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Oh, SARA!

What about a sleep disorders clinic? That's all I can think of. It seems like

the only thing left!

You poor, poor woman. How are YOU feeling -- how's your brain? Sleep

deprivation can be really nasty.

Jacquie

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> Mikey slept 3 hours last night.>

Hmm. Brings back memories...SO frustrating. But you did sleep night

before last, right...so you're not totally insane today? But I know

the feeling...it's like being robbed. Questions that would come to

my mind are:

1. Could he be getting sick?

2. What was different about the two days...what was the day he slept

well like vs. the day he didn't?

3. What things work most often to help him sleep?

4. Any diet changes?

> A dose of a pre-op sedative that should be strong enough to let you

put a

> tube down his throat had absolutely no effect. None whatsoever.>>

Sounds like . Last summer he had some dental work done, and

they gave him 15 mg of valium beforehand to make it " easy " to get him

into the chair for the IV...fat chance. Five mg knocked me flat in

high school...three times that wasn't enough to make it possible for

4 people to get this 7 yr old kid into a dentist's chair. :-( It

just doesn't hit them the same way...so says the anesthesiologist.

>None of this natural crap is working either.>

What all have you tried in this line? Just trying to help you

problem solve here...

> Waiting for a call from my ped, which will no doubt be useless.>

Hopefully not...are they still saying chloral hydrate? I can't

remember what meds you have tried so far...clonidine worked well for

several months for , but he was older...

> And look at that. He's asleep in time to miss OT.>

Rats. So sorry...we've done this so many times. I read the response

about the playground...basically I think what she is saying is to

find a sensory diet that works for him...easier said than done,

unfortunately. What does the OT say about it?

FWIW, two yr olds have rapidly changing vestibular systems, so their

sensory needs change a lot...could be part of the problem?

Raena

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OK Sara -

Here's a far out idea. I KNOW you don't like coffee, but maybe some

caffeine will out him out... Caffeine has the opposite affect on some kids

(does on me, too...calms me down). Good strong coffee or Mountain Dew?

(Still opting for the sleep clinic, too)

Worth a shot?

Penny

-----

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Oh Geesh! I have no clue as to why this should be so difficult to

get clonidine for Mikey. was all of 35 pounds and was taking

2.5 pills at one point. That should have been enough to knock a

horse over and it was barely enough to get him to sleep. It was a

God send. Yes, by ALL means. Go back to the ER. Go at 4:00 a.m.

and say, " Here you watch him since no one will medicate the child. I

MUST get a few hours of sleep. " Hang in there.

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What about the double dose of the chloro stuff? You had success with that

before....is that not working anymore either? Poor Sara!!!!

Tamara

----Original Message Follows----

Reply-To: parenting_autism

To: " parenting autism " <parenting_autism >

Subject: & %$@%$@#(^%$#%$@

Date: Fri, 28 Dec 2001 09:17:50 -0500

Mikey slept 3 hours last night.

A dose of a pre-op sedative that should be strong enough to let you put a

tube down his throat had absolutely no effect. None whatsoever. None of

this natural crap is working either.

Waiting for a call from my ped, which will no doubt be useless.

Back to the ER?

And look at that. He's asleep in time to miss OT.

-Sara.

wife to Matt

SAHM to nurslings

Mikey, 9/14/99, Autism, and

Gabe, born at home 5/17/01, GERD

http://home.earthlink.net/~thebyks

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> What about a sleep disorders clinic? That's all I can think of.

> It seems like the only thing left!

Repeat after me -- I know you can say it -- " waiting list " ...

*sigh*

> You poor, poor woman. How are YOU feeling -- how's your brain?

> Sleep deprivation can be really nasty.

Thank you...It really does help to know other people care, and understand

how really serious this is.

At present I am OK. By OK I mean functional, not deeply depressed or

suicidal, no thoughts of harming my kids, and the house isn't much worse

than usual. I have not been grocery shopping and we're out of paper

diapers, but I did wash the cloth ones, so the kids can be changed as soon

as they dry. Matt has had nice time off and we've slept in shifts so we are

both fairly rested. Naturally that means the whole marriage thing is on

hold but we are both sane, and, you know, priorities...Now, I am panicking

over a single 3 hour night, but then again, I've seen the pattern multiple

times in the past. He has gradually decreased from 12 hours the first night

to 10, 7, 5, now 3. The last time he got down to 3 hours it took a MONTH to

get him back " on track. "

How long I will stay OK...will depend on how much sleep I get...

Ped said we can increase the dose of chloral hydrate yet again, and we can

try a suppository form. It is better absorbed that way and for some people

is more effective. Also he would not be able to spit any out or make

himself vomit etc. She talked to a dev ped at Children's who we saw once

before, and the dev ped said she would call us, but that was a week ago &

she hasn't called & she's not in again till Wednesday. (Now I know why

these blasted waiting lists are so long -- the dr's only work one day a

week.) They were talking about clonodine for him but my ped is not familiar

with it & isn't sure of the dose...the other dr was supposed to handle that

but, obviously, hasn't.

Gotta go,

-Sara.

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> What about a sleep disorders clinic? That's all I can think of.

> It seems like the only thing left!

Repeat after me -- I know you can say it -- " waiting list " ...

*sigh*

----------Waiting List??? You are kidding me??? Do they give you any

suggestions in the meantime?? My Word, that's awful!

Still thinking about you guys, Sara...

Penny :-(

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Hey Penny, even with the label " at risk " it is mid-Jan before we can get in

ANYWHERE. I don't even know if the docs we are going to see will be able to

help us, but they are the first ones who will see us, so we'll go from

there. The label DID reduce the waiting list from 4-6 months to a single

month.

My ped's last best suggestion was to double his dose of chloral hydrate and

lock him in his room. Obviuosly the last week has proved that a miserable

failure. His bed is back in our room, but the beds are across the room from

each other. I am hoping the compromise will give him enough security,

knowing I am right there, to relax and let himself sleep; but maybe let me

sleep better and help him learn to wake up and go back to sleep without lots

of help. I think that last bit's a pipe dream...I think something physical

is going on here; I just don't see this as a behavioral issue AT ALL,

excepting the behaviors resulting from his anxiety -- which I believe has a

physical basis. Maybe as simple as sensory stuff; maybe as complex as a

physical defect in his brain...

I mean, let's look at the sleep theory here, that he should 'learn' how to

go back to sleep after the normal night wakings we all have, without help,

without me being there. Why would he not be able to go back to sleep when

the conditions he went to sleep in are exactly replicated? Even if those

conditions are not the 'ideal' dark, quiet, alone-in-my-bed conditions? The

night wakings are not a problem when we sleep together, because our sleep

cycles are in sync, and I am waking naturally (as we all do, though mostly

we don't remember it) at the same time he is. It's the not going back to

sleep part that is at issue here. So if you go with the behavioral sleep

associations theory...he is waking up in the same conditions in which he

went to sleep, so he should be able to go back to sleep easily.

Yet, even with a heavy dose of a sedative, he can't.

It just doesn't add up for me. Am I not understanding some part of this

theory? What's missing?

Speaking of sleep, I'd better go to bed...I got the 4th Harry Potter book

yesterday and had to stay up to finish it tonight. Matt already agreed to

let me sleep in tomorrow...:)

-Sara.

> > What about a sleep disorders clinic? That's all I can think of.

> > It seems like the only thing left!

>

> Repeat after me -- I know you can say it -- " waiting list " ...

>

> *sigh*

> ----------Waiting List??? You are kidding me??? Do they give you any

> suggestions in the meantime?? My Word, that's awful!

>

> Still thinking about you guys, Sara...

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>>I mean, let's look at the sleep theory here, that he should 'learn'

how to

> go back to sleep after the normal night wakings we all have,

without help,

> without me being there. Why would he not be able to go back to

sleep when

> the conditions he went to sleep in are exactly replicated?>>

I think that the reason our kids can't go back to sleep when they

rouse at night is because of a few things...

--if you are awake when he drops off, and asleep when he rouses, then

there are going to be differences in sounds, at least...people

breathe differently when asleep...tiny changes are huge to him...

--these kids are hypervigilant, so when they open their eyes, they

don't necessarily interpret things as " safe " like we do...something

may look different because the lighting has changed during the course

of the night. is terrified of the chandelier in our dining

room at night...doesn't bother him during the daytime at all, but as

the light starts changing in late afternoon, he starts keeping tabs

on it...

--kids with sensory disturbances don't always get the same

information each time they have an experience. They may " smell "

colors, or " taste " them...there is absolutely no telling whether what

he saw/felt/heard when dropping off to sleep is the same thing he

will see/feel/hear when he wakes up later...

--some people theorize that these kids get a dumping of stress

chemicals throughout their day, including during their sleep cycles,

that sends them straight into sympathetic overload...they wake up

because they are suddenly hyper-alert, not because their regular

sleep cycle is rousing them...

--he may not know where his body is, especially when it is

dark...kids with autism (and other sensory dysfunction) depend TONS

on their vision to function because it is usually their most

dependable sense. When you are close by, he is able to feel safer

because you are his protector...he may need that physical proximity

still. You are giving him extra input in terms of temperature, smell,

and so on that tells him that things are still okay.

I wish I had an answer for you...I did go yesterday to Target and get

a " My Puppy Love " (made by Parents' Play n Learn)...makes

womb/heart beat sounds and is motion activated...kept him calm all

through the store (but he tossed it off his bed...oh well).

I know none of this will get you anymore sleep, but it keeps me from

going nuts if I sort of understand what is going on. Still thinking

about you...

Raena

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> What about the double dose of the chloro stuff? You had success

> with that

> before....is that not working anymore either? Poor Sara!!!!

Yeah, Tamara, that stopped working. Apparently he's built a tolerance to it

very, very quickly...We had not been using it every night but just as

needed, & went to giving it every night at bedtime. The first 2 nights it

worked beautifully but his sleep time has gradually decreased to the 3

hours.

Last night, he went down without it and slept very well. But of course, he

was exhausted from the previous night...

-Sara.

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> Here's a far out idea. I KNOW you don't like coffee, but maybe some

> caffeine will out him out... Caffeine has the opposite affect on some kids

> Worth a shot?

Anything's worth a shot, Penny! But it will have to be

sugar-free...hrm...Diet Mountain Dew?

-Sara.

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