Frustrated with pediatritians and worried for DD | ExpatWoman.com
 

Frustrated with pediatritians and worried for DD

25
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EW NEWBIE
Latest post on 24 January 2011 - 14:06

Hi Ladies, I hope for some advice and reassurance..My DD 11 months is very small. I took her to few pediatritians since she was 7 months when this problems started and she wasn't gaining almost anything. She is breastfeed and refused the bottle despite all my efforts and now is only tasting some formula from the sippycup, not drinking.
ALL the pediatritians advised to top her with formula but none wanted to hear that she absolutelly hates it. I tried diffrent formulas with no success. The last pedi. I saw told me that she failed to thrive and he will admit her in the hospital next week if she is not drinking the formula!!! She is 7 kg. 380 grams.
She was doing very good on my breast uptill she got sick at 6 moths with a bacterial infection which was treated with antibiotics and she lost 1 kg. Since then she didn't gain more than 1 kg 500 grams.
She is very happy and meeting all the milestones. She is taking her first steps by herself and she is sleeping well, not fussing.
Anybody had/has a baby that small?

743
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EW GURU
Latest post on 26 January 2011 - 23:45
I recommend dr loubser at infinity clinic. Best of luck.
25
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EW NEWBIE
Latest post on 26 January 2011 - 23:29
Thank you Shaf, I'll pass the kiss, my pleasure:) Yeahh, the words : artificial feeding and hospitalization can do funny things to a mother's mind! But I am very relaxed now after seeing Dr. Delphine. All the best for your delivery!
429
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EW EXPLORER
Latest post on 26 January 2011 - 23:18
sippycup, i dint realise this thread was started by you. I have seen your baby and she is one of the most gorgeous kids i have seen. Yes, she isnt fat, but then not all kids are. She was very interactive with me, she definitely dint look like she was under nourished or even sick in the least bit. She was such a happy baby mashalla! I am not the baby expert, but as a mother, I really think she is fine and healthy. I am and always will be a great supporter of breastmilk and anti formula milk, and i think you are doing great by BFing her. Seriously, there is blessing in breastmilk, stick to it! And give Fatima a big kiss from me :)
25
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EW NEWBIE
Latest post on 26 January 2011 - 23:04
I saw Dr. Delphine Dupuis today and I can't find enough words to praise her. She is so amazing, kind, patient. Thank you for recommending her BFC. As all of you ladies suggested My DD is just a case of a small baby:) with some little concerns about the fact that she was given antibiotics to treat the bacterial infection she had when she was 6 months that might impacted on her weight gain and a heart murmur which has very little to do with the situation. Dr. Delphine also told me to practice compression of the breast while breastfeeding and massage of the breasts before feeding in order to get the fats which are attached to the milk conducts into the milk flow. Something I think is very helpful to know by mums is that you need to keep offering to the baby the food that she is refusing at first for about 10 times till the babies got used with the sight of it and begin to accept it. No formula was suggested, of course and no hospitalization;) DD is fine, Al Hamdulellah! I feel so relieved. Scarlett78 if you wish to know the doctors I saw before give me ur mail so I can write to u. I don't think it is ok to post it here..
158
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EW NEWBIE
Latest post on 25 January 2011 - 22:04
Hello.Kitty thank you for checking the charts for DD! I looked into them before, too many times and I know she is at the bottom and within normal limits but from time to time I have a worrying attack (if this even exist) and asking myself what if i don't do enough and there is still place for more to be done so she can gain better...It is then that I take her to pedis ( the wrong ones seams) and they are washing the floor with me even saying she needs to be feed artificially! Then my trust in my abilities is hitting the bottom hence I asked your help ladies. Guinnees she is having cereals with fruit in the morning, veggies with egg yolk and yogurt at lunch and she has turkye with rice and veggies at dinner for example, but she has days on the row where she hardly gets 2 spoons of food and a biscuit all day. OMG! Artificially feeding her! Honestly... if she's gaining, albeit at her own pace, then she's fine. Imagine what force-feeding would do to her association with food? OH! Actually, on that point, there was a Supernanny episode on exactly that! A British couple had (have) a daughter who was underweight and had got into the situation of force feeding her, which had grown with time to the extent that they didn't realise how horrid it was. The Jo came along, filmed it and set about change. Basically, it was a downward spiral because the mother was so concerned, she was making too much of a big deal about eating, and then force-feeding made her daughter hate mealtimes even more, so she would eat even less. Well worth watching, even though the daughter was about 3. As for your DD and what she's eating, try cooking "naughty" - cook with butter and cream, toss the veggies in butter (I like butter) and use full-fat yoghurt and milk. Lamb is also very good. Try to eat with your DD and relax at mealtimes - make them fun and interactive. Don't make a big deal of it if DD doesn't eat all her food, but instead choose an appropriate pudding (so for example, if she's eaten all her veg, give her yog as pudding, but if she left the veg, give her fruit). Lastly, remember that some people are just natural size 6 (grr, why aren't I?!) and are perfectly healthy at that size. Any professional who ignores the evidence of a happy, healthy, bright-eyed child in front of them and tells you that they are failing to thrive should really reconsider their job! I really don't know what's wrong with the pediatricians I saw. The last one was at Medcare and this was the one saying he would hospitalize DD in 10 days time if she is not taking the formula he indicated to me to buy. I went out with my head spinning but I never intended to go back to him.On top of that I never been able to find the formula called Infantrini. All the pharmacies told me is out of stock. I will take your advices and I will see Dr. Delphine and try to relax about it. Thank you ladies again. sippycup , may I ask which doctors you have seen, so that I can stay clear of them! my baby is small too, for her age... and i was kinda freaking out!
1285
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EW OLDHAND
Latest post on 25 January 2011 - 21:46
[color=#000099'> As for your DD and what she's eating, try cooking "naughty" - cook with butter and cream, toss the veggies in butter (I like butter) and use full-fat yoghurt and milk. Lamb is also very good. [/color'> Actually, I have twin girls and one of them is very small. they are 2yrs 4 months and she is only about 10kg's. She's really active and Im sure burns alot off, but is a fussy eater. I've started sneaking 35% cream into her bottle at night!! Hope she'll pack on some weight with a bit of help!!
54
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EW NEWBIE
Latest post on 25 January 2011 - 16:26
sippycup, dont worry! little ones are amazingly reselient.really :) my 19 mth old is 9.5 kg and i have stopped thinking whether thats ok or not. transitioning from BF to solids was not an easy experience for us. wht u r feeding ur lil one is just grt. even if she finally takes in coupla tsps. mine was such a fussy eater, if u see her now - she stil is not big on quantity, but she eats wat we eat in terms of texture n spices, in fact jus plain salt does not work with her!so maybe she jus hated all the bland food she was fed durng the transiton! my baby (brat, actually) is also petite. ppl always comment on how tiny she is and they think its soooo cuuuute!!!! gawd!! its the genes, when they have to they will shoot up. i take mine to dr. vishwanathan in karama and am quite happy. hope ur appointmnt goes well and te dr puts ur mind at ease.
184
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EW NEWBIE
Latest post on 25 January 2011 - 15:36
Sippycup, I hope it reassures you to know that my almost 13 months DD weighs just over 8 kg. She was 6 kg when she was 6 months. So, in last 7 months, she managed to gain only 2 kg. She is also breastfed, no formula. I took her to various paed (Dr Ahmed at Kids first, Dr shola at Dubai London Clinic) and they told me it's totally fine. As long as she is happy and active, hitting her milestones, there is nothing to worry about. They never suggested formula to me. I suggest you go and see one of the paeds recommended here. I just submitted to the fact that she might be a smaller baby.
25
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EW NEWBIE
Latest post on 25 January 2011 - 13:03
hey sippycup, this is exactly what i am going thru with my daughter. she is 10 months and weigh 6 kg!! the paeds made us worried n did all sorts of tests on her, chest xray, different sorts of blood n urine test and found nothing!! it was just a waste of thousands..not to mention tht we were extremely worried sick. my DD does not take formula either so i try to give her a lot of cheese, she doesnt like yogurt too.. but after months of being worried..i have stopped making a fuss...i just feed her what she likes..if she is hungry she eats...if not then she ususally eats better at the next meal.. i have noticed she eats table food better than the food i make for her.. i know we shouldnt be giving salt to LOs but atleast she eats it. i hope things get better but u need to stop worrying soo much. if she is reaching her milestones then she is FINE. Mast-mom we should get together. At least no one will comment on how small is the other ones baby:) I get comments from everybody when I am asked about DDs age but I can't get upset on them. She is really small :) I need to come to terms with the idea that she is just tiny, too. I will just see Dr. Delphine tomorrow and let you know what will be the conclusion. All the best for u and ur DD.
124
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EW NEWBIE
Latest post on 24 January 2011 - 23:43
hey sippycup, this is exactly what i am going thru with my daughter. she is 10 months and weigh 6 kg!! the paeds made us worried n did all sorts of tests on her, chest xray, different sorts of blood n urine test and found nothing!! it was just a waste of thousands..not to mention tht we were extremely worried sick. my DD does not take formula either so i try to give her a lot of cheese, she doesnt like yogurt too.. but after months of being worried..i have stopped making a fuss...i just feed her what she likes..if she is hungry she eats...if not then she ususally eats better at the next meal.. i have noticed she eats table food better than the food i make for her.. i know we shouldnt be giving salt to LOs but atleast she eats it. i hope things get better but u need to stop worrying soo much. if she is reaching her milestones then she is FINE.
25
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EW NEWBIE
Latest post on 24 January 2011 - 22:50
Hello.Kitty thank you for checking the charts for DD! I looked into them before, too many times and I know she is at the bottom and within normal limits but from time to time I have a worrying attack (if this even exist) and asking myself what if i don't do enough and there is still place for more to be done so she can gain better...It is then that I take her to pedis ( the wrong ones seams) and they are washing the floor with me even saying she needs to be feed artificially! Then my trust in my abilities is hitting the bottom hence I asked your help ladies. Guinnees she is having cereals with fruit in the morning, veggies with egg yolk and yogurt at lunch and she has turkye with rice and veggies at dinner for example, but she has days on the row where she hardly gets 2 spoons of food and a biscuit all day. OMG! Artificially feeding her! Honestly... if she's gaining, albeit at her own pace, then she's fine. Imagine what force-feeding would do to her association with food? OH! Actually, on that point, there was a Supernanny episode on exactly that! A British couple had (have) a daughter who was underweight and had got into the situation of force feeding her, which had grown with time to the extent that they didn't realise how horrid it was. The Jo came along, filmed it and set about change. Basically, it was a downward spiral because the mother was so concerned, she was making too much of a big deal about eating, and then force-feeding made her daughter hate mealtimes even more, so she would eat even less. Well worth watching, even though the daughter was about 3. As for your DD and what she's eating, try cooking "naughty" - cook with butter and cream, toss the veggies in butter (I like butter) and use full-fat yoghurt and milk. Lamb is also very good. Try to eat with your DD and relax at mealtimes - make them fun and interactive. Don't make a big deal of it if DD doesn't eat all her food, but instead choose an appropriate pudding (so for example, if she's eaten all her veg, give her yog as pudding, but if she left the veg, give her fruit). Lastly, remember that some people are just natural size 6 (grr, why aren't I?!) and are perfectly healthy at that size. Any professional who ignores the evidence of a happy, healthy, bright-eyed child in front of them and tells you that they are failing to thrive should really reconsider their job! I really don't know what's wrong with the pediatricians I saw. The last one was at Medcare and this was the one saying he would hospitalize DD in 10 days time if she is not taking the formula he indicated to me to buy. I went out with my head spinning but I never intended to go back to him.On top of that I never been able to find the formula called Infantrini. All the pharmacies told me is out of stock. I will take your advices and I will see Dr. Delphine and try to relax about it. Thank you ladies again.
192
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EW NEWBIE
Latest post on 24 January 2011 - 22:00
Hello.Kitty thank you for checking the charts for DD! I looked into them before, too many times and I know she is at the bottom and within normal limits but from time to time I have a worrying attack (if this even exist) and asking myself what if i don't do enough and there is still place for more to be done so she can gain better...It is then that I take her to pedis ( the wrong ones seams) and they are washing the floor with me even saying she needs to be feed artificially! Then my trust in my abilities is hitting the bottom hence I asked your help ladies. Guinnees she is having cereals with fruit in the morning, veggies with egg yolk and yogurt at lunch and she has turkye with rice and veggies at dinner for example, but she has days on the row where she hardly gets 2 spoons of food and a biscuit all day. OMG! Artificially feeding her! Honestly... if she's gaining, albeit at her own pace, then she's fine. Imagine what force-feeding would do to her association with food? OH! Actually, on that point, there was a Supernanny episode on exactly that! A British couple had (have) a daughter who was underweight and had got into the situation of force feeding her, which had grown with time to the extent that they didn't realise how horrid it was. The Jo came along, filmed it and set about change. Basically, it was a downward spiral because the mother was so concerned, she was making too much of a big deal about eating, and then force-feeding made her daughter hate mealtimes even more, so she would eat even less. Well worth watching, even though the daughter was about 3. As for your DD and what she's eating, try cooking "naughty" - cook with butter and cream, toss the veggies in butter (I like butter) and use full-fat yoghurt and milk. Lamb is also very good. Try to eat with your DD and relax at mealtimes - make them fun and interactive. Don't make a big deal of it if DD doesn't eat all her food, but instead choose an appropriate pudding (so for example, if she's eaten all her veg, give her yog as pudding, but if she left the veg, give her fruit). Lastly, remember that some people are just natural size 6 (grr, why aren't I?!) and are perfectly healthy at that size. Any professional who ignores the evidence of a happy, healthy, bright-eyed child in front of them and tells you that they are failing to thrive should really reconsider their job!
25
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EW NEWBIE
Latest post on 24 January 2011 - 21:20
Hello.Kitty thank you for checking the charts for DD! I looked into them before, too many times and I know she is at the bottom and within normal limits but from time to time I have a worrying attack (if this even exist) and asking myself what if i don't do enough and there is still place for more to be done so she can gain better...It is then that I take her to pedis ( the wrong ones seams) and they are washing the floor with me even saying she needs to be feed artificially! Then my trust in my abilities is hitting the bottom hence I asked your help ladies. Guinnees she is having cereals with fruit in the morning, veggies with egg yolk and yogurt at lunch and she has turkye with rice and veggies at dinner for example, but she has days on the row where she hardly gets 2 spoons of food and a biscuit all day.
192
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EW NEWBIE
Latest post on 24 January 2011 - 18:45
I've just had a look at my charts (a solid source of reassurance) and your daughter would appear to be on or around the 2nd centile and the WHO charts for breastfed children put her on the 9th - which is normal. She's diddy, but normal... just like being an adult size 8 is normal, even if most women are a size 14-16. You know you have enough milk and that she's thriving - hitting those milestones, happy and healthy... who could ask for more, really? If she wasn't gaining any weight, or losing weight, then yes, there is cause for concern, but if she's hugging that 2nd centile, then she's just fine. As for feeding (bottle, formula or solids), try not to stress about it. There is absolutely no need to force-feed her (and that includes trying to make her take a bottle if she doesn't want it) and such actions have the potential of doing more harm than good. Trust your gut instincts because they are almost certainly right. ;)
1238
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EW OLDHAND
Latest post on 24 January 2011 - 17:48
Also, you dont mention solids ... what is she eating, because formula at that age should be secondary?
1238
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EW OLDHAND
Latest post on 24 January 2011 - 17:46
No, I didn't. Is it hard to get an appointment with Dr. Khan? I loved dr. khan.You can call him direct on the mobile on his website. I did during the middle of the day with a completely random, hypochondriac-mother panic attack, and he fit me straight in, although his waiting room was completely full. American-trained, American attitude. I'll go back to him even though my insurance doesn't take him.
225
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EW NEWBIE
Latest post on 24 January 2011 - 17:05
Sippycup, DD is 10 months and weights a bit over 7kg. She was breastfed exclusively until 5 months and then with formal top up until she was 8 months. She is now on formula and solids. She lost some weight when was very sick with salmonella. Dr. Shola from DLC is her paed and no concerns re. her weight. DH and I are both rather hmm... petite too. She is a happy baby. We did struggle with introducing a bottle (we offered it to her way too late). It took my MIL about 3 days to convince DD to take it. She would offer the bottle before DD was hungry, than there would be tears, so MIL would sooth a little girl and introduce a bottle again. It was not easy and I couldnt be even near DD, but since your LO is much older than my girl at the time maybe feeding her with a spoon is a sollution? All the best! Edited to add that DD is on Aptamil and we use ''pigeons'' wide teats for the bottle. xo edited by JoannaS on 24/01/2011 edited by JoannaS on 24/01/2011 Hi Joanna For a little while I settled thinking DD is just small (I am but my husband is not ) but then I get to see all the plump babies everywhere. We are enrolled in a swimming class and is hard to not notice that she is the smallest even she is not the youngest..and then she is not keen on the solids,too. I wish I had MIL or My mom here but this is not possible. I hope Dr. Delphine will tell me what's going on and what to do to improve my DD's weight. I hope your mind will be put at rest. My MIL came only for a week. She's a blessing indeed;) We flew to Europe for Christmas and next to us was mum with 7 months son, who was much much bigger than DD. Let us know how you get on. BF babies gain much less in the 2nd half of the 1 year (so I was told). Maybe you would like to contact Paula (lactation consultant). she is a great specialist! X
25
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EW NEWBIE
Latest post on 24 January 2011 - 16:49
Sippycup, DD is 10 months and weights a bit over 7kg. She was breastfed exclusively until 5 months and then with formal top up until she was 8 months. She is now on formula and solids. She lost some weight when was very sick with salmonella. Dr. Shola from DLC is her paed and no concerns re. her weight. DH and I are both rather hmm... petite too. She is a happy baby. We did struggle with introducing a bottle (we offered it to her way too late). It took my MIL about 3 days to convince DD to take it. She would offer the bottle before DD was hungry, than there would be tears, so MIL would sooth a little girl and introduce a bottle again. It was not easy and I couldnt be even near DD, but since your LO is much older than my girl at the time maybe feeding her with a spoon is a sollution? All the best! Edited to add that DD is on Aptamil and we use ''pigeons'' wide teats for the bottle. xo edited by JoannaS on 24/01/2011 edited by JoannaS on 24/01/2011 Hi Joanna For a little while I settled thinking DD is just small (I am but my husband is not ) but then I get to see all the plump babies everywhere. We are enrolled in a swimming class and is hard to not notice that she is the smallest even she is not the youngest..and then she is not keen on the solids,too. I wish I had MIL or My mom here but this is not possible. I hope Dr. Delphine will tell me what's going on and what to do to improve my DD's weight.
225
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EW NEWBIE
Latest post on 24 January 2011 - 16:16
Sippycup, DD is 10 months and weights a bit over 7kg. She was breastfed exclusively until 5 months and then with formal top up until she was 8 months. She is now on formula and solids. She lost some weight when was very sick with salmonella. Dr. Shola from DLC is her paed and no concerns re. her weight. DH and I are both rather hmm... petite too. She is a happy baby. We did struggle with introducing a bottle (we offered it to her way too late). It took my MIL about 3 days to convince DD to take it. She would offer the bottle before DD was hungry, than there would be tears, so MIL would sooth a little girl and introduce a bottle again. It was not easy and I couldnt be even near DD, but since your LO is much older than my girl at the time maybe feeding her with a spoon is a sollution? All the best! Edited to add that DD is on Aptamil and we use ''pigeons'' wide teats for the bottle. xo edited by JoannaS on 24/01/2011 <em>edited by JoannaS on 24/01/2011</em>
25
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EW NEWBIE
Latest post on 24 January 2011 - 15:41
Have a friend going through something similar. I sent her to Dr. Rajkumar at Unicare in Burjuman. The Dr. ran some blood tests and a urine test, but I dont know what happened after that. I know also that there is a preemie formula (Enfacare or something like that) that adds extra calories to babies diets. I know its crazy trying to get them to take formula, my DD tried 5 or 6 diff ones before she settled on Apatamil. My DD also went through a 'bottle rejection' phase and what worked for me was holding her in the same position as bfing her and putting in the bottle like it was my b00b. I tried the bottle as the boob,too. I tried getting her really hungry and then leave her with DH to feed her, let her to play with the bottle maybe it will make its way into her mouth, changed the nipples to different hole sizes and what not! When I introduced the sippycup she realy took to it and had water so I thought it will work with the formula ,too. It didn't. Now she is weary of it cause she thinks it has formula and not water! Thank you ladies. I had her iron level checked at 8 months and it was fine.I booked with Dr. Delphine and keep u posted.
671
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EW GURU
Latest post on 24 January 2011 - 15:32
A bf-knowledgable doctor and/or an IBCLC should be able to help determine whether your daughter's weight is acceptable or whether the dropping on the charts is a nutrition issue or a health issue. *Hugs* I hope you get some peace of mind soon. xx
231
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EW NEWBIE
Latest post on 24 January 2011 - 15:29
Have a friend going through something similar. I sent her to Dr. Rajkumar at Unicare in Burjuman. The Dr. ran some blood tests and a urine test, but I dont know what happened after that. I know also that there is a preemie formula (Enfacare or something like that) that adds extra calories to babies diets. I know its crazy trying to get them to take formula, my DD tried 5 or 6 diff ones before she settled on Apatamil. My DD also went through a 'bottle rejection' phase and what worked for me was holding her in the same position as bfing her and putting in the bottle like it was my b00b.
25
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EW NEWBIE
Latest post on 24 January 2011 - 14:27
Thank you so much for the recommending a good pedi. I didn't see a LC...I read almost everything related to breastfeeding, Kellymom and such. I would say that DD is getting enough milk cause her diaper output is good, I didn't quite like to express milk partlly becouse DD doesn't take the bottle, she is pushing it even before touching her lips..but when I squeze my nipple after she is done eating I still can see milk getting out. I try to feed her solids which are high in fat and calories but sometimes, many times she doesn't want them. It is so hard to pt something in her mouth and her being so small stresses me to the maximum.
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EW GURU
Latest post on 24 January 2011 - 14:18
Um, formula is no more nutritious than breastmilk, so I can't see what your doctor is trying to achieve unless it's simply a case of getting your daughter to drink more (which breastfeeding management would achieve). You might consider a consult with a more bf-knowledgable doctor as Jwal suggests. Dr Delphine Dupuis also comes highly recommended (she is a family doctor with special interest in pediatrics - she is also an International Board Certified Lactation Consultant, and so is able to work with you from all angles to address the problem, whatever it may be. http://www.medicentres.org/meet-our-doctors.html <em>edited by BFC on 24/01/2011</em>
Anonymous (not verified)
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EW NEWBIE
Latest post on 24 January 2011 - 14:18
No, I didn't. Is it hard to get an appointment with Dr. Khan? If it is urgent he will always squeeze you in, if not dr loubser on al wasl i think he's at infiniti clinic but i may be wrong. Try Dr Khan first though number 971 4 348 63 44 He will give you the best advice and guidance. Goodluck, please let us know how it goes. x
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EW NEWBIE
Latest post on 24 January 2011 - 14:17
Ooh just saw someone else recommended Dr. Khan. He's not hard to get into see, give them a call.
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EW NEWBIE
Latest post on 24 January 2011 - 14:17
My DD no 2 she is 12 kg and she is 3 years and have....and very tall for her age..
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EW NEWBIE
Latest post on 24 January 2011 - 14:16
Hi Sippy, Are you sure she actually needs the formula? Have you spoken to a LC to see if you are in fact making enough bm and dd is just small? If you do need to get her on formula, try mixing 3/4 bm with 1/4 formula, then 1/2 , 1/2 then so on till she is drinking only formula. It sounds like you are not convinced by pour paed, you might try Dr. Khan at Cooper Clinic. He is pro-breastfeeding and quite reasonable, so if he told me that my baby was sick and needed to go to hospital I would believe him. Good Luck!
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EW NEWBIE
Latest post on 24 January 2011 - 14:13
No, I didn't. Is it hard to get an appointment with Dr. Khan?
Anonymous (not verified)
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EW NEWBIE
Latest post on 24 January 2011 - 14:11
Have you seen dr Khan at coopers on al wasl road? He is an amazing paediatrician.
 
 

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