is not your average Joe. We met with Alyssa’s GI doc for the first time today. The first time meeting with any specialist is nerve-wracking. Neil and I have discovered by this point that there is a corollary: The nicer and gentler the doctor… the more snooty and aggravating the staff. Sure did hold true today. Their office has two locations and when I made the appointment it was amidst being rescheduled, them juggling offices, etc. Long story short, I forgot which location and I did not want to walk into the wrong one and look like an idiot. I picked up the phone and called and by the time I hung up I was left wondering if something about my voice shouts “Hi, I am an idiot, please treat me as such!” She was short, condescending, and barking orders. I let it roll off my back and I did a google search for the doctor. The internet truly is an amazing tool. I mean back in “the day” you would have had to find someone who had experience with the doctor. No more! Found a review that gave his staff a 2 out of 4 and him a 4 out of 4. OK, I’ll still go. I packed up Alyssa, myself, and my ID and insurance card that I had been strictly told I would be turned away without.
Now, mind you, our appointment was at 11:10 but we were told to get there at 10:40 for paperwork. I have never understood that 30 minute window that all doctors make you come to fill out paperwork. Perhaps years of college note taking has sped me up, but I have yet to take longer than 15 even while juggling a kid. That being said, we were done and back in our chair by 10:55. Wait. Wait. WAIT. Finally at 12…yes 12… nearly an hour after the time of our appointment and 90 minutes after we arrived…. we go back. Weight, head circumference, etc. Each time that Alyssa has to have this head measurement done by someone new they doubt me when I tell them she is strong LOL! She almost wiggled off the table but her head did grow! 40.3 cm around! It has been at 40 for I think close to a year. That news was quite exciting for me because it is just a bit more proof of all the growing she is doing. The nurse came with us to the room and began asking questions about her history. At that point. I was a little upset. I have Alyssa’s entire history typed up. I offered to bring it and the lady said “No, we will get her info from her pediatrician.” Um. So, instead I sit there trying to pull for dates. Forget it. I told her I’d bring the list to our follow up appointment.
OK, finally. Doctor! YAY! Now, after all the drama of the day (which included losing the top to her bottle on the way from the car to the office and not being able to feed her while we waited LOL!) came the most wonderful time. This doctor … rocks! He listens, he factors, he establishes all the things that he feels WE want to work on as a family. Then, and only then, did he offer suggestions. He feels that due to her frequent choking that she may have a problem with her esophagus that is inhibiting her swallowing and keeping down thin liquids. She very very rarely spits up food unless you give her milk afterwards. He said that she may have silent reflux still and since she is such a happy kid it is easily overlooked. Also, he said that children that ‘microaspirate’ (suck small bits of fluid into their lungs) are far far more prone to pneumonia, and that could tie back to all her drama in the first year. We shall see!
He is running two tests. The first actually has me a bit geeked out. It is a swallowing X-ray. They give her a bit of thin liquid, a bit of thick, a puree, and a solid. Each of them are coated with a touch of barium and they watch her swallow on the X-ray to see what she does. Then, they will run an upper GI scan to make sure everything is how it should be. After all is said and done we will discuss a treatment plan. Best case, they may be able to medicate and stop the spitting up. Worst case, they can go in and put a little ‘pocket’ on the bottom of her esophagus that lets food go in but doesn’t let it come back out! Either way, it will be exciting to finally get some answers! The day started of a bit crazy but all in all he was a good doc and we found the missing part to the bottle on the way back to the car! HA!