2 yr old PD check

We finally paid a visit to PD Dr Tan...


Its been about 1 year since her last visit and we so needed to get a review on her well being, growth etc. V is 11 Kg(finally) and 84 cm - so using the calculation of (Height at 2 year old X 2 = Actual Height) So V should be 168cm, thats 2 cm taller than me! nice:)

So had a chat with Dr Tan, she calculated her growth and charted, told us that V's growth rate is below average at 25% percentile.... weight, height and head circumference is proportionate so she is not suffering from any deficiency. A deficiency is apparent only when a child is tall but skinny, chubby but short or most obvious large head proportion. But she thinks V has Constitutional Growth Delay. We were like ?

Constitutional growth delay (CGD) is a term describing a temporary delay in the skeletal growth and thus height of a child with no other physical abnormalities causing the delay. Short stature may be the result of a growth pattern inherited from a parent (familial) or occur for no apparent reason (idiopathic). Typically at some point during childhood growth slows down, eventually resuming at a normal rate. CGD is the most common cause of short stature and delayed puberty. At that time, growth resumes at a normal rate, and these children grow either along the lower growth percentiles or beneath the curve but parallel to it for the remainder of the prepubertal years. Although CGD is a variant of normal growth rather than a disorder, delays in growth and sexual development may contribute to psychological difficulties, warranting treatment for some individuals. Recent studies have suggested that referral bias is largely responsible for the impression that normal short stature per se is a cause of psychosocial problems; nonreferred children with short stature do not differ from those with more normal stature in school performance or socialization.


"I was like oh like me la " I was a child standing in front of the line in school but shot up to 166 cm at sec 3, became even taller than my mum and sis, nearing my dad's height! Yes she replied, think she has it from me, coz if we decide to do a bone density test on V now, she has smaller bone structure; maybe its at 13-16 mths instead of 2 years old. So we have to be prepared as she will still continue to grow even when her whole class has stopped growing, usually delays 2-4 years. Thought I better write this down and remind ourselves when she grows up and asks us why is she so short muhahhahah! So Dr Tan expects her to be pretty tall.. woohoo lets see if she reaches 175cm!! since DD T is 184cm .. coolness. Oh Dr Tan says people like us age later too 'I so love what she said' :)

In regards to her food strike; *sighs ... she has no remedy for me for V is all healthy so no signs of tape worms (us the old skool thinking right) did suggest if it really does bothers us, to do a stool test but doubt it. Was glad that V is on Pediasure for that is a complete meal and she can don't need to eat at all if she decides not to, for the vitamins, sugars, carbos in the milk are even better than her eating rubbish. So we no longer expect her to eat solids if she doesn't want to. I did mention that I'm pretty upset but she says school changes a child and so just wait for peer pressure to kick in. This are just signs of showing independence and we should just let it slide. Though we can check if she is liase acid deficiency, a form of amino acids that causes the child to not want to eat. Again she think its just V and her attitude towards food definitely not health reason

Did ask if we should start on multi vits but she says in Singapore that is no necessity to do so for Singapore only approves the sale of the highest grade of milk to be sold in the market. She says in overseas there are 3 grades, 1st fresh milk, 2nd formula milk that has removed essentials for the babies b4 1 yrs old, simple type no probiotics prebiotics etc (sori i forgot the term) 3rd (formula milk with added nutrients). So Singapore has only the 3rd type, which is why no multi vitamins company can succeed in selling here keke. Unless the child is on fresh milk then its advisable to be on vits, but our formula milk is so good nobody wants to deprive the child by doing otherwise. Now I know why Singapore children all so smart...

Did her regular checks, interesting questions... "I see she can walk very well, can she jump?" we were like huh, what a weird question... I said can ah, milestones issit? hahahha Ya its motor skills - balance and control ROFL. Did the regular block stacking (pass), using a pen to doodle (pass), recite ABC (pass), string sentences (pass), V even did a dance for Dr Tan keke. Wanted to know what does V call herself as a 3rd person, we were like ??? I was like don't know man. Never really hear her call herself...
asked us what we call her , "victoria, toria, tori and baby" Dr Tan wants us all to be clear on what we want to call her; fix it on one name. No repetition too, so no VV, ria ria, or whatever no nicknames so that V can tell us  "Victoria wants to eat, victoria wants to drink etc." Now I know why Grandma Tay never allowed us to give her a pet name. I wanted to call her "Bubbles" coz Bam bam n Bubbles are characters in Flintstones right keke, DD will call her xiaohui, ah gal and alot of other nonsense, but was scolded by her. Her belief is that we chose her a total of 3 names , Victoria, Eden and Sihui and we still want to pet name her. *opps So we have been trying very hard to change our bad habit, its just Victoria now.

After all the checks, she looks at me... "Victoria is doing fantastic, no autism"

There was the reminder of her vaccines which I delayed for her DPT booster and MMR. Just didn't want to deal with fever (christmas + NY +CNY + school) *opps. Had a long chat on vaccines and what we should chose for her. I totally love when she starts her vaccines chats and she is so statistical for she will shoot me numbers and the cases she has come across. We decided to come back every 6 months to do each vaccine, to be responsible parents for our child. For we always feel so sad when she shares her stories (when she was at KKH ) of the children that has stroke due to the virus which was not prevented by vaccines, Though it may be 5% of 5% of whatever reason its still 5 % right?

By the time we finished our consultation, 45 mins has passed and we came out to a clinic filled with frustrated parents for the line didn't move. Please beware when we come hahahha!