Sydney had her first meeting with OT last Wednesday and she was actually very happy with her. We talked at length about her gag reflex but the therapist wasn't very worried about it especially since she's not having any major feeding or eating issues. She has also gotten better with the hand sucking and will only spit up now if we allow her to suck them for prolonged periods. In the beginning, she would gag and puke almost as soon as her hands hit her mouth. The therapist even tried to make her gag (so we could see exactly where the sensitivity in her mouth is) and the child refused to! The one time in her life I wanted her to attempt to puke and she gave us nothing. She's a stubborn one, that kid. Eventually she discussed some ways to help her practice gag suppression and we'll see how much she improves at the next visit.
She also tested her motor skills and hand eye coordination and she said she scored an A+ overall. She's still advanced for her adjusted age but still behind for her real age. That's not a concern at all since no one really expected her to even be functioning at her adjusted age considering that she was a 26 weeker.
The only issue she had was shared with the Physical Therapist (whom we say earlier that day) and it related to her obvious discomfort while sitting. She also agreed that it was most likely due to reflux and not a true indication of weakness in her trunk. In fact, if we can distract her enough she'll sit up just fine until the novelty of the activity wears off. She still burps a lot while sitting and recently started displaying more minor symptoms. The suggestion was to get her back on her reflux medicine (before she starts associating sitting with pain) and once her discomfort is eased, they are both convinced that she will tolerate sitting for longer periods. I spoke to her pediatrician about it today and he agreed, so we're going to see what happens.
Just yesterday she really got herself in a crawl position and actually managed to move herself a few feet just fine! My baby is growing up so fast and it's amazing to see.
We see PT again on Wednesday and OT again next week.
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