Jack's 2 year old well baby visit
Aug. 27th, 2010 01:10 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
sethrakThe boys were both really good at Jack's dr. appt. this morning. :D They did both try getting into the storage cupboards under the exam table while we waited, and Mark learned he can turn on the wide-handled faucet all by himself. (Multiple times.) But that's pretty standard wiggliness for their ages.
Jack is over 35 pounds. I didn't catch his height, because he was wriggling and I had to hold him still for the nurse. The doctor told me he's in the 50th percentile for height, and the 75th percentile for weight. I'm not surprised. He's gotten harder to carry lately. I need to start lifting handweights.
It was not Dr. Flather, his regular doctor, so she wasn't as familiar with Mark and Jack's prior issues and challenges. Really, it was the first time since we came to Peterson Pediatrics that I had a "Wham bam, thank you and the nurse will see you out" type of visit. I'm not entirely happy about that, but since he is in excellent health there's not much point to raising a stink.
I spoke to the doctor about his eating issues. She said that since his growth is well within the proper area for his age, we shouldn't worry to much, because kids don't generally starve themselves. We just need to keep offering him a wide variety, avoid offering him only foods we know he'll eat because it's easier, and make sure the portions of his meals that he's willing to eat are as healthy and balanced as possible. He'll eat when he wants to.
Unfortunately all the suggestions she made for his protein needs were:
a) stuff Mark can't have in the house (ie, peanut butter),
b) stuff Mark can't eat but can be in the house; however, Jack refuses to touch it (most forms of cheese, eggs, etc.)
c) stuff Mark's not at all allergic to, but Jack refuses to eat(soy nut butter, any form of meat, pork sausage).
Also, she misheard my statement that we're giving him Enfamil brand liquid vitamins as we're giving him formula, and I had to correct her on that. He absolutely is NOT getting formula, and hasn't in over a year.
Right now, his diet is dry cereals, various crackers, the occasional piece of toast, instant blueberry waffles (an all-natural brand we found that is Mark safe (But Mark won't eat!)), soy milk, fortified juices, an occasional grilled cheese sandwich (This is brand-new, and thrills us greatly), and now smoothies, to try and get him enough vitamins. I'm probably going to cut back on the apple juice, which only has vitamin C in certain brands, and focus on getting Jack lots of V8 Fusion juices, which have more vitamins and minerals. The doctor emphasized he needs to avoid empty calories, as his weight is a little disporportionate to his height, and we want to keep them reasonably proportionate.
They finally got his shot records reassembled from the computer records of each trip to the vaccine clinic back in VA. He's only missing his Hep A and a DtaP. DtaP's on back order, so today he only got the Hep A he should have had back at 18 months if the records had been available. Jack was super brave for the shot. He only yelped when the needle went in, and did not cry afterward. He still has the bandaid on his leg. Mark would have yanked it off within five minutes.
The doctor agreed he's got serious speech delay issues, but since we're already in contact with the local early intervention program, she has nothing to currently suggest. She gave me a worksheet of things to test him on at home, and asked me to bring it back to the office when completed, so they can assess it, and determine if perhaps he needs a referral to a developmental pediatrician so Tricare will cover additional services.
Damn it. I was hoping not to have two special needs kids. I'm trying not to let it worry me, as all we can do at this point is get him speech therapy and wait and see what effect it has on him. But it's hard.
The important thing is, he's very well-grown for his age, and we no longer have to worry about that aspect of his health. And he's a happy, friendly, affectionate little boy.
Jack is over 35 pounds. I didn't catch his height, because he was wriggling and I had to hold him still for the nurse. The doctor told me he's in the 50th percentile for height, and the 75th percentile for weight. I'm not surprised. He's gotten harder to carry lately. I need to start lifting handweights.
It was not Dr. Flather, his regular doctor, so she wasn't as familiar with Mark and Jack's prior issues and challenges. Really, it was the first time since we came to Peterson Pediatrics that I had a "Wham bam, thank you and the nurse will see you out" type of visit. I'm not entirely happy about that, but since he is in excellent health there's not much point to raising a stink.
I spoke to the doctor about his eating issues. She said that since his growth is well within the proper area for his age, we shouldn't worry to much, because kids don't generally starve themselves. We just need to keep offering him a wide variety, avoid offering him only foods we know he'll eat because it's easier, and make sure the portions of his meals that he's willing to eat are as healthy and balanced as possible. He'll eat when he wants to.
Unfortunately all the suggestions she made for his protein needs were:
a) stuff Mark can't have in the house (ie, peanut butter),
b) stuff Mark can't eat but can be in the house; however, Jack refuses to touch it (most forms of cheese, eggs, etc.)
c) stuff Mark's not at all allergic to, but Jack refuses to eat(soy nut butter, any form of meat, pork sausage).
Also, she misheard my statement that we're giving him Enfamil brand liquid vitamins as we're giving him formula, and I had to correct her on that. He absolutely is NOT getting formula, and hasn't in over a year.
Right now, his diet is dry cereals, various crackers, the occasional piece of toast, instant blueberry waffles (an all-natural brand we found that is Mark safe (But Mark won't eat!)), soy milk, fortified juices, an occasional grilled cheese sandwich (This is brand-new, and thrills us greatly), and now smoothies, to try and get him enough vitamins. I'm probably going to cut back on the apple juice, which only has vitamin C in certain brands, and focus on getting Jack lots of V8 Fusion juices, which have more vitamins and minerals. The doctor emphasized he needs to avoid empty calories, as his weight is a little disporportionate to his height, and we want to keep them reasonably proportionate.
They finally got his shot records reassembled from the computer records of each trip to the vaccine clinic back in VA. He's only missing his Hep A and a DtaP. DtaP's on back order, so today he only got the Hep A he should have had back at 18 months if the records had been available. Jack was super brave for the shot. He only yelped when the needle went in, and did not cry afterward. He still has the bandaid on his leg. Mark would have yanked it off within five minutes.
The doctor agreed he's got serious speech delay issues, but since we're already in contact with the local early intervention program, she has nothing to currently suggest. She gave me a worksheet of things to test him on at home, and asked me to bring it back to the office when completed, so they can assess it, and determine if perhaps he needs a referral to a developmental pediatrician so Tricare will cover additional services.
Damn it. I was hoping not to have two special needs kids. I'm trying not to let it worry me, as all we can do at this point is get him speech therapy and wait and see what effect it has on him. But it's hard.
The important thing is, he's very well-grown for his age, and we no longer have to worry about that aspect of his health. And he's a happy, friendly, affectionate little boy.
