Thursday, August 22, 2013

The allergist and 2 year check-up

We had 2 appointments this week.  The first was the pediatrician.  That was a great appointment.  The boys were very cooperative!  They were a little nervous, which actually helps.  She said they all look great.  Noah has grown like a weed and is now around 35" tall and 27 pounds.  Aiden is in the middle at 34" and 24 pounds.  Reese is still the peanut at 33" and 24 pounds.  Noah is average for 2 years old (55th percentile) and Reese is tiny 15th percentile).  It still amazes me that they were born so small and early.  You would never know they were early.  They are doing great developmentally as well.  They don't have to go back until they turn 3.  Yes!  Although, we'll probably be back before then..illness tends to brings us back before our scheduled appointments.  They are kids and they pick up germs like nobody's business.  On a random note, whenever they ask how early they were I say they were born at 32 weeks, 5 days.  They normally put them down as 32 week triplets, but I always remind them of the 5 days.  Every day was a struggle, so I want credit for every day.  They always look at me like I'm a little crazy, but anyone with multiples will definitely understand that! 

The second appointment was the allergist.  We talked about Noah most of the time.  Thankfully we have had no incidents that required the epipen or any other intervention..yet.  I'm sure at some point we'll be faced with a situation.  I have a lot of nightmares about that and do a lot of praying that I'll respond quickly when it does happen.  We also talked about his asthma and the fact that the nebulizer seems to really be helping keep it controlled.  I asked his opinion about the increase in food allergies.  He asked what I had read.  I told him I read one about vaccines being the cause.  He asked if I believed it and I said that I don't.  He agreed and said it was complete nonsense.  I also said I had read that the way our food is grown (gmo's) and processed were a factor and that I did believe that.  He agreed that there could be some truth to that one.  Scary, isn't it?  I also have read the we don't give kids nuts early enough. He said there is a study about that and that you could read it either way.  You can read it that we don't give them early enough or read the same study and gather that we should wait.  The roasted vs. boiled nuts theory is probably not true either.  Basically there is no good answer.  He talked about the fact that the immune system is the most complex system in the body and trying to figure it out is extremely difficult.  He said that all the blood tests that show allergies often show false positives and really don't give a true picture of the severity of allergies either.  So knowing whether or not someone will react to a food is a guess.  Scary!!!  He said the fact that Noah's reaction was so severe the first time and the fact that he has asthma makes his an allergy that he'll live with forever.  It's often difficult to know where it is safe to take Noah and where we should avoid.  Dr. Wolf said it's always going to be a gamble no matter how careful we are.  I think we should just become hermits.  :)

I also asked him about Devyn.  He didn't really want to look at her too much because she's so little and not his patient.  He talked to me quite a bit about her, but wanted to make sure I talk more to our regular pediatrician.  He said that at her age it's early to talk about an allergy.  That being said he completely disagrees with the pediatrician we saw who said it was just excema and not related to food.  He said the excema would have been on her face.  It would have been somewhere that she could scratch which at this point would only be her face.  He asked about our detergent and what we wash her with.  I make my own detergent, so I know that's not it.  We switched what we wash her with and it helped a little.  I still notice a difference when I have milk.  It absolutely gives her tummy aches and some sort of rash.  He said to do some experimenting to figure it out.  I told him I did and that I cut milk out of my diet.  His words were, "Then I think you have your answer".  He said that he disagrees with the pediatrician (not our regular one, the other dr. we saw) that it would be unlikely that it would be food.  He said it's very likely and what I eat certainly does pass to her and can certainly cause all of this.  That being said he wants me to mention all of it to the pediatrician and talk to her more about the rash.  It's hard to say what the real cause is.  She is looking better, but the rash is still there a little bit.  She goes for her 2 month check-up on Tuesday and we'll talk more to our pediatrician at that appointment.  Hopefully she can help with some suggestions or an idea of where to go next!

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