Thursday, August 6, 2009

Report from the High Risk Clinic Part II

The only high risk category Kai seems to be in these days is the one of imminent danger of needing a trip to the ER from scaling a dangerous object (e.g. the bookshelf) or attempting to do something exactly as she sees us do it, forgetting to account for the fact that she's ONE (e.g. taking the stairs one step/one foot at a time -- not realizing that her legs are only long enough to do this for the first step or two and then she is reeeaccchhinnngggg for the next step, while holding onto the railing, and putting herself into a most precarious position that, ultimately, results in a backwards tumble. Of course, we're always there to catch her... but, if we weren't -- ER. That's all.) Anyway, my point is, developmentally-speaking, we don't think or worry about the "high risk" category that Kai was put into at birth. I think I mentioned the first time I wrote about her high risk clinical exam that Kailey was on the borderline for being admitted into the clinic. Babies who are born before 32 weeks and who are less than 3 pounds qualify. There is some dispute as to when Kai was born. By my calendar, she turned 32 weeks that Thursday that she entered the world. But, according to Kaiser, she was 31 weeks and 6 days on that day. And, she was born 3 pounds and one ounce. So, in my estimation, she didn't qualify for the clinic on either factor. By theirs, she qualified for her birth week and the fact that she dipped below 3 pounds shortly after her birth qualified her in the weight category. So, she qualified. I am never one to pass up on extra services and assessments, so I didn't argue.

And, actually, the clinical appointments are fun. They have Kai run through a series of development tests and it is fun to watch her figure out what she is supposed to be doing. Today, she was very engaged in the various activities for about 30 minutes, and then she wanted to walk around and explore the rest of the clinic. The therapist thought that she had a very good attention span for a one year old, which we were pleased to hear (since everyone is always commenting on how busy Kailey is, and we (being the nuerotics we are) worry they mean she is too busy -- but, for the assessment, she did manage to sit on my lap and do the various activities for quite some time). She figured out how to get the little bunny out from under the clear box (that was only open on one side) even when the therapist kept repositioning which side she placed the opening on, and how to put pegs into the holes, and track which of two washcloths the therapist used to cover a little duck and retrieve the duck once the therapist stopped moving the cloths around. She colored, flipped through a book, threw the balls, retrieved objects from a cup and put objects back in a cup. The only thing she didn't do is identify various body parts on the baby doll that the therapist pulled out of her bag -- but, I think that's mostly because Kailey has never seen a baby doll and was too distracted by the strange toy to pay any attention to what she was being asked. She kept shaking the doll like a rattle. Shaken baby syndrome. I crack myself up.

The other reason we like the clinic is because it both is that it's one more reminder of how far we've come in the last 15 months -- and moves us that much further away from the NICU days. She is no longer a preemie, at least not to us. She's just a normal, active, happy 15 month old who is doing 15 month old things.

No comments: