Weight: 8 pounds 5 ounces (10th percentile)
Length: 21.5 inches (10th percentile)
Head circumference: 39.6 cm (95th percentile)
He's gained 21 ounces in 19 days, but he's still a little peanut.
Dr. J began by asking about me, remembering I was a mess at our last visit. Then she asked if I had any questions and smiled when I rolled out the list.
- Allergy: She herself had given up dairy with her son and finds that milk allergy is fairly common. She loved the poop pictures and was concerned. She tested the stool for blood, but it showed no signs. Even though I've been dairy free for a day shy of a week, she felt blood would still be present in the stool if it were indeed an allergy. But because of the looks of the diaper, she recommended two more weeks of dairy free diet for me, and then test it with the addition of dairy. I am to bring in any suspicious diapers. Freddie did let out a whammy of a fart right in her face as she was examining his rectum. Payback for waking him and stripping him naked in the cold room.
- Other allergy concerns: Other allergies won't manifest themselves until around age 2.
- Oozy eye: Probably a clogged duct is causing the oozing, but it looked good today as it has the last few days.
- The umbilical cord that just won't quit: Couldn't get underneath to apply some silver nitrate to dry it up. We're to stop applying alcohol and not worry.
- Reflux: He's gaining weight and does ok if we get him sitting up, so she doesn't want to treat with medicine just yet, although, yes, she'd say he sounds like he has reflux from his love of car seat sleeping and foamy mouth. We'll keep tabs on it and if he seems to start spitting up or having pain, and then we'll consider antacid. I'm glad she wasn't eager to hand out a prescription for antacid but did validate my concerns.
Freddie got to see Dr. B, whom Dr. M, my much loved ob, considers to be the best pediatrician in the city. Dr. B works in the same group as Dr. J and he also specializes in craniofacial anomalies. Dr. B questioned my labor and his other development, which Dr. J says is all normal, noting that his face is symmetrical and up until the point directly beyond his forehead everything is normal size and shape.
Dr. B suspects craniosynostosis. This is when the front plates of skull fuse prematurely causing the skull to grow lengthwise rather than to grow rounder. It is correctable, but requires surgery. Surgery completed before 3 months of age would be a much simpler procedure than if we delay until he's 6 months, so it is important that we figure out what's going on quickly.
Freddie's head will be checked again in 2 weeks and if no improvement is noted, a CAT scan will be schedule. Freddie will have to be sedated for this, so it's not so simple, but it will answer any questions about what's going on.
2 weeks will provide a little more information, and we're thinking the CAT scan will be scheduled immediately following that appointment. Actually I wish we were doing the CAT scan tomorrow. I'm not very good at this.








