Posts Tagged ‘ occupational therapist ’

Emmett’s 6-month Check-Up. Is He Too Hyper?

Wednesday, August 1st, 2012

Emmett had his 6-month appointment this week. I told the doctor about how hyper/active he is. It’s even hard to change him or put on pants. She observed for a few minutes as he kicked and laughed and did his high pitch cooing. God he is cute. I’ve said it before, thank the universe that at least he is happy with all his hyperactivity or I’d be committed.

I also explained how nights have become horrendous, or I should say, horrendously funny. He wakes up, starts to kick around, typically seems to have a gas bubble (I wrote about his 31 farts in a row), then starts to laugh and laugh and laugh. But without holding him or swaddling him, he won’t calm down on his own.

She was somewhat concerned with his extreme level of activity. Not only from a sleeping standpoint, but also weight. He is dipping back down again, off the curve. She isn’t overly worried, but suggested I take him to an occupational therapist to see if there are some things we can do to calm him. She used the word “sensory” which of course scared me. When I hear “sensory” I think “spectrum” and “autism”. But she reassured me that I need not worry. He is so alert, makes eye contact, loves to be held and hugged that perhaps we just need to work on ways to calm him more.

I spoke to the OT and they can’t get us in until end of August. But she did recommend the swaddle and baby massage. My pediatrician said the swaddle is okay too, as long as he can’t get out of it. Her main concern was if it was a loose one, he could wriggle out and get the blanket over his face. I told her about the Halo Sleepsack Swaddle I have that is zippered, as well as the miracle blanket. As long as he’s in a swaddle that he can’t get out of and that won’t tangle him up, then he will put his head to the side.

So we’ll see. In the meantime, here are his 6-month stats:

Weight: 15 lbs, 13 oz (18%)

Height: 26 inches (40%)

Head Circumference: 17.5 inches (70%)

(By the way: isn’t the kimono hilarious? It’s from our good friend Delia who buys all our stuff at Lucky Wang.)

 

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Emmett’s Weight Loss–Kind Of

Thursday, May 31st, 2012

Okay. It’s worse than it sounds. Emmett hasn’t actually lost weight. But he’s gone off his curve a bit.

When he was diagnosed with reflux about a month ago, we put him on Zantac. At that point his weight was in the 30th percentile. Two weeks later, at a follow up appointment, he had jumped into the 50th percentile. So it came with great surprise today at his 4-month check up that he has dropped into the 28th percentile and fallen off his curve.

I asked her to double check the numbers. He gained a pound in a month but he should have gained more I guess. He is 13 pounds, 12 ounces. He is super happy and incredibly active. So much so, she did say that he might be burning up more calories than the average 4-month old, thus not keeping his weight up with the curve. Nevertheless, because of his reflux issue, she was a bit concerned.

She also put him on his stomach and said he should be lifting his head up more. This is a boy who was ahead of his game at 2 months on his tummy. But then he developed the reflux and tummy time kind of went out the window. Apparently it shows. Thing is, he’s uncomfortable on his stomach and he barfs.

All this to say, I got quite discouraged. Between the visit and my angst over reading Bringing Up Bebe, I am doubting my mom instincts. We have no schedule–day or night. He isn’t staying on the curve. Yet he seems so damn lively. He rarely cries. He coos constantly. I mean, to what extent do I worry? She suggested I try a little rice cereal on a spoon to see if he is ready for solids. Perhaps that way he can put on some weight and keep the milk down. Okay, I can try that. But she also suggested an occupational therapist to see if he is sucking properly. Perhaps he is sucking down too much air, she said. Honestly, I am rolling my eyes.  Does that seem a bit extreme? Seriously? I think he is doing just fine. As for the lack of schedule, she also said not to worry too much. Sleep training? Don’t think about it until 6 months or so. I should be relieved that the pressure is off. But I’m not.

This is why I hate going to the pediatrician. All the information is contradictory.

With Fia, my Brooklyn doctor said no rice cereal. It’s bland and boring. Introduce flavors. I did and she is an adventurous eater, though not a big one. Her weight gains are small, though they are on the curve. They said sleep train between 2-4 months. We did it at 4 1/2 months and she sleeps like a champ. They said get on a schedule (though I never really mastered that until 18 months). However, they refused to give her Zantac and I know she had reflux. I was so frustrated in becoming a human burp cloth that I gave up breastfeeding with her at 4 months. So who to believe?

In the end, I know Emmett will gain weight, stop barfing, sleep through the night and get on a schedule. Especially if I commit to making those latter two happen and experiment with his feedings a little more. But I’m still sitting here debating if I really need an occupational therapist. I mean, the kid sucks like a champ. It sounds like a giant waste of time.

This all seems more complicated than it needs to be. I am a veteran at this. It shouldn’t be this difficult.

Have I made your head spin? Mine too.

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