We met this team prenatally so I knew who were going to be seeing. I absolutely love the team nurse Pam. She is has a ton of experience not only with cleft babies but is an OT and was a nurse in the NICU for many years. Babies are her thing and you can tell in the way she talks about them. She helped me understand what it is like for a baby with cleft palate to eat. She explained it like this: It's the same as someone trying to drink out of a straw with a hole in it. Makes sense. Pam came in and I asked her how her holidays were. She had let me know not very good because her daughter just had a stillbirth. There was a knot in the cord and it was wrapped around the neck three times. As soon as they cut the cord, the babies heart stopped beating. My heart goes out to Pam and her daughter. This story made it a little hard to focus on the appointment because I could tell Pam was hurting. She went on to weigh Cooper. According to their scale Cooper lost a few ounces since his January 3rd pediatrician appointment. This was very surprising to me and disappointing. I thought for sure he was getting bigger. They asked how much and what he was eating and I let them know he was eating two ounces every 2.5-3 hours and that he was eating well. Also, that I was feeling very confident in my feeding skills using his special bottle called the haberman (a $27 bottle) The team informed me that they weren't concerned with his slight drop for two reasons, 1) Because it's a different scale then at the doctor's office, and 2) The amounts he eats seems more than enough. But of course I was very bummed. The plastic surgeon came in and went right to checking out his mouth. He informed us he was going to talk around us for a minute while he discussed Cooper's palate with what looked like a young new doctor. He did not start up a conversation with us and give us the low down on Cooper so I just started asking questions. He let me know his palate was pretty wide but just like the lip he will be able to use what's in his mouth to pull everything together (so to speak). Since Cooper was born at 34 weeks gestation his first surgery (the lip) will most likely be pushed back to April. There is no "cookie-cutter" way about any cleft surgeries since they are all different cases, so for Cooper's case he just needs to get bigger before he can be operated on. We will go back in March to check on his weight progress and depending on that appointment, they will schedule a date for his lip repair. Most likely it will be towards the end of April. He will also straighten out his nose.
I'm gonna not be PC for a moment and say doctors are weird. I'm sorry if I'm offending any doctors but even Mark felt the appointment was just odd. I guess I just expected Cooper to be assessed and then you get explained to regarding his situation and the plan of attack. That didn't really happen but I still got those answers because I asked the right questions. Cooper's palate may need more than one surgery to repair and he will need some sort of bone grafting once his teeth come in (or don't come in). I also asked about speech issues and he again let me know it's just something we won't know until he starts talking.
I'm getting the hint that there's just not much of a way to be proactive and that these issues are going to just have to be dealt with as they come up. Cooper's cleft is not as severe as others so for that I'm grateful, but it's also not the best case.
This makes me reflect for a minute. I have never been one to sit back and wait, I've always gone after anything and everything I've wanted usually succeeding (partly because of dedication and drive, partly because I'm spoiled and tend to get what I want.) I also enjoy having control. More like, I can't stand NOT having control. So here is God...giving me these obstacles out of my ordinary, testing my character, forcing me to learn, grow, and overcome.
Cooper's journey for Cooper will be a big part of shaping his character as he grows and goes through each surgery. He won't know life any other way. Cooper's journey for mom is a testing one and a learning one. One that I think so far...I'm doing okay. Like I said, Cooper is still a boy, a child, he will be treated just the same.
Here's to trusting in a higher power and the plan for all of us.