Wednesday, March 20, 2013

Malakai - 9 months old

Malakai turned 9 months old today and he had his 9 month check up with the pediatrician. There were no shots at this appointment but we did walk away with a prescription for a third antibiotic for him. Before I go into our interesting visit to the pediatrician I'll give you his current stats.

Weight: 16 pounds 6.8 ounces (7th percentile) - he actually lost weight (nearly a pound)
Height: 27.4 inches (15th percentile)
Head circumference: 17 inches (50th percentile)

The drop in weight was most likely due to him being sick for a good week and half. He just finished his  second antibiotics on Sunday and is finally beginning to get his appetite back. So I'm not too concerned about the weight.

The pediatrician did check his ears again since he had been battling an ear infection and his left ear still has "a bunch of thick puss" in it. After nearly two weeks of being on two different antibiotics, that's not a good thing. His right ear was just slightly pink and looking much better. But the poor guy does get another round of antibiotics now. The pediatrician jokingly asked Malakai if he was going to need tubes in his ears this summer and at this rate I wouldn't be surprised if that happened. He's starting follow in Sanaa's footsteps of ears not healing and getting multiple ear infections which resulted in her having tubes.

We also left the pediatrician's office with a referral to ECI (Early Childhood Intervention). I was surprised about that. I'm familiar with ECI because when I was working towards my master's degree I actually did an internship with ECI in Texas. The pediatrician's office mailed a 9-month questionnaire to me a week or so ago and I had been slowly filling it out as I saw Malakai do things. On the communication section I had to mark that he wasn't doing any of the items yet and some red flags went off in my head. For example, he is not making the sounds "ba," da," "ka," or "ga." The only sounds he really makes are "ehh" or "ahh." He also doesn't repeat sounds back to me if I copy a sound he made and he doesn't play any nursery rhyme games (peek-a-boo, bye-bye, so big, etc). So his communication score ended up well below average.

He also scored low on his problem solving skills and personal-social skills. It wasn't as low as the communication but because he scored well below average or just below average on several areas the pediatrician wants him to be evaluated by ECI and get another formal hearing test done. I actually haven't been concerned about his hearing because he turns his head when he hears me walk into the room and appears to notice other sounds as well. So I'm quite curious about having him evaluated and finding out if there is something to be concerned about or not.

As far as fine motor and gross motor, Malakai is doing great. He's crawling all over the place and pulling up onto his knees. He can stand briefly leaning against a toy or a piece of furniture. He also notices the dirt on the floor and tries to put all of it in his mouth leading me to sweep several times a day. It's just the other areas of development he needs to do some work on.

Getting pictures was once again a difficult thing since Malakai kept rolling away and getting distracted by other toys in the room.

He also thought it would be fun to crawl up and try and get the camera.

Sanaa kept asking to lay down with him and that ended up being the only way he would lie still so I could get a couple of pictures.

Malakai use to love his bath, but recently he has started screaming when it's time for his bath. However, once his sisters are in the tub he won't leave the side of the tub and is constantly trying to reach them.

Sanaa and Layla have started playing a game with Malakai by sticking their feet out and letting him grab their toes. They of course squeal each time he grabs their feet and Malakai starts laughing.

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