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Post by scrapaddict702 on May 31, 2016 23:05:42 GMT
She needs a complete work up. Things to look for : Diabetes Allergies Thyroid Pyloric stenosis Cardiac performance Kidney , including the tubes. Colon health. GERD , a child can have GERD without vomiting Screened to see if she is on the autism spectrum. This should be done before a failure to thrive diagnosis The testing sheet they gave us has these marked on it: Comp Metabolic Panel CBC w/Diff TSH T4 No clue what any of those things are, but apparently we are supposed to be expecting a follow up call within a week regarding this and to schedule a weight check next month. I think weight checks are the dumbest thing in the world. If they want to check weights, they should refer us to a partner facility with a scale (there are plenty that work with hospitals for pumps, breastfeeding support, etc that have scales) rather than waste one of our annual allotted appointments on just sticking her on a scale. They tried to get us in WEEKLY when she was first born for this reason...after the second one, we ignored them and went with the normal schedule because it was a waste of of our $10 co-pay level appointments and risk us going to 60%/40% when pricier check-ups would occur later in the year. On the growth chart, except for the 9 month check up where she didn't gain any weight (where I expressed legitimate concern) she has been gaining on a consistent curve. It only stopped during that one appointment where they brushed off my concerns. ETA: Okay, looked things up...it appears the last two are thyroid related. Metabolic panel was kind of a given. The other appears to be a blood panel...I'm not familiar enough with this type of thing to know what all a blood panel would look at, but my Mom is a medical coder. She has a pretty good idea what these things would test for so I will give her a call later to discuss it.
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scrapaddie
Drama Llama
Posts: 5,090
Jul 8, 2014 20:17:31 GMT
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Post by scrapaddie on May 31, 2016 23:12:58 GMT
Wouldn't you prefer to rule out any potential problems rather than let a problem go undiagnosed? You act like this is an affront to you, rather than a statement of concern. Sure, she may be 'just petite". , but what if something else is slowing her growth.... I would error on the side of caution
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gsquaredmom
Pearl Clutcher
Posts: 4,092
Jun 26, 2014 17:43:22 GMT
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Post by gsquaredmom on May 31, 2016 23:17:20 GMT
She needs a complete work up. Things to look for : Diabetes Allergies Thyroid Pyloric stenosis Cardiac performance Kidney , including the tubes. Colon health. GERD , a child can have GERD without vomiting Screened to see if she is on the autism spectrum. This should be done before a failure to thrive diagnosis The testing sheet they gave us has these marked on it: Comp Metabolic Panel CBC w/Diff TSH T4 No clue what any of those things are, but apparently we are supposed to be expecting a follow up call within a week regarding this and to schedule a weight check next month. I think weight checks are the dumbest thing in the world. If they want to check weights, they should refer us to a partner facility with a scale (there are plenty that work with hospitals for pumps, breastfeeding support, etc that have scales) rather than waste one of our annual allotted appointments on just sticking her on a scale. They tried to get us in WEEKLY when she was first born for this reason...after the second one, we ignored them and went with the normal schedule because it was a waste of of our $10 co-pay level appointments and risk us going to 60%/40% when pricier check-ups would occur later in the year. On the growth chart, except for the 9 month check up where she didn't gain any weight (where I expressed legitimate concern) she has been gaining on a consistent curve. It only stopped during that one appointment where they brushed off my concerns. Would this diagnosis place it into a different insurance realm?
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Post by scrapaddict702 on May 31, 2016 23:20:42 GMT
Wouldn't you prefer to rule out any potential problems rather than let a problem go undiagnosed? You act like this is an affront to you, rather than a statement of concern. Sure, she may be 'just petite". , but what if something else is slowing her growth.... I would error on the side of caution If there is a real problem, then I'm happy to find out what it is. I spent a good deal of time concerned about her to have it blown off. I've come to accept that she's just small. The affront is being blown off and convinced that nothing was wrong only for them to turn around and say 'this isn't normal' after I expressed great concern about her weight months ago. Based on her behavior and appetite, nothing seems 'off' about her. The doctor who saw her today has never seen her...in this instance, based on it not being a big deal when I feel it was a bigger deal, I'm hesitant to do more than roll my eyes. I'm completely willing to comply, but I'm frustrated. If it turns out there is something amiss with her that should have been addressed months ago, I will be furious. Right now, I'm trying not to let myself get overworked in regards to a major issue being present because I suffered right along with her at age 6-9 months when nothing seemed right versus now when she's on the upswing with her weight and eating habits. Hard to convince yourself something is wrong when they seem to be better when you weren't taken seriously when things were not okay.
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Post by scrapaddict702 on May 31, 2016 23:22:17 GMT
The testing sheet they gave us has these marked on it: Comp Metabolic Panel CBC w/Diff TSH T4 No clue what any of those things are, but apparently we are supposed to be expecting a follow up call within a week regarding this and to schedule a weight check next month. I think weight checks are the dumbest thing in the world. If they want to check weights, they should refer us to a partner facility with a scale (there are plenty that work with hospitals for pumps, breastfeeding support, etc that have scales) rather than waste one of our annual allotted appointments on just sticking her on a scale. They tried to get us in WEEKLY when she was first born for this reason...after the second one, we ignored them and went with the normal schedule because it was a waste of of our $10 co-pay level appointments and risk us going to 60%/40% when pricier check-ups would occur later in the year. On the growth chart, except for the 9 month check up where she didn't gain any weight (where I expressed legitimate concern) she has been gaining on a consistent curve. It only stopped during that one appointment where they brushed off my concerns. Would this diagnosis place it into a different insurance realm? This is just lab work, not another facility.
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Post by melissak on May 31, 2016 23:34:12 GMT
My daughter just turned 1 and was diagnosed FTT at 9 months old and had to be admitted to the hospital for a NG feeding tube. She had not gained weight from the time she was 4 months old until they finally put in the NG tube at 9 1/2 months. She was exclusively breast feed until that point and it was determined that she was going "enough" from me, but still not gaining weight. We did a lot of testing and they finally determined she is not able to breakdown and use one of the proteins my body makes. So she needed an alternative protein source. Her case is one of only a handful her GI Doctor has ever seen. So she needed the feeding tube for 2 months until she got better about eating because like your LO she was not interested in food. Now at almost 13 months old she is doing well, but we still so in for weekly weight checks. We also have a baby scale at home we use to keep an eye on her weight.
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Post by scrapaddict702 on May 31, 2016 23:54:41 GMT
My daughter just turned 1 and was diagnosed FTT at 9 months old and had to be admitted to the hospital for a NG feeding tube. She had not gained weight from the time she was 4 months old until they finally put in the NG tube at 9 1/2 months. She was exclusively breast feed until that point and it was determined that she was going "enough" from me, but still not gaining weight. We did a lot of testing and they finally determined she is not able to breakdown and use one of the proteins my body makes. So she needed an alternative protein source. Her case is one of only a handful her GI Doctor has ever seen. So she needed the feeding tube for 2 months until she got better about eating because like your LO she was not interested in food. Now at almost 13 months old she is doing well, but we still so in for weekly weight checks. We also have a baby scale at home we use to keep an eye on her weight. I'm glad that you were able to figure things out and get her the proper care. That sounds terrifying. Nothing has been quite that frightening with my daughter, but it was a struggle...we felt like we were failing as her parents. We never had issues like this with our boys (my oldest was under 5th percentile and didn't double at 6 months, but I had a milk supply issue...he ended up gaining somewhere around 6 pounds before his 9 month check up and had more than caught back up between formula and baby food) and so much of her first year made us feel like we hadn't done this twice over before. I felt so incapable. I hope that your daughter continues to do well.
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Deleted
Posts: 0
Oct 8, 2024 4:40:15 GMT
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Post by Deleted on Jun 1, 2016 0:20:51 GMT
My daughter was on the edge. She has GERD .
She weighed just about 22 pounds going into kindergarten. She is now 18 and has no problem with weight.
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Post by MichyM on Jun 1, 2016 2:00:19 GMT
I'm so sorry that you're dealing with so much! One little thing regarding the speaking. Until the day she died my mom loved telling this story about me. I was 2 or so and still wasn't talking. My pediatrician was concerned and brought up that maybe there could be more to it. In the meantime he told her to stop anticipating what I wanted to try to encourage me to talk. I also had a sister a few years older to "speak" for me. Anyhow, it worked. My first word after getting frustrated because I wasn't getting what I wanted was "ketchup!" It could be as simple as that
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Post by iamkristinl16 on Jun 1, 2016 2:10:23 GMT
What did they suggest besides giving pediasure?
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Post by scrapaddict702 on Jun 1, 2016 2:23:53 GMT
What did they suggest besides giving pediasure? Not sure. All my husband kept telling me was that he was telling them, 'we can't force her to eat if she doesn't want to eat.' When she wants to eat, she eats a ton. We like Cici's every once in a while and we joke that it's a good thing we only have to pay for one kid (our 5 year old) because our daughter is usually the only one who eats enough to justify the cost of a child buffet (our sons play and it's a fight to get them to eat one slice each). She can easily eat 3-4 pieces of pizza if she wants to. Then there are days where she doesn't want to eat much of anything we offer her. Our boys are the same...I'll make a smaller dinner expecting them to not be interested because they haven't been for days, only to have them eat everything that I make or having to give them snack foods because they are still hungry...just typical children. Some days they are bottomless pits and others they live on air.
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Post by mcscrapper on Jun 1, 2016 5:35:54 GMT
Just trying to shed a teeny bit of light for you.... Due to Medicare / Medicaid, a phsician's office has to have an "approved" ICD-10 or diagnosis code for every patient and they often require more than just one diagnosis per consult or office visit. I'm more informed on the hospital side vs the office side but can hopefully provide some info for you.
Once the pt has a diagnosis more than X amount of visits, the office can then justify the actual diagnosis and performing additional testing that your insurance will pay for w/out a lot of other red tape. Not saying this is your situation but may help you process these things.
From here, I would like to have more info from the doc and see what his/her future plans include since giving this diagnosis. I would strongly suggest having a celiac panel and other basic blood work. I'm running on pain meds at the moment but this is just a very basic explanation and hopefully eases your mind. Good luck to you and your baby!
Meredith
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Post by dockmaster on Jun 1, 2016 6:16:26 GMT
I think part of your problem os continuity of care. You statwd that this dr. had never seen your child before. To me this means the dr looked at your daughters chart and saw a lack of weight gain at the previous appointment and a very small gain this time. Since they were not the same dr as last time they saw the situation differently than the last dr and took ot more seriously. It is possible that had you had this dr at the last appointment your concerns may have been validated.
If it were me, and mine I would find a different practice with a smaller staff, where at least my daughter saw the same provider every time. Having to force food with a medicine dropper is not normal. She has/had some issue going on. Texture issues is my guess, but you need a provider that is familiar with your child. The same provider every appointment.
Good luck and best wishes for a happy healthy little one when all the twsts are in.
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Post by scrapalotomous on Jun 1, 2016 10:01:07 GMT
Failure to thrive was the first indication my son had coeliac disease. He was diagnosed at 15 months of age but stopped "thriving" at about 10 months.
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Post by lesserknownpea on Jun 1, 2016 10:58:03 GMT
My grandson was never on the charts and so skinny the dr was threatening to hospitalize him to fatten him up. He hated eating. This lasted into his third year.
He, too, has celiac. Things started to turn around once DD knew how to feed him. We celebrated so hard when he finally made it to 5% on the stupid chart.
He's still very skinny, , but strong and healthy.
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Post by brina on Jun 1, 2016 12:07:18 GMT
Our pediatrician always said about my small kids that as long as they stayed on their own curve he didn't care what percentile that curve was.
One twin was on the 15th percentile, one was on the 7th and our daughter is below the 3rd (she is Asian, and for Asian children she is on the 5th percentile curve). The son who is on the 7th slipped to the 5th at one point and I had to take him for extra weigh ins and he was checked by an endocrinologist. But this is because he slipped off of his curve, not because of the low number. There are conditions that can cause a child to suddenly stop growing and the pediatrician wanted to rule them out. Our son was diagnosed with a constitutional growth delay, which is the medical description of a late bloomer - which is considered a normal variant of growth, not a disorder. At 15 he finally started showing some signs of puberty at at 16 he is almost as tall as his twin, but is obviously still developmentally behind his twin (physical development only).
The constant harping on it by the pediatrician would bug me. I am not sure I would stay at a practice that had one rock star doctor and a bunch who don't really seem very good.
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Post by anonrefugee on Jun 1, 2016 12:40:28 GMT
This is an opportunity for a second look. There are two good outcomes: your child is naturally petite and Doctor was too cautious. OR a problem is found and treatment can begin.
My young family member's FTT diagnosis, at 15 months was the first step in recognizing he had some differences, eventually on the spectrum. It happened when they moved and had a new Ped. He couldn't speak, but had ways of communicating- easy to brush aside -he had siblings and family doting on him. Every quirk had an excuse, until medical tests showed it was more.
I'm not trying to scare you, or doubt your Mom-gut. But how would you feel if you learned later your personal offense had prevented early intervention?
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Post by piebaker on Jun 1, 2016 21:59:21 GMT
My two daughters weighed 16 lbs 6 oz at a year and 18 lbs 8 oz and 18 lbs 10 oz at two years. I don't think they even made the graph in those first years. The older one had severe eczema since four months and asthma at a year and was tested for failure to thrive. We did bloodwork, RAST testing (a practice that has since been abandoned), 72 hour fecal fat collection and an x-ray of her hand to determine the state of her growth plates. We consented to testing because there was a family history of Crohn's disease, for which she tested negative. After consulting an endocrinologist, it was determined her allergies were so severe, the nutrients were needed to repair her skin. She is petite and in her twenties, and still has mild asthma though the eczema has receded.
My younger daughter was born twelve weeks early. She had poor upper body strength and needed physical and occupational therapy, as well as several palate expanders for an abnormally high palate due to prematurity. Once she learned to walk and talk, she was active sun up to sundown. Eating was the last thing she wanted to do, and she never liked the typical "carbs" of pasta or cereals. We had many extra weigh-ins during her nursery and kindergarten years, but her social skills kept her from the failure to thrive diagnosis. She is also thin and healthy in her twenties.
Best of luck and good thoughts for your daughter and your family.
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Post by omarakbt on Jun 1, 2016 22:19:31 GMT
It is frustrating and it makes you feel like a failure as a mom when yo know in your heart that it's not so, that she is who she is and that she is meeting milestones ( her not talking has as much to do with her being number three and the others quickly getting her non verbal symbols as anything) My DD now 29 ( how did that happen) was not a good eater, She hated baby food, wasn't driven to drink milk, didn't like homemade baby food etc She wa sin the less than 5% for height and weight pretty much from the get go though she was a "normal" sized baby at birth She ate, she grew but not at a great rate. Too busy to be bothered for one She walked early, climbed early ( no weight to hold her down) At least yours is a good eater Mine was do picky that it was hard to find things she would eat She was still small when she started high school ,less than 5' tall and less than 100# She's still not a big person, she is 5'2 + and probably weights about 110 She's healthy, teaches coaches soccer. As long as she is eating, growing, meeting milestones all is good They eventually grow to where they are supposed to be. DD is adopted, her birth parents are 5'6 and 5'11, siblings ( parents) 5'11 and over 6" We expected her to be considerably taller but her genetics deemed otherwise
Diane
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theshyone
Pearl Clutcher
Posts: 3,423
Jun 26, 2014 12:50:12 GMT
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Post by theshyone on Jun 1, 2016 22:22:04 GMT
It seems everyone is saying their children were misdiagnosed, so what's different for a true case? My son was/is failure to thrive. He does not absorb nutrients from food. He was just over six pounds at birth didn't re-reach that weight for months, was never on any charts, but did have his own curve going on. It can be extremely dangerous as organs need nutrients to grow and develop. It's a number of missed benchmarks that trigger the diagnosis not just one time of not gaining. i saw nothing negative in the diagnosis. At the time my son was diagnosed a friend of my daughters died from the damage to organs done by ftt. I took it extremely serious. We we saw a nutritionist and empty calories were eliminated and full broad spectrum calories were encouraged. over time elimination of allergy foods helped. i do not believe his autism is in any way tied to the ftt. But I do believe his autism and texture issues had a very real impact on his willingness to eat. Still does. Which makes the issue multi-faceted.
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Post by lesserknownpea on Jun 1, 2016 22:36:23 GMT
It seems everyone is saying their children were misdiagnosed, so what's different for a true case? My son was/is failure to thrive. He does not absorb nutrients from food. He was just over six pounds at birth didn't re-reach that weight for months, was never on any charts, but did have his own curve going on. It can be extremely dangerous as organs need nutrients to grow and develop. It's a number of missed benchmarks that trigger the diagnosis not just one time of not gaining. i saw nothing negative in the diagnosis. At the time my son was diagnosed a friend of my daughters died from the damage to organs done by ftt. I took it extremely serious. We we saw a nutritionist and empty calories were eliminated and full broad spectrum calories were encouraged. over time elimination of allergy foods helped. i do not believe his autism is in any way tied to the ftt. But I do believe his autism and texture issues had a very real impact on his willingness to eat. Still does. Which makes the issue multi-faceted. This makes a good point. It's not just how much, but what a child eats. Make every calorie truly nourish the child. Which I know from watching DD with my grandson is quite the challenge if they'd happily live on Mac and cheese and chicken nuggets.
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MerryMom
Pearl Clutcher
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Jul 24, 2014 19:51:57 GMT
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Post by MerryMom on Jun 2, 2016 16:50:47 GMT
A doctor is monitoring this and a failure to thrive "mention" or "discussion" or a "diagnosis" doesn't mean it is neglect. There is a big difference between failure to thrive and non-organic failure to thrive. A competent doctor should be monitoring this due to the myriad of possibilities: neglect, metabolic disorder, feeding or swallowing issues, other medical issues, slower height/weight gain, or you have a petite child. Adequate nutrition is vital to growth and brain development.
I don't think anyone is being "misdiagnosed" with failure to thrive as someone posted. It is more that doctors monitor it and various things can be involved or something as simple as you have a tiny baby.
I think the OP is being offended by the phrase "failure to thrive" where none is intended. What was mentioned a few months ago and now there is a longer period of time is part of the monitoring the length/weight.
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River
Pearl Clutcher
Posts: 3,575
Location: Alabama
Jun 26, 2014 15:26:04 GMT
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Post by River on Jun 2, 2016 17:30:19 GMT
OP, you seem to be coming off a little disgruntled and I can't understand why. I really hope I'm just reading this wrong.
You have and had concerns that now is finally being looked at because a NEW doctor evaluated your daughter and is seeing what you've known for awhile now. Yeah, maybe she is doing much better than before but that doesn't mean the problems are gone.
Take this diagnosis and run with it to get all answers possible and hopefully it will just be that everything is ruled out and she's healthy but petite.
I'd also recommend trying to see this doctor regularly or find a primary care doctor that you see every visit. That's very important for FTT kids. You don't want several doctors that don't really know your daughters habits and lifestyle.
I'm speaking from experience with this diagnosis. Out of it came a wonderful and caring endocrinologist that ultimately lead to a diagnosis of severe growth hormone deficiency. He even had a few visits before this that I'd think he's doing better, look how much more he's eating now. I'm very thankful the doctor was able to put things in perspective for me. He now has the proper treatment to fully thrive.
Also, please don't take this wrong, but if your DH isn't the greatest at relaying information, get someone to go along with him. I'm thinking part of your frustration may be because of miss information from your DH and you don't have the full picture and the why's of it all according to this new doctor.
I wish only the best for you and your family and hope my post doesn't come off any other way.
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Post by pelirroja on Jun 2, 2016 17:58:16 GMT
Please don't take this the wrong way but it seems you are annoyed with the doctors. They didn't listen before but they are listening NOW so please consider it a clean slate, erase the past, move forward and get some answers. If nothing's wrong, it never hurts just to verify. As a baby I was FTT and as a grownup I have a T3 and T4 deficiency. Luckily, my Mom never saw it as a failure on her part, just a medical fact. I hope you'll be able to distance yourself from feeling judged or attacked or insulted. I'm reasonably sure that is not your doc's intention at all. Try to see the same doctor every time you go. That way that person will get to know your daughter and will be better able to accurately gauge her health status and know her personal idiosyncrasies and what might be a potential medical issue.
And please bear in mind, just because you are going thru this doesn't mean that you are incompetent or being judged. As you well know, EACH kid is individual and unique even if they all came from the same DNA. Even though you are not a first-time parent, this is a new kid so in a way, it is learning to parent all over again to fit her style and ways of doing things. Please give yourself a break and keep an open mind as to what tests are being done and what you and your daughter are going thru right now. Hopefully soon you (and your doc) will have a better idea if there is a reason to be concerned or not.
Deep breath, Mom. It will be OK and it isn't personal. Please try not to take it that way. You and your doctor will be spending a lot of time together over the next 18 years so please try to work together as a team. ((hugs))
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Post by twinks on Jun 2, 2016 18:42:49 GMT
I can certainly understand your feelings of frustration. BTDT, however, my DD was diagnosed as FTT at birth!!! I didn't get any support what-so-ever from the pediatrician we chose because he felt like she would be a FTT baby I should just take her home and love her because she wouldn't live past a year. This wasn't told to me until my DD was 18 months old and, out of frustration, took her to another pediatrician. The new pediatrician requested the med records from the hospital and from the other doctor we had been seeing. Trust me, I so struggled feeding my DD. She couldn't suck. She didn't have the reflex. She couldn't breathe and nurse, let alone suck. I came up with a system using Playtex nursers with the plastic liners. I totally believe that if I had a different pediatrician at birth, my DD would have been on a feeding tube. We struggled with solid foods. We struggled with growth. We struggled with everything and every time I brought up something, the former pediatrician would say, "well the range of norm is so great at this age," and basically brush me off.
I can read your frustration in your previous visit when you were struggling. I would suggest that you find another pediatrician - one who is in a smaller office or one that you will see consistently with every well child visit. If it were me, I would explore the possibility of a "developmental pediatrician." You do need to get to the bottom of this or at least have the comfort of knowing nothing is wrong.
DO NOT, and I repeat, DO NOT feel that you are a failure as a parent by this diagnosis. Yes, it does make you feel like you have done something wrong. But, look at it this way, you figured out a way to feed your daughter yourself. You expressed your concern. You have done everything within your power at the time. Obviously your concerns were blown off.
Take action now and move forward.
Hugs to you Mom!
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Post by shannoots on Jun 2, 2016 20:01:36 GMT
Our pediatrician has always says that as long as they are growing/gaining weight and typically following the same pattern on the growth chart, they are fine. My middle son is super skinny but he has always grown at about the same rate so they don't worry about him.
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Post by karen on Jun 2, 2016 20:18:57 GMT
I think part of your problem os continuity of care. You statwd that this dr. had never seen your child before. To me this means the dr looked at your daughters chart and saw a lack of weight gain at the previous appointment and a very small gain this time. Since they were not the same dr as last time they saw the situation differently than the last dr and took ot more seriously. It is possible that had you had this dr at the last appointment your concerns may have been validated.... Texture issues is my guess, but you need a provider that is familiar with your child. The same provider every appointment. Good luck and best wishes for a happy healthy little one when all the twsts are in. . I agree with the problem being related to the lack of continuity of care. I understand your frustration, but it would be better to rule out any problems that she may have now, even if they didn't listen to you before this. In my experience, different doctors see the same symptoms differently. Let them do the tests and then you will know one way or the other. For a $10 copayment, I would let them check her alas often as they wanted to.
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caro
Drama Llama
Refupea 1130
Posts: 5,222
Jun 26, 2014 14:10:36 GMT
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Post by caro on Jun 2, 2016 20:43:38 GMT
Do they say/tell you/advise WHY she is not eating? And has she met other physical milestones?
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Country Ham
Pearl Clutcher
Posts: 3,314
Jun 25, 2014 19:32:08 GMT
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Post by Country Ham on Jun 2, 2016 20:52:24 GMT
It seems everyone is saying their children were misdiagnosed, so what's different for a true case? I would think multiple missed milestones and obvious cognitive delays in addition to low weight. A true case of FTT is related to weight and weight gain. Missed mile stones and cognitive delays are not FTT. Just because folks don't like the diagnosis doesn't mean you have to add other medical diagnosis to make it more palatable. I worked peds for years and there was never a social stigma attached to a diagnosis of FTT where I worked. Most of the time it was a milk/formula intolerance and sometimes a missed pyloric stenosis. Sometimes GERD.
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Post by scrapaddict702 on Jun 2, 2016 21:38:47 GMT
I would think multiple missed milestones and obvious cognitive delays in addition to low weight. A true case of FTT is related to weight and weight gain. Missed mile stones and cognitive delays are not FTT. Just because folks don't like the diagnosis doesn't mean you have to add other medical diagnosis to make it more palatable. I worked peds for years and there was never a social stigma attached to a diagnosis of FTT where I worked. Most of the time it was a milk/formula intolerance and sometimes a missed pyloric stenosis. Sometimes GERD. I wasn't adding anything. The Ped specifically mentioned her not speaking yet as another reason for the diagnosis. However, to me, I wouldn't say a single missed milestone would be the determining factor in a diagnosis, which is why I said what I said above.
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