Ooops, he did it again. Continuing a pattern of puzzlement befitting the Sphinx, Dr. Spitenup threw us a whopper yesterday: Not only isn't he recommending surgery, but everything is mostly hunky-dory.
Six weeks after first broaching the topic of a feeding tube, and perhaps fundoplication, Spitenup now says we should keep up our efforts to increase Hope's caloric intake but otherwise keep on trucking. Her weight, about 8 1/2 pounds, at 11 months is on the same slow growth curve she's followed since birth, according to Spitenup.
We have a lot of fun poking fun at Spitenup. He's a crazy, bedeviling fellow. But we also believe he hasn't done us wrong so far. For all our frustrations, the pediatrician who prefers metaphors involving prostitutes is actually pretty good.
Spitenup is clearly biased against fundoplications, a surgery that involves wrapping part of the stomach around the esophagus to limit reflux. He claims they cause as many problems as they solve, including bloat, inability to burp and retching. Spitenup instead prefers slowly boosting caloric intakes, waiting and monitoring. As a rule, he's against the surgery until kids are at least 18 months.
So we're stumped. Our inclination is to wait for another six weeks, and then perhaps seek a second opinion. After plateauing for a month, we do think Hope is again gaining weight.
But we're throwing it out there for the CdLS parents who follow the blog: What are the benefits, drawbacks of fundoplications and G-Tubes? Good, bad, indifferent, amusing stories, we welcome your input.