We had the appt with the neonatologist, and they completed the first steps
evaluation.
Owen does not meet the criteria of need for first steps
services. In a couple areas of the eval, he showed some need, but
not enough to warrant services, and nothing recognized outside the norm for a
preemie. He has some minor muscle tone issues, but nothing that they feel like
he won't continue to work through as he progresses developmentally. Based on
his corrected age, he is on target with skills like grasping objects, tracking
objects with his eyes, having centered muscle movements (like bringing his
hands together at his chest), responding to interactions with others by cooing
and making eye contact, responding to sounds, etc.
We are so relieved that he is on target with his corrected age. They shared
things we can do at home to help him continue with progress. They also
explained that he will be reassessed at the next appt in 2 mos to make sure he
is still on track. The downside of this is that without first steps, there is
no speech therapist and no nutritionist to assist with feeding. The first steps
evaluator explained that his needs with feeding are medically, and not
therapeutically, necessitated. Therefore, these services cannot be attained through
first steps. We followed her explanation with “well then what” questions, and
we asked the doc about having another swallow study. If he’s not aspirating any longer,
than we feel he’ll be fine with feeding; as long as its with thinner liquids.
The swallow study is Thursday! We’re hoping, praying, and keeping everything
crossed, that he has developed enough, and recovered enough from the reflux, to
be clear of any aspiration…. We’ll keep the blog updated!
He weighs 8lbs and 5oz. He is 20 and ½ inches long. His head circumference
is fitting. He’s moving in the right direction, and pretty quickly, on all the
graphs with the normal developmental curve.
We’re so excited to see him moving along. He’s
such a strong little guy!
Finally getting to meet or be held by those that love him....