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Re: Salem's Dr. H visit

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,

I believe the 49 pounds, 50 inches is Jon's exact size at age 8

(last year).

Pattie

> For those of you who know , the saga goes on.... This is a

> long email....

>

> We flew in from LA Thursday night, and I stupidly didn't set an

> alarm clock for the next morning. Her gastric emptying test was

at

> 9am, but I figured, I am going to bed at 10pm east coast time --

> noise from the streets is bound to wake me up early! Knocking on

> the hotel door awoke me -- housekeeper -- and the clock said

> 8:38am. Needless to say we flew out the door, and arrived at the

> test at 8:55am, albeit with wet hair for me!!!

>

> Gastric emptying test was so easy! And it was whole milk!!! Our

> Dr. H visit was scheduled for 1pm. For the first time EVER, we

were

> in her office by 1:30pm and out by 3pm. Incredible!!!

>

> Well, Jodi, you were right. 's gastric emptying results

were

> not normal, but not as bad as many RSS kids like Max. Normal is

30

> minutes for the food to begin emptying. was at 193

> minutes. I asked Dr. H -- why is able to eat 1800

calories+

> a day, and all day long. She said that the reason eats

all

> day long is the learned response for slow gastric emptying.

> is incapable of eating 3 large meals, so her body has learned to

eat

> smaller amounts all day long.

>

> However, Dr. H is not willing to do a pyloroplasty at this time

due

> to 's past surgical complications ( J. -- I thought of

> you and the sepsis discussion we had!). Also, is quite

> constipated, and Dr. H wants to take care of this first, and then

> redo the gastric emptying test in January.

>

> So, now is on Periactin and Prevacid in the morning, and

has

> Miralax mixed with her OJ. Hopefully this will help get " her

> started. " The other thing is that she showed clear signs

of " severe

> reflux " during the emptying test. As usual, Dr. H doesn't

hesitate

> to pull out all the stops. While we are in the exam room, she is

> calling Dr. Spiglund on the phone for a consult on how to handle

> . Truly incredible, the dedication this doctor takes.

>

> She also spent about 20 minutes at various times showing

how

> to do division and multiplication ( is 7.....) and just

plain

> old talking to her, as a normal person. I am learning to keep my

> mouth shut and let Dr. H and talk about her care.

>

> I will tell all of that have older kids that Dr. H's prescription

> for NiteBite bars has been a miracle. These are time-released

> glucose/cornstarch bars for nighttime. had complained 6

> months ago that she didn't want bedtime milk/cornstarch because

she

> wanted to learn not to pee during the night. Dr. H talked one on

> one with , and they agreed that L would eat a NiteBite each

> night. These bars have been even more effective of controlling

L's

> blood sugar levels than cornstarch alone. The negative is that

each

> bar costs $1.24.

>

> So.... Dr. H has asked me to work in my kitchen and try to make my

> own duplicate bar. She doesn't know what a terrible cook I am, so

I

> am going to turn this over to my mother-in-law for a project. If

we

> can get a reasonable bar, I will let you know.

>

> But for anyone who wants to try the NiteBites, the chocolate is

the

> best. And you have to order them in boxes of 6 bars from your

> pharmacist (no prescription necessary).

>

> Good news, bad news. Good news is that 's height has

> continued to " climb " up the growth chart, even now at her 3 year

> mark on GH. She is now above the 55%'tile mark, growing about 3/4

> of an inch in the last 3 months.

>

> Bad news is that she didn't gain any weight whatsoever. Although

> her actual weight shows on the 20%'tile, this is false positive,

> because " this girl doesn't have an ounce of body fat on her entire

> body. " She said that she is very worried, and that she is at

great

> risk for re-hospitalization if she gets ill. She wants us to

start

> giving her glucose tablets at every quarter break during soccer

and

> every hour during dance, etc. (She did encourage us to keep her

> involved in her athletic activities.)

>

> So...... enough of a long story. I used to think that life would

> get easier as my RSS child got older. And I guess in terms of

> actual stress, it does. Getting enough calories in when they are

so

> tiny is so stressful. But I am learning that as more and more RSS

> kids are studied, and we learn more and more, that there is also

> more and more for us " older " parents to learn as well.

>

> Salem (, age 7 yrs 9 months, 49lbs, 50.5 " , GH,

> Periactin, Prevacid, Zantac)

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