Thursday, December 16, 2010

James' 15 mo & Xander's 2.5 yr appointments

I've been working on this post for awhile but it didn't get published till about a week later- whoops! See next post for reasons why....

We had the kids dr apt's in the morning (hence the very lame and boring title of this post) which went well but really it always seems like a good idea to just get them done at the same time since we are all going to be there together anyway but by the time the apt was over I was wiped! A dr's exam room is no place to let lose two little monkey toddlers. Who's idea was it to have lever door handles on those rooms anyway?

Anyway James weighed in at 20 lbs 12 oz which puts him in the 7th percentile for weight so at least we are on the growth chart! He was 30 in tall which puts him in the 19th percentile for height so we're doing well there. His head has normalized out a little so he doesn't have such a giant head anymore. And in exciting news he has cut a new tooth- the bottom tooth on the front right has finally cut through and on the left there is a shiny bump but no tooth yet! He had to get several shots and we have to go back in jan for him to get the second 1/2 of his flu shot but he tolerated it pretty well and then he got some pretty stickers- which he was entirely uninterested in but Xander quite liked.

Xander weighed in at 27 lbs 14 oz, which puts him in the 27% for weight and was 34 in tall (3 inches taller than 6 months ago) which is 7% percentile but again at least we are on the growth chart there. I'm thinking though that one of the boys measurements is off b/c when they stand next to each other there is more than 4 in different in height. So I'm not entirely sure if Xander is taller than they said or James is shorter but in any case they are growing so what does it matter! Xander did not have to get any shots this time round- thank goodness giving how much he screamed just when Dr Walter tried to look in his ears. No ear infection this week and it appears for now that his tubes are patent. We go in April for a repeat Audiogram although if he continues to have ear infections monthly then we'll try to move that up to make sure his PE tubes are still patent.

All in all the are small but healthy little boys. Both continue to have terrible issues with diaper rash- somewhat related to what they eat but not entirely. Juice is a definite no-no for us- apple juice especially. They can only have it if it is heavily watered down and even then only in small quantities. Xander's PE tubes have made a dramatic difference in his speech. He is talking so much more it is just astonishing. So despite 4 ear infections in the 3 months since the tubes we are glad we did it. Luckily the ear infections don't seem to bother him that much- just yuckiness draining from his ears- but quite obviously it was affecting his hearing. Soon we will have his preschool transition conference as at age 3 he ages out of RISE services and if he still qualifies as speech delayed he will get his therapy through the school. He has his revaluation sometime in March.

James, on the other hand, seems to be following his brother's footsteps when it comes to speech. At 15 months old he is already somewhat behind where he should be and at the last 2 appointments we've had he's had "fluid" in his ears. More and more I am noticing him rub at his ears a lot so I wonder if it is just fluid or if he too is having regular ear infections. The speech therapist who comes to see Xander also noted that he was a bit behind. So we are going to watch him carefully the next 3 months and work with him and see if he makes improvement. But if by 18 mnths he isn't talking at an age appropriate level we'll begin the process again with referral to RISE for speech and hearing tests to make sure that he can hear. I'm not looking forward to the potential of more PE tubes in our future but it made such a difference for Xander that I'm more ok with the decision this time if it comes to that.

After the Dr visit we went to go and visit Reba and Naomi. You can read about her thought on our visit here but I have some videos to post too so they are coming soon...

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