Rayden had 2 appointments this week.
1. Evaluation for enrollment in the North Carolina Infant-Toddler Program (NCITP)Rayden slept while I discussed everything with the ladies.
They completed a DAYC2 (Developmental Assessment of Young Children 2nd edition). There were three main areas of development. Results showed Rayden was within normal limits for social/emotional and adaptive behaviors but delayed in cognitive development. He was within normal limits on all communication areas, but delayed in physical development areas of gross and fine motor. We will be assigned a case manager and will soon begin therapy at home. The Nurse Practitioner gave me some strategies for tummy time and instructed me on doing some arm stretches with him because his arm muscles were really tight. She stated that she saw in the paper work from UNC that he had thinning in the corpus callosum. It connects the left and right hemispheres and facilitates interhemispheric communication. I remembered a little about that from his time in the NCCC when she mentioned 'midline'. She stated that thinning in the corpus callosum often suggests learning disorders. She says he will probably have difficulty with crossing the body activities so we will need to begin making sure he has his hands in the center of his body and crossing his arms. More strategies will follow as he ages. It really makes me wonder about this. Dr. Elton has not mentioned anything about his brain development in quit a while. I am going to ask him about all of this next week at our visit.
2. Orthopaedics
Rayden received his seventh cast this week. Dr. Narotam did not remove his right cast because it is set right where it needs to be. He only replaced the left one. Next week he gets his tendons clipped.
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