Feeding Therapy Success

As I mentioned in a previous post, my son has officially been discharged from his feeding therapy.  It's amazing to think that this time last year he was still eating only stage 2 baby foods and yobaby - and pretty specific flavors at that.  If you tried to put any regular food on his plate he would scream and cry and refuse to touch it.

While he is still technically a picky eater, he probably eats more variety than his sisters did at his age.  For dinner in the past week he's had chicken, shrimp, italian sausage, and beef.  He loves raw carrots, and has been willing to try pretty much anything we put on his plate.  Last night's cheesy zucchini rice was a surprising hit.

Admittedly his breakfasts and lunches are still very much in the "beige" category of typical toddler fare - pancakes for breakfast, peanut butter or cheese sandwiches for lunch.  I insist that he eats some sort of fruit or veggie with every meal and he often chooses applesauce, but since I get the no sugar added variety, I'm ok with that.

My advice to anyone who has a kid like this who is over 2 years old, has hit all the other usual developmental milestones, and still refuses to eat table food, get some help.  For a while my pediatrician and I pushed it off as something he would grow out of, but honestly it would have taken a long time and possibly affected his future growth if we hadn't gotten some help.  He had a strong gag reflex which created a psychological fear of eating.  My husband insisted this was a first world problem and I was enabling him by giving in to his food requests.  While the first part of that is probably true,  I was never so sure about the second.

When I brought him in for his 2 1/2 year well check the pediatrician recommended trying feeding therapy. Once diagnosed he was prescribed a 8 week feeding group with other kids with similar issues, as well as weekly in home visits with a therapist.  Thankfully, most of the cost of that was covered by the state until he turned 3 - in our case Illinois - I don't know if every state covers it.  We did have to pay a small monthly fee (based on a sliding scale of income).    After he turned 3, the state stopped covering the weekly therapy (we only did one session of the group therapy), but insurance still covered a large portion of the cost.

In the beginning stages the therapists would just have him play with the food, and the more he tolerated the more they encouraged and gently pushed him to go further.

Some weeks he refused to do anything, other weeks he happily did whatever was expected of him. The main thing was the therapist made it fun coming up with silly games to get him to try the food. Finally he started eating - at first tiny nibbles, but over time he would take bigger and bigger bites. Once he was comfortable with the mechanics of chewing it became less about play and we worked on getting him to try more flavors, encouraging mixing things together. For example instead of just eating scrambled eggs, make an omelet using cheese we knew he liked and adding one more ingredient. Once you find something they like, change subtle things about it to encourage trying new things.

After about 9 months of therapy he built up to about 30 different foods that he likes (10 fruits & veggies, 10 proteins and 10 carbs), and he was ready to be discharged. He does still occasionally refuse to try something new, but now it's just typical 3 year old stuff, and I know that if he doesn't eat his dinner, he'll make up for it the next day at breakfast and lunch. I've also told him that the more dinners he tries and likes the sooner he can get a night of the week where he chooses our dinner just like his sisters get.

Moloka'i

My in-laws lived on O'ahu for a number of years so I was lucky enough to travel to Hawaii 4 times and able to visit the main islands on those trips. I never made it to Moloka'i though I was always intrigued by the history.

Anyone who has been to Hawai'i has probably heard that Moloka'i used to be a leper colony and that is the focus of this story. It's historical fiction starting in the late 1800s in Honolulu. It tells the story of Hawai'i through the Kalama family (but mostly the daughter Rachel).

Rachel contracts leprosy at the age of 7 and after a quarantine on O'ahu she is transferred to Moloka'i. On O'ahu she was still able to have her family visit on occasion, moving to Moloka'i makes visits difficult and expensive . Upon arriving on Moloka'i, Rachel sees leprosy patients who are far more advanced in the illness than she is. She is both repelled and scared of them, as she hadn't seen anyone so advanced in the illness before and worries about her own future.

Over time Rachel settles in to the routine of the hospital and befriends some of the nuns working as nurses. She is both fortunate and unfortunate to have a very slow progression of the disease so sees people younger than her pass, but also forms strong bonds with some of the long term residents of the island (healthy and not).

While children are required to stay in the hospital until they are 18, after that they are allowed to leave the hospital as long as they stay on the island. Not long after Rachel is allowed a little more freedom, a young Japanese/Hawaiian arrives on the island. They fall in love but are still exiled from their families and have a hard time feeling that their lives are complete.

I always enjoy well researched historical fiction, and this was one of those books.  While Rachel does have a rough life, this is not a depressing book.  There is humor, and the compassion displayed by many of the characters is heart warming.

Christmas Traditions

I'm posting about my favorite Christmas tradition over at Chicagoland Moms Blog today.  Click on over and check it out.  What is one tradition you enjoyed as a kid that you are contributing for your own kids?