So, I don't remember if I told you guys about how Andrew's appointment on 9/22 was cancelled and I didn't find out until I got there because the doctor had to leave to get her child from daycare. Anyway, then I had to chase Andrew around the clinic (it's huge) for a freaking hour waiting for my hubby to come pick me up.
So, because of the aforementioned, we were going to not reschedule the appointment--we figured screw it.
Well, on Friday I decided to call to see if I could get him in and they could, on Monday (yesterday) right away at 8:00. So I took the appointment (and then asked my boss if it was okay to take a couple hours off in the morning for this appointment--he obliged, even though it was timecard Monday--a co-worker agreed to start them for me).
Anyway, we get to the appointment and I am surprised to be the first and only one there, but yeah, it was 8:00, so that makes sense. Andrew happily headed over to the [hopefully non-swine flu infested] table with the beads on the windy wires. After getting checked in, I sanitized his hands, as well as mine, and turned on Sesame Street for him (hoping to keep him from running away). Apparently Mr. Andrew is really good in the morning because he sat right by me. They called him back just a minute later and after we got him weighed (almost 27 lbs.) and lengthened (lol -- about 36"), took him back to the exam room.
Dr. H came in and introduced herself and told me her background--she specializes in infant and toddler behaviors and has some sort of psychiatry background.
She asked me some questions about him and observed him playing with some toys. He had three temper tantrums (or something like that) while we were there, but I didn't really care because I wanted her to see the worst possible scenarios so she could offer her advice.
She said when he bangs his head, she observed him looking to me for my reaction. I need to completely ignore it when he does this and only if safety is a concern (like when he bangs it on the concrete driveway, which he has done in the past), can I move him. Don't acknowledge him, but move him to the grass. If he is doing it in the house to the point of injuring himself, it's okay to throw down a blanket for him to bang onto but don't acknowledge the behavior.
She said he actually does play pretty well and is normal for his age. (No, my son doesn't sit and play for hours like some kids can, but it is not a reasonable expectation to think that 2 year olds will play independently all the time.) She said he was sitting nicely for up to 5 minutes at a time and that is very good.
She had me push the button to have the assistant bring in more toys for him to play with and of course Andrew wanted to keep pushing it (holy tantrum #1), saying, "dowah"--his word for "light".
I am to ignore his tantrums. Don't even look at him. If I'm in a store and we're going through the line and he throws one (this happens often when the cart stops), ignore him and the moment I notice him start to calm down some, give him some physical acknowledgement--a hand on the knee, for instance. When he calms down all the way, calmly praise him and tell him how good he is being.
When he throws toys (or any other item for that matter--he does this often), ask him to pick it up and bring it to me and hand it to me gently. Place my hand over his and show him "gentle", pass it back to him and let him do this 3-4 times, praising him the entire time for being gentle.
I am to offer him more choices. For instance, if we are picking up toys, say, "Andrew? Would you like to put away the green ball or the blue ball?" Bring the toys to him if need be, encouraging him to help.
We should also start open cups with him, just filling it 1/4 of the way with liquid. I can give it to him at the start of the meal and have him practice drinking out of it and setting it down on the table. If it spills, it isn't a ton of liquid. (Mr. Andrew always throws his sippies when he's done with them.)
All in all, a very good appointment. It was good to tell my hubby that Andrew is a normal two-year old, not a naughty one bound for an ADHD diagnosis and lifetime of medication. :)
We will recheck in 5 weeks and see how he has progressed.