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Spencer's Dental Surgery

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Spencer's appointment was for 8 o'clock at the Children's Hospital. We arrived early. Then we WAITED. The hospital said the doctor was running behind, the doctor seemed to be blaming the hospital, but did say they were doing all special needs kids today. That means that, for instance, kids with a history of heart problems (this includes Spencer) have to have a full fledged Anesthesiologist. It can't be a PA or a nurse or anything else - the Anesthesiologist has to be in the room the entire time.

He couldn't have any food after midnight or breastmilk after 4 am. He was allowed to have sips of water this morning. Spencer asked for Mommy Milk a lot. At one point, he got so rambunctious that we were moved to a consult room where we couldn't bother anyone. Three-year-old bouncing off the walls? A nap was imminent! We finally got into a room where we did vitals, bracelets, gown... he hated all of it. He finally napped and then woke, still starving.

They finally, finally drugged him (Versed) at 12 o'clock. It made him groggy quick, but he was still not happy. It took half an hour for him to pass out. It was another half hour before they finally came to get him. I had given up and laid him down on the bed, so they were able to roll him out. In the past, I've gotten to carry him down the hall before handing him over.

The wait was a little over an hour, as expected. Spencer got 2 root canals on his top front teeth. They were then crowned with surgical steel covered with a white composite for appearances. 3 molars on each side were also crowned with surgical steel. Then he got a protective seal on the couple of still-healthy teeth.

He was given a steroid to help avoid swelling, pain medicine and anti-nausea medicine in addition to being on gas and an IV for the procedure. He took his own time waking, then nursed - a lot. Vitals were good and we left at 3:30. He walked (a very short distance) like he was drunk. He slept while I picked up Sasha & Elmo. He woke when we got to the grocery store and stayed alert for the entire shopping trip. He did keep asking for food. As suggested, we got jello and pudding. (Mashed potatoes were another suggested food.) He was still starving when we got home, but refused pudding and jello. He wanted ice cream. And so he had it, two bowls of it!

By 6:30, he was acting like his normal self and still wanting more ice cream. He ate some baked potato with butter and cheese like the growing boy that he is and doesn't seem to be in any pain so far.

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Spencer's Blood Work

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I had no idea lab results would be available so fast! I might have gone 2 days ago, had I known. We just went this morning around 11. I was frightened to hear the doctor's voice on the phone when it rang at 3! (Doctors don't call unless there is something wrong, right?)

Spencer has a "presumed iron deficiency." [This is because] he has Anemia + his MCV (Mean Corpuscular Volume or size of his red blood cells) is 53. Our Endocrinologist didn't have the normal range numbers in front of him, but he thinks the low end is in the 70s. (Google tells me the low end of normal for adults is 80.)

He even conferred with his best friend, a Pediatric Hematologist! His friend recommended Spencer take his iron supplement (currently ½ a Flinstone w/Iron) *twice* per day for 1 week, then reduce to the normal dose (½, 1/day). They want to re-check Spencer's levels in 2 weeks.

Let's see, I asked the Pediatrician about anemia (via email)! I even mentioned the hair eating to the Endo. I reminded him of that and he was actually kind of fascinated. Big thanks to connecting with other moms of children with DS via the internet! And pat my own self on the back for sticking to my guns and chasing answers!

He also suggested bumping Spencer's Atenolol up to a full pill, in hopes that gets up some rest! (which was what I called and asked to do!) Atenolol is a Beta Blocker being used to treat hyperthyroid *symptoms.*

Wow! Lots of info and new things to try! Spencer has already been taking Flinstones with Iron (1/day) for... 4 days. I wonder what his numbers would have been a week ago. Scary. Doctor said he noticed Spencer looked pale. Um... I make WHITE babies. They're always pale, so I guess I didn't notice.

Initiating Play

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As of tonight, Spencer has started to initiate play! He has brought me a toy to wind, run around a corner and back to peek-a-boo, asked me to sing Itsy Bitsy Spider and even gotten between me and the dryer and passed items out to me!

He loves for us to play with him, he loves for Sasha to chase him and he'll chase her back, but... he is initiating this play with me tonight! I am beaming! This is a huge first for him.

Rolling Over

Spencer
Spencer has rolled over from his back to his belly, at least on the bed. I think he did it once in the floor. Perhaps it was a fluke because yesterday, he was ON IT! He was practicing, it was his sole purpose. He rolled from back to belly over and over again.

He also got his toes into his mouth!

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The Kids' Teeth

mommy
Sasha had her first dentist appointment on Monday. She did well. She doesn't have any cavities! Considering we were sucking at dental hygiene there for a while and considering Elmo & I have poor dental health... it was a miracle. Back in 6 months.




Meanwhile, Spencer has started teething already. I didn't expect it so soon. I've asked around and I can expect a LONG wait for his teeth to actually cut through (due to the DS). Most moms said 1st cut tooth cut around 1 year. One mom said 18 months. Another mom said her kid's first tooth didn't cut until they were beyond the 2nd birthday!!

He bites down on my nipple and more recently he hasn't wanted to stay on the breast. He will chew HARD on our fingers, too. I'm going to get teethers into the fridge as soon as I dig them out from storage.




Tyler also had a dentist appointment recently. She has gotten to a point where she has a lot of anxiety and refuses to open her mouth. We'll be going back soon and they will drug her to help complete her cleaning and examination.

Spencer Stuff

Spencer
I think he might be growing. He has been eating a little less and sleeping a little more.

Meanwhile, he has been VERY attentive these past couple of days! He will look up at my face and listen to me talk to him. It melts my heart! He also chatters! It is usually a good sign that he needs to be pottied, actually. I haven't been putting near enough effort into EC lately and am trying to do better. We did have 2 catches in a row today! He fusses when he pees, though. I'm not sure how to make him happier with it. Perhaps when he can sit upright a bit better he'll prefer a potty to being held. It is tricky to hold a newborn AND point his penis down while he wriggles!

Writer's Block: Grammy Awards

fuck off heart
What song is stuck in your head?


Currently: Balls Deep from the Cleveland Show

Earlier today and for the past several days: Beyonce's Irreplaceable

Sooner Start

Spencer
Nancy came back today. She did an evaluation. Normally they have to do this for the child to qualify. Spencer qualifies for services automatically because he has Down syndrome, but they still have to do the evaluation.

It was weird to deal with questions that cover babies from 0-11 months and not feel like Spencer is falling short... but yeah, he's not putting his hands in the air to ask to be picked up yet. He's only 1 month old! Then he'd have to "fail" 3 things to qualify. The wording just made me feel weird about it. It was kind of just a formality, but also good to see where he is on things. Nancy and I talked about some realistic expectations and how to help Spencer do some things, like make eye contact with me (which I'd love for him to do!).

Writer's Block: Doppelganger Week

photography
Who is your look-alike?


Alicia Goranson, apparently. I was once asked to autograph as her. I guess I rather looked like an adult version of her kid self.

Though my old boss once found a series of pornographic photos that he seriously thought were me at first! I don't know her name.

Oh, I also looked like Kristy McNichol as a kid.

Sooner Start

Spencer
Spencer's Sooner Start Resource Coordinator (Roy) brought a Child Development Specialist (Nancy) to our house today. We discussed how the service works and goals for Spencer's first 6 months. Nancy gave me a couple of activities I can start doing with Spencer NOW to help him toward our goals. Then I signed a bunch of papers. Nancy will come back twice per month for 45 minutes at a time.

Cool thing is, if I decide I want more / less visits or more / less time, it is up to me! She will also bring in Speech / Physical / Occupational Therapists as we need them.

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