Infant Well Visit Zachary LaFontaine Shadow health Transcript

Hello, I’m Anthony, and I’ll be talking with you and checking on you.

Table of Contents

Greeting
May 28th, 2022, 1:43 AM Eastern Time

Hi there.
What’s your connection to the little one?

Question
May 28th, 2022, 1:43 AM Eastern Time

Yes, Zachary is my son.

What brings you here today?

Question
May 28th, 2022, 1:44 AM Eastern Time

We’re here for Zachary’s doctor’s appointment. It was a bit tricky to fit it into our busy schedule, but I understand it’s important.

Are you breastfeeding your baby?

Question
May 28th, 2022, 1:44 AM Eastern Time

Yes, I breastfeed Zachary. It’s something I’m committed to, although it’s been a bit challenging. My mom offers advice, but since she didn’t breastfeed, it’s a new experience for both of us.

Do you feed him from both sides?

Question
May 28th, 2022, 1:45 AM Eastern Time

I feed Zachary for about 10 minutes on each breast, so in total, it’s around 20 minutes.

Are you using formula as well?

Question
May 28th, 2022, 1:46 AM Eastern Time

No, Zachary only gets breast milk, no formula at all.

One thing that’s going well for Zachary and me is breastfeeding. It’s never painful, and he latches on well.

Do you have a preference for breastfeeding over formula?

Question
May 28th, 2022, 1:48 AM Eastern Time

I aim to exclusively breastfeed Zachary. While I know formula is an option, I see it as a last resort. My main focus is on providing him with breast milk.

How do you feel about your family situation?

Question
May 28th, 2022, 1:49 AM Eastern Time

I’m grateful to be living at home with my parents. It’s helpful to have their support. I try to take care of myself, but my main priority is Zachary.

Do you find enough time to breastfeed?

Question
May 28th, 2022, 1:50 AM Eastern Time

Unfortunately, I struggle to find enough time for breastfeeding. I want to, but between work and school, I’m incredibly busy. It feels overwhelming to juggle everything, including breastfeeding.

I understand your challenges.

Express Empathy
May 28th, 2022, 1:50 AM Eastern Time

That’s kind of you.

What’s Zachary’s feeding routine like?

Question
May 28th, 2022, 1:51 AM Eastern Time

I aim for feeding every 2-3 hours during the day and 3-4 hours at night, but we don’t always stick to it.

Do you stick to a consistent feeding schedule every day?

Question
May 28th, 2022, 1:53 AM Eastern Time

Zachary’s feeding schedule varies based on my class schedule each day, so it changes throughout the week.

What’s Zachary’s sleep pattern like?

Question
May 28th, 2022, 1:54 AM Eastern Time

It’s a bit complicated. Zachary sleeps for around 16 hours a day on certain days but may have a different routine on Tuesdays and Thursdays when I have classes. My mom sometimes gives him an extra nap.

It’s important to maintain a consistent sleep schedule for your son.

Offering Advice
May 28th, 2022, 1:55 AM Eastern Time

Got it, thanks.

Do you co-sleep with Zachary?

Question
May 28th, 2022, 1:56 AM Eastern Time

Zachary sleeps in a bassinet or his cradleboard, always swaddled and placed on his back. I keep the bassinet in my room, so I’m close by. I’ve done a lot of reading on safe sleep practices because I’m worried about SIDS.

How often does Zachary urinate?

Question
May 28th, 2022, 1:57 AM Eastern Time

He has about 5 or 6 wet diapers a day.

And how about bowel movements?

Question
May 28th, 2022, 1:59 AM Eastern Time

Usually, he has around three bowel movements a day, sometimes fewer.

What’s the consistency of his stool?

Question
May 28th, 2022, 2:03 AM Eastern Time

They’re soft.

Does Zachary smile?

Question
May 28th, 2022, 2:04 AM Eastern Time

Yes, Zachary is a very cheerful baby. He smiles often, which brightens my day when I come home from school or work.

Does he follow objects with his eyes?

Question
May 28th, 2022, 2:11 AM Eastern Time

Yes, he does. He also seems quite curious, especially about new faces.

Examining Zachary’s Health
May 28th, 2022, 2:24 AM Eastern Time

Thanks for your patience. Let’s go through Zachary’s health check.

Checking the growth of the head circumference.
Checking the weight and length growth.
Examining the nose.
Examining the ears.
Assessing the mouth’s frenulum, which appears to be attached appropriately.
Checking the palate and tongue, which appear normal.
Examining the skin.
Checking the diaper area for any issues.
Examining the genitalia.
Assessing musculoskeletal development.
Checking the pupils.
Testing eye tracking.
Examining the extremities.
Testing the grasp and reflexes.
Checking for reflex responses like the Moro Reflex.
Examining the neck range of motion.
Taking the pulse.
Checking for reflexes like the Rooting Reflex.
Checking for the sucking reflex.
Testing the neurological stepping/walking reflex.
Palpating the abdomen.
Checking the fontanelles (soft spots on the baby’s head), which appear normal.
Listening to various areas of the abdomen and chest for any irregularities.

And that wraps up the examination. Let me know if you have any questions or concerns.