Showing posts with label EI. Show all posts
Showing posts with label EI. Show all posts

Thursday, December 20, 2007

Early Intervention

EI came this morning to check up on Jackson and Tabitha. They came early because it is best for Roger and Sara and only interrupts Jackson and Tabitha's sleep a little. Both the PT and our EI nurse were impressed with the progress the tomatoes have made. Jackson was a little cranky, sleepy this morning but still did an acceptable job. He is a baby so we can cut him some slack, right?

We need to continue working on tummy time, floor time in general and some specific suggestions included side play, to encourage the separation of top and bottom, seated positions, to increase trunk strength, and putting toys in their hands, to increase grasping, opening of fists and toy transfer. Tabitha transfered a toy between both hands while they were here, I was very proud. Roger and Sara haven't even seen her do this yet! Jackson seemed stronger on his tummy, more of his chest and stomach were off of the ground. He was also infinitely more verbal but Tabitha saw plenty opportunities to share her raspberry-type spitting that I so loathe. Much as Sara and our EI nurse thought it was cute. I don't think either Roger or PT agree and I surely don't think it's cute in any way.

Tomorrow morning will be a weigh in and RSV for each baby. I'll come into work late but Norah will join me because she's on Christmas break from school, as of this past Monday, and today is her last workday before she gets a break from that too. I was telling her how the housekeeper received a Christmas bonus yesterday and hoping that meant I'd get one too, she was saying how she definitely won't get a bonus as her work is an unpaid internship. As she gets a three week break I told her, that is a pretty good bonus! Looking at it from that perspective she had to agree!

Thursday, September 27, 2007

Settle Back and Share

Yesterday we met with a new pediatrician. He was great, a real old fashion doctor's office and pediatric practice, no nurses, nobody else to relay the same story to five times, only him. He writes, he spent years in academia and he loves what he does. It was exactly what it should have been from the beginning.

Most parents have nine months of pregnancy with which they can interview, meet and choose a pediatrician. Something highly I'd recommend. But when your two babies spend only 25 weeks - six months - in there, well, things get pushed aside because there is only so much time in each day. The earliest weeks are a fight for their lives, tests, transfusions, isolettes and when they are finally ready, kangaroo care. Three hours each day that you can just hold them, feel their little hearts beating against yours and share skin contact with these amazing little people that have fought so hard to be here. And most parents are back to work during this time so that they can use that precious maternity leave when their sweet babies are home. Which is a great thing for the parents AND the babies. It can also be a time when family can meet the new babies for the first time. It is a great time for friends and family to help out, cook, clean, lend a hand even hold a baby if that is what is needed. Sometimes it is nicest for parents if the help is focused on chores rather than holding, diapering and feeding because they have been sharing all of that with nurses and are excited to do it themselves.

If there is a nanny entering the picture, like me, this is an amazing opportunity to get to know one another better. Personal histories, relationships, likes and dislikes, it all builds communication and trust and aids in bonding. I love the first few weeks of this so much. With each family I have enjoyed it more. My current position, opportunity number sixteen, has been the best by far. Both Roger and Sara have spent time just talking with me as well as Norah (she spent the first week here as the babies came home sooner than expected and I was finishing with my last family). But as it comes to an end, I'm always ready.

I'm not sure whether I begin to distance myself because I know the end is near or whether it just starts to get annoying. There is no way to separate the two. In this case Roger and Sara aren't the ones I'm ready to get space from, grandmommie is. She's been visiting for nearly three weeks now. And while she is extremely kind, pleasant and caring, she's started pushing my buttons a bit. But, she leaves on Monday, and I can handle that.

In other news Early Intervention (EI) came today to evaluate the tomatoes. Jackson, who always seems a bit ahead of Tabitha, physically, wanted nothing to do with the EI people. He just wanted to sleep and actually fell asleep during the assessment. Tabitha on the other hand (to be fair she had the better person,Jackson's was dull and reserved) performed better than ever. She couldn't do everything she was asked but she was a great sport and made it through the entire assessment. We had to wake both of them for it. Next week they will return with a plan of action (called an Individualized Family Service Plan, IFSP) for each baby.

Which brings me back to the pediatrician. As much as I enjoyed the experiemce of meeting with this new person, I detested each moment I had to spend with the last. He was young, cocky and absent-minded. Not at all worth my sweet tomatoes (seems silly but everyone wants a chance to work with them because they were 25 weekers). Let's hope these Early Intervention people don't disappoint me because nanny or not I wield a pretty big pull from where I stand.

Until next time.