Our week came to a close with Adeline's appointment with Dr. Bernbaum. We woke up yesterday to a few inches of snow which I found enjoyable and uplifting. Was it a sign for good things to come? There was no denying that this day was enveloped by mixed emotions. I should have been putting together the girls' second birthday party instead of taking Adeline to a doctor who is supposedly going to tell me if she is going to be normal. It was, in fact, their due date.
After dropping my other kids with good friends, Adeline and I headed out. When we arrived we were told that one of the doctors was late and were asked to get the physical exam out of the way while we waited. Immediately upon entering the exam room Adeline started crying. Yes, she knows all too well that nothing good is going to come from her getting up on that table. I requested that we leave the room to keep her fresh and happy for the multiple tasks she would soon be requested to perform for the developmental assessment.
Soon, Adeline was in the testing chair and pointing to pictures and body parts, taking pegs in and out, stringing beads and stacking blocks. She was just as feisty as Lila Grace was two weeks before. Often she shoved things back at the doctor saying, "Thank you," and "All done." She put her head off to the side and said, "night night." (good pretend play I might add). Anyway, she did really well when she wanted to and was very frustrating at other times. She refused to say and point to objects that she knows and was obsessed with the clock on the wall saying, "Clock, tick tock" every two minutes. I was sweaty and tired by the end of it and Adeline was too. We waited a long twenty minutes while the test was scored.
I was pleasantly surprised when the doctor said she was very pleased with Adeline and surprised by her "successful outcome." That is about as positive as this doctor appears. There is no, "Wow, she was a one pound baby and shows no signs of anything but a "normal" outcome." She proceeded to tell us that Adeline can be looked at two different ways. If her age is adjusted she is exactly two and falls under the "normal umbrella" but is at the low end of the range. If her age is not adjusted she is "mildly delayed." I was shocked that it wasn't a moderate delay. Mild is not something I often hear when referring to the Belle. I was more than pleased and proceeded to asked questions about the future based upon these results. The doctor was reluctant to give predictions but saw no reason why she wouldn't continue to thrive in a mainstream environment. She specifically said that Adeline belongs in a mainstream classroom now and most likely forever. Her rate of closing the gap has accelerated and is expected to continue to do so. Who knows when it will close but it looks like there is an expectation for it close which is a comfort. I had previously envisioned her in a special needs preschool and mainstreamed into Kindergarten with plenty of additional learning support. Come to find out, she should continue preschool in mainstream environment and all of the services we have now and all that I thought we would need in the future is likely to decrease significantly.
I can't quite put into words how wonderful it was to hear this positive evaluation of Adeline. I was prepared for much worse. I must say, I recognize that this doctor does not have the final say on Adeline and doesn't have a clear picture of all of her issues. I am still prepared for anything on down the road. I do, however, believe that it was an accurate evaluation of the here and now. I went in thinking that Adeline was about six months behind. When looking at all of the domains of development, Adeline presented anywhere from 19 months to 21 months old. I'll take it with a smile. I am also pleased that her delays are global. I feel that as long as she continues to develop as a whole at the same rate, she is less likely to have large deficits later on. Specifically, as long as things are developing together, she is less likely to receive a diagnosis or be cognitively impaired on down the road. That is just my own take on the situation. IQ testing begins at five that is when we will know for sure is she is out of the woods for mental retardation. According this doctor, she shows no signs right now.
It impossible to express how much I love this girl. She is pure, wise and determined. She has made me ten times the person I was before I carried her for a mere 27 weeks. She teaches me that faith, hope and love are what enriches your everyday.
She is my stress yet she is my peace.
She is my worry yet she is my comfort.
She is still so small yet she is larger than life.
She is a miracle!
I captured some synchronized dancing last night and thought it would be appropriate to post. This is what the girls look like on what should have been their second birthday.
