Today was our follow up appointment with Dr. Rouse, and once again he was very pleased with Gabe and his progress. I think Gabe still amazes him and probably always will. He weighed in at almost 18 lbs! Since it has been almost 3 months since we saw Dr. Rouse, I wrote out all of the changes, including Gabe's feeding schedule, milestone accomplishments and his now very abbreviated medication list - most notably absent were the oxygen and phenobarbitol!! We did have a few concerns/issues to discuss. Gabe has had some constipation and also had a couple of vomiting episodes last week, both of which have improved, however they were worth discussing. We were warned months ago that the signs of Gabe's patch slipping would be more GI than respiratory, so we were naturally a little concerned. Dr. Rouse ordered an xray, which needs to be done every couple of months anyway. Since our insurance is with St. Mary's, we couldn't just run downstairs at Deaconess, have the xray and run back up to review the results. We have a copy of the disc and will drop it off at Dr. Rouse's office Thursday when we are there for other appointments. Unfortunately that also means we will have to wait a few days to find out if everything is still in its proper place. Gabe has had fluid in his ears for nearly a month (which piggy-backed another episode of fluid back before Christmas) so we are considering tubes and discussed that with him as well. Since it is such a simple procedure, he felt it was perfectly safe to have done here, even if the adenoids have to come out as well. We'll be discussing it and probably making a decision very soon if the fluid refuses to dry up. I know how long-term fluid can complicate things. We'll keep you all posted, as usual!