With Fiona's birthday falling after school starts, I do my best to make her well check appointment when she doesn't have to miss school. Because of that, it was mid-October before we got in for her seven year check (thank you, MEA break). There were no surprises at her well check; she is doing great in all areas.
The only two things we really talked about was her bottom (she has a prolapsed rectum, which means a small ball of colon comes out on the regular. Mike and I are quite proficient at pushing it back in - but we have all been preparing ourselves for a surgery to fix that.) and her size. In that she's really really small. She is 42.5" tall (.3%) and 36 lbs 13 oz (.7%). Dr. H was feeling a little uncomfortable about her size and wanted us to consider visiting endocrinology - just to make sure everything is growing the right way. We decided to discuss with Dr. M when we went to spina bifida clinic and get his take on it as well.
It is both good and bad that Fiona is now more engaged in her doctor appointments. I like that we can start to teach her to take more control of her health and advocate for herself. But she was so sad when we left her well check and wanted to know why Dr. H didn't like her size. Thankfully, I was able to explain it to her in a way that made her feel better.

Fast forward to this last Tuesday and our annual trip to spina bifida clinic. It has been at the forefront of Fiona's mind for a couple weeks and she asked all.the.questions and we went over the logistics at least a dozen times. It truly helped her prepare for the day (she was such a trooper!) and she wants the know the "why" of things now, which will serve her well as she manages her health in the future.
She chose to go to school for the morning and Mike and I hustled our bottoms and raked, cut down the garden, and loaded the trailer with yard waste (winter snuck up on us!). We were both wishing we had done that when it was warmer than freezing - but we got it done. Then we headed over to school to pick up Fiona at 10:15.
We did the usual radiology battery of renal ultrasound, brain MRI, and shunt series x-ray. She's not a huge fan of the MRI, but she charmed the crap out of the x-ray techs and they were fighting over who got to work with her. Then we headed over to neurosurgery to see "Uncle" Pete. Her brain scans looked great. Everything is very stable, which is exactly what we want to hear. The MRI had reset her shunt quite significantly, so we got that fixed as well.

We looked at the time and debated trying to find something to eat, but decided to just head to clinic instead. It's not in your best interest to get out of line. Thankfully this year, I
did better at packing snacks and we powered through fueled by popcorn and beef sticks.
Everything looks stable - other than her braces, which are clearly getting too small. So she got measured for new ones and is looking forward to getting those. Her rehab doctor is very pleased with how her spine, legs, hips, and ankles look. But we all (including Fiona) agreed that the braces definitely help and we should stay the course on those.
We left with referrals to pediatric surgery to get her prolapsed rectum addressed (minor surgery) and endocrinology. Dr. M and Dr. S both agreed that while they don't necessarily think there is any issue with her size, because she is in danger of falling off the growth chart, we should at least have a specialist tell us to not be alarmed. And if there is something we should address, then we will have the information we need to make good decisions for her.
It was close to 3:00 and we were all ready to be done. Mike headed to SLP for a dentist appointment and Fiona and I headed home ... via a short detour thanks to road construction. We stopped at Subway on the way and were both happy to have actual food. Bugs and I can only live on popcorn and beef sticks for so long.