09/09/2026
Jonny’s appointments went really well today! 🩵 He was so happy to see his doctors and soak up all the extra attention. He truly loves his Rochester days😂
His neurology appointment was with his neurogenetics doctor. We are still waiting for the results of Jonny’s whole genome sequencing through pediatric genetics, but his doctor agrees that Russell-Silver syndrome is a reasonable clinical diagnosis. Even if the sequencing comes back negative, Russell-Silver syndrome does not show up through genetic testing in a large percentage of patients. His regular genetics team has discussed giving him a clinical diagnosis if that happens, and his neurogenetics doctor agrees with that plan.
We will follow up with pediatric genetics once the sequencing results are available. His neurogenetics doctor still recommends physical and occupational therapy. Jonny will receive PT, OT, speech therapy, feeding therapy, and autism-related services once he starts school.
Neurology still has not received the results or images from Jonny’s previous brain scan in Buffalo, so we’re debating whether to have new scans done.
His staring spells will continue to be monitored.
At his pediatrician appointment, we discussed his plan for starting school and his ongoing difficulties with growth. They also ordered bloodwork to check his kidney and liver function because of his distended abdomen and excessive urination. His urine has also had a stronger odor, and the amount he is producing seems excessive compared with how little he drinks.
He also needs a sleep study because of his snoring and difficulty breathing at night. His doctors want to determine whether something more than his tracheobronchomalacia may be contributing to his nighttime breathing problems.
Both appointments went well, we have a plan for the next steps, and Jonny was perfectly content being the center of everyone’s attention all day💙🥰