Friday, January 9, 2009

2 year check-up

(This is a primary copy/paste from RM with an update about Ellie that I didn't include there...)

I have to preface this by saying it all started out well and the kids are doing great! :) It was a bit bittersweet as the doctor that we've been seeing since we started the practice at 6 weeks old is no longer seeing patients. She was juggling both jobs as doctor and CEO/administrator of the practice and it got to be too much. So, she turned all of her patients over to this doc that we saw today. Coincidentally, we've seen this new doc two times during sick appointments and she was my next choice for a doctor. We're thrilled with her and, more importantly, the kids seem to love her as much as they did their other doc.

Ethan is 33.5" tall (25th%) and weighs 28lbs (50th%). His head circumference = 19.25" (50th%).
Elizabeth is 32 3/4" tall (25th%) and weighs 26.8lbs (50th%). Her head circumference = 18 3/4" (50th%).

We started with Ethan and his mysterious high fevers. I've been keeping track in a journal and they come on out of the blue every six weeks or so. They range from 102 - 103, rectally, and he has no other symptoms (other than being incredibly lethargic). Since Ethan has the history of hydronephrosis, we've decided to rule out a recurrent problem and have another ultrasound and nuclear screening done at Children's. At our final appointment with the nephrologist and urologist, we were told the problem was 95% cleared and there was no need for a follow-up. I wasn't thrilled with that, but didn't question the docs. Now, of course, I'm kicking myself. We talked about his anxiety in social situations (nightmares for two days after being at anyone else's house). When we go to the playground, we're usually the first and only ones there for about 10-15 minutes. When it gets to the point that there are more than about 5 or 6 other kids, he stands completely still as if frozen, and starts to breath fast. He won't/can't move. She feels it's a normal response for some kids and that he's going to be our shy child. He's growing really well and she's pleased.

Our Elizabeth. Oy! She is a handful, I tell ya. We went through the normal check-up questions and got to the issues at hand. On Monday, she started pulling at herself and saying, "Ow, pee pee." Last night, when she peed, you could tell it almost hurt her. So, I was afraid she has a UTI. Well, in order to tell that, they have to catheterize her. I am normally a very strong person for my kids, but that was so hard. The doc commented that she's never seen a 2 year old as strong and feisty as mine, which was funny (not at the time). She had two nurses holding her legs down and I was holding her head and arms while the doc tried to cath her. She tried for five minutes. Ellie sobbed and was hysterical, begging for her to stop and asking for Ethan. Ethan, meanwhile, was trying to push his way between the doc and nurses to climb up on the stool to see her. I tried so hard to not cry, but couldn't help it. I finally asked her to stop and she agreed. She had a second option, which is what we ended up doing. She attached a bag to her vaginal area, inside of her diaper, and told us to go to lunch and come back later on to check and see if she had peed. We went up the street to see Jason and my mom for lunch and made sure Ellie drank a lot. She had 12 ounces of water and we were there for an hour and a half. We went back to the dr's office and she had not ONE ounce of urine in the bag or diaper. So, we went home and they slept. She pees a lot when she naps, so my hope was that she'd have something in the bag after nap. They woke up at 5:15 and we went to my husband's work, then straight to the docs office. First of all, our doc was supposed to leave work at 5:00, but called us at 5:40 to see if things were okay. Turns out she wanted to hang around and see Ellie instead of having another doc see her after hours (they're open until 9:00). We got there and wouldn't you know it? The nurse that reapplied the bag the second time didn't do it right. Ellie had lots of urine, but it was all in her diaper. *groans* So, we'll have to do this all over again.

I do have to tell you a funny part of the day...when she saw Jason and my mom, she ran up to them and said, "Bad pee-pee doctor." LOL! On our way to the cafeteria, she told anyone who would listen that same thing. My poor Elliebug.

The funny thing is that the doctor affirmed what we've known all along...that Ellie is an unusually active 2 year old. She will not play with any one toy for more than a few minutes at a time. Her day is mostly spent running from one end of the house to the other end, playing on occasion. She is our social butterfly where Ethan is our shy kiddo.

She wants them started on vitamins (she says she recommends it for all of her 2 year olds) with a B-12 additive because they're not big meat eaters. She also gave us the green light for peanut butter and 2% milk.

They still seem so underweight to me, but she's very happy with their personal growth charts. They never do tell me the %tile that they fall into, but her nurse did this time and wrote it on their paperwork. She also assured me (as did the previous doc) that the national %tile is really not one to look at and that most docs are shying away from that model. She pulled out their chart and they're right on track for what they've been doing since birth, and that's all I care about. :)

I guess I'm doing okay at this whole "mommy" job, after all.

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