Name: Mike P. Ages: 10-17 About Me My name is Mike and I was born with a birth defect known as spina bifida, or "open spine." Before birth my spinal cord didn't close properly, and so messages do not travel correctly to and from my brain and lower body. I am paralyzed from my waist down (paraplegic) and I am bowel and bladder incontinent as I have no sensory awareness of when I need to go to the bathroom to use the toilet. At age three my parents learned the full extent of my disability and that I couldn't be toilet trained in the usual way. I learned how to walk with full length leg braces and crutches; and I would have to wear diapers (with rubber pants) far beyond the toilet training age of most kids. I started public school at age 5; it was a "special school" for crippled kids. There were others with spina bifida, but as a group we were in a minority, and we were the only ones in diapers. Until age nine, I had no interest in taking care of my bathroom needs, so my mother changed me at home, and women called attendants (or matrons) changed me at school. I was completely oblivious of my need to be changed. My mother and the matrons just took me to the bathroom whenever they thought I needed to go, although at school I was probably taken like every two hours over a six hour period. Kids like me were changed in the same bathrooms that everyone else used, so anyone going to the bathroom at the same time, saw me (or others like me) being changed. So, between my odors, the visibility of my diapers and stuff in my school bag, and being seen while getting changed, it was no secret that I wore diapers. After an incident at age nine, I began to change myself. The school was tolerant of kids like me wetting themselves, but BM accidents were different. Dirty diapers were a "no-no," and my mother had to induce my bowel movements using a suppository, so I wouldn't have an accident in my diaper at school. Every night before bed I had to take a suppository and sit on the toilet afterwards until I pooped. However, this technique wasn't completely "foolproof," and from time to time I still messed myself. Although my mother was never a big fan of dirty diapers, nevertheless she understood my disability, and took care of me. The matrons at school were none too thrilled when I had a BM, but they never made an issue of it. Or at least until the following occurred. I was nine and in the second half of third grade. I should have been in fourth grade but I got held back part of a semester. I wasn't a good student and didn't care much for school. It was midmorning, approaching our lunch time, and my matron, Mrs. Shotz, came into my classroom to take me to the bathroom. At this age I was usually changed in a standing position, leaning forward on my crutches with my matron standing directly behind me. Upon entering the boys' room, she began changing me by unfastening and lowering my pants, and pulling my rubber pants down over my leg braces, thereby exposing my diaper. As she slid my rubber pants down, I could smell my BM and obviously I now knew that I had made a mess of myself. Carefully unpinning my diaper, she looked in the back, lower area of it and saw that I had a bowel movement. Typically other matrons didn't make a big deal of these episodes. Most of the time the matron would simply point out that I had an accident, and needed to be cleaned-up; obviously it took a little longer to complete my diaper change. The worst part was that the bathroom would often be consumed by the odor of my poop, and nobody could stand being in the bathroom while I was being changed. But on this occasion my matron went "bonkers." She began scolding me for messing myself and threatened to take me to the principal to have me suspended from school. But being scolded for having an accident wasn't the worst of it. Most of the time when I had a messy diaper, the matron would either place my diaper on the floor and fold it over to cover my accident and begin cleaning me up (after all, more than my diaper was dirty); or they would rinse the diaper in the commode first and flush my doo-doo right away just to be rid of it. Upon removing my diaper from between my legs, Mrs. Shotz rinsed it in the toilet, but didn't flush, thereby leaving my BM in the toilet for anyone coming into the boys' room to see. She set my diaper back on floor and began unrolling several wads of toilet paper so she could begin cleaning me up. At first only the two of us were in the bathroom, and of course I was hoping no one would come in until after I was finished getting changed. And I didn't understand why she didn't flush the toilet right away. As she proceeded to get me cleaned-up, and finish changing me, the bathroom door opened and in came a kid in a wheelchair who was in my classroom. By this time the bathroom reeked of my bowel movement, and without seeing my accident in the toilet, this kid surely knew that I had pooped myself. Because of the odor, the boy was hesitant to enter and was on the verge of making a retreat, when Mrs. Shotz motioned him to come in. As I stood there waiting for her to finish changing me, she directed his attention to the toilet and began, "Michael's a bad boy. He had a BM and didn't tell me. The next time he does this I'm taking him to Mrs. Evans (the school principal)." The other boy, not knowing what to do or say, sort of let out a nervous laugh, turned around, and wheeled himself out of the bathroom. At this point I was very angry for being humiliated this way by Mrs. Shotz. Fortunately, by this time I was almost "finished" and the quickly advancing lunch period virtually guaranteed that no one else would see me and know that I had an accident.. After fixing my clothes and putting my soiled diaper into the plastic bag for my used diapers, Mrs. Shotz finally flushed the toilet, and I left the bathroom for lunch as she stayed behind to wash her hands. Fortunately, when she changed me that afternoon, before dismissal, she didn't bring up my morning accident. When I got home, after my usual pre-dinner snack, my mother took me to the bathroom. She brought my school bag upstairs that contained my plastic bag and its contents of used diapers. As she got ready to change me, she saw my soiled diaper rolled-up in the bag and remarked that I had a bowel movement. She was surprised as I had "gone to the bathroom" in the toilet the night before with a suppository. At first I wasn't going to mention the episode in the boys' room, but I guess I was looking for some sympathy for what had happened and so I told her about it. At first my mother wanted to call the principal and complain about the way Mrs. Shotz handled my accident and diaper change. But she knew that the principal wouldn't be sympathetic since I wasn't supposed to mess in my diapers in the first place. But being the practical person that she was, my mother now thought it was time for me to begin changing myself. I'm sure my mother thought this would keep me out of "harm's way" as far as the matrons were concerned, especially Mrs. Shotz. After all, I could control the timing of my bathroom visits and take control of my diaper changes, and try to be more discrete, especially if I had a BM. But this came at a price. First, up until that time I didn't like dealing with my bathroom business and was perfectly content to let others take care of me. Second, in spite of the scolding and humiliation, the matrons who changed me acted as a buffer between me and other kids, so I wouldn't be teased by others while being changed. I knew that once I began changing myself I might be subject to teasing by other kids in the bathroom if there was no attendant present. Nevertheless, I think I instinctively knew that I had to start going to the bathroom on my own and I couldn't rely on others to take care of this most personal need forever. So, Easter break was only a few weeks away, and that was my "boot camp" for learning to change my diapers without assistance. Learning how to change myself when I was just wet was pretty easy, although I'm sure I stabbed myself more than a few times with my pins. But, BM's were problematic for a very long time. I learned take care of them on my own, but it was always difficult.