Thursday, January 20, 2011

My Oh My....clinic days!

Today was clinic day! Clinic days are exhausting! We left home at 11:30 am this morning and just got home at 8:15 pm. We drive 2.5 hours there, have clinic for 3 hours, and drive 2.5 hours home! Our clinic consists of talking with nurse (weight, height, blah blah blah), waiting, talk to nutritionist, waiting some more, respiratory therapist (throat swab), waiting some more, resident doctor, oh and waiting some more, then finally Keagan's actual doctor. We only talk to each person for maybe 10 min so you can only imagine how much waiting we do and stare at the blue walls. I mean there is only so much to do in a room with a 9 month old...lol! On a side note: So I asked Keagan's dr about this new thing I have heard about called salt rooms. These rooms are huge rooms filled with salt and they have a generator that blows salty air throughout the room and the people just sit there and breathe in salt. He said "its a bunch of hooie" haha meaning a bunch of nothing! He said if you want that then just ask your/your child's doctor for hypertonic saline! Alright so back to clinic...

Respiratory
     - lungs had some slight crackles on both sides in the upper lobes
     - ears are slightly red and irritated
     - still coughing
     - throat swab results pending....will call if anything grows
Nutrition
     - weight 18lbs 7oz
     - dropped below 50th%ile
     - has gained 1lb 10oz in a month
     - height 28"

No real med changes! The doctor lowered the units of enzymes so instead of one capsule being 20,000 units they are now 10,000 units. So his doctor said he can take as many as 4 with each meal and to give him lots of butter so we can get his weight back on track! We are still doing all soy stuff but next month when we go back we are going to see an allergist to make sure Keagan does not have a milk allergy (his dr suspects it). He also prescribed Keagan a laxative because it is good for his poop to be formed but Keagan was having a hard time getting it out so I thought he was constipated. The dr said if you lower the amount of enzymes to make it easier for him to poop then you are basically just using the fat he doesn't absorb as a laxative....which is BAD cuz we want them to absorb their fat! It is just hard for them to get poop cuz of the sticky mucus.

On another side note:
I also learned today that all kids have something called FOOD NEOPHOBIA. It is basically where they are scared of new foods. There are studies that show you may have to offer a new food up to 15 times, yes 15, to get them to actually eat it and like it! The nutritionist said you should offer new foods to them even if they throw it and then keep offering it and they will eventually taste a little bit and it will be more and more each time they are offered it until they eventually start eating it. I gave Keagan a pancake the other night and it ended up behind his head! He LOVES to play with new foods! Here is a list of some good fatty foods for infants (9 months and older) and toddlers:
High Calorie Finger Foods
     - noodles with alfredo sauce
     - grated whole milk cheese
     - crackers with cheese or peanut butter
     - blueberry muffins
     - pancakes or waffles
     - sliced/mashed avocado
     - soft-cooked vegetables with butter and cheese
     - scrambled eggs with cream and cheese
     - tuna or egg salad sandwich with mayonnaise
     - breaded fish or fish sticks
High Calorie Spoon Thick Foods
     - applesauce mixed with cream
     - ice cream
     - oatmeal/grits with cream, butter, and brown sugar
     - whole milk cottage cheese or yogurt
     - pudding made with whole milk and cream
     - mashed potatoes with butter, gravy, and sour cream  <----Keagan's Fav
     - thick cream soups (potato, cheese, and broccoli)
     - refried beans

Overall a good clinic visit! Message me with any questions and comments are always welcomed!

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