Okay, I think I have my thoughts somewhat organized now. We'll see what comes out on my e-paper here.
Annie, as you know, is not yet walking and has never crawled. She's 13.5 months old now, and apparently this is a problem.
Anne is part of the Follow-Along program, a program from our local public health department. Every 3 months they send us questionnaires about what she is doing and we fill them out. Up until the 12 month survey she was doing just fine. However, on the 12 month survey she could not do
any of the gross-motor activities they suggested. Because she scored low, the public health nurse followed up with us, and she referred us to the pediatric physical therapist in our school district. They set up a home visit and came to see Anne last night, along with the new-case manager from the Family Center. (It was nice because I know them both, but it was still kind of weird)
They watched Annie scoot, stand, and play. As they watched we talked about the assessment process and what they plan to do next. The PT believes Anne has a "significant delay" in her motor skills and so we are going to have a formal assessment done after Thanksgiving. This involves 3 more home visits and lots of questions about her movement.
If her test results show a true delay (as compared to other children her age) we will make a plan for regular physical therapy until she turns 3. They did comment that Annie seems
advanced in all other areas: social skills, verbal skills, fine motor, etc. We talked about how she never liked to play on her tummy and the fact that she is a "content sitter" meaning she is happy to sit and play with her toys and isn't super-motivated to move. They also commented on how shaky her standing is and the fact that she still walks on her toes sometimes. All in all it was a nice visit, but there will be much more to learn and do after Thanksgiving is over.
The Mom Perspective: It was a weirdly emotional thing, to have these 2 experts in my house analyzing my kid. I wanted to say "She's fine! She'll get it! She can't be advanced in
every area, can she? Something's gotta give if she talks this much." I'm sure lots of kids don't walk right away at the time they turn one. And of course, being in education, when you hear the word "delay" you think "developmental delay" and then you think "special ed." and it makes you panic. The PT said "She's very smart, and that makes me think something (physical) is keeping her from moving. It's not that she can't figure it out, it's that something keeps her from doing it." Great, so she's deformed or something?!?! Or something is hurting her every time we put her on her tummy and that's why she cries? Maybe there's some weird spinal fusion or attached tendon or God-knows-what and she can't move her legs like she should?!?
What is most upsetting is this: More likely than not, she is totally fine. She's making progress each day and is doing WAY more than she was a month ago. So this emotional freak-out is probably completely unnecessary. But this is parenting, I guess: the hyper-analysis of everything, the attempts to take care of your kid that backfire on you (it was good to have her followed by public health, it was good to ask the doctor questions about her walking, it was good to be referred to specialists, but now I feel like crap.) It is trusting God to take care of your kid when you have done everything you can and still don't know how it is going to turn out.
To end on a happier note, she was very charming during the home visit. She stood at the coffee table, she scooted, she signed for "milk" and then drank from her cup. She opened her book, turned the pages, pointed at and said "ball". She sucked her thumb and snuggled and demonstrated "where are your socks?" a number of times. She really is a gem.