The Early Intervention team was just here.
Basically they left it to me. He is not measuring behind his adjusted age at all, and actually ahead in a few areas.
He was actually evaluated at about 3 weeks adjusted. (He's 5 weeks adjusted today.)
He evaluated as follows from the Developmental Therapist:
Gross Motor: 1 month
Fine Motor: 1 month
Relationship Inanimate Objects: 1 month
Language/Communication: 2 months
Self-Help Skills: 1 month
Relationship to Persons: 1 month
Emotions/Feeling states: 2 months
Coping Skills: 2 months
The Occupational Therapist only shows the following:
Grasping: 1 month
Visual-Motor Integration: 1 month
but commented that the scale they use isn't really set up to show everything that she'd like noted.
Robert is an adorable 17 day adjusted male that has a loving and supportive home. He demonstrates developmental strengths that include alertness, emerging flexion, good appetite, and natural reflexes for prematurity. Robert will benefit from increased suction while eating, controlled swallowing, monitoring nipple flow, continued breast feeding skills and continued strengthening.
While they were here, he was awake and getting ready to eat, so they all got to see him in a perky mood. There were lots of oohs and ahhs and how alert he was. He was clearly curious about all the activity. (There were 4 of them.)
I opted to go ahead with therapy. While I don't really think he NEEDS it (yet) I'm more comfortable having too much therapy than too little.
We'll just go with OT once a week for a while, then spread it out further as things proceed. The main thing is that they will help with the breastfeeding which is my biggest goal at this point.
On an unrelated note, Robbie has thrown up a small amount of blood twice now. Once yesterday and once today. It's just been a small brown streak but it's really not what I want to see.
I spoke to the pediatrician who agreed with me that it's probably his gastrostomy healing, but we'll keep an eye on it. For now, he gets more Mylanta (fortunately he loves the stuff.) If it continues, we'll up his Pepcid. And if it continues after that, he gets an extra visit to the pediatric GI specialist.
But if you could send some good vibes for a healthy tummy, I'd appreciate it. I know that eventually this will all seem a distant memory, but these constant feeding issues are really exhausting and worrisome.