We are the twin sisters. We have come to our doctor since we were 9 days old. Initially we only gained weight half oz daily. After our parents worked with doctor to increase breast feeding and formula feeding, we both gained weight more than 1 oz daily for our 1 st month of life, and then follow normal growing rate.
9 month old well check-up
We missed our 6 month well check-up. We haven’t seen our doctor since 4 month old well check-up.
Twin #1 |
Twin #2 |
Weight gain slowed down slightly.
Normal developmental screen. |
Weight gain slowed down significantly, which meet the diagnosis of failure to thrive (FTT).
Full developmental delay.
Nasal congestion, cough and wheezing on and off since 4 month old. Has used albuterol 3-4 times daily since two emergency room visits during last 4 weeks. |
Doctor's suggestion
Anemias screen (normal) & lead screen (normal) as routine.
Increased solid food
Multivitamin with iron
Enhance learning stimulation
|
Anemias screen (normal) and lead screen (normal) as routine.
Increased solid food
Multivitamin with iron
Full developmental delay: Enhance learning stimulation & motor training at home, hearing screen, and referral for developmental screen, physical, occupational, and speech therapy (0-3 program at Illinois).
Persistant reactive airway disease (RAD): Start inhaled steroid and one allergy medication for daily control. Albuterol as needed only. |
Follow-up in 2 weeks |
Follow-up in 2 weeks |
12 month well check up (11.5 month old)
Our parents didn’t take us back for 2 week follow-up. We both didn’t eat solid food well. My parents told my doctor they fed us 40oz water, 32 oz juice, 40 oz formula, and some table food daily.
Twin #1 |
Twin #2 |
Weight gain slowed down significantly.
Normal developmental screen
My 1 st word was “stop”.
Right side ear infection |
FTT
Full developmental delay, haven’t got evaluation at 0-3 program. There is progress of speech development.
RAD: Need albuterol once a day for wheezing or congested chest. |
Doctor's suggestion
Food diary.
Juice 4 oz daily, limits water, instead gives more formula. Switched regular formula (20kcal/oz)to Pediasure (27kcal/oz)
Increased solid food.
Multivitamin with iron
Antibiotics for ear infection |
Doctor's suggestion
Food diary.
Juice 4 oz daily, limits water, instead gives more formula. Switched regular formula (20kcal/oz)to Pediasure (27kcal/oz)
Increased solid food.
Multivitamin with iron
Full developmental delay: Enhance learning stimulation & motor training at home, 0-3 program referral.
Persistant RAD: Increase the dose of inhaled steroid and continually use allergy medication for daily control. Albuterol as needed only.
|
4 weeks later (12.5 month)
Twin #1 |
Twin #2 |
Weight gain catch up a little, but still <3 rd percentile
Right ear infusion.
|
Weight caught up to normal range.
Catching up for motor and speech development
RAD: Used albuterol 2-3 night per week for congested nose and chest.
|
Doctor's suggestion
Food diary. Vitamin. Pediasure
Increased solid food.
|
Doctor's suggestion
Food diary. Vitamin. Pediasure
Increased solid food.
Continue home learning stimulation and motor training.
RAD: Add one allergy and RAD daily control medication.
|
Follow-up in 1 month for weight gain and ear infusion. |
Follow-up in 1 month for RAD. Need allergy test and consider lung specialist referral. |
Our learning profile
Age |
9mo old |
11.5 mo old |
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# books read/wk |
3-4 |
42 |
|
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Time of book reading daily (min) |
5 |
60 |
|
|
Kid’ attention for book reading(min) |
1 |
15 |
|
|
# go to library to check books out/mo |
2 |
2 |
|
|
TV watch/day |
5-10min |
5min |
|
|
TV exposure/day |
5min |
0 |
|
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Play computer min/d |
- |
- |
|
|
Drawing times/wk |
- |
- |
|
|
Music time/day |
2hrs |
0.5hr |
|
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Our parents didn’t have college education. They want to educate us well, so we both can get high education. |
