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At 16 months Xavier weighs 8kg 870, measures 79 cm and has a cranial perimeter of 45.2 cm. He is finally sitting upright by himslef without any problems and is muttering his first sylables although no real words are actually being formed. His attention is very short and he is unsatisfied to stay doing the same activity for more than a few minutes even though he's attitude is good and he's very active.
However, towards the end of Janruary, his gastroesophageal reflux has gotten worse and between the 26th and 30th of Janruary, he is sick several times. Every time he is sick, he throws up what he ate the day before.
His pediatrician, Doctor Soumoy, is absent so his mum goes to the emergency services at Saint Michel, but nothing is found. The pediatrician at the hospital advises her to give him Motilium, rice and carrot water and antidehydration solution.
Xavier continues, on and off, to be sick but it doesn't bother him in the slightest, he just gets up and starts playing again asif nothing had happened.
On the night of Saturday the 5th Febuary, he is sick again and his whole body trembles. He doesn't have a fever and is easily rocked back to sleep. This time his mum decides to wait until the next day to see if the condition continues, before going to emergencies, because every time she has done this in the past the pediatrician has not seemed to believe her due to the lack of a fever and the fact that Xavier seems fine.
Sunday and the day seems to pass well although Xavier seems calmer than usual and slightly apathetic. He's got a deep frown and seems to be paler than usual. He doesn't want to play very much, eats very little and comes seeking cuddles from either his mum or grandma.
Monday the 9th of Febuary, mum takes Xavier to see his pediatrician, Doctor Soumoy. Xavier is 1 centimeter bigger but has lost a worrying 500gr. Faced with this, his pediatrician decides to hospitalise him immediatly.
He is admitted with some urgency to St Elizabeth suffering from what is believed to be gastroenteritis. Xavier is thin, pale and very grouchy. He lacks any kind of force in his limbs and his hands and feet are cold to the touch with proper recolouration on the limit of what's considered normal.
He is put onto a drip for twelve hours then fed by mouth, taking Motilium also, but he starts once more to be intermitently sick ( one day he would, the next he wouldn't). The infection tests all come back negative, but as he has a severe staturo-ponderal delay coupled with dietry problems, there is a risk of malnurtrition.
The doctors lack any kind of real idea about what is going on, all they can do is state the obvious which is, abnormal progress in his weight ratio curve and cranial perimeter to age ratio.
The 16th of Febuary, Xavier is transfered to the Universtiy Clinic of Saint Luc (UCL) where he is once more put on a drip and fed by gavage ( a tube through the nose going all the way to the entrance of the stomach), Pregestimil, until he regains his initial weight of 8kg 390 for a height of 80 cm but as soon as he starts taking soya milk again by normal means he develops symptoms of gastroenteritis. Xavier loses in two days the weight he has gained over the last two weeks, the tubes are reinserted in his nose and new tests are scheduled.
The blood tests come back showing that Xavier is also allergic to soya milk. He starts taking Peptijunior with a hypoallergenic diet. The PH metering test also shows that Xavier has a severe Gastroesophageal Reflux.
The other exam results are all without characteristic (culture of urinary sediments, cardiac echography, abdominal echography, EEG (Electroencephalography), ophthalmologic examination, neurophysiological examination of the visual potential).
From that point on, Xavier must take 5ml of Zantac twice per day in the morning and evening, 2.5ml of Motilium 15 minutes before every meal and the Iron solution he is taking is augmented to 1.2ml twice per day. He also has to take every morning an Oligostim Mg pill (Magnesium) and 10 drops of Davitamon AD (multivitamins in solution).
The neurological exam shows once more the plagiocephaly that Xavier has had since birth and axial hypotonia with general muscle weakness. Genetic tests are scheduled to elimate the possibility that Xavier has Steinert's disease.
His pediatrician notes in her report : "His face has an odd aspect and his ears stick out, both his fingers and toes are large".
Despite his condition, Xavier is aware, happy and shows no signs of being dehydrated. Quickly, Xavier perks right up and starts playing happily, showing no real discomfort at being in hospital. Every single time Xavier has been hospitalised, it's been his mum that's stayed with him night and day. This time round his father fills in at the weekend to give his mum, who's pregnant, a break. Whenever gradma comes visiting, it' the fiesta! Xavier takes her by the hand and leads her off to explore the corridors of Saint Luc whether its on his tricycle, in his pram or on his feet.
In the admittance reports, it indicates that Xavier has a disruption in his cranial perimeter curve as well as his weight curve since the age of 5 months. We don't agree with this as his medical journal proves that he had no problems up until Janurary (16 months). It's the same for his weight curve, which was regular (even if under weight) until the same period. It should not be forgotten that he was very often sick: 2 bronchitis, otitises, nasopharyngitis, colds and allergies.
The 17th March 2004, he weighs 9kg 320, measures 80 cm and has a cranial perimeter of 45 cm, he can finally go home. The report indicates that his psychomotor delay, the break in both his weight and cranial perimeter curves are due principally to his consecutive allergies to cows milk and then soya milk.
In order to give him enough time to recover, a general assessment and an MRI are scheduled for just before his 2nd birthday because of his psychomotricity delay and the disruption of his cranial perimeter curve.
The week after his return, he restarts doing his physical therapy 3 times a week and at the start of April he can finally start going back to the crèche, which he adores.
Since this long hospitalization, he sleeps poorly during the night and won't go to sleep straight away. It’s necessary that one of his parents sends him off to sleep, then puts him to bed. For his afternoon nap, he’ll only do it if either his mum or his dad stays with him. His pediatrician reassures his parents: “It’s a normal attitude considering the long duration of his last hospitalization". |