Katie’s Ankle Update (GRRRR)

I’ve about been at my limit with the pediatrician’s office. We were supposed to get a call almost a month ago with the referral appointment. (We did get her blood test results a ways back—I thought I posted but maybe not?—and there was nothing definitive so the doc wanted her to see a specialist.) Since they were supposed to call me, I kinda forgot about it. Then once I realized they hadn’t called, I called—and one of the phone tree options is “for referrals” so I left a message there. I didn’t hear anything after a few more days so I called back again (to the referrals request number) and gave more explanation. Days later, still no call. So I called back planning on just talking to the front desk because I’ve been patient long enough…and surprise! They’re having problems with their phones so all calls are being routed to their sister office who can’t help because Katie isn’t their patient. I call back repeatedly over the next two days and the sister office is still answering. Then it was the holiday weekend. It’s been over three weeks. RIDICULOUS.

So fast forward to today, when it’s time to get this figured out. Come to find out, they weren’t authorized as our PCM (completely unbeknownst to me, of course!)—but the kicker is they got the denial letter on AUGUST 25 and apparently no one felt it necessary to LET ME KNOW (and I didn’t get any denial letter from Tricare, either). GRRR. I asked why no one bothered to let me know. “Uh, um, stutter, stammer, I’m not sure.” Lovely.

So I called Tricare to find out that it’s MANDATORY we’re assigned to the army hospital WHICH MIGHT HAVE BEEN NICE TO KNOW A MONTH AGO. Their online system let me pick a civilian PCM back in July and I even double-checked afterward to make sure it was confirmed (it was). I asked why I hadn’t been informed and she said there should have been a letter. Well, if there was, I either missed it or didn’t pay attention because I ASSUMED IT WAS CONFIRMING THE DOCTOR I PICKED (why would I think otherwise?!). So, basically, no one has any idea what happened. But now I get to wait NINE more days for the first available appointment for the new PCM and then likely have to wait AGAIN for the referral from him (and I get to pay to have Katie’s records copied for the new doctor). I AM PISSED. The only silver lining is that Tricare still paid for (or the doctor’s office accepted the lower payment for) the first two appointments even though we technically weren’t assigned there.

What a mess. But, from the looks of it, even though I liked the doctor we saw, it appears the office staff isn’t that great…so maybe it’s a good thing we’re no longer going there.

Katie’s 2-year well-visit

She remembered the office and immediately went to the toys.

IMG_3622.JPG

Exploring in the room:

IMG_3625.JPG

Enough exploring—time for tech:

IMG_3626-0.JPG

The doctor said she seems perfectly healthy. She did notice a VERY SLIGHT heart murmur that she wants to get checked out eventually (she wants to get the ankle figured out first) but it’s nothing critical and she’s sure it will likely disappear.

Weight: 30 lbs. 7 oz. (was 26 lbs 7 oz.)—86th percentile (was 78th)
Height: 36″ (was 33-1/2″)—88th percentile (was 90th)
Head: 19.6″ (was 19″)—93rd percentile (was 90th)

And for the sibling comparison, at 24 months, Owen was:
Weight: 38# (greater than the 97th percentile)
Height: 39″ (greater than the 97th percentile)

She only had to get one shot and Owen was VERY concerned that he didn’t want to watch. I told him he didn’t have to, but he should to see that it’s not a big deal. (He is still freaked out about shots, even though the last time he got them he realized they weren’t a big deal.) So I held Katie on my lap and the nurse did it in three seconds and Katie squawked just a bit and then she was more enamored with the blue band-aid than anything…and Owen was saying “See Katie? It wasn’t bad at all!” 🙂

Someone’s first tooth came out!

We’ve been waiting and waiting and wanting to pull it out because it was SO loose but he wouldn’t let us get near it. It was so loose we were afraid he was going to swallow it. But this morning eating a donut I saw him stop chewing, stop and think for a second, then reach in his mouth.

TA DA!

20140806-103725-38245741.jpg

20140806-111715-40635021.jpg

And not a great picture but you can see the hole better. 🙂

20140806-111742-40662896.jpg

Checking it out in the mirror.

20140806-111801-40681656.jpg

So, about Katie’s bedding.

You just can’t predict what your kids will do or like. I wanted to get Katie new bedding for her new twin bed. I really really wanted the pretty stuff at Bed Bath & Beyond but I also didn’t want to pay $80 for it. (Normally I wouldn’t have thought twice about it, but we’ve had to buy A LOT of stuff for this new place.)

20140801-201951-73191054.jpg

So I decided I was going to just walk down the bedding aisle at Target and see what caught her eye. I was positive it would be Doc McStuffins or Frozen or possibly Despicable Me.

So what caught her eye? As you’ve seen: Sesame Street. Big bright bold colors—red, blue, green, and yellow (Elmo, Cookie Monster, Oscar, and Big Bird). I really didn’t think I’d have an opinion on what she chose, but I honestly really would’ve preferred Doc McStuffins (she loves it, and it’s pinks and purples). And I even tried to get her to take that one—or even Frozen or Sophia the first—but she just kept saying Elmo Elmo Elmo. So I bought Elmo. And it’s fine. And she seems to like it well enough…but it also kind of irritates me a little every time I look at it because I don’t love it. But I also felt a little guilty because I never let Owen pick what he wanted—at the time I was ready to relinquish that control (age 5) I hadn’t even thought of Target so had him pick something at BB&B which wasn’t kid-related. (He doesn’t complain at all, though…so since I still felt guilty I let him pick a new sheet set and he chose Minions.)

Kids are difficult when you’re a perfectionist.

Katie’s first bloodwork!

Since Katie’s X-rays came back negative, the Doctor then wanted to do bloodwork to determine if any of her whatever levels were elevated… Increased levels of whatever might point to arthritis or a blood borne reason for the continued inflammation.

Tom took her to the lab and SHE WAS A ROCK STAR. The nurse was a bit nervous when Tom told her it was Katie’s first time, but Katie didn’t even flinch or wince and it was over just like that. Yay Katie! But what she didn’t like? The tape holding the cotton ball on! 🙂

Katie’s ankle checkup

I took Katie in to get her ankle checked again. The new office is only about 12 minutes from us via back roads—but of course it feels farther because I have no idea where I’m going yet (comparatively, it took 20 minutes in Jacksonville).

She liked the waiting room.

20140726-190133-68493668.jpg

A decent picture of her new hand-me-down cousin outfit.

20140726-190233-68553448.jpg

Playing peek while waiting for the doctor.

20140726-190250-68570920.jpg

Of course, they were running behind today…so by the time we saw the doctor, we had been there almost an hour and a half (they wanted us there early for new patient stuff, even though I told them I had printed all the forms and filled them out, then we waited in the patient room for quite some time). That said, the doctor was nice and apologized for running late. And Katie was very good the whole time between playing, watching videos on my phone, and looking at books.

The doctor looked at her ankle and agreed it was swollen and agreed we should get new x-rays. She also asked if Katie had been sick lately—or, really, if any of us had been—and I said no. She said she wanted to take a strep test! Wait, what? Yes, a strep test. She said it was a long shot, but it was a quick and easy test to rule out some type of arthritis. (She explained it and I googled later, and strange as it may seem, the same bacteria that can cause strep throat can cause swelling and joint pain. And since it had been going on so long, she wanted to rule it out.) Katie didn’t love the strep test, but she was a trooper and recovered quickly. (On that note, the nurse who performed the test didn’t have greatest bedside manner in my opinion—she was older and very matter-of-fact-get-the-job-done which worked, but didn’t give me any warm fuzzies.) The results were negative, so then it was off to a walk-in imaging clinic for x-rays.

This is where we were spoiled in Jacksonville—the x-ray clinic was literally three buildings down from the pediatric clinic. Today it was a 15-minute drive (of course in the complete opposite direction from home). It was approaching nap time, so I had to decide whether to wait and do it another day or just bite the bullet and finish it in one day. I decided to finish since Katie was being really good. So we had another 15-minute wait after the drive and then Katie was a ROCK STAR getting her x-rays—just like before. The tech had me stand next to her and hold her still but there really was no need—Katie didn’t move a muscle for either x-ray. (I tried to get a picture of her laying there nice but of course she started playing with her feet.)

20140726-233834-85114871.jpg

It was over in about three minutes and she got two Elmo stickers and was happy. And then stayed awake for most of the ride home but fell asleep about three minutes from home. THREE AND A HALF HOURS AFTER WE LEFT. Egads.

So now we just have to wait to see what the x-rays show and then likely get a referral for a specialist depending on what they see.

There’s nothing like ending an 11-hour road trip with a little vomit in a car seat.

We were about five minutes from home when we heard an unexpected and unidentifiable noise from the backseat, then Katie crying, then Owen telling us that Katie puked. Wait, what?

I unbuckled and turned around and HOLY CRAP did she ever barf. Ugh. So I was trying to clean her up as best as I could while Tom was trying to get us home (we had been planning on stopping to pick up dinner but then cancelled that so had to get back into traffic). We pulled in, stripped her down in the front yard, and I immediately took her upstairs for a bath. She didn’t seem any worse for the wear so we had no idea what caused it.

Then it was time to try cleaning the car seat. What a nightmare. I think I’d rather buy a new one than try to clean vomit out of one. Seriously. They do not come apart easily—and once you do get it apart, you still have to clean vomit out of all the plastic crevices…with a toothbrush and Q-tips. (I guess I’m lucky this is the first time it’s been this bad…?)

Not quite how I envisioned our return home…

Katie went bump in the night.

So the kids were in bed, David was in the bedroom, and mom, Tom, and I were just sitting in the living room visiting and whatnot…when we heard a loud CRASH BOOM BANG. Mom thought David had fallen—but then we heard crying. Oh no! Katie had fallen out of bed!! (She did just fine the first night and during her nap, but she obviously was more of a wiggle worm tonight. We hadn’t taken any precautions because, well, we forgot, and because she HAD already done just fine.)

Tom sprinted down the hall and came out carrying a whimpering Katie. He said he found her laying on the floor with her legs against the closet. We figured she must have gone over the edge head first, flipping over so her legs hit the closet (which would account for the thuds and bangs we heard). Poor Katie. While Tom was comforting her, I was putting rolled up blankets in her bed (under the sheets) as bumpers and then he stayed in there with her for a good half hour. Other than being scared, she was no worse for the wear…thankfully.

Owen has a loose tooth!

Owen was eating an apple and watching a movie. Tom was unpacking the office and I was upstairs checking on a napping Katie when I heard Owen crying behind me. Of course I was confused why he came to me since Tom had been right there with him.

So I’m trying to get information out of him to figure out where Tom is and what’s wrong and he just looked and sounded so pathetic but all he was saying was something about his tooth. Yep, it turns out one of his lower front teeth is loose, and eating the apple obviously loosened it and he got freaked out. He eventually admitted he was scared.

So we had a talk about how it just meant he was growing up, he’s getting bigger and healthier adult teeth, etc. He knows all about it from school, including the whole tooth fairy thing. So I got excited and said “Let’s go downstairs and find daddy and tell him the good news!” He thought that was a good idea so off we went and as soon as I saw Tom he said “Did you see Owen’s tooth!”

Wait. What?

Yeah, turns out he WAS there when it happened, he told Owen every single thing [which I then repeated], and he was the one who sent Owen up to tell me the good news! Kids!

Owen was still sniffling a bit and didn’t want a loose tooth, etc., and was a bit grouchy.

20140706-221706-80226037.jpg

He did let Tom cut his apple into pieces, and by the time Katie got up from her nap about 15 minutes later, he was all excited: “Katie! Katie! I have a loose tooth and it’s going to come out!” 🙂

It was a loooong night and early morning.

I slept like crap on the air bed (and had to fill the air about 11:30, hoping I didn’t wake the kids up since it sounded SO loud in an empty, quiet house), the street noise was annoying, there was a loud drip somewhere that I couldn’t figure out, and it was storming.

I know I looked at the clock at 12:30, 2:30, 4:15, and then I was up for good at 5:30. Owen was up at 5:45 and Katie was up at 6.

GOOD MORNING!

And them the big question: to take a cold shower or no shower (no hot water since gas isn’t on yet). I thought I was going to shower but then chickened out and opted for a baby wipes cleansing.

Swimmers Ear

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’s last GI appointment!

We hadn’t been in a few months because Owen has been doing well, but we thought we’d better go for one last checkup before we move.

The kids amused themselves while we waited…

And then the doc examined Owen and said everything felt great—and was excited to get a good report on Owen!

I told him we were moving and asked what we needed to do and he said just keep doing what we’re doing—the Miralax every day, the P fruits, and cleanouts as necessary. I asked how long we needed to continue the Miralax regimen if things keep improving and—are you ready?!—he said at least another year or two. Maybe three. EEK! I guess it’s better than the alternative, though…

He also said he’s always here if we want to come back and see him, but he’s sure we could see someone up around DC if we really needed to.

So…YAY OWEN!

Moving guilt.

I’m sure I’ve said it before, but I’ll say it again—I hate change. Most changes I can roll with even if I don’t like them—or I get used to them—but moving is always ALWAYS a big change.

Yes, I’m a little excited to have a different house with a bunch of amenities this house doesn’t have…but on the same note, I just keep thinking of the little things about our new house that are going to be different…that I’m not sure how it’s going to work.

Bikes, for example, and learning to ride. Where we live now? Big, mostly flat driveway on a flat cul-de-sac road. Where we’re moving? Hilly and short driveway on a hilly road. I didn’t really think about it until I bought Katie a tricycle this morning and starting wondering just where the hell she was going to ride it?!

And Owen’s police car? I think I’ll sell it. He doesn’t ride it much and now there won’t be anywhere TO ride it (at the house). Well, there are sidewalks…but since he doesn’t really ride it, why even bother moving it with the HOPES that he will magically start riding it? I had hoped Katie would take to it but she hasn’t…so I’m ready to give up on it since it was a big waste of money. Damn kids. :p

So I’m just feeling major guilt about the kid stuff. Yes, they’ll have a bigger indoor space to run around (including a full big basement)…and a pool and playground a bit of a jaunt away…but they’re losing their own big back yard, their front yard, their awesome playset, their pool, and their driveway. I mean I could literally cry about it.

Obviously people have kids in places like these but my mind just kind of shuts down and I can’t even imagine. My friends assured me they grew up in similar places and turned out fine. They also assured me that kids are flexible, won’t care nearly as much as I do about any of it, and will accommodate quickly no matter what.

I’m sure they’re right and the kids will be fine…but still. The guilt.

I’m just having my typical second thoughts about our house selection…and general apprehension and anxiety about the move. I mean, I’m even worried about stupid things like the kitchen sink (it’s not as big or deep as what we have now), the pantry (it’s an awkward shape with those stupid wire shelves so I’ll still need my garage pantry), the gas stove (I’m excited to have gas again, but it looks old and it’s in the island without much counter space so that’s annoying), and the stupid pedestal sink in the half bath (so nowhere to store anything).

I know I’ll get over it all and once we get settled in things will be just fine—they always are!—but this is why I can’t sleep at night.

Limping Girl

So Katie has been limping off and on for a few weeks now so we finally took her in (Tom came with me because he’s off this week). The doc agreed her ankle was swollen and guessed it might be a fracture so sent us for x-rays. Thankfully they came back clear, but the only recommended course of action was ice, rest, elevation, and ibuprofen (yeah, like ice, rest, and elevation are really going to happen) and to check back in two weeks if she was still limping. I guess that’s better than having to get a cast, but I’d almost rather have a definitive solution (i.e. cast) as opposed to “wait and see.”

She was a little poop at the appointment, though—you know her normal super talkative self? Who never shuts up and is always smiling and laughing? When the doctor came in, she turned to stone. No smiles, no giggles, no hi-fives, not ticklish…it was the craziest thing.

But she was a ROCK STAR getting the x-rays—she just layed quietly on the table (it helped that there was a pillow so she pretended to sleep!). The radiologist said she wasn’t used to kids who stayed that still. 🙂

Shy at the dentist

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).

20140430-203718.jpg

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.

Owen impressed his teacher

So I get a call from the school today saying Owen got sick in class and they’re just letting me know. Apparently they will keep the kid there unless a) I want to come get him or b) he gets sick again. Well, I didn’t get any more details (to hopefully help me decide) and Katie was down for her nap…so I said I’d leave him.

Then I texted Tom to let him know and he said he’d go get him (he was planning on leaving early anyway). So when they got home I found out that he simply said he didn’t feel good, then walked over and barfed in the waste basket—which really impressed the teacher! She asked Tom if we trained him to do that and he said not really…but we try to tell him to get to the toilet, a garbage, or at least a non-carpeted area!

We made him take a nap (since he missed nap time at school) and he seemed fine afterwards. He was ravenous at (and after) dinner and was his typical crazy self all night.

I was trying to get him to drink some water and after awhile he said “Mama, my belly doesn’t like water anymore. I think my belly needs chocolate milk to feel better.” 🙂 (Tom had stopped at the store and bought chocolate milk as a treat.) I told him his belly liked water just fine and he could have chocolate milk in the morning. 🙂

Autism Re-evaluation

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.)

20140326-194033.jpg

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:

20140326-200531.jpg

Showing daddy and Katie how to feed the squirrel:

20140326-200650.jpg

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.

20140326-200739.jpg

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.

Phew! It’s not strep!

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:

20140326-101901.jpg

I’m two for two. Or is it three for three?

I fell down the stairs in this house and twisted both ankles (read about it here).

I slipped on the stairs in our Michigan rental while carrying Owen as a baby (I’m sure I wrote about it but I cannot find the link).

And…I just now missed a few steps and crashed down two steps into the landing hitting the wall…while carrying Katie, of course! We’re both fine (she was just scared; I skinned my knee and slightly twisted my ankle) but an hour later my back was screaming and drugs were taken. Three hours later I made the BIIIIIG mistake of trying to stretch out my ankle by rotating it—and I literally saw stars. Crap.

I’m still not sure how it happened because I am über careful on the stairs—I count each step up and down each time (whether I’m carrying a kid or not), I keep one arm on the wall to brace myself, plus I usually look at the stairs/my feet…

But I have now fallen down stairs while carrying both kids.

I HATE STAIRS.

So, Owen is allergic to amoxicillin.

He woke up this morning with a rash covering his face and neck…

20140305-101735.jpg

And upon further inspection, his torso and legs (though not as bad). A cough but no fever. So it was off to the sick clinic.

After a few questions and a quick body scan, the doc said it was an allergic reaction to the amoxicillin he just finished (for his ear infection). The doc said there are immediate reactions (which can be quite severe) and delayed reactions—which this was. It’s not contagious and will likely look worse before it gets better. If it’s itchy we can give him Benedryl but thus far it hasn’t been.

So he was excited he got to go to school!

And he has the distinction of having the first drug allergy.

Poor Owen

So he didn’t feel good the other night—enough so that he didn’t want dinner. So we took his temp and WOW it was 102°. So we gave him some Advil and an hour later he seemed back to normal. Par for the course.

He’s had the sniffles for a bit, too, but I just chalked that up to a cold or allergies making a reappearance.

And then yesterday evening I noticed his left eye was a little pink and goopy. With green crusties. Oh boy… So we cleaned him up and figured if his eye was dried shut in the morning I’d take him to the doctor. But it was perfectly clean. Not really even pink. And no temp. He mentioned his head hurt and pointed to his ear but I didn’t make much of it and gave him another Advil and an allergy pill.

So then it was off to school, where I did warn them about the sniffles and the eye so they could keep watch. And damn if when I picked him up they didn’t tell me he napped today and woke up with a green crusty eye. 😐

I called the doctor’s office from the parking lot and they said to come right in. Phew! A quick look and yep, the doc said he definitely has pink eye—and an ear infection! AN EAR INFECTION! His very first! (Apparently the same germs that give you pink eye can also give you an ear infection.) And then it hit me—his sore ear this morning that I brushed off as a headache or allergies was an ear infection. Of course I felt bad putting two and two together a little late…but now I know.

The doc was going to give him liquid but I stopped her and requested pills. It wasn’t until later when I started wondering about the size of the pills…because while Owen can take pills, the ones he takes are TINY. And of course, these turned out to be horse pills and I thought we might have a problem. So I broke one in half (which was still about 10x the size of what he’s used to) and handed Owen both pieces, telling him he can take one at a time—but he had already put both pieces in his mouth and was trying to swallow them! He wasn’t 100% successful as one piece fell out of his mouth onto the floor…but he picked it right up, put it in his mouth, and swallowed it. Just like that. Holy wah. What a rock star! He earned a piece of chocolate for that!

Unfortunately, the drops are another story. He hates them. HATES THEM. Even though he knows they don’t hurt and are over in a split second. He’ll get better with them over the next day or so, but in the meantime it’s frustrating.

Poor Owen.

But we promised him that if he’s a really good boy with taking his pills and getting his drops…that we’ll take him to the Lego movie Sunday. Of course we had already planned on it but hadn’t told him…so why not use it to our advantage?! Parents need to take an advantage when they can, right?

Thankfully, overall though, he’s in good spirits. Like usual. 🙂