Skip to content
Advertisements

Archive for

Speech and Language

This blog has taken over a week of research to do and I must admit a lot of procrastinating. I think mainly because this area of the boys development scares me. They will be 3 next month and don’t speak. Logan is classed as non-verbal and Lewis has always been making noises and sounds after the SALT (speech and language team) got involved but yesterday he said mummy clear as day whilst looking at me for the very first time. Over the festive break he started saying bye-bye whilst waving. The boys did babble when they were around 9 months then after Both were very unwell with bronchiolitis they just stopped making sounds all together. No babble. Just silence. They spent a year in silence until Kirsty our therapist started coming out to the house every 2 weeks. We had Kirsty for 1 year and I can tell you she made a massive difference in our lives. She taught me that early communication skills do not include speech. There are steps to reach before then.

Most kids start to babble then make sounds then begin to say words. Not needing to give extra thought into the processes that begin to work before actual speech occurs. As you may have guessed it my boys like to be different and we had to start from the complete beginning. From birth to 5 is a critical period for detecting communication difficulties & providing intervention, but studies show as many as 64% of parents are unaware of the early warning signs of speech & language disorders.  Unfortunately, parents are not alone.  Studies show that despite being one of the most common disorders of early childhood, communication disorders are also the least well detected among pediatricians.  More often than not, valuable time is lost between the time a weakness is suspected and a child receives the assessment and intervention services he or she needs.  In this respect though we have been very lucky. By the simple fact that the boys were born so prematurely all eyes have been on them since the moment they were born. They were the neonatal consultants, neurodevelopment consultants as well as physiotherapists and occupational therapists until they reached the age of 2. They were then transferred over to the community paediatric team who have seen them twice since June 2017. As well as the before mentioned SALT intervention due to difficulties with weaning and eating solid foods. All those experts collectively have kept a very close eye on my boys to watch for and treat any delays that occurred. Both boys suffered from brain bleeds when they were born and as much as we know they are delayed due to Prematurity we don’t know how much of this delay is due to the brain bleeds.

So what can parents do to help their children whom they suspect has a speech delay? They should do some research and educate themselves on the signs of common speech and language disorders in children between birth to 4 years of age, an important stage in early detection of communication disorders. No one professional will serve as a better advocate for your child than you, the parent. You know your child better than anyone else in the world. If your gut tells you that something just isn’t right trust your instinct. There is a reason a mothers intuition is so important.

Signs of a Language Disorder:

• Does not smile or interact with others (birth and older)

• Does not babble (4-7 months)

• Makes only a few sounds or gestures, like pointing (7-12 months)

• Does not understand what others say (7 months-2 years)

• Says only a few words (12-18 months)

• Words are not easily understood (18 months-2 years)

• Does not put words together to make sentences (1.5-3 years)

• Has trouble playing and talking with other children (2-3 years)

• Has trouble with early reading and writing skills (2.5-3 years)

If a communication delay is suspected as it was with my boys early intervention is key. Seek advice from your health visitor and/or nursery key worker ASAP. If no one listens to your concerns and continually fobs you off by saying your are too young to be assessed etc just keep raising your concerns. Don’t stop until someone listens. You are not alone.

If you have any helpful hints or tips on how to help your child with early communication difficulties please feel free to comment. Let me know your personal experiences and how you managed to secure the help your child needs and deserves. Please feel free to ask any questions you may have.

As always. Stay cool.

Scottish Twin Mamma

Advertisements

Winter bugs

As you will be aware from the recent media attention, winter bugs are at an all time high at the minute. Norovirus, shingela and influenza namely Aussie flu seem to be doing the rounds currently. For the life of a preemie parent this fills us with dread and despair. A simple cold could have fatal consequences for our vulnerable babies never mind the host of bugs that can cause even the fittest of people to become unwell.

As expected, our household didn’t manage to avoid them this year. By Christmas I had been lulled into a false sense of security thinking this was the first year since the boys have been born that we hadn’t been struck down with some sort of major illness. We had skated by with Just running noses and the sniffles. I hadn’t even needed to give the boys their inhaler via the asthma protocol the doctor had put in place. Oh how wrong could I have been? This twin mammas household was struck by the dreaded Norovirus.

First came Lewis, then Logan then hubby and I. It was absolute hell and we are now only beginning to come out the other end of it. Keep in mind we are on 7th January!! 13 long days of at least one of us being ill. As per usual, poor Logan seemed to take up the lions share of this time. For the past 2 winters he has been admitted to the children’s ward at Wishaw General Hospital due to dehydration for a fluid challenge. I know you are all thinking – Well why didn’t you just fluid challenge him at home? For those of you who don’t know a fluid challenge for a child of his age is 5ml of water every 5-10 minutes. We do this each and every single time he is ill with a vomiting or diarrhoea bug such as Norovirus, but this poor wee lamb normally can’t even tolerate a few mls of water in his stomach. Luckily this time we managed to avoid an admission by the skin of our teeth. I am so grateful we weren’t admitted for a few reasons. The obvious being it’s best to keep him home and also our local NHS along with many other trusts are in a state of crisis at the minute. They are experiencing even further staff shortages due to this and many other bugs hitting their staffing levels hard. Visitors were turned away through the week as wards went on lockdown to prevent visitors passing bugs onto staff and of course vulnerable patients.

The above picture does make me giggle though. I am a nurse and never in my days have I ever seen 3 people cleaning a bed! Even on a deep clean protocol.

So what can we do to prevent bugs from being passed to each other?

• Wash your hands thoroughly after going to the toilet. Ideally, use liquid soap in warm running water but any soap is better than none. Dry properly after washing

• If a potty has to be used, wear gloves when you handle it, dispose of the contents into a toilet, then wash the potty with hot water and detergent and leave it to dry

• Don’t share towels and flannels

• Don’t prepare or serve food for others

• Regularly clean with disinfectant the toilets that you use.

• With hot water and detergent, wipe the flush handle, toilet seat, bathroom taps, surfaces and door handles at least once a day. Keep a cloth just for cleaning the toilet (or use a disposable one each time)

• Stay off work, school, college, etc, until at least 48 hours after the last episode of diarrhoea or vomiting

• Avoid contact with other people as far as possible during this time

Excuse the pun but sending your children to nursery when they are ill is a real bug bear of mine and other preemie parents. My boys return to nursery next week and I am terrified that they catch something with their immune system already being compromised. 48 hours after the last episode of vomiting or diarrhoea is essential to stop the virus from spreading to other children and staff. I know people worry about their sick time at work and we don’t live in an ideal world but it seriously upsets me when I see staff at the boys nursery unwell with the cold etc. To the point I have actually said to the nursery manager and her reply is normally that staff shouldn’t come in when unwell but if they do they are kept away from the children. Again, I know this to be untrue as the staff numbers incorporate everyone and breaks need to be covered etc. I just hope and pray that their hand hygiene is top notch as I don’t want my boys ill. Last March Logan was blue lighted to hospital as he was so wheezy and exhausted he had a blue pale complexion and was floppy. A common cold for him had progressed into the dreaded RSV. So please, please, please keep your children away from nursery if they are unwell. Even if you use nursery as your childcare provider. It is time to be less selfish and think of others.

If you are unwell:

  • Stay at home – gp surgeries and hospitals cannot offer any treatment to deal with these common bugs. Unless complications arise.
  • Drink plenty of fluids and stay hydrated. Use rehydration sachets if need be.
  • Take paracetamol to combat any fever you may have or the general aches and pains you feel when unwell.
  • Rest as much as life and your circumstance allow.

As always: Stay Cool.

Scottish Twin Mamma

%d bloggers like this: