GI appt today

We saw Dr. Alberty for the first time today...love him! He listened to all that has been done with Lydia already and seemed to agree that she was puzzling. He said that he has seen in a lot of babies with reflux that one dose of medicine (acid suppressant) per day is not enough. Even if they keep the same daily dose, split in two usually works better for them. We both agreed that her crying while she eats may be reflux that is uncomfortable and just not as painful as it was when she would scream while eating. This attempt at meds twice a day will hopefully soothe that. We are going back to Prevacid because it would be difficult to divide the Nexium powder into two seperate doses, and I told him that I am not convinced that the Nexium worked better than the Prevacid. They both seemed to work for a short period, and then the reflux started worsen again...same cycle with both medicines. He said we should keep adding the same oatmeal to the same formula, since I feel it is helping (at least somewhat). I was really impressed by him because he seemed really knowledgeable about current research in the topics. He told me that positioning has been proven not to have an effect. In fact...studies were done comparing babies put in infant seats (which is what several dr's, nurses have told us to do) compared to babies lying flat and the reflux was worse with babies in the infant seats. It makes sense to me because I find that if we leave home shortly after Lydia has eaten, she cries much more in the car....she's in the car seat. The idea behind the car seat solution was that the baby is more upright so gravity helps the food to stay down. What they found, though, was that the babies' mid-sections were scrunched up in the seat, which causes pressure that causes the acid to go back up into the esophagus. He cited several studies during our conversation, which builds my confidence in him...I like a doctor that knows his stuff. He wants to see her again in two months.

Lydia stayed awake longer than ever today...from 10:00 til about 3:00....that's a big jump from staying awake only an hour at a time. She was tired and crying a lot between 1 and 3 because she was so tired though...we were in route to the dr's office and meeting with the dr during that time. Still...she was awake and happy for a much longer time today. I was proud of her!

I continue to be thankful for all the help we get...Maw-Maw Grace, Aunt Linda, Melissa, and Shelley today....Paw-Paw and Aunt Leigh tomorrow...Granny yesterday...Grandma over the weekend. We are getting so much love!