Yesterday, I took Whit to his annual neurological developmental appointment at Texas Children's Clinical Care building. I guess going into this appointment, I wasn't really sure what to expect... I knew what my heart wanted to hear, but I also knew what my brain knew I would hear. I knew Whit had made progress, and I knew he still exhibited areas of weakness as far as development is concerned.
Yes, Whit has made progress. His developmental pediatrician was pleased with that. As I'm typing, the next word that comes to mind is "however" - but that's not really what I want to type. Because this isn't and "either... or" issue. So, instead, I'll say: "In addition," Whit showed several areas that are still uncoordinated, abnormal, and delayed. The doctor visited with me, evaluated Whit, watched him do several tasks, and then explained his thoughts and concerns. Some of this information was hard to swallow, while I know it comes with the territory of Whit. There are two specific pathways in Whit's brain, along with some areas in between that have been "damaged." This has caused alarm with his doctor, and has him leaning towards "mild cerebral palsy." These pathways affect his fine/gross motor abilities and coordination, as well as his oral motor/linguistic functioning (examples: chewing, stuttering). Also affected are processing and concept abilities. Dr. Jarjour also noted a heart murmur that threw up a yellow flag, but not a red flag. He and Whit's regular pediatrician will keep an "ear" (rather than an eye) on that. :)
Recommendations included continuing physical therapy and occupational therapy. He also wrote us another prescription for speech and language therapy to help his fluency and spontaneous language. (Whit is an excellent and skilled imitator - and making it look like his idea). He also is strongly encouraging us to pursue a PPCD (preschool program for children with disabilities) assessment and follow through with recommendations according to that assessment. Along with those "outside" therapies and strategies, he ordered an MRI to "scientifically confirm" CP. Included with this are also behavioral and developmental assessments to give us a better idea of what is actually happening with his processing and conceptual delays. We will also go back in 6 months for a follow-up visit with the developmental doctor.
When I was hit with all of this, I became apprehensive and I realized much more investment and intervention was upon us. Yet, as I have discussed it with Corbett and my Mom (my best friend and confidant after Corbett) - my apprehension has given way to an unmistakable feeling of peace. And through this peace, I have been reminded of the tender mercies that the Lord has given us in Whit (and Maggie and Chap).
Yesterday, as we were getting ready for an evening out, I told Whit he could wear his sandals without his boots. This gave him the opportunity to put them on himself. I told him if he needed help, he could ask me. So I went to another room, while still keeping an eye on his hard work. I walked through, and asked, "Do you need help?" His response... "NO!"
"Okay, just let me know if you do." Then, as I was in another room - I turned around and saw Chap sitting so sweetly next to him and helping him put the straps into the holes they were supposed to, and then letting them go to let Whit complete the velcro part of the strap. Whit's best language and dialogue are with Chap! I love sitting and listening to them visit and talk. What a sweet, tender "therapist" Whit has in his twin brother!
While at Texas Children's, Dr. Jarjour ordered some bloodwork to check Whit's iron levels. This sent Whit into hysterics! It took a nurse and myself to hold this little 25 lb boy down, and then the technician holding his other arm to draw the blood. Then, were the blood curdling screams that echoed throughout the entire hospital, I'm sure! I was in contact with my mom, who was keeping Maggie and Chap (THANKS TO SHE AND IKIE!) - and when Maggie found out that Whit had to have "a blood draw!" - she became instantly concerned about his well-being! What a tender caregiver and protector Whit has in a big sister!
There are also many tender mercies that I see in Whit! As we were walking to have his blood draw, I was doing anything I could to keep his mind off of what was about to take place. We walked passed a gift shop and I told him when we were done - we'd go pick out something for him. I got no response out of him other than his crying and "I doe-wan bwood-draw!" However, when all was said and done, we walked out of there and straight into the gift shop. His eyes took him straight to a little red truck (just like Whit to choose this!). Then, he looked up at me and looked back at the bowl of vehicles. He grabbed a blue truck - handed it to me and said... "Dat's for Chap!" then, he grabbed a purple van, handed it to me, and said "Dats for Maggie!" What a tender heart to think of them!
After we ate lunch together, I had promised him that we would go see the train exhibit at TCH. Then, came this smile.
That sweet, tender mercy that God gives us in our Whit...