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re: re: Bone Age Advanced then Normal Mar. 17th, 2008 5:57pm
Using simple arithmetic, it would not be possible for your daughter to catch up 2 1/2 years in only one year. If her bone age was 12 1/2 when she was 10, and stayed the same she would be only 1 1/2 years advanced now, which would be good progress but it would be impossible for any more improvement than that. What has probably happened is that different doctors read the 2 bone ages. It is really important that the same person, preferably the pediatric endo reads both x-rays. Sometimes the doctors don't bother and they just take what the radiologist says. Different radiologists can come up with different estimates - it's more of an art than a science. And they're not as accurate as a pediatric endo. Ask your doctor to take both x-rays and compare them. Maybe he or she didn't read it last time and that one was wrong. It would be unfortunate if your daughter has been taking a drug based on an inaccurate x-ray although it's a pretty harmless drug.
I went through this whole scenario. Every doctor will come up with a different estimate. The important thing is to know if progress is being made so you know if the treatment is working. I wouldn't stop the Lupron. If it's working keep doing it.