At Addy's 9 month check up, we saw a different pediatrician because our usual doctor had a family emergency and wasn't available. We had only seen our "usual" pediatrician one time, so seeing a different practitioner within the practice wasn't that big of a deal. She was friendly, interested in Addy's limb difference, and turned out to be a wealth of knowledge.
Unlike the pediatrician that saw Addy when she was born, this doctor had actually seen several cases of symbrachydactyly, and even went to medical school with a woman that was missing her left hand and had just recently opened her own dermatology clinic. She went on to let me know that through the state of Illinois, there was a program called Child and Family Connections. This program offers free evaluations to any child from birth to age 3, that presents with any physical or mental delays. Depending on what the evaluations find, the program offers a range of therapies ranging form physical therapy, developmental, sensory, and occupational. The pediatrician gave us the paperwork, gave me the name of a book to read about picky eating toddlers, came back and poked Addy a few times, and we went on our merry way.
I went home with the paperwork burning a proverbial hole in my pocket. Once the kids were in bed, I got online and researched the program. It all checked out, and after speaking with my husband, we agreed that a free evaluation would be a good way for us to gauge where Addy is compared to other kids her age who aren't missing a hand. I called and scheduled the appointment, and a friendly case worker was assigned to us to help us navigate the journey as well as facilitate the evaluation process. After meeting with her to fill out the appropriate paperwork and take Addy's history (yes, I had to relive her arrival in vivid details AGAIN...), she suggested that a physical therapist, occupational therapist, and a developmental therapist all evaluate Addy to see if she would benefit from any therapy.
At 9:00, all three therapists arrived eager to get started. They wanted to review Addy's history, elaborate on a few things, and then they started their evaluation. They tested Addy in several ways, and I was assured that they were taking into account her missing forearm and hand in the scoring of the tests. They explained to me that the tests don't take into consideration the loss of a limb, so if they had scored her as failing the tests simply because her missing hand wasn't doing anything, she would have scored as having a 100% delay, which is obviously not the case. The physical therapist especially scored her evaluation different. She noted that while Addy's hand is missing, she still brings both arms to midline when holding things, she still uses her little arm to hold things on it's own, and uses it to crawl. She is not disabled, she is differently abled.
After two hours of evaluations and people poking at her, Addy was fading quickly. I grabbed her blanket and laid her down for her morning nap, took a breath, and headed back into the living room to hear what the therapists recommended. They each explained how they scored her, what they found to be her problem areas, and what they suggested. Developmentally, Addy is right where she should be which was a relief to me. The physical therapist and occupational therapist both agreed that Addy would benefit greatly from weekly therapy. The physical therapist told us that Addy has low muscle tone, which is contributing to her stability issues. She also said that it could be part of the reason she took so long to crawl, and still wasn't pulling herself up to stand on her own (and I had been blaming it all on her missing hand). She said that once Addy built up some strength and muscle tone, that we could back the therapy down to two times a month instead of weekly. I told her I wanted to be as proactive as we could be, because I know that her missing forearm and hand will cause other body parts to compensate, which in turn could cause other issues like scoliosis or pain in her left shoulder. We agreed that preventative physical therapy would be important to continue. The occupational therapist had similar views, but had a great way of putting everything into perspective (I'm pretty sure I wasn't able to hide how I was feeling and that the worry and heartache was written all over my face). She told me that Addy was showing some delay on her left side, probably due to the low muscle tone, but that she was right on the bubble. Then she said this: "Addy doesn't have a right hand, so we need to make sure that her left hand is the best it can be because it's the only one she's got!"
No one wants to hear that their child is delayed in any aspect of development. I knew that when we started this process, and even before we started, that therapy would probably be recommended. After speaking with so many other families who's children have limb differences, I know that each family has their own journey, all very different even though our children are all so similar. We want to ensure that Addy has the best life she can possibly have, that she is strong, confident, able, and above all else, loved. We know that putting her through therapy will be hard on her physically, and I'm sure at some point even psychologically and emotionally, but it's what is best for her and her future. We want to give Addy all the tools she needs to be successful, and the best she can be. This isn't to say that it still didn't hurt my heart hearing that she needed therapy, because it did. I broke down after the therapists left, and buried my face in my husband's chest and cried, but I only cried for a few minutes. Then I pushed my feelings aside and looked at our beautiful little girl crawling around chasing the dogs. She's happy, she's healthy, she's able. We will do anything and everything in our power to make sure she stays that way for the rest of her life!
In an instant, our hearts and eyes were opened to a whole new world...this is our story
Addy Grace
Thursday, June 19, 2014
The Cuteness Runs Over
The cuteness in this picture.
I can't take it.
She get's cuter and crazier every single day.
She may look just like her big brother and daddy...
But she's got her mama's sassy attitude.
Oh lord.
Monday, June 16, 2014
A Whole New World
It's been an interesting few days around our house. Between Nolan being gone for his annual two week Army training, the frequent meetings with our realtor searching for a new house while wrangling the kids, and Addy's newfound mobility...things have been uber crazy. Yes, I said uber. We have been busy with park play dates, meeting up with new Lucky Fin friends, planning all of our summer trips, all while allowing Addy to explore her surroundings and making sure she doesn't eat copious amounts of crumbs and dog hair off the carpet.
Not only has Addy's new ability to scoot and crawl made it interesting for our dogs, (their daily naps have shrunk considerably...) but Keegan seems to have realized that Addy is in fact a human, and fun to play with. She even enjoys playing with his dinosaurs, a bonus for all parties involved. While her new found moving and shaking is fun for her, it adds new levels of stress and worry to my daily plate. My days of jumping in the shower while she plays in the floor are over. All showers will now be taken when said party is asleep. Living in a third floor apartment with two kids, and two dogs has also been challenging. Running the dogs down for their daily constitutional used to be a quick 5 minute break, a break to recharge my batteries and take a few deep breaths before returning to the craziness. Now, the dogs will have to cross their legs until Addy is napping or contained in her high chair before they will be able to empty their bladders. Sacrifices will be made all the way around, including Keegan having to clean up his room more thoroughly. Life is rough with a mobile little sister!
All jokes aside, it's been emotional watching Addy learning to crawl. I have spent the last 10 months of her life researching, talking to other parents with limb different children, and worrying about how and if she would learn to crawl. Would it hurt? Would she be strong enough? Would she skip crawling all together and just go straight to walking? All my questions were answered when she began her hybrid crawl/scoot across the floor this week. Tears were shed, we clapped and squealed in celebration. Even big brother proclaimed how proud he was of her (proud mama moment!).
It's been a crazy week, and I'll be spending this week doing more of the same, and counting down the days until husband's return to us.
Not only has Addy's new ability to scoot and crawl made it interesting for our dogs, (their daily naps have shrunk considerably...) but Keegan seems to have realized that Addy is in fact a human, and fun to play with. She even enjoys playing with his dinosaurs, a bonus for all parties involved. While her new found moving and shaking is fun for her, it adds new levels of stress and worry to my daily plate. My days of jumping in the shower while she plays in the floor are over. All showers will now be taken when said party is asleep. Living in a third floor apartment with two kids, and two dogs has also been challenging. Running the dogs down for their daily constitutional used to be a quick 5 minute break, a break to recharge my batteries and take a few deep breaths before returning to the craziness. Now, the dogs will have to cross their legs until Addy is napping or contained in her high chair before they will be able to empty their bladders. Sacrifices will be made all the way around, including Keegan having to clean up his room more thoroughly. Life is rough with a mobile little sister!
All jokes aside, it's been emotional watching Addy learning to crawl. I have spent the last 10 months of her life researching, talking to other parents with limb different children, and worrying about how and if she would learn to crawl. Would it hurt? Would she be strong enough? Would she skip crawling all together and just go straight to walking? All my questions were answered when she began her hybrid crawl/scoot across the floor this week. Tears were shed, we clapped and squealed in celebration. Even big brother proclaimed how proud he was of her (proud mama moment!).
It's been a crazy week, and I'll be spending this week doing more of the same, and counting down the days until husband's return to us.
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