Saturday, August 15, 2009

GI visit + pics

This is a copy of the post from Robbie's blog from Tuesday.

Robbie had a regularly scheduled pediatric GI visit today. We saw the nurse practitioner in the office whom I happen to love. She has 26 weeker twins herself, so she's a member of "the club."

Robbie was less thrilled about the visit. He really had developed quite the phobia of doctor's offices. He was fine in the waiting room, but as soon as we walked into the exam room, he started crying hysterically. He cried all the way through being stripped, weighed & measured and most of the way through our discussion about how things are going.

The good news: He weighed in at 20lb 15.5 oz, measured at 26 inches. That puts him on the growth chart for weight. About 10th percentile. Everyone oohed and ahhed over how chunky he is. She even called in the doctor to marvel over the change. There were lots of giggles about his "man-boobs" (or "moobs" as the nurse practitioner referred to them.)

The NP said the computer yelled at her because his weight gain was so great. That's both good and bad, of course.

Yes, it's good to see him gaining and looking healthy, but there are limits as well. He gained 4lb in the month of July. That's double the maximum they like to see.

I explained that we're finally getting a handle on the puking and how much his caloric needs have changed. She approved of the changes I was making and asked to tweak them just a bit more.

Right now, the plan is to keep him at 90 kcal/kilo for 6 weeks. We'll see GI again at that point for an official weigh in. If he's still gaining too much at that point, we'll drop to 75kcal/kilo for another 6 weeks. If he's STILL gaining too much, he'll earn himself a metabolic work up to make sure nothing else weird is going on.

She's not concerned about one banner month of weight gain, particularly considering how poor the previous 13 months were and how far behind he was. She thinks he just hit a catch-up growth spurt (common in preemies) and we should be fine, but we will watch to make sure. Her hope is that he maintains his growth curve of 10 percentile.

Everything else was good. We walking about his development. It's always nice to talk to another mom who truly understands the battles we face. Her twins are several months older than Robbie, so it's always nice to hear how they're doing and hear how they're overcoming their obstacles. It gives us hope.

All in all, it was a good visit.

And of course, some recent pictures!

Lookie! My feet finally touch the ground in my jumperoo.

Hanging out in mommy & daddy's bed with one of the sleepy kitties.

You lookin' at me?

My OT is making a Robbie salad!

I'm a rockstar- just like grandpa!



Kierstin said...

Glad you had a good visit and can talk to someone who has been where you are/were! That always helps. On the Robbie side of things-he is ADORABLE! I know i mention that whenever you post pics but I cannot help myself! You just want to eat him up! And he is looking so much like you, I think!

Abbey said...

Glad to hear things are well! I've been meaning to email you and see how things are going. I meant to comment the other day about the puffs, that is huge and great! I'm glad you had a good visit with S. She's the best! He is adorable!

Carrie M. said...

He's getting so chubby! Go Robbie :)

Sunny said...

"Moobs" had me cracking up!

WTG Robbie and mama for an awesome appt.

Cassie said...

Awesome Job Robbie (and of course mommy and daddy)!!! The pictures are so cute and I love the moobs. I might have to pull those out on my

Elizabeth said...

Love the pic's! My favorite is the one with Grandpa. Robbie is just too adorable.

I'm so glad the dr. can understand what you are going through.

Ivory said...

holy crap! he looks like a total different baby now, I can't believe it!

Angela said...

So happy to hear about the weight gain - he has a nice healthy look to his cheeks in all these pictures! :)

Adriane said...

That's awesome that he's 21 lbs!!