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I am glad there is nothing wrong with you DD. Biologically some are just destined to be small. I work with a guy whose kids are following your pattern. Small very petite girl and ready to go on the football field guy. Tests don't bother me and I am glad to ensure that nothing is wrong. Assumptions bother me.
Wow, reading this is very interesting. On the one hand, yes, of course you would be concerned if your daughter is low on the charts, but that's only if she was not initially low on them. My daughter weighed 12 lbs. 4 oz. at 4 months old, at 6 months she still weighed 12 lbs. 4 oz. and at 9 months she weighed 12 lbs. For me the concern was related to the fact that she lost weight in the time that she should have been working on almost doubling it. She wasn't originally low on the growth charts, and she too was breast fed.
From the sounds of things with your daughter, she's kept herself on the fifth percentile the whole time, so I don't see why the concern. You never had a weight loss with her over a long period of time. As for your vegan health habits, I think as long as you know what your doing, it should be fantastic for her health!
In the end for my daughter, it took her until she was a year before she weighed 12 lbs. 4oz. We did a ridiculous number of tests, as well as intelligence tests. She tested as highly intelligent, and otherwise, nothing wrong could be found. It was decided that this was just her! She was supposed to be small. The funny thing is that her older brother is 17 months older than her, and he's huge. Both breast fed, both loved! He will be tall and thin, she will be short and thin! I'm good with that....
I appreciate your perspective. When he was first concerned about her size. I offered to work with him to prove she is fine. We went in to the Drs for weight checks every 6 weeks and each time they tested her nutrient levels. Spot on everytime.
We actually went through this with my son Aden in a different state. After a little while child protective services was involved. Finally he was diagnosed as healthy.
There is not a vegan nutritionist near here. I have done a lot of my own research. Joined online communities and am part of a group of vegans here. The only person with vitamin deficciencies in my family now is my husband.
I understand why my Dr said what he did. It just appals me that our thought process in our society runs to a quick fix of fattening up a child. I also think that our view of a healthy looking person is skewed on one end we have hollywood in all it inappropriatenes and than we have the average american who is overwieght. Making it hard to identify healthy.
FYi: I told the Dr we would do the choc milk thing. We didn't. We had a check-up to see how she is doing and he thinks she is progressing quit nicely with the new plan. Sometimes it is all perception.
It could be because she's such low percentile for height and weight that he wants to make sure she grows appropriately, not necessarily that she packs on the pounds. I think when a doc sees such a low percentile in a young child the first thing they want to do is make sure the kid is getting the appropriate nutrition and calories that helps children grow. And probably telling you to load up on chocolate milk was his idea of a quick fix for making sure your child gets calories, fat, and protein in a way that most young children would like.
I'm looking at this as a parent of a kid who was recently diagnosed as growth hormone deficient after years of not growing appropriately. Your child's size may be appropriate for your family, or not. But the most basic job of the doc is to watch your child's height & weight, especially at this young age, to make sure they are growing appropriately. It took us 3 years of my son falling down the growth chart before a specialist took it seriously enough to test him for gh deficiency. I am NOT saying this is your child's problem, but just that if a doc is doing his job right, he SHOULD be focused on the growth of your child.
I just had to add, it took us 3 specialists before my son was able to get treated for this, so I'm NOT a big fan of the medical community right now, but I would rather my kid have a doctor who is pro-active and concerned with these things, than not. As far as the whole vegan thing, maybe you could find a doctor or nutritionist who is more attuned to that lifestyle and able to speak more intelligently about the nutritional needs of young children who are being raised vegan?
Edited by: SPIEGY at: 6/12/2010 (11:50)
When the blues whomp you up on the side of the head, throw them to the floor and kick them out the door... -- the B'52s
I am sorry to hear about your sisters children. I do not want my children to have to struggle to lose weight because they have pushed off the top of the chart. I want healthy choices to be a natural part of their daily life.
Thank you for the encouragement following my beliefs when it comes to my Dr. Yes it does seem as if most think I have grown a third head!
personally I do not support vegan meals for children, HOWEVER thats not my child and I applaud you for your courage to stand up to your dr. I have had to in the past for my children- not as serious as yours- and people look at me like I have 3 heads when I tell them he said xyz and I'm doing cde.
My babies are smaller too (15, 20, and 25 percentiles). My sisters children are obese and it breaks my heart! The oldest is in the 90 something percentile and the youngest is off the chart- CLEARLY ONE DOES NOT WANT TO BE OFF THE CHART IN WEIGHT PERCENTILE! Again breaks my heart.
Its not just about weight, its about setting goals!
Thanks OUTDOORMOMMA. I know it will all work out. I am positive our diet is very balanced. I would love to have a vegan nutritionist to work with.
I have been through this a couple of times when two of my girls were really really small (and they weren't even the smallest of the family but our doctor's flipped out whereas other family member's doctors did not). We're also vegan and I was breastfeeding as well. To make a long story short ... w/ the first small girl (14lb at 10 mo) through a bunch of tests and a hospital stay they finally determined it was genetics and that she had the absolute best blood work they had ever seen because it was textbook perfect and no one ever has allll their bloodwork be textbook perfect all the time. The second small girl had a different set of doctors (different state) and a different set of circumstances as the drs tried to get children's services involved so I had to get med records of the first little girl and demand the same tests for the second ... it was a mess that gotten straightened out but it sure was a pain (these dr's didn't know we were vegan as they were very against it and we had no other doc to go to due to insurance as well).
Keep up with the healthy choices and she'll be just fine. The main indicators are healthy looking, energetic, bright eyed, hitting milestones within standard time frames, and so forth. I asked to be referred to a nutritionist and wound up with a vegan nutritionist! She couldn't find anything wrong with our diets and today those particular two girls are tall, thin, and very athletic (the 11 year old a star soccer player - who recently gave up tap and ballet to focus solely on soccer - and the 7 year old a gymnast on the team for two years and plays soccer as well). Who says vegan kids can't be top-notch athletes ;-)
Edited by: OUTDOORMOMMA at: 5/25/2010 (20:18)
my darlin' Alan
the arrows of our quiver: DS 22; DS18; DS17; DD16; DD14; DD11; DS9; DD7
Goals & Rewards:
6-30 : 169 : The book I've been wanting : MET 6-24!
8-30 : 160 : ??
10-30 : 150 : ??
12-30 : 140 : ??
2-30 : 130 : ??
4-30 : 120 : ??
Yes she is breastfed. I have told him she is vegan. He ignores the fact like it is not even there. He does not use a different chart. We are sticking with healthy choices and allowing her to grow at her own rate. I consulted a nutritionist on my own. She is likely the most well balanced toddler in our area.
As for the Pedi he is the only one in our area that accepts are insurance. Ena never gets sick so we have only had to use him for well visits. We will move her to our family Dr. after her 3 year check-up. That is when they will take the transfer for us.
Judging by the weight, I'd think your daughter's fine. Your daughter weighed more than mine did at the 2 yr checkup and my pedi said it was fine since she wasn't LOSING weight and was energetic, happy and meeting or exceeding all developmental measures. Is she/was she breastfed? My daughter is, so my pedi uses a different percentile chart since breastfed babies don't weigh as much. That's weird that he'd want her to drink that much milk, let alone chocolate milk. My pedi said to offer her healthy choices and let her eat what she will and not worry about it unless she's tired, unhappy or seems like she's losing weight.
Does your doc know you're vegan? You would think that if he knew he'd at least direct you to a nutritionist instead of adamantly insisting on giving your daughter cow milk. I'm not vegan, but I'm not wholly sold on the healthfulness of cow milk, either, which is why I don't worry about the fact that my daughter doesn't really drink any.
I agree some families just run small. My husband and I were both thin growing up, so I figured my DD would be on the thin side. Sounds like that's what's going on with your DD, too.
I agree with double checking the tools online. WHO is typically the standard.
Finally, this is why I interviewed a bunch of pedi's before choosing this one. It's crazy that doctors want to fatten kids up for the first five years then freak out when the kids are fat later when if you just let them eat what they'll eat instead of forcing it, it wouldn't be an issue in the first place.
My 2 year olds Dr. does not like how small she is. She was born into the 5th precentile and has fluxed around that line, between 3-6 precentile. At her 2 year check up she is right on the 5th percentil. 34 inches and 24.5 lbs. His advice to me was to keep her on whole milk to fatten her up. He wants me to do everything I can to encourage her to drink 24 oz of milk everyday for the "fat". He strongly suggests I give her only chocolate milk to ensure she wants to drink it.
First off we are vegan and don't drink milk. She is on whole soy, but only drinks a glass a day. She gets the right amount of fat alotted for her age group via healthy oils, nuts, avocados, ect...
Secondly her father, mother, and brother are small not chunky peopele. Brother is only 54 lbs at 4'1" at age 9.
Third - when I use online tools (which I know are not always accurate) it puts her weight at the 20th not the 5 percentile.
Finally - Are you serious. Is this job security. Have me fatten up my kids and ensure future childhood obesity and type two diabetes through an addiction to a sugary, fatty treat that has become a daily dietary staple.
Okay, now that it is out I am over it.