Re: Pediatric OSA/bronchoscopy
Posted: Mon Dec 21, 2015 9:28 pm
[[HUGS]].
I think your pediatrician is full of baloney about the sleep deprivation and apnea not affecting growth and speech. OF COURSE IT IS. When he is properly treated, his development will explode--keep that in mind as it's going to be fun to watch. He will grow, his tone may improve, his speech may increase by leaps and bounds. As tired as you are, he's working even harder because he is oxygen deprived when he does sleep and probably has no restorative REM sleep at all.
As a retired OT, I say TAKE the OT referral. The OT can help in so many ways (assuming you get a good one!). The OT can help with sleep positioning, with muscle tone and physical skills, and sleep skills. Did you know that self-soothing and going to sleep are skills a baby can learn? So you may get some help there. Don't expect a lot of progress in that area, because until the apnea is properly treated, he's not going to ever be an easy sleeper. But any improvement, however small, is better than none. So it's worth a try. And if you get an order for CPAP for your son, the OT will be great at ideas for helping your son adjust to the sensory issues of dealing with CPAP and with adapting his equipment when it's hard to otherwise get a perfect fit. Unless you get a lousy OT, OT will be a help.
The one caveat I can tell you as a person who also wears the mom of a special needs child hat--the OT doesn't have to be there all night with your little one and listen to him scream. Keep an open mind about suggestions the OT has, but don't let that override your mom instincts. Mother DOES know best. But at least give reasonable suggestions a fair try (even if you have already tried them), because it's worth it to see what helps. And don't hate an OT who is trying her best to give you some help in a difficult situation.
And don't stop there. KEEP the pressure on these docs to explain what the plan is and maybe to get CPAP going until they figure out what's wrong and a way to treat it. Go in with eyes open that it may be even MORE difficult to get him to sleep with CPAP--at least until he gets used to it. But maybe not. You won't know until you try.
I think your pediatrician is full of baloney about the sleep deprivation and apnea not affecting growth and speech. OF COURSE IT IS. When he is properly treated, his development will explode--keep that in mind as it's going to be fun to watch. He will grow, his tone may improve, his speech may increase by leaps and bounds. As tired as you are, he's working even harder because he is oxygen deprived when he does sleep and probably has no restorative REM sleep at all.
As a retired OT, I say TAKE the OT referral. The OT can help in so many ways (assuming you get a good one!). The OT can help with sleep positioning, with muscle tone and physical skills, and sleep skills. Did you know that self-soothing and going to sleep are skills a baby can learn? So you may get some help there. Don't expect a lot of progress in that area, because until the apnea is properly treated, he's not going to ever be an easy sleeper. But any improvement, however small, is better than none. So it's worth a try. And if you get an order for CPAP for your son, the OT will be great at ideas for helping your son adjust to the sensory issues of dealing with CPAP and with adapting his equipment when it's hard to otherwise get a perfect fit. Unless you get a lousy OT, OT will be a help.
The one caveat I can tell you as a person who also wears the mom of a special needs child hat--the OT doesn't have to be there all night with your little one and listen to him scream. Keep an open mind about suggestions the OT has, but don't let that override your mom instincts. Mother DOES know best. But at least give reasonable suggestions a fair try (even if you have already tried them), because it's worth it to see what helps. And don't hate an OT who is trying her best to give you some help in a difficult situation.
And don't stop there. KEEP the pressure on these docs to explain what the plan is and maybe to get CPAP going until they figure out what's wrong and a way to treat it. Go in with eyes open that it may be even MORE difficult to get him to sleep with CPAP--at least until he gets used to it. But maybe not. You won't know until you try.