Today started out with a gross motor skills assessment. Well, David got a serious case of the "no"s at the beginning and pretty much refused to do anything. We really had to push to get him to do anything, like run. And, honestly, compared to children his age, I know that he doesn't do as much physically as others. So, it looks like he's either right about on target or about six months behind on most of his big physical skills. Some of the major things we need to work on are walking up and downstairs by himself, standing on his tiptoes, and jumping.
Then we did a food challenge for salmon, which David passed.
We also had our clinical review today. That's where all the medical providers involved in David's care gather together to update us on his condition and test results.
We got all the test results on the specific foods David is allergic to. Nothing has dropped enough that we can food challenge, but it looks like, if David continues on pace, that he may be able to eat wheat, dairy, and eggs in appoximately 2 to 3 years. We also won't need another visit like this for at least 18 months, instead of a year, which will be a nice break. David's doctor was very positive about all of David's test results and seemed very optimistic about David outgrowing almost all of his food allergies (nuts being the one exception).
He also warned us that although David hasn't developed any environmental allergies yet that it is just a matter of time. He will probably develop some sensitivity to grass and trees. Which really isn't so bad because that is all much more treatable than food allergies. With his current pet allergies, our current best course of treatment is to continue to give him Zyrtec when we know he is going to be exposed to animals. It seems to work very well.
With his lungs we will be able to cut back on his nebulizer treatments to once a day (he's now on a twice a day treatment) unless he is sick. This is particularly reassuring to me because I was feeling like David was a little over medicated.
David has also been assigned a psych/social care provider. She added that she has no concerns about David developmentally. She and David's doctor both agreed that David is a thriving and happy child. Of course, as his mom, I think he's the best child ever born, but it's always nice to get confirmation of that from unbiased sources.
We don't have appointments at National Jewish over the weekend, so we are planning on relaxing, perhaps going to one of the malls and maybe a museum. But mostly, just relaxing and letting David get a nap...something he really hasn't gotten this week. It looks like we may get discharged as early as Tuesday, but most likely by Wednesday, since David is healthy the only things left to do are more fish challenges. We are looking to challenge crab and tuna for now.
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