Saturday, June 14, 2008

Kyle's Progress in Therapies

Kyle graduated speech therapy the beginning of May as his vocabulary is where it should be for his age. He talks pretty clearly and loves to sing! He was actually singing "Happy Birthday" most of the day on my birthday. Of course, he always sings, "Happy birthday, dear Grammy" when he gets to that part, since he learned the song around my grandmother's birthday, but it was still very sweet.

He also plays a game with us. One day Hannah, playing around, knocked on the door and we called out "Who is it?". She responded, "It's Hannah" and we said, "Come in". Kyle liked the game so much, he now goes up to doors, knocks and says, "Who is it?" if we don't. The only problem is, he then says "I Hannah!". We haven't been able to get him to say "It's Kyle", yet.



We've increased his occupational and feeding therapies, though, and the occupational therapist (Christine) and the feeding therapist (Mary Beth) often work together on his therapies since the two are very much interrelated in his case. His hesitance to eat comes mainly from an aversion to the sensory stimulation of taste and the textures of the food. They're using a couple of methods, including rubbing around the mouth and cheeks with fingers or a vibrating toy to lower the sensitivity, and building up to eating from first encouraging handling the food, then kissing the food, now licking the food and next holding the food in his mouth and taking bites (not swallowing). Eventually, we should get to the normal chewing and swallowing. We have to take it very slowly because if he's pushed too hard, he goes backward in progress. He needs to feel in charge of it. He won't accept anything being fed to him. He only tries things if he picks them up. He also doesn't seem to like sweet foods - only salty (pretzels, chips, chicken nuggets, french fries, etc). He does seem to be making more progress since we changed his therapy schedule. Earlier in the week, he bit down on a chicken nugget and later, a pizza crust. We are pleased even if he just licks foods, though.

In physical therapy, Marijcke (pronounced ma-ri-ka) has been working with him on going up and down stairs, walking on different textures, standing from sitting and walking. He's made huge strides in each area and went very quickly from side walking along a bench to walking with only very little assistance. She's been saying each day that she expects that the next time she sees him he'll be walking on his own. Well, after showing off his excellent climbing skills by climbing up on the table a couple of times, he decided to show off a little further. I was holding his one hand, like we've been doing lately, to help him walk and I let go. He's usually so stubborn - he just sits down as soon as we let go. But tonight! when I let go, he stood still for a second and then took the three steps to the couch! I wondered if he'd do it again but in a second he was sitting down and then crawling over to a little party favor bubble bottle. He picked it up and said, "Bubbles?" I am not above bribery!!! I filled the little bottle (which was empty) with bubble soap and stood him in the middle of the living room, facing the couch. I said, "If you walk to the couch, I'll blow bubbles." and I let go of his hand. He did it. Again and again, he did it for me - until I got a phone call and then he just sat on the floor yelling "Bubbles! Bubbles!" until I was off the phone again. The most he took was maybe five steps but he showed control and stood steady on his own before taking the steps. I got a short video clip...



On June 1st, I brought Kyle to the All Children's Hospital Therapy Reunion at Vinoy Park. It was part of their telethon and the Taste of Pinellas. I think he was a little overwhelmed because he just kind of spaced out and didn't even seem interested in some of the things I thought he would really like. Kyle bangs on everything at home but when put in front of a drum, he froze. He was also not impressed with the dancers on stage. He did enjoy watching the chicken dance and has been trying to figure out how to do it himself ever since but other than that, he pretty much seemed to only like the shuttle ride in the bus to and from the parking garage. The reunion had a cowboy theme and each child got a hat and a bandana as they came in.




Externship

I ran into an unexpexted speed bump on the path to externship. I needed my immunization records in order to start. Unfortunately, my immunization records seem to have been misplaced in one of the moves and the only way to obtain immunization records is to get them from the place where they were done. Of course, schools are now required to keep full immunization records on all their students so I've been told a million times to just contact my high school, but I was homeschooled K-12 so I tell them I already asked my mom... While we know that most of my immunizations were done at Maine Medical Center, some were done at the York County WIC clinic and I might have had a booster shot at Kaiser Permanente in North Carolina, so getting records from each place would take quite an effort and quite some time to do. And even if I could get all my records, I know I never got the varicella (chicken pox) vaccination because it wasn't available when I was a kid so I actually had the chicken pox. It was starting to look like I might have to just get the immunizations again (YIKES!), which could pose a problem since I'm breastfeeding and Audrey hasn't had her immunizations yet, but I found out that the Health Department could draw blood for Titers testing. Titers testing is a test to check for specific antibodies in the blood. It can be used to determine whether you have had certain immunizations. After quite a run-around, I finally got the blood drawn for testing.

The morning of June 2nd, I got up bright and early, got my scrubs on, nursed Audrey, double-checked that I had all the stuff needed for pumping and all the paperwork requested (drug screening, background check, PPD skin test results and immunization records) and drove thirty minutes to St Petersburg General Hospital for orientation. After taking a really horrible ID badge picture, I sat through seven and a half hours of orientation, all the while getting more excited to be working there.

After orientation, I had another half hour so I decided to find the echo lab and introduce myself. As soon as I said who I was and that I was the student from Sanford-Brown Institute, I saw no recognition on the face of the head echo tech, Chris. She had no idea I was coming! She checked her messages to see if somehow she was just left out of the loop, but found nothing. We called Tom, the clinical director at Sanford-Brown, to find out what was going on. Turns out, he had asked Chris three months ago about possibly taking a student in June. Since then, he had not been able to get in direct contact with the imaging department's director but had previously managed to get a general ultrasound student approved. As the date drew closer, he confirmed that I was coming on June 2nd - but with the wrong person. He confirmed with the general ultrasound head tech! Chris said she would try to get approval for me from the department director but until then, obviously, I couldn't start. I got word the next day that the department director would not approve a new echo student. So I do not have an externship site. I'm in education limbo. It's very frustrating since everything was starting to move forward again and has now come to a grinding halt.