Showing posts with label early intervention. Show all posts
Showing posts with label early intervention. Show all posts

Sunday, August 28, 2016

New Schools and Year

It's been a hot and busy summer around here, so I've been off the blogs.  Living and loving real life.  Lots to update:

Marielle has already started at a new school, a local Catholic elementary, as it offers preschool for the same odd partial day that her brother will be in school.  It's her third and last year of preschool, though she'd be ready for kindergarten, if only she were a wee bit older.  It is also likely where she'd stay if we were living here and going private for elementary, but our public schools are crazy top notch (all their schools and others they could attend made this and all lists, which is another reason why we still haven't moved, our district is now amazeballs), so she is likely just going to the one down the street next fall.  This serious little girl is so big and just had to have her cardigan on and buttoned.  She just slays me sometimes.  You should have seen her dance recital, a total pro.


Alistair starts this week at yet another new preschool for his last year, the school district's, after I decided to get him assessed last spring.  He's always been a little slower than his sister (walking six plus months later, potty training a year later, etc.), though not behind his boy cousins, but she is a speedy one, so we weren't that concerned.  He's always been a leftie and sensitive (to sounds, bright light, temperature, feelings in general, etc.), and has had more trouble writing (switching back and forth/ambidexterous, less overall dexterity) and dealing with transitions.  I'd heard good things about the preschool, so we decided to give it a try.  They don't have stringent qualifications if they think they can benefit from help, so even though he has done fine in his other schools, we are hoping that some occupation therapy and extra help will get him really rocking and rolling to begin the all day kindergarten down the street arm in arm with his sister next fall.  He's also taking the bus, so that will be another exciting adventure.  My big brave boy is so excited!


After I put him on the bus, I felt jittery and thought I was really losing it (it's his first ride alone, but his third year of school).  But then I realized later when it didn't subside that I'd mistakenly had some caffeine, which totally wigs me out.  There should be some sort of disability program for mothers with low caffeine and alcohol tolerances like I have. 

My step-father's prognosis is sadly pretty grim.  He is doing well with his regimen of weekly chemo and daily radiation, but his surgery in a month or so to remove what they can of the very large tumor will be very debilitating and long term survival rates are low.  He is continuing to work as long as he can, as he wants to/can, and we are all just taking it as well as we can and we are spending lots of extra time up north to visit.

We just got back from visiting the Hamptons via NYC and Pittsburgh to beach it up and spend some time with my sister and her boyfriend (now officially fiancé, wedding date pending).  Lots of great fun, but enough for its own several posts...someday.

I've already completed a whole new project with my former CMO for the same client as the last.  And we have another international one for them on deck.  Working from home, on my own schedule, making bank with no overhead, using my brain and skills, not selling anything or abusing my social networks. Life is beautiful, so I'm riding this gravy train as long as it lasts.

We finally decided that we are in fact taking a trip sans twins for our tenth anniversary and my 40th birthday next month.  My mom will be busy travelling for her 50th high school reunion (though thankfully for us, my dad was opting out), so my dad and step-mother are coming down and taking on the kids for a long weekend, so we can get away.  We went back and forth about how far we were comfortable going (a few hour direct flight) and for how long (a few days) and also where (since we've been most everywhere within that proximity), but we settled on Savannah, since we've both never been and it's supposed to be fun.  We had such a great time with just an overnight away last year for DH's 40th, you'd think we'd do it more.  We can't wait!!

Wednesday, February 12, 2014

Speech graduation

Enjoying our favorite new local restaurant

So it seems a bit odd to be writing this, since we just met and decided to continue, but that is how quickly language explosions happen.  It's been a busy couple of months and weeks of talking for our little chatter boxes, but in today's session it became very obvious to both our speech therapist and me that the twins were ready to graduate and be dismissed from treatment.  So there you go!

She is sweet and assured us that we are doing a great job creating "a language rich environment" and she said with two such involved parents, the kids will continue to do well.  Cue tears.  Love those kiddos!

We're enjoying a visit w/my dad and step-mom and work has officially started on the kitchen!  She brought me an advance copy of the now available, "All Joy and No Fun."  Have you heard about it?  The interviews I've seen/heard with the author, Jennifer Senior, are full of intriguing factoids.  Can't wait to read it.

Wednesday, February 5, 2014

Speech status update

It seemed a bit early, but we had our six month status update for speech therapy today.  The kids love their therapist, Miss Katie, and it has been really amazing how much progress they have made in just the last few months.  They are both talking like crazy and using two (and sometime three) word phases now.  We are going to continue therapy for now, but see in three months if we are going to continue (vs. scale back or stop) in case they plateau.  We discussed what happens at three, when they age out of EI, since it is a very long process leading up to then and special preschools, but we agreed they will likely graduate before then.

As much as we all love her, I have to admit from watching the therapist interact with them that she really isn't doing anything unusual, that we don't already do with them.  She basically just sits on the floor and plays with toys, puzzles, and books that she brings.  My sister is an SLP and while it requires a master's degree, it's not exactly rocket science (no offense if you are/love an SLP).  She still can't figure out how to say Marielle's name or spell Alistair's.  Oh well, she's sweet.

 
The (joke of a game) Superbowl viewing party that Mari set up by dragging the mat and Boppys from the living room.  She also thinks she wants to play.  These two crack me up...
 
Another thing we've been using the last few months are Preschool Prep Company's DVDs, since my mom gave us one as a gift.  I had heard of them, but we had been holding off on TV.  My sister swears by them, as her kids watch TV all.the.time.  We bought into the whole "no TV/screen time until two" rule.  I'm all for rules, but I think it's more of a slippery slope problem is if you are using it as a babysitter, as my sister does, or are not otherwise engaging with your children.  I myself was raised in front of the TV.  Anyway, the kids both know all of their letters now.  Not to brag, because I wouldn't really care if they didn't know them for several more years, but these damn things really work, like crazy.  In case you are interested...  We keep a second copy in the car, which helps pass the 20+ mins to preschool (each way, twice a week).  Alistair especially likes to yell out the letters enthusiastically from the back seat.  I love it!    We also just got the numbers, colors and shapes, which seem to be catching too.  They, like most kid's videos I would guess are annoying, but the things we do for our kids...

Wednesday, December 25, 2013

The Twins are Two Years Old

Merry Christmas!!  Hope you are having a restful holiday.

The twins turned two on the 20th, and we spent the day celebrating at home, then visiting the pedi and having lunch out in the city, and driving up to WI (nearly seven hours) to see the fam, and then celebrating with all of them. It was a good long busy day.

The advantage to having their birthday during Christmas week is not buying them less than if they weren't near each other (of course), it is just buying a bunch of presents at once and then choosing a handful for their birthday. Terribly creative, I know. They were a hit too. Mari's favorite is her first "baby", a doll that I chose since I thought it looked a lot like her with brown hair/eyes, though she is "supposed" to look Hispanic.  Alistair loves everything, my easy going boy, especially his shape sorter (which always seems to be on the Spanish setting).


Our pedi visit was uneventful (no issues, no shots) especially since everyone is walking and talking since our last well child visit six months ago. They have both changed so much in the last few months, which is why we decided it was time for them to go to school. We also had their hearing checked recently and it seems they just ignore me on purpose. They are both just hairs shy of 3' tall (OMG) and they weigh what seems like a lot, though it is only about 25 lbs. Their heights (and heads) are in the 90th percentiles, and their weights are 30-40%, which puts them in the 5th %ile relative to each other.



They eat a lot (and very well), especially Mari, and are still on whole milk (since they don't have a weight issue, which is what gets littles on low fat), since the fat is good for their brain development and calcium absorption. So they must have inherited whatever metabolic issue I can claim as one of my key life advantages.

The complete two year rundown:

Alistair
24 months: 25 lbs. 6 ozs., 35.75", head: 50 cm.
18 months: 23 lbs. 12 ozs., 33.5", head: 49.25 cm.
15 months: 21 lbs. 12 ozs., 32.75", head: 48.5 cm.
12 months: 20 lbs. 10 ozs., 31"
Nine months: 19 lbs. 5 ozs., 29 1/2", head: 46.1 cm.
Six months: 16 lbs. 15.5 ozs, 27 3/4", head: 44.7 cm.
Four months: 14 lbs., 25", head: 42.2 cm.
Two months: 10 lbs. 2 ozs., 22 1/2", head: 39.5 cm.
Three weeks: 6 lbs. 9 ozs.
Two weeks: 5 lbs. 15 ozs. (he surpasses her for the 1st time)
One week: 5 lbs. 6 ozs.
Four days/hospital release: 5 lbs. 2 ozs.
Birth @ 36w4d (breech/IUGR?): 5 lbs. 7 ozs. (5%), 18.25" (10%)

Marielle
24 months: 24 lbs. 12 ozs., 35.5", head: 49 cm.
18 months: 22 lbs. 2 ozs., 33", head: 49 cm.
15 months: 20 lbs. 1 oz., 32", head: 49 cm.
12 months: 18 lbs. 8 ozs., 29 1/2"
Nine months: 16 lbs. 11 ozs., 28", head: 44.9 cm.
Six months: 14 lbs. 10 ozs.,26 1/4", head: 43 cm.
Four months: 12 lbs. 7 ozs., 24 1/2", head: 41.2 cm.
Two months: 9 lbs. 9 ozs., 21 3/4", head: 38.7 cm.
Three weeks: 6 lbs. 7 ozs. (finally surpasses BW)
Two weeks: 5 lbs. 12 ozs.
One week: 5 lbs. 7 ozs.
Four days/hospital release: 5 lbs. 3 ozs. (unexplained 14% weight loss, day one)
Birth @ 36w4d: 6 lbs. 1 oz., 19" (25%)

So no big party like last year, thank goodness, it'll be awhile before we go back there (kicking and screaming).  Big parties for little kids are for adults (as we know), so I decided not to go there with all we had going on this season and instead focused on what they do like: balloons, cupcakes, and their cousins.

I got them big gold "2" balloons  (among others) from Party City, and since they are learning their numbers and how to talk, they can say "two" and it is the cutest.

I made cupcakes from a mix (the horror) from Whole Foods, which was AMAZING.  It is called European Gourmet Bakery mix and we had both the vanilla and chocolate (cake and frosting).  Again AMAZING.  And organic (cuz I'm a freak like that).  Add organic eggs, milk and butter and enjoy.

Decorations (which amounted to cupcake liners (big and mini) and décor (picks and pinwheels)) from Meri Meri (like last year) from Sur la Table in Toot Sweet, which is the most adorable design.
They are really expert gift openers now and had so much fun celebrating turning two (and Christmas) with their cousins.  Happy Birthday kiddos!!

*The kids' shirts are from Old Navy


Saturday, October 19, 2013

22 months old

Going for a stroll in the city
(when did they get so big?)

The time just goes too quickly, it seems like mere days between my monthly updates.  Alistair has started walking exclusively (and much better) lately, so I felt very confident not going through with his approved physical therapy, as we'd planned (you know, after we didn't... ;) ).  Additional therapies (and children) wouldn't have/don't cost us any more, so you are welcome fellow taxpayers of Illinois. ;). We've just started speech therapy for both of the kids, so we'll see what comes of that.  Coming out of the first session, our first job is to get their hearing tested, which is standard protocol when receiving speech.

Marielle continues to do well.  As time goes by, I realize just how much she is not only my daughter, but basically my clone.  Always trying to help, cleaning up whenever there is a mess (and even when there's not), even rearranging the rugs and furniture.  She is so eager in our classes, it is like watching myself as a girl, it's a little mind bending.  I hope that I'm able to foster her needs and her little joyful personality, minus some of the negative experiences I had as a child.  And keep up with that metabolism, the girl can eat!  I got her those cute pink sparkly shoes for fall, but she much prefers (and is a bit obsessed with) her brother's grey Chucks.  That's my girl! :)

Alistair is, not surprisingly, behind his sister a bit in development which we've known for a long time, but he also seems like he might (or might not) be on a bit of a different trajectory.  We noticed when he was tiny, that he appears to definitely be left handed as well as having a strong affinity for music.  He is more sensitive than Mari, but is also acutely aware of others and (usually) their feelings and is very charming (he's such a huge flirt with the ladies, DH jokes we don't need to question his love of them).  He giggles like I've never heard before, it almost always pushes me over the edge.  He is so in love with animals, especially dogs, it makes me (kind of) sad we'll never have one, due to DH's severe allergies, even though he's been getting shots for years now.  It will be so interesting to see how their personalities develop over the coming months and years.

We are headed off to the thrill that is very small town Iowa for a few days, as DH has leadership training at his company's headquarters there, and we decided to tag along instead of staying behind. Our big trip is coming up soon, this time next month we'll be in India.  We'll be connecting through Germany this time and gone for nearly three weeks.  If we can stay healthy, which would be a first for me, I think all will be well.  Happy Weekend!

Friday, September 27, 2013

Early Intervention

It's a beautiful day in the neighborhood...

As part of our long journey waiting for Alistair to start walking, since our peds ortho didn't reco therapy, I decided to reach out to our county's EI program for an evaluation to determine if he'd be eligible for services.  We live in Cook county, but near the border, and our town lies mostly in DuPage, so we were referred from the former, which I'd contacted first, to the latter.  The whole process has thankfully only taken a few weeks.

First, a case manager reached out and we also later met at our home to discuss his development.  While our concerns were primarily with his lack of independent walking (gross motor), they do a series of in home assessments with different specialists/therapists (physical, speech, developmental) as part of the intake process and then we all meet together to discuss the outcomes and any treatment plan(s).  Our final meeting was this morning.

While I knew neither of the kids were setting any records with their language development, I was not overly concerned because they are both very verbal, though it is primarily pre-language jibberish and animal noises.  I was a very late talker (which caused no long term ill effect, save not starting kindergarten early, even though I tested off the charts), and so are/were my sister's (the speech pathologist) four kids (her 20 mo. old mostly grunts and her 3yo talks very little) and since they are twins (and he a boy), raised bilingually (English and Marahti), at home (where their needs are anticipated), etc. etc., I wasn't losing sleep over the fact they "knew" words (could point to/retrieve items), but weren't saying them.  So I figured they'd qualify for some therapy, though honestly I don't know if he'd starting walking sooner, if I would have reached out right now for their speech alone, since they clearly have strong cognitive skills, which the therapist confirmed.

Of course our little stinker started walking the week of his physical eval and also for the therapist, which since she didn't find any other issues of concern, he would have just missed the cut off for qualifying, which for each area requires a minimum 30% delay, based on age, though in the end she qualified him for therapy and recommended twice a month sessions until he is a confident walker (which is our primary goal).


 

We met with the speech language therapist and she also qualified Alistair for therapy, as she also did for Marielle, though a separate formal assessment for her, as she is just slightly more advanced.  Both of them displayed age appropriate skills, except for expressive language, as we knew.  She also recommended two sessions/month, though they will in essence be receiving four as they will be treated separately and together. They understand many words, but their regular active vocabulary includes just a handful of basic words (mama, dada, car, cat, dog, ball, block, me, go, wow, uh oh, and the like).  And though they are always surprising me with new ones, they have yet to string words together, which apparently they should be by now.

Lastly, we met with a developmental therapist, who evaluates global development.  She confirmed that both would qualify for speech therapy, and he for physical therapy. She also said that while it is good that he has finally started walking (though he didn't during her visit), since I told her it is still not his preferred means of getting around, which it should be, that she pushed for him to qualify for physical therapy to "get him over the hump."  We agreed that we thought he would benefit from this as well.

While I'm sure this varies from place to place, we were given the option of using our private health insurance for the therapy (though many do not cover developmental therapies) or whether to pay on their sliding scale ($0-$200/month, depending on family income/size).  We plan to opt for the latter.  I was pleasantly surprised we were given a choice, since we have private insurance, though I have no idea if our insurance covers the therapy (I later found that it is covered, though we've still opted for the monthly plan).  I guess sessions are expensive ($200/ea.) and the state pays the difference.  This is why I don't mind paying taxes, though you can add this to the many many additional costs of multiples.  Can you imagine not having the means to get your child the help they need?  I'm surprised how often I hear this, but I was also shocked that over half of the babies born at Prentice are paid for by Medicaid (no wonder we got such a sweet room).  Their services can continue until age three based on reassessments, and EI participants have priority access to public preschool services.

I'll be sure to give updates on how they do once we get going with the therapy sessions.  Anyone have experience with EI?  How did it go for you?

Have a great weekend! We are off to Boston tomorrow, which will include the kids' first train, plane, bus, and maybe duck boat ride! :)
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