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I've only posted once here -my " Roll Call " , but have been reading

your posts daily and have learned a lot about RSS. Sorry this is

kind of long- I am not known for being brief, but will work on it!

My 13 month old daughter had her 1st appointment with the

Endocrinologsit today. He asked us what other specialists had said

and when we told him possible RSS his face kind of lit up. He

responded " That is exactly what I thought the moment you walked in

the door- Russel Silver. " He examined her more and agreed that she

had some features of RSS, but not all and feels that it is either a

mild case of RSS or a RSS type syndrome. I had never noted the

bluish/dull tinge to the " whites " of her eyes until he had me look

at my husband's eyes next to Meg's. How could I have missed it? I

also never really looked at her face from the angle he did to see

the triangular face shape and the asymmetry of her cheeks. I guess

maybe I didn't want to see it.

Anyway, we go back in 3 months to check her growth again, get some

blood work and to talk about our progess in the decision making

about GHT. He said he would like to get her started around 18

months, if we choose to start GHT. We are already leaning towards

doing GHT, I have already done tons of research on it (in

preparation for our visit) and have also read how many of your

children have had positive results on GHT.

Thank you for the input you have already provided to us.

I have one question- I see that several of your children have

feeding tubes. Is this a " normal " part of RSS or is it very child

dependent. Meg eats well and is not undernourished per her Dr, so

maybe we won't have to do tube feedings (she hasn't been tube fed

since she a month and 1/2 old & in the NICU after her birth).

Ginger

Mommy to (13 months- 12lb 11oz, 26 inches)newly dx RSS.

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Ginger - Welcome! With regards to your question on tube feedings,

normally a tube is not needed for a child who eats well but doesn't

gain weight. This is because for a child who can eat well but is

flat in weight, it can take as little as 10-20% increase in calories

to get them gaining, and this increase can be accomplished

relatively simply with caloric/nutritional additives, or with the

antihistamine Periactin/cyproheptadine.

If your daughter goes on GH, and her growth velocity suddenly

doubles, her caloric intake will be even a bigger issue.

Keep reading, and good luck! Salem (, 8)

> I've only posted once here -my " Roll Call " , but have been reading

> your posts daily and have learned a lot about RSS. Sorry this is

> kind of long- I am not known for being brief, but will work on it!

>

> My 13 month old daughter had her 1st appointment with the

> Endocrinologsit today. He asked us what other specialists had said

> and when we told him possible RSS his face kind of lit up. He

> responded " That is exactly what I thought the moment you walked in

> the door- Russel Silver. " He examined her more and agreed that

she

> had some features of RSS, but not all and feels that it is either

a

> mild case of RSS or a RSS type syndrome. I had never noted the

> bluish/dull tinge to the " whites " of her eyes until he had me look

> at my husband's eyes next to Meg's. How could I have missed it? I

> also never really looked at her face from the angle he did to see

> the triangular face shape and the asymmetry of her cheeks. I guess

> maybe I didn't want to see it.

>

> Anyway, we go back in 3 months to check her growth again, get some

> blood work and to talk about our progess in the decision making

> about GHT. He said he would like to get her started around 18

> months, if we choose to start GHT. We are already leaning towards

> doing GHT, I have already done tons of research on it (in

> preparation for our visit) and have also read how many of your

> children have had positive results on GHT.

>

> Thank you for the input you have already provided to us.

>

> I have one question- I see that several of your children have

> feeding tubes. Is this a " normal " part of RSS or is it very child

> dependent. Meg eats well and is not undernourished per her Dr, so

> maybe we won't have to do tube feedings (she hasn't been tube fed

> since she a month and 1/2 old & in the NICU after her birth).

>

> Ginger

> Mommy to (13 months- 12lb 11oz, 26 inches)newly dx RSS.

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