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RE: 's Dr. H Visit

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So how do you feel about going from one thing to another? Can you send me

picture of ashley?

's Dr. H Visit

>

>

> Well, we had our three month check up with Dr. H

> yesterday. At the

> end of January weighed 30.2 pounds and was

> 97.6 cm. Yesterday

> she was 31.7 pounds and 98.9 cm. Dr. H was happy

> with her weight gain

> but not height gain. She told us that 's

> target height is 5'2 " .

> She is tracking at 4'10 " . However, she stated that

> it appears with

> each time is measured, her height velocity is

> decreased. She

> noted a " growth spurt " from 2/04 when she saw her

> local endo to our

> first visit with Dr. H 1/31/05. I attribute that to

> what 's

> cardiologists all said, that we would see a slight

> growth spurt but

> not a catch up after her open heart surgery to close

> a large hole in

> her heart on 11/3/03. So that is probably why it

> looked like she had

> her best growth in that year. Dr. H said her height

> SDS has dropped

> 0.11 SD and her weight has increased by 0.17 SD.

> Currently her weight

> SDS is 0.26 SD ahead of her ht SD. is 1.53

> SD behind her target.

>

> Dr. H wants us to schedule to have a bone age

> done and a

> clonidine test. If she fails that test then we

> should do the arginine

> test. Whatever that is. If she fails that test as

> well then the next

> step is an MRI of her brain to make sure there are

> no abnormalities.

>

> Her blood work from her local endo shows that she is

> not growth

> hormone deficient. Her thyroid levels she said were

> low, however, she

> does not believe is hypothyroidism.

>

> Dr. H said that is definitely NOT RSS or SGA

> and that her

> growth has not thing to do with lack of calories,

> but does not know

> why she does not grow well.

>

> If anyone knows anything about these tests, I would

> appreciate any

> information or advice.

>

> B

> 5 and Kelli 2 3/4

>

>

>

>

>

>

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