Thursday Anya had her second appointment with the
Newborn Medicine Clinic, and it went well. She is gaining about a pound every
two weeks which is ahead of the goal they have set for her. She is about 12lb 10
oz. Even though she is tube fed babies
can still have a hard time gaining due to all the extra energy they use to
breathe. If my family’s tendency toward obesity has anything to do with this, I
don’t know. She is on a very specific amount of formula that we have to give
routinely. I don’t think I will ever look at weight the same again, or complain
about not being able to lose weight. Gaining weight for Anya isn’t just about size. A healthy weight can help improve her endurance, and is another sign that she is doing
well.
A difficult part of the appointment was seeing OT;
for various aggravating reasons she has not been evaluated by ANY therapies yet,
but we have an appointment next week for feeding. An OT came over briefly to
give me some tips for strengthening. OT’s, by their nature, analyze every aspect
of a babies movement, or lack thereof. It was difficult to hear the list of
issues that we have to deal with. She needs to be worked up to 20 minutes of
tummy time three times a day; she doesn’t even tolerate five minutes now. She
has a tendency to look toward her left side, away from where her ECMO cannulas
were. I honestly don’t think she does it that much, but apparently it can affect
the spine, and Anya already shows some signs of scoliosis. Only time will tell
if it gets worse, or needs treatment. I have never posted about it before, but
Anya has really long, almost double jointed looking thumbs. More than once in
the hospital a nurse would be concerned that they were dislocated. She may need
splints to help strengthen the muscles so she can pick up things properly with
her thumb and fingers. I could go on and on.
We left the appointment to go down to ultrasound,
to check out her kidneys. She is on blood pressure meds and they wanted to make
sure there weren’t any kidney related blood pressure issues (there aren’t). I
was feeling a little discouraged after talking with the OT. I anticipated
strengthening issues but some of these things sound like they are going to be
more long term.
In the waiting room I saw a family with a girl
about Arwen’s age. She was sitting in a wheelchair in a way that showed she was
in it most of the time. It was obvious that she had Down’s syndrome. She was
sporting oxygen, and her fingertips were blue. An alarm went off that belonged
to the same oxygen monitor we have, and I saw an appallingly low number. Still, this spirited
little girl was arguing with her mother, she wanted to push her wheelchair
herself. Her mother and I had a brief conversation about how stubborn
preschoolers are.
And I am worried about SPLINTS, for goodness sake.
One of the hidden blessings of major children’s hospitals is seeing lots of sick
kids; you feel like an oddity anywhere else but you can feel normal in this
environment. It is a reminder that you aren’t alone in your struggles, and
sometimes it puts your struggles in perspective. There are all kinds of families
raising children with issues ranging from very severe to mild. Every family has
different challenges, but a common thread I always find when talking to other
parents is pride. We are all enormously proud of what our children have
achieved, and this overcomes many feelings of self-pity.
Anya started staring at her hands last week and
shortly after that started batting at things with them. When we first learned
what ECMO was we were painted a dreadful picture of the damage it could cause. Some kids would not catch up until age eight,
if they were ever able to at all. I believe I know the feelings and thoughts of
the prodigal son’s father: I thought she would be lost to me, but she is not.
Every small milestone she achieves is a joyous occasion. She may not be perfect
by the definition of the world; many may look at our family and feel pity. Some
people may wonder why we even allowed her to be born, with the issues she was
sure to have. To me the truth is that all children are difficult in their own
way, it is not for us to decide. No one can know the joy of watching a child
grow against the odds unless they have done it themselves.
Kelly, thank you for writing your last paragraph especially. It rang in my mama heart. Blessings to you and your perfect Anya Mae.
ReplyDeleteCorinne
Samuel's mama