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Ever since he was a toddler, Michael has received special services for his multiple disabilities. He is visually impaired and has poor gross motor skills, sensory integration dysfunction, communication impairments, and an IQ in the mid-60s. Despite his challenges, he’s a cheerful, kind, and loving teenager, and the Child Study Team in his New Jersey school district thought they knew him well. That is, until March 2003, when his mother, Mary, shared a new diagnosis with the team—Fetal Alcohol Syndrome (FAS). “A stunned silence filled the room. There was a sense of disbelief,” she said.

Mary didn’t have any trouble believing the diagnosis. Alcoholism was rampant in her family, and by age 7 or 8, she was sneaking chocolate bars and her father’s whiskey for a picnic with her grandfather. Mary led a double life throughout her adolescence (she was both a National Honor Society member and someone who’d prostitute herself for alcohol) that extended into college and medical school. “I had the typical “if only” attitude of an alcoholic. ‘If only I can get into college, I’ll stop drinking…If only I can get into medical school or get the internship I want, it’s over. If I only I were married.’ Well, I got all those things, and I kept drinking anyway,” says Mary, a physician who is currently not practicing medicine.

In the late 1980s, Mary and her husband wanted to begin a family. Her alcoholism made becoming pregnant difficult, but once successful, she vowed not to drink. “I did manage to not drink for those nine months,” she says, and her first child, a son, was born healthy. Soon after the postpartum period, Mary began drinking again.

In 1991, Mary became pregnant a second time. Early on, she dismissed the lack of menstrual periods as the irregular cycles she was accustomed to and attributed the symptoms of morning sickness to her drinking. “I had no idea I was pregnant during the first trimester, and I was drinking daily,” she says. “Once I knew I was pregnant, I became very distraught. As a physician, I knew that every drop of alcohol I had drunk was potentially harming my baby. Still, after an ultrasound during the second trimester showed a normally developing male, I drank a half a pint of vodka in the hospital parking lot.” That’s how alcoholism progresses, she says, from being able to stay sober for the first pregnancy, but not the next. And it was during her second pregnancy that Mary knew, for the first time, that she was an alcoholic. “But I didn’t know there was hope or recovery,” she says.

Soon after Michael was born, it was clear to Mary that Michael had been affected by her alcoholism. He was a tiny baby whose weight and head circumference were in less than the fifth percentile. He was diagnosed with failure to thrive and later, as a toddler, had profound speech delays. Mary and her husband knew that Michael would need early intervention therapies as a toddler, but the diagnosis of FAS was not officially made at that time.

During her years of abusing alcohol, Mary tried to achieve sobriety, but with varying success. Twelve years ago, she found a rehabilitation program that worked for her, and she has been recovering ever since.

The aftermath of Mary’s drinking, however, remains now and forever in Michael. Early intervention for him was key, and in his elementary years, he was mainstreamed in public school.

“Michael’s a great speller and likes to read, but math has always given him problems,” says Mary. Third grade was problematic, and it’s when Mary realized she needed to advocate for her child. Michael’s education went back on track by fifth grade, but his parents thought he would do even better in a specialized school. To get him into that school in sixth grade (one year earlier than planned), Mary got on paper what she had recognized years earlier: a medical diagnosis of FAS.

Today, Michael, a seventh grader, is doing well in school. He receives social skills training, pre-vocational training, and extra help in math, particularly with money and time concepts. As far as his future, he’ll be able to work with some assistance. Like other mothers’ dreams for their children, Mary hopes that some day Michael will find a compatible partner to be happy with in life.

One of Mary’s dreams has already come true: forgiveness, which has opened new pathways of communication in her family and enabled her to speak publicly about her experiences. For some time, Michael knew he was different than his brother and a younger sister, both unaffected by FAS and in their schools’ gifted and talented programs. He wondered if God put him in the “wrong” family. Michael’s FAS was never hidden from him, but Mary remembers the day it all clicked for him. She had started sharing her story with other women as a way to help them understand the consequences of drinking during pregnancy. “While driving with Michael one day, I played one of my tapes in the car,” says Mary, now a member of the New Jersey Task Force on Fetal Alcohol Syndrome. “He listened and then asked, ‘Why do you go tell moms that if they drink alcohol while the baby’s inside, it could make the kid’s brains hurt? You mean you drank alcohol when you were pregnant with me?’”

“I told Michael, ‘Yes, I did. I hope you can forgive me someday,’” she recalls. “He asked me if I was really sorry that I had drunk alcohol when I was pregnant with him, and I said I was. Then he said, ‘I don’t mind. I love you, Mommy.’ That’s when I finally experienced self forgiveness. I thought, ‘If he can forgive me, how can I not forgive myself’? Forgiveness has transformed my shame and grief into healing for all of us.”

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