It seems to me we have a little mini-language explosion all of a sudden in the last week. As I’ve mentioned before, she’ll say or sign a word but then we won’t hear it again for a while, and then it will magically resurface in regular rotation. So here’s what we’ve heard or seen of late:
Momma (this one was said one time a loooong time ago and hasn’t resurfaced yet- m’s are hard)
Where are your spiders? (We ask this whenwe’re about to sing & sign the Itsy Bitsy spider. She’ll hold her little hands up and is starting to initiate some of the gestures)
Where’s_____ (insert any of the people or toys she sees on a regular basis)
Feed the baby! (she’ll hold the bottle up to baby’s mouth- this is inconsistent- the motor planning issue gets in the way here sometimes and her arms go out and the bottle goes flinging)
More tickles- and she’ll reach over and tickle your feet.
Give____ (she’ll usually give you what she’s holding- but if she really just wants it for herself- she’ll squirrel it away- she starts to pivot away from you in an effort to hide it as soon as you reach for it)
Baby, block, bottle, ball, diaper, book, sheep, cow, horse, dog, cat, bird, bird- These are some of the receptive language items we are working on- we’ll put 2 items out and ask her Where’s the___ and she’ll grab it- for some reason we can’t get her to grab the chicken…
She pays rapt attention to singing time- and likes you to do hand over hand help with the gestures for Twinkle, Twinkle (her song from the start- it calms her down if she is wildly upset if you start singing it), Itsy Bitsy spider, Pat-A-Cake.
“Daddy, I said hello to Miss Patty!”
“Momma, I’m doing a very good job being quiet at the library!”
“Momma, I’m not having a fit!”
“Momma, Look- I didn’t spill my drink- watch me set it down!”
“Momma, I didn’t poop my pants today!”
“Momma, I ate my dinner, now I get a treat!”
“Momma, I told Conner, No biting- teeth are not for biting!”
“Momma, I didn’t poop in the tubby! I listened to my body and said- Momma I have to go poo-poo when I felt Mr. Poo-Poo coming!”
“Momma, when I woke up in the middle of the night, I didn’t cry, I just picked up my Momo, my Dora, my blue elephant, my Horton, my babydoll, my cup of kefir and I just came verrrrrry quietly into your bed and snuggled you!
“Momma, I just waited here quietly and didn’t wake you up!”
“Momma, I won’t cry, or fuss, or run, or scream. I’ll just eat my dinner and hold a grown-ups hand in the parking lot!”
You gotta give her credit- she’s obviously listening. And making sure we’re listening too. I will admit Lovey and I have not been as quick to the draw on the positive reinforcement as we need to be lately. It seems she’s noticing her good behavior and praising herself for us. Thank goodness someone has been reading the discipline books!
That quiet chomping?
That’s the sound of the Quail eating solid foods!!!!! By herself!!!!
Chewing, chewing, chewing, swallowing, taking a drink, swallowing, flinging her cup to the side; first with abandon, then with a quick hand-off-to-the-other-side & mom-blocked-me-so-I-dodge-her-to-fling-it-to-the other side and then back to happily chewing.
More? She wants more? She signs eat! Maybe she signs more, but she prefers to sign eat. At the beginning of the meal I do a full prompt of her hand to her mouth to ask for more to eat, then as the meal and puffs go on I can cue her with a light touch to her wrist and she’ll do the follow through. Her and Zuzu have had many a Puff party in the last few weeks since this started. They sit down together on the floor each with a straw cup of kefir and a little plate of puffs or brown rice cereal and have a little tea party. It’s SO cute!
This has been a long time coming and still feels a little nervewracking to us. But the Quail has been hollering throughout feeding time lately and Monique had suggested if she had some food to feed herself between bites she might lay off of us a bit- and indeed it did the trick! We’ve now added a full spectrum of meltable foods to her diet and even risked some scrambled eggies. Yesterday Monique reminded me that we have a little hand-held foodnet that we could put some of what we are eating into and hand her so that she can reaccustom herself to food other than the standard grade orange or green offerings that her diet has flittered down to since weaning. So last night we started her on every preggos staples: pickles and curried potato salad! I know it sounds weird but a) it’s what we had in the fridge and b) we’ve been told that due to the low sensitivity issues highly flavored foods are more likely to be pleasing to her palette then ones that are more mild. She loved it! It gave me enough confidence to start offering the Stage 3 mixed textures to her- this gave a little pause, we did have a gag or two on the whole peas in it- but I think it was the issue of the mixed textures and it catching her by surprise. As long as we went slowly she was still open to it so we’ll proceed with caution.
I must say it’s hard to find a balance between sticking to a feeding protocol and knowing when to venture out and try the next level up. With Zuzu I found the path to solid foods incredibly nerve-wracking- she had no actual diagnosis but I was always weary of choking. Frankly I chickened out with most of those transitions and let the more experienced daycare teachers to the training since they were more comfortable with it. So when the Quail came along with bonafide, diagnosable issues with feeding- well let’s just say it amped my worry up about 1000%. So I need a little prodding to expand her horizon, but we’re doing it and she’s doing awesome!
And another little brag- with all the therapy the Quail gets- she comes by her pincer grasp naturally! We’ve worked little to none on enhancing this and the girl can rake a raisin like nobody’s business! Incidently- that development marker noted in the infamous What to Expect series has always given me pause about the rest of their wealth of information considering how sharp the learning curve would be to test your infant’s ability to rake a raisin since if she passes the test she’s probably well on her way to testing your recall on your infant CPR exam.
Oooh it’s been a busy day for the Quail. She’s been negotiating her space with Miss Kathy (OT) of late. Things that we KNOW she can do, and will do for us, she absolutely without a doubt refuses to do for Miss Kathy. I think there’s a few things going on- A) She’s in her terrible twos. Most development articles say that the associated social and emotional follies associated with young childhood actually start at each half year mark and smooth out by the actual year mark. during her evaluations she has always gotten the highest markest (READ- least delay) in social-emotional. So, in less technical terms- she’s tantruming. In some ways it could be construed as worse with the Quail then it was with Zuzu. With Zuzu at this age we had successfully taught her a number of signs and words and she could be prompted to use her words. We also had spent a good bit of time presenting things to her as- this or this? Which worked well for Zu. We need to be better about offering choices to the Quail as well. B) Therapy has been inconsistent. Leading up to and after her surgery in May we coddled her. We were unsure of recovery from the big event and even though she was released by her doctors within a week to return to activities as usual; we hated to push her when those stitches were so fresh. C)Sensory processing- Miss Kathy thinks this is the culprit. And I’m sure she is right- I’m sure there is some aversion- I see it as aversion to being MADE to do something versus enticing her with it- the ole- you catch more flies with honey theory. And I don’t doubt that she has sensory issues- but as to whether they deem her unfunctional or are any more incapacitating then say my aversion to florescent lights and certain textures on my feet or foods in my mouth, or her sister’s aversion to direct eye-contact and need for lots of hugs; well that I’m unsure of. I think she comes by it honestly- I think we all have sensory issues that just weren’t analyzed or diagnosed as such. I don’t see her getting this upset in other settings though. She’s a strong-willed little girl and we’ve put a lot of effort into making sure she has a voice. It’s been batted around trying therepeutic brushing with her. But I’m personally not on board. The OT sessions are rough and unproductive right now though. I know a lot of families take a break when this comes up. And I can see why- plain and simple- it isn’t working. Two weeks ago she screamed, flopped down, and continued to sob her little heart out causing little blood blisters to come to the surface and swelling around the eyes. FOR. 20. MINUTES.
Do you know how long 20 minutes is when your kid is screaming? And I don’t mean whining, I. MEAN. SCREAMING. All Miss Kathy had to do was make the slightest adjustment to the Quail’s posture or try to hand over hand direct her to push a button on a toy and more bellows would eak out resounding off the recently faded ones. It was the session after this one that the brushing was suggested. The thing is- yes- the Quail is fighting us all to some extent. But she’s also extremely loving. When enticed and encouraged (READ: DISTRACTED) she can usually be redirected to a different activity and eventually worked back around to the original one. You know when little kids get upset- how at some point they reach a point of no return and it’s no longer about the original upset- they just can’t gather themselves back together? Well it looked like that, and to be fair- and totally mom-sucked-in about it- she’s sitting in a room, being made to work/play and when she gets upset she gets no response from anyone other than being encouraged to push through it. She’s obviously crying for me to come get her and I’m not responding because I want her to focus on Miss Kathy. But I think this response could cause insult to injury. It seems she might not be a push-through-it kinda gal right now. You say tomato- I say strong-willed. Well after the 20 minute session, and the pleading, why don’t you just cathetorize me face (I’m not kidding- the exact same pleading look I’ve gotten from both of my kiddos when they have had to be cathetorized for UTI and VCUG. I picked her up, snuggled her, and after a few sniffs on both our parts pulled out the all-mighty Gerber Puff. Weak smile as she quietly accepts the peace offering. Poor lamb.
Well the session after that one as I said was where the brushing was suggested and instructed. But I have to say- any instructions that come along with- be sure not to start it when the mother has PMS….just doesn’t sit right with me. Who knows- maybe I had PMS. But the side effects of this program include irritability (apparently all around!), disrupted sleep (haven’t we just spent months training her to STTN?) and guilt all around- as my kiddo fights me and I realize that I missed another scheduled brushing- because it has to be done every 2 hours for 2 weeks. Frankly- it just isn’t going to happen. At least not at this stage. Should we end up with a series of aversions and disruptive uncontrollable behavior- I’ll think about it. But right now the main fight is during OT. So our version of pushing right through right now is to schedule her twice a week for a few weeks and see if routine can help improve things. And if that doesn’t help then next is going to be to try another OT in the office.
I do think there is something to the sensory issues, I remember with crystal clarity all the fights over nursing, that we had to reduce the stimuli and often I had to lay on her to get her to accept it. But here’s the thing about that- none of those things ended up working consistently- and our girl had two extremely serious medical conditions- duodenal stenosis and moderate dysphagia- that were completely undiagnosed at that point. The girl should not have been drinking thin liquids. I’m no expert- but the experts say- a child’s first priority is breathing- so when they gag or choke on food- their instinct to survive often gets translated into an aversion to food. I have to believe that played a large part. We finally gave up nursing in November 2009. She wasn’t diagnosed with the dysphagia until February 2010 and the surgery for the stenosis didn’t happen until May 2010. She’s got a right to defend herself against all of our best intentions.
Anyway- this was intended as a what a great day kind of post- not more of my rumination over to brush or not to brush. So today- OT- mmmm… a little better. We’re on session number 3 in the last week. We’ve also switched to having us not in the room. This was my idea. I swear one thing that I’ve heard about is good sessions when I’m not there- when I am there- well she looks to me for rescue. So while she and Miss Kathy worked on playing I could still see a few glances towards the door and lip pouts. Some tears, but nothing like the previous few tantrums. I really think right now they have to work on their relationship in order to get the most out of the session- you gotta earn respect- even with kiddos right?
Well partway through I came in and we all sat and looked through a touch and feel book. The Quail did awesome, she kissed the sheep, she patted each of the animals on the textured part with no cues and best of all-when we talked about the fuzzy dog and did the sign for it- she did it back! 3 whole times! Woo-wooo!!!!!
Then on to PT. Which has also been a mixed bag. Crawling isn’t coming easy to our girl as I’ve mentioned before. So we’re delaying focusing on standing and walking a bit and trying to focus on core strength building. Once again though- our girl is not a push-right-through kinda gal. As Mr. Mark noted, she responds better to circuit style training then repetition focus. So he’s agreed to working in that style. We’re also big fans of distraction with the gross motor activities. If she isn’t thinking about it she’s more likely to do it. In that vain we’ve seen some most excellent pilates style side lays that work both on getting her comfortable with dissociation and asymmetry as well as some lovely pilates style leg kicks and shoulder strengthening vby leaning on her arm. We also worked on inching her out of her comfort zone, with of course, Gerber Puffs. Whatever works. If you press her into that position she screams, you hold a Puff out so that she has to tilt up and lean to the side to get it and it’s over in seconds. Have I mentioned her most excellently refined pincer grasp? 🙂 So we were working on her being in quadraped- another position that when you rock her she tolerates, but when you stop she usually drops down to the ground on. But today she decided to serpentine- and much to our delight- hoisted herself up into a tall kneel! Woot-woot! We were thrilled and cheered and cheered- which of course freaked her out as she then flailed back into a hyperextension. Talk about using her super-baby strength for good!
Later in the evening we happened to all be cuddling on the couch and our sweet dear started chatting up Lovey, she started as always with, “Dada, Hi Dada.” Then happily complied with a few requests for a hug and kiss and little pat on his head. Then when I handed her the local baby doll of the evening, she reached down, said, “awwwwwww” and picked it up to her shoulder to pat it.
She’s getting there- inch by inch and holler by holler!
I’ve been a wee bit disorganized of late. Every time I go to create a post some little household necessity pops up and the posting has to wait. The thing is- it’s so easy to think nothing is changing and easy to get worried that the delays are increasing and all the therapy isn’t helping. It seems like we’ll see or here a new sound or activity or response, get all excited and then it goes away for a number of weeks before resurfacing. Then I take the time to make a list; look back over the last few updates to see what was documented and see that there is so very much going on. I wish I had more time to share it in detail but for now some shorts will have to suffice.
Some shorts and notables of late on the Quail’s radar:
5/5/10: I clearly heard the word “Hi!” when I lifted her carseat to carry her into a talk Sara Rosenfeld Johnson was giving. She was apparantly warming up for entertainment. We took her to the talk that was being given to local speech therapists and families on oral-motor planning and therapy techniques figuring our quiet as a mouse girl would just blend in. Instead she surprised us by babbling the entire hour. Essentially one of us had to carry her out into the hall and miss the presentation entirely. I was a bit emberrassed to be so disruptive, but in the same respect- a room full of speech therapists can’t really criticize a kiddo initiating babble right?
5/18/10- During Speech- she said Mama! First time- second time we’ve heard a successful mmmmm sound- did get one mmmmmm during OT months ago
5/23/10- Laughter- pure, golden, bubbling laughter in the night. Lovey had picked her up out of her bed for a quick snuggle before bed while I put Ms. Zuzu down- and as Zu drifted off I could hear it plain as day for the first time, continued belly laughter. He was holding her facing him and she was trying to “feed” him her blankie and giggling when he went num, num, num. She was initiating it and laughing SO hard- and SO long for her- real gutteral-pleased-joyful laughter. Or home has never felt so light and lovely.
5/22/10: Also this weekend something changed in the tone of her babble- to it not sounding so much like babble and more like a response in nonsense and like she is talking to us or herself. It’s hard to describe other than that. We’ll here it when we are talking about her bottle, her diaper…it sounds like she is trying to say the word.
5/22/10: Dancing! Baby girl was sitting on the floor and briefly started bouncing her bum to the rhythm of the music!
5/24/10: More teeth- She already had gotten since her first birthday her bottom center two. Now post surgery her top center left and her bottom left molar are poking their steely tips through.
6/04/10: And more teeth, the other ginormous center top right. I swear it’s a race to push through the gum facefirst or straight down. It’s like a tiny guillotine keeping her up at night.
6/12/10: Dada- she saw, she noted, she greeted with a wave: “Da da”. We squawked, we circled and we chortled back. The game has begun.
6/16/10: Dada rules and what a pleasant greeting- when she spots him: “Hi Dada”. Also when she hears him in another room, she will quietly say Dada to herself.
6/19/10: The top left molar side is poking through- the kid can’t get a break.
6/23/10: Army crawling in earnest- the left arm is still bent and she’s on her elbow- the right arm is straight- 3 pulls forward for the kiddo!
6/25/10: Miss Kathy said it was time to give up the middle of the night bottle- well apparantly we just needed to let the Quail know! Now that the teethers are through she seems to be able to sleep through the night. She’s been doing this off and on but each time a tooth gets close to poking through it breaks the cycle for a few days but then she gets back on track
7/5/10: The true hi-light of our trip, we found her motivation- Ice Cream! I was able to hold out bites to her and she was willing to crawl 5-6 pulls, eat the bite and then repeat- for a good 15 minutes or loop and a half! My mom promptly informed me she comes by it honestly- it was how they motivated me to crawl.
7/13/10: Solid meltables are no match for her pearly chompers! We got the go ahead to keep giving her meltables. I had tried it over the weekend and after one gag- she got it and chomped away. We had discussed in SLP that maybe part of her upset during mealtime was the need to feed herself or have some control over it. So we now have puff parties. Some puffs for both the girls and a straw cup for each and they share their snack. So cute until the moment that the cup gets plunged over the side of her tray. We’re also using the puffs as a Hansel & Grettal style of developmental play motivation. We leave a trail of puffs where she can clearly see the first one and she’ll crawl along finding her way to the end of the path.
7/17/10: Scrambled eggies are a hit! With a little one who is used to only purees it’s monumental when she is able to chomp a food and not gag. Also- frosting. With the plethora of birthday parties this summer it’s only right that she get to share our weekend indulgences.
7/22/10- We’re working on her transitioning from belly to sitting and sitting to belly. The puffs work well for this as well- put one fairly far out- not so far that she isn’t interested but so far that that just leaning isn’t sufficient to get it. She will go down and crawl over to it. She’s also now started laying on her side with her top leg either bent so the foot sole is on the floor or in a mini-pilates scissor kick going up and down. The great thing about this position- she’s getting herself into it and propps up the arm that’s on the bottom- so she ends up bearing weight and strengthening that shoulder. Mostly because it takes her a bit to get out of that position. If we were to hold her there she would scream. But she’s managed to get herself into it and we scream in delite. Picture George Costanza and the “portrait” he had done of himself…
7/25/190 “Baby!” We both heard it! Woo-woo! Lovey and I were fixing dinner and the Quail had just finished up her snack. Lovey handed her the infamous Baby Kira- one of Zuzu’s precious babies- TQ picked it up and uttered Baby! Of course we spent the next 10 minutes trying to get her to repeat it with no luck- but much like Hi and Mama and Dada- we heard it so it’s officially on the radar!
2. big girl carseats all around
3. the baby exclaiming “Baby” when handed her baby
4. Family movie night complete with home-made kiddy cup combos
5.a little girl buzzing around
6.an image of Grandma Carrie- long lost but not long forgotten
7. a bridesmaid dress taken in
8. a basketful of handpicked, homegrown tomatoes
9. garden watering as a family
10. tiny flowers floating in the bird bath
11. little girls sleeping all night in their beds
12. waking up to a little girl sleeping but not in her bed
13. tomato onion cheddar pie
14. a little girl eating bites of egg & puffs with her big sister!
15. accepting the curls as they come
16. white-chocolate-macadamia-nut birthday cake
17. a little girls first time eating food (albeit puffs) at the Noodle restaurant with her family!
18. summer birthday parties
19. a big girl not being too shy
20. a clean house
21. a Kai Lan sprinkler!