Today Troy and I had a chance to meet with an International Adoption Doctor (IAD) to ask some general questions and get a feel for whether or not we were comfortable sending a medical report and photos to him for review while we are in Russia. The doctor put us right at ease and answered most of our questions without us even asking them. We were very pleased. Some things we learned were that:
- The very best photo to send to a doctor of the child is a head-on, straight view of the child’s face when they are not smiling (relaxed facial features);
- Profile shots are helpful as they can look at the shape and development of the head;
- Pay attention to their muscles. Many times they will be limper than expected due to their lack of stimulation. However, if they are stiff or tight, this can be because of an underlying issue; and
- Pay attention to their hands. A child who is 6 months should have open hands and be able to transfer an object from one hand to the other. A 12 month old child who keeps their hands in a fist may have underlying issues.
We also talked about taking toys and watching them and noting as much as possible. He said not to be shy when we email and even if we think something we observed may not be that important we should email it anyway as it could raise a red flag to a doctor. He also gave us permission to call him anytime day or night while we are there if there is an issue that just can’t wait. He also had no problem writing a letter for court and prescribing some medications before the second trip of items to take with us in need be (general children’s antibiotic, cream for scabies and such).
All in all, we are very happy we went and hope that some of this information benefits others.
In saying all this we have reached what Becky coined a “Baby Milestone” during our waiting. Each time we reach a baby milestone more of the waiting has passed and we are closer to bringing our son home!! Our next baby milestone is the local pediatrician appointment on September 7th. We are now looking forward to that one!!