Friday, August 17, 2007

15 month NICU clinic

Wednesday was S2's 15 month NICU developmental clinic appointment.

It was not so much fun.

Overall, she's fine. She's ahead of the game verbally (about 15 words and 6 or 7 signs now), and cognitively as well. She's very socially conscious, and very analytical. As far as physical development is concerned, they're not concerned that she's not walking yet, because she is at least starting the process. She pulls up and cruises, and has graduated from the commando crawl to the more traditional hands-and-knees position. Her fine motor skills are pretty good too. She drew on paper with a crayon, put blocks in a cup, took off her shoes and socks, and tried to put a dowel in the peg board (albeit unsuccessfully).

The main sticky point is her weight. She weighs 21 1/2lbs, and is 31" tall. She's average. Middle of the road average. She's between the 40th and 50th percentile for weight, and the 65th-75th for height. The concern is that she didn't gain "enough" weight between her last appointment (in April) and now. Let's see...she weight 3lb at birth, which means that she's gained 18 1/2 lbs and grown 14" in less than 16 months. She is on the charts, following her normal curve, and thriving. She eats constantly...she's a grazer. They said that if she hadn't gained "enough" weight by February, they would look in to putting her on growth hormones. Um, no. She's healthy, just thin. She doesn't need to be chunky, and frankly, that would NOT be healthy, as it's contrary to her natural body type.

These appointments do nothing but stress her and I out. For starters, I hate being in that hospital. It holds way too many negative memories and feelings for me. The appointments are supposed to be strength-centered, but instead turn in to conversations about what she's NOT doing, instead of what she IS doing. Like almost speaking in sentences. She dropped her toy, looked at me and said, "mama, uh-oh boom." Then when I gave it back to her, said, "deck guh" (thank you). We are required to strip her down to her diaper and leave her like that for the duration of the appointment, which usually means sitting in a 70 degree room for up to an hour with no clothes on. By the time we left yesterday, she practically dressed herself she was so cold.

So, after discussing all of that, B and I have decided to discontinue these assessments. She still sees her pediatrician every 3-6 months, and he knows her better, because he also sees her at her brother's appointments, which of course are not at the same time as hers, so both kids get seen every 2-4 months. WE know she's healthy, and on track, and doing everything she's supposed to be doing. After getting to bond with her, I know her personality well enough to know that one of these days, she's just gonna stand up and walk across the room, because that's her way.

She's healthy, she's happy, and she's growing and changing every day. And I don't need a "professional" to tell me that.

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