Day 52 our Wound Dude got new short arm splints that cover both of Carson's forearm areas. They are by the same company that made our banana peel splint so these have the Houdini straps as well. This allows the doctors to feel better about Carson's elbow/joint mobility and range of motion.
We have had a few minor set backs on the arms, where he has gone after the area that is exposed on the wrist & thumbs. They're sadly a little raw now, so that has left him with socks covering his hands. I call him my lobster boy, but it's not slowing him down eating at all. Splint Guy who has helped fit Carson for all these splints, had suggested there are chewy things for sensory kids with oral fixations. He likened them to Kong dog toys, and I looked them up and he is right--Kong for Kids! We'll probably order some, but for now we're sticking with socks.
Carson likes the pressure of his arms being in the splints, even when he has episodes where he tries to bite, he will then stick his hand/arm out for your to re-cover him and then he's fine.
It will be good he can keep all of these splints so if he has bouts of these biting episodes, his arms can be safely kept out of reach.


His arm wounds are healing nicely and quite fast with the silver in his special bandages. I'd show you pictures but anyone new to Carson's situation that comes in (even on his medical team) think it looks bad. But all the doctors/nurses/techs/sitters all laugh because we know just how great it really looks compared to day one. Wound Dude calls it "beautiful" and refers to him/his arms in his classes he teaches in rotations.
Carson has been happy for the most part, but has had a couple weeks of some ups and down moments where he wasn't quite himself. He was pacing in small circles, wasn't smiling, was OCD about his toys and very grabby and demanding. He scratched one of his favorite nurses, one of his favorite girlfriend sitters and scratched/bit me. He is so remorseful afterwards and would sit and cry in his bed. Which if you've ever seen him cry---It. Is. Pitiful. (he's made a couple nurses and techs cry with his waterworks) Oh and he also started having a small tic show up where he was jerking his head to the side. (which has since subsided)
It's utterly frustrating to know he can't help tell us what is going on. I could attribute part of this to the full moon that was happening at the time (don't laugh until you've taught school through a full moon), I thought some of it was pain so I asked for a dentist. Psych wants to explore dropping some more meds since some of his meds can either cause tics OR prevent them. Yep. Makes a ton of sense huh?
I suggested we wait until he was more himself and we could get a baseline to judge any new behaviors from. They're pushing a little, which I get. It is a contained environment and they do feel he still on too many meds. Sigh. Decisions, decisions.
Carson's DHS worker came to bring me his stuff from Tahlequah. It filled up the entire back of my van. He now has a second weighted blanket and vest. Hooray! And I'm still going through all his clothes to see what he has for winter. The nurses really want to get him down to the playground soon since he hasn't been outside in SO long. But will he come back inside is the question.
Carson and I also have a new ally---Ruby the Red. Well, she doesn't have red hair but she's fiery and I like it. Ruby is 100% team CarCar and is ready to help, say or do anything she can to help get him to Texas. This is technically her job as a hospital social worker but I'm pretty sure she sees what's best for him isn't in the state of Oklahoma. And I'm pretty sure she likes us.
She has been making all my phone calls to Texas, DHS, DDSD, OKHCA etc.
She even called the state principal of special education, to look at using educational dollars to move Carson to Texas. Ruby said when she talked to the DDSD supervisor he said, "Oh yes--there's lots of buzz about this at the state level." What is it they say--- If they ain't talkin' about ya, you ain't doin' something right!!
As far as Texas goes---my forever home choice for Carson---the Dallas Autism Treatment Center, has one slot open. Please Jesus. But because of the shenanigans in June by the state of Oklahoma, their board of directors isn't wanting to take any money from Oklahoma Health Care Authority--OKHCA. Which is essentially our state insurance for the disabled, which would pay for Carson to be placed in Texas.
My answer to this was almost defeat. It was a rough, lonely day in my head that day. Then I prayed and slept on it and came back the next morning with---"Well then where WILL they take money from???" My God loves to overcome. But He REALLY likes to overcome when there is just a tiny .5% chance of something happening. He likes to throw his power and weight around sometimes and remind people who's still in control. I am hoping this is one of those times.
Still waiting to hear back on that. Although, they are trying to be helpful with other resources in their state for Carson.
So Ruby called Texas Neuro in Austin, Texas. Wonderful institution I have heard such good things about. And very similar to Children's hospital where we are now. It would be a great next step for Carson from here. To get paperwork started to apply at Texas Neuro, Ruby asked a psychologist here in Tulsa, who specializes in autism to come see Carson and give him a cognitive (which lets us know around what age level Carson is functioning on mentally) and a psychological evaluation/IQ exam. (Which these kiddos are entitled to every 3 yrs) The doctor was supposed to come Friday but rescheduled at the last minute for Sunday.
Not only was he exactly who Carson needed, he is a new ally. He has two autistic kiddos of his own.
Dr. Jacob feels that if he'd had access to Carson years ago, he might not be as severe as he is now.
He agrees a normal diagnosis and IQ reading of someone with his levels of autism is 40. But Carson's thinking and deductive reasoning skills exceed a 40 IQ. He has intellect but he's non-verbal. He's not severely MR, he has poor neurological processing delays. Essentially it means he may see the item you're holding up to coax him with. But the image and idea of that item may ping pong around in his head like a pinball machine before he processes it.
That could take minutes or hours. The extra stimuli in the room may prohibit as fast as a result too.
Dr. Jacob is familiar with Texas Neuro and thinks Carson would do well there. He says they'd do a cool brain scan to see how his meds affect his brain. How fast they take affect, how deeply they penetrate, how quickly they dissipate, what part of the brain they're reaching, etc.
Dr. Jacob says the biting of his arms is an anxiety/OCD response, which is probably why we're seeing these episodes after a major change like going from a cast to the banana peel splint or to the forearm splints.
He also suggested Carson would do well on Marinol/THC, which is a synthetic marijuana. Apparently it's being used a lot now in the Northeast (Maine/NY)where they are seeing pretty amazing results with autistic kids that are severe like Carson. I love a doctor who is up on what works for the 1-2% of the autism population.
Now do I think the state of Oklahoma will be hip to giving my kid a pot brownie a day for medicinal purposes--probably not. But do I love what we could do for a help, rather than handicap with something God created and put on this earth---yeah, I think I do.
After a few hours with this guy, I am honestly Team Jacob. He is cool and really gets Carson and he got to see the happy, the mellow, the quiet, the talkative and the disassociation spells which are Carson. Carson even got right up next to Dr. Jacob's face & sideburn and sniffed him while looking him in the eye. Usually this freaks people out when Carson stares into your eyes. Dr Jacob didn't even flinch. I and the sitter however, were giggling like mad as any dignified adult mother would do in such situations.
Carson was totally sniffing him like a dog, trying to smell fear. Or his shampoo. It was definitely one of those two. He was refreshingly clean smelling...
Anyway, I think he can handle Team Carson. He even asked me, "I think I can be frank with you, what do you want me to say in his report?" I am definitely Team Jacob! His report will be done around Thursday (he had told Ruby Friday but she said, "Really? You can't do Thursday?" Gotta love me some Ruby!) and after that Ruby will submit her paperwork to Texas Neuro. It's not a done deal that Texas Neuro would take him, so let's pray on that. Please. The hospital says he'll be ready for discharge around the beginning of the year.
Carson had a dentist that came and did an evaluation last Thursday. I was worried this may be a source of pain for him since he's been grinding his teeth and because he hasn't seen a dentist since he left my care. She got to look in his mouth and although he'd had a shot of haldol, I was amazed he let her! This boy is so trusting of his hospital people!!! Dr. Jacob says that's because he senses they are here to help. The nurses told me she was great with him and even allowed him to eat M&M's while she examined him. How many dentists will do THAT?
She didn't feel she'd need an oral surgeon when she goes in. The dental surgery was supposed to take place early Monday morning but she had to reschedule for this coming Friday morning.
In the meantime, knowing he will be under general anesthesia, I am assembling my own NASCAR pit crew. Make hay while the sun shines people!!!!!
While he's under she'll do x-rays/cleaning/any fillings that need to be done, and I want lab/blood work, hopefully freeze the wort off his foot, the EKG the doctors have been asking for for weeks, and bring in Wound Dude to clean his arms really well too.
Oh on top of all this, he's been constipated. You can tell he walks around on tip toes and legs crossed. He is holding it in on purpose. Dr. Jacob says that is remembrance from past pain associated with going to the bathroom/enemas so he doesn't want to let it go. (toddlers will do this too) Dr. Jacob also says if he goes to Texas Neuro, they will have dealt with this before and potty train him. I have heard this before from facilities so excuse me if I don't get my hopes up, but--that WOULD be awesome.
Poo isn't the most fun topic to write about so I will spare you those details. But today he had an x-ray while asleep in his bed---have I mentioned how impressed with these people I am???-- and his colon is hugely impacted. He's even started trying to gag himself during meals. The tank is full. So Friday, some pit crew member will have the honor of doing 2-3 enemas while he's under. For some reason my nurses all find this hilariously funny. They've informed me most surgical nurses they know don't like any dirty work having to do with patient clean up after OR. (Pun intended)
So hopefully by Friday I will have thought of as many things as can be fixed while Carson is under as possible. Get him all sorted out while he's not aware to be stressed.
If you're praying for Carson, I have a list since so many of you do ask me for specifics. Thank you for caring so much to ask & for praying on our behalf.
* Pray Friday goes well and everything gets taken care of that needs to, to benefit Carson. That his pit crew takes as good care of him as his nurses/doctors here do.
*Pray he's back to his happy self. He's starting to get there but we need Friday I think for him to turn the corner.
*Pray that the Dallas Autism Treatment Center finds some OK cash it will accept to give Carson that slot OR that he gets moved there eventually for his forever home. However & whenever God sees fit.
*Pray Texas Neuro let's Carson in. I am starting to see this is a TERRIFIC stepping stone from here for Carson.
*Pray for my body and mind to hold on just a little longer. Stressful time of year, trying to figure out how I can work it all out for the holidays.
----I will soon be having y'all help me keep your eyes peeled for some stuff for Carson. He has had a loss recently of one of his pigs and he had a couple of days of searching. Absolutely pitiful to watch him toss pillows and look under the mattress. Pretty sure it got taken out with bedding even though the nurses and I checked all dirty linens and went down to laundry. Beanie Pig from week one give to him by the hospital chaplain is gone. So I'll post on Facebook soon if anyone has a few spare minutes in this totally un-busy time of year to help me find some special things for Carson.








