To my knowledge, there is no relationship between head size and breast vs. bottle feeding More importantly, as long as your child's head circumference is well within the normal range and following the nearest growth curve, then there is little to worry about.
Head circumference -- if normal -- only predicts one thing: hat size! View Thread
Alhtough you sound confident that this most recent incident is just a bad bug bite, I would worry about the possibility of cellulitis, since swelling and redness are common to both, and cellulitis can start with just a bite.
I would err on the side of going to see your doctor. Another possibility is speaking with him or her on the phone and ask if he or she is willing to view a good quality photo sent by e-mail.
An infection in this area cannot be ignored.View Thread
At the risk of piling on, I would not be concerned about your son "cliniging" (forgive the pun) to a cherished transitional object such as this stuffed bear. My daughter slept with the torn and tattered remains of her baby blanket well into high school. She ultimately gave it up spontaneously before college -- though you can bet it was not discarded, just put away.
If all else is good, put this issue far out of your mind.View Thread
There is a strong social taboo in this country against marriage between first cousins. This is in part due to the erroneous belief that there is a markedly increased risk of having a child with developmental delays. Marriage between first cousins is accepted and commonplace in many countries -- including England. Moreover, the perceived risks of having an "abnormal" child are grossly inflated. Although I agree that genetric counseling would be helpful to better assess your risks and likely allay your concerns and your extended families' concerns, I would also encourage you and your family to read about the "first cousin myth". One helpful and easy to read source is:
Although youmay sleep better knowing your baby is sleeping on her back, once children roll from supine to prone (back to belly), there is no controlling sleep position through the night. Although there is no harm and possibly some psychological benefit (for you) in flipping her back onto her back, you should not feel like you need to do this. I assume your daughter can easily clear her airway in prone and I also assume she will very soon roll from belly to back.View Thread
It would be wonderful if every pediatrician had the bedside manner of Dr. Marcus Welby, the knowledge of Dr. Benjamin Spock, and the gift for connecting with babies of Dr. T. Berry Brazelton. Although that may be a pretty tall order (for those of you who are familiar with all of these iconic physicians), I suspect many pediatricians indeed aspire toward this goal. To raise the bar even higher, the perfect pediatrician would also see his scheduled patients on time, return all of your phone calls promptly, and of course, accept your insurance plan and be easy to schedule an appointment with.
Assuming many pediatricians may not fulfill all of these criteria, what matters most in choosing a pediatrician? Expertise, compassion, flexibility, empathy, punctuality, access, availability? In what areas are you willing to compromise?
Does the perfect pediatrician accept all of your suggestions? What if there is a differnce of opinion -- does the perfect pediatrician accede to your wishes or hold his or her ground? Should they simply respect your view and accept the difference in judgment, or should they try to convince you that their treatment approach is more sound?
In short, what matters most when you can't get it all in one doctor? Where do you compromise when you can't find the perfect pediatrician?View Thread
I am hoping that the doctor did a urinalysis in addition to a urine culture. The culture would have been the best way to lok for infection, and a urine analysis (often by dipstick) would have screened for sugar in the urine which could be a signal of diabetes. If the urine culture and urinalysis are both normal (negative), then that is pretty reassuring.
It is possible that he had a urinary accident that you are unaware of which has now sensitized him to going frequently. If this continues or gets worse, a CAT scan or MRI may be needed to be sure that there is nothing anatomically affecting the urinary tract.
In either case, you should follow-up with your doctor by telephone or in person within the week. He may ask you to collect all of his urine and monitor his fluid intake. He may also do some blood work to be sure there is no other evidence of kidney problems.
Good luck, and provide us with an update when you can.View Thread
Although pain is inevitable with major surgical procedures, the goal in general is to make children comfortable. In general within the medical field, there is a sentiment that the medical establishment has historically been too withholding (insensitive, unresponsive) when it comes to providing analgesia. In many hospitals, there are pain specialists (even pain management teams) whose sole job now is to make sure patients are as comfortable as reasonably possible.
The difficulty here is that you believe your daughter is unable (unwilling) to express significant pain in a conventional way and that you know her signals for when she is in considerable pain. It sounds like the physicians manging her post-op course were skeptical about your perception about her pain experience.
Unfortunately, one can never truly know another person's pain experience -- just what is expressed or exhibited in reaction to the pain. In pediatrics, it can be that much more difficult to recognize pain in children -- especially since anxiety may play a large role and the child is less capable of verbalizing or expressing pain.
My suggestion for the future would be to have a frank and explicit discussion with your healthcare providers about your child's pain reaction in advance of any procedure that likely involves pain. You should describe what happened post-operatively in this instance, and you should clarify with the doctor if he or she is willing to treat your daughter for pain based on what you perceive -- even if it is an atypical pain presentation. To avoid recurrences, you should make sure the doctor resonsible for your daughter's pain management is willing to respect your wishes as much as possible.
However, since children have different pain thresholds (just as adults differ in pain thresholds), you must keep in mind that it is equally possible that your daughter is experiencing less pain than you are presuming she has.
Hopefully, her verbal and non-verbal communication skills will evolve and mature so that she better communicate her own pain experience.View Thread
Whether it be "do unto others", "pay it forward", or "make the world a better place", the sentiment and message are the same -- its not about you. Its about your child.
And, as a reprise of one of my first and most engaging posts, a parent has 3 jobs -- insuring the safety, health (including mental health) and happiness of their child. Just as happiness does not come first for parents, it likewise does not come first for children. Sorry, kids.........View Thread