Saturday, September 25, 2010

2.5 year well check

I had no idea there was a well check at 2.5.  The nurse said it was a relatively new trend and not all pediatricians do it.

Randy's check was uneventful.  It was the first time I did not have a long list of questions.  His pediatrician was pleased to see him walking.  He spent a lot of time flexing his ankle and checking his reflexes.  He noted that the tightness is still there, but that his range of motion is still good.  He asked if he was in orthotics.  I told him that the orthopedic doctor said that they were not needed medically, but they may be helpful for balance if the PT likes.  His PT says that she wants to hold off and see what development does for his flat feet and for his ankles that pronate (lean in).  She says the orthotic will feel awkward and wants him to be a committed walker before adding orthotics (if at all).

His ped remarked that his head looked good for the number of surgeries he's had.  He was pleased with his eyes and very pleased with his growth.  His stats are:

Length - 35.75 inches
Weight - 27 lbs
Head circumference - 45.5 cm

Despite all our feeding woes, he continues to grow well.  He is now 25th-50th percentile for height (up from 10th-25th) and 10th-25th percentile for weight (up from 5th-10th).  His head circumference is still not on the charts, but the growth is following the same curve.  The ped is going to email his head circumference to the neurosurgeon.  Neither of them are overly concerned about his slow head growth, especially since he is developing cognitively.  I could not believe that he grew 3 inches, gained 3 pounds, and his head grew 1 cm in six months!

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