Monday, July 7, 2014

Ellee's early summer fun


Here is what Ellee has been up to so far this summer.


Playing in the muddle (mud puddle) with her friend Ben



Feeding Katie breakfast



Playing dress up with Katie



Being a spider monkey at the park



Playing in the rain



Making a mess with felt stories



Creating a rock collection



Fishing with Daddy



Reading to Katie



Building a coral reef


Just being an adorable sweet sister

PT, Tummy, Pinchers, & Sitting


Katie is doing very well with her physical therapy. It is very helpful to have someone who knows Katie and her abilities and can immediately see her improvements over time and knows what needs to be worked on next.

Katie loves tummy time and spends about 97% of her time on the ground or in bed on her tummy. Her physical therapist is THRILLED. I have always heard about how important tummy time is for physical development, but she stresses that it is huge. Children that do not tolerate tummy time, even typical children, are often delayed in their crawling and walking.

Katie is a little delayed in independent sitting. The range for typical children is 5-8 months with most able at 6 months to hold themselves in sitting position for a few seconds. Katie is improving but today she turned 8 months and I wouldn’t yet call a few seconds of independent sitting (although I think it could be any day now). We are working with her by giving her a lot of practice in supported sitting both in her high chair and on the ground with support from my legs or light support on her shoulders. Today she held herself in sitting by holding my fingers.

I talked with her therapist about her sitting delay. Her therapist said if she could choose between all the things she is doing on her tummy vs her sitting she would choose her tummy activities. She said that sitting will come and not to worry. She said sitting is a more passive process. Once babies are able to sit sometimes they become so passive they have to be ‘forced’ back on their tummies to start moving.

Here are some pictures of her tummy activities that her therapist loves (and some things we need to work on).

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Left-arm strength and twisting: she is much stronger on her left side. 


Right-arm strength with good knee bend: notice how much weaker her right side is compared to the first picture. We need to make her do this more often to strengthen it up. 


More left-arm strength but her hand needs to be palm down.



Double handed toy reach



Right hand fine grasping (pincher) practice with left arm support


Left hand fine grasping (pincher) practice


Just a cute one 

 
 Another cute one


 
One more cutie, with both arm support

Katie-isms!


At the moment, her primary form of communication is blowing raspberries and she has been doing so for months.

In the last two weeks I have started hearing babbling vowel sounds. Usually these sounds are slipping into a very long exhaling aaaa, like: “aaaadaaaaaamaaabaaaalaaaa” etc. Sometimes we get long running repeats like: “mamamamama” or “bababababa”
  • Mama
  • Dada 
  • Baba 
  • Lala 
  • Wawa 
  • Nana
On four occasions I have heard a “Mama” without any sounds before or after. Of course I acted like a goon and gave lots of praise and hugs.

Ellee-isms



  • “My butt needs to be panted” (her pants had slid down a little climbing into the car seat)
  • “We need to go ice-creaming” 
  • “I’m drinking water like a camel” 
  • She has a song about punctuation which says: Punc, Punc, Punctuation. Ellee sings it as “Hug, Hug, Hugtuation”

Last NY Cardiology appointment


Today we went to Syracuse for Katie’s last appointment with Dr. Egan (her pediatric cardiologist). He has followed her since her pre-natal diagnosis over a year ago. He is a great doctor and we are very sad to say good-bye. He has assured us the doctors in Dallas are great and we will be in good hands. I am still anxious about finding her a new doctor who will take as much time and care with her.

Katie is doing great. Her heart murmur is getting quieter. The right ventricle heart muscle was thicker from overworking prior to surgery but is now completely thinned out and normal size. All indications suggest she will not need another surgery (but they never say never). She will be monitored about once a year for the rest of her life.