Saturday, June 25, 2011

Autism as Inspiration: excerpt from Life Is Weird

I entered college with about 8 months of very limited driving experience.  I was 18 when I earned my license. My mother wouldn’t let me drive, and I didn’t push the subject. We had bigger things going on when I turned 15. Not long after moving to Bethpage, Tennessee, my brother got sick.  My brother was born about three months premature. Some people hear this and think “Oh, that is terrible. I’m sorry to hear that.” I’m not. My brother was born three months premature with hydrocephalus. Basically spinal fluid doesn’t drain properly, and excess spinal fluid from the brain isn’t removed.  Typically if a baby is born with hydrocephalus after a nine month gestation period, the baby is either a stillborn or in a vegetative state.  Severe mental disabilities begin to develop around six months of gestation.  Once again, Clay was three months premature. Who’s to say what is good and what is bad?
                

Twice a year we would make the three and a half hour drive to LeBonheur Children’s Hospital in Memphis, Tennessee. CT scans were performed on “Mr. Joseph Johnston, please follow me” a couple of times a year. Because a neurological condition wasn’t enough, he also has cerebral palsy on his right side, and when he was in the first grade, he had to have his Achilles tendon severed. He spent 3 years in casts and a leg brace.  I remember doctor after doctor asking “what type of special school does Clay attend?” “None. He goes to public school,” my mother would be quick to respond. My parents never once let Clay think he wasn’t capable of anything. No matter how much time he needed, no matter how much attention he needed, neither one ever doubted him of any ability. He didn’t have disabilities; he had “different abilities”.  And when he graduated from high school with an Honors diploma, my mother cried.   My brother cried when he was told he was going to have to have neurosurgery. With a strip of dark brown hair shaved off his head and a tube coming out of his skull, we all could have cried but couldn’t.
                

We all thought we were in the clear. We were told that there was a “good chance” Clay would need surgery after a major growth spurt, to replace his shunt and/or the tubing that drained the excess fluid to the abdominal cavity. When he was sixteen, he threw up on his desk in Mr. Vincent’s algebra class. What should have been a routine procedure turned into three years of Percocet and Lortab; waiting room chairs turned into single person couches. On my fifteenth birthday, my brother had brain surgery.  On his seventeenth birthday, he had brain surgery.  On Easter, near Christmas, in the middle of the summer—my brother had brain surgery. If he wasn’t in the hospital, most of the time he spent on the couch with a cold cloth on his head covering his eyes. I’d get off the bus, come through the door, and when I saw that all the lights were off, I knew what that meant: Clay had another headache.  The I-can-only-imagine-to-be-the-worst-headache-ever pain would build and build. Then he would vomit until he was dry heaving, sometimes for hours. There were so many surgeries and nothing seemed to work. What a quality of life- taking medicine that makes you sleep 20 hours of the day, and when you’re awake for the other four you’re either too drowsy or in too much pain to do anything.  A simple, routine procedure for a condition that affects one in every 500 live births lasted three years. We all discovered that some things were more important than splitting up Christmas ornaments or getting a learner’s permit. My mother never left the hospital when Clay was admitted. My father and step-father alternated who picked me up from school every day, followed by an hour drive to Nashville to visit at the hospital. My two dads—what can I say? After her husband, my father may be my mother’s best friend.  Clay hasn’t had to have surgery since late 2002, but we all hold our breath when he says his head hurts.
                

After graduating from high school in 2003, Clay had been taking some classes at the local community college. My brother couldn’t drive or tie his shoes or a number of things.  He, however, was very bright with dates and facts.  My mother was constantly at the school reminding teachers and administrators of the Americans with Disabilities Act.  Due to Clay’s cerebral palsy, his motor skills were hindered. This greatly affected his hand writing and his typing speed. Even after being told before school started about this, some teachers still found it to be their right to make public comments to the class about how they “couldn’t read Clay’s writing” and “can’t you just” write better.  My brother’s accommodations were time and a half on tests.  That’s all. He was legally blind without glasses, had hydrocephalus, cerebral palsy, and spent time in a leg brace.  All he wanted was time and a half on tests so he could type out the answers on a computer to make the teacher’s job easier.  About two weeks before finals week for the fall 2005 term, the college sent a letter saying his accommodations were being taken away. How convenient that it fell right before finals week.   During one of the many visits, the President of the school actually had the nerve to say to my mother “If Momma wants to go to college, why don’t Momma sign up for classes.”  She signed up for something.
                

At the beginning of the spring 2006 semester, my mother set up for Clay to have an extensive neuropsychological examination that would encompass two days and about 24 hours. She was going to have documentation that Clay needed accommodations, and she was going to get every single one she could for him.  Her plan was to get vengeance.  Clay was reluctant and unwilling. He eventually went inside. After about fifteen minutes the lady came out and said to my mother “I am very surprised at how well he has done considering how autistic your son is.” She said it positively.  “Wait. What? My son is what?”  I have known all my life that Clay was “different,” and more than likely Clay would need someone to live with him or at least very near him for his entire life.  But there was always hope he would “catch up”.  That single word, that diagnosis, caused abstract ideas to plummet and become real and concrete.  How could nationally recognized neurologist miss this? How could doctor after doctor never notice how he avoids eye contact, slaps his left hand into his right hand repeatedly, and just parrots what you want him to say when asked a question?  Why couldn’t his family that lived with him not recognize sooner that his destructive behavior wasn’t him “lacking discipline”? His actions were less his choices and more his reactions from the world as he perceived it.  How were we supposed to know that he didn’t see the world like the rest of us? 
                

The diagnosis of Autism has helped all of us especially my mother.  For many years I believe she wondered “What am I doing wrong? Have I failed as a mother?”  Clay’s behavior would become more than disruptive to the point of violent over things such as a change of dinner plans. These “episodes” would almost always be followed with him bursting into tears. It is difficult to say if finding out sooner about his condition would have been better for all of us or not.  Because my parents refused to let Clay fall into the “special needs” category, he excelled further than average concerning academics.  My mother dived head first into books about autistic adults, books written by adults with Asperger’s, and books written by parents of autistic children. She read articles and watched videos.  Many of these she passed on to me.  We soon discovered that we couldn’t change his behavior, but we could only modify ours.  And on my brother’s 22nd birthday, my mother quit smoking.  “I have to live forever for him…”  We laughed because sometimes that’s all we really can do.
                

I remember being protective of my older brother when we were in elementary school.  If anyone picked on him, I took care of them. I have always been preparing to take care of my older brother.  To be a starving artist who travels just snapping photos and writing journal entries hoping to be published sounds so incredibly desirable to me. To make mistakes, to be selfish, to run without a direction telling myself “I’ll figure it out later” are things I have tried my best to avoid.  I chose engineering because it is a stable field. It is a challenge, but it isn’t a risk. Everyone will have their responsibilities; some just embrace their responsibilities sooner than others.
                

When I was offered an engineering co-op position with NASA Marshall Space Flight Center in the spring of 2007, I never thought in a million years I would actually work for NASA. Who does that?!  The co-op experience has been amazing.  I have seen two space shuttle main engine (SSME) tests.  I have watched one of the last night-time shuttle launches ever.  I have talked with astronauts over appetizers and drinks. I get to tell people “I work for NASA”.  Sitting on my book case is an autographed picture signed “Dream big” by STS-118 Pilot Charles O. Hobaugh. 
                

When I tell people what I want to do, they say I’m crazy.  “Well, I’m hoping to go to medical school for Fall 2011, become an astronaut, write an award winning book, and then work on becoming President…” But I’d rather be the “crazy one” aiming for the moon than the person who has grown satisfied. I only partially understand the hard work and sacrifice a woman with her GED  performed to raise a gifted daughter and challenged son. I have witnessed my brother’s struggle with beginner’s algebra and putting on shoes with laces or pants that have a zipper. I am the age my aunt was when we believe she contracted HIV/AIDS from her husband.  I would rather be the “crazy one” to everyone else, so that I can be someone who didn’t waste her talents and the sacrifices of others. 
                

Some could say I am pursuing medical school “a little late in the game” and that I am not approaching this in an orthodox manner.  I didn’t enter college as a pre-health major knowing “I want to be a doctor”. I didn’t start moving down a list someone said was the standard way of doing things to get into medical school. I am attempting to make my path because of a passion I have always felt.  My diploma says I graduated “cum laude” (with honors),  something I didn’t think was possible even a year ago.  I’m still not sure if I have expressed how much I want this. From the many things I have observed in my life and the many things I have accomplished, there is no doubt in my mind given the chance and the preparation that I can become an amazing medical student.

I chose engineering because it is a stable field. It isn’t a risk. Applying to medical school, that’s a risk. My life has been anything but standard. It has been a rollercoaster. It has been a movie. It has been drizzled with sweet moments and sprinkled with sour flashes.  Just as Clay continues to work towards his bachelor’s degree, I am working towards being more myself. Whether I continue to work for NASA or become a doctor or an astronaut or an award winning writer, my life will continue to be my life— peculiar and complete.
                “Life is weird.” 
                Life is what you make it.  Dream big.



By: Mallory M. Johnston
On: September 2010

(Remember, many times the process is just as important as the product.)

http://blog.autismspeaks.org/2010/10/15/itowlife-is-weird/
http://www.nasa.gov/centers/marshall/about/marshallfaces/johnston.html

Siblings: To love and to be loved


She leans back against the wall. She’s sideways in her chair in the Nashville restaurant that shares their last name.  Jackson’s.

“You two have the same nose! My nose isn’t like yours.”
“What?” “Really?” Two voices across from each other sounded surprised after twenty-something years.
“Yeah, it’s the same nose as Dad’s. I don’t have that nose. I don’t have Mom’s nose either. Where did my nose come from?”

She laughed and smiled. 
I laughed and smiled.

I was having dinner with my boyfriend and his two younger sisters.  It was my first time meeting the girl with the nose that didn’t quite match the others.  I was glad to have finally met both of them.  He loved them, and I knew that.  He said when he was younger he wasn’t as nice as he could have been and didn’t treat them the way he should have treated someone he loved.  But when you’re young, it’s easy to do—to place other people’s feelings aside. But, hopefully, as you mature and grow so do your relationships with the people you love.  You grow into the opportunity to love your family and friends the way they should be loved.  You treat them with the respect that every human being should be treated with—something like the golden rule. You ignore judging glares or the assumed snickering in public.   You stop dreading the small talk question of “Do you have any brothers or sisters?”

I have one older brother.  He turned 27 in March. It’s a long and complicated story.  But here are the high lights: Clay was born three months prematurely with hydrocephalus and cerebral palsy to a 17-year-old and a 20-year-old in Mississippi. They had no clue what they were doing.  He had a shunt placed in his brain when he was a baby to control the cerebral spinal fluid build-up in his cranial cavity.  When he was around six years old, he had his Achilles’ tendon severed because it was too tight.  He spent the better part of two years in casts and leg braces.  When he was in the 8th grade, his shunt malfunctioned.  We (the entire family) spent the next four years traveling back and forth to Nashville from our rural town of Bethpage for hospital visits and surgeries.  At the best moments, Clay would want to go to the mall and look at video games.  At the worst, he would spend weeks in agonizing pain because the doctors couldn’t get it right.  It’s only brain surgery.  He was never the same after the half-a-dozen surgeries and years in-and-out of pain.  It’s only been in the past year that my parents have been honest in saying to me “Yeah, the doctors at Vanderbilt nearly killed Clay”. 

“These are the good years, Mallory” says my father.  It’s been nearly ten years since Clay’s last major surgery.  Since then I have graduated from high school as valedictorian, finished college with a mechanical engineering degree, started a job with NASA, been to France, been to Turkey, had three tattoos, far too many piercings that have since been removed, and have been blessed in so many ways.  Since then Clay has been diagnosed with Autism.

Nearly five years ago, when he was almost 22-years-old, Clay was diagnosed with Autism.  No, the extreme but very classic symptoms of Autism didn’t “suddenly appear”; and, yes, it is odd that the diagnosis was so late in life.  His behaviors didn’t change as a result of the diagnosis, but how we treated him changed.  We no longer tried to place him in this box labeled “normal” where we forced him to go on family vacations that required long car rides or to eat in restaurants that were too busy or too loud for him to enjoy.  After spending so many years of him adjusting to the world, finally, we adjusted for him.

Those are the high lights of the past.  It is what it is. Now, let’s move on.

My brother and the rest of my family have been my motivation. They have been the driving force behind every responsible decision— choosing engineering instead of art, choosing NASA over the private sector,  choosing saving for a 6-month emergency fund instead of… anything else.  I don’t regret any of that. I don’t regret any of my decisions.  I don’t regret my life. Most of the time.

Most of the time, I am very content with my life.  I am happy. I am thankful. I still get upset over morning traffic or spilling coffee on my pants before I even make it into work, but most of the time, I am very content with my life.  But some days, I fight back feelings of jealousy, guilt, anger, fear, and sadness.  On those days, I think about moving or painting or taking a long, hot bath.

The same laugh bounces through two of my best friends’ voices.  They both have stunning blue eyes and incredible intelligence.  It is the younger one’s college graduation.  I couldn’t be happier for the girl that grew from being “Kelly’s little sister” to “my best friend”.  She has worked hard.  But as I sit through her graduation while her older sister runs to the bottom of the stands to take her picture, I can’t help but be jealous.  I have seen this kind of opportunity of growth with many of my friends.  Although the siblings were not the best of friends during middle and high school, when one of them left the house for life after 18, they would rediscover their similarities and embrace their differences.  They would become more than siblings but friends. They not only laughed and talked about the times of their youth, but also supported each other for the future ahead.   

When I visit my parents’ house, my brother might come out of his room for ten minutes in a weekend.  I don’t know any longer how to really interact with my brother.  I only know how to tiptoe quietly. I’m jealous that sisters can be best friends and that brothers can give the best advice. I’m jealous that I will never have a little niece or nephew to take pictures with. I’m jealous that I don’t know my brother aside from stories my mother tells me. I’m jealous that we don’t really talk. I feel guilty as though it is my fault.

Every opportunity I have been given, every chance I took that landed me in the sun—I feel guilty of. When I buy new shoes or an outfit, I feel as though I should be starting a long-term savings account to be used on my brother as we both age.  When I travel to visit a friend for the day, I think how my mother usually can’t leave the house for more than a few hours at a time without Clay calling and needing something—many times just to hear her voice.  I feel guilty that I don’t do more for my family, for my job, for myself.  I worry that the reason I have pushed myself so greatly is because when I stand still in my truth, everything catches up.  Do more, Mallory.

If I can just do more and keep moving forward, I can avoid all of the pain associated with guilt, sadness, and jealousy.  I can ignore the fact that my brother is different and ignore the fear of what that holds for the future. I can justify all the long nights and weekends spent studying instead of watching movies with friends.  I can say in anger “you don’t understand” then bury my head in emails and assignments… because people don’t understand, and I don’t want to give them the chance.  You could say that I’m still learning how to balance this whole Life thing.  I feel as though I have only recently heard words like love and forgiveness.   

Forgiveness is the release of all hope for a better past.[1] 

Release of all hope.
For a better past.


 I regret none of my life.  My crazy family—autistic brother, overprotective mother, giving stepfather, eccentric father—is better than anything I’ve seen in a movie or TV show.  In our own ways, we love and support each other.  We are all growing in our relationships.  Although I will never be able to have the kind of friendship with my brother as some of my friends have with their siblings, I have been given so much more.  I have been given extraordinary talents and time. I have been given motivation and a sense of responsibility that can’t be instilled by a job or a garden.  I have been given the opportunity to love and to be loved by the most important people in life—my family.  I have been given my brother.   


By: Mallory M. Johnston
On: June 25, 2011







[1] This quote is a line from Buddy Wakefield’s “Hurling Crowbirds at Mockingbars” which he got from Reverend Kathianne Lewis (original source unknown). http://buddywakefield.com/