Wednesday, June 1, 2011

Brooklynn's 15 month appointment

We went to see Dr. N. today for Brooklynn's 15 month appointment. Measurement wise she is doing okay. She weighed 26 pounds, which is actually down in the graph, she is at 80% (down from 90% which is still good but she felt it was due to her coughing so much the last 3 weeks. Her height is on a steady growth at 70% at 31 inches. Her head didn't grow!! It was at 21 1/4" which is flatlined from last time! Yay! We talked a lot about differnt things, including whether I should be concerned about her genetics appointment. She stated she didn't feel like she had anything in her head disorders wise and the ones it seemed like the genetics were concerned about based on conversation that the results all came back. She said since she is on point developmentally we shouldn't be too worried. Developmentally she is on point. She is starting to walk on her own - letting go of things and walking between objects (sometimes up to 10 steps). She points to what she wants, she says 3-5 words (no, done, more, hi, bye), and with food she is doing amazingly. We need to work on getting her off the bottle (which I promised we would work on after her sleep study), and we need to work on stacking blocks. I asked about working her up for allergies, which Dr. N. stated she likes to hold off until 2 years old so we dont get false negatives. Shots we are holding off for 2 weeks until after her sleep study and other appointments. Assessment wise - her ears look great. She has no murmur at this point, but we still need to see cardiology to rule out structural defects. When she cries she gets tight and does not have much air movement, but no wheezing, and she still has a nasty cough. So that brings us to our next topic....working her up for asthma. For the last week we have been trying to use albuterol treatments when she has coughing fits per request of the Sleep Clinic Doctors. It was really hard to tell if the treatments helped her because she always coughs a bunch after a nap, and than gets better. They seemed to help a little bit but it was hard to know. We are still wondering why she has this long term cough. It goes from a tight sounding cough to a loose cough, and she will have fits of up to 15 minutes after waking up. So we were prescribed flovent to try giving her twice a day for two weeks. If she improves, than we will be calling it asthma and doing an asthma action plan. Tomorrow night is our sleep study - so I am sure I will be posting pictures and information about how that goes! Isabella is becoming more of a little person. She LOVES performing - infact she performed her slippy fish song for the doctor today. She loves art. She is obsessed with her new swimsuit which she wears every other day. We have not gone to the pool yet thinking it would be a little too cold still. Hopefully soon.She found her new favorite movie - Tangled. It is super cute. Today we went ot get ice cream and Izzy was feeding Brooklynn ice cream and water. It was SOO cute! She is such a little momma.

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