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Nephrologist: M's Medical Sheet

Specialist we saw:

Kathleen Lee, RN, CPNP. Pediatric Nurse Practitioner Texas Tech Physicians of Amarillo. Areas of Practice: General Pediatrics, Pediatric Nephrology. 

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Tests:

36 week ultrasound showed a 10.2cm on one kidney. The other kidney was resolved at 7cm. Could indicate a narrowing of the tube to the bladder. Usually babies grow out of this. 

Aug 10th appointment with Kathy Lee showed normal urine and blood pressure. 

Aug 14th ultrasound at BSA showed a 6 on both kidneys. Lee's office called and said all was normal. No peyelect evident. 

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Resolution:

They scheduled a follow up. I asked for the medical reason. They said normal checkups for normal development. I said No thank you, we have Amarillo Pediatric Clinic Alicia Litchfield Nurse Practitioner for that. I cancelled appointment the Nov 16th 2020 Appt with the pee pee doctor. 

Click here for printable sheet.

How to Insurance and Doctors

First the story

At his 36 week ultrasound, Michael had a kidney at 7cm which was resolved and the other at 10.2cm which was slightly larger but still mild. It indicated a narrowing of the tube from the kidney to the bladder and we were told we needed to see a Nephrologist for more information. 

At 4 months old I do. Firstly, the co pay for a specialist costs more money. in our case, twice as much. 

Secondly, we had to go this appointment to schedule the appointment to get the ultrasound. Yes, they tested his urine and blood pressure, but it was still one of those things where we had to do an appt to get an appt. 

Dealing with Insurance 

At the hospital for the utlrasound, they said it would cost 1800 dollars, then after adjustments 500, then after deductible 423. I've learned from the past, you never pay all. Always pay the minimum allowable, which in our case is half the responsibility at 212. We learned this from my thyroid biopsy, when we paid them, and the insurance company paid them, and the hospital had both payments for several months and many phone calls before we got our money back. 

Getting Results

Always ask the tech what the results/ readings/ numbers are. You will get an answer right away instead of having to wait a whole week for them to call you. and then if you want the actually results on paper it's a real bureaucratic run around and takes awhile. 

Then when we received the phone call that all results were normal, the nurse kept us scheduled for a follow up. Always ask, what is the medical reason. the reason was just normal checkups. No I said, we have a regular pediatrician for that. I canceled the appointment. Otherwise we could be doing followups forever. 

I don't want follow ups for no reason.

4 Months

 4 months old today. Hard to believe we've come this far already. 

And yes, he really poops a lot. Little guy saves it up. 

First Laugh

 Michael giggled today for the first time at his sister while she played wiggle wiggle.

5 Years of Birthday Food

 

 

5 Years of Hats

 From now and looking back.

BONUS!

5 Years of Adventures

 From the beginning just looking out the door, and Coast to Coast. 

5 Years of Dressup

 Beautiful dresses for each year. 

BONUS from 4 years old. 

5 Years of Mommy and Me

 Mommy and Me

And the last picture is from 4 years old. 

5 Years of Daddy and Me

 My favorite is the 2 year old photo. 

And a bonus baby in a hat at the last. 

5 Years of Birthday Photos

 Five years of photos as close to the day of Evelyn’s birthday as possible. She has grown so much. I can see the most change from 1 and 5 years. 

Bonus

5th birthday

 Evie said this was her best birthday ever and she wants to do the same thing next year. I said 6th is a treasure hunt.

she didn't want to turn five. it worried her for some reason. so i promised to only put 4 candles on the cake. she put on the 5th.