This has been a busy week! Kinsey had her first appointment with the orthopedic surgeon on Tuesday, which was very interesting. He did xrays of her hands, feet, hips and neck. He said her hips are fine (apparently sometimes Trisomy babies hips get loose, which is interesting because her hips were tight when she was born), but anyway, he said they look good. He also said her neck/head tilt has nothing to do with her spine, it's just torticollis (a twisted neck in which the head is tipped to one side, while the chin is turned to the other) and can be addressed through stretching, which we can work on her with PT. This has already improved on its own since she was born.
Obviously we were most interested in what he had to say about her hands and feet. For her hands, he suggested splints for her middle fingers only. When we had the previous hand splints made, they said they couldn't make something for just one finger and had to address the individual finger by making a splint for the whole hand. Neither of those worked and she doesn't wear either one of them. This doctor gave us a referral to a new OT that can make something for a single finger. We have our first visit for this next week.
For her feet he recommended serial casting, which has been mentioned before. He showed me the x-rays and explained that the bone that connects her leg to her foot is on an angle instead of being flat and that is the problem. Serial casting would involve putting a cast on each leg up to her thighs for 4-6 weeks, then operating on her feet, then new casts for another 6-8 weeks, and finally back to splints for a while. He recommended getting started on this right away before her feet and the bones grow any more, but with her cleft palate surgery already scheduled for the end of Feb., we will wait until after that. So it sounds like once we recover from the cleft surgery, we'll be preparing for another one!
In the meanwhile, Kinsey has been wearing her splints and the PT suggested we find shoes to fit over them so she can still have traction for walking and standing. I previously bought some sneakers, but I had to get such a huge size to fit over the splints that they were rediculous. I found a pair of sandals that fit better, but the therapist mentioned that Crocs tend to work really well, so we're going to the Outlet tomorrow to see if they have some that will work.
We also had Kinsey's annual review with Early Steps this week. That's the goverment program that helps us with access to and payment for her therapies and other things (like they helped pay for her splints and hearing aid). Nothing real significant came out of that appointment. She has been doing well and accomplishing some of the goals we've set for her so we made new ones for the next 6 months. We're going to continue with PT, OT and Speech weekly. I'm also going to look into taking her to a PT facility where they have lots of equipment that might help her more than the stuff the people bring to the house, but Early Steps can't help us with that, it would go through our insurance, which I have to look into further.
We've been having a lot of trouble feeding her this week. She was eating really well for a while, but now she will only eat a tiny bit at a time then refuses to eat any more. We're not sure if we've been trying to feed her too often so she just getting full really fast or if there's some reason (like something to do with her cleft or her teeth) that is stopping her from eating. Not sure . . .
On the fun side, Kinsey is getting really good at moving her Jeep walker forward! We lowered the front of it and for some reason that has made all the difference. Now she practically runs across the room! And she's managed to take her new skill of opening the cabinet and combine it with the walker, although the walker is in the way so she can't open the cabinet all the way and get into any trouble! Here's a video - for some reason she was reaching across herself to open the cabinet and just kept hitting herself in the head with it - silly girl :)
http://youtu.be/MJUBcqZHvec
Apparently the picture I posted last week of her sleeping in her crib (from the night vision camera) didn't show up. Here's a picture I just took, but she's not sleeping this time!
And here's a cute picture of her in a new outfit from Aunt Linda :)
That's it for this week . . .