Sigh. Once again one of my kids had to have blood work done. This time it was little Caroline. She had her 12 month checkup last week and is far below what she should be in weight. The doc wanted her to get some testing done so we obliged even though I wasn’t worried whatsoever. Anyone who meets her knows she is a happy, healthy little girl who just has her mom’s petite-ness.
Her first poke was horrible. After fiddling with the needle in her arm for at least a few minutes until she bled out, the second arm was tried and the needed blood was obtained. Poor thing.
I heard back from the dr and the results weren’t as reassuring as I thought they would be. The results were:
Protein: borderline low
Vitamin D: too low
Liver enzymes: slightly high
Alkaline phosphatase: normal level = 50-130. 200 is high. Caroline’s is at 403.
Explanation: Caroline is so undernourished that her bones are breaking down.
Caroline loves her formula, warm, in a bottle. She hasn’t been keen on the idea of switching to whole milk. I’ve even tried it with Carnation Instant Breakfast. She’s not interested. She does eat a variety of food, but mostly about 6 bites and then she is done. No more. Unless it’s cookies.
My plan of attack is simple. Hide as many nutrients in cookies as humanly possible. Sure, not an intelligent solution that has staying power through the years, but for now I’m just trying to get her little body to grow. I’ll worry about the other stuff later.
The doc also prescribed her a vitamin with iron and vitamin d at 1 1/2 times the normal dose. She’ll get checked again in three months.
All this seemed to fly out of the doctor’s mouth. Seriously. I was barely following along. At the end of the conversation she asked me if I had any questions. I had barely been able to process anything at that point. So since hanging up, internet-ing, and thinking about this all night I pretty much just have one question.
Is she SURE it’s malnutrition? I can handle that. But I don’t want to be treating her for it and three months later find out that we’ve been treating the wrong diagnosis. There are quite a few diseases that can cause the number in her alkaline phosphatase to be so high. Diseases that are much worse. Diseases that aren’t cured with cookies.
But for tonight, I’m done worrying. We’ll pick back up tomorrow with a reassuring call to the doctor and a run to the grocery store.