Category Archives doctor

Time to check the eyeballs

Back in August, NHL went to the doctor for his six year old well visit. While talking with the doctor, something caught her attention. She noticed that NHL’s two eyes were not tracking with each other. Immediately, I asked if this could be something related to his low muscle tone. She said it could be and she would like NHL to go and see a pediatric eye doctor. When I went to the parking lot, I called the number for the specialist and took the first available appointment for just over a month later.

Two years before this, NHL was scheduled to have an eye scan done while in preschool. This test was done for free by a local organization to test for several conditions that are often missed on children under the age of five. Unfortunately, thanks to a lost paper at school he was never tested.

So we waited the the day to arrive. Every so often, I would sort of see NHL’s eyes doing what she mentioned, but it was very subtle at best. The appointment was the last week of September. I picked NHL up from school and the two of us went to see the new doctor. First, we went into a room with a technician who examined NHL’s eyes. You could tell this was a practice for children. Finding Nemo was playing on a flat screen monitor on the wall. 

The Eye chart/movie machine

Later, we realized that this not only played movies, but was also a computer that generated the vision tests. It was technology at it’s best. NHL was a little nervous when he was asked to sit in the giant green chair. Admit it, the chair is pretty intimidating looking, especially if you are just six and have never seen one before. 

Big chair for little people

He did really well with the vision tests. Next up was tackling him to get drop in to dilate his eyes for a better exam by the doctor. This was a challenge, but thanks to a fabulous technique by the technician we got it done. NHL and I then went out to the waiting room to wait for his eyes to be ready. After about 30 minutes, we were taken into a room to wait for the doctor. Check out how NHL spent his time. 

Drawing while waiting

The doctor came in, listened to the concerns from our Family Practice doctor and did her exam. She said that his eyes are healthy, look great, and the muscles are working just fine. She said his vision is spot on now, but she would not be shocked if he needs glasses sooner rather than later. If things change in that end we should make another appointment, otherwise we are all set.

So, my question for you: Have you had each of your child’s vision/eyes checked for potential problems?

I think this is an area that many parents are unaware of. We all know to take our children to the dentist soon after they get their teeth, but they are born with their eyes. Even a non-verbal infant could have potential eye defects that are not checked. So here is a quick PSA with some interesting information. I am not being paid for this, I simply wanted to get the word out about the Enfant™ Pediatric VEP Vision Testing System.

Here is some general information about it from their website

The Enfant™ Pediatric VEP Vision Testing System is a child-friendly, non-invasive medical device used to test for visual deficits in children 6 months of age and older. The vision test does not require dilation or sedation, and is a painless, safe test. The Enfant™ is the only objective vision testing device capable of evaluating the entire visual pathway available today. Most insurance plans will pay for this test.

How it works:  After positioning three sensory pads on the child’s head, an operator initiates the test. Cartoon characters appear and music plays while a series of “attention-catching” stimuli are presented to the child on a video display. The Enfant™, using Visual Evoked Potential technology (VEP), recognizes the child’s neurological responses and processes the VEP data.

At the completion of each test, simple "pass/fail" results are immediately presented on the menu-driven operator screen in both graphic and numeric formats. The results are then printed out for the patient’s medical record.

Who are we testing and what are we testing for?

We are testing children six months of age and older in order to detect visual deficits such as strabismus, optic nerve disorders, and severe refractive errors, which could lead to amblyopia.

From the description on the website and other information I have read about it, I am positive that this is what NHL was supposed to have had done when he was four. I am going to contact the local agency that does the testing to see about getting JSL (2) checked. Since TechyDad and I both wear glasses, it can not hurt to be thorough.

The website for the Enfant™ Pediatric VEP Vision Testing System also has a section where parents can answer some questions to help assess your child’s vision. From there you can also get assistance to find a doctor and see how to request a test for your child.

Still not sure what to do, well check out these statistics and see what you think:

  • An estimated 200,000 children are born each year with visual deficits
  • According to the American Optometric Association (AOA), vision disorders are the number one childhood handicap.
  • Only 21 percent of children in the United States have their vision screened before kindergarten.
  • 72 percent of children with vision deficits go undetected until after the window for effective treatment expires. 
  • More than one in 50 children have amblyopia, a serious vision disorder, which can lead to blindness in one eye. 
  • Amblyopia is poor vision in an eye that otherwise appears normal. It occurs when the brain does not recognize the sight from that eye. It is very difficult to detect Amblyopia  
  • 3.8 million adults are legally blind in one eye or visually incapacitated due to amblyopia.

Again, I am sharing this information that was passed along to me to my reader as an FYI. I was not paid to do this and am not a medical professional. I am simply a mother that has a child that is within the 21% that did not have a formal vision screening/eye exam until he was in first grade. Hopefully, more doctors help to get the word out to parents about when we should take our children for their first check up since so little is really out there on this topic.

 TheAngelForever

 

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Smile update – part 2

Check out NHL’s grin, do you notice anything different?

Guess who is coming to visit?!

As a comparison, this is a photo taken a little over a week ago:

All grins

Yes, NHL lost his second tooth today. Once again, the adult tooth came in behind his baby tooth (history of the toothy fun can be found here). I figured we would work on it and see what happened since he had a dentist appointment coming up. Today was the dentist appointment. Last night, TechyDad tried to get the tooth out, but it did not go well (to say the least).

When we arrived at the dentist office, he knew it would probably get pulled since it really was close to coming out. When the dentist came in after his teeth were cleaned, she agreed. Given his worries and the "fun" trying to get it out, she would see what would happen. She applied some of their magic numbing gel onto the area, let him sit for about two minutes. Then she asked him to open his mouth. As he was trying to complain, she got her hand in and pulled the tooth out. It seriously happened so quickly that NHL could not believe it was out.

So this evening, the Tooth Fairy will be coming again and then we wait to see if/when the next teeth start to wiggle. Oy!

TheAngelForever

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Flu shot frustrations

As I sit here and type this, I am battling some sort of virus. I do not think it is the flu. I have had a horrible headache, body aches, chills and a fever. No congestion, sore throat or the like YET. Being sick on Yom Kippur was rough. Hubby went to services and the boys stayed home with me. Thanks to the television and toys, they were happy. At points, they came to check on me, and I went to check on them.

Still in the back of my mind, I worry and do not have time to be sick. I worry not only about TechyDad and NHL catching what I have, but I am particularly scared about JSL. The little guy had a febrile seizure, stopped breathing and turned gray in February 2008. He was hospitalized for four long days. A little over a year went by and we thought we were safe from a repeat. The reality was two additional febrile seizures in a 30 hour span of time in March 2009.

Sleeping peacefully     Tired and sick little guy

In August, when NHL went to the doctor for his physical the office already had their flu shots. The three of us (TechyDad had his at work) were ready for our shots. When the nurse came back in, she had to report that they did not have any of the vaccine for children under three years old. She told me to call back in mid-September to see if they received their shipment.

October is quickly approaching and still no flu shot for JSL. Each day it scares me because he is quite vulnerable if he catches something with a high fever. Going to the ER on Friday scared me even more since almost everyone was coughing and so very sick. I have now done some more investigating to try to find out where I could get JSL a flu shot. The short answer, there is no location in our area that has them for children under three years old. According to the Health Department, they have not even been able to get any. When I asked the nurse what the hold up was, I finally received an answer. She told me that the federal government told the drug company to halt production of all of their vaccines and to switch gears to produce the H1N1 vaccine.

*sigh*

Yes, the H1N1 is a very serious virus, but so is the regular flu. People forget that the flu kills thousands of people, including young children under three each year. I can not understand why they would stop producing the vaccine that is used for children if there was not enough for the majority of the population. My phone calls also included a pharmacy where an amazing pharmacist did even more research. She called the company of the flu shot and was told that they will not be able to fulfill any new orders until 2010-2011 – OY!

Please understand that I am not downplaying the H1N1 virus at all. As a thirty something adult it scares me a lot. This flu is attacking and killing people in my age group the most, along with kids that are the same age as my children. I understand the gravity of the situation, but I think perhaps some of this was done the wrong way.

Now I must sit, wait, and pray that my little guy stays healthy. The nurse at our doctor’s office told me today that they will likely get the pediatric flu vaccine in by the end of October, after the H1N1 vaccine will be released. So with any luck, he will get that it in the next month.

TheAngelForever

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Head + concrete = trip to ER

Dear JSL,

Yesterday afternoon was filled with a lot of crying, panic and rushing about. We were having a great day. We spent time with Nana and Papa. After a while we went to BJ’s to do some shopping. You slept while we shopped. Then you woke up in time to have some potato chips for lunch. Soon it was time to head to school to pick up your big brother. I was excited to hear how he did on his first ever spelling test. You were still pretty tired, but I could not take the stroller out of the trunk.

NHL came out of school and we were walking back to my car. Another teacher stopped us to ask a question. You and NHL were right next to me, my back was turned ever so slightly. Then I heard a sound that haunted me in my sleep. It was a horrifying THUD and it echoed like nothing I have ever heard before. There was a pause, time seemed to stop. . . and then I heard you scream. My heart sank as I quickly realized that terrible noise was your forehead making a B-line for the cement.

NHL’s kindergarten teacher saw the entire thing. You just slipped on your own feet and went down hard. I knew we had to go into the building. I rushed right into the nurses office. When we arrived in there you were screaming even louder. I moved your hair back and saw blood and started to freak. I imagined the worse. You never passed out, but were quite woozy. All I can say is thank goodness the nurse was right there. The nurse kept an ice pack on your head and kept you focused and listening to her. Meanwhile I called Nana and Papa to come quick. Then I put a call in for the doctor and called Daddy to meet us at the ER.

When Nana and Papa arrived we quickly moved out of the school to the car and went to the ER. I had to stop myself from recalling the past visits there, but it was not easy. After what seemed like forever they took us back and two doctors looked at you. By the time I took the first photo in the ER the swelling had gone down a little. The second is when we were finally back home.

In the ER about 2 hours after fall    Back home and swelling down a little

After a while they said that you seemed fine. They did not think that you had a concussion, but we were to keep a close eye on you. We went back home and you ate a little dinner and some chocolate seemed to make you a happy little guy. Then it was time for bed. You fell asleep quickly, but were fussy several times during the night. No doubt you had nightmares of what had happened like I did. 

Sleeping after a rough day

I hope that the rest of the weekend goes more smoothly. I am not sure we can handle much more excitement. As it is, Daddy and I are seriously starting to think about buying you full hockey goalie gear to protect you.

Love, 

Mommy

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If you want to participate in Dear Kid Saturday, head on over to Cutest Kid Ever by clicking on the button below.

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Night of the Tooth Fairy

Can you hear the party music going over here? We are having a party here because NHL finally lost his first tooth. This little booger has been wiggling since NHL bit into corn on the cob back on July 3. We sat back for quite some time and encouraged him to wiggle it and work on it. Then on August 12th we noticed that his new tooth was coming in behind the baby one. Hubby and I were quite nervous, especially as it moved up quickly.

A week ago, we really started working with NHL to loosen the tooth (he even got a note from the Tooth Fairy for encouragement). Monday, I called the dentist and explained how I was worried about things and we made an appointment for Thursday. Tuesday night, JL sat on the couch with gauze and really worked that tooth. They felt a pop and the tooth was barely holding on. Unfortunately, NHL was upset over the blood and his gums bothering him.

Today (typing this on Thursday), we went to the dentist. I was fully expecting the worst. Much to my surprise, the dentist told both of us that his gums are probably really sensitive and we should numb them up to really get a good wiggle. She put some on his gums and barely touched it and the pesky tooth popped out of his mouth! Clearly, the Wiggle Tooth Olympics of the last two nights that brought much crying and screaming had worked that tooth to the point of surrender. We also learned that we will be purchasing some gum numbing gel for the next tooth which we can also see is about to cut.

Can you tell NHL is excited about the Tooth Fairy coming? Oh, and this is the pesky tooth that wanted to hold on for dear life.

Excited that the tooth is gone The pesky tooth

Here is my big kid all ready for the Tooth Fairy tonight:

All ready for the Tooth Fairy

So my question for this week is inspired by the recent events:

Do you remember how you lost your first tooth? I would love to hear the stories and I’m sure NHL would too!

TheAngelForever

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Thanks to Kailani at An Island Life for starting this fun for Friday. Please be sure to head over to her blog to say hello and sign the MckLinky there if you are participating.

Aloha Friday by Kailani at An Island Life

Aloha #63

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