As usual, when I brought her out, she acted as though it was the end of the world. We're talking frantic, high pitched screaming. As she often does, she gagged while crying, and just as I was going to reach for the paci to calm her down, she threw up all over the place. And again, and then one more time. It was very mucousy and so she had a little trouble breathing for a minute. I'm convinced she puked up her entire 5am feeding.
I gave her a little time to recover before I tried feeding her again. We just recently bumped her feedings up to 26 cals/oz from 24 cals/oz and I'm wondering if she isn't tolerating the richer diet as well. I ended up giving her some breastmilk without the added formula for her next feeding to help settle her stomach. She seemed to do fine and actually at 4 1/2 oz (which is a miracle around here these days).
The evaluation went really well and she was in great spirits for it. Everyone was very supportive and encouraging and worked really well with The Chubs. She seemed to dig all the attention. The evaluation lasted about an hour and a half. They observed several areas while she played including fine motor, gross motor, and speech/communication skills. The speech therapist reiterated what we already knew... that she was doing great in the communication department. They said her sitting skills were very good and that overall she was doing fairly well in gross motor. Her fine motor skills are lagging, which is why we brought her in the first place, but they said she has a lot of skills that they can build on to help her improve in that area. In the end she qualified for therapy with feeding (which we desperately need due to her oral aversion), and fine motor skills.
I have to say, I was incredibly relieved. This means that someone will be working with her as long as needed to get her caught up and if something else comes up that she needs help with along the way, since we already qualified for the program, they will simply set us up with a different therapist that specializes in whatever she needs. I feel like I finally have the support I need to help The Chubs reach her fullest potential.
Some observations they had regarding her fine motor skills:
- She's a little apprehensive to grab and reach for new things. They'll be working on her comfort level with experimenting and touching objects that she is not familiar with
- The simpler the toy, the better (which kind of goes hand in hand with her apprehension to grab or touch items that are too loud, or feel very different). They had some great very simple items that she grabbed for and held onto for a long time. I think we need to go shopping for some new toys for her.
- She needs to be able to observe the toy from afar, and from about eye level before she feels comfortable grabbing it. Once she has it she needs time to adjust to it before she brings it to her mouth. A lot of this sensory stuff also sheds some light as to why she doesn't want to open her mouth for a spoon and solids. They will be working with her to get comfortable with the spoon itself and the food before trying to get her to eat from it.
- Overall she's much more interested in faces and people (which they could clearly gather from our play time), so putting toys up by our face to attract her attention definitely helped. They also recommended putting food on my face for her to grab and experiment with feeling the texture (it grosses me out thinking about it, but hey, whatever works!).
- She also loves to play with her feet, hands and clothes (all of which she has more control over) so putting toys on her wrists and ankles that make noise might be a good way to transition her into feeling more comfortable playing with objects outside of herself.