Just as I laid both girls down for a nap yesterday (and myself) the phone rang. It was Dr. Russell's office. I was thinking, hmmmmm, that is odd, the girls don't have any appointments to be confirmed. It was Dr. Russell herself calling and then I thought it was really odd. She was calling to tell me that Avery had some abnormal lab results come back. Just a bit panicked now, and I knew that she only had her lead level and hemoglobin checked at her one year appointment. Dr. Russell said her lead was normal but her hemoglobin was low. I immediately asked how low (as a nurse who takes care of children with Leukemia I was freaking out when I heard this). Her hemoglobin was 10...normal for a one year old is 11-13. She said to me "its not 6 it is 10." I think she could hear the worry in my voice and she knows what kind of nursing I do. She told me that she has been thinking about this for 3 days deciding how to treat Avery. She was thinking about having her redrawn to see if it was a fluke, but then decided to start her on liquid iron supplements twice a day. She has taken the iron like a champ. I have been more careful about what I feed her, and I try to make sure she is eating more iron in her diet. She will be rechecked in one month to see where her level is going, and if she is still low or not much higher she will have a complete blood count drawn and iron studies done. I keep telling myself that a hemoglobin of 10 is not bad at all, but when you are in the field that I am in it is hard to not get worried. I wonder if part of it is because my hemoglobin was low too. She was breastfed until she was a year old and I had to take iron 3 times a day for 3 months after she was born because my hemoglobin was down to 8. I was back up to normal when I was rechecked, but maybe it had a little something to do with it?? I just hope in a month she is up within the normal range. I do appreciate Dr. Russell being so kind and taking 20-30 minutes on the phone with me.
1 comment:
Dr. Russell is right - 10 is not 6. It's so hard not to worry and overthink when you work in oncology. Plus it is IMPOSSIBLE not to be biased when talking about your own kids' health. Glad she's doing well with the iron supplements! She is so darn cute!
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