CHRONOLOGICAL AGE: 15.75 MONTHS
ADJUSTED AGE: 11.75 MONTHS
WEIGHT: 15 LBS, 12 OUNCES
LENGTH: 26.75 INCHES
Finally, good news on weight! Truman picked up the pace this time to reach a respectable 12 grams a day in weight gain. Still by no means a bruiser, but he gained the same amount in the last four weeks that he gained in the six weeks before that, so a very nice improvement. He also grew half an inch in the last four weeks. And, drumroll please ... Truman's head is officially on the charts for his adjusted age. I can't say the same for length and weight, but he continues on his curve, and we'll take the growth victories where we can get them.
Interestly, Dr. Suterwala noticed that Truman's temples are puffy, which he said are fat deposits from the high-fat diet he's on. So, I guess the fat is doing something -- not quite where you want to see weight gain, but notable nonetheless. We were given a pass to January for the next weight check. Yippee!
In less pleasant news, we had noticed over the last few weeks that Truman appeared to be developing a new hernia along the scar line from his bowel re-section surgery. Dr. Suterwala confirmed that it was a hernia and would likely require surgery someday to reinforce the stomach wall. For now, we'll just keep an eye on it and watch for changes, but I can't bear to think he'll have to go back into a hospital and on a ventilator again for any period of time. I'd like to avoid that as long as possible.
Dr. Suterwala is concerned about Truman's developmental progress in the communication area, in particular, so we'll be having a separate OT eval for his purposes -- a formal "Bailey's" exam. He is also concerned about the texture issues with eating, but not as much so. He also really wants to pay attention to Truman's right side (his grade IV brain bleed was on the left) to look out for any weakness and tone issues that we need to address.
In other therapy news, it seems that things are finally sorted out with insurance, and Truman will begin his second weekly session of OT next week and will also have his PT evaluation next week to get the ball rolling on that. The speech therapists are all booked for evaluations until the end of the year.
In news from home, we got Truman a push toy over the weekend, and he seems to be doing pretty well walking along behind it for a few steps until he runs it into something.