I've always tried to avoid seeing the nurse practitioner, in favor of the M.D.'s at our local pediatric clinic. In order to get an appointment in the immediate future, I took the appointment with the nurse practitioner and hoped for the best.
Walking into the pediatrician's office was met with worried cries from Nolan.
"Don't want hurt me!"
These things break a mother's heart.
Most doctor's appointments are filled with some kind of pain for Nolan- either shots or the horrid ENT ear-cleaning appointments. I won't even mention the urology appointments. I reassured him that we were "just talking" today, and he warily consented to enter the exam room.
The nurse practitioner did weigh him (25 pounds, 12 ounces- go, Nexium!) and asked about the "staring spells" we were seeing. I described them to her, and told her we had a video. She hit the icon for Internet Explorer- turns out they do have internet access. Unfortunately, their internet doesn't work very often. After repeated "Server is Busy" messages, we gave up on that idea.
She asked about his hearing loss. I told her it was congenital and sensorineural. She asked if he had ever seen a neurologist.
She was a bit incredulous that he hadn't seen one, with the GI symptoms and hearing loss of unexplained origin. She then asked if he had any other neurological symptoms.
"Just a little head-lag thing."
She watched me demonstrate. This is something that hasn't been to the top of the "priority list," because Nolan's motor development is normal and this is just one strange little quirk in the whole Nolan puzzle.
"Who found that? One of the doctors here?"
"No, I did. I showed the pediatrician and she wasn't too concerned."
Her eyes widened with surprise and the smile disappeared. This was something that definitely called for a neurology consult. There are now three neurological anomalies- the hearing loss, head lag, and staring episodes (which may or may not be absence seizures).
Nolan is on the fast track to get an appointment with a neurologist up at Buffalo Children's. She said they will probably do a sedated EEG, and she wants to get him in for a consult immediately. She will call back this afternoon or tomorrow morning with the appointment time.
One more specialist to add to the roster....