A little over a week ago, the Consultation Bureau sent a nurse to our home (by appointment beforehand). She came to set up all the initial administrative hoopla (shot records, developmental milestones, etc.). They say this initial visit is done in the home for the convenience of the parents and comfort of the children, but we also suspect it is a good way for them to check out the home environment for red flags. The idea of being inspected had me in a frenzy, but when you think about it, what a brilliant thing! It's not as if the nurse really inspected my home, but you know yourself that you can get a feel for how people live when you enter their homes, even briefly. That home visit is a good way for the state to check the welfare of the child at the start.
Today's visit to the local office was for a well-baby check-up and (alas) immunizations. When we arrived, we were told that one other family was waiting ahead of us, so when we saw them go in, I was asked to strip Ellie down to a clean diaper. The rooms were nice and warm for that purpose. Ellie didn't mind at all. She ran around like a monkey in her nappy, playing in a toy house they had set up and dancing with a doll she found. A staff person took her height and weight measurements, and then Ellie went back to running around naked and free.
When it was our turn, we went into the office and Ellie sat on the large desk, which was heavily padded on one end for a sitting space. The doctor (?--she introduced herself by name not title and she wasn't wearing a lab coat...on the other hand, neither does our family doctor, so I just don't know) handed her some small colored wooden blocks, and then she watched to see what Ellie would do with them. She explained to me that she was going to check Ellie's development through observation. After a few minutes of playing, the doctor (?) offered Ellie a tiny wadded up piece of paper in her open palm. She asked Ellie to take it and put it back; then she moved her palm closer to Ellie's other hand and repeated the process (checking pincer grasp, ability to use both hands equally well, hand-eye coordination, ability to follow simple commands). Then, she put a block back in front of Ellie and handed her another one, asking her to stack it on top. She repeated this one on the other side as well, and then she checked to see if Ellie would lift blocks in both hands at the same time. After that, she got out a soft, colored ball and placed Ellie on the floor. She wanted to check her balance and steadiness while walking and standing. Ellie carried the ball all around. She wasn't interested in throwing it as requested (easy way to check how steady she is when she throws the ball), but she seemed more than steady enough to satisfy. All in all, it was fascinating to me. In the US, I take Ellie to a pediatrician's office that I rave about, and they don't check these things at all. They may ask how she does, but they don't observe it. Ellie just enjoyed playing, so the little tests didn't phase her a bit! Unfortunately, the immunizations at the end did upset her quite a bit, but that's understandable. We may be done with those now until she's four. Hooray!
Finally, since this is labeled a "life in Holland" post, I have to tack on a photo of Ellie at the end of our journey. The Consultation Bureau we will use is about 10 minutes away by bike. We were happy to have beautiful sunny weather for our trip!



