Sorry -- this will be another long written post. But for those of you who have followed my blog and know about the concerns with Bennett's growth, we have more to report.
In January, we went to the endocrinologist for his 6 month check. She had one last nagging thought she wanted us to look into. She was wondering whether or not Bennett had Noonan's syndrome. So, off we went to the geneticist.
Our appointment was 2 1/2 hours and included photos, an EKG, and a visit with the cardiologist.
I'll start at the beginning. So, Noonan's syndrome is the most common genetic problem out there. It causes a variety of "characteristics". The doctor began by doing a variety of measurements on Benentt--space between his eyes, the tilt of his ears, the length of his hands, etc. She listened to his heart and detected a very slight murmur. The cardiologist was right down the hall, so she came in to listen. Had they not been trying to make a diagnosis, she said she probably wouln't have even mentioned it because it's so slight. But one of the characteristics of Noonan's is a thickening of the heart muscle, which prompted the EKG. Everything came back normal. Some of the characteristics he has are: short stature, bowed chest with slight indentation at the breatbone, low hair line, along with a few other features. It wasn't enough to make a positive diagnosis, so she asked Ryan and Landon to come in.
After looking at all three of them, she said if she could take pieces from all of them, she would have a perfect case. But individually, none of them are convincing. Our next step, should we choose to take it, would be to do the genetic testing. If that came back positive, insurance would then cover the cost of daily growth hormone shots. Either way, there is no cure for Noonan's syndrome. The doctors just need to keep a closer watch on his heart and kidney function, as those are the most serious complications with this syndrome. We're not sure we want to give him daily shots until puberty to only add 3-4 inches of height.
The plan as of right now is that they will put in his chart a possibility of Noonan's so we can keep an eye on his heart and kidneys. Next year, we will see the endocrinologist again to do a growth plate x-ray to see if he is developmentally on track or will be a late bloomer. We will go back with both boys in two years to the geneticist for her to keep tabs on them. And until then, we enjoy our sweet little peanut!