Babies: 9 - 12 Months

Pedi made me cry at 9mo check up

Some of you might remember that Lo had a horrible case of the stomach flu in January, and that, combined with her failure to thrive and a severe milk protein intolerance, was enough to land her at Children's Hospital for 8 days where she also ended up with a blood infection. Since then we have been under the care of the GI docs at Children's. They follow her pretty closely, and I call in every week to give them a weight update. 

Yesterday I took her in to her regular pedi for a cough, rash, and her 9mo shots. The doctor came in a pretty much spent the entire appointment asking me why Children's isn't doing anything more invasive for her. Yes, she's still a little below the growth chart, but she is gaining steadily. She already cruising, and, I think, she will soon be walking. However, all the doc wanted to talk about was what we were doing about her slow weight gain. He told me to call Children's today and start asking questions. He questioned why she didn't have a G-tube already. He also said that she won't gain weight if she's not taking at least 30 oz a day. She's never taken that much. She averages between 15-18 oz/day, and she gains about 4 oz/week. I think that's pretty good. Her weight yesterday was 15 lbs 8oz. She's come so far from where she was.

I guess I was just upset because he seems to think that Children's isn't managing her case well, and he grilled me about why we weren't "doing anything." I left the appointment feeling like a major medical intervention was necessary. I'm so upset that the pedi attacked me like that. I think if he had major questions about Children's management plan, he should have called and questioned them.

Sorry, I just need to vent about it.

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Re: Pedi made me cry at 9mo check up

  • sorry the pedi was a jackass! seriously, wtf though. doctors work directly with the hospital. it is his job to follow up, not yours! and while yes, it's always good to be proactive, i would imagine a children's hospital is going to be on top of their game as far as covering their bases. additionally, dd was barely pushing 15 lbs at her 9 month. she is a slow gainer but it has been fairly consistent. maybe you should get a second opinion from another pedi. he shouldnt be making you cry, you did nothing wrong!
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  • Ugh that stinks.  I know how you feel though.  Our first GI told us "there is nothing wrong" "this is NOT reflux, babies with REFLUX don't do this".  he told us to take him off of all his meds, don't bother thickening his formula, it wont' help.  It's all neurological. 

    come to find out this IS why he was FTT.  Because it is reflux.  We've had a slow steady gainer, took 9.5 months to double his birth weight. 

    It's so frustrating when one doctor tells you something then another makes you feel like total SHIIIIIT for using that plan.

    If you feel like the GI is proactive and your DD is doing well, the let what the pedi says go in one ear and out the other.  Thats why you pay more money to specialists.

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  • I'm so sorry.  That must have felt awful.  Just remember that you are actively pursuing and monitoring excellent medical care for your child, and that makes you a good mom.  ((hugs))
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  • That's crazy -- Children's Hospital is one of the best in the country. I'm sure you're in good hands and they know what they're doing. If you're happy with them, maybe it's time to change pedi's?
  • You know your baby best!  I don't think it matters if babies weight X lbs. at X months.  Don't let that pedi get you down!

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  • Okay, I'll be the lone dissenter here...I actually think it's great that your pedi is so passionate about your daughter's case. If he thinks that not everything that could be done for your daughter is being done, then I think he's right to tell you to ask questions. I'm not sure why you're so upset with him...if he feels like they're managing the case wrong, wouldn't you want him to tell you? It doesn't sound like he thinks you're being a bad parent or something (although I'm sure it feels that way), he just wants to make sure your daughter is getting good care.

    If I were you, I would take his advice and ask the Children's Hospital some questions. It's always good to be proactive as a parent, and there's no harm in being better informed. That way, the next time you go to the pedi, you can give him direct answers as to why they are or are not doing things. I know it's hard, but try not to take what he said so personally - he actually sounds like he cares a lot about what happens to your daughter.

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  • I don't post often, but I wanted to respond. I often see your posts and can relate because I have a little one who gains weight very very slowly. I am sorry about the mixed messages you are getting. My baby is 9 months adjusted (she came 7 weeks early) and only weighs about 14 lbs 14 oz. Last month, she just gained 4 ounces. She is energetic, meeting her milestones and happy and, for what it's worth, neither our pediatrician or the GI specialist we saw at Children's here in DC are concerned. I was told to "look at the baby, not the scale." Obviously, we want to make sure our baby stays on her own little growth curve--and she has slipped off a few times and bounced back--and her eating habits have been super stressful to me at times. But I am always surprised by what different reactions you and I seem to be getting. It sounds like your daughter is doing great and, based on what I have heard, 30 ounces of milk or formula sounds like a whole lot to me! My baby gets 22-24 and a few meals of solids (sometimes her "meal" consists of just a few bites of pureed food or finger foods).
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  • I'm so sorry! I remember your LO being so sick, and am glad she is better and finally gaining. It must be so confusing when dr's are telling you different things. Maybe you could call the doc at Children's and explain how your appt at the pedi went and he could further explain some things? Just a thought. Or if you really want to go a bit further, go to yet another pedi and see what he/she says. I know you're tired of dr's, and they all have different opinions and approaches. What is important is that you are happy and your child is happy, healthy and meeting milestones and gaining weight. Keep your head up momma, you're doing a great job and have a beautiful daughter!
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  • I don't often post, but I can totally relate.  DD has been growing very slowly since her 6 month appt, and she was only 14 lbs 4 oz at her 9 month visit.  She has always barely been on the growth chart (born 4 lbs 12 oz), and she fell off her growth curve a bit but seems to be bouncing back.  That said, she is doing well, meeting milestones, is happy, etc.  Her pedi (who trained at Children's) recommended adding butter, cream, olive oil, full fat yogurt, avocados, etc to the solids that she eats, and making sure she eats solids 3 times per day (she is EBF).  Other than taking her in for monthly weight checks, the pedi isn't worried--she just says DD is petite. 

    My husband is a GI fellow at Children's, and he has informally consulted with numerous GI docs, nutritionists, etc regarding our DD's growth.  He agrees with our pedi's approach.  DD is petite but healthy, and although we are trying to encourage faster weight gain, we're not stressing about it too much. From what I hear, general pedis don't always know how best to manage non-average cases.  Good luck!

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