Bobath Centre for Children with Cerebral Palsy

Joshua was lucky enough to be offered a 2 week treatment block. Which we completed today. I have to say that this post is about to be a complete rave about how good they are.

Joshua was assigned a physiotherapist on the first day. Upon attending it was obvious that the PT had read all of Joshua's notes and discussed him with the Senior PT that he met at an earlier consultation. She watched Joshua's movements and communication intently.

On the second day we were joined by an Occupational Therapist, who spent a lot of time looking at Joshua's vision.

Each day Joshua's tolerance of touch, positions and activity increased.

For 4 days we were joined by a Speech and Language Therapist, who spent a lot of time helping Josh to play, showing us to wait for Joshua to respond. And what to accept as a response, be it verbalising, a smile, or even withdrawing and crying.

We spent a lot of time concentrating on Joshua's arms, trying to bring them forward to make play more accessible. Trying to bring his shoulders down, to try and reduce the tone across them.

There was a lot of tummy time, trying to get Josh to lay with his arms supporting him, this enabled better head control.

We spoke about feeding, sleeping, playing, relaxing.

All the staff are amazing, and they all care so much.

Another brilliant factor was meeting other parents, sharing a cup of tea and listening to others experiences.

Josh will be attending again in March to attend the Early Intervention Course. This should reinforce everything he's already learned. And the next goal is to obtain PCT funding for another 2 week block in 6 months. Fingers crossed!

Like I said, this is a post of praise. It's also a post of thanks and admiration.

A Glimmer of Hope

At Speech and Language today, Joshua closed his mouth on the bottle (Haberman) and suckled, just for a second but he did it.  Then after a bit of fussing he did it again!  So clever, so needed.

So we are to strike whilst the iron is hot and try to progress to the bottle permanently.  It is going to be hard but seeing him close his mouth just reinforced that he can do it.

We felt so lifted by this small accomplishment.  We've had very little progress of late so this seems like a huge step forward.

Unfortunately, not getting the breast gave Joshua the right hump.  This meant he was not too pleased to see the physio's.  The Occupational Therapist also arrived today to measure him for a chair.  (I hate that he needs this stuff), so he moaned, screamed and cried during the entire session.

The poor boy also cut his first tooth last night, after weeks of it being just about ready.

So fingers crossed, this bottle malarky works and I can get back on the meds.

Speech and Language

Joshua had his first appointment with the SALT today.  I'm not entirely sure what I was expecting, not a lot to be honest.  I thought they may come up with other suggestions or methods.

We have been trying Josh with many different bottles, Tommee Tippee Closer to Nature, Avent.  Not too mention training cups.  But he point blank refuses to try.  Now whether this is because of texture, warmth, his visual impairment, stubbornness, inability to learn how to suckle from the bottle; I just don't know.

The SALT suggested we could try the Haberman Feeder, apparently many babies with special needs take to this bottle.  Definitely worth a try.

They also suggested the Medela feeding cup.  I'm a little concerned that if he could master this he would lap the milk, this is something we've been trying to discourage as it can lead to dental problems.

Worst case scenario we were told that if we need him to come off the breast (which is becoming more important as my arthritis is now chronic) he may have to be tube fed.  We don't want this.  The ability to eat is so important.  The SALT explained that if this route were taken Josh would also be seen by a dietitian.  Plus we would have to spend a couple of days in hospital learning how to administer the milk.

So in a bid to avoid this I've found an online retailer who stocks the Medela range.
http://www.expressyourselfmums.co.uk/products.asp/subcatID/26/breast-milk-cups-and-feeders

Hopefully Joshua will not be stubborn and will take one of these!