4 Weeks Post Op + Occupational Therapy + Lamictal

4 weeks post op:
Charlie Claire's incision is healing awesome.  The day of her surgery when they removed her breathing tube the tape pulled off a tiny bit of skin from C's face and that mark actually looks worse than her incision.  Strange.

OT:
Miss April came today for her first session with Charlie Claire. We have a pretty big list of things to work on with April.

One thing we started on today is trying to get Charlie to self soothe herself, she gave up her pacifier in October and currently, I am her "lovie". However, I can't always be with her and she needs to find something she can use to calm herself. For the most part Charlie is super laid back and doesn't cry often but of course there are times when she gets upset. We also have some sensory things to work on with April so we started on those today as well.  We did some movement things to get a baseline of how C reacted to it and then worked on started to get more textures in her hands.  I have a feeling that April has her work cut out for herself with Miss Charlie Cakes but I am SUPER excited that we are working with her!

Lamictal:
2 weeks ago when we had C's post op appt they did blood work so we could get a lamictal level. However, the blood draw was about 6 hours after Charlie Claire got her morning meds so the level was at it's peak.  The neuro wanted to get another level when the lamictal would be more towards the low end so we had to go for more blood work.  Awesome. The low level came back at a 6 which on the lamictal scale is still fairly low.  However, the past few days Charlie Claire has had A LOT of seizures. We talked to the neuros office today and Dr. M said that the increase in seizures could actually be from the lamictal.  We won't know though until we increase the dose. So, tomorrow morning we will be upping C's lamictal and if her seizures get worse then we will know that the lamictal is contributing and we will need to take her off of it.  If they get better than the lamictal is working and we all would be SUPER DUPER HAPPY!