Wednesday, August 28, 2019

Pediatrician/Dietician followup


Pediatrician/Dietician appointment

On August 28th 2019, Vincent had two appointments. The plan was his closing appointment with the pediatrician and dietician.  I knew there was a good chance it wouldn’t be the last appointment with the pediatrician, however I wasn’t ready for all the information.  Nothing bad happened, it was just a lot of information.  Thankfully, I had my mother in law come to help out with Vincent. 
To start, Vincent weighs 30 pounds 4 ounces. He is 84 cm long.

Pediatrician

Vincent is 20 months old. At this point, he should be walking.  This is something he doesn’t do on his own yet.  It’s been about two weeks that he has been pushing anything around in order to walk. His favourite items to walk with are his walker, stroller bike, and umbrella bike stroller.  While walking, you do notice that his feet point towards the outside.   After walking while holding the pediatrician’s hands, she decided it would be best to send a referral to CHEO (Children’s Hospital of Eastern Ontario).  Because the wait is most likely really long and we have private insurance through Pat’s work we will start private physiotherapy.  The pediatrician advised me that Vincent will most likely be walking by the time the CHEO appointment happens.
Vincent is right on track when it comes to talking. He can easily put two to three words together. He does get English and French mixed up but that is normal.
Vincent has been getting hearing tests every six months.  The last hearing test was at the beginning of June. I didn’t get to write the blog about it because we were in the process of moving.  He hasn’t fully passed one test, but they confirmed he can hear. The reason he is not passing, is that he doesn’t understand the part of the test where they put probes in his ears.  He does well when it’s a hearing test without probes. He can hear very well.  The only thing that worries the audiologist is they can’t pin point if he hears well in both ears or is it one ear that does most work.  The audiologist team also wonder if the reason he doesn’t hear very well is because he has a lot of congestion in his ears.  This is the info needed for the next part of the pediatrician appointment.
Vincent is being sent to an ENT (Ear, Nose and Throat) specialist.  There are multiple reasons and this paragraph will explain it. The first is to make sure his ears are okay and that there is nothing blocking the hearing.  We know from his second hearing test at 12 months old that his bones in his ears are formed perfectly for hearing.  Vincent also snores really loud and breathes through his mouth like Pat.  The pediatrician wants to make sure that his adenoids and tonsils aren’t too big. They rather remove them if needed at a young age. This might in time help with his snoring.  Also when he wakes up he has a huge drool spot.  To help move things along with the ENT, Vincent is prescribed Nasonex.   That is the first step they will do to make sure it’s not his sinuses causing all the problems.  Therefore, for the next eight weeks, Vincent will be having Nasonex in his two nostrils once a day.  The first dose was very easy to do.  Let’s hope it continues.


Dietician

The dietician was very happy with Vincent’s progress.  The only thing needed is to add one cup of cow milk throughout the day. Also start Vitamin D drops in the fall.  She will keep his file open for a year but no need for another appointment unless required.