Same but different….rare as Unicorn 💩???

Rare disease G&A Photo 2018This year 28th February 2018 is the worldwide celebration of Rare Disease Day. 

The very first ever Rare Disease Day was held in 2008 –  a leap year so the perfect occasion for the initial 18 countries that signed up to celebrate.

Every year since, countries across the world have united to raise awareness of all things rare in terms of disease.

Last year 94 countries highlighted their commitment and support to raising rare awareness which is a pretty fantastic achievement.  In fact that’s an increase in ‘productivity’  of 422.2222% for want of a better way of describing it!!! (I had to ask my eldest son taking A-level maths to work that out so if the stats are not right, don’t blame me!!)  So it isn’t surprising that highlighting all things rare is close to the hearts and minds of those who live with a rare disease or have family members affected by a rare disease.

What does ‘rare’ mean to you? I googled the word rare in the Oxford English Dictionary and the top definition that came up as an adjective was this-  “RARE:  – of an event, situation, or condition not occurring very often. ‘a rare genetic disorder’,”

After that it went on to talk about rare steaks, uncommon birds and such like. Interesting I thought however that the very first sentence used to define ‘rare’ was in the context of genetic disorders!

Actually I think the use of the word ‘rare’ in the context of rare diseases is a bit of a misnomer. Why? Because at any given point 1 in 17 of us will be affected by a rare disease! Surprised? Think about this number in terms of the day to day and see how it relates to your experiences.

If you used public transport today (probably a bad example since much of the country seems to be under snow!) was it crowded? More than 17 of you on board? Probably. Bought a coffee in one of the many high street chains? Hopefully not 17 of you in the queue at any one time but probably more on the premises tucking into a hot drink or waiting anxiously for their turn.

17 is lucky in some countries, unlucky in Italy. 17 is the number of muscles it takes to form a smile, 17 syllables in a haiku poem. 17 is the least random number in a study conducted by MIT asking people to choose a number between 1 and 20. So again, not that rare.

A rare disease/condition in Europe is classified as affecting 1 in 2000; in the US fewer than 1 in 200,000. 80% of rare diseases are genetic in origin whilst others are as a result of infections (bacterial or viral) allergies, environmental factors, degenerative or  known as proliferative eg cancers.

Of those diagnosed with a rare disorder a staggering 75% will be children.  In fact, many of these children are a whole new breed of rare. So rare that their medical/physical and or cognitive difficulties don’t actually have a name!

Presently we know that there are approximately 6000 children born each year in the UK  alone who have an UNDIAGNOSED condition. Of those, only 50% undergoing genetic testing on the NHS will ever get a diagnosis. And this is something very close to my heart because 2 of my children are undiagnosed.

Whilst we can indeed be enormously thankful that medical science is evolving and improving so rapidly –  approximately 5 new rare diseases per week are described in medical literature  – organisations like provide essential support and a voice for those affected by a rare condition.

For those of us still in unknown murky waters, studies such as  DDD – Deciphering Developmental Disorder  or the 100,000 genomes project /  offer families like mine the best chance of getting an answer as to why our children experience various difficulties and potentially the best way to manage their conditions, obtain treatment or assistance and potentially connect with families in a similar situation.

Families such as mine with children who are undiagnosed and/or ultra rare can often feel alone. SWAN UK provide the only dedicated support network for families of undiagnosed children and young adults affected by a genetic condition. Hand on heart I can say that the support I have received by being a member (and now a volunteer parent rep) has been a veritable life-line.

Although my youngest 2 children have a myriad of medical terms/symptoms and diagnoses, to date we have no unifying “umbrella” that explains why they are affected. Their medical notes are vast. Between them they have confounded some of the brightest and most well respected specialists across the country. If I had a £ for every time I had heard the words ‘rare’ ‘atypical’  ‘uncommon’, ‘complex (the list could go on for a while, you get my gist) I would be a very rich woman.

If a part of the human body or a specific organ is supposed to work a particular way, you can pretty much guarantee with my kids that it won’t. If unusual presentations or the extraordinary were olympic sports, my kids would be gold medalists. Several times over.

So over the years, being able to talk to those who understand what we are going through, who have felt left out, different or isolated has been incredibly important and helpful.

If one in 17 of us will be affected by a rare disease in some way, IT COULD BE YOU

Please click on some of the links above to find out more and if you can, please consider fundraising or donating:






Tonight Matthew I’m going to be……

An adult!

Strictly speaking I ‘adult’ every day, albeit some days more successfully than others.

Yesterday however, I ‘adulted’ myself to the nines.

So that you can feel comfortable continuing to read and for the avoidance of any misunderstandings, I should reassure you that this post is perfectly respectable and I won’t be revealing anything x-rated or of a delicate nature. You can all breathe a sigh of relief and resist the notion of poking out your own eye-balls/resorting to mind bleach for fear of dodgy pictures and such like!

I don’t know about you dear reader but the majority of the time I don’t feel old enough, responsible enough or even qualified enough to do the “adulting” parts of life. Certainly not with success and authenticity in any event.

Apparently however, being married having children, dog ownership (he might dispute that as pretty sure Milo thinks he owns me) a mortgage and all the other infinitesimal accoutrements of life plus being over a certain age means I automatically qualify as an adult… and there’s no resignation option (well unless you ‘check out’ entirely but that’s generally speaking a bit drastic)

Over the last year particularly, “adulting” has been a part of my life I’d quite like to have run away from.

Somehow wherever I hide, no matter how precisely I have chosen the deepest, darkest recess or how carefully I stick my fingers in my ears and shout la-la-la, the necessity for “adulting” always has a way of finding me….darn it.

And even before last years ‘annus horribilis’ I must confess that I had very often felt like a player in that game “Hedbandz” rather than a real adult.

For the uninitiated, the game compromises of a plastic head band device with a slot in which you stick a card in which states the object/word/profession and the wearer has to ask a series of questions to try & work out what or who they are.

For added ‘fun’ you can do a timed session so they have to guess in a specific time period or a specific number of questions. Adding alcohol into the equation for the ‘Adulty’ version I’m sure can only enhance the fun 🙄 But never in a million years would any card ever depict me as an adult; in fact I think I’m possibly only marginally up from a lemming….

Anyway, what I mean by my ramblings above is, in theory I suppose I should know I’m an adult but the actuality is very different and frankly I really don’t feel I’m quite mature enough to make life or death (somewhat over dramatic!) decisions on a day to day basis when I can barely decide what to cook for dinner!

So now I’ve long-windedly explained that, I’ll get to why I ‘adulted’ properly yesterday.

For those of you who have followed my blog for a while or who know me in the ‘real world’ you are probably familiar with my involvement in SWAN UK.

SWAN stands for syndromes without a name and it is the only specialist support network in the UK dedicated to families of children and young people affected by a syndrome without a name.

Having 2 children who are classified as SWANS – they are both medically complex and although they have multiple diagnosed difficulties/needs, we don’t have an over-arching diagnosis that draws everything together – getting support from SWAN UK over 5 years ago made a huge difference to myself and the whole family. In fact, if we had not joined SWAN UK (its free!) we would have had no idea where to even begin to think of living when we moved to the UK some 4 years ago.

Mr Def Not The W’s was allocated Leeds as a base when he joined his new airline but we knew nothing about the area, about hospitals, schools, housing and services and so it was to my trusty network of online friends that I turned to to seek advice and guidance in helping us formulate a plan.

Of course SWAN UK’s services go far beyond the things I mention above. You can read more about the vital support they provide here:

Over the years, the advice, reassurance, sense of belonging and community not to mention the family days out, coffee mornings and get togethers have been a huge source of comfort, support and a wealth of experience for me.

Back in 2013 it became apparent that holding down a job, even working from home as I had done since 2008, in a role that I could fit around my children, was no longer viable.

I eventually found that in order to keep on top of work I was in a seemingly endless cycle of being up very early, going to bed very late and working all the hours in between that weren’t occupied with the needs of the family including weekends. Something had to give. It was *almost* my sanity.

Although I don’t miss the crazy relentlessness of those days and we are fortunate in that we can (just about) manage for me not to work (and are hugely grateful at times to our parents for stepping in when an unexpected bill/costs rears their ugly head) I do miss that feeling of achievement and accomplishment.

So in September 2015 I decided I would like to try and do something useful with my life and if possible, give a little something back.

I recognised that combining this with (at the time) 3 children with extra needs was going to potentially be problematic. (Turns out we now have 4 children with additional needs, although our eldest is almost 18 and would revolt against the use of the word child!)

I decided to volunteer to be a SWAN UK parent representative for North Yorkshire…. if they would have me! And they did.

In fact, this was absolutely perfect because recognising that caring for medically/physically and or cognitively complicated children can mean life doesn’t follow the best, most carefully laid plans, SWAN UK are happy for parent representatives to volunteer as much or as little of our time as we are able to give. They also understand that sometimes we have to drop everything with little to no notice and have always made it clear that the needs/demands of our children, wider family and ourselves are paramount.

Over the years of being a SWAN UK parent representative, I have spoken at a Rare Disease conference about my experience of being a parent of undiagnosed children; I have contacted my MP about being part of an APPG (all party parliamentary group) to discuss and raise awareness of being undiagnosed and the implications that has on families as a whole, not just the affected individual. I have visited Parliament and spoken to a wide variety of professionals about the difficulties of living with the unknown and unexpected as well as assisted in organising days out to celebrate Undiagnosed Children’s Day (last Friday in every April) arranged coffee mornings and fund-raising events.

I don’t want to come across as holier than thou but aside from (hopefully) raising awareness and sign posting SWAN UK, it did make me feel useful and purposeful again.

It gave me an opportunity to step outside the role of parenting my own children’s medical management and hopefully gave a voice to others in a similar situation.

Anyway back to the reason behind the recent adulting: after something of a hiatus in 2017, I attended a professionals meeting at our local hospital.

Having contacted the Harrogate and District Hospital administrative team (via FB messenger no less!) I pretty much threw myself on their mercy. They kindly directed me to the Head of Paediatric Nursing and The Head of Paediatrics and we set up an appointment Gulp.😳

The fact that the head of paediatrics is also my children’s consultant was not lost on me and was more than slightly daunting.

Somehow, seeing me in a different role to G Man or Minx’s Mum felt strangely discombobulating; at least in the run up to the meeting itself and I was plagued with disconcerting dreams that I would somehow disgrace both myself and SWAN UK.

Nonetheless, I asked SWAN HQ to send me some literature and armed with this, my trusty, very bright pink SWAN UK bag, business cards (get me! I’m posh!!) and a lanyard, I put my big girl pants on (erm figuratively you understand, I haven’t gone totally Bridget Jones yet) and my “grown up” clothes on.

Being only 5ft almost 3 inches, adulting clothes usually involve heels for me. Fretting that I didn’t want to look like I was trying too hard or heading out for a slap up meal, I opted for heeled boots, a patterned skirt & top, with a bit of jewellery and a swish of eyeliner & lippy.

On the inside I may have felt about 5 and was quaking like a jelly but externally I *hopefully* projected confidant, knowledgeable and approachable….

Obviously I couldn’t really ask those present at the meeting if I had successfully captured that but my audience were enthusiastic and receptive. They were keen to read and then display the literature I provided and told me that they would be disseminating the information to fellow colleagues, the Paediatric ward, Child Development Centre, Parents Room and Paediatric clinics. I also got agreement to have a stand in the foyer of the hospital to coincide with Undiagnosed Children’s Day in April. So all in all, I think it went well.

I came away feeling positive and uplifted and like a real-life proper grown up for the first time in a very long time. I’m pretty sure I didn’t have my skirt tucked into my knickers at any point or commit any other embarrassing epic social faux pas’s so all in all winner winner… I hope…. 😊

Dear Mr President…&… you too Mr Hunt

I don’t suppose either of you will ever read this because if I may borrow a phrase from the pop group Journey: “I’m just a small town girl”… and thereby vastly unimportant in the stratosphere’s you preside in.

Strictly speaking President T, I guess you would classify my proclamation as ‘fake news’ since being the wrong side of 40, I’m playing a little fast and loose with the use of the word ‘girl’ but I digress.

So what’s the point of this post if you won’t ever get to read it or even be aware of it on the most peripheral of levels? Honestly, I don’t know but what I do know is if I sit back, say nothing and just let the world continue turning without speaking my mind, then I’m just as complicit and negligent as so many of those who DO hold positions of authority and have the real power to effect change – notably the policy makers and advisers to you important people. Call me naive but surely even they have to report back on the dissension of the people, even though it’s not necessarily what you want to hear?

I’m equally sure the voice of the collective masses can’t have escaped your notice when we annoyingly clamour so loudly. In fact I know you are at least partially aware given some of your recent tweets but more on that later.

What did you do on Saturday night Messrs Trump and Hunt? I don’t see either of you as being of the Netflix and chill persuasion and I assume there are only so many important dinners, galas, schmoozing and events that you have to attend. Surely even you get the occasional Saturday nights to hang out?

If the (un)popular press are to be believed, at least one of you is partial to a Maccie D’s so perhaps you put your stretchy waste band joggers/onesie one and indulged in fries and made friends with Ben & Jerry’s… In any event, I bet you didn’t do this: That’s what my Saturday night looked like – preparing medications and feed for a 24 hour period for 2 medically complex children.

Please know I don’t post these pictures for the sympathy vote; it’s not a pity party for one but as I see it, a picture (or 3) paints a thousand words and sometimes replaces the needs for words entirely. Sorry though, you don’t get that lucky just yet. I’m not done with the rhetoric.

You see as I hummed my away around the kitchen opening and sorting various medical supplies, Dua Lipa on loud, (music concentrates the mind!) I had a mini, well actually fairly major epiphany.

I have said it before and I’ll say it again: I’m so incredibly grateful to our amazing NHS that all these items my children need, depend upon to LIVE are “free.”

I am lucky, for want of a better word, that my children can presently receive urgent care and treatment as well as day-to-day management of their various issues as and when they need it; that I don’t have to choose between putting food on the table or trying to scrape together the funds to pay for specialist equipment, feeds, even consultations with healthcare professionals. But how long will that be the case?

Never was I more aware of how precious such services are as when I had a conversation with one of Minx’s community nurses last week. One of her pesky stoma’s that was surgically resected in December last year (yet more free care) has unfortunately prolapsed again.

This is problematic for numerous reasons: pain, bleeding and the fact that the prolapse occurring even as a first incidence had the medical bods scratching their heads, let alone for a second time. In fact in all the years our community nurse has been in practice and with her vast case load, she’s never had this happen to even one of her patients 🙄

I suppose it’s just another part of Minx’s foibles uniqueness but it’s really time-consuming and causing her distress to have to change dressings (& clothes at times) and clean up several times a day.

Although we have reassured her this is in no way her fault and clothes can be washed, it’s not ideal. As she gets older and more body aware, she is cognisant of the fact this is not something her contemporaries face and her worry and distress increases. We take great pains to build her self-esteem and celebrate how well she is doing but it’s a fine balancing act not to minimise her day-to-day difficulties and yet promote her ‘ordinariness’ – something key to her in wanting to be the same as everyone else. So we need to manage this the best we can.

Our trusty nurse assessed how we should proceed for now before our next trip to Great Ormond Street and set about contacting our GP to get prescriptions for various lotions and potions, dressings and even support garments. Again free.

I assured her I had a stash of dressings at home from past dabblings in stoma management and reeled off a list of supplies that would make a Casualty (TV show) prop-dresser weep.

It’s always advisable to have supplies in hand. Despite our best endeavours to keep both her stomas clean and infection free, by virtue of the fact that it’s a non sterile opening into (& out) of the body and that the body sees it as a foreign object, it’s likely that infections or skin/tissue difficulties will tear their ugly heads at some point in time, especially post-operatively.

Only for one tiny moment did I hear the tiny but sharp intake of breath she gave. And if I hadn’t questioned the community nurse on it further, I’m pretty sure she wouldn’t have said a word.

Her almost imperceptible gasp related to the dressings. These babies on the left to be precise:

You see we have a stash of the foam pad dressings on the left which are used predominantly when a wound/stoma site is infected or particularly (watch out for technical word) “manky.”

These rather innocuous looking, individually sealed dressings are impregnated with an anti-microbial property which helps speed healing, prevent colonisation of bacteria and generally fend off/clear all sorts of overall nasties.

Because I pushed, the community nurse explained they come with a price tag of £2.50 … per dressing… and we have 2 boxes of them, approx 20 per box if I recall correctly. And guess what? I got those “free” from our pharmacy too. Prescribed “free” via our GP.

The dressings on the right of the picture do a similar job at the cost of 9p per dressing so it was more than understandable and acceptable to me when the nurse asked if I would mind utilising those in the first instance.

She stressed that if acceptable progress wasn’t made quickly we should have no qualms switching to the other kind and if I hadn’t questioned her, I’m pretty darn sure she wouldn’t have said anything else on the subject. At no point was I made to feel any kind of guilt or justification for utilising such extensive and expensive resources.

I’m sure those far more worldly than I will point out how in reality none of the aforementioned items or services are “free” and yes, yes I’m well aware that as tax payers, we pay in towards a system that (partially) funds all this but for all intents and purposes, at the point of service delivery, my children can utilise what they need with out exception, without paying and are thriving as a result. Again how much longer will we have this assurity?

Quite frankly Big D, I don’t profess to fully understand all the ins and outs of your heath-care system in the US. But I know enough to be afraid and I dread to think what would happen to my children and for that matter, to my entire family if we lived in the US. I’m pretty sure that at least some of the family would be uninsurable.

What I do know from my friends across the pond are their concerns over yout 2 tier system that favours the wealthy and knee caps the poor; the eye watering medical costs, deductibles, exclusions and/or restrictions on cover that penalises an aging population or those who are medically and physically complex. The demand to know even before treatment can commence as to who provides your medical insurance and what level of cover you have scares the living daylights out of me!

The Affordable Care Act ‘- Obamacare’ – certainly rung the changes and whilst far from perfect, seems to have provided a more level playing field for all walks of life. That you seem hell-bent on repealing it come hell or high water is almost certainly a retrograde step that disincentives healthy individuals from paying into the system, thereby ensuring rising costs for those most in need of protection.

The furore and uproar from us Brits in response to your recent declarations regarding our much-loved NHS may have come as something of a surprise to you. You caused ructions when you dared to criticise our beloved universal health care system and you crossed that uniquely British line that allows us to be both hyper critical and yet extremely proud of British institutions all at the same time.

I think you neglected to bear in mind the fundamental point of the NHS when you tweeted about our front line medical personnel and equally incensed members of the public who recently marched in protest with the “Fix it Now” campaign –  the sheer and utter outrage at the lack of funding for services.

The NHS was created out of the ideal that good healthcare should be available to all, regardless of wealth. When launched by Aneurin Bevan on July 5 1948 its three core principles were:

• that it meet the needs of everyone

• that it be free at the point of delivery

• that it be based on clinical need, not ability to pay

Of course it is only right that those core guiding principle are still held true and dear.

That at present our health system is in crisis is not in dispute. The year on year lack of real term funding, the austerity measures, closures, cuts and the insidious but increasingly louder suggestions of privatisation lurking in the wings are of grave concern to anyone with a modicum of sense and compassion.

Whilst you Mr Hunt publicly denounced The Donald’s tweets and are “proud of the country that invented universal health coverage” regardless of bank balance, I think it’s fair to say those on the front lines and those of us trying to read behind them are all sceptical that you intend to maintain such partisan beliefs when it comes to delivering what the NHS really needs.

I guess it’s even harder to believe you will abide by its guiding principles given that you apparently co-authored a policy book back in 2005 called Direct Democracy: An Agenda For A New Model Party.

It is only fair to point out that I suppose this was part of a collection of writings by a group of Tory MP’s and the book was presented as a whole; chapters are not marked with individual authors; nonetheless it stated:

We should fund patients, either through the tax system or by way of universal insurance, to purchase health care from the provider of their choice”

Whilst this ‘gem’ was amongst many varied ideas, the policy pamphlet called for the NHS to be replaced by an insurance market style system and even went so far as to outline how this could be achieved, stating that the private sector should be brought in:

Our ambition should be to break down the barriers between private and public provision, in effect denationalising the provision of health care in Britain.”

So you will forgive myself and my contemporaries if we are more than a tad sceptical of your motivations and your purported promises to main the core principles that the NHS was built on.

It was widely reported in early January that Chris Hopson  (chief executive of NHS Providers,  the go between between health trusts and the Department of Health) wrote to you calling for extra investment on a long-term basis to address the “fragility of the wider NHS”.

Mr Hopson’s  three-page letter requested a commitment to increase the NHS budget to £153bn by 2022/23 – the sum that the Office for Budget Responsibility said is needed, given the projected increased demand for services.

His letter went on to state “The NHS is no longer able to deliver the constitutional standards to which it is committed. We need to be realistic about what we can provide on the funding available.”

You agreed that funding has to be increased….but how this will be achieved still remains a closely guarded secret. Whilst researching facts for this blog piece, I found scores of references, much hyperbole and conjecture but no real concrete plans. Everything seems to be up in the air and awaiting clarification. Smoke and mirrors. Maybe even our own British take on “fake news?”

Certainly a lot of your past ‘promises’ on how services have improved, how more positions have been created with a larger workforce in place don’t stand up to scrutiny when you dig a little deeper.

Perhaps unsurprisingly but extremely scary, when typing your name into google Mr Hunt, plus the words NHS, the most popular ‘hit’ that came up was privatisation….

Considering your much waited plans are going to be the biggest and most encompassing strategy for the NHS since the early 2000’s, I won’t be alone waiting with baited breath…and fear….









These are my salad days….

Once upon a time there was a person called Mum. Mum originally had a name but Mum had ended up having so many children that she was now just known as Mum or for a spot of variety: G-Man’s Mum, Minx’s Mum, eldest teenager who must not be named’s Mum, Famalam (a whole new level of confusion brought about by the “yoof of today’s” obsession with roadman speak) and other variations on a similar theme.

Mum suspects that her local authority may also have some pretty choice names for Mum but they are unlikely to be printable (or provable!) here and that is a story for another day.

Before Mum actually had her own children, she was actually a very good mum even though strictly speaking she didn’t qualify for the title role. At that point in her life she only had 2 tri-coloured cats so unless you considered the phrase “who do you think you are, the cat’s mother?!” applicable, she was reaching somewhat.

It turns out it’s much easier to be a brilliant Mum when you have imaginary children (and real cats) and only occasionally baby-sit other people’s or smirk at other parents whose children are having a public meltdown, smug in the knowledge that you could do the job SOOOOO much better.

However, Mum knows that she was indeed a very good mother pre children because in those halcyon days she spouted such wisdom’s as “There’s no reason at all that ANY child should have a crusty/snotty note when its so easy to wipe with a tissue” or “my child will eat all the things we eat, just in smaller, less seasoned versions.” She also proclaimed  sagely to her fellow thinking- about-becoming- Mum friends that children wouldn’t really change her life as it was so important that children learnt to be adaptable and behave in all manner of situations, accompanied by a tinkly little laugh. Mummy was indeed the epitome of smug…

Then Mummy went ahead and had THE CHILDREN. Mummy wasn’t entirely daft/(un)lucky to have 4 little darlings all at once. No, she thought she would spread the misery joy over a period of years. And then they all lived happily ever after. 

So child number 1 was born and Mummy spent her days between feeding/crying/elation and exhaustion with her head buried in such bibles of wisdom as Annabel Karmel, Penelope Leach, What To Expect the 1st year, Toddler Taming and other such patronising fabulous tomes of parental guidance (no I don’t mean the film category) so that she could qualify as The BEST Mum EVER.

Since I don’t want this to be a bedtime story that bores you to sleep, I’ll spare you the blow-by-blow account of children 1 through 4’s every waking moment as it goes on for many (many, many, many) years but one skill that Mummy found accompanied her through the early childhood years and surprisingly still lingers today is something called THE GUILT.

Guilt was and is her ever-present ‘frenemy.’ It’s amazing just how guilt can raise it’s cocky little head at any given moment and Mummy feels sure that if universities offered degree courses in it, she would have more than qualified for not just a BA (hons) but probably an MA and possibly even a PHD too!

Mummy you see very early on discovered that guilt was there to keep her occupied in the small hours of the night (why does this child never stop crying/screaming…have I broken it?? Did I actually want a child/ren after all?? ) and was especially good at loudly shouting when she pontificated if her children had an off button once they had found their annoying dear little voices that she had waited so patiently for to utter their first babble.

Guilt was there when Mummy went back to work for the first time and everyone else she knew was a stay at home Mummy. Guilt joined her when she resorted to controlled crying. It sat heavily on her left shoulder (I’m pretty sure that’s the explanation for all the pain in her neck anyway) as she sat with her fingers in her ears when at her wit’s end she decided to try controlled crying in sheer, utter desperation. That didn’t go very well to start with as Mummy was unable to control HER crying and it very nearly became competition as to who would tire out first…..

Over the years Mummy learned that THE GUILT had an uncanny talent for sneaking up on her at times she would least expect it. Mummy thinks back and wonders if THE GUILT is what is responsible for driving her to wine every night…then she remembers an interview on early morning television that suggested that if you have a glass of wine every night – even if it is only the one – that you are actually an alcoholic and THE GUILT laps it up. It has a very good appetite does guilt and it isn’t picky what it feeds off.  Mummy tries not to let it be an appetite for destruction and I am pretty sure she isn’t referring to the Guns ‘N’ Roses album of the same name…..

One of the things THE GUILT has an extra special relationship with and most likes to taunt Mummy with is THE FOOD; specifically feeding THE CHILDREN.

Mum studied the various Anabel Karmel books from cover to cover and invested in more ice-cube trays that you can possibly imagine  – originally for the purposes of storing and freezing micro amounts of home-made, pureed baby food in but now mostly used for the ice in a gin and tonic.

Over the advancing years she resorted to google too. Technology being handily available at all hours meant she could consult this oracle getting tips on baby led weaning et al and make notes about delicious recipes even in the middle of the night!

Nonetheless, it appears that Mummy’s precious darlings weren’t reading the books and despite being capable of reprogramming the Sky box/DVD recorder etc (something Mummy still struggles with today) definitely didn’t seem to understand the guiding principles and ethos of those internet articles showing happy, smiley pictures of  babies/toddlers eagerly scoffing down quinoa and edamame dip, chia and lingonberry smoothies and that piled on the guilt still further.

Mum is pretty certain even over 10 years on G-Man still hasn’t forgiven her for the polenta/spinach loaf she lovingly created (what was she thinking?!) When served he deigned to take the teeniest of mouthfuls, then threw it disgustedly as the freshly painted wall. Mum watched in dismay as it “walked” itself over and over like a possessed rubber man toy down the wall to land with a splat forlornly on the wooden flooring. G clapped delightedly at the ensuing greasy slime mark.

You see, back in her earliest (judgemental) Mum days, Mummy made a solemn vow to promote healthy eating choices and to cook all organic, exciting, varied meals with plenty of vegetables from scratch! She thought that manufactured baby foods were the devil’s spawn.

Mummy didn’t quite think this through however with baby number 1 as she had gone back to work near enough full-time, was still having to get up for feeds in the small hours and was pretty much totally exhausted after a day at work away from her precious one (child, not wine for the avoidance of doubt).

Very quickly Mummy discovered that if she spent all her waking hours peeling/chopping/boiling/mashing and pureeing, it left very little time for doing anything else, especially playing/reading and interacting with her dearest first born…and that made Mummy feel MORE GUILTY than ever.

So Mummy got the stick out of her ass  relented and decided to buy some JAR FOOD thus freeing up some of her time and hoped that it would assuage some of THE GUILT. Surprisingly at times, this seemed to quite nicely pile on THE GUILT and Mummy may or may not have decanted jar food into baby bowls and sprinkled a few cubed bits of veg on to the top when she took it to nursery in keeping with the (myth) homemade baby food plan that she had…

Child number 2 helped Mummy on her journey with THE GUILT by being sensitized to dairy proteins once she had given up feeding herself  and put him on formula. This took the form of eczema so horrific that child 2’s back would weep open sores which made him very sad and cranky and the stealer of all the sleep for months at a time. He also started with asthma at the same time. Co-incidence? Possibly but it accompanied her special friend, guilt, very nicely.

Mummy subsequently found that an extraordinary number of every day items contain milk or dairy in some form or another and therefore spent a great deal of time of her time reading labels in supermarkets and working out how she could make alternative versions of favourite pasta sauces that Child 1 would also eat so that she wasn’t cooking herself into the ground and could at some point attempt the art of conversation with The Daddy. Mummy is pretty sure that at some point the art of conversation led to child number 3 but at that place in time she was so sleep deprived she can hardly recall.

Child number 3  – G-Man – had extremely horrible, painful reflux. Mummy knew this by the high-pitched screaming and the contorting and jerking of his back that exhausted his poor little body. He was also able to vomit at will, projectile and prolifically, even hours after a feed.

The Daddy didn’t really believe the Mummy at first when she insisted it was more than a bit of baby puke until he witnessed with his own eyes the baby upchucking so violently it hit 4 separate walls, the floor and the ceiling all in one go. Mummy was just waiting for his head to start spinning in the style of The Exorcist but at that point the Daddy had seen enough and agreed baby G should see the Doctor.

After several bumps in the road, poor baby G was hospitalised as his blood tests showed his chemical balances were completely out of whack and the medical bods suspected a condition called pyloric stenosis.

A few days of tests and investigations disproved this and thus began the ‘interesting’ journey of trying to get infant Gaviscon powder into a breast-fed baby.  This was not in reality a very fun game and by the time The Mummy and The Daddy had actually mixed it up, spooned it in, chased it back into the mouth from the drooly-chinned screaming baby, he had cried so much and gulped down so much wind, it all seemed pretty much pointless anyway.

Mum and Dad were assured he would grow out of it and that moving onto solid food would be the making of him. He didn’t and it wasn’t. There isn’t a single baby picture of him for the first 3 years of his life without a bib in situ.

Fast forward many years to present day, reflux is still hideous and painful and despite the maximum doses of antacid medications and motility speeding drugs, G Man has ended up being fed by a naso-gastric feeding tube since last October and no one is quite sure where this is going….Certainly the last 3 months of paediatrics appointments have shown he has lost weight, albeit very small amounts, and the medical bods are again scratching their heads as to the best way forward.

Child 4  – Minx – for a variety of reasons was born at a time that had been accompanied by much stress and worry. In her early weeks of life when her numerous difficulties and quite significant medical issues became apparent, Mummy was pretty sure that THE GUILT was responsible for what had happened and that made her feel it even more which was a bit counter productive in the end.

Minx’s first foray into actual food rather than breast-feeding definitely didn’t go to plan.  Frequent chest infections, coughing and choking during feeding, poor weight gain and a seeming inability to maintain a good suck reflex meant she had been assessed by a speech and language therapist (SALT) by the age of 4 months.

After listening to her feed via a stethoscope, the SALT was concerned enough to ask for a video fluoroscopy to be carried out. A video fluoroscopy is a form of x-ray imaging which examines the mechanism of chewing and swallowing using barium sulphate and this is  added to a variety of foods and drinks. Tasty… Whilst eating/drinking occurs, a series of images are taken at different stages and the barium makes it easy for the radiographer and SALT to view what is happening and pin point any areas of concern or difficulty.

Although the test is not in any way painful or invasive as such, since the body is exposed to radiation, it is not something that is undertaken lightly, especially in very young children.

Since Mum and Dad were very new to the world of special needs, they hadn’t really absorbed the ins and outs of it all and were most definitely in a haze of unaware, uninitiated denial. They certainly hadn’t thought through the why’s and wherefores of how this test would be carried out. In fact, since it was scheduled at short notice, they hadn’t even been given a leaflet or chance to look it up on-line.

On the day itself, it became apparent that getting barium liquid into a child who was solely breastfed, had never taken a bottle in her life and had no experience of “eating” not even a taste off a spoon was going to be interesting problematic.

Fortunately as both parents were present, The Dad was promptly dispatched to the nearby pharmacy to pick up a ready sterilised bottle, formula and jar of pureed baby food so that the procedure could get underway.

For many parents, no matter what number baby you are on, their first foray into tasting food off a spoon is a moment to be cherished, photographed and exclaimed over delightedly.  Watching a baby’s varying expressions of suspicion, doubt, grimace and/or delight is usually a fairly monumental occasion.

This first tasting experience in a freezing cold, sterile in more than one sense of the word, environment was somewhat marred; a most inauspicious start.  Suffice to say it didn’t go well on multiple levels; not the least of which were exacerbated by the SALT and locum radiographer having a bit of a barney difference of opinion about whether it was acceptable to expose such a small baby to radiation from the procedure.

I think I did promise further up that it wouldn’t be a blow-by-blow account of each child’s developmental journey…. I seem to have spectacularly failed on that front as this piece is already much longer than I had anticipated when the mood to put pen to paper or rather finger to keyboard originally struck me, so I’ll try to get to the point of why inspiration struck to write the dang thing anyway.

Mum remains nagged insistently by THE GUILT and despite all the reasons she should know better has endeavoured to continue making as many delicious,  varied home-cooked  meals as she can possibly muster….that of course is between the myriad of appointments/admin/general assorted crappery that comes from managing 4 children with additional needs and the day-to-day running of the house.

Contrary to at least half of the children’s falsely held beliefs that Mum spends ALL DAY every day on Facebook, Mum was inspired watching Gino D’Acampo on a well-known known morning TV show (whilst doing the ironing honestly and not at all checking out she of the Willoughboobby’s fame fabulous wardrobe – total lust envy ) talking about a family favourite meal from his childhood which was so easy and so delicious and could be made up from leftovers too AND incorporate all sorts of hidden veg! Genius!

Mum watched Gino and crew waxing lyrical over various stages of the preparation and thought to herself how quick and easy, cheap and HEALTHY it all looked.  Indeed her own mouth was watering and discovering that she had near enough all of the ingredient already in, save some courgettes and the conghiglione (that’s large pasta shells for the likes of you and I) Mum vowed to pick up the extra bits for dinner. *

Several shops later, Mum had scoured the local area for the blasted conchiglione without success. Waitrose had a blank space on the shelf as did M&S (although a price tag revealed that the shells were over £3 for a mere few hundred grams!!) and Ocado had plenty of alternative suggestions but nothing useful. If Mum had stopped to think for a moment, she should have realised that this was a SIGN and stopped right there and just served up some chicken nuggets goujons with nutritious vegetables chips.

Mum however was still lost in a thought- haze of smiling, pink-cheeked grateful children thanking her for such degustation and how the dinner time conversation would flow with abandon about all the new and varied food stuffs they would try together.

So Mum went to the overpriced deli and purchased the conghiglione then set about this veritable feast of gastronomy. About 2 hours into the process Mum reflected that the ba**arding recipe hadn’t looked nearly so time-consuming and complicated on the TV, forgetting of course that Gino had one of those handy “here’s one I made earlier” bods for at least 3 stages of the process that had been condensed down to a 10 min slot on TV.  Nor had Gino used every single item in the kitchen as she appeared to have done. Mum surveyed the unholy mess surrounding her with gritted teeth but glibly anticipated the raptures of delight from her children and knew it would all be worth the end result. She did however decide at that point if she was ever going to make this again she was bloody well going to buy béchamel sauce rather than make it from scratch!!

Fast-forward to dinner time, and the family gathered expectantly round the table, Mum anticipated their reactions excitedly. It certainly looked fantastic and smelled amazing! Plates were piled high and for good measure Mum had made a large salad and served some garlic dough balls on the side as an extra treat.

Child 1 promptly reminded Mum that he didn’t eat pasta (except on camping trips with friends as a “necessity”) and mooched off to make himself scrambled eggs. Child 2 wasn’t home and child 3 point-blank refused to eat anything. Sigh. All hopes pinned on child 4, she did at least raise a spoon to her mouth….then informed Mum that actually she “wasn’t a big fan of this muck” and would just stick to the dough balls, salad oh and the shop bought orzo pasta ready salad in the fridge

Mum could have just put her head in her hands and sobbed but she was far too busy shovelling in mouthfuls of the food to care at this point and The Dad seemed to be enjoying it anyway.

The dog put his paw lovingly on her knee with big, pleading mournful eyes and told her without the need of words that he would happily scarf down any portion she was willing to give him.

Although Mum has a STRICT(ish) ban on feeding the dog from the table, she did briefly contemplate putting something on his own special plate….and then she remembered it contained onions which are very BAAAADDD for doggies and cheese which was the equivalent of about 5 hamburgers or something  so she had read in the vet, so that was that.

Mum has learned many a valuable lesson from that last venture into making meals off the tele…..and she won’t attempt it again for a while….but she might just tell the guilt to do one…at least temporarily….

*in case like Mum you fancy trying the recipe it’s this one:

Mum made the largest quantity using the vegetarian option and also used up some smoked salmon & sauce in some of the other shells. Note if you are serving strict veggies or those with dietary restrictions eg Kosher/Halal, you will need to substitute the pecorino or find a vegetarian version.

The monkey on my back…

There are times I cannot shake it off, not even channelling my best (very poor) Taylor Swift vibe.

It’s a glimpse out the corner of the eye. Did I see it or was it my imagination? A floater, a speck of dust in the atmosphere or a shadow clinging to the edges. Who can say with certainty? It’s presence can be equal parts downy kiss or Machiavellian thief of joy.

I rail when I am unable to fix, kiss it better or magic it away with Calpol. I am a fixer you see or an agitator of souls at the very least.

If unhappiness hovers, security and resolve is threatened then I should be the equivalent of super glue. Yet am I more of a tie that binds? The kite line that sores and flies on the wind or the dead wood. Chop it out?Build it up to smash it down?

I don’t think so. Not on my watch. Not today at least. Tomorrow? It is unwritten.

When is an EHCP not an EHCP?

For the avoidance of doubt or for those who may be unfamiliar with the UK and it’s education system in general, I will outline what an EHCP is supposed to do.

All children and young people who have a learning difficulty/disability which makes it difficult for them to access education and need more specialist help than a typical child or a child with educational needs over and above that which the school/college is usually expected to provide from their nominal budget, should be assessed for an EHCP.

As it stands, if a child has a relatively low-level learning based difficulty/disability/need, their school would be expected to fund specialist support out of their own budget before making an application to their local authority for additional top up funding.

The Governments own website outlines the EHCP in more detail:


Rather succinctly this little gem  sums it all up in a very appropriate nutshell:

The EHCP should identify, as detailed on the UK governments own website:

educational, health and social needs and set out the additional support to meet those needs

So there you have it!

Hopefully this makes things clearer to you than mud (please read that in an ironic tone) but the whole EHCP process is such a lengthy, demoralising fiasco, so forgive me if it’s still murky. Anyway, I digress….

EHCP stands for Education and health care plan. I’ll say it again and in bold, just in case and for the avoidance of doubt:


Let’s take a moment for that to sink in.

Okay then. Got it?

If you saw those words at the top of an important document, with your child’s picture beaming out at you from the front page, what do you think you might expect to find reading on?

I may not be the sharpest tool in the box, no contender for Mastermind or MENSA but even I don’t need a dictionary or google translate to understand those 3 little but ever so important words.

I would expect a to-the-point, concise yet detailed report outlining what and how all my child’s EDUCATION, HEALTH and CARE needs could be best met.

I would assume (& yes my dad did teach me the adage about assume making an ass out of you and me) that such a document would clearly state what steps/methods/therapy or such like would be put in place to accomplish this and help the child achieve the best possible outcomes, uniquely tailored to their own specific requirements.

There would be bullet points stating  identified needs. And to each of these there would be a response detailing how those needs can be met, who would provide the support and how. Quantifiable, specific. Defined.

As you may have guessed by now and if you have read my previous blog posts: ( and😡😡 we lost our educational tribunal case as the judge decided after hearing the evidence that we couldn’t prove a waking day curriculum (residential school mon-fri) was solely necessary on educational grounds, which is the ONLY aspect of the case he could rule on.

The judge however did stipulate verbally on the day of the tribunal hearing itself and in his subsequent summation that there is a clear, identified need for both the bodies representing children’s social care and health (ie CAMHS) to step up to the plate and that a tri-funded agreement would have been in our son’s best interests.

Regrettably because the latter 2 aspects are not enshrined under current legislation and despite the overhaul of the whole statementing process which took place in 2014, leading to the creation of EHCP’s, the judge was not able to rule on any other factor than education and he also had to balance his judgement with the best use of public funds.

We found all this out last October but there has been so much other assorted 💩going on in our lives that I’ve needed time to step back, lick my wounds, retreat, repair and decide what to do next. It is still an ongoing process.

So as it stands, it turns out I really should have listened to dear old Dad because assuming anything positive about the EHCP process really did make me an ass.

I naively thought the 3 very specific words of education, health and care would formulate the basis of MY child’s frame work of specialised education.

That those in authority and tasked with facilitating the EHCP would recognise not just his needs but his fundamental RIGHTS to access appropriate care and support to his emotional, social and educational needs as an entirety. Ha!

Essentially it seems MY child’s needs are pretty much irrelevant in the document that stands as HIS EHCP. Furthermore how his needs interplay and merge with those of ours as a family – because we are a functioning (debatable!) unit – seem totally irrelevant.

How egotistical of me to think all these things should be reflected and factored in as a holistic approach in his plan?! I think wishing for unicorns and rocking horse sh%t would have been more achievable.

As I was succinctly reminded the local authority do not have a duty to provide the best possible outcome for our son or our family, just an outcome. So let’s disregard what could have been a fantastic opportunity; a way forward that would promote his independence, resilience, friendships and enhance every aspect of his life.

Let’s ignore the fact he’s bright and potentially capable of achieving highly academically (as stated by an independent professional) Lets disregard the lack of ‘real’ life contemporaries, social skills and tasks pertaining to daily living that would best be achieved by supporting him in a residential school placement. In fact let’s knee cap him before we even start.

Because what we wanted for our son costs too much… and shame on me for appealing to the powers that be that providing the best possible support in EDUCATION HEALTH and CARE right now would reap dividends in the future.

I was told by “management” that long term goals/achievements aren’t even considered when looking at the costs right now!! So what the bloody hell is even the point????

Silly, silly old me! Bottom of the class for me. Do not pass go, do not collect £200 and straight to the jail!

Only we are not playing a fun game of Monoply (if the way you play Monoply is anything like the way my lot do, I accept I might be playing fast and loose with the word fun) I suppose if we are using paradigms as an example, we should choose The Game Of Life as a better synonym.

Forgive me if I’m coming across a little over zealous with the italic button. But the unhappy little fact is, we aren’t playing games and our story isn’t unique.

We are talking about REAL life, REAL children, REAL families being put through the mill and being spat back out again. Crushed, devastated, lost.

In fact those 3 words above would far better sum up the plan that is now recognised as the official EHCP document, prescriptive and responsible for shaping my child’s future.

Our legal representation has reviewed the decision made in law and reluctantly concluded there have been no errors in interpretation of the legal aspect. And just because we don’t like the decision, it doesn’t give us the right to appeal.

I’m still deciding what to do next and how best to proceed but in the interim if we refuse to accept and send him to the school stated in the plan, then we are in breach of the law and could face a fine and/or prison sentence. It saddens me beyond belief that legally I cannot do anything other than comply obediently in the interim.

The irony is not lost on me that on 24th October 2017, the Minister of State for Education department in the UK – Robert Goodwill – issued a statement advising that with effect from March 2018, every local authority in the county should ensure that all EHCP’s encompass the health and social care needs of the child in addition to those of education.

Whilst this is not mandated in law, a previously trialled scheme of 17 local authorities demonstrated an overwhelmingly positive response and therefore Robert Goodwill has announced that it should be adopted as best practice on a trial basis going forward for the next 2 years.

So, I can tell you and more importantly, the bean counters in their ivory towers: I won’t retreat, withdraw or go quietly. Of that you can be sure. One way or another I’m coming for you.

Somewhere over the rainbow… 🌈🌈❣️

Hello my hooomannn’s!

Mum, its been over 6 weeks now so I thought it was time I brought you a ‘pup’-date from over the rainbow bridge.

I know you have been so sad about my passing. I have watched you feeling down, seen you wracked with guilt, doubts and worries, especially over the last few days of our time together.

I wish you wouldn’t dwell so much on those sad times nor second guess the decisions you made before I had to leave you. It wasn’t your fault, you couldn’t know I was poorly and we dogs love to please so much, I hid it well, I always tried to keep my best brave snout on for you, no matter what.

Even when I wasn’t feeling my best in those last few days, I did enjoy our walks. Honest. Well I suppose if I’m strictly honest, I enjoyed you and the rest of my hoomann families company… and not forgetting the sausages you brought me when we went to the cafe by the river; especially the sausages!

I thought you might want to know a little about where I’ve been, what I’ve seen and what I’ve been up to.

Well first things first, I don’t hurt anymore and I don’t feel tired! In fact I feel like a puppy again. Boundless energy, everything is so exciting and needs exploring! And the smells – wow – I don’t even know where to begin in describing those!! It’s like every amazing, delicious, fantastic thing you could ever wish for: cheese, carrots, steak, sausages, newly moan grass, crispy leaves, Fox poo and all my hooman family smells rolled in together!! Yum! Absolute paw-fection.

There are so many other animals here to play with and lots have similar stories to mine!

Here no one here is scared or lonely, no one is hurting; no one feels tired or has any cares. No one is old or unwanted. In fact, most importantly all any of us know is love and happiness.

Our bellies never feel empty yet there is always room for more. I only have to think about a nice, sizzling sausage or bit of crunchy carrot and suddenly I can taste it!

There are balls and plenty of squishy toys everywhere and even if I chew the flip-flops no one minds and I don’t get a bellyache! That’s a definite plus.

Did you know Mum, some of the other souls here previously lived with bad hoomans who only caused them pain and fear? The ‘tails’ they tell me are horrible. Fortunately they are now but distant memories and those of us who want to, can watch over our loved ones whenever we choose.

I look in on you all often and it’s been lovely to see you this last week with the new addition to the family: little Milo. What a cracking young pup he is!

I know you think that I might feel betrayed – too quickly replaced – but Mum, he was my gift to you all! I knew you needed him. I opened your hearts you see.

When you were first thinking about a dog and you got me, after so many years of ‘Pawcrastinating’ I knew I needed to guide you in the ways of all things canine. Although you had researched a lot and borrowed other people’s dogs, it’s a bit like what you told your hoooman friends about having children: until you have your own, you just aren’t prepared, no matter how many books you read or how many pooches you ‘pup-sit.’ But like you also said, it brings you far more laughter, fun and happiness… albeit with a fair amount of 💩💩 thrown in!! 😆

So I went as easy on you, my Martin Dad and your other less furry children – my bros and sis – as I could; although I do know that when I had to leave, it almost broke you 😢

We won’t dwell on that though. Because I want you to know I’m happy and that means you have to be too.

My gift to you all was empowerment and knowledge that our family NEEDED another dog, to give a happy home, needed a dog to keep up your usual level of functionally dysfunctional chaos! So now you know.

I see already that young master Milo has been well indoctrinated in the ways of mischief. Hiding your dad’s slippers was very clever. But a stroke of genius to divide and conquer: 1 in the crate and 1 secreted away in his bed! Clever pup. The force is strong in this one.

I see he shares my love of blueberries, carrots & the odd crumble of cheese. Positively discriminatory on the cucumber I note but you can’t have everything… and anyway he seems partial to celery … which frankly I agree with Martin- Dad on: it tastes of welly boots… and not in a good way!

He’s starting to master the cava-tilt head pose and cottoned on to staring up at you beseechingly whilst you prepare food at the kitchen island. Smart move… took me much longer to suss that one out.

So Mum, when you think about me now, please know that I’m well looked after. Please reflect on the fabulous times we shared, the wind in my fur and running free through the nearby park. Know that I’m watching over you all and if you catch a glimpse out the corner of your eye of me, you didn’t imagine it; I’m just checking in on you all.

It’s almost 2018. You can leave the last year where it belongs: in the past. Look to the future. Teach Milo well – I think he could master some of my old tricks quite soon… oh and mum, go easy on dressing him up in the jumpers…. yes yes, it’s all very cute and I guess quite needed whilst it’s a tad on the chilly side… but a dog does need some dignity you know!

So from my furry little heart to you and yours, I wish you peace, happiness and good memories. Embrace it Mum! ❣️🌈😍🌈