▲ 56 r/ABA

Insinuated I’d be terminated if I didn’t stay on a specific client (who later caused permanent vision loss)

So I had sustained an orbital blowout, which means I shattered the base of my eye socket. The initial injury occurred at home. When I came back to work I voiced my concern about being reinjured by one of my clients. I was told, verbatim, ‘Well if you can’t work with (client), I don’t know who you could work with. Any client could injure you.’ My jaw? On the floor. My wig? Snatched and burned. My belief in human decency? Ghosting all my messages.

My second Monday back that same client hit my still healing eye with a metal water bottle, that was FULL. It caused the implant holding my eye ball up to be pulled almost completely out of my eye socket, which then caused my bottom eyelid to roll inwards, which then caused my eyelashes to rub against my cornea. This caused permanent vision loss in my eye. I can still see, the clarity is just decreased.

I knew something would happen, I told them something would happen, and something did happen that has cost their company thousands of dollars through workman’s comp. I have my third surgery in August. They’re covering everything, and thank god. Their workman’s comp insurance has actually been incredibly easy to work with.

My main theory about why they wanted to keep me on this kid is because his parents really like me. This particular family don’t really express any kind of positive feedback, but have stayed behind recently to express how happy they were that I was back. Their kid also adores me and I adore them, but they do express their love a little aggressively. For example, flapping their hands in your face, pulling your hair to make you stay, and throwing themself into your lap. They also have a stim of rubbing their finger tips together, which they do right against your skin and basically end up pinching you. Honestly, I don’t care that much as I’ve endured much worse in this job. My main concern was the hand flapping in my face though. I expressed that, was ignored, ended up with vision loss.

I don’t plan on quitting, as I think it was just a poor choice of words (even if it did piss me off, everybody makes mistakes). I love this company too much. It’s literally the best ABA clinic I’ve ever worked for. They are also small, clinician owned, but have had very little experience with HR and handling these situations, so I give them a lot of grace. Everybody here is genuinely kind and understanding and all my BCBAs are incredible. They are also so picky about who they hire as RBTs and BTs in training. I feel surrounded by competent, passionate, and empathetic coworkers. Management has pulled me aside if they know I used to work with someone and can either vouch for or veto them. I know they care, especially the supervisor who said this to me. They have advocated and supported me so many times. This was just a slip up, a growing pain. They’re very new to their role, so I understand.

Anyway, I just needed to vent for a moment. I’m human. I’m allowed to do that. Hopefully my clinical director doesn’t read Reddit.

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u/adhdbpdisaster — 3 months ago

How do I include my 90+ year old grandmother regarding my wedding dress?

My grandmother was a seamstress that made couture wedding gowns in Milan, Italy, during the 1950s. I wish she could make my wedding gown, but she is in her nineties now and struggles with mobility. Sewing has always been part of her life. She even made (and repeatedly repaired) the blanket I still sleep with to this day. She’s made other important pieces for me and taught me how to sew. Unfortunately, I am absolute garbage at it, but I can do some basic repairs. I am grateful for her teaching.

I really want my grandmother to somehow be part of the process of making/deciding my wedding dress, but I don’t know how. Yes, having her present at fittings would be great, but she is also in her 90’s and has different taste than I do.

Regardless, it’s important to me that she be involved in anyway during my wedding, especially regarding how I look. I’m not sure why, perhaps because her compliments came with no caveats. Nothing about my weight, height, makeup, etc. I just want someone who will simply see me and say I am beautiful.

Does anyone have any ideas on how to include her in this?

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u/adhdbpdisaster — 3 months ago
▲ 21 r/ABA

Tired of parents who treat their kid like a commodity.

Maybe it’s just me, but sometimes I feel like parents talk about their disabled child more like an accessory than a human. I don’t mean comments about if/when they last were changed/went to the bathroom or eating. That is imperative information to both request and relay. What I’m talking about is parents who compare a client stimming from their AAC to like a ‘dog barking’, or using their chewy as ‘embarrassing’. To whom? You? Or the ER staff after they swallow a battery? Or rat poison from a leftover trap? Or a pill box they get into? Or those inedible packets they put in foods? The toilet bowl cleaner? Your fucking self absorbed attitude?

Your child stimming off their device is normal and by taking it away to ‘discourage misuse’ is taking your child’s voice away, all because you were annoyed. A chewy isn’t a Scarlet Letter brand. Your child needs therapy so they learn alternatives to eating inedible objects, and a chewy can give them a safe and easily cleanable alternative. Teaching and modeling deep breathing techniques doesn’t emasculate you as a father.

I think my biggest one is that sign language/AAC devices does not mean you or others have failed teaching your child to speak. Children need to COMMUNICATE, and sometimes it can’t always be verbally. I’ve seen multiple clients go from over a hundred aggressions and/or other maladaptive behaviors (especially SIBs) decrease significantly after they had a reliable form of communication. I’ve also seen clients regress when their PECs or AAC was taken away to ‘encourage speech’, but the kid has barely any vocal words and was doing so well with their previous form of communication. That kid then completely regresses and so many skills are lost. Those parents just want a ‘verbal’ child. They want a ‘normal’ child. They don’t give a darn about their child’s wellbeing.

I understand the difficulty of raising an Autistic child. I honestly forgive those who take shortcuts. I don’t understand the arrogance of assuming that we have no idea what we are doing and berating me in the parking lot.

Therapy isn’t a cure. It’s about teaching your child important skills for the future.

I feel like I’m about to get flamed. I’m sorry if I stepped on any toes.

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u/adhdbpdisaster — 3 months ago

Orbital blowout fracture CT. Employer causes vision loss. This is an entire saga.

Lost 50% of the base of my eye socket and an entire medial sinus wall. This is only a screenshot of my CT scan, so it really doesn’t do it justice. About to have my THIRD procedure for it.

I was injured in early March after tripping over shoes in the middle of the night. Tried to catch myself on a doorknob, and instead my right eye slammed into the hand clutched to the door knob. I basically punched myself. I then went to work the next day, just shrugging it off as a black eye. My coworkers and employers insisted I go to the ER. I did, and they sent me downtown to be evaluated by specialists. They said I needed surgery to prevent tissue from falling into my sinuses.

Fortunately, my mom is an accountant at a very reputable plastic surgery center (also, if I had a nickel for every time I got severely injured and was treated by my mother’s coworkers, I’d have two nickels, which isn’t a lot but it’s weird it’s happened twice). One of the doctors had treated over a hundred cases with this kind of injury, including Major League baseball players who got hit in the eye by a fast ball. So they waited for the inflammation to go down and placed an implant. He said it was probably in his top ten worst orbital blowouts, but I had excellent results.

Fast forward about a month and I am back at work. Less than five days in, I get hit in the bad eye with a metal water bottle. The hit displaced the foil implant, which caused my lower lash line to roll inwards, rubbing up constantly against my cornea. My surgeon decided to remove the implant, even coming in on his day off to remove it. It’s a really good thing he did as I have some permanent vision loss. It would’ve been much worse if I waited even a few more days.

Unfortunately, removing the implant didn’t fix everything. The scar tissue was still pulling my lash line inwards against my eye, which is called entropion. Plus, the trauma caused my lower eye lashes to grow in the wrong direction. They grow in horizontal, upwards, etc. The only solution is to just pluck the eyelashes. There is eyelash cauterization, but it isn’t very effective. So my optometrist (who is incredible), BEGGED a top tier ocular plastic surgeon to take on my case. He did, but the earliest he can get me in is late August.

For now I’m just using bandaids to pull down my lower eyelid and prevent my lashes from abrading my cornea. I got the idea after my second procedure when my plastic surgeon sutured my lower lash line down while I was recovering. I have to replace them every other day or so, but it’s worth it to not be in severe pain.

Now for my employer nightmare.

While the first injury was sustained at home, it was the second hit to my eye at work that caused this rather severe complication. So I should be covered, right? Fucking. Wrong. I remember coming back to work the first time and expressing discomfort over working with a particular client. I’m an ABA therapist and I really work well with older kids and handle extreme behaviors like a pro. This particular client wasn’t really aggressive, but they did regularly get up in your face to make extremely close eye contact, often flapping their hands erratically. I was told that if I couldn’t work on this client, I couldn’t work on anyone. 3 days later, the same client hit me in the face with the metal water bottle, which directly led to the position I’m in.

It didn’t help that my employers would list any injury related appointment as a ‘call off’. You think I can schedule these appointments two weeks ahead of time? No, I can’t. They are completely dependent on the condition of my cornea and vision. My optometrist (who I cannot stress enough is incredible) would need to see me every 3 to 4 days to manage my condition and prevent vision loss. A whole ass disability my employers directly caused by not listening to my concerns. Thankfully, HR stepped in and had my attendance record wiped clean of any unplanned absences attributed to my follow up appointments. I’m just glad I create copies of all my doctors’ notes.

I’m lucky we have a great workman’s comp company. They allowed me to keep my original surgeon instead of forcing me to go elsewhere, they’ve gone to bat for me with my employers, and have been incredibly attentive overall. Thank fucking god for that, I guess.

Anyway, moral of the story is 1) pick up your shoes, and 2) create copies of your documents.

u/adhdbpdisaster — 3 months ago

Think this is enough to feather an entire bird?

I’ve had my two cockatiels for over a year now, so we’ve gone through a few molts. Obviously I can’t collect every feather, but I pick up what I can.

So, what’s the verdict? Enough to cover another cockatiel?

u/adhdbpdisaster — 3 months ago

A free soap opera in the shower every morning

They love joining me for my shower. I actually keep my shower caddy clear for them. They are constantly singing and whistling in there. It’s a great motivator to get me out of bed in the mornings!

u/adhdbpdisaster — 3 months ago
▲ 389 r/cockatiel

This is Hercules. He believes his purpose in life is to destroy my window blinds. When he spent an entire day sleeping on my shoulder instead of engaging in battle with my blinds, I knew something was wrong. He also regurgitated a few times, but the change in behavior happened before the regurgitation.

Additionally, I noticed a significant disinterest in food, sleeping all day, no vocalizations, and no beak banging. Typically, Hercules is always singing, chatting, and banging his beak. It’s when he suddenly becomes silent that I actually worry about what he’s up to, so a whole day of silence had me really concerned. This happened basically overnight. The previous day he was his normal, chatty, bratty self. The next, he was silent and sleepy and spitting up.

I took him to his vet for urgent care, and after some testing we found an infection of a bacteria called Spirochetes. He’d already lost 20% of his body weight since his last check up in late February. Now he’s got medications and a recovery plan.

Please don’t ignore sudden behavior changes!!

Can I get a big MY MAN for this little guy? Today was so much for him. Just look at that post sedation stance.

u/adhdbpdisaster — 6 months ago