Wednesday, May 20, 2009

Appointment with the Gastroenterologist

Today Ryan and I went to visit the Gastroenterologist. It has been difficult getting this appointment. We have waited almost a full month to see him. As you may recall, he is 1 of 2 specialists in the San Antonio area. The other only works part-time, and is not able to do procedures. Unfortunately, Dr. Elizondo is not covered by our insurance, but at least he was able to get Ryan in soon. (We also called other GI specialists within a 150 mile area, and all of them had a waiting list that extends any time from August to October.)

I felt anxious about this appointment. I was concerned that I didn't have other options if we didn't like this Doctor. So, I was relieved when he came in and I felt immediately comfortable with him and confident in his skills.

Ryan was referred to the GI Specialist because his growth curve has started to flatten out. We are concerned that he may be aspirating his foods, and that he may not be getting enough nutrition to sustain adequate growth. Dr Elizondo explained to me that when you have a midline defect, such as Ryan's submucous cleft palate, it is common to have other midline defects in the digestive area. Thus, he has ordered an upper GI series, which is schedule for next Thursday. He also ordered bloodwork (CBC, complete metabolic panel, and TSH) and a urinalysis.

We have an appointment in 2 weeks to visit with him again, and to see his Nutritionist and Dietitician. The test results will all be back in by then and we will be able to discuss what needs to happen to ensure that Ryan is getting the nutrients he needs to sustain adequate growth.

Tuesday, May 19, 2009

We took Dad to the airport this morning and then resumed our busy schedule with appointments. It was great to visit with Dad! He is a great man and we are blessed to have him in our lives!

Jacob and I went this afternoon to see Dr Rhame for Jacob's 12 year old well-child care check up. Jacob is 58" tall and weighs 80 pounds. He is in the 50th percentile for his height and the 25% percentile for his weight. Dr Rhame said he could have a second helping of good foods, but cautioned that he not go home and fatten up.

Dr Rhame and one of his Associates also heard a possible heart murmur and would like Jacob to be seen by the Pediatric Cardiologist just to make sure it's a harmless heart murmur. We don't anticipate it being anything of concern, but we're just going to have it checked just to be sure.