Thursday, October 1, 2009

Max's Two Month Well Child Check

Max had his 2 month (!!) well child check on Monday with Dr. Phelps.  Of course, we have already been seen by Johns Hopkins and by Dr. Ain (Ortho) recently, so this appointment wasn't going to tell us much more.  He weighed in at 11#10oz and was 22 inches long (!).  I am guessing most of the growth was in his torso though...I have not really noticed his legs growing much (they are still so adorable though!!).  His head circumference was about 40.8cm, which is still on the small side for achondroplasia.  So many parents and even other little people at the conference last weekend commented that his head is so small for achondroplasia.  I know this can change at any time though, which is why they recommend having his head circumference measured every month (Dr. Ain thought that was overkill and recommended every other month...I will do every month though...because I am neurotic like that!!).  I was going to split up his immunizations a little so that he wouldn't get so many shots in one day and because there is a small part of me that IS worried about all the aluminum and mercury that is used as preservatives in the shots.  I was planning on doing the Dr. Sears Immunization schedule.  He recommends not giving them all at once, but instead, getting shots every month.  He also pushes back the MMR and a few others, I think.  The problem with that schedule, is that it would have pushed back the Hemophilus influenza B (Hib) and the Pneumovax (for Pneumococcus).  With Max having a higher risk for ear infections, this was going to push back immunizing for 2 of the big pathogens for ear infections, right in the middle of cold and flu season.  That did not seem to make sense to me at all.  So, he did indeed get all of the usual shots for a 2 month old, as well as the Rotavirus oral immunization.  The DTaP and the Hib were all in once shot so he only got 2 shots...this presumably cut down on the preservatives too.
Overall, he is a very healthy 2 month old little boy!!!  His ears looked good-no fluid.  His lower legs are slightly bowed, but all babies have this amount of bowing because of the way they develop in utero.  (Dr. Ain had no concerns with it when we saw him last weekend.)
He will go back in to have his head circumference checked next month and then see Dr. Phelps again for his 4 month check up.  We will plan to go back to Johns Hopkins in February to see Genetics, Neurosurgery and Ortho.
Hopefully we have an UNEVENTFUL cold and flu season!!!

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