Ike had his six-year routine physical yesterday, and in Classic Ike style, it ended up not being as routine as I was expecting.
He's on track height-wise, shooting up over three inches this past year. Weight-wise...not so much.
He's always been a skinny thing, but consistently 25th-percentile-or-so skinny. He gained just a tad over a pound this year, which knocks him all the way down to the 12th. And while growth charts are certainly prone to some year-to-year weirdness, our doctor was very much Not Happy and Rather Concerned with Ike's weight. At barely 39 pounds, he's underweight for both his age and height, and it's just super inconsistent with his growth so far.
Now, we dealt with our fair share of Dinnertime Pickiness Drama Shenanigans this year, but I really thought 1) he's been doing much, much better for several months now, and 2) we were more than making up the calories of a smaller dinner elsewhere throughout the day. Good breakfasts, a generous lunch, lots of healthy snacks. He drinks whole milk and loves cheese and yogurt and granola bars and fruit and chicken and steak and fruit/vegetable smoothies. He doesn't drink soda or get regular candy and his go-to treat is whole milk ice cream or a shake. At restaurants he'll certainly jump at the pizza and fries, but as I described his typical day-to-day diet and calorie intake I didn't sense I was putting the doctor's mind at ease. If anything, it was having the opposite effect, as her questions then moved to our family's history of a myriad of chronic diseases that could possibly be the culprit.
Now, it's possible that his height growth-spurt came first, and he just needs to...round himself back out a little before the next one. (I could always tell my babies were about to jump to the next clothing size when they at their chubbiest. Then they'd lean out for a few weeks before fattening back up.) And he's a pretty active kid in a family of skinny beanpoles. Nevertheless, the doctor has given us six weeks to get him to gain some weight the old fashioned way, with a high calorie and high (heart-healthy) fat diet. Lots of extra oils and calorie-rich foods and daily nutritional shakes and just...packing in as much food as we can get him to accept. If, after six weeks, she's not happy with his progress, we move on to bloodwork and further testing to make sure there isn't something else going on.
This morning I made him eggs with extra butter, some high-calorie granola, yogurt, and poured him a big cup of milk. Ezra (ever the helper, who now has Ike's diet on his list of things he cares about) peeled a banana and sliced up some pears with cinnamon. Ike first said he didn't want bacon, then cried because I made him eggs instead of bacon, then cried because I made turkey bacon and he didn't want that kind of bacon, also he didn't like the granola for reasonreasonwhine, then Poppy jumped up and knocked his plate and cup all over the floor and got herself a very nice breakfast of everything I'd just finished making.
I think Ike ended up actually eating the banana and like half a yogurt. Then he said he was full and his tummy hurt, probably because he sensed how much I actually cared, and thus: PARENTAL WEAKNESS THAT MUST BE EXPLOITED. Meanwhile, I had to shoo Ezra and Noah away from the breakfast table around 11 a.m. Against my better judgement, I tasted the rejected granola and it is fucking delicious and approximately 3,000 calories a bite, so that's great to have around the house for me.
It's going to be a fun six weeks!
(Here he is eating a s'more. Have s'more, child! Please. I'm begging you.)