Well-Child DR

Amlie had her 10-year well child visit back at the end of May. Double digits!

She had to wear a mask, and I gave her a piece of gum to sweeten the deal, though she seemed pleased to pick one out and put it on. Since I was accompanying her, I had to sign in and we both had our temperatures taken at the door. The waiting room was basically empty and the seats were all spread out far apart.

I think she was excited to get out of the house. This was the first time that she'd gone out in public (inside of a building) since the whole quarantine. The doctor asked about how things were going and I brought up that she'd missed quite a lot of her services through school and we got a referral to do an assessment for occupational therapy. We did that and they recommended once a week for 8 weeks. The first week was just various assessments, which was very interesting. The OT who called to give me the results of the assessment said that she was below where she should be in several areas with regard to grip strength, etc, but that she had lots of strategies to make up for it, which we knew. We've been several times, and they're working on some things like handwriting that she was doing at school and some social skills (which she was also doing at school!)

I found a list online of 10-year milestones:

Grow about 2.5 in. (6 cm) and gain about 7 lb (3 kg) in a year. (I thought this was funny because according to the post, she'd grown exactly 2 inches and gained exactly 7 pounds since last year.) 

Have growth patterns related to gender. Signs of early puberty may develop in girls. (No signs yet, I don't think, but we have a book!) 

Lose about four baby teeth each year. These are replaced by permanent teeth. 

Know the complete date (day of the week, day of the month, month, and year).

Can name the months of the year in order. (I am not actually sure about this one, but we can work on it this summer.) 

Can read and understand a paragraph of complex sentences.

Are reading books with chapters. (Favorites are still Wings of Fire and Warrior Cats.) 

Are skilled in addition and subtraction and are building skills in multiplication, division, and fractions.

Have learned to write in cursive. (I wouldn't say that she's completely learned, but they are teaching it at school and she's practiced it. I wrote the top lines and then she copied them.) 

• Can write simple stories.
• Enjoy being with their friends. They often have a best friend of the same gender.
• Continue to enjoy team and group activities. (I mean, there's no team or group anything happening right now. I suspect that she's going to be VERY enthusiastic about any kind of group get-together as soon as she can have one.)
• Continue to insist they are not interested in children of the opposite sex. But they may show off, tease, or act silly as a way of getting attention from or interacting with them.
• Like and listen to their parents. Some children, though, will start to show irritation with or lack of respect for adults who are in charge.
• Enjoy reading. They may seek out magazines and books on subjects of special interest.
• Can converse easily with people of all different ages.
• Have speech patterns that are nearly at an adult level. 
• Have developed control of their large and small muscles. They are able to enjoy activities that use these skills, such as basketball, dancing, and soccer.
• Have developed endurance. Many can run, ride a bike, and enjoy activities that require a degree of physical conditioning.
• Continue to advance their fine motor skills, such as those needed for clearer handwriting and detailed artwork. (We're working on these last 3 milestones in OT!) 

Significant Statistics:
Height: 4 feet, 3 inches (9th percentile)
Weight: 66 pounds (30th percentile)

Here's a link to last year's appointment: https://babybuffaloe.blogspot.com/2019/06/doctor-visit.html