Remember this?

Well, you're about to see round two. Yesterday Noah had an appointment with a plastic surgeon who confirmed that his plagiocephaly was severe and he would need helmet therapy just like his sister did. This was no surprise to us. After going through the same thing with Anna, we have been thinking about Noah's head shape since before he was even born. During his first few days, we were pleased with the way it looked. But he did have one ear that sort of flipped forward and little by little we began to see things that were troubling. By one to two months of age we knew we were going to be heading down the same path again. We did everything his doctor suggested and after one month nothing had changed, in fact it was worse. We were referred to a physical therapist who checked him for torticollis and said he has just a very slight case on his right side.
My obstetrician and the kids' pediatrician have concluded that this is an effect of having a "restricted uterine environment" before birth. Looking back at ultrasounds later in the pregnancies, both Anna and Noah were always wedged into a corner and wouldn't come out. And Noah's little flippy ear is on his flat side, indicating that he really was pressed into a corner so to speak. This is a common condition with twins who simply run out of room, but apparently I've got a smaller than average place for them to grow, which may explain why they have both been born a little early too. Noah being technically a preemie also made him more susceptible to this condition. I asked the pediatrician if this means any and all of my future children will need helmet therapy and she said yes, they most likely would. Maybe by the time we're done having children we'll have enough helmets to sponsor a baby football team! :p
So tomorrow Noah is going to the Orthotics center to have a plaster mold made of his head. It's not going to be fun and I feel sick to my stomach just looking at these photos, but I know it won't hurt him: http://www.cappskids.org/CastingProcess.htm Please say a little prayer that he won't be too frightened and that his mommy and daddy will be able to remain calm and help him feel better.
He should get his helmet about two weeks after the casting and then he'll have visits with the plastic surgeon every few weeks to check his progress. Just like with Anna, they estimate he will need the helmet for 3-4 months, for 22 hours a day. It seems like a long time, but having been through it once we know it will pass quickly.
But we still hate it. We hate that he has to be uncomfortable, even if only for a short adjustment time. We hate cleaning it. We hate people looking at him and thinking something is wrong with him when we know he is perfectly healthy. You wouldn't think that people would laugh at or make fun of an innocent little baby but they do. I hate that scratchy velcro on my arms while I'm nursing and we both hate that we won't get to snuggle his fuzzy little head as often as we have been.
But we love that this is purely a cosmetic issue and he really is a very healthy boy. We love that this is something we can fix! We love that we have great attentive doctors who listen to our concerns and respond quickly with treatment. And we love our little kiddies no matter what they wear on their heads!
His helmet will probably be a blue version of the type that Anna had, or it may look like this (non-decorated). So as a little preview, we mean old parents got out Anna's old pink helmet and tried in on Noah. He wasn't too happy, but we couldn't deny he looked pretty darn cute!