, Josephine again is having difficulty processing all these strides and takes it out the best way she knows … hair pulling (Trichotillomania)  and hair eating (Trichophagia).

I am very bothered, both in my heart and in my head, that the Trich as come back.  I have been told it may never go away, but I have also been told that Josephine is so young, so there is little data available to accurately give a prognosis.

I know another child with Tet 8p that also pulled hair, but that symptom seems to have disappeared for her.

So, is this a new symptom for Tet 8p that needs to be explored?  Would she have had this disorder regardless of her chromosome triplication?  Who knows and I suppose it’s best not to go there because I have to deal with the here and now and not the what ifs.  What ifs will cause ME to pull out MY hair and Lord knows, we don’t need another girl in this house that’s going bald!

My heart hurts because there is nothing worse than watching your baby hurt herself to soothe herself.  We try all we can to control her emotions and keep her calm, but when you are in the car on Route 80 in Pennsylvania or on the Garden State Parkway and a major meltdown occurs, little can be done to calm her down.  We stop the car, relax Josephine a bit, start driving again and the whole thing happens over and over again.

Do I wish Josephine could control herself and her Trich?  Absolutely.  Do I wish I could let Josephine’s hair grow long enough to make adorable pony tails?  Absolutely.

Do I think hair is what defines her?  Absolutely not.  Josephine is who she is, hair or no hair.  Just trying to ride out this next wave and keep hope that we can find a cure or treatment to help our little girl and this thing called Trich.

Bubbles, Bubbles Everywhere!

It might seem a bit odd that blowing bubbles is during a PT session, but most of the session start with bubbles, which helps calm down Josephine upon first sight of Lana (poor PT is gonna get a complex!).

Josephine still has trouble rounding her lips (well, she doesn’t do it at all, actually), so the fact that she is able to blow bubbles TWO separate times is certainly a milestone in my mind.  While standing independently no less!

Mixin’ It Up!

Another posting of Josephine and food – two of my most favorites!  Can’t live without either one!

This brownie-making moment was during a speech therapy session – learning how to follow instructions, learning about different foods, learning about different textures (not a huge favorite considering her sensory disorder), and the best part of it all, EATING THE BROWNIES!!!!

The Love Affair of Josephine and MEDEK

Get ready for the premiere of Josephine, MEDEK and Azriel: The World Tour.  Yes, folks!  After many long days and nights of wishing for more MEDEK videos, the producers of Josephine are proud to show off the stunning successes from Sessions 21-27.  PREPARE TO BE AMAZED (I know I am EVERY day)!

Session 21 (The Ramp)

Session 24 (The Balancing Thingy – the technical term)

Session 25 (The Steps)

Session 26 (Out of the Boxes INDEPENDENTLY!!)

AND FINALLY…

Session 27 (Up and Down the Ramp ALL ALONE!):  I would recommend watching this one and then watching the video at the top of this post to see the fabulous progress Josephine made in 6 sessions.  Tell me this little gal isn’t INCREDIBLE!

Josephine’s School Announcement!

I know, I know…Where have I been? What has been happening with Josephine? Where is she going to school? When is she going to school? So many questions. And all will be revealed in due time…Well, maybe not. How about now? Do you have your coffee and doughnuts ready for a nice read???

SCHOOL

I am proud to announce Josephine is the latest addition to P.G. Chambers School in Cedar Knolls, NJ!

First day of school is September 8 and that is the first day I will be a mess!  I know this is best for Josephine and for me, but my heart is still all aflutter at the thought of my J-Bean being in school.  Yes, I am counting the days until she can start this new chapter in our lives, but I also know I will be wishing for her to be back at home for the first few days…or at least first few hours…teeheehee!

I WILL be following the bus on the first day, as suggested by the head nurse and Josephine’s teacher.  And I WILL be bringing my husband along because I know I will not be able to drive to and from the school, unless I can somehow manage to hold back the tears (both of joy and sadness).

Regarding the services received at P.G. Chambers, Josephine will be getting 3 sessions PT, 3 sessions of ST, 2 sessions of OT, a bus aide, a personal aide and air-conditioned transportation in her wheelchair to and from school.  We will also continue with MEDEK privately with Azriel 2x a month.

WOW!  I really can’t believe that day is almost here.

I truly have to give major props to the caring and patient staff in the West Orange School District Student Support Services Department.  I was honestly prepared for a battle like no other after hearing about other parents’ horror stories with their districts.

From start to finish, Josephine’s placement process was top notch!  Our Case Manager, Alexis, was outstanding and went out of her way to give Josephine the schooling she needs and deserves.  The Student Support Services Director, Connie, is caring and treated us like people, not a number in the district.

Will we always have great success every time an issue appears?  Maybe, maybe not.  But I hope this thoughtful approach continues on, even if we DO have to butt heads a bit.

A Little BONK on the Face

Oops!  Guess who found out that concrete and faces don’t mix too well???  It seems our little Josephine decided to get ahead of herself during her PT session and got a bit too close to the ground…2 bloody lips and 1 possible broken nose later…

She’s fine, by the way.

Mama’s All-American Girl

Carrie Underwood’s song has been in my heart since Mother’s Day 2008.  I was on my way back from visiting my best friends, Janine and Jeffrey, in Massachusetts.  They burned Underwood’s album, Carnival Ride, saying I would love it.  That was an understatement.

I popped in the disc and headed back to NJ, with Little Sheldon in the back, sleeping from a long weekend with his best friend, Miranda.

Neither my hubby or I wanted to find out if the Bean-To-Be was a boy or girl.  And I hadn’t really been clear with which one the baby could be.  Until this song came on…

I heard the song, my heart was filled with butterflies, tears filled my eyes and I knew…I didn’t know, but my heart knew.

Fast forward 3 years later (almost to the day actually)…

I was driving up to MEDEK in New Milford and was in the mood for Little Miss Carrie.  Popped in the disc and relaxed into the 30 minute drive.

All-American Girl came on.  But now things were very different from 3 years before.

Duplications of 8p, brain disorder, low muscle tone, developmental delays, behavioral issues, hair pulling…Josephine.

My mind started racing about Josephine’s future.  Would she marry the high school football star?  Would she have a daughter of her own?

Tears welled up in my eyes, as they did in May 2008.  But these were not tears of joy.  These were tears of fears, tears of the unknown.  Tears of tomorrow’s possibilities.

Then I caught myself.

STOP!

Stop with the predictions.  Stop with the unknowns.

I looked at the little girl in my back seat of the 2008 Saturn Vue and relaxed knowing my girl is who she is…An All-American Girl.  Perfect in her own way.  Perfect as God made her.

Enjoy the song and think of Josephine while you listen.  It’s an amazing experience.