We rushed to Children's all the way across the city to run tests. They took two vials of blood which is hopefully enough but they couldn't take any more because his weight restricts them. If it's not we'll go back for another draw. They also did a sweat test which was the most stressful 5 minutes of my life. Some of the labs should be back by 5.
They're concerned it's cystic fibrosis or some other terrible something. That is what has me freaking out.
We go back in to the gastroenterologist in one week. If he hasn't gained a significant amount we're looking at hospitalization for observation and more tests. In the meantime I have to pump and fortify my BM with Elecare, which my insurance does not cover. We were given two big sample cans but it comes to $104.50 per can so I'm going to call the insurance company with the diagnosis and see if they can allow coverage.
I feel like garbage. The words "failure to thrive" were written all over his paperwork and his writeup from the Gastro doctor. He isn't even on the growth chart for his height, and to be at the 50% for his height he needs to gain 4+ lbs. We have to do stool and urine samples and bring them back ASAP.
I feel like I'm missing something and probably am. Sorry for any spelling errors I'm on my phone.
UPDATE: She called with some labs. His billirubin rates are very high. They're 3x they should be. His liver enzymes are also elevated. She doesn't know what it means yet.
Notgooglingnotgooglingnotgooglingnotgooglingnotgoogling
Re: Update - UPDATED
(((HUGS)))
Everything is going to be OK. You were tested of CF before right? Also, post this on the special needs board. They are familiar with FTT and have a bunch of girls who have dealt with it.
You are doing the right thing for him.
(((HUGS)))
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Oh man, Ash, I'm sorry. Do they have a goal you need to reach for his weight by next week to avoid hospitalization? Four pounds in a week sounds crazy!
Sidenote: maybe there's a generic for Elecare?
I hope you guys can get some answers soon.
Oh it's not 4lbs in a week. Probably 7oz? Apparently the AAP says 1oz per day at this age so I'd assume that's what they'd want.
And she said something about it probably showing up on the newborn screen but possibly not? I don't know.
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Yes, but it was gone by his 4 day appt.
I assume they rechecked his bilis then? What were his levels like? Ditto MW don't google.
She said it's a piece of the puzzle and nothing is sure and she doesn't know yet. She seems anxious for the CF test.
He doesn't look jaundiced and she said so as well.
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I'm sorry! I've been through the FTT and CF testing and hospitalization threats etc with both of my kids. (They've also both been tested for multiple other things.)
I'm not sure if infants can use it but we were given DuoCal to increase calories. It might be cheaper for you and the company that makes it may have an assistance program.
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Keeping you and Arlo in my thoughts, Ash.
I hope you get some real answers very soon. I can't imagine what you are going through. Hang in there. Lean on each other, support each other and just love that little man. Right now with all of the uncertainty is when you just need love and support surrounding you. And you have it coming in spades from the great white north from me.
((((hugs))))
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