Kinzie and I came down to the valley last night for 5 appointments today and 1 tomorrow.
1st: Occupational Therapist for splinting of her hands. Her hands are very wind swept outward and need to be straightened at the wrists and the fingers. Also her thumbs tuck in her fists rather than outside of her fists so the splinting will stretch those muscles and help them to extend. Meg was the OT who saw her PCH and generously fit us into her schedule. It took hours to get it right and Meg just kept working at it. Thank you Meg!
2nd: Neurological Psychologist for evaluation. Kinzie was sleepy but cooperative. The developmental diagnosis is still out until I get some of my forms back to her.
3rd: Modified Barium Swallow test. She was not very cooperative for this but did show that she was still safe to nipple "thick" consistencies and so we will begin trying to get her to take a bottle again.
4th: GI. We have been waiting for this doctor for months now and I finally left GI not in tears. Unfortuantely Kinzie has not gained weight this last month and is still 11 pounds 9 oz. This puts her at the 5th percentile for weight and also is at 5th for height. She is at 50 percentile for head circumference though so the brains are growing! lol
We made quite a few changes her and pray they will help her to gain some weight and grow. We will increase NG feeds from 22 calories 9 times a day to 26.4 calories 10 times a day. We have to be careful due to her SIADH and not add too much extra fluid so just extra calores. We will continue to add 1/2 tsp salt for the day to help sodium loss from SIADH. We will also start her on a Rx for Lachulose (sp?) to combat her constant constipation. This seems to restrict the volumes that she can handle and so if we can keep her regular maybe we can increase the volume some. This will also alleviate the need for adding Karo to each bottle. In addition we will try thickening bottle feeds with gel rather than Rice again to minimize the constipation.
5th: We visited Pulminology to assess the need for the Apnea monitor and the O2 battle between docs. (My doc up North says not necessary, PCH says it is). PCH won. We will be back on O2 for 1 more month and will thus continue the Apnea monitor for one more month.
Tomorrow we see the Eye doctor. It and the swallow test were my main goals for coming. we had hoped to see Nephrology for SIADH too but couldn't get in so maybe next month. I'll update you on the eye doctor tomorrow.
Thanks to all our great supports. I was able to see all my Primary nurses and doctors this visit and it was a great reunion. Also the best news of all....Kinzie started to smile and laugh today and all day! I have pics and video on my phone and will work on getting that on here! I have been waiting for this day and hearing for so long that it may not come. Well....it did. I think Heavenly Father knew that I needed something to go on to keep my faith up. It worked. I know my little Kinzie is a fighter and I know that she can learn and grow. We will just keep working at it!