Happy 18 months Declan! You'll have to wait in suspense for a picture of
him with Squeaks, since Squeaks is currently packed away at the
grandparents' house. Ah, the joys of not really having a home of our
own, but soon enough. We did get Hey Hey to do a stand-in appearance. Please ignore the dirty shirt, too. He felt the need to show off to everyone what he ate for lunch, apparently, and sitting still is not his strong suit these days.
In thinking about Declan and where he's at ability-wise right now, I realize I don't think I've ever done a full post on what all we have had to deal with over this kiddo's short (albeit getting much longer--horray!) life.
So, here's a summary of Declan from birth to now. Although is that even possible? Those who have been around us on a regular basis are probably laughing,or maybe stopping reading right here at the novel they could be faced with. Don't worry, I'll keep it brief-ish.
Total surgery count (Doesn't everyone start out their kiddo's milestone list with this?)
4: PDA ligation (minor heart surgery)
Ladd Procedure (intestinal malrotation, which came with a freebie appendectomy)
Kidney Surgery (something with his ureters technically, but I don't know the fancy name)
Thumb surgery (he lost his extra thumb and can only count to ten now :( So much for being the cool kid in class).
As of now, these are the only known surgeries, but who knows what excitement his future holds.
Total days in the hospital:
~30
Three ER visits, one by ambulance
Total doctors seen so far:
NICU Doctors
Pediatrician
Cardiologist
Heart Surgeon
General Surgeon
Geneticist
Developmental Pediatrician
Urologist
Orthopedic Surgeon
Neurologist (only once, thankfully!)
Endocrinologist
Ophthalmologist (the medical kind, not the regular kind)
Gastroenterologist
Hand Surgeon
I'm sure I'm forgetting a couple. Fortunately, a couple of these we don't have to see anymore (like the heart surgeon and general surgeon), and many of the others are on a six month to one year rotation. It used to be we saw many of these as often as once a month, some more than that--at the end of my maternity leave I started calculating how many hospital days/doctor appointments I had on the supposedly luxurious 12 weeks off. I finally gave up when I got to over 45 because then it was too depressing.
Therapies:
Weekly occupational and physical therapy
Monthly nutrition
What he technically has:
Unbalanced translocation between chromosomes 2 and 4. He has a microdeletion on 2p and a partial trisomy of 4q. Don't worry, most nurses and some doctors don't get it either. I once made the mistake to the wrong nurse of saying he has Declan syndrome, and she believed me until I had to explain I was just joking.
What this means for Declan's future:
Anyone's guess at this point. When we met with the geneticist, we were given a packet of research on people with similar duplications, and we saw some of the same traits in Declan as these other people. However, no one else in the world has the same chromosomal make-up as he does, and even if they did, that's only part of the predictor of him. We know he'll probably be delayed throughout life, but then again, most people are in some way and they turn out just fine. We just take it as it comes--it's all we have time for!
What Declan is up to these days:
We've battled severe acid reflux from early on in life (think screaming, refusing to eat, vomiting all of his bottles, etc.), and we have finally made some progress. Now he's doing a great job most days of drinking his bottle concoction--whole milk mixed with Carnation Instant Breakfast and a tablespoon of cream for good measure. He's eating 4-8 ounces of baby food, with tiny bits of regular food here and there.
Declan loves to play and is really reaching for toys and throwing them around. His favorite, though, is drawstrings on hoods, and actively seeks them out, even when they're tucked away.
He loves to chat and his idea of chatting is making a lot of random noises, but they're varied noises, so we're super-happy about that.
Most importantly, he is oh so close to sitting! Reflux has played a large part in this battle, along with really low muscle tone (great for future gymnastics efforts) and his random hospital stays, but this weekend he was actively sitting for a couple seconds at a time. This is super huge in his ability for future development of crawling and eventually walking, but it's safe to say we're years from the walking stage, and we're okay with that so long as he progresses on the Declan curve, as he does with everything.