I thought it was about time I did a full update on Patrick's development so you have some idea of where he's at. It's easy to look at the photo's and see a healthy little boy who happens to have epilepsy. There's a lot more to him than that.
Patrick although seemingly thriving is still very far behind with his development. I read a book recently called 'How to rescue brain injured children' written by the founder of BIBIC which is another Brain Injury clinic in Somerset. Brainwave, the centre we are taking Patrick to was born out of BIBIC when some therapists thought that the BIBIC's regime of 6-8hrs of therapy a day was a bit extreme. Anyway. In this book it has pages where the development age of the child is measured by assessing various abilities, looking at this information, Patrick's development still seems to vary between 0-6 months.
Mobility is one of his worst area's as by 3 months of age a baby should be able to 'creep' on their stomach and move around. Patrick is now nearly 17 months and only just has voluntary movement of his limbs and this isn't very coordinated. Patrick will lie on the floor and kick his legs and flap his arms around like a newborn, he can get his hand in his mouth when he wants to but he can't reach for a toy very well (this is partly due to his muscle tone in his arms). He can roll over, which is progress but can't hold his weight on his arms so being on his front is hard work for him.
Patrick's Motor skills are poor, his hands are particularly tight, and are often clenched in a tight fist. Looking at the book his hands are only just on par with a newborn. He has a grasp reflex but his hands are often closed too tight, he will grasp our fingers but not for long, likewise, you can place a thin object like a rattle in his hand and he'll hold it for seconds before losing his grip and launching it.
His language skills are like those of a 3 month old, he can cry although he doesn't and he can make some vowel sounds 'aaaarrrhhhh' is his favourite at the moment. He is just starting to use 'M' and 'N' sounds but these just come out randomly, he isn't able to communicate what he wants, although his tone changes if he isn't happy so we have to listen to that and try and establish when he's not comfortable or if he's hungry, it's all guess work really.
Patrick's vision and auditory development are both good, he focuses well and will fix and follow on a moving object. He has good hearing and will respond to different sounds, e.g a sudden loud noise will make him jump, and he'll turn his head towards a sound. What is difficult to measure is Patrick's understanding of what he sees and hears. If we showed him a picture of our car, I'm not sure he would understand that it is a car although he goes in the car most days. We talk to him all the time about what we're doing but it's impossible to tell if he understands what we're actually telling him. Patrick just goes with the flow.
This all sounds a bit negative although that wasn't my intention, I just wanted to try and get across how Patrick is besides the epilepsy. Most people who read this blog don't get to see Patrick very often at all and those who do, usually see him asleep! With all the development issues it's hard to imagine that Patrick would be able to have such a character but he does. Patrick is very laid back and is a very happy little boy. He may not be able to communicate his needs but he has the most cheeky smile and finds almost everything amusing. Every morning Patrick wakes up at around 5am (or earlier) and starts the day by singing 'aaaarrrggghhh' at the top of his lungs, he'll have a few fits in between and as I refuse to function before 7am he'll lay there quite happily until we get up. As Patrick sleeps right next to me in his cot at 7am I get him out to give him a cuddle and as soon as I pick him up he starts laughing (this is usually accompanied by a large bout of wind!). He never cries unless he is in pain, and the lightest kiss on his nose can have him in hysterics, he'll lay on his bean bag blowing raspberries and clapping his hands while we run around fussing about, and despite all his problems he doesn't have a care in the world. We are satisfied that we are achieving what we set out to, which was to do all we can to make Patrick's life enjoyable and to help him reach his potential. Well, Patrick certainly enjoys himself in spite of his limitations and with the increasing amount of physio and the introduction of the Brainwave programme later in the year, hopefully we'll be well on the way to discovering what Patrick's full potential is.
So, hopefully that has given you a little bit more of an insight into Patrick's world. We are off for our break at Naomi House on Tuesday, we are looking forward to the rest but are also getting nervous as we're so used to having Patrick with us 24-7. It may sound silly as Patrick is only in a separate room and we're not really abandoning him but I feel so guilty already at the thought of putting him to bed and not being there when he wakes up. I'm sure after the first night we'll be fine and will wonder what all the fuss was about!
Note from Martin
We are delighted to announce the imminent arrival of a new addition to our family - OUR NEW VAN YAY! It is due to arrive on 8th July and we can't wait. Isaac is particularly excited about it and is planning what he is going to have in it for his comfort! Billy has cottoned on to the fact that he could earn a fortune by ferrying his pals about on a weekend. One of the words Gemma used in response to that idea was off. Lol.
Me? I just want a fridge to keep my Yorkie from melting.
Anyone got an old CB radio.................................? Breaker breaker......etc.......!
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