Wednesday, March 17, 2010

Sunday's St. Patricks Parade


On Sunday, we planned to enjoy the Old Metairie St. Patrick's parade. We headed out to lunch at an Indian Restaurant on the parade route, enjoyed lunch, and headed out to the street, ready to catch some beads, potatoes, carrots, and cabbage!
But....
We never saw the parade. It got to be 2:00 and there was still no sign of the parade. We decided to call it quits and head home for Cassidy's nap time.
It was a beautiful day though, and we enjoyed hanging out along the parade route with Cassidy dancing to the music, smiling at everyone, and waving as she ran up and down the street.

Saturday at City Park

On Saturday, we spent the afternoon in City Park. We went to see the Disney Exhibit at the Art Museum, but it was packed. After waiting in line a bit and then jumping to the front of another line because we were paying cash, we got in... and then stood in line some more. We walked throught the exhibit but Cassidy is a bit to young to really enjoy it, and all she wanted to do was run around. So we headed out for a walk in city park.

(Cassidy and Daddy playing chase around the tree)

Thursday, March 11, 2010

18 Month Numbers

Cassidy had her 18 month check up with her pediatrician today.
Here's the brief synopsis:
  • Weight: 22lbs 3oz (30th percentile) (She's steadily been decreasing in percentile over the last several months. At 6 months, she was in the 75th percentile (17lbs), and at 12 months the 55th percentile(21lbs8oz)
  • Height: 30 inches (10th percentile)
  • Head: 46cm (30th percentile)
The doc said she's not concerned that she hasn't gained much weight in the last 6 months because with her height being on the low end of the scale, we want her weight to be close to the same percentile so she is proportional.
We can definitely see this happening over the last few months as she is thinning out and looking less "squatty" as the doctor put it at one of our earlier visits. "Squatty"??!!! She's not squatty! She's perfect! (okay, she may have been looking a bit "squatty" before she started running all over the place.)

She does have another ear infection in her left ear so we've got another prescription for antibiotics. (This will make the 7th time she's been on antibiotics since last July, first for pneumonia, then ear infections,sinus infections, and bronchitis, sometimes all at once - 9th time if you include the two times her infections didn't respond to the first antibiotic and she had to get an antibiotic shot.)
At the end of the month when we see the immunologist again, she'll be getting an extra pneumococcal vaccine which covers more serotypes than the Prevnar vaccine she's already had a couple doses of. Hopefully that will cut down on the ear infections and colds. If not, then we're headed for surgery for tube insertion in her ears.

Everything else looked good and Cassidy's development is right on track!

Wednesday, March 10, 2010

Last day of 17 Months

Tomorrow our girl turns 18 months.... that's right... a year and a half.
So here's a look at a few more days of Cassidy at 17 months.


(Why are you walking away? Wait for me!!!!)
(Carousel at the Neighborhood Park)

(Cassidy always thinks she wants to go on, but
once we're on, she cries if we put her on a horse,
and shakes her head no the entire ride.
A thrill seeker, she is not.)

(I love bath time!)
It's amazing how time flies!

Thursday, March 4, 2010

Signs, First Words, and Sleep Training

Cassidy's vocabulary has been steadily increasing and is obvious in what she understands. Her development over the last couple of months has been amazing ... and SO much FUN!!!! She easily follows instructions without any hand gestures and loves to help with anything we let her. She's also been signing for several months now. I'm really glad we decided to do sign language because she's been a bit behind on her verbal development all along, and the signing has really helped us avoid frustration of her not being able to communicate with us.

Signs she knows (some are technically correct, and others are her own version):

  • dog
  • cat
  • bird
  • turtle
  • hot
  • clock/watch
  • bottle/milk
  • cup
  • shoes
  • socks
  • thank you
  • please
  • sorry
  • table
  • ball
  • chair
  • tree
  • fish
  • baby
  • teddy bear (she uses the sign for baby for this also)
  • lion
  • alligator/crocodile
  • help
  • nap/sleep
  • bath
  • orange
  • banana
  • diaper change (which she occasionally correctly tells us she needs)
  • book
  • color
  • monkey
  • bunny
  • light
  • eat/hungry
  • more
  • car
  • water
  • yes
  • no
  • hurt

Body parts she can point to or show us when we name them:

  • head
  • hair
  • ears
  • eyes
  • eyebrow
  • nose
  • fingers
  • toes
  • hands
  • feet
  • teeth
  • tongue
  • belly
  • bellybutton
  • mouth

Words she says (some clearly, and others not so much):

  • Mama (though when asked to say it, she still says dada .... grrrr)
  • Daddy
  • bye-bye
  • apple
  • cookie
  • cracker
  • cheese
  • king cake (she picked that one up pretty quickly around mardi gras time - perhaps a sign we should be eating less of it)
  • beads (another mardi gras hit!)
  • ball
  • blue
  • purple
  • bubble
  • diaper
  • Papa
  • Nana
  • Baxter
  • Sake
  • Bilbo
  • I love you

I'm sure there are more words and signs but this is all I can think of right now.

When Cassidy asks for something, she looks expectantly at us and waits while we repeat back what we think she wants. We are rewarded with an ear to ear grin and a high pitched shriek when we get it right! We can't help but smile back.

She loves to dance and play music, likes to kick her ball around, loves to play chase and hide and seek, and can't spend enough time outside. She chases the dogs and cat, looks mischievious before pulling the cat's tail and shakes her finger at us when she knows she's doing something she's not supposed to do. She's learned to wait when told and sits down to do so, but whines loudly the entire time (this is usually when I'm getting food for her). Reading is probably her favorite thing to do and she now asks to read books first thing in the morning. She started this because we were reading books during her breathing treatment every morning before getting dressed. She loves to point out things in the books when we ask her to find them.

We've started time outs when needed, which she is figuring out aren't very fun. She throws temper tantrums when she's hungry and tired that are so dramatic it's tough not to laugh at her. She bites me and pulls my hair, only me, but never out of aggression, anger, or frustration. It's always when she's tired and I'm already paying attention to her and is usually accompanied by a mischievious look and grin. I'm not really sure what this is about, but last time after 3 bites in the same spot in the same night, I was bruised for 2 weeks. That's when we started time outs!

We've started sleep training again because with all of her colds, her sleep habits had regressed a bit. She's never gone to bed without us holding her because of the breathing treatments, and her ability to fall asleep on her own steadily decreased with her night wakings while sick and us rubbing her back while she fell back asleep. This was okay when she willingly laid back down to go back to sleep. But last week, she started refusing to lay back down, stubbornly standing in her crib, shaking her head, and screaming if we left the room. We were left sitting in the chair by her crib until she would fall back asleep, three or four times a night. We also noticed a difference in her behavior when she would wake up in the morning. She used to play in her crib, listening to music and babbling. Recently she started crying out for us immediately upon waking in the morning, and fussed if we didn't come in quickly. After a particulary demanding night last week, I decided enough was enough and she was healthy enough to get back to some good sleep habits.

So we let her cry it out again. We let her fuss for 10 minutes, go in briefly and settle her down, and leave without her falling alseep. We repeat this again after 30 minutes (we tried shorter intervals, but everytime we go in, she gets all worked up again when we leave so it was rather counterproductive).

  • Night 1: 1 hour 50 minutes
  • Night 2: 38 minutes
  • Night 3: 20 minutes
  • Night 4: 12 minutes
  • Night 5: 3-5 minutes
  • Night 6: No wakings (some crying out, but none that lasted more than a few seconds and she goes right back to sleep on her own!)

After the second night, her morning behavior changed dramatically. We always leave a couple board books on her crib rail for her to play with in the morning and after naps. After the second night of training, she woke up and spent at least 20 minutes occupying herself in her crib with music and books, and greeted us with a huge smile when we walked in the room. Amazing!

Letting her cry it out is the most painful and difficult thing we've done so far, but so worth it. She is back to 11-12 hours of sleep, usually from 7:30 or 8pm until 7am.

I wish I could record every little thing that she does and makes me feel, but there is not enough time in the day to put it all into words. I love that little girl and my heart skips a beat and does a little flip whenever I look at her and know she's mine.

Weekends at the Park

Our weekends usually include at least one trip to the park where Cassidy climbs on the playground jungle gym, swings, slides, and feeds (read: eats the bread herself) the birds, geese, and ducks.



(Cassidy peeking at the ducks she just chased underneath the building.)
We've also begun to play volleyball again now that the weather is warming a bit. Cassidy hangs out with us, dancing, clapping, and charming everyone there with her smiles and laughter.
(Enjoying barbeque pork and pretzels for lunch)

(Sporting her shades which she left on for more than 2 seconds for the first time.
We promptly lost them just minutes after this photo was taken.)

Breaking the Cycle

Well, she finally did it. Cassidy seems to have gotten over her Mardi Gras cold WITHOUT an ear infection and a need for antibiotics!!!!!
YEAH!!!!
Today we decreased back down to 1 NEB treatment with only her pulmicort to keep inflammation in her airways down. We stopped her xopenex (bronchial dilator), and her breathing sounded GREAT when I put her in bed (I now diagnose her wheezing on my own with a borrowed stethoscope from a med student in our lab rather than running into the doctor for her to tell us "yep, she's got bronchitis and is wheezing... increase Neb treatments).
Hopefully her immune system is finally boosting up and doing its job!