YOU ARE NOT ALONE
I’ve come to realize one of the most important elements in life is the ability to relate to another person. This is an e-mail that came to me from a wonderful mother searching for answers, finding them, and trying make sense of it all. I wanted to share her story because I want you to know you are not alone….
M writes:
I gather from your most recent blog entry that this email is one of many of its kind, but I still wanted to write. I just watched your video and I have tears streaming down my face. This is us. You were saying things that have come out of my mouth verbatim; it was unbelievable.
My son C just turned 20 months old. C is my first biological child and my first baby, the first time I’ve ever been through any of these milestones. Like Luke did with “duck”, between 9 and 10 months of age, C said “dog”one afternoon at the vet clinic, clear as day. At 11 months he said “Brova!” (brother) several times in a row when he saw his brother. But then he never said either of those words again. At 12 months he said nothing, at 14 months, nothing. By 18 months, he had learned to make some noises so that if I said “do you hear the birds?” he might respond “hee hee” (for tweet tweet) or when he sees a big truck he goes “Hrrrmmmmm”… but no words. Everyone, including his pediatrician, told me that it was nothing to worry about, that kids all develop at their own rates, that one day he’d out with a complete sentence.
However, there were other strange things - When we introduced solid foods, he seemed to have trouble. If we fed him foods with mixed textures, like oatmeal, he would often gag and throw up. When we got to solid food, C would hold things like bits of cheese in his mouth sometimes for an hour at a time and/or he would cram food in his mouth but not swallow it until he had a whole wad of it in there that we’d have to clear out with our finger. No problem, said people, he’s a breastfed baby. It’s normal for them not to be interested in foods until later. He’ll be able to eat when he’s ready. But then he couldn’t blow bubbles and he couldn’t seem to learn to use a straw or drink from a regular cup. Although he smiles spontaneously, he doesn’t mimic facial expressions and when he tries to put on chapstick, he puts it on his tongue or on his chin, but never his lips. It is like he doesn’t know what his face is doing and he thinks it’s doing something else. He is good at communicating what he needs and is a master of the point and “da?” multi-purpose sound. He has a few signs but isn’t an enthusiastic signer when we have attempted to introduce more. People suggested maybe I was too responsive and told me to make him “work for it” (a strategy which failed spectacularly when I tried it). People told me to talk to him and read to him - which made me roll my eyes as these are both things I’ve been doing since he was born! Mostly people said “don’t worry.” Even my husband said that C was fine, that he was obviously bright and would talk any day. And so I waited.
Eventually I got tired of waiting and called his pediatrician who said if I was concerned, I should contact our local state-sponsored early intervention program. I have spent the last month navigating their various hoops (file this, wait 7 days, sign this, wait 7 more days…). We finally had an evaluation last Thursday. I really liked the SLP - she seemed like the first person to understand what I’ve been saying all along. She told me what I already knew - that C’s gross and fine motor skills seem fine, that he has good receptive language but his feeding skills are delayed and his expressive language is severely delayed. She told me that she couldn’t offer a diagnosis right then and she had mixed feelings about even suggesting this, but, after everything she’d seen and everything I’d told her, she suggested I might want to look into something called “childhood apraxia of speech.” She encouraged me not to freak out when I Googled it but thought I should know the term and push for possible treatment/screening in that direction.
So, naturally I have spent the last 5 days in full research mode. I know I need more evaluation, but this seems like a fit. As you said in the video, I think I’ve always known that something wasn’t right, even though I clung to hope that I was wrong. I did so many internet searches over the last few months but always ended up ruling things out - no, this doesn’t look like autism, no this doesn’t seem to be a global delay… Now after getting this magic word and finding this wealth of information, I oscillate between being relieved that we may finally have a name/that we’re not alone/that there are some possible treatment ideas and despair that there really is probably something seriously wrong with my beloved baby. I am having a hard time.
Every day one of our friends with a similar aged (or younger) child posts something on Facebook about whatever new thing their kid is doing - J can count! T is saying 2 and 3 word combinations! G just said “octagon”! K won’t shut up about planes!… etc., and I feel a wave of rage at the unfairness of all of this and anger at this parent and their child for bragging about their amazing luck - which is promptly followed by a wave of guilt for being angry at a parent who has done me no wrong and is simply excited about their child’s progress.
Rationally, I get that this is a process. I know I need to pull it together and move forward to find out what needs to happen for C. I know that. But I am so overcome with despair. It is like there is some huge wall of sadness that is following me around - and has been for long before we got the word “apraxia.” I have known for a long time in my heart but I would forget for a while and be so happy with all the wonderfulness that is my little boy, but then I’d turn suddenly and there it would be with this horrible sinking in the pit of my stomach.
I don’t know what the point of any of this is or why I’m writing an epic email to a woman I’ve never met. I guess I just needed to get it out. If you’ve made it down this far - thanks for listening! Currently I think my next step is to try and find a private practice SLP. We’re still moving through the system for our state program, but given much of what we’ve experienced so far, I don’t have super high hopes. I figure too many options is better than too few so I’m putting out as many feelers as I can.
C had no words at all until very recently, when we did pick up “mama” “dada” and “baba” (what he calls his brother). Occasionally he’ll randomly say “goggy” for doggy or “Googie” for cookie but doesn’t seem to be able to say them on demand. He did recently learn to blow a toy whistle and we’ve been working on learning to blow bubbles this weekend (hasn’t quite gotten it yet). He babbles a lot, though the sounds are inconsistent with no meaning assigned that I can discern. Still, I hope that some of these things are promising. That maybe if he does have this it’s not too severe. I don’t know. I guess we go on from here.
Anyway, thank you for your blog. I hope you keep posting and I am so glad you’re out there. This is like finding myself in a terrifying long dark tunnel with no end in sight. I can’t tell you how helpful it is to see someone with a torch up ahead.
Best,
M-
THANK YOU M FOR ALLOWING ME TO SHARE YOUR STORY WITH OTHERS!-Jen




August 30th, 2011 at 7:40 pm
Thanks for sharing Jen, and please to the writer of this “epic email,” I read the whole thing, and it made me remember how I felt when I was at that point with my son. I felt every little emotion that you described. My best advice to you is that you aren’t alone, others have braved this road before you, you will have difficult days, but you will also have some of the greatest accomplishments and feelings of pride you will ever experience. Yes, my child has apraxia, and yes, it can be a challenging road, but I can say with 100% certainty that I wouldn’t change a thing. I have learned so much, met so many wonderful people, and my son is going to be OK. I learned how to not take things for granted, to rejoice in achievements because he had to work for them, I learned about perseverance, and I learned that my child is absolutely perfect in every little way….apraxia or not. Your child is perfect too. (And so is Luke!!!). All the best to you and your son!
September 15th, 2011 at 10:28 am
Thank you so much for sharing - I’m at the same point in my journey and am experiencing the same feelings and frustrations. So glad I found your blog.
September 15th, 2011 at 9:24 pm
This is my son. Definitely. We got him evaluated in April and by May I was hearing apraxia. He still only says a few words. It is definitely nice to know that you are not alone.
January 4th, 2012 at 7:20 am
Oh my gosh. I read this post and bawled. This was SO my son and my feelings as well. My son could NOT get the hang of breastfeeding. He lost so much weight that we needed to treat my 8#13oz baby as a preemie for the entire 1st year of his life. He was so gaggy that he would throw up at the slightest discomfort (a burp bubble? throw up. a non-pureed food? throw up). I had sucessfully nursed (and tandem nursed and was a La Leche League avid supporter!) 3 children before him, but all I could do for this child was pump and supplement with high calorie formula (I had never used the stuff…had to read the directions even!) I felt SO much guilt. Like I was doing something to cause his delays. I have 2 great nephews that were born within months of my son’s birth. I know you shouldn’t compare, but how couldn’t I? My oldest child (also a boy), was an early talker (saying “Mama” at 5 months, full sentences at a year), so people would tell me that it was just because he was a boy and I knew better. The looks people would give when they would say something to him and he wouldn’t respond or sometimes even make eye contact. I dreaded leaving the house. I didn’t want to have to explain to people that he couldn’t talk yet. That he wasn’t eating “regular” table food until 15 months. Going to his well checks at the doctor put me into a crying jag that I couldn’t seem to get out of. At 20 months he started speech therapy through the local Birth to 3 program (where they were either leaning toward Autism or Apraxia). In that time (7 months now), he has picked up quite a bit of communication. It’s unbelievable. I am in a different place now, too. I don’t feel like I need to apologize for his difficulty in communication, but I help people to understand. We celebrate his successes. He has learned quite a few signs and still has pop out words that make us laugh (”crocodile” is my favorite). The day he started saying “Mama” is one I will never forget…nor is the day that he took me by the hand and pulled me to the patio door because he wanted to play outside. I have realized that communication does not always have to be verbal and when we stopped focusing on that, it takes the pressure off of his brain and he tends to say things with less difficulty. The biggest thing I feel is alone. I don’t personally know anyone else who has a child with Apraxia. Today I decided to google for blogs…I’m sure glad I did! Oh, and though we had a rough start with his feeding/weight…my son is now 27 months, in a 4t, 40″ tall and weighs 36 lbs. Celebrating!
February 2nd, 2012 at 6:17 pm
Reading over some of the replies, this particular email, and your blog, I can’t help but cry myself. My son is two and a half, and has exhibited everything described in this post. He’s been evaluated numerous times, and they just keep saying that he’ll outgrow it. He hasn’t outgrown it. Ironically, he used to be able to say daddy, doggie, and ducky, and gradually stopped. He can’t make certain facial expressions (can’t close his lips to kiss or drink through a straw). When he sees something exciting, like a bus, truck, or train, he screeches his approval. He knows all of two signs, please and hungry, and the rest of the time we get by on nonverbal communication. We finally got a referral to a local clinic that specializes in autism and other delays, and had him evaluated. We get the results of the evaluation next week. We’re convinced CAS is his diagnosis, as his symptoms are identical. I can’t help but cry, because he’s perfect in every way except for his speech. It hurts to see him hurt, because he’s trying desperately to communicate, and he can’t. Thanks for the posts; I know I’m not alone, it’s just hard to cope with right now. I find myself wondering if he’ll ever talk, and all I can do right now is hold out hope.