It seems Eliza is yet again on another hunger strike. No particular rhyme or reason for this. She is not sick, not teething, not constipated. None of the usual reasons for a decrease in her appetite. This all started earlier in the week, but really if I think about it, the weekend was not that good on the eating front so I should have known something was up. She is now down to an average of 600 calories a day instead of the recommended 1200 (1000 calories a day is "OK" but not optimal). Frankly Eliza's caloric intake would be a lot less if she wasn't on the 1.5 kcal formula and tolerating Benecalorie even in the little yogurt she has eaten because her volume of intake is abysmal. She is down to 8 to 12 ounces of formula and 2 ounces of yogurt for the entire day.
The decline in Eliza's behavior seems to be related to this hunger strike. Today at the sensory gym I almost just left with her since she could not focus on a single task for more than 30 to 60 seconds, was scratching the therapist, screaming, throwing things, throwing herself on the floor, etc. Just awful. Feeding therapy was primarily filled with her throwing food, plates and bowls, yet oddly at the end of her morning session she suddenly stuffed about 4 veggie stix in her mouth, which of course she spits out since she cannot chew or swallow them. Go figure. Her sleep has been a bit worse than usual, up every three hours instead of five hours. I figure another month of this and one of us is going to have a nervous breakdown.
This week was also Eliza's semi-annual EI reviews. Never a pleasant experience. Although I am painfully aware that Eliza is not eating or speaking anywhere on the level of a 19 month old (her adjusted age) or a 22 month old (her actual age), reading in black and white that she is her speech is on the level of a twelve month old and her feeding is even worse is just a bit disheartening.
On a positive note, she has perfected her ballerina twirl.