I found something I wrote two years ago in November, before G was on medicine.  It seems I haven't come all that far, as these things are all so true.  Except he's six now. 
"I am not sure that I'm parenting G well.  I'm just going to throw 
that out there.  I guess I'm doing the best I can, and maybe there 
aren't other people who would do it better.  However, I feel like a 
person with a degree in special education could do a better job of 
dealing with a four-year-old with some major impulse control issues.
G
 is amazing.  He does everything with "reckless abandon."  He  plays, 
eats, sleeps,loves,  learns... all with the same attitude.  He just goes
 forward at light speed, leaving a path behind him.  He's so damn smart 
that it thrills me to my toes.  But I can't get him to stop and think 
before he acts.  I have seen great improvement.  He knows to stay close 
in a parking lot and look before stepping out, but if there was a Lego 
display on the other side of the parking lot, he'd be squashed.  He 
knows he should apologize for tackling/hitting/spitting/biting/etc, but 
its a drive-by "Sorry!" flung without eye contact; he's too busy 
thinking about what he's going to do next.
Anyhow, after a day 
with my medium boy (he's not little, and he's not big, so he tells 
me...), I'm tired.  And I feel sorry for his pre-k teacher.  I send her 
my best every day.  This being that I grew and carried and nurtured.  I 
work with a teacher that frequently talks about how, no matter how bad a
 kid's behavior is or what the parents are like, that child is the best 
thing that parent has.  And its true.  I like my house, my job, my car, 
my crafts... but G and J are the best things I have to give to 
the world.  So I send G to his teacher, the best thing I've got, and
 he wears HER out all day.
Today I learned that G has some interesting views on math.  1 and 1 makes 2.  1 and 1 also make 11."
These boys are still my absolute best.  They are the most amazing legacy I have to pass on to the world.  I wonder if I'll still feel so conflicted about parenting G two years from now, ten years from now, twenty years from now.  It seems like an awfully long time to be unsure of my skills in a given area.  Surely, twenty years from now, he'll be all grwon up and I can breathe again.
 
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