Chatting with the folks from Star Wars

 

*^****************************************************************************

 

*+**** Luke Skywalker entered ANPH0002007FA_Room3. Time:Thu Dec 6 19:56:00 2007

 

*+**** Instructor-- entered ANPH0002007FA_Room3. Time:Thu Dec 6 19:58:52 2007

 

Luke Skywalker >>hi..

 

Luke Skywalker >>I guess...we need to wait for other students..

 

Instructor >>Hi...not necessarily...do you have any questions or topics you want to focus on...

 

*+**** Obe-Wan Kenobe-- entered ANPH0002007FA_Room3. Time:Thu Dec 6 20:00:18 2007

 

Luke Skywalker >>ok..At approximately what age do individuals reach peak bone mass?

 

Luke Skywalker >>is that 20's?

 

Luke Skywalker >>or..say early adulthood?

 

Obe-Wan Kenobe >>Hello; forgot how to find the chat at first

 

Obe-Wan Kenobe >>30ish isn't it?

 

Instructor >>yes...somewhere between the late teens and early 30's depending on the person.

 

Instructor >>Glad you found us Obe-Wan...

 

Luke Skywalker >>vitamin D is classified as hormone because it is a regulator, and produce one body take action in different place?

 

Instructor >>yes.....that is right...it is produced in one place and it has an action in a different place

 

Luke Skywalker >>what are some diet cancer links?

 

Instructor >>oh my...where do I start :-)

 

Instructor >>well.....colon cancer is linked to high meat intake, low calcium and folate intake

 

Instructor >>pancreatic cancer is linked to low vitamin D levels....as is ovarian and breast

 

Luke Skywalker >>high fat is risk of cancer colon rectal prostate.

 

Luke Skywalker >>reduce cancer by physical activity, fruit, and vegetable.

 

Instructor >>prostate cancer risk is reduced by eating lycopene and lycopene rich foods like tomatoes and watermelon

 

Luke Skywalker >>increase cancer will e high obesity , alcohol consumption, salted fish, hot dogs.

 

Instructor >>alcohol increases breast cancer, esophageal cancer, etc

 

Luke Skywalker >>do we need to know all specific?

 

Instructor >>good...between the two of us ...we have identified plenty

 

Instructor >>no....

 

*+**** Lando Calrissian-- entered ANPH0002007FA_Room3. Time:Thu Dec 6 20:05:20 2007

 

*+**** Chewbacca-- entered ANPH0002007FA_Room3. Time:Thu Dec 6 20:05:25 2007

 

Instructor >>okay....shall I throw out questions and you can answer....and you can throw out questions as you desire as well.

 

Lando Calrissian >>hi, sorry I'm late

 

Instructor >>Hi Chewbacca and Lando Calrissian...its Amy Allen-Chabot here as instructor

 

Chewbacca >>Hello everyone

 

Instructor >>okay.......what is a cofactor

 

Chewbacca >>coenzyme?

 

Lando Calrissian >>aids absorption of another nutrient?

 

Instructor >>oh...okay....well....what is a coenzyme

 

Lando Calrissian >>substance that activates an enzyme

 

Chewbacca >>are those terms interchangeable

 

Luke Skywalker >>substances that activate enzymes

 

Instructor >>yes...it is a substance that activates and enzyme and it contains a vitamin. A cofactor is a compound that has similar function but contains a mineral....sorry about that

 

Chewbacca >>no worries

 

Instructor >>what type of reactions do B vitamins participate in as part of coenzymes?

 

Lando Calrissian >>aid in use of macronutrients

 

Lando Calrissian >>getting energy from them

 

Instructor >>right...extracting energy from macronutrients ...or "metabolism"

 

Instructor >>what is a phytochemical?

 

Chewbacca >>antioxidant

 

Luke Skywalker >>antioxidant?

 

Lando Calrissian >>an antioxidant

 

Instructor >>possibly....but not necessarily

 

Obe-Wan Kenobe >>Helpful chemical in food, but not a vitamin or mineral. Necessary for optimal health?

 

Chewbacca >>in plants that have protective effects, not essential

 

Instructor >>many photochemical are antioxidants .....but phytochemical just means "compound in plants that has beneficial properties related to health....right Obe-Wan Kenobe

 

Instructor >>How does osteomalacia differ from osteoporosis......compare and contrast these two disorders....

 

Lando Calrissian >>osteomalacia-calcium pulled out, soft bones

 

Chewbacca >>Osteomalacia - soft bones, bones will bend Osteoporosis, bones will break

 

Obe-Wan Kenobe >>Osteomalacia is related to poor calcium deposits but the protein matrix is fine

 

Luke Skywalker >>osteomalcia= vitamin D deficient, bent leg, loss of bone minerals but not structure

 

Obe-Wan Kenobe >>In Osteoporosis both the calcium deposits and protein matrix are compromised

 

Lando Calrissian >>osteoporosis- brittle bones, also loses calcium and proteins

 

Luke Skywalker >>osteoporosis= many causes, broken leg, loss mineral, protein structure

 

Instructor >>good......

 

Instructor >>what about populations which gets these disorders....is it similar

 

Luke Skywalker >>older

 

Chewbacca >>Osteomalacia in children, Osteoporosis in the elderly

 

Lando Calrissian >>rickets in children

 

Instructor >>rickets in children and osteomalacia in adults

 

Luke Skywalker >>i thought osteomalacia in adults.

 

Obe-Wan Kenobe >>Osteomalacia is seen in children and osteoporosis commonly affects the elderly, especially women

 

Lando Calrissian >>osteomalacia is adults

 

Chewbacca >>sorry, rickets in children

 

Luke Skywalker >>rickets are in children

 

Obe-Wan Kenobe >>Oops

 

Instructor >>so...both in adults...and usually older adults and often women

 

Instructor >>which is more common?

 

Chewbacca >>osteoporosis

 

Lando Calrissian >>osteoporosis

 

Luke Skywalker >>osteoporosis

 

Obe-Wan Kenobe >>Osteoporosis

 

*+**** R2D2-- entered ANPH0002007FA_Room3. Time:Thu Dec 6 20:13:24 2007

 

Instructor >>right....which is multifactorial (many factors influence risk) and which has one identifiable cause.

 

Lando Calrissian >>osteoporosis

 

Chewbacca >>same

 

Luke Skywalker >>osteoporosis

 

Lando Calrissian >>many factors is osteoporosis

 

Chewbacca >>I meant Osteoporosis

 

Lando Calrissian >>Lack of Vit D in other

 

Instructor >>right...so osteoporosis is multifactorial and osteomalacia is lack of vitamin D

 

Obe-Wan Kenobe >>Osteoporosis has many factors involved, osteomalacia is directly linked to a nutrient deficiency

 

Instructor >>who might be at most risk of osteomalacia....based on the recognition that it is a vitamin D deficiency

 

Lando Calrissian >>people w/ dark skin

 

R2D2 >>those with darker skin

 

Obe-Wan Kenobe >>Places with little sun

 

Lando Calrissian >>or live in severe northern climates?

 

Chewbacca >>poor absorption, little exposure to sunlight,

 

Lando Calrissian >>no exposure to sun

 

Instructor >>good...so darker pigmented skin, folks who live in very northern areas, folks who never get outdoors or wear tons of sunscreen

 

Lando Calrissian >>children w/ overprotective mom's

 

Instructor >>where might we find the protein calbindin??

 

Luke Skywalker >>intestinal track cell?

 

Instructor >>:-)....yea...we really lather up those kids with sunscreen...

 

Instructor >>good...intestinal tract cell...what is its role?

 

Luke Skywalker >>pick up calcium ?

 

Chewbacca >>to shuttle calcium across to the blood

 

Luke Skywalker >>and go in to blood stream?

 

Instructor >>good.....

 

Instructor >>what is vitamin K'

 

Instructor >>vitamin K's role in blood health

 

Chewbacca >>bloodclotting

 

Obe-Wan Kenobe >>Helps clotting

 

Instructor >>good....what other nutrient is involved??

 

R2D2 >>blood

 

Luke Skywalker >>helps clotting

 

Luke Skywalker >>calcium

 

Lando Calrissian >>blood clotting

 

Lando Calrissian >>calcium

 

Chewbacca >>calcium

 

Instructor >>good...so calcium and vitamin K in blood clotting.

 

*-**** Obe-Wan Kenobe-- left ANPH0002007FA_Room3. Time:Thu Dec 6 20:18:14 2007

 

Instructor >>what are the red blood cells like in microcytic anemia?

 

Lando Calrissian >>small

 

Chewbacca >>pale and small

 

Instructor >>good.....what is folate's role in blood health

 

Luke Skywalker >>need for DNA replication

 

R2D2 >>energy metabolism

 

Lando Calrissian >>dividing cells

 

Luke Skywalker >>cell can't divide without folate..

 

Instructor >>right....what is its role in DNA synthesis and thus cell division

 

*+**** Obe-Wan Kenobe-- entered ANPH0002007FA_Room3. Time:Thu Dec 6 20:20:09 2007

 

*+**** Yoda-- entered ANPH0002007FA_Room3. Time:Thu Dec 6 20:20:30 2007

 

Luke Skywalker >>donate carbon?

 

Instructor >>right...very good...it is a single carbon donor.....it donates a carbon to the production process for DNA so that a copy of the DNA can be made and the cell can divide

 

Instructor >>since red blood cells are rapidly dividing cells...a lack of folate (or B-12) quickly leads to fewer red blood cells

 

Instructor >>what is this condition called??

 

Chewbacca >>anemia

 

Luke Skywalker >>macrocytic anemia

 

Instructor >>be specific....

 

Instructor >>good

 

Lando Calrissian >>megaloblastic anemia

 

R2D2 >>megaloblastic anemia

 

Instructor >>yes...macrocytic anemia is another name for megaloblastic anemia

 

Instructor >>what is a free radical

 

Lando Calrissian >>Hi L

 

Luke Skywalker >>atom or molecule

 

Lando Calrissian >>unpaired electron

 

Obe-Wan Kenobe >>Usually oxygen

 

Luke Skywalker >>steal electrons from other compounds

 

R2D2 >>a compound that is unpaired

 

Chewbacca >>atom or molecule missing electrons

 

Luke Skywalker >>unstable.

 

Lando Calrissian >>atom or molecule w/ unpaired electron

 

Obe-Wan Kenobe >>Missing one of the paired electrons in the valence

 

Instructor >>good....a compound or element missing an electron...causing it to be very unstable and steal electrons from neighboring compounds

 

Instructor >>what two processes inside the body cause significant free radical formation

 

Luke Skywalker >>metabolism, immune

 

Lando Calrissian >>metabolism and immune system

 

Chewbacca >>metabolism and immune system

 

Instructor >>good........can't do without either one of those wo what should we do to protect ourselves

 

Obe-Wan Kenobe >>Metabolism from breaking down macronutrients, and immune system from destroying viruses

 

Chewbacca >>consume antioxidants

 

Lando Calrissian >>consume anti oxidants

 

Yoda >>Hi sorry I am late.

 

Obe-Wan Kenobe >>Eat plenty of fruit and veggies, as usual

 

R2D2 >>consume vitamin c and D

 

Instructor >>right.......eat lots of antioxidant rich foods......

 

Obe-Wan Kenobe >>Pills won't help because there's a lot more in the food than in the pill

 

Instructor >>right...supplements have been very disappointing in this regard....they almost uniformly show no effect...you need to eat the actual foods

 

Instructor >>what constitutes high blood pressure?

 

Yoda >>bp of 140/90

 

Chewbacca >>>140/90

 

R2D2 >>140/90

 

Luke Skywalker >>140/90 or higher

 

Lando Calrissian >>systolic >140, diastolic >90

 

Instructor >>yep.......what is the problem with high blood pressure...so what if its high??

 

Obe-Wan Kenobe >>Pre hypertension is 130/90 and up until 140/90 which is hypertension

 

Obe-Wan Kenobe >>Increased risk of stroke

 

Obe-Wan Kenobe >>risk*

 

Lando Calrissian >>damage blood vessels

 

Chewbacca >>It causes the heart to work so much harder and puts more pressure on the whole system

 

Luke Skywalker >>cardiovascular disease

 

R2D2 >>or heart attack

 

Yoda >>twice a likey to suffer heart attack or stroke

 

Instructor >>exactly.....significant increase in stroke...ongoing damage to blood vessels

 

Luke Skywalker >>heart attack, stroke

 

Instructor >>also possible damage to kidneys

 

Instructor >>what three minerals are important in lowering risk of hypertension

 

Lando Calrissian >>Ca, K, Magnesium

 

Chewbacca >>potassium, magnesium, calcium

 

R2D2 >>pot, mag, calcium

 

Obe-Wan Kenobe >>Calcium, magnesium, Potassium

 

Luke Skywalker >>potassium, magnesium, calcium

 

Instructor >>good....what is the role of an osteoclast?

 

Yoda >>k mg, and Ca

 

Lando Calrissian >>tear done bone

 

Luke Skywalker >>cells that break down bone

 

Chewbacca >>to break down bone

 

Obe-Wan Kenobe >>To take calcium from bone and put it in the blood stream

 

Yoda >>to break down bone

 

Instructor >>good...what is hydroxyapatite made of?

 

Lando Calrissian >>puts Ca back in blood

 

R2D2 >>phos and calcium

 

Luke Skywalker >>calcium, phosphorus

 

Yoda >>crystals of Ph and Ca

 

Instructor >>good...okay ...lets switch to pregnancy and lactation

 

Instructor >>what is the definition for an embryo?

 

Lando Calrissian >>< 8wks

 

Luke Skywalker >>3-8weeks

 

Chewbacca >>week 3 to 8

 

Obe-Wan Kenobe >>Older than 2 weeks but less than 8 wks

 

R2D2 >>3-8 week

 

Yoda >>week 3 to 8

 

Instructor >>right...what is the developing life called from conception to 2 weeks

 

Obe-Wan Kenobe >>Zygote

 

Lando Calrissian >>zygote

 

Chewbacca >>zygote

 

R2D2 >>zygote

 

Luke Skywalker >>zygote

 

Instructor >>what is meant by "critical period" in a pregnancy?

 

Obe-Wan Kenobe >>Stages of most rapid development, like the first trimester

 

Lando Calrissian >>first 12 weeks where trauma will be impossible to recover from

 

Obe-Wan Kenobe >>Because cells are rapidly splitting

 

Luke Skywalker >>~12 weeks of pregnancy, it insult at this time can not be overcome

 

R2D2 >>the first few weeks when conditions could cause defects

 

Obe-Wan Kenobe >>By the end of the first trimester, the baby has most major organs established

 

Chewbacca >>first trimester

 

Instructor >>good...so critical period is a period where an insult to the pregnancy could cause permanent harm

 

Instructor >>and the first trimester is a particularly critical period

 

Instructor >>which increases more in pregnancy.....kcalories or iron needs

 

Lando Calrissian >>iron

 

R2D2 >>iron needs

 

Obe-Wan Kenobe >>Iron

 

Chewbacca >>iron

 

Luke Skywalker >>iron

 

Yoda >>iron needs

 

Instructor >>good! Why is folate so important early in a pregnancy

 

Lando Calrissian >>because of need for cell division

 

Chewbacca >>prevents birth defects

 

Luke Skywalker >>necessary for cell division

 

Obe-Wan Kenobe >>Folate decreases incidence of neural tube defects

 

Instructor >>good

 

Lando Calrissian >>otherwise may have neural tube defects

 

R2D2 >>helps to prevent neural tube defects

 

Instructor >>what are the two more common neural tube defects?

 

Obe-Wan Kenobe >>spina bifida

 

R2D2 >>spina bifida

 

Obe-Wan Kenobe >>Cephalo...

 

Lando Calrissian >>spina bifida and anencephaly

 

Obe-Wan Kenobe >>Oops

 

Yoda >>spina bifida and

 

R2D2 >>also anencephaly

 

Obe-Wan Kenobe >>Can you please break down the latin in that word?

 

Instructor >>good....how are these two defects different

 

Chewbacca >>spina bifida and anencepahly, I always get stuck on that one

 

Obe-Wan Kenobe >>I know cepha relates to head

 

Obe-Wan Kenobe >>Anencephaly, only the brain stem forms.

 

R2D2 >>anencephaly is where part of the brain is missing

 

Lando Calrissian >>spina bifida in lower spin

 

Obe-Wan Kenobe >>Infant mortality rate is 100%

 

Luke Skywalker >>spina bifida= spinal vertebrae filed to close completely

 

Lando Calrissian >>anencephaly - missing part of brain

 

Instructor >>good....infant mortality rate is 100% for anencephaly

 

Instructor >>good

 

Obe-Wan Kenobe >>Spina bifida affects the spinal column and the spinal cord

 

Obe-Wan Kenobe >>Paralysis is common

 

Instructor >>what three symptoms tell us that a mom is experiencing pre-eclampsia

 

R2D2 >>high blood pressure

 

Obe-Wan Kenobe >>Edema

 

Lando Calrissian >>High BP, protein in urine, swelling

 

Obe-Wan Kenobe >>Vomiting diarrhea and fever

 

Chewbacca >>fluid retension, high bp

 

Yoda >>high bp edema and protein in urine

 

Obe-Wan Kenobe >>Protein in pee

 

Luke Skywalker >>high bP , protien in urine, edema

 

Instructor >>good...edema (whole body), protein in urine and high blood pressure...those are the telltale signs

 

Instructor >>when might a woman get this in a pregnancy?

 

Lando Calrissian >>last trimester

 

Yoda >>3rd trimester

 

Luke Skywalker >>in the third trimester of a woman's first pregnancy

 

R2D2 >>near the end of pregnancy

 

Chewbacca >>third trimester

 

Obe-Wan Kenobe >>First pregnancy and if it runs in either man or woman’s family

 

Instructor >>right....

 

Lando Calrissian >>cant it be any pregnancy?

 

Instructor >>it could be...its just more common in the frist pregnancy

 

Lando Calrissian >>ok, ty

 

R2D2 >>

 

Instructor >>what is the protein RDA for pregnant and lactating women

 

Obe-Wan Kenobe >>1.1/kg

 

Chewbacca >>1.1g/kw

 

Lando Calrissian >>1.1/kg

 

R2D2 >>1.1 for pregnant and 1.3 for lactating

 

Lando Calrissian >>1.1g

 

Luke Skywalker >>1.1g/kgbody weight

 

Instructor >>quite right......

 

Yoda >>1.1 g p kg

 

Instructor >>what role does oxytocin play in breastfeeding?

 

Chewbacca >>it releases the milk

 

R2D2 >>it releases the milk from the breast

 

Yoda >>release of milk

 

Lando Calrissian >>signals release of milk

 

Obe-Wan Kenobe >>Releases milk

 

Instructor >>good...also triggers the woman's uterus to contract which helps get her back to her pre-pregnancy state

 

Instructor >>where does prolactin come from?

 

Chewbacca >>pituitary gland

 

Lando Calrissian >>pituitary

 

Luke Skywalker >>pituitary

 

Instructor >>quite right.....

 

Instructor >>why do women with gestational diabetes end up having larger babies?

 

Yoda >>hypothalamus signals pit to

 

Lando Calrissian >>uptake of glucose

 

Luke Skywalker >>develop high blood sugar when pregnant...

 

Obe-Wan Kenobe >>Babies absorb sugar and grow quickly

 

Instructor >>right...the mom can't move the glucose into her cells so it stays high in the blood

 

Instructor >>then the glucose travels to the fetus who has no difficulty moving glucose into the blood

 

Instructor >>I mean the cell

 

Instructor >>long day......

 

Lando Calrissian >>me too

 

R2D2 >>yes...

 

Luke Skywalker >>yeh.

 

Instructor >>so the fetus gets all that extra glucose and moves it into the cells which promotes growth and fat deposits

 

Instructor >>why do we avoid honey in the first year of life

 

Lando Calrissian >>botulism

 

Lando Calrissian >>infantile

 

Chewbacca >>possible botulism

 

Instructor >>right....

 

Instructor >>what supplement will babies get right at birth?

 

Obe-Wan Kenobe >>K

 

Chewbacca >>vitamin k

 

Yoda >>itis a deadly bacteria

 

Luke Skywalker >>vitamin K

 

Obe-Wan Kenobe >>Because they have no friendly bacteria yet in the lower intestine

 

Yoda >>

 

R2D2 >>

 

Lando Calrissian >>vit k

 

Instructor >>and what other supplement is recommended for breast fed infants

 

Yoda >>vit k

 

Chewbacca >>vitamin D?

 

R2D2 >>vitamin d

 

Obe-Wan Kenobe >>D

 

Instructor >>quite right

 

Lando Calrissian >>vit d, flouride, b12 in vegetarian moms

 

Yoda >>vit d

 

Luke Skywalker >>vitamin D, vitamin b12

 

Yoda >>fluoride

 

Yoda >>b 12

 

Luke Skywalker >>fluoride,

 

Instructor >>when might b-12 be important

 

Lando Calrissian >>if mom is a vegetarian

 

R2D2 >>when a mother is a veg

 

Luke Skywalker >>mother is vegetarian

 

Chewbacca >>when a vegetarian

 

Instructor >>right...and what about flouride

 

Luke Skywalker >>if water is not fluoridated

 

Lando Calrissian >>not in breast milk, needed for teeth

 

Yoda >>if water is not fluorinated

 

Chewbacca >>when they consume water from a well and the ppm is lower

 

Instructor >>right.....if water is not flouridated

 

Obe-Wan Kenobe >>What are other sources of fluoride?

 

Lando Calrissian >>I am on a well :)

 

Yoda >>PILLS

 

Instructor >>what are some steps you can take to avoid listeriosis when pregnant

 

Yoda >>FLUORINATED WATER

 

Chewbacca >>check your ppm of fluoride in the water

 

Instructor >>toothpaste is another source. Some bottled water has flouride

 

Chewbacca >>do not eat hotdogs, or cold cuts

 

Luke Skywalker >>wash salads.

 

Lando Calrissian >>wash veggies well

 

Yoda >>wash salads

 

R2D2 >>not eat deli meats

 

Luke Skywalker >>heal all meats

 

Yoda >>heat deli meats

 

R2D2 >>heat all deli meats and wash salad greens

 

Yoda >>avoid unpast cheese

 

Lando Calrissian >>no unpasteurized dairy

 

Instructor >>good....what fish should you avoid during pregnancy and why??

 

Lando Calrissian >>predators because of concentrated mercury

 

Chewbacca >>shark, tuna higher mercury

 

Obe-Wan Kenobe >>Big predators

 

Luke Skywalker >>tuna..

 

Obe-Wan Kenobe >>Shark, swordfish, king mackeral

 

R2D2 >>large predators because they contain mercury

 

Lando Calrissian >>tuna no more than one can / week

 

Luke Skywalker >>because of mercury...which lead to severe nervous system damage

 

Instructor >>tuna is okay in moderate amounts...at least according to the FDA and a current study supports this

 

Instructor >>good....tile fish too......

 

Lando Calrissian >>what is tile fish?

 

Instructor >>when should you introduce solid foods

 

R2D2 >>thank you Lando Calrissian, I haven't heard of them

 

Instructor >>(semi-solid foods)

 

Yoda >>4 to6 months

 

Lando Calrissian >>at age 4-6 months

 

R2D2 >>by 5 months

 

Luke Skywalker >>first year

 

Instructor >>(I don't know ....I've never had tile fish...but they are big predator fish...at least that is what I have read)

 

Chewbacca >>4-6 months'

 

Instructor >>good...so 4 to 6 months.....what food should you start with

 

R2D2 >>cereal

 

Lando Calrissian >>rice cereal

 

Obe-Wan Kenobe >>http://en.wikipedia.org/wiki/Tilefish

 

Chewbacca >>cereal mixed in the milk

 

Lando Calrissian >>ty Obe-Wan Kenobe

 

Yoda >>hihg in iron and vit c

 

Instructor >>thanks Dez,,,,,,

 

Instructor >>good..iron fortified cereal

 

Instructor >>why does the pregnant woman need so much iron??

 

Chewbacca >>blood volume increases

 

Lando Calrissian >>her blood volume increases

 

R2D2 >>for herself and the baby

 

Obe-Wan Kenobe >>Producing blood for baby as well, and her own blood needs increase

 

Lando Calrissian >>baby needs for his/her blood

 

Instructor >>one more reason

 

Yoda >>fetus needs to store iron

 

Lando Calrissian >>baby needs 3-6 month store for birth

 

R2D2 >>yes, because it won't get any when being breast feed

 

Instructor >>good...so mom's blood, fetuses blood and stored iron for baby for first 4-6 months of life

 

Instructor >>there is some iron in breastmilk but not much...the good thing is that it is very absorbable compared to formula so it is better tolerated by the infant

 

Instructor >>what sort of trend on a growth chart might cause alarm??

 

R2D2 >>not enough weight for age and height?

 

Lando Calrissian >>height and weight don’t match

 

Chewbacca >>if the baby falls below the 50th percentile?

 

Lando Calrissian >>increasing height w/o increasing weight

 

Instructor >>okay...so usually its when there is a major change.....for example, a child is charting at the 70th percentile for the first year then falls to the 50th percentile and then to the 25th percentile.

 

Lando Calrissian >>failure to thrive

 

Instructor >>or perhaps the child is charting at the 50th percentile for weight for age and then jumpts to the 75th and then to the 90th.

 

Instructor >>what is likely happening here

 

Lando Calrissian >>over feeding in second case?

 

Chewbacca >>over feeding with to many calories

 

Yoda >>growing rapidly due to over nutrition

 

Instructor >>possibly.....especially if weight is increasing much faster than height...right?

 

Instructor >>they estimated my babies head circumference in utero every three days for the last trimester because it was so much over the 100th percentile....but it turned out to be okay...he just has his Daddy's big head

 

Instructor >>still does....can't find a hat that fits him

 

Chewbacca >>My son was the same...

 

Lando Calrissian >>mine too, 2nd baby was 10lbs, 6oz

 

Instructor >>OUCH

 

Lando Calrissian >>24"

 

Chewbacca >>you poor woman

 

Instructor >>gees

 

Instructor >>okay ladies.....any other questions for me this evening?

 

Lando Calrissian >>due valentines by ultrasound, induced march 10th

 

Instructor >>ah.....that explains a bit of it

 

Lando Calrissian >>no, thank you for the chat

 

Chewbacca >>no, good to go

 

R2D2 >>Thank you Dr. Amy

 

Instructor >>sure....you bet.

 

Luke Skywalker >>thanks...

 

Chewbacca >>Thanks and good night'

 

Obe-Wan Kenobe >>Thanks, goodnight

 

Lando Calrissian >>I know, I didn't have gestational diabetes or anything

 

*-**** Obe-Wan Kenobe-- left ANPH0002007FA_Room3. Time:Thu Dec 6 20:59:14 2007

 

Luke Skywalker >>so when will we have another chat?

 

Instructor >>go figure....they don't let people go much past their due dates anymore

 

Luke Skywalker >>on sunday?

 

Luke Skywalker >>8 o'clock?

 

Instructor >>sunday night is our last chat

 

Instructor >>yep

 

R2D2 >>Thank you for all your help

 

Lando Calrissian >>when will test be open?

 

Instructor >>depends on your teacher....mine opens tommorrow

 

*-**** Chewbacca-- left ANPH0002007FA_Room3. Time:Thu Dec 6 21:00:24 2007

 

Lando Calrissian >>ok, I think mine too

 

Lando Calrissian >>have a good night

 

Instructor >>most likely

 

Instructor >>have a good one.....

 

*-**** Lando Calrissian-- left ANPH0002007FA_Room3. Time:Thu Dec 6 21:00:51 2007

 

Luke Skywalker >>ok...... thanks for helping..and good night.

 

*-**** Instructor-- left ANPH0002007FA_Room3. Time:Thu Dec 6 21:01:06 2007

 

*-**** R2D2-- left ANPH0002007FA_Room3. Time:Thu Dec 6 21:01:09 2007

 

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*-**** Yoda-- left ANPH0002007FA_Room3. Time:Thu Dec 6 21:02:46 2007

 

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Session in ANPH0002007FA_Room3 ended (all participants have left).

Time: Thu Dec 6 21:02:46 2007

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