drawing (update on TSH levels post #6)

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KatieWillis's picture
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drawing (update on TSH levels post #6)

So we had checkups for the boys yesterday. Sully's 9 month (almost 2 months late, oops!) and Ryken's 2 1/2 year check and thyroid check. Sully is doing great and above the 97% for height and weight. Ryken is at the 50% for height and weight. He also had blood taken to check his thyroid levels and make sure the dose of his medication is right. He is still talking about his owie on his arm today Sad Poor little guy hates the dr because he has his blood taken at least twice a year. Anyway, he scored low on one part of the evaluation. It was the drawing part. It asked things like if you draw a line, can he draw the same line or a circle. I had to answer 'not yet' on those because I don't know if he could do those things. He doesn't like to color or draw and I can't get him to sit still long enough to even try. I was telling our dr this, but she still wants him to be evaluated again in a couple months. I guess I'm going to have to try and work on it with him. I guess I just find it a little silly because in my mind he's only 2 1/2 and who cares if he can draw a line or a circle? I guess I'll just have to trust them and have him evaluated in a couple months. :dontknow:

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I think the line and circle thing is more about the fine motor control than the actual drawing. If someone has trouble with sight they can't/don't close the circle (match start to finsh). If the line is really squiggly or they can't copy it, it points to other possible issues. Neither of these is for sure (as they could just be bad at drawing) but they are quick easy ways to assess if further eval could be beneficial.

Have you thought about doing a few fun doc. visits? Maybe just stop by to say hello and get a sticker, or drop off some cookies for the docs? We used to do this with our dogs when I was a kid and they would willingly go to the vet. Works for our kiddos too. My DS1 was a preemie and so he was terrified of anyone with a stethescope (sp?). We started just stopping by to say hi (we let them know we might stop by from time to time to say hi and decrease his fear of the place... they were totally supportive since they want the kids to be comfy too). Now he just freaks out when we go to the back so I've been taking him with his younger brother (for well checks) and he gets to see the doc (they see the same one) and play and get a prize (from the nurses). Doc usually makes silly faces at him and gets him to giggle and relax. Usually one of the nurses takes him to pick a prize when his little brother is due for shots (they really get kids!).

Yay for happy healthy news though!!

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I'm confused, why are they asking about stuff like that? Is that part of the normal evaluation at that age where you are? My doc never asks questions like that about Claire, she normally just does the height/weight/physical exam thing, and then asks if I have any specific concerns about her health or development. I imagine not many 2.5 year-olds are going to draw what you ask them to...they'll just scribble whatever they want!

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The fun dr visits are a good idea!

Mandy- It's our new dr in OK. Our old dr in MN never had us fill out evaluations, he just did the normal height/weight stuff. At this new place they had a packet of questions and then they scored it. He was only low on those questions. I just now tried to get him to draw a circle and he wouldn't even try....he actually was totally ignoring me! HA! He doesn't like to be told what to do, go figure he's 2! I'm not really worried about it because he is very smart and I think his fine motor skills are fine, we just don't draw a lot. We'll just do the eval. and see what comes of it.

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Simple answer to your question...Alexander has not tried to draw anything for over a year. He will not sit still. If I get him a NEW colouring book and crayons he will sit and colour a few things (he's actually quite good at colouring) but as soon as he is in drawing mode he always asks me to draw stuff for him. He's just not interested.

I do think it was more a question about his fine motor skills TBH. I was asked at his 2 year check how he holds a pen which I think is more along what the question your were asked was probably getting at.

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Just got a call from labs and Ryken's TSH is very high, meaning his current dosage isn't enough for him. His body is telling his thyroid to make more (which it can't). Anyway, they have a pedi endocrinologist lined up for us to see and should be able to see him this week. I'm a little worried about it because we have no idea how long the dosage has been too low for him. I wish I would have asked what his TSH number was. They are supposed to call tomorrow to set up an appointment.

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Jocelyn LOVES to "cah-your" and would do so all day if we'd let her. She can draw circles and lines, but not on demand (as is par for the course with her). Her favorite technique is just to scribble all over the place.

This task evaluates lots of stuff including fine motor control, visual tracking, and imitation. If this is the only thing he's missing on that chart, I wouldn't worry.

Our ped has given us developmental milestone questionnaires since our 3-month well check with both kids. I'm surprised this isn't done everywhere -- I just assumed it was standard procedure.

Have you tried letting him use sidewalk chalk outside? Jocelyn really loves this. Her OT also had us buy her an easel (something about it being better to work on a vertical surface than a flat one -- but she prefers to color on the table anyway, go figure...).

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"KatieWillis" wrote:

Just got a call from labs and Ryken's TSH is very high, meaning his current dosage isn't enough for him. His body is telling his thyroid to make more (which it can't). Anyway, they have a pedi endocrinologist lined up for us to see and should be able to see him this week. I'm a little worried about it because we have no idea how long the dosage has been too low for him. I wish I would have asked what his TSH number was. They are supposed to call tomorrow to set up an appointment.

:bighug:

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BIG, BIG HUGS Katie! How stressful for you! I didn`t realize that Ryken was on Thyroid medication - has he been since he was a newborn Please KUP on everything!

As far as the drawing, colouring - does lines in library books count :roll: Jakey really doesn`t sit long enough but has started to show some interest in scribbling whih i think is a set in the right direction.

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Melissa- He has Congenital Hypothyroidism. We found out from the newborn screening when he was 4 days old. We've been monitoring it and switching up his meds when needed, but his TSH levels haven't been really high since birth because of the meds. They've only been slightly elevated so then we've upped the dose. I tried to call today to get the actual number on his TSH, but of course they have to have a nurse call me with that information.....AND they were supposed to call me this morning to schedule an appointment with the Pediatric Endocrinologist but they haven't yet. I'm just a little frustrated today!

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Lily will draw lines and circles but like Jocelyn she won't do it on demand, plus she prefers to just scribble away mostly. She loves her coloring books, but I also have a dry erase board easel and some dry erase crayons for it. She absolutely LOVES drawing on it. Along with other assorted things that she is not supposed to draw on. She points to whatever she has scribbled on (books, toys, the table, her arms, etc.) and says "Look Mommy, I draw a picture!" :rolleyes: Sigh.

I hope you get an appt for him soon. KUP!