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	<title>The Ruark Kids &#187; Doctor</title>
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		<title>Emergency Room</title>
		<link>http://www.ruarkkids.com/2010/06/08/emergency-room/</link>
		<comments>http://www.ruarkkids.com/2010/06/08/emergency-room/#comments</comments>
		<pubDate>Wed, 09 Jun 2010 02:51:43 +0000</pubDate>
		<dc:creator>John</dc:creator>
				<category><![CDATA[Thalia]]></category>
		<category><![CDATA[Doctor]]></category>
		<category><![CDATA[Sick]]></category>

		<guid isPermaLink="false">http://www.ruarkkids.com/?p=793</guid>
		<description><![CDATA[We made it 3 years and 9 months, more or less, until tonight, without having to make this trip. Tonight, we had to take Thalia to the emergency room in order to get her some help for a little trouble &#8230; <a href="http://www.ruarkkids.com/2010/06/08/emergency-room/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>We made it 3 years and 9 months, more or less, until tonight, without having to make this trip.</p>
<p>Tonight, we had to take Thalia to the emergency room in order to get her some help for a little trouble breathing she was having. Basically, they treated her for asthma. It won&#8217;t be clear for a while yet whether she actually has asthma or just had a bout of responsive airway disease (I think that&#8217;s what the doctor called it), but she got albuterol and some Orapred (oral prednizone).</p>
<p>It all started when I picked them up from school and the teacher noted Thalia was fussy and wheezy. She sure was! Dinner was pretty rough, and in the tub I noticed that she had that tell-tale skin contraction around her ribs when she was breathing. That prompted an immediate call to the pediatrician&#8217;s office, which was followed by their mandate to hustle to the hospital.</p>
<p>I went with Siena and Thalia around 8 PM. Fortunately, they provided little bags of toys for Siena to play with. (Technically one bag was for Thalia, but she was having nothing to do with toys, so Siena got double the toys.) Thalia, mostly exhausted and wheezing, was an unhappy camper, especially through the mist phase of the albuterol they gave her right then. But then it kicked in and she got spastic for a while, and quite cheery, and then she got fussy again.</p>
<p>Mama joined us after work, around 9:20, and we finally got home around 10:30 or so. The girls went straight to bed, which I didn&#8217;t expect in Thalia&#8217;s case given how much she was coughing on the way home.</p>
<p>And now we are the not-so-proud owners of a nebulizer machine and a couple of prescriptions that we need to fill in the morning. Alas.</p>
<p>That being said, this appears to have a minor emergency, and Thalia should be OK within a day or so.</p>
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		<title>Yet another ear infection (aka YAEI)</title>
		<link>http://www.ruarkkids.com/2010/05/19/yet-another-ear-infection-aka-yaei/</link>
		<comments>http://www.ruarkkids.com/2010/05/19/yet-another-ear-infection-aka-yaei/#comments</comments>
		<pubDate>Wed, 19 May 2010 16:56:49 +0000</pubDate>
		<dc:creator>John</dc:creator>
				<category><![CDATA[Siena]]></category>
		<category><![CDATA[Doctor]]></category>
		<category><![CDATA[Sick]]></category>

		<guid isPermaLink="false">http://www.ruarkkids.com/?p=774</guid>
		<description><![CDATA[Siena had complained for almost a week about her ear hurting. Monday she was phlegmy, but generally OK. Then on Monday afternoon Mama got the call that Siena had a fever, at 101 degrees. Upon climbing the steps at home &#8230; <a href="http://www.ruarkkids.com/2010/05/19/yet-another-ear-infection-aka-yaei/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>Siena had complained for almost a week about her ear hurting. Monday she was phlegmy, but generally OK. Then on Monday afternoon Mama got the call that Siena had a fever, at 101 degrees. Upon climbing the steps at home after getting out of the car, she threw up. She was up every three hours Monday night and stayed home Tuesday with me and <span style="text-decoration: line-through;">got</span> seemed to get better. But then last night was a disaster. Around 10:30 she came out of her room crying about being afraid of the rain, which was pelting down. Not really a problem per se, but the crying and the very stuffed sinuses weren&#8217;t helpful. Then at midnight she woke up again complaining about how much her ear hurt. It hurt her quite a lot even to try to blow her nose. I gave her some kid&#8217;s ibuprofin (not Motrin, though, since that&#8217;s on recall) and sat with her for around 45 minutes, then got her to bed. She woke up within a few hours, and continued to do so throughout the rest of the night. At one point Mama went in to sit with her for an hour (maybe more?). Later on, the dog and cat separately were making noises and got us up in the 5:30 &#8211; 6:15 time frame. Ugh.</p>
<p>Got Siena to the doctor, paid the $35 copay, and confirmed an ear infection. She&#8217;ll be on what I called the &#8220;pink juice&#8221; (antibiotics, bubblegum-flavored, presumably) for a week. Siena was jacked up on ibuprofin at that point (Mama had given her more at 6 AM), so she was feeling no pain. Smiling, making jokes, bouncing around. Good to see her smile, at least, but the side-effects in the coming days aren&#8217;t going to be so fun.</p>
<p>Fortunately, Mama has the day off today (working both days this weekend though, alas), and Siena was hoping to stay home with her, so I&#8217;m sure all will be well for her today.</p>
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		<title>Thalia 2-Month Stats</title>
		<link>http://www.ruarkkids.com/2009/09/30/thalia-2-month-stats/</link>
		<comments>http://www.ruarkkids.com/2009/09/30/thalia-2-month-stats/#comments</comments>
		<pubDate>Wed, 30 Sep 2009 15:01:35 +0000</pubDate>
		<dc:creator>John</dc:creator>
				<category><![CDATA[Thalia]]></category>
		<category><![CDATA[Doctor]]></category>
		<category><![CDATA[Vitals]]></category>

		<guid isPermaLink="false">http://www.ruarkkids.com/?p=440</guid>
		<description><![CDATA[Thalia had her two-month appointment two weeks ago. Her vitals were as follows: Length: 25 in (63.5 cm). This puts her a solid 2cm above the 97th percentile for 2-month olds according to the CDC (see http://www.cdc.gov/growthcharts/clinical_charts.htm). Weight: 13lb 11oz. &#8230; <a href="http://www.ruarkkids.com/2009/09/30/thalia-2-month-stats/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>Thalia had her two-month appointment two weeks ago. Her vitals were as follows:</p>
<ul>
<li><strong>Length: 25 in (63.5 cm). </strong>This puts her a solid 2cm above the 97th percentile for 2-month olds according to the CDC (see <a href="http://www.cdc.gov/growthcharts/clinical_charts.htm">http://www.cdc.gov/growthcharts/clinical_charts.htm</a>).</li>
<li><strong>Weight: 13lb 11oz. </strong>This is just over the 97th percentile.</li>
<li><strong>Head: 39 cm. </strong>Somewhere between 50th and 65th percentile.</li>
</ul>
<p>Siena was big, too. I guess we just make big babies with lots of hair.</p>
<p>Because they didn&#8217;t have any of the vaccine combo cocktails, poor girl had to have five separate shots. Two in each leg and one in the arm. Not a happy camper. And she still needs to get flu and H1N1 vaccines this fall, plus more at the four-month appointment.</p>
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		<title>Dentist!</title>
		<link>http://www.ruarkkids.com/2009/09/08/dentist/</link>
		<comments>http://www.ruarkkids.com/2009/09/08/dentist/#comments</comments>
		<pubDate>Tue, 08 Sep 2009 14:44:28 +0000</pubDate>
		<dc:creator>John</dc:creator>
				<category><![CDATA[Siena]]></category>
		<category><![CDATA[Dentist]]></category>
		<category><![CDATA[Doctor]]></category>

		<guid isPermaLink="false">http://www.ruarkkids.com/?p=426</guid>
		<description><![CDATA[Siena just had her first dentist appointment, and she was a champ! She did better than I expected because she didn&#8217;t freak out when the doctor started up the polisher. Normally, whirring noises like that (vacuum cleaner, table saw, coffee &#8230; <a href="http://www.ruarkkids.com/2009/09/08/dentist/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>Siena just had her first dentist appointment, and she was a champ! She did better than I expected because she didn&#8217;t freak out when the doctor started up the polisher. Normally, whirring noises like that (vacuum cleaner, table saw, coffee grinder, chipper) cause her to cover her hears, hide behind someone&#8217;s legs, or run away crying. Mama would have to give the full report since she was next to Siena and I was behind her sitting with Thalia, but she just opened up and let the dentist polish her right up. I didn&#8217;t see any crying or resistance. She opened her mouth every time, and let the dentist count her teeth while pressing on them check for cavities (20 cavity-free teeth!), polish them with the whirring machine, rinse out her mouth with water and the vacuum (I was worried about that part, too), apply fluoride with a q-tip, and finally floss a few of her teeth.</p>
<p>All in all a really good experience, and Siena also got a plastic ring, a sticker, a lollipop, and something else (she called it a toy bag), for her troubles. I think she has a knack for taking advantage of people willing to offer her rewards for events like this. She took that dental assistant and her box of goodies to the cleaners while mama and I listened to the dentist chide us somewhat for depriving her of business by not bringing Siena when she was younger (well, it wasn&#8217;t really like that of course).</p>
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		<item>
		<title>Welcome to Coxsackie</title>
		<link>http://www.ruarkkids.com/2008/09/29/welcome-to-coxsackie/</link>
		<comments>http://www.ruarkkids.com/2008/09/29/welcome-to-coxsackie/#comments</comments>
		<pubDate>Mon, 29 Sep 2008 19:14:18 +0000</pubDate>
		<dc:creator>John</dc:creator>
				<category><![CDATA[Siena]]></category>
		<category><![CDATA[Doctor]]></category>
		<category><![CDATA[Sick]]></category>

		<guid isPermaLink="false">http://www.sienaruark.com/?p=160</guid>
		<description><![CDATA[Not only is it a town in New York (see the map), but it&#8217;s also a virus associated with hand, foot, and mouth disease (HFMD), which is not what cows get. Boy that&#8217;s a lot of links. Siena apparently has it. &#8230; <a href="http://www.ruarkkids.com/2008/09/29/welcome-to-coxsackie/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>Not only is it a <a href="http://www.coxsackie.org/">town in New York</a> (see <a href="http://maps.live.com/default.aspx?v=2&amp;FORM=LMLTCP&amp;cp=42.351246~-73.803958&amp;style=r&amp;lvl=14&amp;tilt=-90&amp;dir=0&amp;alt=-1000&amp;phx=0&amp;phy=0&amp;phscl=1&amp;where1=coxsackie&amp;encType=1">the map</a>), but it&#8217;s also a <a href="http://www.parents.com/preschoolers/health/other-health-issues/coxsackie-virus-facts/">virus</a> associated with <a href="http://www.cdc.gov/ncidod/dvrd/revb/enterovirus/hfhf.htm">hand, foot, and mouth disease</a> (HFMD), which is not what cows get. Boy that&#8217;s a lot of links.</p>
<p>Siena apparently has it. The virus, that is. We&#8217;re at home today (she&#8217;s napping now). Fortunately she isn&#8217;t troubled by it yet, except to periodically point out that her fingers, eyes, or neck hurts. While neck pain can be a symptom of the more serious viral miningitis, the doctor didn&#8217;t think that was it because she has very good range of motion still, and the neck pain is so infrequent. We suspect it&#8217;s from sore muscles that just come with HFMD. I sure hope that&#8217;s the case.</p>
<p>On the plus side, she should be able to go to school tomorrow if she doesn&#8217;t get a fever. Oddly, most sites say the first symptom of HFMD is, like with many things, a fever, but we haven&#8217;t seen one in Siena yet, though she has been a little clammy today.</p>
<p>Here&#8217;s hoping it clears up soon, though it could take 3-7 days still.</p>
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		<title>Cheerios Rock!</title>
		<link>http://www.ruarkkids.com/2007/06/18/cheerios-rock/</link>
		<comments>http://www.ruarkkids.com/2007/06/18/cheerios-rock/#comments</comments>
		<pubDate>Mon, 18 Jun 2007 18:53:21 +0000</pubDate>
		<dc:creator>John</dc:creator>
				<category><![CDATA[Siena]]></category>
		<category><![CDATA[Cheerios]]></category>
		<category><![CDATA[Doctor]]></category>
		<category><![CDATA[Dog]]></category>
		<category><![CDATA[Mersenne]]></category>
		<category><![CDATA[Teeth]]></category>

		<guid isPermaLink="false">http://www.sienaruark.com/2007/06/18/cheerios-rock/</guid>
		<description><![CDATA[At Siena&#8217;s last doctor&#8217;s appointment, our pediatrician asked, &#8220;Are you feeding her small solids like Cheerios yet?&#8221; I said, um, no, we weren&#8217;t really sure when to start that. He made a note&#8211;more of a check really&#8211;on his doctor&#8217;s tiny &#8230; <a href="http://www.ruarkkids.com/2007/06/18/cheerios-rock/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>At Siena&#8217;s last doctor&#8217;s appointment, our pediatrician asked, &#8220;Are you feeding her small solids like Cheerios yet?&#8221; I said, um, no, we weren&#8217;t really sure when to start that. He made a note&#8211;more of a check really&#8211;on his doctor&#8217;s tiny little pad of paper. Actually, each time I answered a question in some unfavorable way (no she&#8217;s not crawling yet; no she hasn&#8217;t been rolling over very much; no she isn&#8217;t saying anything other than Da Da; no she hasn&#8217;t discovered a new <a href="http://en.wikipedia.org/wiki/Mersenne_prime">Mersenne prime</a> yet), he made a little note. I was beginning to get worried about the number of notes he was making and what happens to that little notepad when we leave.</p>
<p>Thus inspired to advance Siena to the next stage of her culinary evolution, I bought a box of <a href="http://www.cheerios.com/">Cheerios</a>. And I can say, without reservation or qualification, that Cheerios rock. I&#8217;d forgotten how small they are. She can down these things easily. So we spill a bunch on her tray, and watch her pound them into little bits (she likes pounding). Periodically she will manage to get one or two into her fist, and then begins the exercise to get the little inner-tube of oaty goodness into her mouth. She&#8217;s successful only about 30% of the time currently, and needs help putting them on her tongue when she fails and get frustrated.</p>
<p>She employs those little fangs of hers to cut them in half. Here we run into a problem. In Siena&#8217;s mouth-view of food, it seems to be that if a morsel is in her mouth yet outside the bounds of her teeth, then it&#8217;s better to let it languish on the periphery, shuffle down to her chin, and eventually fall to the tray or floor, than to try to scoop it up and swallow it. The practical upshot of which is that a good portion of Cheerios product that makes it into her mouth doesn&#8217;t actually get eaten.</p>
<p>Needless to say, the dog loves this entire process. The scorecard reads something like this: Dog-100, Siena-30.</p>
<p>P.S. I realize every other parent on the planet already knows about Cheerios. Nevertheless, it&#8217;s the little epiphanies of first-time parenthood that we are tracking here in the first place, so in the end, you just have to deal.</p>
<p>P.P.S. I need to remind myself to write a post about my grand unification theory of baby development and punctuated equilibrium.</p>
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		<title>20 pounds, 30 inches</title>
		<link>http://www.ruarkkids.com/2007/06/11/20-pounds-30-inches/</link>
		<comments>http://www.ruarkkids.com/2007/06/11/20-pounds-30-inches/#comments</comments>
		<pubDate>Mon, 11 Jun 2007 19:58:51 +0000</pubDate>
		<dc:creator>John</dc:creator>
				<category><![CDATA[Siena]]></category>
		<category><![CDATA[Doctor]]></category>
		<category><![CDATA[Vitals]]></category>

		<guid isPermaLink="false">http://www.sienaruark.com/2007/06/11/20-pounds-30-inches/</guid>
		<description><![CDATA[Siena had her 9-month doctor&#8217;s visit today. She tipped the scales at 20 pounds, 6 ounces, but since her diaper had a full load in it at the time (the nurse didn&#8217;t want to wait for me to change it &#8230; <a href="http://www.ruarkkids.com/2007/06/11/20-pounds-30-inches/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>Siena had her 9-month doctor&#8217;s visit today. She tipped the scales at 20 pounds, 6 ounces, but since her diaper had a full load in it at the time (the nurse didn&#8217;t want to wait for me to change it first), I&#8217;m calling that 20 pounds even, as I expect diaper with payload is around 6 ounces. That could be wildly inaccurate however as I&#8217;m not prone to weigh the input and output or run balance equations.</p>
<p>At 30 inches long (I still think of Siena as having length instead of height), her doctor said, &#8220;she is off the charts but well proportioned.&#8221; The phrase &#8220;well proportioned&#8221; is one of those good things that just sounds bad, like it should be up there with &#8220;nice personality&#8221; and &#8220;pretty face.&#8221; Fortunately in this case it&#8217;s all good.</p>
<p>Finally, no shots this time, so generally a happier time had by all.</p>
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