Gastroenterologist- While she will probably have issues with GERD and reflux forever, the need to see a doctor routinely is no more. Dr. B dismissed her from GI, along with instructions for us to discontinue her relux meds (prilosec) next month.
Cardiologist – There is still a lingering issue with one of Ady’s valves – a word I cannot seem to remember. It’s there, but a non-issue – so I don’t spend the energy to remember it. She will need to follow up with cardio in a year, and then hopefully every 2-3 years from then on.
Pulmonology – Her lungs look and sound great – but it’s difficult to test their function. While they fill up the space in the chest, it’s the number of avioli that truly matter…and there is no test for that. For now Dr. S is happy with her saturation levels, and her growth. She will follow up in a similar pattern to cardio. She qualified for synagis again this fall – and RSV shouldn’t be as much of a risk from after this cold and flu season.
Therapy
-Occupational – dismissed. Currently she does not has any resemblance of an oral aversion. She eats well, manages bites, chewing and swallowing. She tends to over stuff her mouth from time to time, which could be associated with sensory issues…or not. We will have a true assessment of fine motor after tomorrow’s appointment.
- Pre speech – dismissed. Her ability to community is steadily increasing. She is a master of communicating most of her needs, and is finally starting to say some words. Apple, banana, ball, bye bye and a variety of names – Mommy, Daddy, Ady, Meme, Papa, Zain, Beebah, Nana, Eli and even Bauer. Her sign language is still the main source of communication – her favorite three word phrase is- Mama/Daddy, up (verbal) and please in sign. She has a habit of combining the two methods.
Physical – dismissed. Now that she is walking and climbing – her gross motor should be about on target. We will know for sure tomorrow.
Dietitian/nutrition – now that she is on the growth chart (20+ pounds!) and is eating well, there is no need to see Mimi anymore. She gave us the name of book that will continue to guide her eating, it will also be useful for Baby brother. We are still on a bottle a day, at bedtime. Lately she drinks very little of it. Hopefully soon she just won’t want it anymore.
i will add more tomorrow with the update from Dr. F.
