Blog Archives for category Appointment – Owen
Katie is never nervous. She does amazing.
Owen, on the other hand, is always really nervous (he thinks everything will hurt) and then afterwards he says “That was easy!” This photo is obviously after he was done.
They got their cleanings done in the procedure room because it wasn’t being used…so they got a TV on the ceiling!
Katie is still a much better patient than Owen. He freaks out at the smallest thing—he said the hygienist’s rotating toothbrush hurt and then he was throwing a mini fit because he doesn’t like the taste/feel of the flouride treatment—he was whining a little and needed four glasses of water and looked like he was going to be sick; Katie just goes on like nothing even happened.
We learned Owen has strep so he was resting on the couch…with his shadow.
Why not have it be Christmas Day?
So last night, Owen was being Owen and dove into the big beanbag in the living room, but then…rolled off? fell off?…and somehow landed wrong on his arm. Tom missed it, I missed it, and Uncle Rob barely saw it so we’re not entire sure what happened. All we know is that he was complaining that it really hurt. Tom looked at it and moved it around and there wasn’t any screaming so we were pretty sure it wasn’t broken. So we iced it and gave him some Advil. Of course, Owen being Owen, he continued playing around and bumping it and saying it hurt, so we made him sit still in the chair. He seemed to be fine overall and making cookies for Santa took his mind off it so we didn’t think much else about it.
So this morning we opened presents and he still hadn’t mentioned it. I had honestly forgotten about it. But then he was trying to put some Legos together—and was complaining that he couldn’t because his hand hurt. Hoo boy. Tom tried to move it around some and it seemed more painful than it had last night, so we figured since he has a high threshold for pain it must REALLY hurt, so we decided to have Tom take him to the ER.
Thankfully they were the only ones there and the whole thing went very quickly. But he had taken his new Minecraft characters just in case.
Apparently when you visit the ER on Christmas you get to pick a toy!
He picked this for Katie! Awww!
And??? It wasn’t broken. Just a sprain with some bruising that Motrin should help. PHEW!
Owen had to go back to the dentist this morning to get his 6-year molars sealed. Yeah, I didn’t know that was a thing, either.
They also had to take a panoramic of his mouth. They called it his skeleton teeth and he LOVED it.
Remember, the pediatrician wanted us to get Owen’s hearing tested because he should have grown out of covering his ears at loud noises by now. But…everything is just fine with his hearing. The audiologist said he might just be one who is extra-sensitive and he still might outgrow it.
He did really great during the tests and I teased him about turning into a robot because he had wires coming out of his ears.
Well, we may be on the autism train again.
Because Owen is still having (to me) major food issues, I wanted to make sure there was nothing else going on. Yes, he could just be a very picky eater…but I would be wracked with guilt if something else was going on and my new food rules were creating more problems than I was trying to solve. (I still feel guilty about the whole pooping thing back before we learned he had a serious issue and I don’t want the same thing to happen with food.)
So I got a referral to see a Developmental Pediatrician again (the same type of doctor we saw at Lejeune who diagnosed him with autism) and crossed my fingers she’d just say “Oh yes, it sounds like he has eating issues, here’s a referral for therapy.” Ha. I should have known better.
Of course she had to do the whole background history, and during that discovery period, a few random other issues came out. They’re things that he’s always had/done that he hasn’t yet grown out of…which led her to think he might have ADD…or possibly autism. Sigh.
But that said, considering everything we discussed, she thinks he’s absolutely thriving and I’m doing everything right (in regards to meal times and food) so there’s no immediate concern. But she does want him to see an audiologist for a real hearing assessment (he still covers his ears with loud/annoying noises which she said should not happen anymore at his age), start OT for the food (and pooping) issues, and see a geneticist again (genetics has come a very long way since we got his results in 2012 and the doctor could potentially see something now that we didn’t see before—and we might get additional genetic testing done). The results of those appointments will determine if we go forward with actual autism testing.
She’s not worried but wants to cover all the bases. If it’s determined he can benefit from additional therapy, we will go through with the testing and an autism diagnosis will allow us access to tens of thousands of dollars in free therapy since it’s covered under Tricare. (This is the same therapy we qualified for the first time but we never went ahead with it because neither of us were convinced he REALLY needed it—especially compared to all the other SERIOUSLY autistic kids out there.) And she agreed that was an okay decision, but also told us that if there’s something we can fix NOW, it’s better to do it while he’s young, rather than wait and decide when he’s 10-12-14 and he could be MUCH more defiant and MUCH harder to work with. (Basically, young kids are much more pliable.)
She did a few tests with him and agreed that overall he was doing very well. But interestingly, one of the tests she did (I think it was having him repeat full sentences back to her) she said he tested at about an age 4 level. That really surprised me because I had been listening and I thought he did okay. However, I think it was more a point of him (not) paying attention—he started to fiddle with a crayon and wasn’t listening closely (hence the thought of ADD). She said he could very likely be extremely smart and his brain is just racing…and it’s hard to stop and focus because he’s already on to something else. (And actually, conversely, when he has laser-like concentration on something and spends too much time trying to be perfect.) I said that sounds like Owen on a regular basis.
I really liked her and feel comfortable with her so I feel okay. Of course it’s still a shock to think we might get an autism diagnosis again…but her main thought was that if he’s doing well and we expect (and get) good things from him, we’re on the right course.
The best part of the appointment? She asked him what his absolute VERY most favorite thing to do was. Of course, I was positive it would be Legos. But his immediate response? As in he literally didn’t even think for three seconds? “I like to go to school.”
So now I have to wait a few days to call and schedule the three appointments. Stay tuned!
Height: 50-3/4″ — was 47-1/4″ at 5y (greater than 100th percentile)
Weight: 81# — was 66.5# at 5y (greater than 100th percentile)
This was our first time seeing this particular doctor, and she was very nice. She said overall he did well—his vision was deemed good, he has a very strong heartbeat “which should pump for another 100 years,” he answered all his safety questions well (What do you to before crossing the street? Do you always wear your seat belt? Do you wear sunscreen? Do you brush your teeth?), and he is still “off the charts” (over 99% for both height and weight—as a point of interest, he gained 15# last year—the same as the previous year). This year, however, I didn’t get lectured about BMI and exercise and feeding him vegetables—the doc was very nice and was happy he was enrolled in baseball, glad he liked sports, and was glad we keep trying to get him to eat veggies. I think she was happy to see that his BMI dropped since his last visit (in the fall when he was seen for something else).
Red is age 5. Green is age 6. BUT…after some research today, I’m not sure how I came up with a BMI of 30 last year (maybe they wrote it down wrong or I read it wrong).
Friends have expressed concern with his weight, but believe me—we are watching it closely. Tom and I both know what it was like to be a chubby kid and IN NO WAY do we want that for Owen. Just for shits and giggles I put his info in an adult BMI calculator and it comes up normal. So a tiny adult his size is fine, but an identical weight and height large kid is not. So I take the kid BMI results with a grain of salt. His face and belly are a bit chubby—but otherwise he’s just a big, solid kid.
The only somewhat sticky point of the entire visit was when I asked for a referral for a Pediatric GI. I briefly explained that we had had one before we moved here and we were currently on a maintenance regimen but that I’d like to have a doctor ready if we needed one. She said “Constipation? We can handle that here. A specialist isn’t necessary.” I reiterated that we had seen one for a year and Owen had been hospitalized for a cleanout—an again she said she could handle that. So then I told her that we’ve been dealing with this for over two years now, to include monthly to bi-weekly cleanouts, and the last time we had an issue a month or so ago, he had four ex-lax and about 12 doses of miralax with no results and I had to keep him out of school. THAT got her attention and she said “Ohhh! No, we’re not equipped for that. I’ll put in the referral.”
The most exciting thing for Owen, however, was learning that (aside from yearly flu shots) he’s done with shots until sixth grade!
He’s had a cough for the past month but it’s gotten a lot worse over the past week so today I took him in just in case it was something that could be fixed.
Unfortunately, it wasn’t. The doc said everything sounded fine in his chest and there really wasn’t anything definitive wrong. It was likely just random crud. He advised allergy meds to hopefully dry him out.
So we’ll see. At least he feels okay otherwise.
I took both kids in tonight—Owen for his regular 6-month checkup and Katie for her first ever visit. She loves brushing her teeth so I didn’t think she’d have any problems with it…but you never know.
They were both excited to go, and it started well with them playing in the waiting room!
Then we had a brief introduction with both the hygienist and dentist in their office and then it was off to the chairs!
Owen was first…
And Katie was intrigued.
And got closer…
I asked if she wanted to hold Owen’s hand and she said yes.
Owen did REALLY well (which I would hope, as he’s done this about four times), and then it was Katie’s turn!
“Look mama! Clouds!” (There were clouds painted on the wall!)
Glasses and bib—so far, so good.
She didn’t seem nervous but I asked if she wanted Owen to hold her hand and she said yes.
Katie seeing herself for the first time. I love the look on her face!
She was a total rock star. They were able to do a full cleaning (as opposed to Owen’s first visit at age four when they only got about three teeth done).
Then they both got seen by the dentist and were told they need to brush twice a day (instead of just once) and start flossing…and Owen NEEDS to stop sucking his thumb as his teeth are already out of place (Katie’s are perfect). She said this is THE time to stop as his bottom two teeth are still coming in and his top two are loose (I bet both will be gone by Christmas—one might be gone by this weekend) so the new ones will come in straight. (We’ve told him and showed him pictures of what can happen and he knows he needs to stop—and even catches himself—but it will still be challenging because he’s still just five years old.) Then they got their goody bags and were SOOOOOO excited about the toothbrush and stickers and toothpaste—and Owen got a toy truck and Katie got a little mermaid! They were in HEAVEN.
So overall they both did AWESOME and I loved the staff—we’ve had nice dental staff before, but you can see a difference in a regular dentist who sees kids vs. a pediatric dentist.
So over the past few days, Owen has mentioned that his ear hurt and that he had a headache (though not at the same time). We didn’t think much of it and just gave him Advil. This morning he complained that his ear hurt and his head still hurt…and still nothing clicked. Bad mom. It wasn’t until Tom got home (early) and we were talking about something and AHA! I thought he had an ear infection. I immediately called the sick clinic and got an appointment in an hour.
She asked if he’d been in a pool recently and I said just our tiny splash pool on the deck. She asked about any other water. Nooo. Then it hit me—AHA!—two days of the waterslide! But that was five days ago?!
Then she diagnosed him with Swimmers Ear—basically an outer ear infection. She said it could happen quickly (same day) or days later…which then it all came together…he’d been complaining for a few days.
So now he gets drops twice a day for 10 days. He doesn’t love them but he’s good about them.
Owen was excited about going to the dentist today—on the way in he was literally saying “I LOVE GOING TO THE DENTIST!” He got a cup of water from the water cooler. He brushed his teeth and went potty. He sat in the chair with no problem. The X-rays went fine. He even put the sunglasses on without issue (he’s always refused before).
Then when it came time to actually clean his teeth, he got shy (his words, of course). And not really a cute shy—but a grouchy/scared not-going-to-open-my-mouth shy. Sigh. It took a few minutes but I finally figured out he didn’t really want the tangerine-flavored toothpaste (even though he likes oranges) so once he picked raspberry he was fine. Kids!
He got his picture taken for having no cavities and got two stickers and got to pick out a toy! He was thrilled.
So, we had Owen’s autism re-evaluation today. The results? Not autistic in the least. Not even remotely close to ADHD, either (the only thing that was remotely close to the minor issues he has). So…YAY! The doc said he had obviously just been on the slow end of the curve for social/emotional stuff.
This rough graph is how the doc explained it: The yellow pie-shaped area is considered “normal” (between the 25th and 75th percentile). At age 3 he was below normal; at age 5, he’s jumped up into normal. The “issues” he has now are consistent with typical 5yo kids, but we need to watch the ADHD tendencies. (A specific ADHD questionnaire I filled out gave Owen a score of 1 out of 9—where a 6/9 is a clinical ADHD diagnosis.)
In fact, after testing Owen for a mere 10 minutes, the doc looked at me shaking his head and said “He’s not autistic.” But then he finished out the test just to get some hard (confirming) numbers.
As I expected, towards the end of the 50+ repetitive questions (“Which is the island? Which is the cliff? Which shows annoying? Where’s the mountain? Which one is the electrician? Where is the triangle? Which is the raccoon? Which is the walrus? Which one is the guitar? Which one shows sharing? Show me crying.”) he started to lose interest, wasn’t paying attention, and was staring off outside looking for the squirrel. (If you recall, this was the doctor that feeds a squirrel peanuts through his window—and Owen had remembered that when I initially told him about the appointment this morning…and he had put peanuts out but the squirrel hadn’t come to get them yet.) The doc eventually quit the test as he really already had enough confirmation that Owen was not autistic. He did the calculations and all of the results put Owen square in “normal for his age” range.
Just to put it in some perspective, they plan two hours for testing. The last time I think it took 1:30. Today we were done at 40 minutes.
Waiting for the squirrel:
Showing daddy and Katie how to feed the squirrel:
Katie drawing while we waited for the EFMP paperwork. Since Owen no longer has an autism diagnosis, we’re no longer eligible for the EFMP program.
The Doctor was printing our paperwork and the printer was making typical noises.
Owen: Excuse me? Doctor? Your printer is making funny noises.
So we’re happy. And relieved because, honestly, all this time since the original diagnosis, we haven’t really thought of him as autistic…and now it’s confirmed he’s just a normal little boy.
Owen has still had his low-grade fever and strep has been going around, so I took him to the doctor after school…just to make sure. So he got his first throat culture—and did exactly what I do (gagged and coughed) and he started to cry so I assured him he did awesome and that his reaction was normal! Thankfully it came back negative. The doc said it was likely just something viral that would last 3-5 days and be done.
Wasting time and playing with Katie: