Guest guest Posted September 19, 2005 Report Share Posted September 19, 2005 Hi There Can you kindly take us off the email list. Regards Dan & Anne Re: Tonight > > Hey Jodie. Thanks for asking. Everyone seems to be holding up. > Except, my dh and I went out on a date (first one in about 3 months) > and I ate so much at dinner - now my stomach hurts! LOL Ugh - I feel > like you do after Thanksgiving. I can't even go to sleep! LOL > > Oh - and the cleaning and sanitizing? Well, I left the couch cushions > outside this afternoon in the sun. Then, I left a message for an > upholstery cleaner to come on Monday. Hopefully, they will get the > message. My big guy did a number on my couch. My dh and I while out > and about this afternoon looked at couches - we asked the salesman if > the leather ones were vomit proof. The salesman was kinda taken-a- > back though and looked at us as if we were strange. Maybe it was the > galic and wine on my breath. LOL My dh and I just started laughing. > > Anyway, I'm hoping Ian doesn't get whatever it was. I couldn't > stomach it right about now. LOL > > Hope all is well with you. Thanks again for asking. > > Goodnight. > > - H > > >>Inga, >> >>This is a tricky subject and I hope I explain my thoughts to you in >>a clear manner. The Lupron you are using with your son is to delay >>puberty. That means it delays the onset of facial hair, increase in >>size of the testicles, deepening of the voice, and all the other >>stuff that goes along with puberty. It is delayed for several >>reasons, one being that a boy (or girl) showing these signs of >>development at an early age will stand out and look too different >>than his peers. It is also a time when growth speeds up - you know, >>like when you look at a teen in July (especially boys) and then see >>him again in September and it looks like he has grown several feet! >> >>Now, as Pat explained, Lupron, Zoladex, Lupron Depot, etc. are not >>associated with adrenarche which is responsible for advancing bone >>age. For that you would need to use Armidex, an aromatase >>inhibitor. This drug reduces and/or stops the production of >>estrogen, an enemy for a child with growth problems because of the >>advancement of bone age. As you know, once those growth plates >>fuse, no further growth can be obtained. >> >>Max showed signs of both puberty and adrenarche when he was in 5th >>grade, I believe. He immediately began taking Armidex and his bone >>age, which was catching up to his chronological age, began to slow >>down. As his chronological age went on, his bone age slowed down to >>the point where he is now 3 years delayed. He is 17, but his bone >>age is 14. That is great because it will give him that much more >>time to grow. (I think he is almost 5'5 " now!) >> >>Soon after starting the Armidex, Dr. H. decided to start him on >>Zoladex. Because of Max's uncontrolled and precarious anxiety at >>that time, she thought it would be a better choice than Lupron. The >>Zoladex would be placed every 86 days vs. the Lupron which would be >>painful and need to be injected every 28 days. Even though she had >>never placed the pellet herself before, we trusted her and let her, >>once again, use Max as her " guinea pig. " >> >>The medications worked very well. We happily followed the routine >>until a little over a year ago. Max at that point was in high >>school and looked like a baby compared to the huge and developed >>boys he was in school with. The decision was made to stop the >>Zoladex so that he could go into puberty and look more like his >>peers. The timing was right. Kids can be cruel and we did not want >>him teased because he still looked so young, besides being so much >>shorter than the others. >> >>But we continued to use the Armidex and we still do. >> >>Max's voice is deep, he has hairy legs, he shaves now and I know >>that his testicular development has advanced. When he was in the >>hospital last fall, I had to help him use the bathroom because he >>was too weak to go by himself and I got a good look. Man, was I >>surprised! I was actually embarrassed 'cause he looked like a MAN! >>He facial features are more sculpted, he has acne, he has muscles >>and he just looks older all around. (The acne got to the point >>where I had to take him to the doctor in August for medication. Now >>that is under control, thank goodness.) >> >>My point in all of this long message is that socially it is >>important to consider puberty and the correct time to let it >>happen. But medically it is important to keep that estrogen from >>developing too rapidly so our kids have more time to grow. >> >>You mentioned that you have seen weight gain with the increased >>Lupron dose, too. Yes, that can be a side effect, but you should >>also have him checked for Type 2 diabetes. Our kids are at risk for >>that condition and the weight gain can be a sign of that as well. >>An oral glucose tolerance test would be the thing to do for that. >> >>I hope I have helped you understand this better. It is so confusing >>and even I get mixed up every now and then. Gosh, there is so much >>to remember and to understand. >> >>Jodi Z >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
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