Thursday, January 29, 2009

The Appointment

Charlie had his appointment this morning, and could not have been more charming. The nurses refer to him as "The King," because he shares a birthday with Elvis (and other obvious reasons). Today, he really rolled into that office in Kingly style. Even got an extra sticker for all his efforts.

First, when we walked in the door to the area with the exam rooms, Charlie went straight over to the scale and stepped up on it. He is 31 pounds exactly (75% percentile on the Down Syndrome growth chart). Then it was time for measuring his height. He stood very still and very straight as the nurse marked his height. He is now 33 1/2 inches tall (about 50% on the DS growth chart).

Then, he walked right into the exam room and asked me to help him onto the table. He sat on the table for a moment with a smile, then he lay down and closed his eyes. That boy is so stinking cute.

For most of the appointment he was running around the exam room, showing off to the doctor and the med student. I think he made a great impression.

So on to out tests, concerns and predictions.

We came away with RX's for:

Blood Test: CBC, TSH, T4

Neck X-ray's to rule out AAI

Prescription for a different type of Acid Reflux medicine (Prevacid)

We decided to hold off on:

Celiac blood test. The doctor and I talked about it, and we both agreed Charlie does not "look" like a 'Celiac Kid' as the doc put it. We will do a screen for it if he ever presents with symptoms.

We also decided to hold off on a sleep study for now. While Charlie has some indicators that he might have OSA, his quality of life seems just fine (he's not hyperactive, does not fall asleep during the day, he has good focus, and is happy). If we did a Sleep Study and found out that there is some level of OSA, the recommendation would be to remove his tonsils and adenoids. At this point we would decline the surgery. The risks as of now are not balanced out by any benefits.

Lets see, what else.

Oh, the diarrhea. We took stool samples on Monday, and got them back today during the appointment. The samples were all clear. The official diagnosis is "Diarrhea of Toddlerhood." An official way of saying, "Your son has diarrhea, and we don't know why, but it will eventually go away. Have fun." So, it will apparently just take some time to clear up. Hopefully sooner than later.

I forgot to bring up the dry skin and brittle toenails. I also forgot to ask about vitamins to supplement his poor diet.

All in all, the doctor agreed with me that Charlie is doing so, so well. He really is doing a fantastic job in his development, and we are blessed for his excellent health. This kid has never even had an antibiotic!

I'll update when we get out lab results and x-ray's read.


Kimberly said...

Hey those boys are soooo handsome!!
I was just cheking in hope you start feeling better soon. Don't worry about boxes...we have lived here around 8...9 years and we STILL have some boxes ;) My guess is I probably don't need to go through them now anyway. I could just give them away. LOL

Peace be with you

Oh have you heard of the NDSC is going to be in SACTRAMENTO...We are So There!!! what about you guys?

Dru said...

How cute are they!! But, dry skin, brittle nails, and diarrhea - sounds like early celiac to me. If you don't want to have the invasive tests run, you can send a stool specimen to EnteroLab in Dallas. This doc is way ahead of the curve on celiac diagnosis, but will be publishing this spring, so hopefully other docs will catch on soon. In any event, get him tested.

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