Wednesday, January 22, 2014

Nora's Hemangioma


It's been about six months since we started using Timolol drops on Nora's hemangioma (the red spot on her forehead that is basically a cluster of small blood vessels), a treatment option given to us by her dermatologist. Though hemangiomas will involute (go away) on their own, the process can be slow, and we were looking for a non-invasive way to speed up the process. The use of Timolol to treat hemangiomas is a new method that has few studies to offer much in the way of expected outcomes. Timolol is traditionally a beta blocker eye drop used to treat glaucoma; however, it has recently been shown to dramatically speed up the involution of hemangiomas.

When given our options for Nora's treatment, we chose Timolol because it has virtually no side effects (unlike the by-mouth prescription) and it would not be painful for her (like the laser or surgical removal treatments). Since her hemangioma is only cosmetic, we decided on this course of action. We've been very happy with the rate at which it has shrunk the size of the hemangioma and drained the color.


Most hemangiomas begin the involution process on their own when the child is around six months old. For this reason, Nora's pediatrician is skeptical of the effectiveness of the Timolol versus her body's natural reaction to the spot, but we believe the drops have helped immensely (and so does the dermatologist). Many people we've talked to who are familiar with hemangiomas say that it is normal for them to be virtually gone by about age 3-5. At the rate Nora's is disappearing, I'm confident hers will be unnoticeable long before then.

While I was self-conscious of Nora's hemangioma when she was first born, I rarely notice it anymore. We didn't choose to treat it because we were embarrassed by it; we have always believed she is a beautiful baby and we just want the rest of the world to be able to look past that spot and see how pretty she is, too. It's funny now when we're out places and people ask what happened to her head. I like to see them squirm when I tell them she was born with the spot - it's akin to asking someone who isn't pregnant when she's due :)

I'm not getting paid by Timolol to write this blog post, but I do hope that other parents stumble upon it who are looking for hemangioma treatments for their little ones. Clearly, I believe in the stuff!

Monday, January 13, 2014

9 months


Happy 9 months to our sweet baby girl! She has done lots of developing over the last month and is becoming so much fun! She can sit up very well and is beginning to crawl. She can get just about anywhere she wants to go by army crawling/dragging herself around, but she hasn't quite figured out about using her knees yet. Every time I get her up from a nap she's on her knees just rocking away, but as soon as she decides to go somewhere she lays back on her belly again and pulls herself forward with her arms. It won't be long before we're chasing her all over the place!

At her 9-month checkup, Nora weighed in at 14.9 ounces and 26.5 inches long. She's still tiny (the adjusted growth chart for if she had been born full-term puts her in the 8th percentile for weight and 50th percentile for length) but very healthy and strong. She's just a long and skinny girl!

Lately, she's been enjoying playing more independently on the floor and jumping in her door jumper, which she is finally tall enough to use! 




On her 9-month birthday, we left town for Nora's first ski trip to see her Papa (Levi's dad). The baby snowsuit we got her is incredibly cute. Here are a couple of pictures from her first hike:



False alarm on the teeth I mentioned she was getting last month. There were a couple of white spots on her gums for a couple of weeks, but they never materialized into teeth and are now gone. The pediatrician confirmed that there are no teeth in sight. He said he wouldn't be surprised if she were 14 months old before she got any teeth since she was so early. That's fine with me - let's put off the fussiness and drool as long as possible!

Nora continues to surprise us with how good of a sleeper she is. Most nights she sleeps 13-14 hours and often we have to check to make sure she is still breathing! We're trying to enjoy this because we're convinced we won't have the same luck with future kids.

Nora has such a sweet spirit and is developing a cute personality. I can't wait to see what kind of little person she becomes!