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E News

Friday we went to the doctor for a routine check of vitals because E is on meds. E has grown an inch in the past 11 months. She grew 1.5 inches from summer to summer when she went to the doctor in August, her last visit. Normal is 2-3 inches per year at her age. At 1.5 inches per year, E was projected to be between 5'2" and 5'5" tall at her full height. At 1 inch per year, there's little chance she would break five feet. She's 9 in a few months and not even 48 inches tall. Just shy of it by a half inch, which in E terms is 6 months unless she slows more. And, in her doctor's opinion, meds are not to blame because her weight is squarely in the middle for her height. He felt she should be on the low side if the meds were to blame.

E began life almost 9 years ago right about at the 50th percentile for length and weight. She had dropped to the 20th percentile last summer and I didn't want to ask where she is now, but it's less than that. E is officially small and I'm reminded (and not in a good way) of one of the characters in Hotel New Hampshire, Lilly was it?

Poor E. She goes in for a visit where nothing is supposed to happen and they draw blood for tests. Because now they want to know why E is small. It's not going to be easy to get her to go to the doctor's next time. Last time it was an unscheduled shot for chicken pox, this time it was blood. But she was the most amazing trooper. For the first time, she listened to us explain the procedure and didn't freak out when it actually happened to her. Instead of irrational screams and struggles, she only needed her arm held still (second attempt) and kept saying "ok" in a small voice. She even managed to answer questions. It never touched me, hurt me, half so much when she screamed as those quiet "ok"s did.

Frog Out


( 10 comments — Leave a comment )
Mar. 4th, 2008 03:19 am (UTC)
Lots of wonderful people are small! I'm only a couple inches over 5' and all of my employees at the store after I fired Rhoda and Judy left were shorter then me--and they're very fine people! (I didn't fire Rhoda because she was tall.)
Mar. 4th, 2008 11:01 am (UTC)
Nothing wrong with "small" but there's lack of nutrition and then there's "something is wrong." It used to be low birth weight and nutrition that caused a lot of issues with height. You can see it in the next generation when the kids are taller than their parents. But this is going the other way. And we just don't know what runs in the Dude's family. She was on track to be your height, a very nice height to be considering that her father isn't particularly tall though most of my family is taller than average in each generation.
Mar. 4th, 2008 03:49 am (UTC)
Aww. Hugs for both Mom and Miss E.
Mar. 4th, 2008 04:51 am (UTC)
I hate to say it because the tests for it are not fun, but have they checked her growth hormone levels and pituitary? Anne
Mar. 4th, 2008 10:54 am (UTC)
Hi Anne! Congrats on the wedding! (The Dude seems to have messed up and not responded. He gave me a big Oh No! when I asked about you the other day.) I hope you're both very happy.

Thanks for reading! The blood was drawn to look at HGH and thyroid. He didn't mention pituitary at this point. He's also going to look at her skeletal age. He's been reassuring up to now about her being on a "slow track." This is the first time he's been concerned.
Mar. 4th, 2008 01:55 pm (UTC)
Poor E! I am reminded of Paidhi Girl, who last time she needed blood drawn, just a little younger than E is now, sat there very quietly with a look of utter terror on her face and then when the needle went in said, "Oh, that doesn't hurt at all!" and looked so tremendously relieved. Then it was Paidhi Boy's turn, and he was totally unperturbed--probably because he didn't really know what was going on, he'd been diagnosed with a language delay and at the time often didn't really pay any attention to what people were saying to him--and Paidhi Girl burst into tears. Because, she told me, Paidhi Boy was going to be scared at first too, and that had been horrible.

It sounds like E was very, very brave. I hope the doc finds something clear and simple, and trivial to deal with.
Mar. 4th, 2008 02:02 pm (UTC)
E has had a lot of language issues as well and I think that's why she was always so frantic before. I can see just how far her language skills have come in her ability to reason through what was being said and what was being done to her and why. But she said it did hurt. She jerked the needle out the first time, it was such a shock to her.

Asked which was worse, a shot or blood being drawn, she answered "both." She was so brave, so trusting, that this had to be done.
Mar. 4th, 2008 02:24 pm (UTC)
Kudos to E for monitoring her own behavior. That's a "big" girl thing to do.

My son is small too. He fell off his growth line just as E has done here and they did tests and found no reason. He was older than she is, I think, and they gave him hormones anyway. He grew but I think they just induced adolescence early and he might have been better off to wait and hope adolescence came late so he'd have every quarter inch of height he could manage before it hit. These decisions are so hard.
Mar. 4th, 2008 02:31 pm (UTC)
One of the reasons he wasn't concerned last summer is that she shows no signs of puberty approaching, unlike one of her friends. That's often genetic. Part of the quandry is not knowing what the Dude has in his background. She takes after him physically in many ways. Thanks for telling me about your son. I'm going to need data to make a decision and early adolescence, or earlier than appropriate for that individual, hadn't occurred to me.
Mar. 4th, 2008 06:58 pm (UTC)
Aww, poor E. She did so good, though, and was so brave.

Alyx was very small all through childhood and teenagerhood, and she's now 5'5" -- right on the average.
( 10 comments — Leave a comment )