Category: special needs

In the blink of an eye(roll)…

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It’s arrived. I always knew this day would come but I don’t think I expected it to be so soon. 😫 Or so sudden.

It probably wasn’t – that sudden – but it feels smack you-round-the-face-excruciatingly-so-upon me. Sigh.

I thought I had years to go, many more eye-rolls to bear (how exactly can one, fairly diminutive 10 year old convey such soul-churning disdain in a mere upward flick of one perfect eye brow and simultaneous roll of said eye-balls?!) but in the way of the cliche, time has sped up & my ‘littlest’ is not so…. well ‘littlest’ I guess. However petite she may be in stature, make no bones, this girl is growing up. F.A.S.T.

Of course as parents that’s what we want. ❣️ Of course it should be the natural progression of life and indeed, I am starkly reminded to be humbled and grateful in contrast to far too many of those we have known along the way whose children will forever remain but 4 or 5 or X amount of years young.

I’m full to the brim of love that Minx is following in the trajectory of ‘tween’ girls the world over, especially given the at times mixed prognosis of her youngest years and some of the curve-balls she has thrown at us latterly. I think really she just wants to keep us on our toes, never a dull moment and all that. But at times: whoosh, a sucker punch to the gut.

I digress. What has ‘come’ that I alluded to at the beginning of my rambling?

ATTITUDE!

In spades. Big time.

I shouldn’t really be surprised I suppose. She comes from a long line of family members who know how to speak for themselves, fight their corner & generally not take ‘no’ as a complete sentence. (No finger-pointing please!)

Secretly a (very) teeny tiny part of me is enjoying this new territory, the minefield to navigate of what she will wear, what is sartorially appropriate (or not, depending on which one of us you are speaking to!) the determination to do it (or not) her way. But by Lordy, it is tiring at times! And the girl can argue….

Minx embracing “Break The Rules Day” at school recently

Gone is the elfin child so pretty in a plethora of pink & purple, ribbons and sequins , frothy trappings of Monsoon, Accessorize et al. Replaced by a love of glitter but of the sparkly eye-make up variety – the contents of MAC shop, Urban Decay make up or a bath-bomb (or 5) Her clothing choices now consist of darker hues, bigger and baggier, less ‘girly’ more quirky and sassy.

When she said she wanted to ‘go to the theatre in tattoos’ this wasn’t quite what I had in mind….

In place of the (long past) nursery rhymes, Disney tunes and Nickelodeon, a fascination with Billie Eilish, weird-pranking You-tube families, LD shadow Lady and Roblox (parental controls on) has emerged. She spends hours watching make up demonstrations or bizarre things you can make out of recycling crisp packets, how to make tiny working copies of day to day stationary – one inch perfect replica glue stick anyone?! 🤔

In a rehash of my Dad asking me what on earth I could possibly need to speak to my school friends so urgently about given I’d only been out of school for an hour and off the school bus for 10 minutes max when I rushed in from school to pick up the phone, Minx /bounds (*slightly* too strong a word . usually knackered after school but you get the picture) straight to her bedroom, door firmly shut before she giggles away to her friends via face-time or school group chat. The peels of laughter, the loud shushing and use of code-words (and shouting) if someone inadvertently enters her room without knocking (I’m looking at you here Big Brother G!) as well as the general disarray of her bedroom (despite my best efforts) all serve as reminders that my affectionately known little Millie Minx is maturing.

I’ll admit to slight trepidation, a bit of panic. I’m not ready for my little girl not to want me or need me. I’m not ready to stop kissing the top of her head & inhaling that fresh-from-a-bath-scent before she goes to bed (or the sweet-not yet-sweaty-smell when she wakes of a morning) I like still reading bed time stories, the books I loved as a child.

Since Minx is the youngest of our children and there are most definitely NO plans to have any more, I’m unsure whether my reluctance (fears?) stems from that letting go of the ‘baby’ stage or whether it’s down to the medical issues and difficulties she has faced (& will continue to) in the years to date; somewhere between the 2, I suspect.

But importantly, most importantly, she is ready. Wanting to strike out on her own, arguing it’s fine to go out in just a t-shirt & cropped leggings despite it being single figure temps outside (Mum: I’m sorry I remember us having those arguments when I was her age! 😫) her Dad asking incredulously if we had actually paid good money for the jeans with the rips in and why we couldn’t just slash some of her other things with an artfully wielded pair of scissors.

I’m reminded of that beautifully written, perfectly summed up quote from Nanny McPhee but I think it’s rather more for my own benefit now than hers:

#Parenting Advice 101#

And without going over all Darwinian/survival of the fittest, over the years I’ve been privileged to be a mum (& I’ll be honest, there are many many moments it hasn’t felt like such a privilege!) I’ve come to the conclusion that the very best you can hope for if you have done a reasonable job of parenting is that your child(ren) will have confidence enough – ideally in leaps & bounds – in their own abilities to strike out on their own; that they will seek to carve their own way, flee the nest to live their best lives and all that jazz. That the mistakes they will inevitably make are small enough to learn from but not big enough to endanger/hurt or ruin life (theirs or another’s) and that is more than enough **

Offspring however, if you are ever reading this: a visit to your old mum & dad in their dotage, the occasional cup of tea and a desire to spend some time in our company that doesn’t involve gifting you data/food/money/combinations thereof , wouldn’t go amiss….

*Either that or you’ve fu#*ed it up so badly, they have fled for the hills at the first opportunity. Cold comfort. You’re welcome. 😉

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3am Eternal….

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It’s 3am (actually it’s not as I write this, it’s more like 8pm but the thoughts that led to this blog post pinged into my head at 3am & hoping to eventually get some semblance of sleep, I declined to let the brain-fart creative juices run riot)

3am. In the days of my ‘yoof” it meant something quite different to where I find myself now: 3am might have been when I rolled through the door, perhaps *slightly* tipsy; 3am giggling chats with my school or uni besties; where we had face-packs & chocolate (& revolting White Lightning Or MD20/20 in the latter years) and shushed each other in overtly loud whispers.

3am Eternal, that absolute belter of a tune by The KLF with their ancients of Mu Mu! Now I have an ear-worm & find myself mentally humming. These days if I had the budget, I’d rather like to be more in tune with the Mui Mui (fashion darling!) but that’s another story…

3am now: when the rest of the world is sleeping. When all is quiet. When you feel alone, scared and any problem(s) you have feel insurmountable, all consuming and impossible to solve.

Ironically, I’m far from alone. I’m on a children’s hospital ward where 3am doesn’t mean all is quiet and settled. It’s an alternative, less pleasant version of a city that never sleeps.

Whilst the nursing staff go about their business calmly and efficiently, even if (when) the dreaded crash bell sounds or alarms from machines and monitors peal and squark; the heart-tugging cries of babies and children in pain or scared There is both an urgency and yet serenity of those on duty in these darkest hours.

We have a 3am visitor. A surgical resident called up to our ward because Minx isn’t behaving. Anatomically speaking.

  • 3am is when my imagination goes into over-drive. I’m over come with the ifs, the buts, the maybe’s; the pointless worries and the unhelpful questions that come unbidden when you’re a parent, and especially the parent of a medically, physically, cognitively or combination thereof child/ren.
  • In reality of course I know I’m far from alone. Wherever it’s 3am, there will be a multitude of man-kind engulfed by their own demons, be they parents or not. Those worrying over relationships, financial matters, jobs, mental health issues, where their next meal is coming from. I’m sure Dear Reader, you can add a plethora of reasons I haven’t listed.
  • I can add guilt to my annoying bed-fellows who hover sadistically at the 3am party. For however many of the worries my brain attempts to rattle through, I know I’m one of the ‘lucky’ ones.
  • I’m reassured by the surgical resident’s breeziness, by Minx’s visceral reaction to his proposal if matters don’t sort themselves out; even groggy from the after effects of surgery and the powerful pain medications pulsing through her, she is not one for rolling over and playing easy. She is not in favour of his plan and whilst a part of me knows that ultimately we may have to adopt the cruel to be kind approach, it is heartening to see she is strong enough, with it enough, to protest and rail against it.
  • So whilst I may wonder at 3am how I will ever juggle all the varying needs of my children, if I remembered to order medications, feed, equipment & supplies; did I send that email, reply to that message, make that all important phone call, at the very least I am fortunate to have those worries; the luxury for want of a better word to fuss and fumble, curse and sigh about all the never-ending chores.

    • I would take that in a heart-beat over the emptiness, the silence, the agony of losing a child. There are friends, far too many dear friends, who deal with that hollowed out grief. Who lie awake at 3am with the eternal knowledge that never again will they hold, sooth, cuddle or fuss over their cherished child. Who would give everything they had and then some to be in my shoes, (slippers) right now.

    So when I’m feeling overwhelmed and exhausted with it all, I will remember that in reality, I am one of the fortunate ones & banish those unhelpful spectres back where they belong. Dawn will come one way or another and the 3am fears will recede. We will fight on another day. ❣️

    The Trigger…..(Pull it)

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    Recently for reasons that as yet I cannot divulge (I promise there is a blog post coming on this as soon as I am able; apologies for the cloak and dagger tactics. I’m not one of those “u ok hun?” PM/In box me” type people honestly!!) I have recently had to write an explanation of what led me to my break down almost 2 years ago. The account needed to be factual and pragmatic; the irony of trying to keep my feelings out of it when dealing with something so fundamentally, emotionally driven as a suicide attempt was not lost on me.

    Although I will (if asked) talk to close friends and family about what led to my attempts and breakdown in mental health honestly and forthrightly, it doesn’t mean there isn’t shame; that there isn’t guilt and that there aren’t things that I (still) hide. There are somethings that are so deeply personal (buried?) that I don’t think I’ve even allowed myself to explore them.

    In writing down the what’s, why’s and wherefore’s, its dug up a lot of suppressed memories, pain and feelings of helplessness, at a situation that was not of my own making. That’s not to say that I want to palm what happened off on someone/something else. I accept responsibility for want of a better word for the actions I undertook. However I reached that point where checking out seemed the only option to change what was going on around me.

    It occurred to me as I typed the details up that it was triggering a lot of emotions even though I wanted to be concise and almost 3rd person in my approach. And I as thought about that word “trigger,” I realised that summed up my entire experience of a mental health breakdown. Seems obvious I suppose. I don’t know – I can only speak from my personal situation.

    Suicidality  springs from a myriad of wide and varied causes;  I am no expert. For some it may be a single one-off event that causes the person to experience a sudden mental health breakdown (personal/financial/status loss spring to mind) for others something that happened in their past (abuse, specific traumatic one off/repetitive  event) which cannot be overcome.

    For me, it came about insidiously, through a relentlessly relentless piling on of pressures and this too is of course acknowledged as a common cause. I guess for me the idiom “at the end of my rope” has more connotations than just being at the end of one’s patience. Apparently the original source of this expression relates to tethering an animal to prevent it moving and wondering off beyond a certain distance.  Personally, (in a somewhat grimly, ironic humour) I thought it meant at the end of the hanging noose knot….

    My first suicidal ideation was triggered by the repeated use of the word COPE. An innocuous little word that is used to describe so many situations. As a parent carer of children with special needs, it’s not uncommon for others to utter “I don’t know how you cope!” This is something that I know many of my fellow parent carers  or carers in general will be nodding along with.

    Carers are often seen as saintly like figure. A cross between Florence Nightingale and Mary Poppins perhaps? Truth is, very few of us chose this life. The role chose us by circumstance or default.  I know there are some utterly inspiring carers out there who did actually choose to foster or adopt children with special needs (and thank goodness for them) to prevent little lives being institutionalised without families of their own.

    There are also those courageous individuals who when embarking on their journey of parenthood were given horrifying, frightening, diagnosis for their unborn child and yet chose to bring life into the world knowing they were doing so against the odds; that they  would do their utmost to love and cherish their child, no matter what. Other parents have had to face a child being diagnosed with cancer, degenerative or congenital conditions out of the blue or as a result of an accident or injury.

    Of course later in life more and more of us are facing the hideous reality of dementia in family members. Those with grandparents and harder still, their own parents or siblings who they see deteriorating in their day-to-day abilities; losing their independence and all too often a decline in mood, personality and recognition of their own nearest and dearest. Very cruel.

    Whichever way it comes to be, caring for someone isn’t something you get a medal for. There isn’t a huge amount of reward  – certainly not monetarily. If you can show that you provide care for someone receiving  specific incapacity benefits for over 35 hours per week and you earn under £123p/w (as of April 2019) from other sources of income, you can enjoy the princely sum of £66.15p/w (also April 2019) for the ‘privilege’ of being a carer. Even based on 35 hours per week(and the majority of carers I know ‘work’ substantially longer hours than that; 24/7 for many)  that equates to just £1.89 per hour. Wow. Best not get me started on that. A ranty blog post for another day no doubt.

    Anyway I digress. The point I’m taking a long time to get to is many carers ‘cope’ because there really isn’t any other alternative. And those of you who say you couldn’t? Well you would. If you had to. At least for a period of time.

    There are (too) many days I feel like sitting in a corner and rocking. Many days I wonder how I’m going to make it through the endless medications, physiotherapy, appointments, hospital visits and dealing with the practicalities and physicalities of caring for children with extra needs. Don’t get me started on the relentless laundry pile that never seems to go down, the food shopping and meal preparation that are just part and parcel of every day life in a busy family and I know I’m far from alone.

    But the point is I do – cope – I mean, generally speaking. It isn’t a life I chose but equally my children didn’t ask to come into the world with neurological,  medical and/or physical difficulties either. So I get up, I keep going, usually with a grin (maybe a grimace) and somehow it all vaguely fits together, we get to the end of each day with perhaps only a modicum of sanity and no clean school shirts for the next day (Febreeze anyone?!) because it’s the only way we carers know how too.

    There isn’t any one else out there to pick up the slack. Unless you are in the fortunate (and probably) unlikely position to be independently wealthy, the majority of carers get on with their role because they have to keep on keeping on. No one else is going to be there to pick up the pieces (or socks) if they don’t. No white knight (or even vaguely grimy one) will rush in where others fear to tred.

    So back to that pesky trigger of mine. What’s more frightening than ever is it’s not just carers that struggle to COPE. Unless you have been hiding under a rock, you can’t have failed to notice the inadequacies in the health and social care system caused by austerity, lack of (meaningful) investment, candidates and poor morale. The system itself has reached breaking point.

    The working conditions are sending droves of medical professionals overseas where they will have a better work-life balance and better remuneration. Fewer than ever medical students want to take on the role of General Practice and more GP’s than ever are planning to retire early. Figures released in July 2018 showed 1 in every 6 GP positions were unfilled leaving almost every surgery across England at least one Doctor short.

    Mental health services have also suffered hugely and in real terms, whilst there were expansive (and expensive!) promises given that funding would increase broadly in this area (£2 billion was pledged by Phillip Hammond in October 2018) in reality the fall in in-patient beds has led to those in crisis being sent hundreds of miles from home, away from their nearest and dearest which can, at least in my experience, only create more hardship. The inability to access timely, regional in-patient care is not just inadequate but dangerous. The focus on out-patient/community based care is of course welcome but it is not a replacement for those battling psychosis, severe depression, eating disorders and such like, especially when either the beds aren’t in familiar environments or worse still, available at all.

    Locally Harrogate Hospital plan to close the adult mental health in-patient unit at some as yet unspecified date in the future (rumoured to be later this year) and I for one will mourn this loss. Whilst I hope never to need in-patient services again, I made and have retained a very special  friendship with a fellow MH warrior. We often share some  deeply inappropriate, darkly humourous moments that unless you have experienced a mental health crisis, just wouldn’t be appreciated by  nearest and dearest.

    I am forever changed by my own break down experience both in good and bad ways. I have learned my tolerances are much lower than before so whilst I’m in an *ok* place much of the time, it doesn’t take much to alter that kilter and send me spiralling to darker places. But I have also learned I am stronger than I thought it was ever possible to be, that I can ‘cope’ with most of what life throws at me and that will do… for now

    Relentlessly Relentless….

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    blog picture June 2018 final draft 3

    Who cares for the carers?

    There are many days where I feel like waving the white flag of surrender. I give up. Stick a fork in me, I’m done. Substitute your own personal favourite motto for when the 💩💩 just keeps on coming and you really don’t want to face it anymore.

    As a rule, I am not a woe is me kind of a gal but there are limits and even for the Queen of “the glass is half empty, therefore there’s always more room for wine” claimant, sometimes I just don’t want to play anymore.

    So why today? It’s been a busy week – nothing new there. Multiple appointments – again lather, rinse, repeat. Certain “dark forces” (bear with me, having to be slightly obtuse so it’s not too outing; a story for another day!) have done their level best to floor us as family and put up barriers; as my Dad would say: “same sh*t different day.”  Nothing especially jumps out as being out of our ‘norm.’

    Actually, the straw that broke the camels back today is really rather ridiculous –  especially since I’m a grown (loosely termed since I barely scrape 5ft 3″) woman.

    I don’t know about you but for me, it’s often the little things that tip me over the edge and today was no exception: there were NO apricot danishes left in a certain food establishment that prides itself on offering not just any old danish…. and boy did I have my heart set on that danish.*

    You could in fact say I had built that particular danish up to be the highlight of my week (I know I know, I need to get out more!) and I was relishing scarfing it down with my mid-morning latte whilst staring daggers at my ever-increasing piles of paperwork that needs to be set light to dealt with and some of it rather urgently (anyone thinking I might be procrastinating by writing a blog post instead of dealing with said paperwork, that’s an affirmative!) particularly if I intend to throw my own kind of shade back at the dark forces. They might be putting up barriers but I’m packing TNT, a demolition ball and an AK47 to pulverize them. Ok perhaps I should STEP AWAY from the caffeine….my over active imagination, key-board-warrior-esque approach and twitchy eye suggest that caffeine, my drug of choice, has been consumed in too vast a quantity.

    Whether it was the *slightly* murderous deranged look in my eyes or the muttering  sotto voce of curses questioning the parentage of all food halls connected with this particular establishment that caught the attention of the lovely man on the bakery counter, I can’t be sure but clearly sensing something was amiss from the plethora of delicacies in front of me, he tentatively asked if everything was all right.

    Resisting the urge to scream out in the style of Ross from Friends a la “My Sandwich” sketch (you young things aren’t likely to be familiar with that gem so let me share it here https://www.youtube.com/watch?v=6tqmXTYa3Xw) and without resorting to tears either (the struggle was real people!) I managed to convey my deep disappointment that there were no danishes of the apricot variety to be seen.

    And then, as if by divine intervention (ok, I’m waxing faaaaaaarr too literally, all that caffeine has really done for me today!) the dear, dear bakery man, (alas I did not find out your name in the ensuing rush of emotions that came over me!) uttered those most blessed of words: “not to worry, I’m just about to put some out!”  Yes! Fist bump, air horns and angels singing the hallelujah chorus; the gods and goddesses and the high priestess of bakeries had smiled righteously upon me.

    I must confess it felt like there was something in my eye. I’m thinking that as my salivary glands went into over-drive, some sort of neurological spill over occurred to cause watering?

    But the thing is, I’m a firm believer in taking your pleasures where you find them (erm just to caveat, legal ones, I’m definitely not advocating lawlessness or reckless criminality!) because being a parent is at times bloody hard work.

    Being a parent carer is even bloody harder, thankless work and as far as I can find, there’s no resignation clause and as for the pay? Well if you are “lucky” enough to qualify (there are certain criteria and the person you are caring for has to have significant needs taking up significant amounts of time) for carer’s allowance, do the maths –  you don’t even get minimum wage for the hours you put in. Oh and no matter how many people you provide care for, you only get a single carer’s allowance.

    When you multiply caring for 3 children and an 18-year-old who all have varying medical/social-emotional needs and complexities, there really aren’t enough hours in the day. I go to bed every night with a to-do-list that grows ever longer. For every 2 things I manage to tick off during the course of the day, I seem to have added at least another 5.

    It plays on my mind that I have dropped the ball somewhere; have I requested everyone’s medications from the GP and arranged for them to be sent to the pharmacy? Do we have enough feed/containers/giving sets/dressings/lotions and potions in hand to get to the end of the month? Have I transposed all of the appointments that crop up into my phone calendar so I can plan everything round them in the weeks ahead? And woe betide if any of those appointments were only given to me over the phone and I don’t have an actual letter to cross reference and double-check with –  will I get the right child to the right hospital/clinic/specialist on the right day and time?!

    I’m not ashamed to say I take a concoction of various medications every day to help me manage one way or another; be that for my severe depression, anxiety and inability to sleep or for the acid reflux that plagues me and the dodgy back/neck/shoulders and most   recently, excruciatingly painful sciatica (so many carers suffer with joint/muscle pain and problems as result of the physical demands of caring for a loved one with mobility difficulties) I’m acutely aware that these are a crutch for want of a better word. In an ideal world, it would be far better to tackle the sources of the problems permanently. Even better in some far off utopia, it would be to put provisions in place to be proactive instead of reactive. To prevent the aches and pains and feelings of isolation, despair and all the affiliated emotions and physicality’s that go along with being a carer.

    I learned to my cost (and that of my families, not to mention the NHS etc) that if we carers don’t put protective measures in to fortify ourselves it all comes crashing down.

    I am not unique. As a member of support groups such as SWAN UK –  http://www.undiagnosed.org.uk I read far too many comments from parent-carers who face battles similar or even harder than my own.

    On other forums I’m a part of in relation to education, health and social care there is a generalised resignation to the fact that accessing support, working WITH organisations or professionals instead of the THEM and US facade is a constantly uphill battle; at best a ‘sorry there’s no money in the system’ approach to outright horrific accounts of utterly despicable, underhand tactics designed to deprive the most vulnerable members of society from the most basic, fundamental human rights and discrediting, even slandering or making false allegations against those who have to pick up the mantle and strive on their loved ones behalf. Probably best I don’t get started. I can feel the vitriol rising and that won’t help the acid reflux!!

    Next week from 11th June to 18th June inclusive is Carers Week in the UK.  You can learn more here:  https://www.carersweek.org  It is estimated that in the UK there are 6.5 million carers and that figure is only certain to rise as we face an ageing population who are living longer, an NHS that is under resourced, over stretched and a welfare system that has been not so much stripped back as hacked to death and lord only knows what, if anything will be around in future times to help and support those most in need.

    But for now anyway, I have taken care of myself by refuelling with a double shot, fully caffeinated (you don’t say?!) latte and a belly full of apricot danishso I’m bouncing off the walls all fired up to tackle the paperwork and smite those dark forces with a mother’s wrath.

    *If anyone suddenly feels the need to shower me in delicious pastries of the apricot kind, you know, I’ll happily take one for the team 😉 Or tell me your own personal sanity savers and maybe I’ll see what else I can try!

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

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    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 https://www.raredisease.org.uk 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  https://www.ddduk.org  or the 100,000 genomes project /https://www.genomicsengland.co.uk/the-100000-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 http://www.undiagnosed.org.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: https://www.raredisease.org.uk/donate/      https://www.undiagnosed.org.uk/donate/

     

     

     

     

    Tonight Matthew I’m going to be……

    Published on by definitelynotthewaltons.comLeave a comment

    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: http://www.undiagnosed.org.uk/

    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…. 😊

    These are my salad days….

    Published on by definitelynotthewaltons.comLeave a comment

    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: https://www.itv.com/thismorning/food/conchiglioni-pasta-bake-gino-dacampo-recip

    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.