Milestones

(1) Delivered by a caesarian section on October 16, 1997
· Apgar score: 10/10
· Blood group: B+, Hb: 18.1 g%, Ht: 58 v%, and bilirubine: 6.7 mg%
· Weight: 2950 gram, length: 49 cm, and head circumference: 34 cm

(2) Since being born, appeared to be reluctant for feeding. Often fell asleep after feeding for about 5 to 10 minutes.

(3) At two-month old, the fontanel’s surface began to rise

(4) First hospitalized on December 22, 1997 (2½ months old) for diarrhea and vomiting

(5) At 2½ months old, she was diagnosed for having been once infected with Rubella and Cytomegalovirus. The optic nerve was also diagnosed to be not vital.

(6) Though at 2½ months old ventricle had been slightly enlarged, the diagnosis of hydrocephalus was just acknowledged at the age of 9 months.

(7) Has 4 teeth at 7 months old, nevertheless no more additional tooth up to now. In fact, 1 tooth fell out at 5½ old years.

(8) Can walk by her self at almost 3 years old (Sep 2000).

(9) Can “sing” with accurate tone up to 3 years old.

(10) Entering the 4th years, her general condition including her communication ability was weakening. Vocabulary was disappearing and bubbling often. She can say words for things she really wants or don’t want.

(11) At April 1, 2002 (4 years & 5 months old) she fell coma for 1 day. Suspected because of obstructive sleep apnea syndrome (OSAS). She was in ICU for 25 days. A ventilator was employed for 4 days to manage her post-laryngoscopy breathing. Since April 2, 2002, a goedel (oropharyngeal) airway should be inserted to her mouth during night-sleeping time to keep the airway opened.

(12) So far, she has been 10 times hospitalized for: gastrointestinal problem, fracture at femur dextral 1/3 proximal, surgery for implanting VP shunt, surgery for inguinal hernia, surgery for VP shunt reposition, fracture at femur sinister 1/3 proximal, fracture at tibia sinistral, OSAS, and several convultions.

(13) Under coordination of pediatric, expertise involved continuously or just considered for second opinion include:
a. Pediatric Neurology
b. Neurosurgery
c. Gastroenterology
d. Ophthalmology
e. Otolaryngology
f. Pulmonology
g. Orthopedic
h. Hematology
i. Pediatric Surgery
j. Radiology
k. Cardiology
l. Medical Rehabilitation
m. Psychiatry
n. ENT
o. Naturopathic
p. Immunoendocrinology
q. Endocrinology