A review of visiting Kang Seok-jin Well-Kid Pediatric Clinic due to concerns about precocious puberty

 

 

 

 

I'm worried that because the child is tall and growing quickly, they might not grow any taller.

After inquiring at the pediatric clinic I was visiting, I thought it might be precocious puberty.

I went to Kang Seok-jin Well Kiwoom Pediatrics for a check-up.

I have received a diagnosis, but I am not receiving hormone injections and am currently under management.

 

 

 

 

My son is in 5th grade of elementary school.

It wasn't originally small, but it started to grow when I entered the first grade.

It grows more than 10 centimeters almost every year.

By the time they reached the third grade, they continued to gain weight, and the once thin child became chubby.

It started from being overweight and progressed to obesity.

Still, I only gained weight in my belly, so I didn't think I was overweight.

And since I'm tall, I thought I would grow well, but...

If it grows, then the worry will grow as well.

A male elementary school classmate who was really handsome and tall when he was young

We happened to meet by chance after becoming adults, and he was still the same height.

I really remember it being shocking.

 

I found out that if it's precocious puberty, it can affect final adult height.

I was 고민하다 (thinking) about what to do with this.

I went to my usual neighborhood pediatrician.

I inquired because I have a concern.

In your opinion, it has been steadily growing every year.

Based on the appearance, it looks like a big LG in the future.

They said it seems the child won't grow up small, but it would be better to see clearly.

And they recommend getting an accurate bone age test at a university hospital.

You immediately wrote a referral letter, and I searched for the hospital again.

I asked my older brother (my husband's older brother's wife).

Professor Kim Hong-sik, who was at Daegu Dongsan Hospital, is said to be the second most famous.

The most famous hospital cannot be booked.

My nephew (my older brother's son) also received treatment and an injection from Professor Kim Hong-sik.

But then, that professor left DongSan Hospital.

I went to a place called Kang Seok-jin Well-Kium Pediatrics.

It happens to be near my neighborhood again.

So I made a reservation immediately and went.

 

 

 

 

I went in mid-June.

I waited for the teacher to measure my height and weight first.

At this time, height was 162 centimeters, and weight was 57.8 kilograms.

Doctor Kim Hong-sik asked what brought me here.

I was worried that I might grow taller quickly and then stop growing.

Let's start by taking a look at the testicles.

They took her to the bed and then came out after checking her.

When boys enter puberty, their testicle size begins to differ.

They said that since it's a bit large, I should get all the tests done right away.

 

 

 

 

Testicular ultrasound for precocious puberty diagnosis is not performed by Dr. Kim Hong-sik.

Doctor Kang Seok-jin reviewed it.

Doctor Kim Hong-sik is said to have been a mentor to Doctor Kang Seok-jin during his time at Dongsan Hospital.

So, I guess you retired and went to this hospital.

I thought I wasn't supposed to go in, but...

Mom and Dad, you can come in now.

My spouse and I also went in and watched the ultrasound.

I don't remember what you explained back then, haha.

We take X-rays and perform various tests.

 

 

 

 

Finally, I went to the check-up waiting room and had blood drawn every 30 minutes.

I think I had my blood drawn five times.

Because it takes a long time, they give you a room.

The hospital was newly built, so the facilities are clean and well-equipped, which I liked.

Repeating the cycle of lounging around and going to draw blood when called.

 

 

 

 

 

Restrooms, inpatient rooms, examination rooms, etc.

Everything is well equipped.

 

 

 

 

The most important thing is the result.

I went a week later and received the test results.

The conclusion was precocious puberty, so we decided to administer hormone suppression injections.

 

The testicular ultrasound results suggest the onset of puberty begins around 1.5, but the measurement is 1.68.

Since the expected height is 181 centimeters, growth injections are not necessary, but

At that time (June), the actual age was 10 years and 11 months, but the bone age was 12 years and 4 months.

Therefore, growth hormone suppression injections are recommended.

So, I think I can summarize it.

(You told me about numerous results)

 

If the maximum level of luteinizing hormone (LH) is 5 or higher, it is considered precocious puberty.

My son is said to be 22.

Hearing this, I really struggled with it.

I don't know much about the figures, but the difference in numbers is huge.

Furthermore, it is believed that bone age continues to grow until the age of 14.

Our child has just over a year left, right?

I was also worried that it might grow up quickly in the meantime.

 

So I said I would think about it and make a decision.

And the senior who administers the growth hormone suppression injection, haha

I talked with my older brother about various things.

It's not that my height isn't growing, and they say my expected height is 181 centimeters.

The conclusion was that there is no need to necessarily use an injection.

I also went to the neighborhood pediatrician I used to visit because of a cold.

The teacher asked first, so I discussed it.

The teacher's words were the same.

It's really a delicate matter to explain exactly, but...

It doesn't have to be a perfect fit, I think...

Do you feel like you're 181 centimeters short? Haha

Actually, this is just an expected date; we never really know what will happen.

So I asked if there would be any negative effects on the child in case of precocious puberty.

In the case of girls, early onset of menstruation can be challenging, but

For boys, height or facial hair is just a matter of concern.

They said there was nothing to worry about or that it wouldn't be difficult.

 

 

 

 

And a few days later, it was my mother-in-law's birthday, so we had a meal together.

My older brother heard the story from my older brother-in-law and took care of our child.

Measuring something while eating at the restaurant lol

My older brother-in-law is an oriental medicine doctor.

They said they would connect it to the phone and do a simple check.

It seems that bone age and such figures are calculated.

The results naturally came out together with the tests conducted in the pediatrics department.

 

 

 

 

My brother-in-law also questioned whether there is really a need to use the sex hormone suppression injection.

They told me to make sure I exercise well and manage my diet.

And my nephew also sent me the medication he was prescribed when diagnosed with precocious puberty.

They told me to take 40 pills twice a day.

I wondered how to count and eat 40 pills...

 

 

 

 

A spoon like this was included.

I almost died laughing..

They really say you're very smart..

 

 

 

 

Our son, who is tall, is worried that he will grow quickly and it will be the end.

In conclusion, it is indeed precocious puberty.

I am not administering the sex hormone suppressive injections; instead, I am encouraging vigorous exercise and diet management.

Actually, managing my diet is really difficult ㅠㅠ

I want to eat, but I can't give it to you.

There are special treats for her, but it's also hard to make her eat what she dislikes.

Anyway, I will carefully nurture it while conducting follow-up tests every three months.

The pediatrician who listened carefully to my consultation also said that follow-up tests are a must.

I heard that bone age can suddenly change in just a month or two.

 

In the results from the mid-September checkup, it has grown to 1.7 centimeters.

The bone age is 12 years and 7 months, indicating normal growth.

They said it's not much worse than before, so it's okay.

He told me to pay attention to my posture because my spine is curved.

I plan to undergo check-ups periodically and ventilate the room for the baby.

 

If you are overall worried about the child's growth

I think it's also good to go to a well-organized place and get a comprehensive check-up.

Whether to get the injection or not can be decided at that time.

You can also determine bone age, whether it is precocious puberty, or if puberty is beginning.

Depending on the child's condition, you can also pay attention to diet and exercise.

The neighborhood pediatrician (really nice)

They strongly recommended that I go to a university hospital from the very beginning and undergo a systematic examination.

The reason I went to Kang Seok-jin Well-Kium Pediatrics is

You were working at a university hospital until recently.

Because this was a place where there was a professor who was well respected here.

They say that numbers, data, and experience are important in situations like this.