Today Brianna had a follow-up weight check from January and we got her thyroid bloodwork results. Also, Micah was supposed to get vaccinations today but instead it became a follow-up from his hospital stay and we'll do vaccines next week. We also got his blodwork results.
Brianna's gained nicely and is 19lbs, 15oz! ALMOST to the 20 lb mark!
Micah is 15 lbs 13oz (I think) and we're so glad with this weight gain! Almost 5 lbs now!!
BOTH of the kids' TSH numbers were high, but their T3 and T4 were fine. They'll both need to see an endocrinologist to monitor and possibly medicate them since the TSH being off has some significance. Here's how it was explained to me:
The TSH is the measure of what the brain sends to the thyroid telling it to produce the T3 and T4. So if the T3 and T4 are correct, then the thyroid is functioning properly. On the other hand, if the TSH is raised, it means that the brain is having to send extra info to the thyroid in order for it to produce correctly. This could go on for a LONG time, but what it means in practical terms is that they both have the "potential" to develop hypothyroidism, or the condition in which the thyroid doesn't produce enough hormone. Some endo's will want to medicate before hypothyroidism develops, some will want to just watch it, but either way the ped wants both kids to see the endo to be monitored by them.
Emma's thyroid testing hasn't been done because we thought we'd do it at pre-op and didn't want to have to stick her twice... but... now we might just go ahead and do it since surgery is unsure and not scheduled. When we did get her blood drawn she had a little lower platelet level and her WBC count was raised a little. The doctor said that it's due to her heart condition and the blood mixing.
So... a referral to the endocrinologist, a follow-up next week for Micah and Emma to both get vaccines, and some blood work will be ordered for Emma next week!
OH-- but I have to share, I was very pleased with the doctor's office this morning. I had a 9am appointment for the 2 kids and ended up bringing Emma with me too. I called the office, explained that Micah is sick and couldn't be in the well room, but Emma is fragile and can't be in the sick room. I asked if we could go right into an exam room when we arrived and they actually did it :) The kids were great and the doctor was good about spending enough time in there with us and letting me ask questions, explaining things. I really like that doctor... if things don't work out with the other doc at that office I'm glad to know there's another doc there that I wouldn't mind as our primary!