Tuesday, April 16, 2013

Early Intervention Re-Evaluation

As preemie twins, the boys qualified for Early Intervention (EI) when they first came home from the hospital.  The company/group in charge in Watertown was Thom Child and Family Services: Charles River.  They sent a team out immediately after the boys were at home, and fortunately (or unfortunately, depending on how you look at it), the boys were offered services because they were evaluated on their actual, not adjusted age. So, for example, at an actual age of 3 months, the boys were actually JUST 1 month adjusted because they were born 2 months early.  It's confusing, but anyway, we loved their service provider Anita.  Anita came very week--reliably--and got to know both boys because she worked with them both.  She was a valuable source of advice regarding their adjustment to daycare and my return to work after maternity leave.  After I wasn't home anymore, she visited the boys at First Step, their daycare in Watertown.  I could even watch on the daycare cameras to see what they were doing on a particular day.

When we moved to Bridgewater with my mother, we had to switch EI providers.  Now we have BAMSI, and I'm not nearly as impressed with their services.  The boys each have their own provider, and the consistency hasn't been great due to sick days on their part and on our part.  They go to the daycare and used to not believe what the teachers there would tell them about things that they did or were capable of doing.  But at the end of the day, I guess they need to see things themselves to be able to believe them.

When the boys switched to the toddler room, we asked to switch times.  The providers were visiting at 1:30, and that's right in the middle of their nap in the toddler room.  In order to switch times, we had to switch providers.  So both boys are now on their third EI person.  Not ideal.

It turns out that the boys were up for their yearly re-eval (to see if they qualify for another year of services) in January and we all missed it!  Honestly with the move and ear infections, it was the last thing on my mind.  And BAMSI completely forgot about it!  So now it's time for them to be reevaluated and see if they still need services.  This comes with mixed feelings once again.  On the one hand, I don't want them to qualify because that would mean that they are doing find and are completely caught up to a full-term baby.  On the other hand, I sort of want them to qualify.  There used to be a yearly fee for EI, but it has been waived, so the services would cost me nothing.  And I am a bit worried about their relative lack of speech, so having someone monitor and facilitate their progress wouldn't be a bad thing.

A whole team of experts will come to the house tomorrow.  We'll see what they have to say.

On an unrelated note, I got a call from the daycare today at around 9:45.  The boys both had diarrhea--of the very explosive kind.  Sebastian had gone 4 times and Adrian 3 by the time they called.  Needless to say, we had to go get them.  Of course, Carlos and I were both really busy today.  Because I'm taking part of Wednesday and Thursday off to handle the EI re-eval and also take them to the ENT doctor for a follow up after their tubes, Carlos had to leave work, pick them up, and stay with them the rest of the day.  I don't think his boss was too happy, but there is not much we can do--we have to share the responsibilities evenly since we both work.  Neither boy had a fever--we think it was just something they ate.  Adrian seemed better by evening, but Sebastian we are still not sure about.  Always something!!!!!!

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