So...today was the day...had to call for an ambulance for a medical transport. After difficult child 1 went to school today at 10:50 am, he was AWFUL...he went to the library and had a complete meltdown because he couldn't fit the title of his book on the line provided on the paper and pushed the table he was sitting at in the direction of some other children. I got a phone call at 11:50 am telling me to stay close to home because I was probably getting a phone call to come pick him up, but he was going to lunch at the moment. He ended up going to lunch...was OK...then had 2 more MAJOR meltdowns in school that included smashing his pencil box on the floor, flipping over his desk, and requiring the teacher and social worker to clear this kids out of his classroom. They finally called me at 3:00 to ask me to meet them at the dismissal door before the big dismissal rush, which I did, but they weren't there. After dismissal, the principal met me and we went inside in search of them and difficult child was in his classroom doing his schoolwork. Now, writing is a HUGE trigger for him, yet he sat there writing sentences like there was no tomorrow! Then, he refused to go home. The social worker and I finally physically carried him out of school and down the street to my car. Once we got him in the car, we couldn't get him to put his seat belt on or get the van door closed (automatic door- anything gets in the way or hits the handle and it reopens), so we called the police. We sat there for an HOUR trying to get his belt on and the door shut. We finally made the decision to call an ambulance for a medical transport to the ER. He's in total crisis mode. He also started hitting, kicking, and punching us, which he hasn't done since he was 3-4 years old. At the ER, they ended up having to give him a shot of Benadryl to calm him down he was so out of control. It's now 11:56 pm and my husband is staying at the ER with him while I'm home with our 3 yr old. They're trying to find him a pediatric in-patient bed at another hospital. I held it together all the way until I hit the highway on the way home...then I thought I was going to hyperventilate. But, at least this will get him some help much faster than the snails pace evaluation the Social Worker is doing at the Behavioral Center and we'll finally get some new diagnosis's to work with other than the ODD (which we *KNOW* we're dealing with SO much more than that). I'm so exhausted but I can't bring myself to go to bed.