We overcame all of the issues of his first few months with flying colors. But when babies three months younger than him started sitting up on their own, while PJ still couldn't, I started to get worried. I called Early Intervention, a free program available nationally, to come and evaluate him. They will come and ask you a bunch of questions while testing your child to see where they are developmentally. PJ tested out at less than an eight month old leve, even though he was over a year old. There had been a few things 'different' about PJ that we just never put together. He could sit upright on his own, but only if you put him in that position. He was crawling, but he was dragging his left leg behind him and holding his left arm and hand in a clenched fist position while pulling himself with his right side. These things, combined with him not showing any interest in pulling himself up, got me worried. His pediatrician recommended Early Intervention (which had already started working with him, giving him weekly physical therapy appointments) and a referral to the pediatric neurologist at Dartmouth-Hitchcock Medical Center in Lebanon, NH. We had that appointment in December of 2004.
We saw Dr. Morse, a wonderful young doctor who I had heard raves about. He asked us a bunch of questions and then did a physical exam on PJ. He concluded, putting all of the information together regarding my preterm labor, diabetes, trauma at birth, the low birth wieight for a GD baby, and the medication I take even through out pregnancy for my heart condition, that PJ 'most likely experienced some sort of brain trauma in utero, probably around the 29 week mark'. What that trauma was, where it's located in his brain and how much it effects/affects isn't known yet. We could put PJ under anesthesia and have an MRI done of his brain to find out if it was a stroke or just a general hypoxia (lack of oxygen) but that wouldn't change his treatment as it is. So, we continue with the physical therapy until he doesn't need it. We don't worry about what will happen or where he'll go. He's already caught up to his age, he's started walking, and is a happy baby. His PT lady is a bit concerned with his left foot during his steps, but he is coming out of that as well. He will probably always show a bit of hesitency on his left side, especially during trauma or stress. But there is no reason to believe that he won't be normal in every way. |