Speech Therapy Evaluation

I left the speech therapy evaluation today very discouraged. They want to see Nadia weekly for now, which doesn’t really surprise me. But I guess I did expect to have a better understanding of the process and goals after our appointment today, but I don’t.

The hour-long appointment was mostly spent as an interview, the therapist questioning me based on Nadia’s skills. I didn’t feel like I had a lot to say, other than, she squeals and cries, and that’s about it. We know she can hear based on her last hearing test before she was released from the NICU, but the therapist recommended another, which is fine, I’m totally not opposed to such, but I find it odd they want Iowa City to do the test… Again, fine, we are there all the time, but odd to me. Don’t they do hearing tests here??

The speech therapist seemed young, I’m not sure how much experience she has… She talked a lot to Nadia, to which Nadia basically just stared at her, or screamed and looked to me for comfort. And when I say talked to Nadia, I mean she made over-exaggerated sounds emphasizing the use of her mouth and lips, lots of motions with her hands, lots of expression, etc.

Our homework for the next week until we see her again:

  • Speak as much to Nadia as possible using lots of expression, lots of mouth movements, etc.
  • Mimic Nadia’s sounds back to her, giving her a chance to ‘take her turn’ to aid in the teaching of back and forth communication
  • Work to teach Nadia the signs for ‘more’ and ‘all done’
  • Repeat basic sounds, such as da, ma, and ba to Nadia over and over and over

I’m not at all opposed to teaching Nadia some simple sign language, as even Nora knows some basic baby signs, but I guess even the mention of such scared me. It made me wonder if the therapist fears Nadia will never speak… She did say that Nadia clearly has a voice, as she uses it to cry and such… I don’t know, just brought back a lot of fears for me, all the horrors of the brain bleed and lack of oxygen at birth. Is this all my fault? I’m so busy with Nora, Nadia doesn’t get nearly the attention Nora did at this age. Do I not work with Nadia enough? What am I doing wrong that Nadia needs speech and physical therapy, and Nora will probably start feeding therapy soon? I feel like everything is hitting me at once. I thought I was so lucky with my two preemies, that they were doing so well… I don’t want that to change. And all these appointments are wearing on me. The speech and physical therapy needs to be on different days, as they wear out Nadia and thus she doesn’t perform well at the second appointment of the day. And I can’t take Nora along, so once she starts feeding therapy that will be three appointments added to our list a week. I guess the bright side is I don’t work, otherwise I’d constantly be requesting time off.



I hate to complain about the sticky weather, but can the humidity climb any higher?? Yuck. Feels wet just walking outside!

The girls and I ventured to story time at the CF Library this morning, well, actually, we went to meet a friend and her two boys, and just happened to arrive mid-story time. Nora was quite disruptive, but she seemed to somewhat enjoy watching the other kids. After that finished we stayed to play while I attempted an adult conversation with my friend. It’s always difficult with kids, but it was really good to see her. And nice to get out of the house. I stopped on the way home for a Happy Meal for Nora, which she is actually eating now. Surprise surprise. Maybe all the activity wore her out and made her hungry. Next will be her nap, as it’s after 1pm.

Update on that house in Hudson we made an offer on… Our realtor texted me last night that the sellers could now make 600k work. Interesting, since our final offer was 585k. I guess I’m giving up on it. It’s not that we can’t afford 600k, more than we, and our realtor, don’t believe the house is worth more than 585k, mainly since it’s outside of town. So the search continues. Maybe it’s a sign. Makes me wonder if God is trying to give me more opportunities to realize we need to move back closer to Iowa City.

Eric didn’t get home last night until close to 9pm. I’m not sure exactly when he finished his clinic in Ft. Dodge, but he made time to have lunch with his grandparents and mother after. It shouldn’t annoy me, but it does. As him having a late lunch/early dinner with them meant he didn’t start his 90 mile drive home until 5:30pm. He could have been home by then. And to make matters worse, he got a call from the ER on his drive home that he needed to come see a patient. Ugh. It’s never ending. I despise bedtime alone. Nadia is getting her top four teeth, thus she is always fussy, bedtime being no exception. I stopped reading to Nora in her room five times to go calm Nadia. Which never actually did calm her. Nora was finally in bed around 8pm at which point I just stopped fighting bedtime with Nadia and brought her out to play a bit more. In the end, it all worked out, but it totally stresses me out when both are screaming, both need me… I never quite know how to separate my time. Neither want to wait, Nora crying just as much as Nadia if I walk away from her. 

As for Nora’s eating, I’m going to call her pediatrician this afternoon and ask for a referral to feeding therapy. There is a therapist at the same location where I’ve been taking Nadia for speech and physical therapy. Ugh, the thought of going there three times a week overwhelms me, but… Nora isn’t gaining weight. I hate picking her up, she’s just bones. Even her face seems sunken in lately. Or maybe it’s just my imagination, I don’t know. Meals are just so stressful for me. I actually avoid taking her out places because it’s so stressful if events fall over mealtime or involve food. I hate this feeling. I’d at least like them to evaluate her.

Physical Therapy

Today was Nadia’s second visit with the Physical Therapist (PT). The PT was actually quite happy with her progress, although personally, I see no progress. Nadia still isn’t crawling, although maybe she is reaching to the sides for toys when sitting a bit more now than she was a week ago. Nadia will use both of her hands to reach and grab for toys, but she much prefers her right, and also leans very much to her right when sitting. I think the PT was going to review Nadia’s most recent brain MRI to see on which side the brain bleed occurred.


Homework for this week is more of the same… encourage Nadia to reach when seated and during tummy time, both to the sides and in front of her. The PT also suggested taking Nadia to a park to swing, as she suspects that part of Nadia’s issues are related to her strong dislike of motion. I guess I’m not sure how much I believe this, as we’ve had her in swings with a lot of movement at home since she was born… I have noticed that Nadia prefers not to be held when drinking bottles. She much prefers lying on the floor or propped up on a pillow. Is that weird? Anyone else’s child not like being held when eating?