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Long post...need to vent....(but there are some iron/anemia related questions here, so please bear with me)...<br><br>
Took my 13 month old dd for her 1 year required NYS blood and urine test yesterday...<br><br>
First we spent the whole morning trying to catch pee in the stupid stick-on bag they gave me (first one positioned wrong and all leaked onto her diaper, and of course, as I was trying to stick the 2nd on, she peed on the sticky part!) <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Then we finally get to the lab because the stupid HMO won't let the actual doctor take blood, and the nurse from the doctor's office hasn't written on the form which tests they need to do! The lab person calls the doctor's office and they're "all at lunch and can't answer the question...call back at 1:15". This is a bunch of BS--I've been there at 12:15, and they lock the door and hide in the office eating lunch--at least have the courtesy to not answer the phone if you're going to pretend <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"> not to be there!!! So we leave to buy groceries and come back later for the bloodwork, which went fine, thankfully.<br><br>
Just now (next day) a nurse calls to say that DD is iron deficient. Her Red Blood Cell count is 3.8 (normal is 3.9 to 5.5), and her Hemoglobin is 11.2 (normal is 11.3 to 14.1). She says "this needs to be treated right away with Ferinsol drops, twice a day....". I ask what the dosage is because none of the over the counter stuff has infant's doses on the packages (but they're 'safe' for infants, right?), and she says 0.6 Of course, I ask if this is ml and all she can tell me is that it's " a dropperful...the amount is written on the dropper" DUH!!! I can read--maybe you mean 0.6 gallons??? If you're going to prescribe treatment maybe you should know what the heck you're talking about...<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"><br><br>
So I ask if this can wait until our doctor visit next Thursday so I can discuss it with the doc before giving her meds, and of course I need to buy them today and start immediately to "treat her" and then re-test in 3 months (seems like a long time to me).<br><br>
I've already read a bunch of the previous threads on this topic, and can see that our diet needs to change. We are not eating enough iron-rich foods...we eat a lot of chicken, some fish, almost no beans, few greens at all, very little red meat, etc.<br><br>
My questions are: since she is so close to the normal levels of RBC and Iron, wouldn't a change in diet probably alter this minor problem? She is still breast fed about 4x a day. I refused to give the poly-vi-flor vitamins because of the fluoride and the artificial junk in them, so I have been giving a veggie based gummy vitamin, but not faithfully....I will start that today, and making sure I take my vitamin faithfully too...<br><br>
This kid never stops going....I am lucky if I can get her to bed at 10:30PM. She is not sick or acting lethargic at all...<br><br>
Does anyone have any personal experience with mild anemia and diet that they can share? Do you think that altering diet (mine and hers) will make the tiny change needed in her system? I want to wait before giving her drops to discuss this with the doctor in more detail 6 days from now. With such minor deficiencies, do you think I'll be hurting her to wait until then?<br><br>
Thanks for the advice, in advance, and for letting me vent!
 

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Looking at the numbers I can NOT understand why they are freaking out.This is a state required test? What is the urine test for? Yes,diet should take care of it.There are herbal tinctures that are high in iron.There is I think Kelly mom ap/breastfeeding site that gives a low iron story that was corrected by diet alone.I would suggest you give FLORADIX iron and herbs(Vitaglo.com sells the bottles fairly cheap).It tastes fine and does not constipate.If they ask just say you are giving whatever meds they recommended.<br>
I will go look up the link to that ap site now.<br>
sara<br><br>
here it is:<a href="http://www.kellymom.com/nutrition/iron.html" target="_blank">http://www.kellymom.com/nutrition/iron.html</a><br>
 

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Discussion Starter · #3 ·
...the state requires a lead test at 1 year and again before a child starts school (NY). The urine test is for bacteria...they weren't that worried about it if I couldn't 'catch' a pee from her for that one.<br><br>
I think they just run the standard blood tests at the same time they're taking the sample so they can check for any major problems at 1 year. I think they run a standard CBC???--I don't know, but will get a copy of her results when I see them on Thursday.<br><br>
I don't mind that they're taking the tests (especially the lead as our house is from 1926 and in constant state of renovation--I did some home tests for lead that came up negative, but it's good to be sure) as much as their stupid response to such a mild problem, and the fact that if they think it is a serious thing, then her DOCTOR should call and not a nurse who doesn't even know the dosage of iron to recommend...<br><br>
I'll check out your link now, and probably post again after I've read it, thanks sara29!<br><br>
P.S. I don't usually bother to lie to them about giving the meds or vitamins or whatever garbage they're prescribing...I just conveniently omit that I'm NOT <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> giving it to her.
 

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Just to throw a whole monkey wrench into the deal, but, did they tell you what the error percentage is? How many tests do they do that come back low and may just be fine? For instance, when I had my hemoglobin checked regularly, I was told that it could be one number off. The test is not necesarily accurate. Don't freak out, just add dark leafy greans...V
 

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I had a HUGE battle with a dr last year over my son's iron test.<br><br>
He kept testing low, and I absolutely knew this kid was not anemic... very energetic, pink pink nails, etc. I refused to give him iron supplementation ( of course ... I also adopt the no lie, but no tell philosophy <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"> ). The dr wanted to then run all these other tests for genetic disorders (which we also knew because of various personal reasons) he ALSO did not have.<br><br>
To make a long story short, had his blood work done at a different place..... came out high <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/confused.gif" style="border:0px solid;" title="Confused">: He was getting a finger prick test and the results were VERY determinate on the skill of the blood taker as the quality of the blood sample is generally where the error lies.<br><br>
Additionally, iron levels can look low if a child has been or is ill.<br><br>
IMHO, if the kid isn't showing any signs of anemia, and blood tests are so close to okay, diet is definitely the best way to go.<br><br>
If you're going to supplement, I'd recommend supplementing yourself. Margin of error is much larger and even with bf'ing 4x a day, your dd will see the extra boost.<br><br>
Good luck!
 
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