Let me just tell you, I am giddy as a schoolgirl. Our little man slept 8 hours straight a couple nights ago!!! Last night he did great too. Oh my gosh I can’t tell you how excited this makes his daddy and me. We’ve been trying to get him on a schedule for quite a while. We’ve had a few setbacks along the way, but maybe now he’s ready to get with the program.
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On a separate note, we had Levi’s first developmental pediatrician visit yesterday. It was very interesting! Basically, the doctor felt for various abnormalities on his head, watched him play and interact, took measurements, established baseline milestones, etc. More than anything it was a foundational visit that will help us track Levi’s progress over time so we can quantify his development and growth.
Overall the visit went great. Levi is up to 14 pounds 10 ounces and 23 and some-odd inches long. He was being his usual sweet self. The doctor kept talking about how handsome a baby he was, how well he seems to be developing, and how great and laid-back of a personality he has. He told Levi, “You’re just a delightful baby. I wish you could stay here all day.” Aw, how sweet!!! The way to a man’s heart might be through his stomach, but the way to a momma’s heart is definitely through complimenting her children.
Pretty much, he’s developing right on par with his peers, even though he was a month early. He’s rolling over, grasping objects, tracking objects as they move, etc. He loves to try to stand up all the time, and is really good at it.
One thing that will require a follow-up (an X-Ray on Monday, and possibly a CT scan and perhaps future surgeries if abnormal) is a potential craniosynostosis. Basically, an infant’s head is supposed to have loose plates that maintain their gaps until an older age to allow space for the head and brain to grow rapidly. If these gaps close up too soon, it can cause the head to grow abnormally (e.g. side-to-side instead of front-to-back). We have noticed a slight bump running from ear to ear over the top of Levi’s head, technically called a ridging of his coronal suture, that might indicate his gaps have closed up too soon. I really, really hope Levi doesn’t have this problem!!! He’d probably be fine with it, but I might come unglued if he had to go through cranial surgery.
Another thing Dr. Pullano noticed, unrelated to the other skull issue, is that one side of Levi’s head is flatter than the other, called plagiocephaly. We’ve tried rotating his head around when he sleeps or sits, but we need to do a better job of it so as to avoid the helmet.
Another thing we discussed is that Levi has been stiffening his legs lately, and the only explanation I found about that online was cerebral palsy. That Internet is somewhat of a blessing and a curse, in that you can really get a lot of answers, whether or not they’re applicable, and whether or not they’re optimistic. Basically, Dr. Pullano said that is the type of thing that Levi is at risk for, so we will have to watch and see how things go. The earliest they could diagnose that is 12 to 18 months of age. It’s usually only a motor-skill impairment ranging anywhere from slight clumsiness to complete paralysis, but occasionally it is a more global issue involving thinking/developmental challenges as well. I don’t even know if Levi has it at all, but if he does, I know it will be a mild case at worst. No matter what, we have God on our side so we Birchies can handle whatever comes our way. We just have to work on flexing his legs (bicycling, etc.) and limit the amount of time he spends extending his legs (as in the bouncy chair that I spent about 3 hours putting together for him the other day – dangett!). We also need to make sure we give him ample opportunity to play with toys using both sides of his body, especially his right side which may have been impacted by his stroke.
On a lighter note, the doctor said that Levi’s verbal skills are at or ahead of his milestones based on birth date, meaning he’s even farther ahead as far as gestational age, which is how you’re supposed to compare preemies. This is great news! The left temporal lobe where his stroke occurred is the speech center of the brain so we are ecstatic that his language skills are doing so well. He hasn’t laughed yet, and we are dying to hear his cute little chuckle!!! So hopefully he will indulge us on that here soon.