My notes for Oliver’s 18 month well-child exam

18 month Check-up
________________________________________________________________________

Sleep:
Bed sharing with mom: 10:30 p.m.-9:30 a.m.
Nap: 1:00p.m.-3:00 or 4:00 p.m., but has had a few 4-5 hour naps while cutting these most recent teeth.

The night of June 20th, Oliver got out of bed dozens of times, screamed and cried, flailed his body around, and banged his head on the wall purposely over and over again and when I put him in his crib he purposely banged his head repeatedly on his crib.

Has been waking up from naps and repetitively/purposely banging his head on his crib to let me know he’s awake.

Diet:
Organic Whole Milk with Omega 3

Coconut water diluted with water

Nordic Natural’s Baby’s DHA 4 mL daily

Thorne Vitamin D 500 IU daily

Whole wheat round crackers

Pears

Peaches

Raspberries

Blueberries
Strawberries

Watermelon

Organic Mac and Cheese

Peanut butter and jelly on wheat

Granola

Yogurt

Pickles

Tried a couple bites of bacon

Organic O’s cereal

Wheat Toast

Peter Rabbit Veggie/Fruit/Grain Puree Pouches

Spinach/fruit smoothie

Diluted vegetable juice (kale, celery, cucumber, apple, lemon, ginger )

Hard time eating vegetables- need suggestions; he will eat them occasionally but he usually ignores them or refuses to eat.

Tried meat loaf and sandwich meat; spit it out, uninterested.

Gags and sometimes throws up if he eats a piece of food bigger than thumb nail. This has been happening for a year now and hasn’t gotten any better. My friend’s 9 month old can take big bites off of a sandwich and doesn’t throw up or gag. He, also, sometimes puts his fingers down his throat and then throws up.

Drinks way too much milk- probably 20-30 oz during the day and will stay up all night screaming if I don’t give him a sippy cup of milk. He usually goes through 16 oz at night. It’s hard to stop giving him milk, when he wants it, because he throws such fits for it and it’s difficult to deny him milk when we both need sleep at night.

When drinking plain water (most of the time), he spits it out onto the floor, his shirt, and his hands to play with. Although, if an ounce or two of peach/mango coconut water is added, he will drink it without playing.

Possible Allergies?:
Diaper rash with goat milk.
Diaper rash with hemp milk.
Red, splotchy chin after eating egg.
Full body rash after swimming in chlorine two days in a row.

Social/Behavioral:

Has been described as “serious” by countless friends.

A lot of the time, has to have two things in his hands (bottles, rocks, toys, etc.).

He used to dance a lot when music was on, but now he just runs in circles.

Walks around on his tippy toes a LOT.

Severely angry outbursts if I need to carry him instead of letting him walk or if he doesn’t get what he wants. Not sure if it’s normal for him to get this upset about such small things at this age, but he does not cope well with any sort of change. Screams and cries until he can’t breathe.

Cries and flails around if I try to hold his hand or even touch him a lot of the time, aside from occasionally being interested in laying with me, but that’s only when he’s really tired.

Hates being held 99% of the time, unless he’s really scared or if he hurt himself.

Kicks off blankets or toys that I set on/near him.

Cries when I put our comforter on him at night and is usually only comforted by softer blankets like a plush fleece blanket we have. Sometimes our not so soft comforter seems to hurt him. The comforter is made of cotton and polyester, while our plush blanket is made of anti-pill polyester.

Not engaging with other babies/kids when at playdates or birthday parties. We aren’t around other babies/kids a lot, but we are semi-frequently, and he has been completely uninterested, except for three weeks ago he smiled at a 10 month old and played peekaboo. That felt like progress, but it still worries me.

On June 22nd we went to a playground and a little girl (probably 3 years old) asked if she could be Oliver’s friend and he ran away. When she tried to hold his hand, he pushed her away and ran away. She tried to play with him for about 10 minutes, but she gave up after realizing how uninterested he was.

On June 25th we spent over 4 hours with a one year old and a 10 month old and he failed to notice that they existed the entire time. He spent his time chasing around the family’s chickens, rabbits, and dog.

He has said mama, nana, paco (our pet dog’s name), dog, again, bye bye, choo choo, and that (I don’t think he’s saying ‘that’ with the meaning it holds), but usually only uses one or two of these words for a few days, then starts saying one of the other words he knows and kind of abandons the other words while learning and practicing the new ones. He has had several times where he has gone a few days without saying any understandable words and then he will reintroduce a word or two. He hasn’t said bye bye in over a month and has only waved bye bye once in over a month, when he used to say bye bye and wave everytime someone left our house. He has signed milk, all done, and bird in the past, but has only signed birds and all done recently and hasn’t used ‘all done’ when he’s finished, but now for when he wants more.

He’s been very vocal (babbling) the last few days. He’s mostly saying nonsense words, but he has added in the word “some” for when he wants food.
Either cries or is indifferent when people greet him (except occasionally he will be happy when seeing someone he doesn’t know), unless they are adults he has been around them many times for extended periods of time.

Only likes one movie at a time. Has little interest in any other movie but the one he’s interested in at the time (has lasted several months on one, then switched to a different one). I’ve heard that this is normal from one person, and then heard that it is abnormal from another, so I thought I would add it in.

Trying to limit screen time to 30 minutes a day or so, but sometimes when his tantrums are really bad and nothing soothes him, playing his favorite movie stops it. I haven’t known what else to do, because food, drink, changing, playing, reading, etc. don’t help in those situations.

Sometimes rocks from side to side if I have the TV on.

We sometimes show Oliver the videos we take of him on our phones. Lately, he completely loses his temperament when we won’t replay the videos over and over (even if we’ve already replayed it for 10 minutes). He will cry uncontrollably for a long time and is completely inconsolable.

Cannot yet color with crayons. Still just wants to put them in his mouth.

Whenever we’re outside he runs towards the street and doesn’t listen “come back”, “stop”, “no”, or “this way”. He refuses to hold my hand, as well. It’s obviously a game to him to run away, but I don’t know how to change that mind frame.

He does an excited hand flapping motion sometimes. This doesn’t happen too often, but someone said that it might not be normal, so I thought it was worth mentioning.

He’s really afraid of our vacuum cleaner when it’s on and when we go through the drive through car wash. I think it’s probably the loudness that scares him.

Loves playing with water fountains or splashing his hands in baby pools.

Still gets super angry about having hands/face wiped after eating, having sunscreen applied, and changing his clothes/diaper.

Still doesn’t understand how to be gentle with our small dog; he is very aggressive with him. He pushes him off the couch, pulls his hair, and slaps him.

He gets very frustrated/angry with objects he plays with and squeezes them, puckers lips, and kind of shakes and whines. I’m not sure why he has to get so upset with his toys.

Doesn’t repeat any new words after I say them. I’ve only been able to get him to repeat “mama”, “nana”, and “paco”, but he usually ignores my encouraging that. Has trouble echo-ing words back to me. Not sure if he understands.

Is not yet pointing for things with purpose, and have only gotten him to understand two commands so far: “go get your milk” and “get another book”.

He puts shoes on his hands and likes to have them on a majority of the time at home. He gets upset if I try to take them off when I need his hands to be free (eating, drinking, changing clothes, etc.).

He’s been a little behind (in comparison to other babies we know that are his age and younger- babies several months younger than him are usually ahead of him) on milestones. He didn’t roll over until 6 months, didn’t crawl until 10 months, and didn’t walk until 15 months.

Ever since he learned to crawl, he has put all of his toys under furniture and has been very adamant about organizing them.
Spaces out occasionally.

Has been crossing/uncrossing his pointer finger and middle fingers a lot lately.

Eczema on arms, legs, belly, and cheeks. Seems to be getting worse. I’ve been using a coconut oil, tea tree, lavender mixture on his eczema spots daily.

Brush teeth at least once daily; have yet to go to the dentist, because I’m worried that he won’t be able to handle sitting still or letting anyone in his mouth. It is a major struggle just to let me brush his teeth.

We can’t take him shopping, to restaurants, or to events unless he’s tired enough to be in the baby carrier on my back, but that is rare. Usually have to go places together and take turns going in places, while the other goes into stores.

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