Let me clarify something first. I am trying to be cognizant of using only identity first language throughout this blog, particularly in post titles. However, I had to call myself a caregiver with autism in the title of this (& my previous) post because if I called myself an autistic caregiver, that could mean that I am a caregiver of an autistic person, which I am not. Using person first language & calling myself a caregiver with autism was the only way I could think of to ensure that my words would be interpreted correctly. Now that I know I'm autistic & I have received my diagnosis, I have a much deeper understanding of myself, of my strengths, & of my weaknesses, all which are related to being autistic. However, my abilities when it comes to caregiving haven't changed at all. Caregiving is HARD work. I had my first go at it back in the fall of 2019, when I stayed with my grandpa, who I call Gung-Gung, & was his primary caregiver for three weeks. There have been a lot of changes in my family's dynamics since the fall of 2019. Sadly, my grandma's cancer returned two more times within two years. My grandparents had been on a waiting list for an apartment in a continuum of care facility here in Shrewsbury, MA; for several years. There was an opening for the exact type of apartment that my grandma, who I called Haw-Bu, wanted, in the fall of 2020. We took that apartment knowing that my Gung-Gung was going to outlive my Haw-Bu. What was best for him was for him to live somewhere where he could live independently & where he could have frequent time with family, after her passing. We moved my grandparents in, in the winter of 2021. They lived in that apartment together for only a few short weeks before my Haw-Bu's health declined drastically. She then had to be moved to the hospital & eventually to the nursing home in the same continuum of care facility where my Gung-Gung lived. Sadly, my Haw-Bu lost her battle with cancer in the spring of 2021. My Haw-Bu wanted my Gung-Gung to live the rest of his life here in Shrewsbury, MA for a plethora of reasons, & I know that one of those reasons was me. She knew that I wanted to take an active role in taking care of my Gung-Gung who I love so much. I wanted my Gung-Gung to live close to me for my entire life & I was so excited that it was finally happening. I only wished it had happened much, MUCH sooner. I was also happy that I could care for him without leaving home & without leaving my two dogs. Let's talk about the strengths & weaknesses of autism & how they affect my caregiving responsibilities: Autistic Strengths: I Am Loyal, Compassionate, & Caring. When I care about someone, I care with my whole heart, with every fiber of my being. Having struggled socially my entire life, there are only a few people I feel this way about & my Gung-Gung is one of those people. I know that outsiders can clearly see the love I have for him because they have told me so. Love, loyalty, & compassion come naturally for me when I care for my Gung-Gung because I've had such a strong relationship with him ever since I was a little girl. That's what made care so deeply. Those things aren’t things I could ever learn & they only come naturally for me with certain people. As I mentioned in my autism & grief blog post, once I began learning more about how autism presents itself in girls & in women, I learned that people can be a special interest & my Gung-Gung is one of mine. Because my Gung-Gung is one of my special interests, his presence & his mere existence in the world, & in my life takes precedence over everything else. Because of this, I would do anything for him, that is within reason, of course. That is the definition of loyalty. I Am Persistent (when I really, REALLY want something). I am persistent, but my Gung-Gung is also. Because of that & because of the damage the stroke did to my Gung-Gung's brain, it can be hard to win with him. My Gung-Gung still thinks he knows better than everyone else. However, I keep trying & sometimes, much to my surprise, he listens to me. Because I care so much about him, I'll never stop trying until he listens. Since my Gung-Gung listens to his doctors better than he listens to my mom & me, we ask his doctors to tell him to do the things we want him to do, but he gets angry when we suggest it. For example, walking more. I attend my Gung-Gung's podiatrist appointments to communicate with his podiatrist on his behalf, due to him having a language disorder known as global aphasia. You can read more about that in my autism & grief blog post. During one of my Gung-Gung's podiatrist appointments, I brought up walking AGAIN & asked his podiatrist if he could tell him he needs to take walks everyday. I translated what the podiatrist was saying in a way my Gung-Gung could understand & surprisingly, he was receptive. So, I texted that to my mom. I suggested reiterating what his podiatrist told him when she visited my Gung-Gung that afternoon. By the time my mom visited my Gung-Gung that afternoon, he unfortunately was no longer receptive. This brings us to my next point: being literal. I Am Literal. My mom suggested that tomorrow, I go over to my Gung-Gung's to ask him how he was doing with his walking, so I did. This conversation was one of the most depressing conversations I've ever had. Not only was he not happy with me OR receptive for suggesting he do something he didn't want to do, but he was telling me over & over that he's so old & the love of his life isn't alive anymore. So, what's the point? I took the stance that walking more would make his life easier & not that it would make him live longer, even though it probably would achieve both things. When I left his apartment, I thought I didn't achieve anything. When my mom came home that evening, she told me that she found my Gung-Gung walking up & down the halls, just like we had asked him to do, when she got there for her visit. She was SO happy & gave him a great, big hug. She thought something she said yesterday must've sunk in. When I told my mom that earlier that day, I had such a depressing conversation with my Gung-Gung about walking & about the state of life he's in, she was shocked that I went over there & told me that she didn't think I was actually going to do that. I mean my mom asked me to go over there to talk to my Gung-Gung & I care so much about him, so why wouldn't I do that? I am VERY literal, after all. I Am Incredibly Detail-Oriented. Just a couple weeks ago, we had some concerns about my Gung-Gung's health. He's had a cough ever since his stroke, but he was coughing more than usual. My parents even went over to his apartment one night to give him a COVID test & to set up a vaporizer. The COVID test came out negative. The next day, I was going to take my Gung-Gung to his monthly blood test. My mom texted me in the morning to ask me if I could let her know how I think he's doing once I saw him. When I got there, I was very worried about how weak he was & this was why:
Because of my concerns about weakness, my parents ended up taking my Gung-Gung to Urgent Care after work that day. However, when I spoke to my parents when they got home that night, neither one of them noticed any unusual weakness. My mom told me that the only reason she took my Gung-Gung to Urgent Care was because of my concerns about weakness. Because of my issues with self-confidence, I wondered if I saw something that wasn't there, if my view was skewed, if I had poor judgment, etc. In the end, however, I know I was right to be concerned. When my mom got to my Gung-Gung's for her visit the next day, she discovered that he had a fall because she found him on the bathroom floor. I am SO thankful that this fall did not result in tragedy, but I also believe that this fall wouldn't have happened if he had been using his walker, which we have been trying to get him to use for more than two years. The plus-side of this? He's now using his walker. Did I notice these things because I'm so detail-oriented due to being autistic? Or was my Gung-Gung really not as weak when my parents took him to Urgent Care? I have no idea & I will never know. Adherence To Routines Is Extremely Important To Me. My two consistent responsibilities for my Gung-Gung are taking him to his monthly blood tests & attending his podiatry appointments every few months. I am absolutely committed to those two things & won't let anything ever get in the way of that, whether a job, a social commitment, or anything else. This is partially because it allows me to have much-needed time with my Gung-Gung that is so precious to me & that I wouldn't have otherwise. I Have Deficits In Relationships. Because being autistic has made forming friendships & relationships incredibly difficult, I don't have other social commitments I feel like I am missing out on due to taking care of my Gung-Gung. My Gung-Gung is my whole world & there is no place I would rather be. 🌎 ❤️ Autistic Weaknesses:
I Have Deficits With Verbal AND Nonverbal Communication. My Gung-Gung has difficulties with verbal communication due to his global aphasia while I have difficulties with both verbal & nonverbal communication due to being autistic. I also have a difficult time knowing how someone feels from his or her facial expressions, but it is usually is a bit more obvious with my Gung-Gung, since he usually yells when he's upset. It is difficult that he can't tell me how he feels though. Because of this communication barrier, understanding each other can be very difficult. I've had a lot of time to polish up my communication skills, which do not come naturally. There are two ways which I tend to use to communicate with my Gung-Gung, but I use the first way more frequently:
My Cognitive Processing Is Very Slow. When my Gung-Gung yells, he YELLS! Most of the time he yells, he yells quicker than how quickly I can process whatever it is he's yelling about. I guess it makes it a little easier that because of his aphasia, there aren’t very many words he can use when yelling. It's easy for me to tell that he's mad about something, but figuring out what he's mad about can be a challenge, depending on the circumstances of the situation. I Have Rigid & Inflexible Thought Patterns. I love my Gung-Gung SO much & the Gung-Gung who was part of my childhood valued family & loved spending time with me. Now, he's only accepting of my visits if I'm there for a reason, like to take him to his blood tests or to attend his podiatrist appointments. Plus, he wants me to leave as soon as whatever it was that I was there for is over. Visiting because I love him & I want to spend time with him is not acceptable. That really, really, REALLY hurts, especially because I know that he's always accepting of my mom visiting him. The only way I can get away with visiting him without a reason, like the reasons I mentioned above, is if I bring one of my dogs with me, both who he LOVES. I'm glad I figured out that loophole so early on, but it really hurts that he doesn't want me to visit simply because I'm his loving granddaughter. I know that the stroke changed his brain in drastic ways, but even though I know that, I just cannot accept this new reality no matter how hard I try. I Am Resistant To Change. I have had to learn that when I'm with my Gung-Gung, he's the one holding the reins. Even if I think I know what's going to happen, that might not happen. I do just fine if I have some advanced notice of whatever change is going to happen, but I don't usually get that when I'm with my Gung-Gung. If he's not in charge & things don't go his way, it usually results in him having a fit, which we all try to avoid at all costs. I Have Sensory Sensitivities. I am sensitive to certain textures & flavors of food. For example, I won't eat tofu or anything with strong flavors like things that are even mildly spicy or very sour, to name a few. If my family is having a meal with my Gung-Gung & I don't eat every single thing that is served, he expresses his displeasure in a way that makes me extremely uncomfortable. Being the people-pleaser that I am, this is very difficult for me to deal with, so I've had to figure out ways to hide that I'm not eating what he thinks is on my plate. He also gets upset if he thinks I'm eating too many dumplings or noodles, both things that I love, & he knows it. Taking Initiative & Decision Making Are Difficult For Me. When you're caregiving, taking initiative & decision making are two things that happen often. If a situation happens that I've never dealt with before, I likely won't know what to do. However, if it's something that's happened before, I'll remember what I did in the past & I'll handle it like a pro. I Have Extreme Anxiety & I Don't Handle Stress Well. I feel like no explanation is needed here. Caregiving is EXTREMELY anxiety-provoking & stressful & I don't handle either of those things well. I have so much intense anxiety all the time that I actually don't know what it feels like to not be anxious. I Am An Autistic Person Living In A Post-COVID World. There will be a future blog post about this, but while everyone around me has moved past COVID, I still haven't & I probably never will. I was extremely germaphobic at least ever since I was two years old, long before COVID existed. While everyone around me has stopped wearing masks, I still mask up if I am somewhere where people outside of my bubble are closer than six feet from me. However, if my Gung-Gung is with us & notices me wearing a mask when other people around us are not, that is not okay with him & again, he expresses his displeasure in a way that makes me extremely uncomfortable. Not wearing a mask isn't an option for me as it would cause so much anxiety that I wouldn't be able to function. While being germaphobic is common for autistic people, I have also had some illness-related trauma that definitely exacerbated my fears of germs & illness.
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In my previous blog post about Autism Speaks, I briefly mentioned that my life would be so much easier I wasn't autistic & that I wish I wasn't autistic, but I didn't get into why I feel that way. Let's take a moment to get into that now. Why I Wish I Wasn't Autistic:
I know I am not like most autistic people, but this is truly how I feel about being autistic & how I think being autistic hinders my life. I would be elated if there was a cure for autism, or even if there was a medication (with minimal side effects) I could take that could get rid of my autistic traits, but, at the same time, I know that that isn't going to happen. At least not in my lifetime. I am someone who was brought up to be accepting of all people: different religions, different backgrounds, different cultures, different disabilities, etc. So, whether you are autistic or not, all I ask is that you are accepting of me regardless of whether you think similarly or differently from me. I am using Splashed With Water as a way to educate, but also to share what it's like to be an autistic woman & thinking these thoughts is part of what being an autistic woman is like for me. Now that we've covered why I DO want a cure for autism, let's talk about why most autistics disagree with me.
Why Autistics Don't Want A Cure For Autism:
You'll find that throughout this blog, my personal opinion often differs from the opinion of the autistic community as a whole. When that happens, I'll do my best to cover both sides. I hope doing it this way was helpful to you. This also shows you that all autistic people are different from one another, just like how all neurotypical people are different from one another.
Identity first language is often preferred in the autistic community, but personal choice needs to be respected as well. Personally, I am someone who uses both identity first & person first language, but in this blog, I'm intentionally trying to only use person first language if I'm talking about myself & using identity first language when I'm talking about the autistic community as a whole.
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AuthorHello! My name is Kim, I didn't know I was autistic until I was in my thirties, & this is my story. Categories
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