Sunday, May 20, 2007

News

The word is out at work and at church, so I might as well share it here, too ...

pregnancy due date

Tuesday, May 15, 2007

Katrina update

I was going to post some pictures of our peanut now that she's two, but the camera is at home and I'm at work. Instead I'll update you all on her two-year-checkup yesterday. I can't believe she's two already, even though she's been saying she's two for the last month or so. :)

Height: 35.5" (if the saying that kids are half their height at age 2, she's going to be 5' 11"!!)
Weight: 24 lbs

Katrina was officially diagnosed as 'failure to thrive/slow growth' yesterday. Really all this means is that she is underweight, and has not gained the weight she should have in the six months since her last checkup. This diagnosis will help with getting insurance to approve tests, exams, and specialist visits.

Now that Katrina is two, and really since she was 18-months, the doctor is more concerned with her weight-for-height rather than her weight-for age. We know other toddlers Katrina's age and older that weigh just a few pounds more, but they are at a healthy weight for their height. I was reading about toddler growth patterns last night, and weight-for-age matters in babies, because "they" have done close studies and traced the general growth patterns for infants and young toddlers. But once a child hits 18 months - 2 years, it switches to weight-for-height or BMI, just like adults. For example, I weight 150 lbs, which is a healthy weight for a 5'6" female, but irrelevant to being 27 years old. (Does that make sense?) Her weight-for-height (24 lbs - rounded up - for 35.5" ) gives her a BMI of 13.4, which is the 0th percentile.

http://www.bcm.edu/cnrc/bodycomp/bmiz2.html
is a BMI calculator for kids. With her stats (2y, 24 lbs, 35.5"), we get these results: A 36-inch tall, 24-pound, 2-year-old girl has a body mass index (BMI) of 13.4, which is at the 0th percentile for age. This suggests that this girl is underweight. A healthy weight range for this particular girl would be from about 27-pounds to 32-pounds. So she's not that far from a healthy weight - needs to gain approximately 3 - 8 pounds. The problem is getting her to gain the weight. She eats well and often, but is not digesting the food she eats.

We have an appointment scheduled for June 11 with a pediatric GI to look at her inflamed intestines. The pediatrician is going to try to get that appointment moved up, though, because she thinks a month is too long. (Apparently the blood tests showed her intestines have been inflamed for at least three months or something). She also sees a pediatric allergist at the end of this month to figure out if there are foods/allergens that are triggering this inflammation. We know she has a slight egg allergy, but is not allergic to the other top food allergens (milk, soy, wheat, legumes, shellfish, and something else). There could be other allergens, though, that are triggering this internal reaction and causing her intestines to basically attack themselves.

We're starting her on hypoallergenic infant formula, in addition to her normal meals. Hopefully she'll be able to digest it and absorb the calories/vitamins/minerals from that, at least until we can determine what the underlying cause of the inflammation is. (Dr. Mullen *thinks* it's Crohn's disease, but she said the GI has to make that final diagnosis.)