Archive for January, 2010

Once upon a time…

January 31st, 2010

PICT0007 edited

… There was a sweet little boy who spent his first night home from the hospital.

PICT0002

He was a little burrito.

PICT0008

And he was only 3 days old.

PICT0094

Then, over time, this little boy grew in size and strength.  And without asking permission…

PICT0092

He broke out of his single-layered burrito.

So, he graduated…

PICT0085

To a big double-layered burrito.

PICT0112 edited big

And every time his layers were unwrapped…

PICT0073 edited big

He would streeeeeeeetch.

PICT0104 edited big

And ruuuuub.

PICT0103 edited big

Both eyes.

PICT0135 edited big

And smiiiiile!

PICT0156 edited big

Then his big brother would jump in for lots of laughs.

PICT0126 edited big

He was only 5 months old.

PICT0033

Then one day,

PICT0032

Without asking permission again,

PICT0015

He broke out of his double-wrapped burrito.

PICT0011

He was just too big and strong.

So, he graduated…

PICT0024

To an extra large sleep sack.

PICT0034

He was only 5.5 months old.

PICT0086

And the little burrito and stretching and rubbing was gone.

P1020235

Then one day,

P1020236

Without asking permission again,

P1020234

He rolled over at nap time.

P1020237

And everything changed again.

P1020247 cropped edited big

He was only 7 months old.

P1020249 cropped edited big

And he was adorable.

PICT0008

But my heart still aches.

My Greatest Accomplishment

January 30th, 2010

(Note: All names are changed whenever I talk about work).

Last week, I mentioned that I’ve cut back to working just one night a week and I really love it.  It’s just enough, yet not too much–you know what I mean?

I have just two clients and I love them both.  We’ve developed great rapport and they’re both smart, engaging and hard-working little kids.  We have a good routine going and I’m usually able to keep my work time down to exactly 2 hours.

Then a couple weeks ago, I was thrown a curve ball…

“Pediatric Therapy, this is Janet,” the front desk aide answered.

“Hi, Janet, it’s Heidi,” I replied, making my routine call in to the clinic before work that evening, “How do things look for me tonight?”

“Hi, Heidi!” Janet said, “One of your clients had to cancel, so we found a fill-in client.  Do you remember Jared?  You did his evaluation a couple months ago.”

“Jared, yeah, I remember him,” I replied.

“I’ll pull his file for you to look over when you come in,” Janet offered.

“Thank you, that would be great!” I smiled.

As I drove into work later that evening, I tried to remember what I’d recommended for his treatment goals.  I recalled that Jared had a cleft palate at birth that had been repaired through surgery.  But he still had velopharyngeal insufficiency (or VPI).  This VPI allowed air to escape into his nasal cavity during speech which decreased the loudness level of his voice and made it sound hypernasal.

Aha! I remembered, Loudness level!

I had written goals for Jared to produce more loudness when speaking.

After reaching the clinic, I entered my office and gathered a few materials for our session.  Then Jared arrived and we chatted for a bit until I introduced our goals for the session and we began therapy.  Jared worked well for me and steadily progressed through the increasingly difficult speech tasks I presented.

Toward the end, I pulled out one of my favorite speech tasks:

P1010354 edited big

Heidi’s Question Jar

It’s a jar of random open-ended questions that I save as one of my more “difficult” speech tasks.  For this task, the child has to mentally process and answer an open-ended question while utilizing their new skill at the same time (in Jared’s case, this new skill was speaking with more loudness).

As I read the questions outloud to Jared, I silently reflected on what I would answer if someone had asked me these questions…..

P1010361

Oooh, I wish I could remember everything.  Everything about my entire life.

P1010360

Really, really cold.  You can always put more on, but you can only take off so much.  Plus being hot makes me cranky.

P1010359

Ha!  What do I NOT worry about?

P1010358

Hm, I’ve never thought about that before…  Huh, I think right here.

P1010356

Wow.  What a great question.

If I’d been asked this question three years ago, I don’t know what I would have said.  But it probably would have had something to do with my education or career.

But now.  When I read this question, the answer is immediate and absolute.  And priceless.

P1000972 fixed more contrast black

Them.

Twitter Updates for 2010-01-30

January 30th, 2010

  • "Mommy?," Bubbers said, "Tew me about Wady and the Tramp and how they ate sgabetti and meatbaws." #
  • I feel a mite guilty for enjoying my two ill children. They're just sick enough to be cuddly and sweet, but not so sick to worry us. #
  • Updates
  • Comments Off on Twitter Updates for 2010-01-30

How to make egg salad sandwiches (by the Bubbers King)

January 29th, 2010

P1020201

Hi Everyone! Guess what??  We made egg salad sandwiches today for lunch and boy do I love those!

P1020204

And if you don’t mind, I’d love to show you how I help make them.

P1020203

Oh! And if I look paler than usual, it’s because I’ve been under the weather, but hopefully I’ll be on the mend soon…

Okay!  Now who wants to help Mommy??!!

P1020037

I…

P1020038

dooooooooooo!!

P1020138

So, first!

P1020140

Mommy hands me an egg.

P1020141

Thanks, Mommy!

P1020142

(Howy mackerew!  Wook at those cute wittow fingers!!)

P1010942

Hooray!  Now, if only I could eat you now.  But Mommy says no.

P1020061

Isn’t that right, Mommy?

[Yep, it is!]

P1020063

Aww, hi there wittow egg!  I’m gonna swice you and eat you, okay?

P1020066

Okay!

P1010959

But don’t worry.

P1010947

I’m very careful.

P1020076

After that, Mommy takes it and turns it.

P1010936

Is everybody catching all this?

P1020115

You are?  Good!

P1020110

Because then Mommy gives it back to me!

P1020067

For more slicing!

P1020074

Whoo-wee!  Would you wook at that!  I think it’s time…

P1020088

For a taste test!

P1020177

Or two.

P1020179

Or three.

P1020165

Or twenty!

P1020181

Oh man, this is the life.

P1020027

Uh-oh…

P1020025

Whatzat?

P1020094

Are you trying to take my egg??

P1020096

Noooo, Mommy!!

P1020020

Well, folks.

P1020017

As far as I’m concerned…

P1020013

My story is finished!

P1020216

So, thanks for joining us!

P1020223

And don’t forget to bless it!

P1020222

With a yawn. :)

Next »