Archive for September, 2006
Anna had her MRI today, and we’re happy and relieved that it is over! We weren’t allowed to watch the procedure or be there when they put her under, but maybe that was for the best. I guess they had a very hard time finding a vein for her IV. She has stick marks on each of her hands and feet and a couple on her arms (thank goodness she was already mildly sedated with gas while they were sticking her!). The MRI went well except that she woke up half-way through! The doctor and technician noticed she was moving her feet…and then all of the sudden she was waving her arm around. They had to give her a bit more medicine to keep her under during the rest of the scan. When they called us back to her recovery room she was pretty limp and uncoordinated. Within 1/2 hour she was mostly back to normal. She was rather grumpy and very hungry. Understandable, considering she hadn’t eaten anything for over 6 hours at that point.
What a stressful day. My body feels like I’ve been excercising heavily or something…must be due to the fact that I’ve been tensing my muscles all day long. I’m ready for some sleep. I think Neal is too.
Incidentally, we won’t know the results of the MRI for some time. We have an appointment with the neurologist for late October (her first available appointment). We’re going to see if we can move that date up some, but that’ll more than likely be possible only if someone else cancels. We’ll see what we can do.
For now…sleep. Good Night.
September 28th, 2006
So we were outside playing last Sunday and Anna was in a particularly good mood. We captured her laughing in this tiny movie (QuickTime, 1.24MB).
September 28th, 2006
Last Friday Anna had her six-month check-up. She’s doing great! She is now 27 1/2 inches long and weighs 17 lbs 4oz. (90-95th percentile for height and 75-80th percentile for weight). We had our normal round of shots – three total, which is one less than last time. Those are always so much fun for both of us! Our doctor was very impressed with the progress Anna’s made on the use of her left hand/arm since she saw us about a month ago. I thought that was encouraging.
Anna’s two bottom teeth have finally pushed through, so we’re a little less grumpy about our gums these days. Thank goodness! Although now that we’re not using tylenol and teething tablets before bed, getting her to go to sleep has been a real challenge. Tonight she screamed for about an hour total (broken up in 10-15-20 minute increments). What a nightmare.
This week Anna is “skipping a grade” (as Neal likes to call it) at daycare. I’m really excited about this move. Anna is at the top of the food chain in her current room. She’s a few weeks younger than the two oldest boys in her room, but neither of them is sitting independently. The rest of the crew is much younger and barely rolling over. I’m hoping that seeing babies crawling and whatnot will give Anna some ideas that she can try out. I swear that she is learning things from her cousin Henry who is crawling all over the place!
I neglected to post anything about my Mom coming to visit during the week before last. We had a wonderful time and we hope she did too! She spent most of the week playing with her grandbabies and buying them outrageous toys. As always, it was great having her here. We’re very much looking forward to seeing the entire Kansas family when we go home in October for my cousin Aaron’s wedding. Anna and I will be spending a week visiting everyone.
September 24th, 2006
The Radiology Department at Children’s called this afternoon. They had a recent cancellation and will be able to schedule Anna’s MRI earlier than anticipated. We’re all set to have her MRI on next Thursday, Sept. 28th in the afternoon. As I think I mentioned in my previous posting, this is a sedated MRI. They have to sedate her because there is no way that a 6 month old will be still for 30 seconds, much less 45 minutes! I’m nervous about the entire thing, but I feel better knowing that the test will be done at Children’s. Like anyone going under anethesia, she can’t have solid foods 8 hours before the test and breast milk is allowed up until 4 hours before the test. I imagine she’ll be one hungry chick when she wakes up from the anethesia!
September 20th, 2006
About a month ago we took Anna into her pediatrician because we were concerned with the use (or disuse) of her left hand (affectionately known as Bob). Mom, being the neurotic type, had done some research which stated that infants are basically ambidextrous until at least 12 months of age, and that any hand preference exhibited before that age is a developmental red-flag that points to a neuromuscular issue. Well, Anna is VERY right-handed at 6 months and we thought it would be best to have her checked out. Our pediatrician confirmed our suspicions that Anna’s preference for her right hand (otherwise known as Martha or “bossy right”) was problematic. Furthermore, Anna showed some definite developmental delays in the use of her left hand. She believed that Anna’s core body strength was very good and that she was developing equally on both sides, but that her left side seemed weaker than her right with her arm more affected than her leg. Her initial thoughts were that she’d suffered a stroke (yes, babies have strokes!) or had some malformation of the brain. She referred us to a pediatric neurologist from Children’s Hospital in Denver for more tests and evaluation.
Unfortunately, we had to wait two weeks for our appointment with the neurologist. As you can imagine, Neal and I were pretty much beside ourselves. We were worried and upset: will Anna be able to run and jump, will she be able to type or play the piano? Will she have difficulties with speech or learning? Will she be able to do everything that she wants to do? These types of questions, among others, consumed our thoughts. I basically flipped out and let my obsessive/compulsive tendencies have free reign. I read more and more about Anna’s symptoms and became more and more distraught. I basically had her diagnosed before we’d even seen the specialist: cerebral palsy.
During those 2 weeks of waiting we discovered that we have an amazing support network. The director of our daycare center has a daughter with a mild case of cerebral palsy. I met her daughter and you’d hardly know that she had any impairment at all! After years of therapy and hard work, her daughter graduated from high school and college and works at the daycare center while looking for a full-time job. The director has already been a wonderful resource. She has offered to teach me the therapy games she used to play with her daughter and has purchased a few toys for Anna that promote use of her left hand. She wants to be an active part in Anna’s therapy program and will be working with Anna while she’s at daycare. What a surprise and relief!
Last Tuesday we had our appointment with the specialist from Children’s. I was very stressed and anxious. We went in knowing that there was definitely a problem and that it was probably cerebral palsy, but we didn’t know what level of severity or what other areas of Anna’s body may be affected. She asked us many questions about my pregnancy, Anna’s birth, and her development. She confirmed what we suspected: Anna has cerebral palsy (non-specific left-sided hemiparesis). However, she was able to say that it was a very mild case and that with therapy and early intervention, she should be able to do anything she wants (Neal: Like become President, for example). At this point, the doctor does not believe that Anna’s speech or cognitive abilities are affected. She wants us to have Anna’s vision tested by a pediatric ophthamalogist as soon as possible to rule out any vision problems, although she doesn’t think that there are any major issues. And most importantly, she has ordered both physical and occupational therapy for Anna.
Sometime during the next month, Anna will be going in for a sedated MRI down at Children’s. I have to admit, the sedation part freaks me out a little bit, but if it has to be done I’d prefer it be done at Children’s with anesthesiologists who work only with children. The scans will give the doctor a better idea of the extent of the damage to Anna’s brain and what may have caused it. If it turns out that Anna did have a stroke, the doctor would like Anna to visit the stroke clinic at Children’s to rule out the possibility that she has some underlying clotting disorder that might cause her problems as she grows. We’ll see what happens.
During the days since our appointment I’ve been attempting to navigate the social services maze in an effort to get Anna “in the system.” We’re awaiting an evaluation with the St. Vrain Valley School District’s Child Find program. It’s my understanding that they can help coordinate Anna’s therapy and bring together all the interested parties (i.e. daycare, therapists, etc.). I’m hoping that our pediatrician can help us in this department as well. We have Anna’s 6-month check-up on Friday. She’ll have the information from the neurologist and we can proceed from there.
We’re remarkably calm about the entire thing. We have a plan of attack now. I know I will feel even better once we find physical and occupational therapists and we start our sessions. In the meantime, we’ll continue to do our “common sense” approach when working with Anna. She’s really made a great deal of progress in such a short time. We’re very hopeful. Who knows, she may very well grow out of this. Only time will tell. One thing is for certain, she’s still Anna! And we love her so very much.
September 17th, 2006
The teething fairy has been to visit us! We don’t like her. We wish she would do her thing without causing Anna pain. Yes, Anna is teething and it is not fun for anyone involved. She has one tooth that has broken through the skin and another that is close. She’s pretty fussy and generally not her happy-go-lucky self lately. And the nights have been especially fun. She is either in pain or is testing us because she will not go down for bed without a serious fight. This often involves anywhere from 1/2 to 2 hours of screaming (I gave up after 2 hours and took her downstairs with me – it might have lasted longer if I hadn’t. ). Anna is ahead in the on-going Anna vs. Parents match-up.
In other news, Anna has moved up to eating cereal twice a day now: rice and oatmeal. Very exciting. She loves to eat. She reminds me of a baby bird when we are feeding her: mouth wide open and making noise! Next week she will be 6 months old and we plan to start her on some vegetables. Cereal is pretty easy to clean up…I can’t imagine peas and other veggies will be! We’ll make sure to document the event with pictures.
Yesterday Anna, Henry, Jo and I went to the zoo. It was Anna’s first trip to the zoo and she could have cared less. Both the kids were more interested in all the people and other babies than they were in the animals. Anna found a strap on her stroller the most exciting thing of all! Jo and I enjoyed getting out for the day. It was kind of a proof of concept: we can take the two kidlets out for the day without much trouble.
So Anna would really like to type something here, so I’d better close. Here are her parting words: hn .u mn h v tbn jhiy;l\]’
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September 8th, 2006
