Monday, June 28, 2010

Focus on the Positive



What are your child's STRENGTHS?

I can remember being asked this question by the
Early Intervention team that would come to our
home to work with Matthew on therapies when he
was younger. Matthew is my child and he has
Agenesis of the Corpus Callosum.

One of the questions they would ask me periodically
is:

"What are some of Matthew's strengths?"

I would nearly stop in my tracks and have to shift
gears. This question was actually difficult for me
to answer because my mind was always caught up in
all of his needs and challenges and I was focused
on everything he needed help with and his therapies
and what he wasn't able to do.

I would literally have to REALLY think hard just to
come up with one or two of Matthew's strengths.

I thought it would be fun to share what our kid's
strengths are in an effort to get to know them a
little better and to help focus on what they are
good at and what they CAN do.

I invited parents in ACC support groups to share
their child's strengths and I received a collection
of wonderful stories that I am thrilled to be able
to share here with you.


My son's strengths are 1: he is amazing in an
emergency situation which is crazy since he
has low fustration tolerance in other areas
but if there is an emergency he takes action
and helps out!
2) He is funny as all get out! He can make a
total stranger smile with his sense of humor.
3) He is very creative and a fantastic actor.
4) He is loyal to the core to his friends.

My son Shiloh is 9 years old and has complete ACC.
He is an amazing artist and can draw anything he
sees a picture of without tracing at all. He loves
math and is actually working above grade level in
math. This year, in our state's standardized testing,
Shiloh actually received a medal for getting the
score of proficient with distinction on the Math
test.

He has a giving heart and is always willing to help
those in need. He packed up many of his favorite
toys to send to Haiti after the earthquake and wanted
to send them right away to the kids who may have lost
their toys.

He has just learned how to ride a two-wheel bicycle,
and is SO proud of himself. He often asks me to come
out to the drive to watch "how fast" he can go. It's
amazing that he's learned to ride a bike and we're so
excited to do family biking trips now.

Nikki is 3 and her strengths are. . . . .

1. She is consistently happy 99.9% of the time.
2. She has the BIGGEST smile in Wisconsin! :) We call it
her "Movie Star" smile.
3. She is absolutely fearless! Had her first aqua-therapy
session last Tuesday and she was ecstatic in the water!
She'd never been in a large pool and it didn't concern her
in the slightest. She was dipping her face in, splashing. . .
the whole works! :)
4. She radiates this peace and love to everyone (no other
way to explain it). People get drawn in by her and then
she's got them hooked! :)
5. She learns very quickly considering her challenges. If
you show her something, she will try to do it.

My daughter Brianna is 2 1/2 C-ACC

1. She is very good at out-running mommy and daddy.
2. Especially good at picking fights with her big sister
then making up .
3. LOVE, this little girls main strength is LOVE she
loves EVERYONE (I swear she hugs strangers in the Market
and Target lol anyone).
4. Is super sneaky at trying to crawl up the stairs
behind mommas back.
5. Learned to throw a ball more than 2ft away from her (yay).
6. She can sign about 20 American Sign Language words.
7. Brianna speaks about 8 simple words (super adorable).
8. Gives the strongest sweetest hugs.
9. Always has the strength to overcome all her health
obstacles
10. Another major strength is her self happiness (this child
can really entertain herself and loves it.
11. Strong YELL and LAUGH you can hear this boo screaming
and laughing down the street!
12. Her strength to overcome her fears (such as walking over
grass barefoot, and riding the carousel and dumbo ride at Disney) she now loves both.
13. Putting herself to bed in her crib, self comforting.
(Major plus for mommy and daddy).
14. Being the greatest sweetest sister to Hailey and daughter
to the hunk and I :)

With much love,

Her mommy.

Hello Everyone!
This is such a great posting!

Hunter is 4 yrs old and his strengths are:

He is a happy, sweet and affectionate little boy!

He is starting to go poopy on the potty and making an
effort to do it all by himself!

He is very caring and empathetic to his younger brother
and others!

He loves to play and watch sports (EVERY SPORT!)

He knows his numbers, letters and colors…..and he likes
to count and wants to know how to spell words.

He can ride his bike with training wheels.

He can get dressed by himself (most of the time)

He loves Irish/Scottish music and he really likes to
sing along.

He can turn on the Wii by himself.

He can cut paper and is working on writing.

He just accomplished getting his face wet in the pool
(yesterday)!

My child, Matthew, who has complete Agenesis of the
Corpus Callosum is very happy all the time. People
who don't even know him often comment about that.
He smiles all the time, laughs a lot everyday and
he is very social. Matthew loves to be around other
kids and watch them play.

Matthew is very good at using the computer. He is
also good at using his touch screen augmentative
communication device (DynaVox V) and he can find
anything he wants to say using memorization to find
the exact screen that has what he wants to say.

Matthew can throw and catch a beach ball and other
small, soft balls very well and he loves to play ball
with his Dad.

Matthew really likes to play with remote control cars
and can do it by himself when the remote only requires
one hand.

Matthew can ride an adaptive trike really well by himself.

Matthew loves music. He plays his casio keyboard. He is
involved in a music therapy class where he gets hands on
to different musical instruments and he has been making
music on a cello. He has actually been holding the cello
and using the bow to move back and forth across the cello
strings.

Aiden (17.5 months) can run and bend down and
pick up toys, he is great at puzzles and knows
which direction books face and pages should be
turned! He gets mad when they are upside down!
Aiden can play the keyboard... He puts one finger
down at a time, plays a chord and looks up and
stares as if he is listening very hard... Also, he
loves to throw... Everything and can throw small
objects into buckets and he sings, in rhythm, to
his favorite songs using the sound "ah"! He loves
this old man, Dinah won't you blow, twinkle twinkle...
Oh and he loves the 50s song "mr lee". Except we sing,
" mr A! And he sings in tune to the circle song by
10,000 maniacs! He loves it! Also, in the pool,
while holding him under the arms on his tummy, he
kicks his legs! Oh, one more thing, he can drink
from a straw and understands everything you say
to him!


Erika 3, is a very fast learner!! She was in a
contained classroom this year, and doesn't need
one next year :)

what a great idea

Grayden is only a year old but his strengths are:

1-make you smile at first look at him

2-reminds me how to laugh daily (he is always being silly)
which makes me laugh

3-just adores his older sister

4-says mum mum dada and baba not specific but love to
think it is

5-has almost convinced my husband to buy us a dog because
his keen interest in them

6-is sitting independently working on getting into a
sitting postion

7-lifting up on his arms wanting to move

Most of all the happiest baby in the world he truly is
a joy


Trevor is 14 1/2 yrs old.

He can ride an adult trike. He can swim underwater.
He is the friendliest teen you'll ever met. That
smile will just melt your heart. He knows most colors,
all letters, some numbers. He can write his name and
some basic information. He can work his TV/VCR. He
puts his clothes on/off independently. He can play
simple games on a computer using a mouse independently.
Excellent hearing.

Just a few of his strengths.......


Right off the top of my head, here's a list of
my child's strengths.

She has a fine sense of humor.

She can play piano, including ragtime and 7-page
sonatinas. She also is good at playing duets and
accompanying others.

She trains and shows dogs, and has reams of ribbons
and shelves of trophies to prove it. She also did
well in the past showing cats and guinea pigs.

She does nice counted cross stitch and makes beautiful
beaded snowflakes.

She's an excellent swimmer, and also kayaks and
cross-country skis.

She's something of a computer whiz, having taken
a number of classes and also maintaining Facebook,
MySpace, Dogster, and Catster pages on the web.

She knows how to download music to her computer
and iPod.

She has good taste in friends.

Her softball skills were good enough to win her a
spot on her 8th grade school team.

She's a hard-working student, with wonderful study
skills.

She's a great writer, speller, and editor.

She knows more about dog breeds than anyone I know.

She remembers everyone's phone numbers.

She's a conscientious driver.

She plays a mean game of Mancala, Scrabble, or
double solitaire.

She has always had a good eye for putting puzzles
together.

She is a great volunteer for her dog rescue group.

She had a part in every play her high school performed
(and she was the only student to do so).

She saves money (and never fails to save me when I
need to borrow some).

She knows a lot of Spanish, and did extremely well
with a year of it in college.

She has a good vocabulary.

She's kind to animals.

I feel really blessed that before Emily was born
I had been doing energy work. I do acupuncture on
animals and studied the Silva method (similar to
The Secret). Those things gave me the right mind
set to help Emily. She signed her wants & needs
beginning at 9 mo. She knew about 100 signs by the
time she was 1 1/2 yr. She walked independently by
33 mo. She traveled to Phoenix, AZ (from PA) on her
1st plan ride at 11 mo., to Hawaii at 1 1/2 yrs.,
Disneyworld at 2 & 4, Bangkok, Thailand at 3 and NYC
at 4. She met 2 of my heroes: Kim Peek & Temple Grandin.
She speaks in short sentences and understands
more than most people realize. She has an amazing
personality and draws people to her like a magnet.
She was like a rock star in Thailand. She showed
compassion for pet owners during in home euthanasias
beginning at 3 yr. She shows amazing compassion for the
animals too. She understands the concepts of many
medical procedures and can bring equipment & supplies
on request. She loves swimming & horseback riding.
She's an avid Penn State football fan - attending most
games since before she was born. She's a brilliant and
amazing girl and the only thing to limit her success is
up to choices. I call her Einstein and always remind her
how smart she is. In 21 years I expect to see her accept
her diploma from Johns Hopkins School of Medicine...
that is if that's what she wants. Our kids have limitless
potential. Don't ever let anyone tell you otherwise.

My son, Alex, 13 years old, who has complete Agenesis
of the Corpus Callosum is very happy most of the time.

Alex is very good at using the computer & playing video
games. Alex was 1 yr. old by the time he showed interest
in the computer. I think he just loves all kind of
“screens”.

Alex can throw and catch any kind of balls. He is in a
swim & bowling team with special Olympics. He is a very
good swimmer. His PE coach tells us that he is a good
athlete; participates in all the sports the class offers.

He participated with his school team in a high jump
competition district wide. His final jump was 4’5” I
think.

Alex can ride a 2 wheeler, since he was 10 yrs old.

Alex loves music. Any kind of music. When he was a
little baby I use to calm him down with lullaby’s &
classical music. Now he loves to listen to his church
CD’s and he sings along with them. Alex was in the
choir group at Church. Now, he just likes to attend
the summer choir group and special singing occasions
during mass.

My son, Jon, has the following STRENGTHS.

1. good lookin
2. Sexy bod -- 5'5" , thin
3. likes to run -- will escape if doors are not locked.
4. uses a fork and spoon to feed himself
5. is happy most of the time -- smiles a lot -- hums happy tunes, and laughs out loud at funny things.
6. can ride an adult tricycle (with adult supervision)
7. Most of the time obedient to instruction
8. Assists in dressing himself
9. enjoys musical toys, audio and CD cassette players (some toys not age-appropriate for him but satisfying never-the-less.)
10. can spend hours focusing on musical toys while multi-tasking with the VCR and watching TV at the same time.
11. Can do the following tasks at his office either independently or with supervision: stuffing envelopes, sealing envelopes, putting labels on envelopes, stapling, typing addresses on envelopes with a programmable typewriter (wheelwriter 5), shredding paper. He is a bulk mail specialist and gets paid for his work.
12. He assists with setting the table at mealtime and clearing the table with supervision.
13 He has good eye-hand coordination at catching and throwing balls. (and other objects)
14. He can swim independently in both shallow and deep water
15. He can "work out" at the YMCA on cardio equipment with supervision.
16. He uses sign language -- about 300 words.
17. He can make his wants known with gestures and sign language.
18. He assists with some household chores.
19. He can ride a horse with a lead rope and loves it. He has excellent balance.
20. He has participated in Special Olympics in the past.
21. He has pretty good finger dexterity and can easily flip light and fan switches.
22. He is able to swallow pills with no difficulty.
23. He has excellent rhythm and possibly perfect pitch.



My son (Kenny) has ACC, he is 4 years old and his
strengths amaze me everyday. He is very talkative
always friendly (never meets a stranger). He loves
playing with other children and for the most part
is very happy. He tries to do everything himself
and does not appear to be afraid of anything. He
is very very loving and always worries about me
(his mom) and his family. Kenny's learning ability
is always growing and surprises me constantly and
he loves singing songs. His favorite is Going out
with his Boots on, and he is always singing parts
to some song that he likes or makes it into what
he wants it to say.Music is his outlet and when he
gets frustrated music helps him. He is normal for
the most part and he is my blessing in disguise.


  • My son Jess loves music and is happiest when he is
    controlling the CD player like a DJ and singing or
    dancing along to songs. When he was learning to
    speak, he was only able to say a portion of each
    word. But music was one of the first he felt he
    needed to say. We speak mostly Spanish at home
    so I can still remember Jess excitedly saying "Ca"
    for "mus-i-ca.".
  • Jess also has a fantastic memory. He loves to play
    a memory game with his huge box of sports cards.
    We cover up the players name and he tells us who it
    is. He has hundreds of cards (baseball, football,
    soccer and some basketball) and he is rarely ever
    wrong. Actually, we can cover up a major portion of
    the picture on the card and he still knows who it is...
  • Jess has always liked books. He enjoys going to the
    library and is always ready to sit down and read with
    someone. Even by himself, he reads aloud (he doesn't
    know how to read silently) or copies the text into
    his computer.
  • He loves to be with people. And although he still
    hasn't developed a social form of conversation (he
    mostly asks questions or keeps repeating something
    that is important to him), he loves to talk.


  • Noah's strengths:

    He can be a very loving boy who tells his Mommy he
    loves her many times a day. He is concerned about
    his family and their well being. He is already
    showing signs of concern for his sister who is 7 wks
    pregnant, and taking care of the baby. He has always
    been very active, and his gross motor has been at or
    above age appropriate. He loves sports, especially
    basketball. He can even finger roll . He road his bike
    a total of 6 miles yesterday with his Dad. Which I was
    amazed by, I did not know if he could do it. He loves
    to swing on our swing set, and swim in our pool.
    Although he may have his limitations, I expect greatness
    from him just as I do my other 3 kids. Greatness being
    whatever they chose to do in life. To do it well and be
    happy with themselves and their life.

    I've been thinking on this and I have come up
    with a list of Logans strengths. (4 1/2 years old)

    -He can mimic silly voices really well
    -Logan can get the TV and DVD player going by himself
    (I'm still teaching my parents, haha)
    -He can throw an object with speed and precision
    95% of the time
    -He is willing to try anything at least once
    -Logan gives the best hugs and has such a sweet smile
    -Logan is very empathetic towards others

    Thank you all for sharing your childs strengths,
    this was a good idea!


    I look forward to hearing more about all of the things
    that each one of your kids CAN do and I welcome your
    input to be added here if you would like to share.

    You can click on "comments" and give your input or
    you can e-mail me directly: hope@aracnet.com and I
    will gladly include what you have to share about your
    child's strengths to the top of this page.

    What are YOUR child's strengths?

    Friday, June 18, 2010

    Believe...



    When you have a baby or child who has
    Agenesis of the Corpus Callosum you want
    to know what to expect and how or if it
    will affect them. Unfortunately, because
    ACC has such a broad range of effects,
    there is no way to tell for certain or to
    predict what you can expect for your child.

    Not knowing what to expect can be one of the
    most difficult things to deal with emotionally
    and can also be overwhelming at times...
    especially if your child is making progress
    very slowly and is slow to meet their milestones.

    I can raise my hand high and personally
    attest to this because my own child, Matthew,
    who has Agenesis of the Corpus Callosum, is
    developmentally delayed and he took a long
    time to learn new things and to meet
    milestones.

    One of the sections of information that was
    included in the ACC Reading and Comprehension
    document dealt with this very subject in
    quite an inspirational way. I think it's worth
    repeating as a separate post because I believe
    that the information that other parents share,
    who have a child with ACC, is heartfelt and
    encouraging and I hope that you will too.

    UNIQUE WAYS OF LEARNING - Amazing
    Examples:


    When you think that a child with ACC isn't
    learning...think again. They very well could
    be taking in all kinds of information with
    little to no progress showing outwardly.
    Then one day it just appears out of the blue
    much to everyone's surprise...even the child's
    parents.

    First parent writes:


    "As a baby Abbie didn't babble. She was a very
    serious baby. At about age 2 she went from
    virtually no speech, apart from a few single
    words and their varied mutations, to almost
    full sentences. She'd obviously been listening
    and observing."

    Second parent writes:


    "Lexie never babbled either. No mamamama or
    bababababa. Also, she never said uh-oh like
    all other babies. Same goes with what does a
    cow say...."mooooo" Nope! She, too, was a very
    serious baby. At age 2 she had virtually NO words.
    Then suddenly, somewhere after 2, she began talking.
    I would not say full sentences over night, but to
    us it was drastic!"

    Third parent writes:


    "Ryan started speech therapy at 15 months old.
    For three long months, once a week, his therapist
    would go over the signs 'more, all done, open'
    and maybe 3 or 4 other ones. He couldn't care
    less! He never seemed to be looking at our
    hands (of course I kept trying to teach him)...
    he had lots of fun playing with her, but didn't
    pick up on the sign thing AT ALL!

    At 18 months we were on vacation in Ireland,
    when his daddy realized he forgot the video
    camera in the car. So he went to get it.
    While he was gone, I was tickling and picking
    up Ryan for about five minutes. Then I stopped.
    Then we looked at each other and he signed "more".
    I screamed 'what'? And he did it over and over
    and over again. Just in time for the video camera!
    By the end of our two week vacation, he was signing
    more, all done and open. The amazing part is that
    it really seemed like he never paid attn to the
    therapist and to me for the three months we tried
    to teach him those signs!

    Luckily he got kicked out of speech therapy at
    three yrs old when he said his first 10 word
    sentence. Speech has never been an issue again."

    Fourth parent writes:


    "My child was not dry by herself at school until
    first grade, and even then had some accidents. I
    know some schools are icky about wearing Pullups.
    She was in Pullups until she was about 11.
    She also was not dry at night until 13.

    And she started learning to drive at 15.5, but only
    got good enough to pass the tests after years of
    practice, both written and behind the wheel, at 20,
    a fairly long learning curve.

    She got her permit at 15.5, then took drivers' ed,
    which was very hard. She took the written tests
    for the class over and over again until she passed,
    but her driving was very nervous, and her drivers'
    ed instructor never passed her on it. She drove
    with us quite a lot, but not with much confidence.
    It helped when we got a smaller car, as she feels
    more confident in that one than the minivan
    or--heaven forbid--the pickup. But her class for
    students with disabilities at the community college
    did a lot of work on preparing for the written
    (actually computer) part of the driving test.
    They worked on it one whole quarter. They also
    used the practice tests a lot of states have online.
    I'm pretty sure that intense practice in that class
    is what gave her the knowledge to finally pass it,
    on her second attempt. She took the actual tests
    for her license when she was 20, and passed both
    the written (computer) and driving parts of the
    test, each on her second try. Until she actually
    did it, I never thought she would be able to.
    We were in denial that it would ever be possible
    right up until she actually had it in her hand.

    Now she has wheels! She drives the 30 miles each
    way to school almost every day. No sweat!"

    I shared a story about my own child, Matthew,
    with another parent recently:


    "I had worked with him for one whole year trying
    to teach him how to say the word "bye bye". We flew
    to Hawaii and were waiting for our connecting flight
    to Maui. My husband went outside for something and
    out of the clear blue tropical sky I heard Matthew
    say "buh bye" and I nearly did a little dance...the
    kind of I can't believe he just SAID it dance. My
    husband was gone and couldn't hear this wonderful
    new first word that our SEVEN year old child just
    said. I grabbed my cell phone and called my mom
    (as Matthew was still saying "buh bye"..."buh bye")
    and I got her answering machine. I put the phone
    up to Matthew's mouth and he SAID "buh bye" a few
    times. My mom heard it later and kept it on her
    answering machine for years.

    While Matthew is still non-verbal with only a
    handful of words...I continue to help him with
    speech because he makes a lot of sounds and is
    trying hard to put simple words together even
    though he doesn't know he's doing it. I hear him
    sometimes out of the blue say a word while he is
    watching TV. For example, he saw a baby on TV and
    said "bay-bee" clear as day without any problem.
    I will never give up on him talking and will
    continue to work with him and believe in all of
    the things that he is capable of doing no matter
    how old he is or what anyone else thinks."

    Fifth parent writes:


    "Parker started reading in kindergarten, much
    to our surprise. Nobody even knew he could
    until his special-ed class had returned from
    a field trip to a pumpkin farm. They were
    sitting in circle time reading the kids names
    that were written on the bottom of the pumpkins.
    Well Parker started reading all the kids names,
    mind you he didn’t really start talking until
    age 5. The teachers were shocked and so they
    went and got some flash cards to see if he was
    reading or had just memorized the names. We
    found out he had about 75 words, some of them
    very odd like goat. I don’t even know where
    he had ever seen that word. He didn’t like
    me reading to him when he was little, but he
    LOVED the close captioning on the TV. I guess
    that’s where he learned it all!"

    Newspaper Article: Finding 'the keys to Matthew'


    In 1998 a newspaper article was written by
    Meredith Goad titled: Finding 'the keys to Matthew'
    The article is based on an interview with Gary and
    Kathy Schilmoeller and their son, Matthew, who has ACC.
    He was 22 years old at the time of the interview.

    Finding 'the Keys to Matthew'

    The interview reveals surprising and interesting
    information about Matthew and his abilities and also
    explains how ACC affects him.

    Recently I shared my thoughts with another
    parent:


    "I have come to realize that even in those
    --what seems to be little or no progress times--they
    are working hard and learning in their own way,
    making connections and the results of all that
    'silent' learning appear one day out of the blue
    after what seemed like the longest dry spell.
    Finally, a rainbow!"

    Never Underestimate What a Child With ACC is
    Capable of Learning:




    Always keep the door open to what a child with ACC
    can do and learn. I speak from my own experience
    as the mom of a child who has ACC. He beat the
    textbook odds and took his first steps at the age
    of 7 years among many other things. He continues
    to amaze me all the time. I am not alone in this
    revelation.

    Parent of child with ACC
    [who read a book at age 10 for the first time]
    writes:


    "I cried the first time Noah read for an hour by
    himself. It sounded terrible to the normal mom
    (he was very choppy), but to me it was beautiful."

    This same parent also wrote:


    "Now [at 11 years old] he is at a 3rd grade level
    in 5th grade. He is still not very fluent. I
    was told he may never read by his last teacher."

    Parent of 16 year old child with ACC writes:


    "My son William had a list of things (an entire
    page long) we were told he "would never do." REALLY?
    He was 3 years old when we received this list from
    our "doctor". At 3, he spoke 5 words that were
    understandable (mama, dada, jojo, baba, & more).
    His speech was defined as "largely unintelligible
    sentences" for *MANY* years. Meaning, we were
    the only ones who truly understood him....that
    was from age *3* to age ?? (sorry I lost track...
    but it was a LONG time).

    Well, let me tell you what a difference 13 years
    of advocating for speech services can make...I
    CANNOT keep him quiet now...he pretty much NEVER
    shuts up (and I say that with TOTAL LOVE in my heart)
    and he is *completely* *understandable*. He talks
    "a mile a minute!" There is NO misunderstanding
    him now!! He is even described by his teachers as
    very polite and social. He has no problems with
    his socialization skills.

    Oh yeah one more thing, about that list we received
    when William was 3 years old...I'm elated to say,
    he does everything on that list and much more, with
    ONE exception....he still cannot read, but he will
    (I have Faith)...and as GOD is my witness, if it is
    the *VERY* last thing we teach him...HE WILL READ."

    What do you think? Please go ahead and add your
    own comments.






    Monday, June 14, 2010

    Neuropsychological Evaluation



    The topic of a Neuropsychological Evaluation is one
    that comes up often in the ACC support group I
    belong to.

    The topic came up during the creation of the ACC
    Reading and Comprehension document and although
    the Neuropsychological Evaluation information was
    included in that document, I believe it is worthy
    to stand alone as a separate blog post in an effort
    to view it more easily and in the hopes that it will
    spark additional input and information from others.

    The information gained from a Neuropsychological
    Evaluation is valuable in terms of helping a child
    who has Agenesis of the Corpus Callosum in the
    educational setting.

    In their article titled: Neuropsychological Assessment:
    An Important Tool for Managing ACC"
    ,
    Lynn K. Paul, Ph.D., and Warren S. Brown, Ph.D., say:


    "Despite the similarities, each individual
    with ACC has unique characteristics. The goal
    of neuropsychological evaluation is to clarify
    the particular pattern of strengths and
    weaknesses present in the case at hand and
    then to target specific abilities for intervention."

    "(The length of evaluations vary.) A comprehensive
    evaluation includes testing attention, memory,
    sensory-motor skills, visual perception, language,
    intellect, reasoning, social behavior, personality,
    and emotions. It is particularly important in ACC
    to assess pragmatic language, problem-solving
    skills, and social communication."

    Parent of child with partial ACC said:


    "People are not always aware that some traditional
    tests of reading comprehension sometimes do not show
    how serious a problem can be. (You will not have that
    problem with a neuropsychologist, I'm sure.) In the
    public schools the testing for us always came out
    pretty good, but was obviously (to me, not them) not
    accurate. With the neuropsych we were able to get a
    much better evaluation as well as a specific diagnosis
    of LD for reading comprehension, in addition to
    the OHI."

    OHI = Other Health Impairment
    LD = Learning Disability

    NEUROPSYCHOLOGICAL EVALUATIONS:


    Many parents who have a child with ACC highly
    recommend having a Neuropsychological Evaluation.

    The Evaluation can be costly, however, parents
    report that the information gained from having
    a Neuropsychological Evaluation for their child
    is invaluable and worth the cost.

    A Neuropsychological Evaluation can accurately
    assess a child in the area of reading and
    comprehension, diagnose problems, provide specific,
    detailed information and suggest intervention
    methods.

    In addition, a Neuropsychological Evaluation will
    also thoroughly assess the child and give insight
    and intervention methods in all educational areas,
    cognitive as well as behavioral.

    In her document titled "Educational
    Suggestions For Children With ACC: A Beginning"
    ,
    Kathryn Schilmoeller, Ph.D. and parent to grown son
    with ACC wrote:


    "If I were in a position of advocating for Matt
    in the public schools at this point, I would urge
    the school to have a neuropsychological evaluation
    done. We found such an evaluation to be invaluable
    in terms of giving us some concrete suggestions
    for the teachers working with Matt. My only regret
    is that it took us until Matt was 15 to figure out
    that that would be helpful. In our case, after the
    testing was completed, Gary and I first had a
    session with the neuropsychologist to go over the
    results and ask questions. Then we had the
    neuropsychologist attend a PET (pupil evaluation team)
    meeting to go over the results. We video-taped this
    session so that the video would be available for
    his current teachers to review and new members of
    Matt's team to view as they started working with
    him. The school paid for all of this as part of
    his triennial review."

    Is there a particular age that is best for a child
    to have a Neuropsychological Evaluation?

    Second Parent of a child with ACC writes:


    "I have heard mixed opinions on when a neuropsych
    eval is worthwhile. My neuropsych said really
    earlier than about 8 or 9 is just too soon, but
    others have said as early as 4. Also, for my
    child we are on a 2-3 yr plan. Lets set up 3yr
    goals and then re-evaluate. Maybe right before
    high school. Then again right before graduation.
    He stressed, for my child, not to set goals too
    long range. We do not know what the future holds
    so let's not try to set our sights on college,
    let's look at middle school and jump off the High
    School bridge first then the college bridge.
    It made it all look so much less daunting!"

    Third Parent of a child with ACC writes:


    "My son had a private neuropsych eval when he was
    about 6 1/2 years old and in first grade. We
    arranged this ourselves and finally convinced the
    insurance to pay for it (after countless phone
    calls and help from the doctor's billing office).
    Having him evaluated was one of the best things
    we've done on this ACC journey. The eval gave us
    additional insight into my son's learning style
    and needs. It also gave us a "professional's"
    opinion that we could take to the school to
    convince them that we did indeed know what we
    were talking about. We found it very helpful as
    we were crafting his initial IEP, halfway through
    first grade. I pull out the page of recommendations
    every time we have a meeting with the teacher or
    the school."

    Fourth Parent of a grown child with ACC shares
    her viewpoint of a Neuropsychological Evaluation:


    "We found that her neuropsychological
    evaluation was extremely helpful. In her case,
    it did pinpoint her reading difficulties (for
    the first time), giving her a diagnosis of
    "learning disabled for reading comprehension"
    to go along with her OHI diagnosis provided by
    the MRI. But that was just a small part of the
    findings. The report also included all the
    pertinent results of all other testing she had
    had done over the years, as well as input from
    teachers and from us.

    She had been tested twice at school, and she also
    had a private evaluation. They all found that her
    academic levels were all at or above grade/age level.
    Her IQ scores were quite variable, from high average
    to borderline mental retardation. They didn't evaluate
    anything else. None of those findings were helpful
    at all. Her problems were attributed to "temperament"
    or "anxiety," both of which were ludicrous to anyone
    who knew her at all.

    The neuropsych testing included similar intelligence
    and academic testing, but other kinds as well. It
    was far more detailed and accurate, assessing and
    discovering learning deficits and problems that the
    public school and previous private evaluations had
    not. And the IQ results were far more reasonable,
    in the low average range. She was also found to have
    significant deficits in problem-solving and
    higher-order thinking skills and "executive
    functioning"--frontal lobe--skills.

    She was evaluated within the year after her initial
    ACC diagnosis, at age 17. I have heard that about
    age 7 is the lower end of the age range for this
    kind of assessment, and I think that would have
    been the perfect age for her. This is when her
    problems really began showing up, and when we started
    looking for answers. I think that if we'd have had
    it done that early, we would surely have wanted
    another one when she reached 7th grade or at least
    by high school, to track progress, to see if there
    were any other findings that would become apparent
    by that age, and to address recommendations for the
    type of learning required for secondary success.
    Of course this is all just speculation on my part.

    The report outlined ways she could learn best and
    gave recommendations for teachers."

    This same parent goes on to tell additional
    ways that having a Neuropsychological Evaluation
    benefited her daughter:


    "Even though we got this report so late in her
    school career, I'm very glad that we had it done.
    We used it to help her qualify for SSI benefits,
    and were told by the person managing the case
    that the evaluators were extremely impressed by
    its thoroughness, which was far beyond anything
    they'd have had done. She would never have
    qualified on the first application without it,
    and I doubt she'd have qualified even on appeal
    if not for the information it contains. It was
    also just what she needed to qualify for
    accommodations and help from the college. So
    for those two post-high school uses, she got it
    just in time."

    To give an example of some very specific information
    contained in a Neuropsychological Evaluation for one
    particular child who has ACC, I am including pertinent
    sections of that child's Evaluation and findings.


    The Psychologist wrote:


    "My evaluation consisted of an initial interview
    with Jamie's parents, (names parents), a review of
    school and medical records provided by (names parents),
    standardized behavior rating scales completed by
    Jamie's parent and several teachers, and a selected
    battery of tests with Jamie. Following the evaluation,
    I had the opportunity to discuss my findings at length
    with (names parents) during a feedback conference."

    The specific tests used in the Evaluation were:


    Wechsler Intelligence Scale For Children-Fourth Edition:

    Full-Scale IQ
    General Ability Index
    Verbal Comprehension Index
    Perceptual Reasoning Index
    Working Memory Index
    Processing Speed Index
    Subtests Block Design
    Similarities
    Digit Span
    Picture Concepts
    Coding
    Vocabulary
    Letter-Number Sequencing
    Matrix Reasoning
    Comprehension
    Symbol Search
    Information

    Woodcock-Johnson Pyschoeducational Battery-Third Edition
    Test of Achievement:

    Broad Reading
    Brief Reading
    Basic Reading Skills
    Letter-Word Identification
    Reading Fluency
    Passage Comprehension
    Word Attack
    Broad Math
    Brief Math
    Math Calculation Skills
    Calculation
    Math Fluency
    Applied Problems
    Brief Writing
    Spelling
    Writing Samples
    Academic Skills
    Academic Applications

    Gray Oral Reading Tests-Fourth Edition:

    Oral Reading Quotient

    Comprehensive Test of Phonological Processing:

    Phonological Awareness
    Rapid Naming

    Additional Tests Administered:


    Wisconsin Card Sorting Test


    Boston Naming Test
    Controlled Oral Word Association Test
    Grooved Pegboard
    Delis Kaplan Executive Function System
    Wide Range Assessment of Memory and Learning-Second Edition
    Child Behavior Checklist
    Child Behavior Checklist-Teacher Report Form

    The Psychologist wrote:


    "Jamie's composite performance on the Gray Oral
    Reading Tests-Fourth Edition, a functional reading
    measure tapping oral reading skill development,
    was below average (Oral Reading Quotient = X).
    Jamie experienced particular difficulty on
    variables from this measure related to fluent
    reading, while his reading comprehension composite
    fell in the low end of the average range.
    Evaluation of memory functions indicated that
    Jamie experiences significant difficulty with the
    initial acquisition and retention of newly presented
    information. His memory weaknesses are in excess of
    what would be expected from a child with his level
    of cognitive ability, and his weakness with the
    acquisition of new information extends to both
    verbal and nonverbal memory modalities. Jamie's
    composite verbal memory performance from the Wide
    Range Assessment of Memory and Learning-Second
    Edition which correlates with the declarative
    memory demands often placed on a child in the
    classroom clustered far below average compared
    to others his age (Verbal Memory Index = X).

    Jamie is somewhat slower to complete activities,
    and he is sometimes slower to organize his response
    to specific tasks. Like general language weakness
    and memory issues, these issues of performance
    efficiency also likely stem from his neurological
    conditions including agenesis of the corpus callosum
    as well as epileptogenic activity. Given the extent
    of Jamie's agenesis of the corpus callosum, cortical
    dysplasia, and the additional complicating factor of
    epileptic activity in his brain, from a cognitive
    perspective it is remarkable that Jamie has developed
    as well as he has.

    From my perspective, I would strongly encourage
    the educational team to consider Jamie's
    primary disability as one that is characterized
    by Jamie's neurological conditions including agenesis
    of the corpus callosum, cerebral dysplasia, and
    the presence of epileptic activity in Jamie's brain.
    Due to the direct correlation between these
    neurological conditions and Jamie's neurocognitive
    functioning which forms the basis for Jamie's
    educational development, I believe that Jamie can
    be appropriately considered as meeting
    special-education eligibility criteria under the
    handicapping condition of Other Health Impairment
    (OHI). Because this is most explanatory of Jamie's
    struggles, I believe that the educational team
    should consider making OHI the primary code for
    Jamie. As I discussed with (names parent),
    children with neurological abnormalities often do
    not fit neatly into a pre-existing special-education
    category such as Learning Disability (LD). While
    Jamie was determined eligible under this code based
    on the available information at that time, new
    information regarding his neurological conditions
    is now available that should supercede the LD code.
    Clearly Jamie does not exhibit a learning disability
    in the sense that Jamie's current level of academic
    skill attainment is significantly discrepant from
    Jamie's overall level of cognitive ability. Because
    Jamie's neurological conditions directly result in
    weaknesses in academic skill development I do not
    think that a discussion of Learning Disability as
    traditionally defined is particularly relevant to
    Jamie's case, as Jamie's learning difficulties
    clearly stem from known neurological issues that
    directly affect those neurocognitive processes
    important for efficient learning. Due to the nature
    of the neurological processes involved and given
    that epileptogenic activity is an active and dynamic
    process, Jamie may sometimes perform in a manner
    that is quite inconsistent from one day to another.
    Due to difficulty remembering some things, it would
    not surprise me if parents and educators had the
    experience of Jamie seeming to know something
    one day and not recalling it very well the next.
    On the topic of memory inefficiency, it is
    important to understand how this can impact a
    child's performance at school. First, it is
    important to recognize that memory inefficiency
    can limit the amount and completeness of the
    information that the child is able to initially
    take in. Sometimes multiple exposures of the
    information, and multiple modalities of information
    exposure, are necessary to give the child their
    best opportunity to successfully encode the information
    presented to them. Similarly, children with
    inefficiency of learning and memory due to
    neurological issues are at significantly greater
    risk for being inconsistent in their retention
    and later recall of information. Sometimes,
    altering the way a question is asked can be
    successful in accessing information that the
    child has retained but is not able to spontaneously
    draw out of their memory (e.g., asking a multiple-
    choice question versus a fill in the blank question).

    Additional strategies for dealing with Jamie's memory
    inefficiencies include:

    • Multiple repetitions of information is a
    necessary, though sometimes mundane, component
    of ensuring that information is satisfactorily
    encoded and retained. For children, often the
    trick is to be creative in getting the child to
    pay attention and put forth effort on an otherwise
    tedious task. Sometimes incentives (rewards) can
    be offered to a child to help keep them motivated.
    Other children simply need frequent breaks in order
    to stay motivated to repeat information over and
    over. Making the activity of repetition novel and
    fun can go a long way in boosting a child's
    motivation to go over information multiple times.
    Incorporating hands-on activities, using manipulatives
    (objects), and using music are some ways that a
    child's interest in an otherwise mundane activity
    might be boosted.

    • Priming - discussion of related topics and how
    these may relate to the information at hand. Priming
    is especially useful during recall tasks. Previewing
    is a type of priming that is done before exposure to
    the information in order to activate neural networks
    that may then link to the information at hand. Using
    recognition memory tasks is also a method of priming.
    For example, if a child has trouble spontaneously
    reproducing their spelling words, using a multiple
    choice format is sometimes helpful.

    • Using authentic (real-life) tasks - experiential
    learning is typically more efficient than situations
    in which the student is given information and expected
    to remember it. Experiences that are most salient and
    meaningful to Jamie are likely to be remembered best.
    Unfortunately, pure skill-based academic tasks
    (e.g., reading skills) can be somewhat difficult to
    translate into experiential tasks, though reading
    practice is easy to translate into meaningful daily
    activity.

    • Rhymes, chants, and music - this can be especially
    helpful for memorizing and retaining relatively small
    amounts of factual information.

    • Movement - involving movement into learning and
    rehearsal of information can sometimes be effective.
    For example, some people study effectively by pacing
    and rehearsing information aloud to themselves.

    • Minimize anxiety - if a child becomes excessively
    anxious and/or perceives himself to not be competent
    to remember something or retrieve some information
    from memory, clearly this can interfere with optimal
    performance. Thus, anxiety-producing conditions should
    be kept to a minimum. For example, some children become
    very anxious during timed activities. A little anxiety
    can enhance performance, but more than a little anxiety
    can interfere with task performance. For Jamie, it will
    be important to identify and minimize conditions that
    unnecessarily or artificially create anxiety when this
    is not inherent to the task (e.g., allowing Jamie to do
    math calculations but not necessarily imposing a
    stringent time limit if this tends to create a great
    deal of anxiety for Jamie)."

    This is only a glimpse of the child's Neuropsychological
    Evaluation. The complete Evaluation consists of
    a total of sixteen pages. It contains very detailed
    information regarding background history, test
    results, behavioral observations and results of
    behavior rating scales as well as detailed
    conclusions and recommendations.


    test scores have been replaced
    with an "X" for privacy.


    UPDATE: 

    Neuropyschological Evaluation-FAQs


    Any additional
    information/comments from you
    pertaining to Neuropsychological Evaluations
    and your own experience is greatly appreciated.

    Tuesday, June 8, 2010

    Networking Perks



    I was reading a favorite blog of mine a few weeks ago
    about one year old Samuel who has Agenesis of the
    Corpus Callosum.

    One of the best parts about networking with other
    parents (besides getting to see and read all about
    the cute kids) are the networking perks that happen
    when people share information.

    Samuel's Mommy wrote:


    "Samuel had an occupational therapy evaluation this
    week and the therapist was super. He will be starting
    weekly therapy with her soon. I am really excited
    because her philosophy is one that supports the idea
    of neuroplasticity, meaning the brain has the ability
    to make new connections and pathways, which is perfect
    for our Samuel! Also, on that note, Nic has started
    reading a book recommended to us by a physical therapist
    called The Brain that Changes Itself--Nic reads, then
    relays to me the main points-- its good stuff!"

    The Brain That Changes Itself, by Norman Doidge, M.D.

    Well, that was enough for me to want to explore
    the book in more detail so I went online and
    pulled up my library catalog, found the book and
    had it sent over to the local library in my county.
    I picked it up from the library a couple days later
    and sat in my car outside the library reading.

    As I quickly skimmed through the pages, I was surprised
    to come upon a specific program called Fast ForWord
    mentioned in the book that many parents, who have a
    child with agenesis of the corpus callosum, have spoken
    highly of.

    More specifically, you can take a look for yourself
    and Read Chapter 3.

    Right now I'm looking at Chapter 11 and I suspect that
    it will reveal some interesting information as it deals
    with a woman who shows them how radically plastic the
    brain can be...she was born missing the entire left
    hemisphere.

    Time for me to get some reading done since this book
    has several holds placed on it and time is ticking away
    before it is soon due back to the library.

    Thank you Samuel's Mommy for mentioning in your blog
    the recommendation of The Brain That Changes Itself.
    I'm so thankful that you shared it and I love and
    always look forward to reading your beautiful blog.

    How about you? Got any suggestions? Have you read any
    specific books about the brain or anything else that
    have been interesting and helpful for you and for your
    child who has Agenesis of the Corpus Callosum?

    I'd love to hear all about them.

    Wednesday, June 2, 2010

    Advocate Dance




    When my baby was four months old
    ACC is what I was told.

    I was in a state of trance
    but very quickly took a stance.

    Medical insurance would not pay
    for any therapy in any way.

    I put on my advocate pants
    and I did the Advocate Dance!

    Whatever it took I would do
    and they would pay, that I knew.

    They may have denied his medical care
    for absurd reasons that flew through the air.

    But I didn't give them a second glance
    I kept right on doing the advocate dance.

    Physical therapy for my baby began
    despite denial by our medical plan.

    Letters exchanged and phone calls made
    I wouldn't settle until they paid.

    Out of pocket we did pay
    until that final victory day.

    And once upon an advocate time
    the insurance paid back every dime.

    © Sandie L. Davis 6-2-2010


    That is a true story and it really happened
    to us when my child, Matthew, who has agenesis
    of the corpus callosum, was a baby.

    There were many other bumps in the road and
    closed doors over the years with medical insurance
    and other areas.

    However, when you are dealing with matters of
    the heart and it concerns your child and
    his/her best interest, you find the drive and
    determination within you to steamroll those
    bumpy places smooth and roll right through the
    closed door denials.

    Don't ever give up.

    You are your child's very best advocate in
    the whole world.

    Wednesday, May 26, 2010

    A Mom's Perspective...



    Some of you may remember reading Lynnea's story,
    an adult who has Agenesis of the Corpus Callosum.

    In the past I had contact through a few e-mail
    exchanges with Lynnea's mom, Karen. It wasn't
    until after I had finished the ACC Reading and
    Comprehension document that I thought about
    asking Lynnea's mom, Karen, who is a retired
    special education teacher if she would like to
    contribute information about her daughter, Lynnea
    and reading from the perspective of both a Mom
    and a Teacher.

    Well, I was surprised when I received a story from
    Karen about her daughter, ACC, reading and a whole
    lot more.

    I thought it fitting to share Karen's entire story
    here with all of you...

    Karen writes:


    "My daughter is a word person and has been from the
    get go. At the age of four months, I was telling her
    repeatedly, “I love you, I love you” and she plainly
    and distinctly articulated back to me “I uhh ooh.”
    I was beside myself that she could at such a young
    age repeat the correct vowel sounds of these words
    in sequence back to me, and was certain that no other
    child had ever accomplished this. I thought she must
    be a genius. Needless to say she actually did begin
    to talk early. On the other hand, I was quite disturbed
    because other kids her age were walking and she was
    not. She was quite late at taking her first steps.
    Forgive me for digressing, but it was about this time
    that I began to realize that there was something not
    normal about my beautiful baby girl. Doctors assured
    me that there was nothing to be concerned about and
    treated this 34 year old woman as an anxious,
    inexperienced mother, and even though my husband had
    raised three other children, he was ignored, as well.
    We just decided to go on and make the best of things.
    There were a few other markers of disability, but she
    just seemed so advanced in other areas we hoped that
    everything that was late or not right would catch up
    and right itself.

    From the beginning, I was reading to my daughter on
    a daily basis. We started with nursery rhymes and
    fairy tales, of which I quickly tired. By the time
    she was old enough to remember her early experiences
    of being read to by a parent, I had moved on to
    children’s Bible stories and by age three her bedtime
    stories were “The Hobbit” and “Lord of the Rings”
    Trilogy, then the Narnia books. We enjoyed this time
    together, while her father was working a late shift,
    and then he would be with her during the daytime while
    I was at school. Her dad was a music lover and played
    music and sang to her and with her daily. By the age
    of five she was in ballet, gymnastics and jazz class.
    She was successful in ballet and jazz, but gymnastics
    was a major challenge. Shortly thereafter she began
    taking piano lessons and then went on to play baritone,
    tuba and percussion in school band and marching band.
    While the thought is really fresh in my mind, I believe
    that this early introduction to and instruction in music
    was building alternate neural pathways in her brain.
    There is a page on her ACCAA site that discusses the
    importance of music for children with ACC. She still sings
    and is a music lover of all genres.

    At about age three Lynnea began using an Apple IIe
    computer and some computer disk games for early
    learning in math and reading that I brought home
    from school on weekends and breaks. She loved the
    computer from first sight. Upon entering school,
    she knew the alphabet and recognized a variety of
    words by site, but we had not pushed her to learn
    to read or write other than her name, phone number
    and address. She drew some interesting, pictures
    when doodling, but has no artistic talent. Her
    writing (fine motor) skills have always been weak,
    but have improved somewhat as she has matured. She
    never learned to tie shoes the usual way; I had to
    teach her to tie her shoes the “bunny ear” style
    used with special needs children. She also has
    problems with some gross motor skills. She has
    never learned to ride a bicycle either, even though
    three or four people in the neighborhood tried their
    best to teach her.

    As she progressed through primary school, it did
    not take long to learn that the education thing
    was not her cup of tea. About the time she was
    supposed to be learning cursive writing, we became
    very upset that her teacher was not communicating
    her difficulties to us properly and was not making
    a genuine effort to help Lynnea be successful. At
    this time after several conferences, we decided to
    transfer her to a different elementary school. She
    went to a summer school program to try to catch up
    and then as the following year was coming to an end,
    the teacher was suggesting that Lynnea might benefit
    from repeating third grade even though her grades
    were not failing. She was behind in reading and
    math. We requested that she be tested for learning
    disabilities. The school refused saying that she
    was just behind and would not qualify and that there
    was no point in putting her through the battery of
    tests required to meet eligibility for special
    education, not to mention the fact that if she did
    qualify, we would not want to put our child in a
    classroom with the “type” of children that were
    in those classes. End of conversation. We refused
    to allow her to be held back and decided that we
    would work with her all summer to try to get her
    up to level. Reading was not a huge problem.
    Lynnea did have some trouble with phonics, and her
    comprehension seemed to be a bigger problem when
    she became anxious. She could easily tell you what
    a story was about, but had some difficulty in
    answering direct questions. Math seemed to be her
    biggest problem, especially when it came to learning
    the multiplication table. Spelling was also a problem
    for her. Math and spelling became battles and points
    of dissention between child and parent, along with
    missing homework and crumpled papers stuffed into
    her bookbag.

    By this time I wanted to see an IQ score for
    Lynnea and since the school refused to test her
    for learning disabilities the only way I could
    think of to get what I wanted was to refer her
    for the gifted program. Lynnea had a vocabulary
    of a much older child and was an entrepreneur,
    having started a number of successful schemes to
    invent things to sell and make money in our
    neighborhood. Needless to say, the folks paid for
    these somewhat useless objects, mainly because they
    thought she was so cute. The gifted teacher’s
    instruments of testing were not, in my opinion,
    as reliable as those used by the special needs
    instructors, but it would give me something to work
    with. Low and behold, she had an IQ score of 127
    or so, and along with other evaluations used, she
    qualified to be placed in the gifted program, during
    her fourth grade year. She remained in this program
    throughout her middle schools years, and chose to
    drop out near the end of the eighth grade. During
    middle school Lynnea, had some excellent teachers
    who taught her how to spell and read phonetically,
    and she took a special class to learn the
    multiplication table. She did reasonably well in
    middle school, but continued to be an average student,
    with serious organization skills deficits. She had
    been using a computer since before the age of three,
    but I taught her keyboarding when she was in my sixth
    grade computer keyboarding class. She caught on quickly
    and was soon typing faster than me. I encouraged her
    to type papers rather than write from this point
    forward.

    She did well in independent studies and literature.
    She became interested in reading Shakespeare in
    middle school. By the time she was actually studying
    Shakespeare in high school she was the only one in the
    class who actually had any comprehension on his works
    and was tutoring “A” students. However, up until this
    time she did not seem the least interested in reading
    novels.

    Lynnea is a very social person, but does have some
    difficulty in recognizing some social cues, however
    she is a very good judge of character. I think this
    ability to understand character has helped her in
    reading comprehension. She is able to identify with
    characters in a story. Lynnea also happens to be very
    witty and I think that understanding humor is a skill
    that also relates to good comprehension. She loves
    puns and plays on words. She has a poster of her
    famous “speak-o’s.” She even sometimes invents words.
    The ability to recognize that words can be fun helps
    with comprehension skills. I have noticed that kids,
    who do not understand humor, also do not have good
    reading comprehension skills. Her dad was very witty
    and taught her to love humor.

    My late husband (Lynnea’s father/Max) spent about
    4-5 years working with mentally handicapped individuals
    in a residential facility, so both of us had experience
    in working with those who have difficulty learning.
    One of the things I specifically recall him working
    with Lynnea on was locating objects. He would tell
    her to get something and bring it to him and she would
    look everywhere, and could not seem to focus on the one
    object he requested. He would patiently work with her
    on identifying the object in her mind until she was able
    to picture it then go and lay her hands on it. Soon
    she was bringing him the video tape he left laying
    somewhere, and unfortunately, his cigarettes. He also
    worked tirelessly with her on a physical problem she
    had where one foot would turn in. I am sure there are
    many other things he did to help her but these two
    stand out in my mind more specifically.

    Lynnea’s father died of leukemia when she was fifteen
    years old. Her school work in the second half of her
    freshman year and her sophomore year took a nose dive,
    as her father’s illness progressed and grief took its
    toll. She had failed three subjects, but had developed
    a friendship with a boy about her age who was being
    home schooled. During the summer, she approached me
    about her desire to be home schooled. The boy had told
    her that he was being educated using the A Beka Home
    School Program. We went to a local conference that
    introduced the program to interested parents and students
    and decided we would give it a try. Up to this point
    Lynnea hated school and felt that she had been bullied
    and mistreated because she was different. I felt that
    many of her teachers and staff in high school had been
    less than understanding and even blatantly harsh toward
    her during her period of grief.

    Lynnea shortly became a different person as she began
    to get into watching the videos/dvds and doing the
    lessons provided in this program. Suddenly, she was
    learning and enjoying it for the first time ever.
    A Beka was the answer we had been looking for to make
    school what it should be. Lynnea was successful, but
    decided to re-enroll the second semester of her senior
    year so she could graduate with her class. She did
    this and then took a year off, before deciding that
    she wanted to go to a small Christian college in Ohio.
    Our family had always participated in a local church
    and practiced our beliefs in the home. Lynnea is a
    devout Christian.

    Somewhere between the second semester of her senior
    year and her first year of college, she took and passed
    two driver education classes, got her permit and license,
    and wrecked two cars. I was concerned for her safety
    and the safety of others. She also had been suffering
    from severe migraine headaches for some years. I
    decided that she needed to be checked out by a
    neurologist, to see if there was anything that could
    be done for her to help her with driving and headaches.
    He determined that she had some reflex anomaly and
    ordered an MRI on her brain.

    She was 20 years old when the doctor informed us that
    she has no corpus callosum, which according to Kentucky
    SE eligibility laws is an Other Health Impairment, not
    a Specific Learning Disability. Even though I was a
    trained special education teacher (I taught computers
    for 12 years) I had never worked with or even seen or
    heard of a child who had this diagnosis. Her doctor
    immediately worked with us to have a psycho-educational
    evaluation performed, so we could determine what learning
    issues she had and what recommendations could be made
    so she could receive accommodations and modifications
    in her college education program. We also made an
    effort to get her father’s social security survivor
    benefit reinstated, but the SSA denied her benefits for
    this as well as for SSI, saying that she could get a
    job as a Wal-mart greeter, therefore they could not
    justify giving her any benefits, even though a part
    of her brain is missing and she is forbidden, by her
    physician, to drive a car.

    Her biggest difficulties in her college career revolved
    around taking tests. She does not do well on certain
    kinds of tests. Fortunately, her professors were often
    willing to provide needed accommodations including
    alternate methods of determining her knowledge of the
    subject, such as oral tests, research papers, and essay
    type questions, etc. It turns out that she was very
    successful in writing papers. She has become an avid
    reader, reading all of the Harry Potter series and all
    of Jane Austen’s books, as well as countless other books.
    Her next greatest difficulty in college was in passing
    a required math class. She had to take the class three
    times. On the recommendation of her physician she was
    not allowed to work while attending college, have a
    roommate, or take more than 12-15 credit hours for
    semester. It took her five years to get the required
    courses to graduate.

    While in college she has started her own web-based
    organization called Agenesis of the Corpus Callosum
    Awareness Association, LLC (ACCAA)
    to promote
    awareness of ACC and provide support for individuals
    and families who have to deal with corpus callosum
    disorders. She also is the founder of another
    organization to help young teen women who deal with
    self-esteem issues that lead to other dysfunctions.

    Lynnea, like most college students is in debt for her
    education, but she had a double major in youth ministry
    and in Bible (Theology) and has just received her
    Bachelor of Arts degree. She desires a job in Youth
    Ministry. She still has challenges to deal with, and
    one of the major ones beyond the no driving issue is
    being alone as she often gets lost easily, even in
    Walmart.

    In conclusion, reading comprehension skills are not
    a significant problem for Lynnea. She still continues
    to use some learning aids to help her remember content.
    She loves books and is an avid reader.

    I give credit to the Holy God who created us for
    guiding us to do the right things for Lynnea many
    times when we were unsure of just what was the right
    thing to do, and for giving her to us, when we had
    the skills and interests to deal with the challenges
    of her ACC disorder even though we were unaware of
    just exactly what it was for all her formative years.
    Our faith and positive attitude, which is a manifestation
    of true faith, has been as important to Lynnea’s success
    as music, or special education training/experience or
    anything else."



    You can share your thoughts with Karen by leaving
    her a comment. Or feel free to send me an E-mail and
    I will be sure that Karen, Lynnea's Mom, receives it.

    If you are the parent of a young child or grown child
    who has agenesis of the corpus callosum or a corpus
    callosum disorder and want to tell your own story and
    perspective please contact me.

    Wednesday, May 19, 2010

    Meet Patty - An Adult with ACC


    Patty & her daughter

    The process of telling Patty's story came about
    through a series of e-mail conversations that
    took some twists and turns along the way but
    ultimately wound up revealing her character,
    her personality, her sense of humor and helped to
    give a better understanding of who Patty is.

    In much the same way that Patty's story unfolded
    before my own eyes, through a series of questions
    and answers, is how you will see her story revealed.

    Patty is an adult who has Agenesis of the Corpus
    Callosum. But she is also a terrific lady, a
    dedicated and passionate teacher, a loving mother
    and wife, a Sunday school teacher and so much more.

    I know I certainly enjoyed interacting with Patty
    and getting to know her better and I hope that you
    will too.

    It is a privilege and pleasure to introduce Patty.
    Here is Patty's story as it unfolded quite
    unexpectedly and yet quite naturally in a style
    that seemed to fit Patty perfectly.

    I received an unexpected e-mail from Patty for the
    first time in August of 2009:


    *Note: ACC-C = complete Agenesis of the Corpus Callosum


    "I am a 34 yr old married mom that has ACC-C.
    It was discovered about two years ago. The
    neurologist was not much help to me. I have
    enlarged ventricles in my brain which I think
    are a link to having ACC. I am not sure. I have
    educated myself via the websites I have browsed.
    My daughter has not been evaluated for any ACC
    for herself. Yet she has issues that some kids
    have that have ACC. Especially the social aspect
    of school and crowds. I am really tired so I am
    giong to finish this now. Good Night. Patty"

    Many months passed with no further contact.

    In May of this year I posted another adult's ACC
    story on this blog and then invited any other
    adults who have ACC to share their story.

    On May 4, 2010 I received a second e-mail
    from Patty:


    *Note: I have interjected my questions/her answers
    within the content of Patty's original e-mail to
    help the conversation stay organized and flow more
    easily.


    "I think I have told you my story. I did not
    find out I had ACC until after a car wreck. The
    difference is that I was about 31 or 32 year old
    before I found out that I have ACC-C. Many things
    that don't make sense to me I chalk up to ACC-C.
    Even around here I have been researching things
    myself since I have been left in the lurch medically.

    you said:


    "Many things that don't make sense to me I chalk
    up to ACC-C."

    Can you explain this more and give examples?


    "My thyroid hormone imbalances are something I
    believe are not accurately measured when my brain
    throws a wrong signal to my thyroid. I firmly
    believe that my coordination as a child had a lot
    to do with having ACC-C. I walked within the normal
    range of time, and talked within the normal range
    of time. I grew up with 6 brothers and 3 sisters,
    so I think that I had some natural OT [occupational
    therapy], PT [physical therapy] and ST [speech therapy]
    built into my daily routine. (One of my brothers ,
    child # 3, has some learning delays because of
    having the cord wrapped around his neck at birth
    (blue baby).) So, I think that by the time I came
    around, being the youngest of the family, my siblings
    were going to make sure I was going to be “normal.”
    I did not learn how to swim or ride my bike at the
    average age. The coordination of some sports
    activities were very tough for me to conquer. I
    learned how to do it a year or two past the normal
    age kids. I was very clumsy as a kid with a lack
    of coordination.

    I had a huge head from birth until my body caught
    up to it. It was not an ugly head but a large head.
    There are pictures of me between growth spurts that
    I look at now and think “wow, now that is a big melon.”

    back to Patty's original e-mail:


    "I am a state certified school teacher for WI.
    Currently, I teach 4K ( the little guys). I enjoy
    it very much. I have to admit that I think this is
    the best age for me since I have discovered some new
    limitations or rediscovered limitations I used to have
    that are present again.

    What is 4K (the little guys)? Is that Kindergarten
    or 4 year olds in preschool?


    "4K is a program was originally designed for
    children who struggle with basics, (alphabet,
    counting, colors, numbers, and SOCIAL SKILLS) to
    have a jump start before kindergarten. It is what
    kindergarten used to be 30+ years ago. What I did
    as kindergarten student is what I teach my students
    minus rest time."

    back to Patty's original e-mail:


    "It is amazing how when you are diagnosed with
    something like ACC-C, a lot of your developmental
    years can make more sense now in restropsect. I did
    not do well in Math and Science, anything that dealt
    with memorizing facts with numbers is not on my favs
    list. I did enjoy band and choir class in middle
    school and high school."

    Since memorizing facts and numbers is difficult for
    you, was/is there anything that you do to help you
    memorize something more easily?

    Can you list specific things that help you memorize?


    "I don’t really have much of a short term memory most
    times. I have to write down a lot of things in order
    to remember dates, times, events, etc. If its not
    written down somewhere, consider it not having a chance
    to be remembered for long, unless it’s a randomly odd
    placed bit of info that has stuck in my brain. I have
    to be a creature of habit or I won’t remember where
    some important papers or things are kept. If I don’t
    tell myself “ I am putting such and such IMPORTANT
    paper on top of the refrigerator,” then I may not
    recall where I put it. Ie) My mom bought a Younkers
    ticket for shopping last school year in November. I
    knew she paid for it. I knew I had it. I did not make
    a verbal statement to myself where I put it. I did
    not find it until the following summer, when I was
    searching for something else. It’s pretty sad but
    that is one thing I do.

    I read it once, read it again, and sometimes read
    it a third time before information sinks in unless
    I take notes on what I am reading. If I takes notes
    my brain see it as a picture, then I can recall it
    much faster. I see snapshot pictures of things or
    notes in my head and I can recall it better than
    just hearing it or reading it once."

    back to Patty's original e-mail:


    "I wish I could write more but time is ticking
    away and I need to finish filling out some
    kindergarten screening reports. Patty"

    ADDITIONAL QUESTIONS AND PATTY'S ANSWERS:

    How did the doctors tell you that you have ACC
    when you were diagnosed?


    "I was diagnosed with ACC-C after an “abnormal”
    EEG(’07), led to an immediate MRI (’07) . A
    doctor saw it in ‘03 after a CT scan but chalked
    it up to “nothing abnormal,” “nothing that can
    be fixed, looks like it was inborn.”

    Did the doctor in 2003, who saw that you were
    missing your corpus callosum on your CT scan,
    give you a specific diagnosis of ACC and then
    simply dismiss it as "nothing abnormal"?


    "No specific diagnosis, mumbled words with a
    nothing abnormal ….. BULL!"

    Did the EEG reveal seizure activity and what
    kind of "abnormal" activity was revealed on
    your EEG if you know?


    "NO seizures…. (does a happy dance!) Abnormal was
    the gaps due to the ACC from what they had told me.
    Again sometimes looking through mud is clearer than
    getting straight answers from doctors who are
    clueless on ACC-C."

    Did the doctors explain ACC to you?


    "The neurologist did not know what to say besides
    saying it was a Complete Agenesis of the Corpus
    Callosum. My mom and I asked him several questions
    but he had no experience with patients with this
    diagnosis. He explained what he saw on the MRI images.
    I had “texas long horn” ventricles in my head. It
    was a little concerning to him because one end was
    sooooo oversize while the other end went to a rounded
    point. (hence the jargon Texas long horn). My optic
    nerves showed damage but the damage did not lead
    back past the optic region much. Since there was
    no corpus callosum, the doctor was impressed to
    see the parts of the brain that show without the
    c.c. [corpus callosum] there. There was nothing
    that he suggested as a treatment. “You seem to be
    doing good otherwise neurologically. So I hope you
    have a good life.” This was received to me as to say
    “good luck, don’t let the door hit ya where the
    good Lord split ya.” GRRR! Thanks!"

    I asked Patty several questions in an attempt
    to piece together why she needed to have an EEG
    in 2007 and a CT scan in 2003.


    Why did you have an EEG in 2007?

    Was the EEG ordered after your car accident?

    Were you ever referred to see an ophthalmologist
    due to the optic nerve damage that was revealed
    on the MRI in 2007?

    Why did you have a CT scan in 2003?


    "Clarification:
    "A doctor saw it in ‘03 after a CT scan but chalked
    it up to “nothing abnormal,” “nothing that can be
    fixed, looks like it was inborn.”" I was pregnant
    with my daughter and had fallen down some steps and
    bumped my head I think (can’t recall all details of
    the day) The CT scan showed the ACC-C back then. I am
    sure of it. But whatever doctor who reviewed my results
    saw mine and concluded “ehh no biggie.“ So he literally
    mumbled something about something being inborn but not
    to worry because everything else looked fine. Can we
    say drop kick the doctor and then say… “ehh he’ll be
    fine once he catches up to Mars….“

    OH YEAH! CT scan in ‘07, I was hit T bone style in an
    intersection in the city near here. I was given a CT
    scan then since I told me neck hurt. They said the
    results of the CT scan was nothing alarming…..
    (DUH! They saw the ACC-C, but nothing alarming)
    BY THE WAY since this accident I have had the most
    issues with brain related functions, thyroid, memory,
    moods, etc.
    I was having a routine eye exam with
    an Opthamologist suggested by my regular family med
    doctor because I was feeling like I was encountering
    some optical migraines mixed with hypoglycemic episodes…..
    (Talk about the wrong type of medical cocktail NOT to
    have when driving…… I plunked my car in the ditch on
    its side, as gracefully as a Buick Lesabre can tip
    that is….. Meanwhile I am saying JESUS OHHH JESUS! )

    So the ophthalmologist did his normal exam. I flunked
    the field of vision test once and retested (guessing
    on about 25% of flashes)passing the second or third
    time. Also he discovered there was optic nerve damage
    in each eye. I want to say my left was worse than my
    right… He was a bit concerned because I was in my early
    30s. So that optho ordered an MRI and BINGO…. WE HAVE
    A WINNER….. YOU HAVE WON THE PRIZE OF…… oh my lands…
    what is this? What? Agenesis of the corpus callosum….
    Not much said to me EVEN THEN! “Let’s watch your optic
    nerve damage and use this as a baseline.“ says the
    Opthalmalagist.

    Do you have a specific diagnosis involving your
    optic nerves?


    "N o diagnosis but the picture of my optic nerves
    are forever as a picture in my brain seared there,
    with the cupping and the gaps,, oh yeah! I see it!"

    "The ophthalmologist saw the nerve damage but the
    MRI showed it did not extend into the brain at a
    dangerous point. He was “not concerned”."

    "*******Since all this my awareness has been heightened
    by my own research. If you don’t look out for yourself
    who will? Doctors… cha… right… anyways

    New doctors ordered new tests when I switched clinics
    after still having hypoglycemic issues….. So the new
    doctor orders an EEG to make sure I am not having
    seizures and rule in that it is borderline hypoglycemic
    so keep eating routinely…..WHAMO….. ALERT! ALERT !
    After the EEG “PLEASE COME IN TOMORROW FOR AN MRI.”
    why I ask “all it says was there is abnormal readings
    on the results. Just please come in on a Saturday for
    an MRI.” man that tracer stuff gets you cold …brrrr!
    A few days later, I go in for my “results” of the MRI
    with my mom,. Since my mom knows more developmental
    questions than I do, I take her for answers if they
    ask me any of those questions. Which explains the :
    I was diagnosed with ACC-C after an “abnormal” EEG(’07),
    led to an immediate MRI (’07) ."

    you wrote:


    "man that tracer stuff gets you cold...brrr!"

    Can you please explain what you mean?


    "At one point during the MRI they took me out of
    the MRI tube and injected some "contrast" fluid
    into a vein in my arm. IT made my hand very cold
    and then the cold feeling ran up my arm. The
    tracer helps to see the flow of fluid moving from
    point A to point B. It was a small amount of
    contrast but it left a metallic taste in my mouth
    for a little bit of time."

    Did you find out most of the information you know
    about ACC from your own research on the internet
    and from other people who have ACC or parents who
    have a child with ACC?


    "I found out most of my information by looking up
    ACC on my own through research on the internet.
    I found MRI images that looked identical to mine
    from a medical website. I am sorry I can not recall
    what site it was, I looked up information by using a
    specific ACC-C search. It is simply nothing better
    than feeling validated when you see someone else in
    the world that has a brain that looks like yours.
    Through my research I found out more correlations
    to my optic nerve problems and thyroid issues."

    Earlier in your May 4, 2010 e-mail you wrote:


    "I have discovered some new limitations or
    rediscovered limitations I used to have that
    are present again."

    What are some of the new and rediscovered
    limitations?

    Can you explain them in more detail?


    "Since my automobile accident March 7, 2007 and a
    minor one in October 2007. I have discovered
    limitations I have as an adult. I truly believe
    that those minor bouts of disorientation have
    short circuited my brain more than I would have
    preferred. I say that because I have less
    capability to process information as quick as I
    did in college. I have to slow down when receiving
    new information not ever learned before. My ability
    to process information that adds to what is stored
    in my long term memory is still doing okay.
    (e.g. I recently took a 2 cr. [2 credit]-8 lesson
    Spanish class for teachers. I finished it in 9 days
    doing it after my house was quiet for the night. The
    last time I took Spanish was in h.s. although I have
    spoken minimal Spanish with my students). I have
    less capability to handle stress, and process it
    effectively, that used to roll off my back.

    My hypothyroidism has put limitations on me as well.
    Since the hypothalamus runs most effectively with a
    functional corpus callosum, some months have turned
    out to be a “crap shoot” for the lack of better terms.
    I say this because I do not know if thyroid is going
    to receive the meds properly or if its going to not
    receive it because I did not follow every letter of
    the law when taking the meds. Regardless I need more
    sleep than most people, on average. I have to watch
    my diet because food can affect absorption of the
    thyroid meds. I need to keep moderately active, too
    much is bad and too little is bad."

    When were you diagnosed with hypothyroidism?


    "1995. Holy cow it has been 15 years…. Yikes!
    Spring of my first semester away at college
    (2nd yr in college)."

    Does hypothyroidism or thyroid disorders run
    in your family?


    "My maternal grandma had thyroid issues since my
    hypothyroidism diagnosis, one of my sisters has
    been on meds for it also for about 4 or 5 years
    too"

    you wrote:


    "Since my automobile accident March 7, 2007 and a minor
    one in October 2007. I have discovered limitations I
    have as an adult. I truly believe that those minor bouts
    of disorientation have short circuited my brain more than
    I would have preferred."

    Can you explain and give more detail about the "minor
    bouts of disorientation"?


    "These bouts of disorientation had come more when my
    thyroid hormone levels were off along with my sleep
    pattern or eating patterns. If I am not a clockwork
    kid with my life, then I can wreak havoc that trickles
    into my sanity. Last summer, my thyroid TSH levels
    were so whacked along with something else undiagnosed
    that I had a terrible summer overall. We are talking
    emotionally off, physically un-energized, and mentally
    not being able to handle much stress, even the healthy
    amounts of it.

    Did the "disorientation" begin after the car accidents?


    "Yes and No."

    Do you still have "minor bouts of disorientation"?


    "I don’t get it much any more. Although a few weeks ago
    I had it and my chiropractor wants me to time it and
    chart it on a calendar because it may have something to
    do with hormonal changes so many days after menstruation.
    Great thing to talk to a male Chiro. about right?!"

    you wrote:


    "I truly believe that those minor bouts of disorientation
    have short circuited my brain..."

    When you say that the disorientation has
    "short circuited my brain", are you referring
    to the loss of short term memory that you deal
    with now?


    "YES I am talking about my memory."

    Did you at any time BEFORE the car accidents deal
    with any short term memory loss or difficulty with
    memory and remembering things?


    "No. I did my college all before that and even having
    kids before my short term memory loss started going.
    If you can maintain memory in college and during
    pregnancy and childbirth, then you are pretty good
    right???!!"

    Do you have any other medical conditions in addition
    to having complete Agenesis of the Corpus Callosum
    and hypothyroidism?


    "I have no curve in my neck. But that gets adjusted
    by a cute, sassy, younger than me, knowledgeable
    chiropractor that has helped me more with my thyroid
    problems more than my own med doctor in the past few
    years."

    During our e-mail exchanges Patty revealed a few
    additional things about herself that I will include
    here for those of you reading her story.

    Patty said:


    "I can have random, unorganized thoughts, hence that
    is why I answered the question right after it was
    asked. So if you can piece everyting together that
    I told you, it would be impressive.lol"

    On the contrary, it is definitely the other way
    around; I am impressed with Patty the person,
    the teacher and the Mom amidst her challenges.
    I am especially impressed with her kindness,
    openness and I am thankful for the enlightening,
    insightful and very valuable information that
    Patty is willing to share with others.


    Did you struggle with social skills as a child
    in school?


    "I did not struggle much with social skills. I knew
    the social graces and proper manners to have when in
    public. I have been “very emotional” since little on.
    So, I have been easy put to tears over small things.
    I was not a popular student. It probably was because
    I was a sensitive child to getting my feelings hurt."

    Do you struggle with any social skills or
    socializing now as an adult?


    "I am pretty social as an adult. As my husband says
    “ you can make a good conversation with an ant.” I
    avoid useless people, people who I have been kind to
    or friendly to and they don’t give me the time of day.
    Phooey on them. I am selective on how I socialize. I
    have a select group of friends I like to hang with.
    We don’t get to see each other much, so face book has
    helped me connect with old friends and make new ones
    through acquaintances."

    Did you attend a mainstream classroom?


    "I attended a mainstream classroom. I was a good
    reader so I was in the above average reading group.
    I did take years of summer school for math because
    the drill and practice of math facts were painstaking
    for me. It paid off when I went to a prep school for
    h.s. [high school] and took for years of math. I only
    did average in those classes but it was better than
    taking remedial classes."

    Did you receive Special Education Resource help?


    "I did not qualify for SP.Ed. [Special Education]
    Resource help. The more cerebral multi task problems
    just took me longer to do but I completed them in the
    given time."

    Can you ride a bike and drive a car?


    "I ride a bike and drive a stick shift car. I love
    my car because I feel like I am back in college.
    (The best part of my early adult life. Ahh the memories!)"

    Did you attend college and get a degree? I assume
    that you did attend a four year college and you
    received a teaching degree."


    "I attended the University of Wisconsin -Stout.
    I received a Bachelor’s degree in Early Childhood
    Education, in 1999. I taught one year at a day care
    without having my license. I was hired from just
    having my degree. I am in the process of renewing
    my license a second time, every 5 years I must take
    6 credits of classes. I have taken several classes
    that relate to managing a classroom with a variety
    of students, ELL [English Language Learners] and
    special needs."

    Is your daughter your only child?


    "I have a daughter who will be 7 in June and a
    son who is 5."

    What do you enjoy doing the most in life...
    what are you passionate about


    "Personal: My deepest passion is that I use my
    knowledge to make informed decision and to empower
    other people with the information I can pass along
    to them. I want to learn as much as I can about
    ACC-C from educated neurologists. So I put the
    puzzle pieces that are still missing into my life
    with solid answers."

    "Career: I am most passionate about having my
    students have my classroom as the best environment
    for learning to happen. I want to be as fluent as
    I can in Spanish to communicate effectively with
    families of my students."

    It is very evident to me that Patty is a dedicated
    teacher who cares about helping her students learn
    and I have seen her passion for teaching and helping
    kids/students take place before my own eyes.

    Patty belongs to one of the same ACC online e-mail
    support groups that I belong to. In fact, just
    recently Patty reached out to the parent of a young
    child who has Agenesis of the Corpus Callosum who
    was asking for help with her child's learning needs
    and challenges. Patty gave advice to the parent and
    offered specific, detailed teaching methods and ideas
    to try. Along with Patty's specific reply to the parent
    she also included this information:


    "If you stimulate the different hemispheres of the
    brain with crawling activities and stretching across
    the body activities, the brain will begin to be
    stimulated.

    Even with having a ACC-C myself. I have found that
    these midline crossing activities help my cognition
    to engage better that day, and I am the teacher!

    Look into a local S.M.A.R.T. training program near you.
    The program is for struggling students in the early years.
    The program is very hands on and was designed by some
    people who had children with special needs. It combines,
    OT and PT and ST mixed in. The activities themselves are
    between 2-5 minutes each."

    S.M.A.R.T. stands for:

    Stimulating Maturity through Accelerated Readiness
    Training.

    SMART is a multisensory program.

    Many kids who have Agenesis of the Corpus Callosum
    have benefited from using a multisensory teaching
    approach. The midline crossing exercises that are
    incorporated into S.M.A.R.T are an added bonus for
    someone who has ACC.

    The S.M.A.R.T program is being implemented into
    some schools in pre-kindergarten, kindergarten and
    in some first and second grade classrooms and seems
    to be a big hit with the students and staff.

    Because I have a child who has Agenesis of the Corpus
    Callosum, I was curious to learn more about S.M.A.R.T.

    I asked Patty:

    Do you know of a specific website for S.M.A.R.T.?


    "I have my resources at school. go figure. SO I
    would have to look the website information when
    I get back to school. I can check on Monday.
    I know there is a 4 day training seminar that all
    "moderators" (and teachers too) are supposed to
    take to be accurately trained. I am doing the
    budget version and having my sister train me
    (until my district would pay all or part of my
    way of course.) My sister is the moderator for
    her school. So she does the activities with all
    kindergarten, all first grade and some second grade
    students. She had them on a weekly scheduled time
    just as gym or art would be scheduled. The reading
    and math scores have greatly improved in one years
    time from the impletation of this program. She has
    several of the large motor activities done in her
    classroom. In addition, each of the dedicated
    teachers do more activities in their daily routines
    such as I do. The only class that did not show
    improvement with measurable success was from a
    teacher, who had students in a half day program.
    She was "too busy" to be consistent and take time
    to do the activities. I heard that and knew I
    could make it work in my half day program.

    I will send you an email containing exact details
    off the materials that I have at school. I should
    have time to grab the books on Monday... if I
    remember.... ha! I crack myself up! Note to self:
    bring SMART books home! I know the creators of this
    program set out to help their own child with special
    needs. It worked for them so they wanted to share it
    with others!"

    I love that Patty is able to make a joke about her
    difficulty with short-term memory loss and can laugh
    at herself.


    In my own research I found the following information
    about S.M.A.R.T. and will share it here for anyone who,
    like me, may be curious and interested:

    Check out a school in Wisconsin where a teacher uses the
    S.M.A.R.T. program with the PreK students in her class.

    The teacher, Miss Beth, wrote:


    "The S.M.A.R.T. curriculum is designed to help each
    student progress at her or his own rate and to enrich
    and enhance the student's abilities in a positive and
    "play-like" atmosphere."

    Have a detailed look at S.M.A.R.T. in the News

    and


    A S.M.A.R.T. new program at Jefferson


    Minnesota Learning Resource Center-S.M.A.R.T. Info.



    S.M.A.R.T. News-April/May 2008

    S.M.A.R.T. Newsletter Archives and E-Mail Sign Up

    S.M.A.R.T. Online Resources

    I asked Patty:

    Do you do midline activities with the students
    in your classroom?


    "I do midline activities every day. I have received
    many compliments from parents that they have new
    children with their profound improvement of skills.
    I have not done a ton of "academics" I do a ton of
    "train the brain" activities. It may look like we
    don't do much to the untrained professional. Yet by
    golly I have a class of students, where 95% of them
    are ready for Kindergarten. Hallelujah!"

    "I do the "hulk stretch" where we reach up and grab
    something, with both hands, big from the sky on the
    left and carry "it" over to the right side with our
    arms going from extended up to lowered down and SMASH
    the thing across our knees. My 4 year olds of course
    have to show me a good "grrr" muscle pose before it
    as a added humorous body building move! Hulk-smash...
    get it! Then we do the crossover "smashing about five
    times on each knee, alternating left/right/ left right/
    etc....."

    alligator crawl - picture not Patty's class



    "We do the alligator crawl where their belly must
    stay on the floor but they have to crawl with
    their bottoms down also, Their knees alternate
    as if to crawl, left arm up right knee up, right
    arm up left knee up. Their bottoms must be down
    at all times and their arms can not carry them
    they must bring their knees up in te correct
    pattern. I had 3 to 4 kids who could not do it
    in October that are able to do it more successfully
    now. THey do not do it 100 % all the time but their
    success is up from 0% correct body patterns to about
    75% of the path is done correctly. My path for this
    is about 10 - 15 feet long. I moved tables and chairs
    away from a part of the room."

    "I do the bear crawl where their hands and feet
    do the crawling pattern with their bottom in the
    air....I had a few kids tip over from having their
    legs go faster than their hands...The length of
    the path is the same as the gator crawl.

    I do a flamingo stand with one foot in the air at
    a time, counting to 5 at first, then building to a
    count of 10. Also I do a heel tap where the child
    stands up and taps the right heel with the left
    hand both in front of the body for x amount of
    times and then behind the body for x amount of
    times."

    sensory crawl - picture is not Patty's class



    "There is a sensory crawl where pictures of objects
    are in clear pockets taped to the floor. The child
    names the object and taps the picture. then he
    crawls to the next picture on the floor and does
    the same. use 10 pictures of objects at least.

    Hook board- little mug hooks are on a post and a
    child puts varying size washers on the hooks all
    with one hand and then uses the other hand to take
    all the washers off. start with bigger washers
    and then move to smaller washers.

    Wipe off boards- Make simple maze patterns and
    have the child follow the right path with their
    finger first. Another activitiy is drawing letters
    or lines on the wipe off board and have the child
    erase the lines using their pointer finger.

    Use small tongs (without the sliding ring- it
    pinches fingers) and have kids pick up pon poms
    from small bins, putting them from one bin to
    another bin.

    Do the same with eye brow tweezers and small
    pon poms or beads. Boy do they really have to
    concentrate on that! I love their little tongues
    sticking out trying to focus on a steady hand."

    spin in circles - picture is not Patty's class



    "Spin in circles counting to ten. or get a
    "sit and spin" and let it rip (counting to 10)!
    Then reverse the direction they are spinning.
    I had horrible problems with one girl's need
    to spin before I was told by my sister
    (trained in SMART) " let her do it"
    "do it daily" we did it daily for 4 weeks.
    She was a new child! She sat still better
    and had better focus after we spun! Spinning
    builds the core muscles in their belly needed
    to sit better on chairs.
    I could on and on....."

    She could go on and on and I could listen to
    her with great interest.


    In closing, during our ending e-mail exchange,
    Patty shared some information with me about
    herself that I believe is valuable and should be
    shared here:


    In actuality, thinking of all these specific questions
    has worn me out a bit mentally. I need to recoperate and
    get my gears switched to more college classes within the
    next week. I have a three credit class starting soon. I
    have not taken a 3 credit class in 5 years. So with my
    preparation for a church youth rally, 4K graduation,
    spring concert, end of the year picnic, my college class,
    and being a Sunday school teacher, my next month is going
    to be out of control buzy. I pray my brain keeps up so it
    doesn't short circuit and make me an emotional basket case.
    My limitations are very apparent with needing sleep
    having hypothyroidism, food to keep me from becoming
    hypoglycemic, and personal time so my brain can process
    and organize the day's events- overstimulation can make
    my brain hemispheres feel further apart. (my speech gets
    garbled, my mental fog becomes as bad as pea soup, and
    my emotions become a roller coaster ride)
    God Bless, Patty"

    As a mom myself of a child who has Agenesis of the
    Corpus Callosum, I am highly interested in what Patty
    has to say from both the perspective of an adult, who
    has ACC, and as a teacher.

    Thank you very much, Patty, for your willingness
    to openly share your story, for taking the time to
    answer my questions and also for sharing some of
    the S.M.A.R.T. multisensory and midline crossing
    exercises that you do daily with the students in
    your classroom.

    I thoroughly enjoyed meeting Patty and having the
    pleasure of getting to know her better and I hope
    that you have as well.

    Won't you take a minute to let Patty know what
    you think by leaving a comment for her.



    Want to share your story?
    Invitation for Adults with ACC