Saturday, August 25, 2012

Four-year Check-up

Sarah had her four-year-old wellness exam Thursday.  She is such a different girl than she was three years ago.  She strolled into the office confidently and seemed to enjoy every procedure and evaluation the nurse and doctor threw at her.  This was her first "big kid" appointment, where she had her blood pressure taken and was given eye and ear exams.  The doctor had her draw a circle, an "x," and a person; sing her ABCs; write her name; touch her toes; and stand on one foot.  Sarah loved performing and passed with flying colors.

She is now a little over 41" tall (78th percentile) and 36 lbs., 6 oz. (61st).  As we could tell, she has stretched out over the last year. 

The only concern the doctor had was her articulation of some words.  Her language skills (sentence structure and vocabulary) are excellent, but her speech is a little unclear at times.  The doctor said that the school will evaluate her and do some therapy, if necessary.  I'm not worried about that, because she has been working on saying things more clearly, and I think it will come naturally once she's with other people more often. 

Before the appointment, she was a little worried about getting shots, but when the doctor said she needed them, she seemed unfazed.  She chose to sit on the exam table instead of my lap and watched with interest as the nurse poked her three times.  She caught her breath each time, but there were no tears.  She's one cool customer and tough cookie these days, as you can tell from the photo, where she's showing off her bandages.

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