One of the things that I’ve been taking care of is figuring out ds6’s medical situation.

I’ll recap some of what I’ve shared previously to get current: He’s been taking thyroid medication since he was two. He has nothing on his medical file to indicate any blood work having ever been taken (it should be taken every three months), who gave this recommendation or why. When I had blood work done, the results were normal.

To confirm that the medication was appropriate for him, the endocrinologist wanted me to get a thyroid scan and uptake done at a hospital. This would verify what his thyroid function was. I submitted the paperwork to the hospital and was told they would call me to make the appointment. My first appointment was scheduled for September but the hospital called the number and address on record and it was the bio mom who was sent the verification and details. While I was waiting weeks and wondering when I was going to get an appointment, I had already missed the appointment for lack of knowing about it.

This week we finally got the scan done. This test entails having a liquid radiotracer injected into the arm, then staying perfectly still while lying on a machine (that looks like this), which slides him into a circular area. Then the top of the machine comes down on top to within a few inches of the face. I was thinking this was an intimidating test for even an adult, let alone a young child. I stood behind him to the side, and held his head for each of the four scans and sang to him while the pictures were taken. He had to stay perfectly still, not even a slight movement in any way was allowed. He was encouraged to move in between while the machine repositioned for the next scan. He was just amazing. Dd6 would have been hysterical if she had to be in this machine for even a half a minute.

I made an appointment immediately with our doctor for follow-up. She said everything looks good – his thyroid is working perfectly. Why has he been taking unnecessary medication for years? We’ll never know how it got onto his record but nothing about it makes sense. We’ll do one more blood test at the beginning of next week, then one more visit back with her to confirm all the tests are pointing to the same conclusion. Our next step was going to be to proceed to bone scans that were the next step to see why he’s small for his age, but she said that’s no longer necessary.

I asked her what will we be considering next as an explanation for why he’s so small for his age. She said that in his case it’s likely trauma that caused him to not develop at a typical rate.

Saying this, she said she wanted to check what his growth looked like since his last visit four months ago. She then measured his height and weight. “Four centimeters!” she proclaimed. “You’re doing great work. That’s stupendous!”

“What does that mean, that it’s stupendous? In what way, compared to what?”, I wanted to know.

She took out a growth curve chart and showed me: the growth for a typical child this age is 6.5 centimeters a year. She explained that a centimeter of growth a month is something you rarely see except during puberty. She said that this clearly indicates he is healing from the trauma that kept him from growing.

She gave me a very warm smile and said, “What you’re doing for him is amazing.”

Isn’t that crazy?! In the best way possible, of course!

I expect when I talk to a therapist, she’s going to see that he’s doing really well. But I didn’t walk into the endocrinologist’s office thinking I was going to hear about the quality of our parenting.

The follow-up report on the adjustment of the twins to our home has already been written and submitted, so our social worker won’t be able to add this. But whether it’s shared with the court or not, I am elated to see physical changes of this sort.

Avivah

I’m getting a lot of opportunities in a one week period to discuss how the twins were when they first arrived at our home 7.5 months ago, and it’s providing me with a lot of reflection.

First I had an hour long conversation with our social worker, who is preparing a report for the follow-up from the first committee meeting that took place the month after they were placed with us.

Last week I had a meeting with dd6’s kindergarten teacher, private teacher, and the head of special ed in the area. Though there are a couple of areas that they brought up that could use improvement, overall she is doing really well.

I’ll be meeting in the morning with my husband for the intake for the therapist for ds6, who will be starting movement therapy with him at his kindergarten once a week.

In a couple of days, our social worker will be coming for a visit with the guardian ad litem (kids’ court representative), who has been a proverbial thorn from before the placement took place. (I know she’s operating from what she feels to be in the best interest of the children, which she has until now has been convinced is not with us, because we’re charedi and because of where we live. This is why she opposed their placement here and advocated for them to instead be placed in separate adoptive homes.)

My social worker has been pushing her very much to meet us, because she thinks if she would know who we actually are, she would be able to move past the stigmas she’s operating under. I’m looking forward to finally meeting her. Since she’s a lawyer, I have a feeling we’ll be talking more about more nuts and bolts like wanting to see the beds the kids sleep in than their emotional state, but we’ll also be talking with her about how they were when they came and how they are now.

Yesterday my husband and I had an intake meeting with the child therapist for dd6. I got a really good feeling from her the moment we stepped into her therapy room – it was cozy, super child friendly, homey and authentic. A very good vibe, and I really enjoyed meeting her. (I have a lot of meetings for the twins because I have to, but my husband also said this was one that he also enjoyed.) She’s been doing this therapeutic work with children for 20 something years, is a parent of six, one of whom was adopted from foster care and one who is currently a foster child but in the process of being adopted. It’s a very nice and unexpected bonus that she has personal experience and perspective as a foster parent. Not only that, her foster child has the same guardian ad litem as the twins, so she understands the personality we’re dealing with.

I’m glad for dd6 that she’ll have a weekly opportunity to meet with this therapist. She seems fantastic! We spent the full hour going over dd’s history, and a little bit about our overall approach (there wasn’t enough time to go into detail about all the things we did and why). Usually she told me she has the session for the child together with the parent so she can give the parent guidance about how to support the child, but said in my case it won’t be necessary. She said we’ve done an amazing job and she doesn’t see why dd6 needs to come for therapy after all the work I’ve done with her. I explained that the court has determined it’s a prerequisite, and though I don’t think dd6 needs it, it can only benefit her.

She found it remarkable that in less than eight months dd and ds now have a good relationship, based on their history. When I corrected her and shared that four months after they came when they started school, I remember their teachers commenting on their beautiful relationship (“Oh, you can tell they’re twins by how close they are!” If only they knew…), she was shocked.

We’ve seen so many positive changes in the time that they’re with us, that describing them as they were and as they are now is describing very different behavior. I understand why it’s hard for someone with a legal background (guardian ad litem) to believe. Those with a psychology background understand why and how they could have grown so much but the speed is pretty remarkable to everyone, including me.

I attribute their tremendous emotional (and for ds – cognitive) growth in large part to them having spent three of the first four months of their placement with us at home full-time. Then after only a couple of week of school, there were over a month of holidays and then vacation due to the war, so it’s just in the last couple of months that they’ve been in kindergarten regularly. That has provided me with a lot of time with them, and them with me. (Obviously I’m not the only one in the house with them, but I’m the main caretaker.) It’s built a foundation of emotional security and trust for them that we couldn’t have built if they had been out of the house most of the day, for most of these months.

I’ve written before regarding my caution about parents depending on a weekly therapy to create a meaningful difference in a child. I was then writing about therapies like PT, OT, and speech. But I think the same thing is true with emotional therapy – once a week is great, but what happens the rest of the week? If you’re not actively following through on whatever the therapist is working on, the benefit is going to be much less than it could be.

While we aren’t officially labeled as a therapeutic foster home, in practice the kids have benefited from all day long ‘therapy’. Cognitive, sensory, language, constantly talking about emotions, how to deal with them, demonstrating, practicing – again and again and again.

We also have a number of physical aspects of our home – particularly our animals and outdoor space – that have been beneficial for them. When ds came, he spent long periods of time daily hugging and stroking our dog (suffocatingly so; our dog is very tolerant though I could tell he didn’t enjoy it). At least a few times a day he would say, “Right, Sheleg loves me and I love him?” I don’t know at what point I noticed that he didn’t do that anymore, but it was a very long time ago. Ds found a way to soothe himself in a healthy way and calm his anxieties that he could control from the very first day he was here, and gradually let go of that focus on our dog when he didn’t need it anymore.

As far as the outdoor space, it’s impossible for me to summarize the many benefits of hours of daily outdoor play for a child’s development. Books have been written about it.

Please don’t read this as me being self-congratulatory, because that’s not my intention. When we were told about the twins, it was a pretty intimidating description. My husband and I looked at each other and both of us wondered if this was going to be too much for us.

It has been a lot of work. While adding two young children clearly adds more physical work, the significant work was needing to stretch my patience and actively practice a higher level of self-awareness when interacting with them. Sometimes I felt very annoyed by things they did. I’ve worked hard to be kind and compassionate even when that wasn’t my natural reaction to what was happening in front of me. Prior to them coming I had a pretty high level of patience with my children and took most things in stride without being too bothered. I found myself tested in new ways when the twins came.

I struggled to find the balance between establishing and maintaining the super clear boundaries they needed, and feeling like a corrections officer. Different languages bring out different qualities in people, and when I speak Hebrew I feel like a tougher version of myself. Here I was speaking Hebrew with these children while needing to be extremely black and white about boundaries, and I often didn’t feel like my more relaxed self.

Changes happen slowly when you’re in the middle of things, and it was only recently that I realized it had been a long time since I felt very bothered by something they had done.

It’s very moving to see how well the twins have adjusted and are developing. It’s especially nice when people outside of our family validate that. While it hasn’t always been easy, I’m really glad they’re part of our family.

Avivah

I had a busy and wonderful Chanuka, and before jumping into sharing about other things going on, I want to share about the idea of less being more and how that applies to children. It’s a useful concept and though the winter holidays are a particularly appropriate time to integrate these ideas, you’ll find other opportunities throughout the year to apply this.

There is so much we want to give and do for our children, and typically Chanuka is a time of gifts and family activities. We buy gifts we’re excited to give them, and plan trips that we’re enthusiastic about. Often we’re bursting to give it all to them as soon as the holiday begins, because we can’t wait for them to have whatever it is we bought.

I strongly suggest holding back on your excitement and dialing it down, since all of the stuff, experiences and emotions can easily become overwhelming for young child. If we’re not careful, a child will get and experience so much that he won’t be able to process and appreciate most of it. Then you’ll have what looks like a spoiled, whiny child asking, “What else did you get me?” instead of enjoying what he was already given.

I consciously stretch out the Chanuka activities, foods and gifts so that our children can enjoy and appreciate all of it. I’m a strong believer that less is more, and jokingly have said on a number of occasions that I’m a fan of deprivation. Though parents give and give and give with the intent to make a child happy, often it does just the opposite.

Recognizing what you’re given and appreciating it is critical to being a happy and content person. Kids don’t feel appreciative when they are saturated with stuff. How we give doesn’t just affect if we get an excited “Thank you!”, but if our children are happier people in the long run.

Here’s how we structured our Chanuka activities this year:

In our family, we begin Chanuka with my husband and the older boys lighting their menorahs outside. After the blessings, we all sing together, swaying in unison side by side with our arms around the shoulder or waist of the person next to us. Then we go inside, and the younger children light their own menorahs. After they finish, we all sing more and dance together in a circle. That’s our foundational activity that is consistent for every single night of Chanuka.

First night – When Chanuka arrives, there’s a lot of anticipation that has built up. The kids have learned about it, talked about it and have their own ideas about what will happen.

This is so much newness to experience, that on that first night I don’t add anything else. No presents, no additional activities – I want to fix the specialness of the menorah lighting and being together in their minds without any other distractions.

Second night – this year the second night was Friday night. Since there’s so much to do in a short time to get the Shabbos candles and Chanuka menorahs lit on time, that’s all we did.

Third night – after candle lighting, we gave the youngest three children a gift of matching Chanuka pajamas. This doesn’t sound exciting? It doesn’t have to be exciting for kids to love it! They all wanted to dress in their pajamas right then – which they did – and pranced around showing everyone what they were wearing. Once Chanuka ended, every single one of them has continued to wear them every night.

Fourth night – before candlelighting, I took the kids to a Chanuka activity with bouncy slides, art activities and face painting.

Fifth night – I took the kids to a Chanukah play followed by a public menorah lighting where doughnuts were distributed. Then we went home for our family lighting.

The next morning, I took the kids to a huge outdoor park we had never been to in a city thirty minutes away. The zipline was a huge favorite.

Sixth night – the feature this night was a special Chanuka dinner with homemade latkes, applesauce, tuna quiche and doughnuts.

The next morning I took the younger four children with their scooters to a park at a kibbutz.

Seventh night – family lighting, family dinner with all the teenage boys at home with us, followed by game night for the older kids.

The next morning, I took the four younger children horseback riding (ds17 accompanied them one by one) and then to a trip to a local park.

Eighth night – chocolate coins for everyone, gifts for the youngest four children. We kept these low key and activity based – a bouncy ball kit for ds11, and stencil books for the youngest three, all activities we did together with them the next morning, which was the last day of Chanuka.

About gifts – I personally don’t wait until Chanuka to give gifts, so don’t think that this is the big present they wait for all year! Not at all. For example, last week we bought a balance bike for ds7, which we gave him for his birthday. But if it wasn’t his birthday now, he would have gotten it anyway. I don’t have to get my children presents when it’s their birthdays, and they don’t have to wait for presents for their birthdays.

This approach of low key giving and putting more focus on family time and experiences has served us well. Our children are appreciative of what they get; recently two of our teenagers even told me how lucky they feel to have such a good life.

Avivah

Can you believe seven months have passed since the twins joined our family?

Overall they are doing well. I’ve seen a lot of positive changes, and I also continue to see areas that will take more time and input to shift. Overall they are sweet children who need a lot – a lot – of time, connection and supervision. Sometimes I feel like they take up all the emotional air in the home and am specifically concerned about ds7 getting his needs met, since he is so easygoing and non-demanding. I try to pay extra attention to him and do things with him that they don’t get to do.

It was very positive and important for them and for us that they were home with us for three of the first four months. We saw a lot of emotional development; dd6 was about a three year old level and is now close to her actual age. Ds6 was at the level of a very young toddler when he came; possibly an eighteen month old but not more than a two year old. Now he’s more like a four year old. (These are just my own personal assessments, not anything official.) During that time we were able to learn their typical behaviors and see who they really were without the external stressors of school.

As soon as they began going to school, I saw both of them showing significant negative changes in their behavior. Dd6 would scream within minutes of picking her up from kindergarten and continued throughout the afternoon until she went to sleep. She was hitting her siblings constantly, jumping up and down while screaming and screeching about everything that wasn’t the way she wanted it (which was almost everything).

Not only was she emotionally extremely reactive, but she was screaming at me – something she had never done. I saw she had no inner brakes, no emotionally capacity to hold the attachment when she was away so many hours. Once she was dysregulated to this degree, there was no way to calm her down; she rejected any kind of touch or loving gesture. I was so glad that we knew how sweet and loving she could be because she really became intolerable for everyone to be around.

Ds6 also had behavior changes, but it showed up differently. Though they both have ADD/ADHD diagnoses (almost all foster/adoptees have this at this age), as soon as he went back to school I saw it very clearly. He literally was vibrating when I picked him up from school. He made lots of sounds with his mouth and his body was wired; he had so much pent up energy. He was unfocused and seemingly didn’t hear instructions or respond to it. He kicked and hit even his teenage siblings over no provocation.

Since all of this behavior change happened as soon as they went to school, it was clear to me that the school day was too long for them. When I kept them home, I didn’t see any of this. There could be tiredness or unhappiness, but that was easily addressed. Our social worker said they would get used to the school day and it would get better, but I didn’t agree. I thought that the demands of the school day were overwhelming their capacity to cope.

I spoke to our parenting counselor about my hesitation about sending them for the extended afternoon program (school ends at 2 but the extended program continues until 3:45). I had agreed to take the twins with the understanding they would be home from school around 5 pm and that I would have time to spend with ds11 and ds7 every day when the twins weren’t here – that was a critical consideration.

My dilemma was that if I didn’t send them for the extended program, I had no time with just the two boys. Even with twins in the extended program, I hardly had time with the boys because they would eat lunch when they got home, and then I had to leave for pickup soon after that. If I did send them for the extended program, they became increasingly unpleasant and difficult to be with, and that’s harder for everyone in the house.

The parenting counselor said there’s no right answer about that, and that her concern is that I’m supporting their needs in so many ways (she called me ‘a full therapeutic staff’) that she doesn’t want to see me burn out.

I experimented with taking them to school later and picking them up earlier to see what their inner set points for being away from home were. At the end of October I decided I would do the earlier pickup from school. However, I then learned that lunch is served only for the children who stay for the afternoon program. Having to cook lunch for them was an additional demand at a time that I had a lot of demands on me (by this time my mom was staying with us).

Additionally, when I picked up dd6 early, she threw herself crying and screaming on the floor of her kindergarten and became almost hysterical because she didn’t get to eat there. Food or perceived lack of it is very emotional for her and that was the point that made me decide to leave her at the afternoon program – so she could eat the food with her peers. I couldn’t go out for two different pickup times, so ds stayed longer as well.

Right now we’re still in process. It’s almost easier for me to have them at home than to send them to school because the after school behaviors take so much emotional energy to manage, and it’s never ideal to guide or direct children when you don’t have a working positive attachment with them. They love staying home with me and almost every day ask to stay home, which is interesting because in their past foster home, going to school was their highlight and what they never wanted to miss. (Threatening them that they wouldn’t be able to go to school was the best behavioral incentive she had.)

What has been very helpful for them is keeping them home one day a week (usually not on the same day but together with ds11 or ds7). The positive effects last beyond the day that they stay home. I’ve experimented with different pickup and drop off times to find the point that they can tolerate without disintegrating, and have been taking them to school later in the morning to shorten the time they’re away.

Dd6 has begun telling her teachers she doesn’t want to stay in the afternoon, that she wants to go home. This is a shift for her, because in the beginning she wanted to do what all the other girls were doing and stay for the full time. After Chanuka I intend to begin picking them up as soon as they finish eating, so they’ll only be staying a half hour or so longer. Every way that we can shorten the day for them makes a difference.

It’s also critical to brace myself emotionally before they come home so that I’m prepared for their behavior. When I’m expecting them to act in a pleasant manner, it’s never helpful because then I feel frustrated by the discrepancy between my expectations and the reality.

As Chanuka begins, I’ve already told their teachers they won’t be coming for the Chanuka camp next week, and they won’t be coming today even though officially school is still in session. Ds11 and ds7 will also be home. It’s a different kind of busy on the days they stay home; it takes much more time but everyone’s emotions are on a much more even keel.

Avivah

Two weeks ago was my birthday. There’s something about reaching a new decade that is a big deal, and turning fifty felt particularly momentous to me. That’s a serious age, you know? It’s the first time I feel almost self-conscious to say how old I am.

My daughter and her family came to stay with us that Shabbos since they were about to move and their house was packed up. It’s always nice when they come, and that week was very quiet since it was just the youngest six kids and my husband and I at home. We had a birthday circle for me; it was low key but nice.

A week or so ago, my son-in-law told me that as a surprise for my daughter’s birthday at the end of November, he was getting a photographer to do a family photo shoot on Friday and they asked my husband and I to participate, which of course we were glad to agree to.

On Friday morning, my husband offered to get the kids ready for school since he knew I had a very exhausting and physically challenging week. (I had traveled to Beit Shemesh to pack up all of my mother’s things, gotten a serious asthma reaction to the dust and was completely out for the next day with terrible muscle pain and breathing difficulties, then slowly coming out of that for the next couple of days.) I was glad to be able to sleep in for another hour, and since he took dd6 to get her stitches taken out (she fell and cut her chin open to the bone a couple of weeks ago) after getting the three boys to school, when I got up, the house was quiet.

Soon after our three teenagers came home and I suggested they join us for the photoshoot. I was sure their sister would be happy to have pictures with them. But they refused, saying it didn’t make sense for them to be there if all of the siblings weren’t going to be in the picture. I disagreed, but Shabbos preparations had been done and they wanted to go to shul to learn, so I wasn’t going to force the issue.

My husband and I went over with my mother to my daughter’s house. When we got into the house, I heard many voices shout out, “Surprise!”, and start singing Happy Birthday. I couldn’t believe it – every single one of children and grandchildren were there! I was so deeply touched and overwhelmed, and of course I started crying in the first few seconds when I realized what happened.

Since four of five of our married children live in Jerusalem/Beit Shemesh, it’s a really big deal for all of them to have coordinated being there together. One had asked to come for Shabbos and was staying with us. All of the others had made arrangements without me knowing anything.

As far as the boys who ‘went to shul to learn’, they had all headed over to their sister’s house to be there for the surprise. What about the four youngest children who were supposed to be at school? My husband had taken them all to my daughter’s house instead of to school, though I did get a call from a teacher asking why ds11 didn’t come. Not knowing anything about the plan, I told her my husband had taken care of the kids that morning and I didn’t know what happened, but probably our son had wanted to stay home to spend time with our daughter who was visiting from Jerusalem.

Then they told me not only was everyone there for my birthday, but the photoshoot wasn’t for my daughter’s birthday, but for mine! Well-known to all of my children is my huge disappointment that at the last two weddings we didn’t have a family photo with all of our family members present. We tried to do a family photo when we had Shabbos sheva brachos in February, and then tried again when four of the five married kids were here for Pesach (the other family took a photo when they came and we thought we could photoshop it all together), but it just didn’t work out.

In fact, that morning when I was thinking about the photoshoot for my daughter’s birthday, I was thinking about how much I wanted a family photo and wondering what it would take to get one done. I concluded that at this stage of life, getting everyone together at once was highly unlikely short of at another family wedding. So maybe each time one family came to visit, I could take a picture of them, then take a picture of our core family living at home, and put the pictures of each family around our family picture?

You can only imagine how moved I was that they were all here to participate in the family photo.

In our family photo from 2016, we were just two parents and ten children. It was so easy in those days to set up a picture! Everyone was a different height, and there were so few people.

Less than eight years later, our new photo has almost three times as many people – my mother and nineteen new family members. It’s incredible to have so many additions in such a short time. As much as I love the family picture that’s been on our wall for the last 4.5 years, I’m looking forward to replacing it with something up to date.

After the pictures were taken, my daughter told me we were having a festive birthday breakfast. I was so overwhelmed by seeing all of our family members when I walked in, that I didn’t notice the table beautifully set up.

Everything was ample and delicious, and then my son announced he had planned a game. I’m not one to enjoy games, but this was very special and showed a lot of thought and planning. He prepared eleven questions about me, and then everyone had to choose from a multiple choice response about how I would choose or respond in a given situation. Then people explained why they chose the answers they did. Being able to do this showed me how closely he listened to details I had shared at different times during phone conversations.

After that we had the birthday cake, and while we were finishing up, my husband announced he had written a grammen for my birthday. (A grammen is a rhyming song, consisting of rhyming stanzas of four lines, sung to a specific tune. It’s usually performed on special occasions.) The grammen began with telling about when I was single, and covered points of our 31 plus years of our marriage, summing up our years together. It was so beautiful.

I’m telling you, I was so tired from all those happy emotions, from seeing so many people show up with so much love and thoughtfulness.

And then my daughter told me we would all be having the Shabbos meals together in her new home! I knew she started cooking for Shabbos on Tuesday but I didn’t realize it was to prepare for the huge crowd that would be present.

After the Shabbos lunch meal, there was a birthday circle, with only those who weren’t present two weeks ago at my scaled down birthday circle sharing.

It was the most amazing, beautiful birthday celebration. I couldn’t have asked for anything nicer or more meaningful. And I’m still just so touched and astounded when I think how all of them worked together to plan this surprise and keep it from me.

Avivah