Inspiring stories from those living with SMA, ranging from topics of accessibility, dating, individuality, work and adulting.

Brianna

Balancing a career with the demands of a rare disease

Getting an M.A. in mental health counseling was never part of the plan. I didn’t expect to fall in love with the profession my senior year of high school, but fall in love I did, all because I took an Advanced Placement class in psychology. I graduated college with a B.A. in psychology and every intention of becoming a therapist.

A Master’s degree was the next logical step; I couldn’t become a therapist without one. So I did the research and applied to a little-known university in suburban Indiana. My first few years in the program were blissful. I loved everything about it, from the coursework to the occasionally strange in-person assignments, like attending an open Alcoholics Anonymous meeting. I felt like I was doing something with my life. I felt like I was on the right track.

Then I learned more about what it takes to become a therapist.

It’s not just the coursework or the occasionally strange in-person assignments. It’s the years of supervised clinical work. It’s the examination and licensure and, above all, the long and thankless hours required to even think about becoming a therapist. As much as I loved counseling, I knew in my gut that my body would not be able to withstand the rigor of the profession.

I could burn myself out, but I had no guarantee the burnout would lead to anything but more health problems. I was faced with a choice: a career I loved or my wellbeing.

“It wasn’t an easy decision. But at the end of the day, I will always prioritize balance.”

It wasn’t an easy decision. But at the end of the day, I will always prioritize balance. My body can only handle so much. It might break my heart, but I would rather let go of things that do not serve me than push myself in the name of an idealized — and unrealistic — work ethic.

I can’t do everything I put my mind to. Not with SMA. And that’s okay. Success is just as much about knowing when to give up, and trusting that something even better is on the horizon.

Kristen

Preparing for takeoff

When I hear the word “travel,” my brain neurons fire with excitement, but they also fire with anxiety. Traveling with a child who has SMA and needs medical equipment can be grueling. Over the years, I’ve learned it doesn’t have to be taxing, if I’m prepared. My son Jack loves adventure, seeing new cities, and trying new foods. As long as I follow my pre-travel rituals, then I have the pleasure of seeing Jack see the world.

“I’ve mentioned in the past, I have a lot of help and everyone has a job, even Jack. Jack’s nurse helps me greatly with our medical checklists. Checklists are so important! When preparing for a trip, I like to make a list weeks in advance.”

I’ve laminated our checklist to reuse time and again. Jack’s Nana helps me choose and pack his outfits. Jack likes being stylish. I am in charge of packing all of Jack’s favorite snacks for road trips and plane rides. Finding a good insulated lunch box and ice packs to store snacks is also helpful. Jack’s Papa is the best roadie, always ready to load the luggage into our vehicle. Lastly, Jack is in charge of packing his favorite toys and his tablet. I always have the chargers.

Whether I’m traveling by plane or car, that helps me determine how I’m going to pack. What has been most useful for me is hardshell luggage. I think the hardshell makes me feel like anything inside is less likely to get damaged by airline handling. If I’m traveling in our own vehicle, I often pack more than I need in case we want or need to extend our trip. On road trips, I also love bringing large tote bags on wheels. So I can just roll all our necessities around; it’s brilliant!

This is all to say that traveling can have its challenges too. Our biggest issues have been flight delays. I have regretted booking the last flight out, because that’s it, no options. So if we are stuck on an unanticipated long layover, Jack can get grouchy or have pain from sitting too long. We have been so lucky that Jack’s wheelchair has not had any major damage from airline travel, but we have had some of our wheelchair accessories lost. Some that are important to Jack, like his cup holder. Jack loves having his water bottle close by. I always ask the airline staff if we can board first to guarantee I can comfortably and safely transfer Jack to his seat. I also need an extra minute to ensure Jack’s wheelchair is folded correctly, all the pieces are tight and no parts are loose. It has been really helpful to request pre-boarding and notify the airline that we’re traveling with a wheelchair when booking the flight. It makes the day of traveling so much easier.

Brianna

Dealing with rejection

When I finished my first novel, I knew better than to hope for success. The publishing industry is competitive, especially for marginalized authors who write about their lived experiences. Few writers strike gold on their first completed project.

If you'd asked me at the time, I would have said I was prepared for failure. And I was! But that didn't stop the rejection from hurting. I love everything I write, but that book was especially important to me, as it featured the disability representation I'd wanted since childhood. It was the culmination of a decade of striving — and it went nowhere.

“But the truth is it did lead somewhere. That book taught me so much about writing, from the nitty-gritty of revision to the sweeping strokes of character and plot. More than anything, it clarified what I want to create in this life.”

The therapist in me recognizes the shift in mindset as the result of failure. If I hadn't abandoned my book, I wouldn't have questioned my purpose as a writer. I wouldn't have realized that, while writing is difficult, especially in a world that often devalues disabled perspectives, it is also worth it.

I wouldn't have rededicated myself to my craft or written a book that blew my previous one out of the water. Would it have been easier without the failure of rejection? Absolutely. But would it have been as meaningful? Probably not. And that — that's where the magic is.

Kristen

Finding my parenting balance

Lots of people know me as a protective mother. It's not a bad thing. Sometimes, I have to be the mama bear to get things done for my child who lives with medically complex needs. It wasn't until my son Jack turned 6 years old that I realized he could really fend for himself and express his own needs. As his mom, I want to empower him and encourage independence.

Today, Jack is 7 years old and lives with SMA Type 1, as well as mild autism disorder. The combination of SMA and autism didn't allow him to have a voice until he was about 4 years old. Jack has worked so hard to build his voice through help from speech therapy, his educational environment, and our family.

“Over the years, I have formed relationships with many teens and adults living with SMA. It has helped so much with my parenting skills.”

One major takeaway from our conversations is that Jack needs to establish independence early on, so he can be even stronger when he reaches adulthood. So, with the help of our home support system, we are teaching Jack about the power he holds over his own life.

It was about a year ago when my eyes really opened. We were at the hospital, and Jack was being prepped to start an IV infusion. The nurse was looking for a vein on his right arm. Then Jack suddenly told the nurse that the better arm was the left one and to please not use the loud thing. He meant the jtip, which is a needle-free anesthetic and is very loud. Jack does not like the sound of it and sternly voiced his own concerns. It made me so proud to see that he could advocate for himself.

At school, Jack can get emotionally and physically fatigued from the busy school day. He knows that he can simply raise his hand to call his teacher and ask for a break. Often, he needs mental breaks. He's free to roll to the sensory room for a few moments to refresh himself or to have a snack. At home, he will ask for help when he can't reach a toy and is very good at communicating exactly what he wants to eat.

I watch my son live with SMA, and I see it's a daily struggle to get all his basic needs met. He needs help with coughing, showering, toileting, changing his clothes, taking his medications, preparing food, and the list goes on. Before Jack had a voice, we used to do things as a routine, saying it's time to do this or time to do that. I have learned that it's better to encourage him to tell us when he needs something. As a protective mom, I used to think I knew Jack better than he knew himself. The truth is that he really deserves more credit. That's something I learned from my many opportunities engaging with other members of the SMA community.