Gettin' lots of pressure from Noah's "Prayer Aunties" in Southern CA to update the blog, so I better get on it! And I don't have pictures on this computer to upload from his birthday and this last month, but I will be sure to upload some this next week. Pinky promise!
What a month its been!
January started with the kids and I going to an evalulation in Speech and Language at Children's. With Noah missing a few communication milestones, plus him not saying words, we thought right around his 2nd birthday would be good timing.
Thankfully Ella was able to go down to the sibling playroom during the 1 hr. and 45 minute appointment, that place is a God-send! Tell me why we haven't taken advantage of this these past two years?! She loved it, got oodles of attention from a bunch of volunteers, and got to paint for two hours! She was in heaven. So it was just Noah and I in the little tiny room for his evaluation.
Basically she said that Noah has lots of holes in his communication and language development. He does some things, but doesn't do others. Which we knew. For example, if you ask Noah where his nose is, or your nose, he won't tell you. Not because he's confused and can't figure it out, he is just completely uninterested. During the evaluation, she asked me lots of questions and then would ask Noah to do a task, and if he didn't do it correctly or respond correctly, she would put a big fat zero on the little scorecard she had. Which, don't get me wrong. I understand they have to have some point of objective scoring to evaluate these kids. But I was shocked when she told me that, according to this nifty little scorecard, Noah falls in the 1% for his speech and language development. WHHHHHUUUUUUAAAAAAT!? She admitted though that she didn't think this was the most accurate representation of Noah, considering there are holes, he is able to do other things in the S&L realm that aren't necessarily tested.
She also said:
- He doesn't have the attention span to figure out or care what you want him to do, or how you want him to interact
- Kids with facial abnormalities (including LMs) are usually able to talk, it just doesn't come out correctly because of the structural differences (Noah's tongue is huge and has big cysts in his cheeks and mouth, so, words will probably come out different. We expect this), or a lot of LM kids use sign language (Noah has never been interested, we have tried since he was 9 months old). Basically she was saying that by now he should have figured out some way to communicate better than crying or whining.
- She expects Noah to do very well with speech therapy and possibly some OT.
- At this point we are not talking DISORDER, just delay. Well, duh. I was annoyed she even said this, but I guess they have to. I just hate the labels that the medical community so easily seems to place on these kiddos.
At first I kinda took this information with a grain of salt, didn't think much of it but was still pretty bummed about the whole 1% thing. Then as I started driving home I just got really emotional about it all. I explained it to my mom like feeling I was just at the foot of another big mountain that we had to climb! Just bummed out, overwhelmed, not knowing what to expect, and just sad that we don't communicate better with Noah. We communicate with him in so many other ways that aren't specific words or signs. He is the most active, loving little boy.
monday.
Then a week later we had a second evaluation in Wenatchee, at the Achieve Center where he would be receiving his therapy. So different from the eval at Children's! The speech pathologist was warm, but professional, and for her evaluation she asked questions and just took notes on a yellow legal pad. No scorecards. She just said that her therapy is all play-based, and when Noah too quickly loses interest in something or his short-attention span takes over, she said she is like a circus act trying to get the kids to stay focused longer... but she does what she's gotta do! She said it may take time, but she is not worried about Noah not getting to where he needs to be. She said that the rules will change at home for the expectations that we will have of Noah, hand-over-hand signing, etc. She said he will get frustrated when we don't give him what he needs or wants just by crying. We just thought Noah couldn't do it. But according to her, he can, and he will learn to communicate even if we have to force him! Love her!
These are our exact feelings! We know Noah is okay, we just need to give him a little push. God has made us all so different, why should we all learn to do things at the same time and communicate in the same way? I left feeling optimistic, and thankful for a God bigger than all the therapists in the world!
That night, I was getting Noah out of his high chair and signing ALL DONE, then putting my hands over his and signing it, and saying it with lots of inflection in my voice and in a screaching high pitch! Noah was laughing and smiling, then he kinda stopped and looked like he was concentrating, about to say something. His hands came out, he signed "all done" and out of his mouth came a very muffled but obvious "ALL DONE!" I was in tears! He's bilingual! :)
God knew exactly what we needed and when we needed it. It was almost like he was saying, "trust me, I know what I'm doing... I will never leave Noah". This is HUGE!
tuesday.
We woke up, ate breakfast, and as I was changing Noah out of his jammies, I unzipped them to find NO G-TUBE and the hole in Noah's stomach completely healed shut! Whhhhaaaaat!? I scrambled to find his tube, found it in the foot of his jammies... but realized there was no way I was going to be able to get in a new tube. His tube has come out a few times before, and usually it is just a scramble up to his changing table to get a new one put in place so the hole doesn't close (only takes about 45 minutes, our bodies are seriously amazing). But this time, it had come out at some point during the night with plenty of time to close up without anyone even noticing.
We were planning on removing it at some point in February, but wanted to wait until his appt. on Feb. 2nd to make sure we weren't doing surgery this spring (that's why we left it in this long in the first place, to help hydrate after surgery so he doesn't have to be in the hospital as long with IVs). But, today was the day. His tube was out, his belly so flat. He had that big ole thing in since he was 4 months old. It sustained his life, we are so grateful that God has given man the ability to do these medical miracles, but were ecastic to see our little boy's belly lookin' so flat! Children's said that as long as it doesn't leak, there's no reason to have it stitched up, the body should heal the hole just fine. We haven't really seen any leaking yet, but he still has a nasty granuloma coming out of it that can just be burned off with silver nitrate sticks. Small fix. So awesome!
thursday.
Noah's 2nd birthday! Happy Birthday, Noah! We spent some of the day in the clinic because Ella has pink eye (which she said is cool to have because it has a cool name), then celebrated with lunch at Applebees (We're pretty fancy folk). That night, we went to a Sanctity of Life Celebration for Life Choices of Wenatchee (Pro-life Pregnancy Care clinic here in town), and were able to tell a little bit of Noah's story. It was an awesome way to celebrate his birthday!
We are so blessed to see God's hand at work in this boy's life! I can't believe God chose me to raise Noah. It's pretty overwhelming to learn about God's character through these trials in my life as He refines my character... it just helps me to realize how much He loves me and my son... He still is the God of miracles.
"Then one of them, when he saw he was healed, turned back, praising God with a loud voice..." saying ALL DONE!... then "He fell with his face to the ground at Jesus' feet and thanked him". Or, his mama did. :) Luke 17:15
Thanks for checking in on our sweet little man!