Guest guest Posted October 5, 2005 Report Share Posted October 5, 2005 Hey everyone! Sorry if I worried anyone about Olivia and the bad Endo appt. She's doing just great, it's the Endo that I'd like to throttle!!!!!!!!!!!!!!!!!!!!! (my turn with the exclamation marks!) I should start by saying in Canada the rules are a bit different in that GH is only Rx'd for GHD and 's syndrome so we have an uphill battle from the start in this area. I was very well prepared for the appt. (thanks to MAGIC, the conventions and all of YOU!) and I had a quick concise answer to all of the Dr's questions. The problem was that she had " The Smirk " on her face that said she didn't believe a damn word I said about RSS, GHT, bone age, ANYTHING. Again it came down to the fact that I'm small, 4'9 " , so she's going to be small too. She asked if my mom commented on how small I was as a child so I pulled out MY growth charts to show her that although small I was still ON the growth charts and very chubby, 90th %ile for weight! I should also mention she's (the endo) not convinced Olivia has RSS at all, she thinks it's just the OI. Since my hubby, his mom, his sister and her daughter all have OI she asked about their sizes. Well everyone in their family is huge, 5'10 " - over 6' so yes the OI made them shorter. His mom and sister are also 4' 9 " . However they aren't exactly slight people, both having weight issues all their lives. Well then she want's to know the size of our niece with OI. I laughed! Sure she's short for her age but at almost 3 years old she's only 2 inches shorter than Olivia (almost 6) and is 12lbs HEAVIER. She finally asked where I'd gotten my info from, so I told about going to Conventions and all the Dr's volunteering (sp) their time, etc. and she said " well you know that RSS kids don't respond to GH anyway " I begged to differ and got " The Smirk " yet again. She had no value at all for the efforts and the huge strides that Dr's of other countries are making, I even pumped up Dr. Stanhope since he's British to no avail. She also seems to think that Olivia's growth velocity is acceptable. Maybe I should have given her glasses, 3 year olds notice that she's different!! The big one for me was about bone age. It really showed me that this Dr know's NOTHING about RSS!! She said " There's no panic or rush at all since Olivia's very young only 5yrs 10mths, we have until she's 9 to start GHT if that's what you really want to do. " I said " I think that's a bit too late since their bone age will surpass their chronological once puberty begins, the bones will fuse early and growing will be finished " She LAUGHED and said " That never happens and even if it did, it would take years, with Olivia's delay in bone age she should grow until she's 17 " Again I said " not with these kids " and just left it. Her game plan is to check Olivia's IGF-1 and something else right now to get a " baseline " (ridiculous since she's had this several times and has a well established base line). Then in 6 months we'll go back for a stim test then 6 months after that possibly consider a 1 year trial to see how Olivia does. Considering all of this and including the insurance fight to cover it we're looking at well over a year just so the endo can " think about it " . (Because we have until she's 9 right?? UGG) She's obviously brushing us off and wanting to keep pushing it back so I'll just give up on it. WELL she's doesn't know this Momma very well at all, HA! Even though she refuted everything I said, I was kind and polite and agreed whole heartedly with the game plan just so I won't get black listed there. MY game plan is totally different, haha. Thanks to all the help from Debby B. (thanks Deb!) we're going to get in touch with a different Dr. If he doesn't know anyone in my province who can help then we might be off to Ontario if he'll see us. Anyway, that was some of our Bad Endo appt, sorry it got so long (and this is the condensed version!) Thanks for letting me vent!! Leah mom to 10 years and Olivia 5.75 years, 22lbs, 36 " , RSS, OI Quote Link to comment Share on other sites More sharing options...
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