The Medical Results
I was quite relieved to hear the best pediatric doctor’s office in Cotacachi is around the corner from my apartment. Luckily, he spoke a decent amount of English and I had taken screenshots of the translated sentences describing Ava’s issues. The first step was a physical exam.
Ava stepped on the scale, stood against a wall to measure her height, and then laid on the examining table while the doctor carefully examined her. Afterwards, he grabbed some charts and showed me that both her height and weight were in the normal range for a girl her age. However, her BMI classified her as obese. Obese! That was shocking because it’s difficult to find any real fat on Ava. She spent two hours doing Kung Fu almost daily last year. How can she be obese? I shook it off because most seven year olds are not built like Ava.
The doctor ordered blood tests to check thyroid and for diabetes. This was another shocker for me. We verbally spar over ice cream, cookies and candies about three times per day and I usually win. Had I exerted all this energy and had all these arguments in vain? I certainly hoped not.
On Wednesday, we went to one of the medical laboratories at about 7:05 a.m. Unfortunately, a small boy and his family arrived before us and we had to listen to several minutes of blood curdling screams before it was our turn. Ava was pretty nervous after this and asked for “just a minute” as she always does. However, the nurse restrained her arm, took her blood and sent us on our way after paying $53.00.
On Thursday morning, I picked up the labs and asked the technician his opinion. He said that Ava had a urinary tract infection (UTI). So, I also stopped at the pharmacy on my way home and got some medicine for her.
On Friday night, we went back to the doctor. The doctor said she also had a parasite (medicine was prescribed), does not have diabetes or thyroid issues and that she is a very healthy girl. He said that due to her race, it is acceptable that she starts pre-puberty at age eight (she will be eight in December). He also agreed that due to her build, her weight is not an immediate concern and that I should come back in three to six months.
His main advice was for me to pay more attention to Ava. This means that when she finishes school at 2 p.m., I should have a clear schedule and should listen to her and pay close attention to her until bedtime. My immediate thought was that it would be easier to just give her some medicine. Of course, the doctor is right, but he is also not a single mom who hasn’t yet finished his child’s school registration process or solidified a source of income in a new hemisphere.
I have since taken actions to follow his advice, and will tell you about some of this next week. Ava’s outbursts have significantly decreased with the actions I have taken, so it might be worth the read for tired parents.