Cash's 4 Month Well Check

Cashy had his well check on Thursday, April 2nd. He met all but one of his developmental milestones:

• Reaching well for objects - check!
• Following our movements and voice with his eyes - check!
• Moving arms and legs equally - check!
• Social smile and laughing - check!
• May be rolling over - nope, close but not yet. He does his mini push-up when on his belly, and rolls to his side when on his back, but he's not rolling yet.

I love our pediatrician sooo much! He's really funny and super set in his ways. He does things old school, and is not afraid to state his opinion. I have talked him more in the last month (about Holden) than I probably have in the last three years, we've developed a great rapport. He told me I could start Cash on cereal. I told him I am not opposed, we started Holden on cereal at 4 months, but asked why everything I had seen lately said to wait until 6 months before starting solids. He said, "Because they're wrong." and then gave me all of his reasoning. When I told him Cash has been drinking 36 ounces or more of formula a day (babies usually max out at 32 oz.), he said, "He's a little pig, as long as he's not uncomfortable I'm fine with it. The cereal will help."

Cash is sleeping well. He should be sleeping a consistent 9 hour sleep stretch, which he is. The night before our visit (4/1) he slept his longest sleep stretch ever. He slept from 7:30 p.m. to 6:00 a.m. - over 10 hours. By six months old he should be sleeping 10 and a half hours consistently.

Cash weighed 16 lbs. 9 oz. and was in the 80th %ile. He was 26 inches long and in the 85th %ile. His head circumference was 40.5 cm, 20th %ile. Quite different from his big brother at this age. Holden only weighed 14.5 lbs and was 25.5 inches tall. I guess that explains why Cash has grown out of most of Holden's baby clothes.

He received 5 immunizations: DaPT, HIB, Prevnar, Polio, and Rotateq (oral). He really did not like them, but luckily they were over quickly.

From now until our 6 month visit we'll be looking for Cash to meet the following developmental milestones:

• Reaching well for objects
• Rolling over
• May start to sit with some support
• He will think it's funny when we play peek-a-boo
• Will start to look for objects out of sight (object permanence)

Sleeping soundly after his doctor visit.