Guest guest Posted February 22, 2006 Report Share Posted February 22, 2006 Hi Sheila! My name is Pat and I am g-ma to , 4, RSS. (his current stats are in my signature) Welcome to the group! This is a wonderful bunch of people, full of info, support and caring. You mentioned that you'll be moving to a needle/syringe type delivery for you GH. Have you ever heard of a device called an Inject-Ease?? Bran has been on GH for almost 2 years now, and we use insulin needles with the Inject-Ease for delivery. It's really easy. And the Inject-Ease shields that needle from view, which is a big plus in my mind! LOL If you google " Inject-Ease " you can see a picture and description of the device. It's usually used for diabetics, but works well with our kids for GH too! You were saying that Lizzie has stopped growing even with GH??? You didn't mention her weight or height but I thought of a couple of things I might check out. 1) Has her GH been titrated to her weight?? In other words, has her endo increased her dosage as she gotten heavier??? 2) What are her weight and height?? How is her eating?? Could she be lacking substantial calories for good growth??? 3) What is the MRI for??? Bran never had one. We ran a battery of blood tests, and did a bone age scan, but never did an MRI. Anyway, just wanted to say welcome, and I hope you find this site as informative and caring as I have! Pat (g-ma to , RSS, 4yrs 1m old, 28# 10oz, 35 " , G-tube, GHT) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2006 Report Share Posted February 22, 2006 Hi Sheila, Welcome to the Group! It's so nice to see another girl around my daughter Olivia's age, and they seem to have started almost identical! Olivia was born at 31 weeks, 1 lb 11oz, (lost weight down to 1 lb 7 oz) and 13.5 " long. She's a terrible grower and isn't on GH (big battle for it here in Canada). How big is Lizzie (love her name!) now? Can't wait to get to know you better! Leah, mom to , almost 11 (in 2 days!) and Olivia, 6.25 yrs, 23lbs, 36 " , RSS, OI > > Hello all! > > Quick little intro about my little girl... > > Lizzie is 7 years old, she was born at 32 weeks 1 lb 12 oz, Severe > IUGR. Our first family Dr. for the first 2-3 years of her life when > she didn't seem to be growing at all only suggested that I have her > drink plenty of whole milk to grow. At 3 we switched to a > pediatrition who had a complete blood workup done, chromosome > testing, and bone age x-rays, and then referred us to the local ped. > endocrinologist, who has been treating her with Genotropin for the > last 3.5 years. We experienced good catch up growth the first year > on the GH, but it has steadily declined since then to having large > periods of time with little or no growth even though on the GH. The > local endo referred us to Children's Mercy in KC for a 2nd opinion. > The KC ped endo was suprised that a number of tests had never been > done on Lizzie, so we immediately did a blood draw for a new set of > labs, bone age x-ray, and kidney sonogram. Her MRI is scheduled for > next week. At the 2nd opinion appt last week, the endo said she > exhibited many of the characteristics of RSS. It is something I had > thought that she had when we first started researching all of the > growth issues back 3 years ago, but our local ped endo here in town > didn't think so, and also didn't think it was important to do an MRI > before starting GHT... (long story about the local ped endo, but an > experience my friend had with him regarding her daughter was enough > to tell me I didn't want him as our Dr either). We have new health > insurance, and they will not pay for the Genotropin any more, > instead their drug of choice is Tev-Tropin. We get out first > shipment in later today, this will be a new experience, giving daily > shots with needle/syringe instead of the Pen Device. > > Aside from the medical stuff, Lizzie has 2 brothers, 5 and 18 months > (who were also preemies, but do not appear to have any growth > issues) and another sibling on the way (I'm only 11 weeks, so we do > not know yet if it is a little sister or brother). > > I've rambled on enough, lol! > > Sheila > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2006 Report Share Posted February 22, 2006 hello wellcome to a great group. your story about doc are very simmaler to mine my son is 9 and has just been on GHt for about a year and 3 months he is doing so weel in the first year but i have no idea how it will come about. i would also suggest getting a good amount of food in her that might help the gh work maybe your doc would put her on peractin it is antihistame that really work well on our kids as an appitite stimulant to help get the much needed calories in the little eaters cara mom to jacob 9 kenwintech wrote: Hello all! Quick little intro about my little girl... Lizzie is 7 years old, she was born at 32 weeks 1 lb 12 oz, Severe IUGR. Our first family Dr. for the first 2-3 years of her life when she didn't seem to be growing at all only suggested that I have her drink plenty of whole milk to grow. At 3 we switched to a pediatrition who had a complete blood workup done, chromosome testing, and bone age x-rays, and then referred us to the local ped. endocrinologist, who has been treating her with Genotropin for the last 3.5 years. We experienced good catch up growth the first year on the GH, but it has steadily declined since then to having large periods of time with little or no growth even though on the GH. The local endo referred us to Children's Mercy in KC for a 2nd opinion. The KC ped endo was suprised that a number of tests had never been done on Lizzie, so we immediately did a blood draw for a new set of labs, bone age x-ray, and kidney sonogram. Her MRI is scheduled for next week. At the 2nd opinion appt last week, the endo said she exhibited many of the characteristics of RSS. It is something I had thought that she had when we first started researching all of the growth issues back 3 years ago, but our local ped endo here in town didn't think so, and also didn't think it was important to do an MRI before starting GHT... (long story about the local ped endo, but an experience my friend had with him regarding her daughter was enough to tell me I didn't want him as our Dr either). We have new health insurance, and they will not pay for the Genotropin any more, instead their drug of choice is Tev-Tropin. We get out first shipment in later today, this will be a new experience, giving daily shots with needle/syringe instead of the Pen Device. Aside from the medical stuff, Lizzie has 2 brothers, 5 and 18 months (who were also preemies, but do not appear to have any growth issues) and another sibling on the way (I'm only 11 weeks, so we do not know yet if it is a little sister or brother). I've rambled on enough, lol! Sheila Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2006 Report Share Posted February 23, 2006 Hello, Thank you for the inject-ease recommendations! After the bit of a struggle with last night's 1st shot with the new needle/syringe, it's definitely worth looking into! 1) Yes, the endo has been increasing the dose according to her weight, but the old endo was giving a small amount less than what the new endo recommends (1.2 7x a week vs 1.5 6x a week recommended by the new endo) 2) Forgive me, but I don't know her exact height (roughly 43 " )! The old endo never converted it to inches for me, and I can't remember what it was in mm. Her weight has been hovering right at 39 lbs for the last 6 months or so, just before that she had a 5 lb weight gain in 3 months. As far as calorie intake goes, I'd be afraid to put more into her! LOL She can eat like a horse.... The ladies in the cafeteria at her school always comment to me how she can finish her lunch and always want 2nds each day... they can't figure out how such a little thing can eat so much food! She can eat a full meal, and she'll be asking for something to eat in just an hour. 3) I think the MRI is to look for tumors, from most of the reading that I have done I was under the impression this was routine before starting GHT. All of the other kids I know on GH have had MRIs before starting the therepy. Sheila, mom to Lizzie > > Hi Sheila! > > My name is Pat and I am g-ma to , 4, RSS. (his current stats are in > my signature) Welcome to the group! This is a wonderful bunch of people, > full of info, support and caring. > > You mentioned that you'll be moving to a needle/syringe type delivery for > you GH. Have you ever heard of a device called an Inject-Ease?? Bran has > been on GH for almost 2 years now, and we use insulin needles with the > Inject-Ease for delivery. It's really easy. And the Inject-Ease shields that > needle from view, which is a big plus in my mind! LOL If you google > " Inject-Ease " you can see a picture and description of the device. It's > usually used for diabetics, but works well with our kids for GH too! > > You were saying that Lizzie has stopped growing even with GH??? You didn't > mention her weight or height but I thought of a couple of things I might > check out. > > 1) Has her GH been titrated to her weight?? In other words, has her endo > increased her dosage as she gotten heavier??? > > 2) What are her weight and height?? How is her eating?? Could she be lacking > substantial calories for good growth??? > > 3) What is the MRI for??? Bran never had one. We ran a battery of blood > tests, and did a bone age scan, but never did an MRI. > > Anyway, just wanted to say welcome, and I hope you find this site as > informative and caring as I have! > > Pat (g-ma to , RSS, 4yrs 1m old, 28# 10oz, 35 " , G-tube, GHT) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2006 Report Share Posted February 23, 2006 Hi Leah, Lizzie is roughly 43 " and 39 lbs. Her name is a rather interesting story, it was supposed to be , but the night before she was born, my husband and I were watching an old rerun of Friends, and they called " Rach " and neither one of us liked that nickname. My husband jokingly said, it's alright, we have 2 more months to pick out a name.... she was born about 8 hours later! Sheila, mom to Lizzie > > > > Hello all! > > > > Quick little intro about my little girl... > > > > Lizzie is 7 years old, she was born at 32 weeks 1 lb 12 oz, Severe > > IUGR. Our first family Dr. for the first 2-3 years of her life > when > > she didn't seem to be growing at all only suggested that I have > her > > drink plenty of whole milk to grow. At 3 we switched to a > > pediatrition who had a complete blood workup done, chromosome > > testing, and bone age x-rays, and then referred us to the local > ped. > > endocrinologist, who has been treating her with Genotropin for the > > last 3.5 years. We experienced good catch up growth the first > year > > on the GH, but it has steadily declined since then to having large > > periods of time with little or no growth even though on the GH. > The > > local endo referred us to Children's Mercy in KC for a 2nd > opinion. > > The KC ped endo was suprised that a number of tests had never been > > done on Lizzie, so we immediately did a blood draw for a new set > of > > labs, bone age x-ray, and kidney sonogram. Her MRI is scheduled > for > > next week. At the 2nd opinion appt last week, the endo said she > > exhibited many of the characteristics of RSS. It is something I > had > > thought that she had when we first started researching all of the > > growth issues back 3 years ago, but our local ped endo here in > town > > didn't think so, and also didn't think it was important to do an > MRI > > before starting GHT... (long story about the local ped endo, but > an > > experience my friend had with him regarding her daughter was > enough > > to tell me I didn't want him as our Dr either). We have new > health > > insurance, and they will not pay for the Genotropin any more, > > instead their drug of choice is Tev-Tropin. We get out first > > shipment in later today, this will be a new experience, giving > daily > > shots with needle/syringe instead of the Pen Device. > > > > Aside from the medical stuff, Lizzie has 2 brothers, 5 and 18 > months > > (who were also preemies, but do not appear to have any growth > > issues) and another sibling on the way (I'm only 11 weeks, so we > do > > not know yet if it is a little sister or brother). > > > > I've rambled on enough, lol! > > > > Sheila > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2006 Report Share Posted February 23, 2006 Thank you for the advice! At this point I'd be afraid to give her anything to stimulate her appetite, it's absolutely incredible how much food this girl can eat! She has a 5 year old brother (normal size, no growth issues) and she routinely eats at least twice as much as he does at meals. Sheila, mom to Lizzie > Hello all! > > Quick little intro about my little girl... > > Lizzie is 7 years old, she was born at 32 weeks 1 lb 12 oz, Severe > IUGR. Our first family Dr. for the first 2-3 years of her life when > she didn't seem to be growing at all only suggested that I have her > drink plenty of whole milk to grow. At 3 we switched to a > pediatrition who had a complete blood workup done, chromosome > testing, and bone age x-rays, and then referred us to the local ped. > endocrinologist, who has been treating her with Genotropin for the > last 3.5 years. We experienced good catch up growth the first year > on the GH, but it has steadily declined since then to having large > periods of time with little or no growth even though on the GH. The > local endo referred us to Children's Mercy in KC for a 2nd opinion. > The KC ped endo was suprised that a number of tests had never been > done on Lizzie, so we immediately did a blood draw for a new set of > labs, bone age x-ray, and kidney sonogram. Her MRI is scheduled for > next week. At the 2nd opinion appt last week, the endo said she > exhibited many of the characteristics of RSS. It is something I had > thought that she had when we first started researching all of the > growth issues back 3 years ago, but our local ped endo here in town > didn't think so, and also didn't think it was important to do an MRI > before starting GHT... (long story about the local ped endo, but an > experience my friend had with him regarding her daughter was enough > to tell me I didn't want him as our Dr either). We have new health > insurance, and they will not pay for the Genotropin any more, > instead their drug of choice is Tev-Tropin. We get out first > shipment in later today, this will be a new experience, giving daily > shots with needle/syringe instead of the Pen Device. > > Aside from the medical stuff, Lizzie has 2 brothers, 5 and 18 months > (who were also preemies, but do not appear to have any growth > issues) and another sibling on the way (I'm only 11 weeks, so we do > not know yet if it is a little sister or brother). > > I've rambled on enough, lol! > > Sheila > > > > > > Quote Link to comment Share on other sites More sharing options...
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