Birthdays, Hospitalizations, and Apraxia of Speech, Oh My!

It's been a while since I posted an update primarily because, well, like the rest of you, life gets crazy. Our crazy the last few weeks looked a little something like this:

ACT ONE
Sheridan celebrated his 2nd birthday and had an awesome party (that will get it's own post, thank you very much), but Gary was in the hospital and missed the party because... (drum roll please)

ACT TWO
Gary's appendix burst and it wasn't removed until 24 hours after it burst. Cue rampant infection, sepsis, almost dying (surgeon said if he had come to the ER even 30 minutes later he would have died), Sheridan developing behavioral issues because he missed his daddy so much, me trying to keep Sheridan's life as normal as possible (even though he would wander through the house to our bedroom calling "Dada" and "Daddy" looking for Gary), me trying not to pull my hair out, craziness. (A quick shout out to my family, my sisters, and one - make that two and three - close blogging friends from around the country for helping me survive the near loss of my husband - much love to you.)

After two weeks in the hospital Gary came home on antibiotics (the infection wasn't gone but the doctors had no better plan).

One week later he went back in after spiking a fever because his infection grew (despite 3 weeks on antibiotics) and he had another procedure to try to clean out/drain the infection.

Now he's home again (with a nasty, foul, way-cool drainage tube) and we're hoping the infection goes away and stays away. But this time he's in more pain and Sheridan doesn't understand why Daddy won't pick him up. Poor little man.

ACT THREE
And, as if this fabulous cake needed a big, heaping scoop of icing... Sheridan was diagnosed with Apraxia of Speech. Gary and I have suspected for some time, and we're not totally shocked by the diagnosis. I'm just sad. I feel for him. His receptive communication (what he understands/comprehends) is age appropriate, but his expressive communication (what he says, his actual speech) is really delayed. I will write a more detailed post about this, what criteria Sheridan exhibited - by the way, he exhibits 11 of the 11 criteria for an apraxia diagnosis - that boy scored 100%, just not on something we wished for :)

In the end, it'll all be just fine... Gary is on the mend and we are hopeful that this last surgical intervention took care of any remaining infection. And Sheridan is, as always, a very clever, silly, sweet, vocal little boy who just happens to call most things "buh buh" but can say "daddy" and "I did it" clear as day :)

I will leave you with this basic explanation of apraxia that was part of Sheridan's report:


Apraxia is a speech disorder that interferes with a child’s ability to correctly pronounce sounds, syllables, and words. It is the loss of ability to consistently position the articulators (face, lips, tongue, and jaw) for the production of speech sounds and for sequencing those sounds into syllables or words. It’s a planning/programming problem.

As a result, even though Sheridan knows what he wants to say, he cannot say it correctly at that particular time. Sometimes he cannot even begin. Either the wrong sound comes out, or many sounds are left out all together. At that time the motor plan is not accessible. These errors are not under Sheridan’s voluntary control so he often cannot correct them, even when trying his hardest. Frequently, a child will be able to produce a sound or word at one time and not be able to say it again when he wants to.