Wednesday, February 6, 2013

18 month well visit

Last Thursday, we had our 18 month well visit.  It went really well. I have to admit, I was nervous - it was our first "real" visit with our new pediatrician. So far so good!  Our old doctor left the practice, and we loved her....we know where she is (thanks to the internet), but decided not to follow her because we're very very happy with the practice as a whole.  Sick visits any day of the year?  Well visits in the evening? Can't give that up.

The visit started off a bit awkwardly.  First of all, at 18 months, even my peanuts are a little big for the baby scale. Secondly, they basically flipped out.  After some screaming and thrashing, we went down the hall and tried to get Avery to stand on the big kid scale. Fail. We eventually coax her to sit on it for a hot second and got a weight of 21 lbs on it.  Then we tried Quinn. No go. Limp, screaming noodle.  We managed to weigh her on the baby scale though - she isn't as thrashy as Avery.  We did their heights and head circumferences with some baby pinning maneuvers, and after the nurse left the room, we weighed Avery ourselves on the baby scale for what I believe to be a more accurate number.

Once the doctor came in - and we updated the weight - it was actually pretty smooth sailing. She asked what they're doing now, and while I did ask "so what's normal" - because I need a leading question and to give right answers - she must have thought they were meeting all of their milestones because she stopped checking stuff off on the developmental chart in their files.  I do think we kind of failed the milk question - we disputed a bit if they average 20 or 24 oz a day, and looking back it is more like 24+...but I kind of know that is a "wrong" answer. Sigh. I wish they'd eat more, but we can't force it down their throats, and withholding milk doesn't make them eat more solids. It just makes them pissy.

At the end of the visit, they got one vaccine - polio? I'm not even sure - and a clean bill of health. And we booked their 2 year appointment for July. Kind of weird to be booking 6 months out now. I'm actually a little sad we have so long between visits now. I know development is slower and all, and they're mostly done with vaccines, but I kind of like getting the Parents' Gold Star ;)

percentiles from this site for actual age. I THINK it uses the CDC and not WHO charts, but whatever, good for scanning curves at least. It also reports anything under 5th percentile as 5th percentile, which is ridiculous...

Birth: 3 lbs 8 oz & 16 inches
1 month (40w gestational): 5 lbs 13 oz (5th) & 19 inches (5th)
2 months: 7 lbs 13 oz (5th) & 20.5 inches (5th)
3 months: 9 lbs 9 oz (5th) & 22.5 inches (29th)
4 months: 10 lbs 9 oz (5th) and 23 inches (16th)
6 months: 12 lbs 0 oz (5th) and 24.75 inches (24th) 
9 months:  13 lbs 14 oz (5th) and 26 inches (38th)
12 months: 15 lbs 14oz (5th) and 28 inches (25th)

14 months: 17 lbs 6 oz (5th) and 28 inches (8th)
18 months: 19 lbs 5 oz (5th) and 31.25 inches (51st)

On the WHO chart, Quinn is now about 10th percentile for weight and 30th for height. This is a big improvement for her weight, which had been below 2nd percentile for a while (in failure to thrive range) and it now estimated her at hitting 20 lbs around 21 months instead of 24 like we estimated at 9 months. WOOT. :)  Also, I am starting to think Quinn is going to end up taller than Avery. She has totally caught up to her sister now despite starting out almost 2 inches shorter!
I'm a daycare kid, yo. The floor at the pediatrician is less of a petri dish than my normal life.
Birth: 5 lbs 0 oz (5th) & 17 3/4 inches (5th)
1 month (40w gestational): 7 lbs 13 oz (7th) and 20 inches (38th)
2 months: 8 lbs 14 oz (9th) and 22 inches (46th)
3 months: 10 lbs 4 oz (10th) and 24 inches (80th)
4 months: 11 lbs 13 oz (12th) and 24 1/4 inches (60th)  
6 months: 13 lbs 2 oz (6th) and 26 inches (71st)
9 months: 15 lbs 6 oz (5th) and 27 inches (47th)
12 months: 16 lbs 14 oz (5th)  and 28 inches (25th)

14 months:  18 lbs 4 oz (5th) and 28.5 inches (16th)
18 months: 20 lbs 4 oz (5th ) and 31.25 inches (51st)

 On the WHO chart, Avery is between 10 and 25th percentile in weight now (18ish I'd estimate) and around 30th for height. She did manage to hit 20 lbs!! At 9 months we were estimating she'd get there around 20 months. Way to catch up babies!!

They're also about 5th and 10th percentile weight for height on the WHO chart now, which I am also impressed with, given that at 9 months (half a lifetime ago, wow!) they were at the 5th. Of course, this means they're not on the CDC weight for height chart, but whatever. The GI doctor has conceded Quinn is just fine and just a small person and no longer wants to follow her, so I call that a win.

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