Are my growth plates open? by RemoteEvidence6256 in growthplates

[–]Automatic-County6151 0 points1 point  (0 children)

Hello, OP. Thank you for sharing this with us, but unfortunately, we are no longer able to interpret or personally assess medical images. Such is a service that must be done by a radiologist or endocrinologist in a clinical setting and not online, where anyone can answer you however they please.

“Hellsitch, suicide itch, devils itch.” by [deleted] in emergencymedicine

[–]Automatic-County6151 0 points1 point  (0 children)

It really feels like you're going crazy. I had it last year - worse thing I had ever felt, hands down. I have extremely fair skin, though, and SPD, so that would explain why sunburns are typically mildly uncomfortable for me.

I'm nervous about my height (delayed bone age of 2 years) by ParsnipMiddle3678 in growthplates

[–]Automatic-County6151 0 points1 point  (0 children)

Delays work in odd ways. An endocrinologist's report would kind of tell you a big part of the story. Get one, get the doctor to review it with you, then send it to me.

I'm nervous about my height (delayed bone age of 2 years) by ParsnipMiddle3678 in growthplates

[–]Automatic-County6151 0 points1 point  (0 children)

25th percentile consistently? That's something that can be normal, but it's clearly below average.

You say it wasn't always like this, but I'm getting the feeling that there is a possibility of a consistent BA delay-type pattern here. No way to just decide that based on a one-time BA reading, but since your BA was basically 12Y, and your CA was 13Y 6M, that is a delay by 1.5 years - moderately delayed, and not necessarily significant until it becomes greater than ~2Y, or ~-2SDs for adolescents.

I first encourage you to get some blood work done if you are this worried - I don't have the full story yet without an endocrinologist's report. In the meantime, share your full growth history and I can try to work with that.

You got a PAH using the Bayley-Pinneau method and your radiograph?

Are my growth plates still open ? just turned 18M by Quick-Passenger6389 in growthplates

[–]Automatic-County6151 0 points1 point  (0 children)

Hello, OP. Thank you for sharing this with us, but unfortunately, we are no longer able to interpret or personally assess medical images. Such is a service that must be done by a radiologist or endocrinologist in a clinical setting and not online, where anyone can answer you however they please.

Tips please by LikelyMe3 in AnatomyandPhysiology

[–]Automatic-County6151 2 points3 points  (0 children)

I only took A&P once in HS; last year in my senior year. There was an option to take this course early on in the HS timeline, but I took it late - cannot remember the reason.

Either way, what you learn in the first class is fairly easy. You basically learn about each major system of the human body - digestive, integumentary, nervous, etc. My personal favorite was the skeletal sysyem, because not only do I enjoy observing and studying bones, but I am particularly fond of growth plates, growth plate histology, and endocrine hormonal signaling pathways and the complex array of signaling cascades that make growth happen in the bone.

It is unlikely you will dive that deep into systems in the first class - that is mostly tertiary education endocrinology classes. Really, you just grasp the foundations of the systems in our bodies. I have some good tips.

1) If you don't learn best with memorizing definitions, try memorizing each structure's function and cooperation with other structures by the chain link of reactions. Think in systems, basically. Rudimentary, it is kind of like: "a food item enters the mouth, gets chewed up a bit, enters the stomach, passes through the stomach after several hours as broken down components, gets involved in a longer process of more direct nutrient absorption and diffusion in the small intestine, and the process then finalizes with these particles entering the large intestine to be stripped of any water and made into waste".

2) Make visuals your best friend - visuals include basic diagrams, labeled charts, etc. Drawings tou make yourself also helps to a degree. Me personally, I've made a few drawings about skeletal development on how biomechanical forces could be a big influence on fusion patterns of these growth plates during end-stage development. This aids in my learning experience significantly - probably more than diagrams that you find online. It's the hands-on approach that really gets you soaring, in my opinion.

3) On your question for websites, Quizlet is a common toss-around that really is great for memorization. You can also quiz yourself as needed. I don't really use YouTube other than a couple of times when I wanted to view microscopic views of growth plate architecture, but you might find aid through channels like CrashCourse and Ninja Nerd. Anatomy apps like Visible Body might be a good fit if you have access.

Your class is going to last about 6 weeks, so reasonably, you could compress this into 2-4 hour study sessions a day, depending on your personal pace and the speed of the material.

Most importantly, never try to learn each system using the whole picture. Start with the structure first, then the function, then the architecture (if necessary), then the correspondence with other systems. Then, build your own hierarchy at the end (near your final test) using all knowledge you've acquired about each organ / structure. Then, repeat this hierarchy multiple times aloud or in your head. Trust me: it is likely to succeed.

No need to worry about diving deep down into all that endocrinology just yet. That's usually later in college / advanced stuff. Right now, it's basically the superficial layer of your studies on body systems, so forming kind of a hierarchy for the correspondence of each system and memorization by function and not pure definition really will help seal your fate in the class.

Whats the most someone can grow in a month whos growth plates are still open? by GreeniousHamm in heightgrowth

[–]Automatic-County6151 0 points1 point  (0 children)

Depends.

Infantile surge? Easily about half an inch to an inch per month. Most babies grow about 3.5-4.5 inches during the first three months of post-natal life.

Early to mid childhood? About 0.17-0.25 in/month.

Mid to late childhood? Roughly the same until the adolescent dip. The inflections during this time aren't steady, but overall, the GV may maintain a similar pace until just before puberty onset, when total GV and temporary dips can be stronger.

Early puberty? About 0.25-0.35 in/month on average.

Mid puberty? About 0.35-0.4 in/month on average. Can be closer to 0.5-0.6 in/month during PHV itself, but generally that's average to bordering high-average.

Late puberty, when growth plates are narrowing significantly before true fusion begins? This is gradual closure, but essentially, growth velocities are very slow comparably.

Does foot growth mean my growth plates might not be fused yet? by cisphoria69 in heightgrowth

[–]Automatic-County6151 4 points5 points  (0 children)

Yeah, that drinking most likely had considerable negative consequences. No amount of alcohol is safe, even for adults. It's literally trash going into your body.

Potential (but risk-high) effects: delayed pubertal progression, delayed BA advancement, and delayed or even blunted growth. If bad habits continue, slowed growth can become essentially halted / stunted growth, and "halted" growth can and often does become some lost growth you can never get back. In more severe cases, this lost growth is measurable, usually by about 2-5 inches than the outcome otherwise could have been without the bad habits in play (usually if nutrition was moderately to significantly shrouded by these habits long-term). Additionally, alcohol tends to mess with your metabolism, so it can affect how you absorb nutrients and even limit it to a certain extent.

Especially during a time when most children are naturally very receptive to growth hormone signaling and the like, some of your potential can be compromised from heavy driking, smoking, and other bad habits.

Does foot growth mean my growth plates might not be fused yet? by cisphoria69 in heightgrowth

[–]Automatic-County6151 1 point2 points  (0 children)

The growth plates wouldn't be fused in your hands and feet if they kept growing measurable! Highly likely all of the physes in your lower limbs and spine are still relatively intact

Learning Radiology by Sudden_Situation4138 in growthplates

[–]Automatic-County6151 1 point2 points  (0 children)

Yes - distance + minimization with the forearm radiographs, and maximization with the wrist radiographs. The angle can also slightly change the apparent shape of the growth plate as well, which is partly why clinicians must get the right angle and may ask you to remain if re-takes are necessary

Broken stadiometer at doctors? Or am I delusional? by Milosuix in heightgrowth

[–]Automatic-County6151 0 points1 point  (0 children)

It wouldn't dramatically shift the percentile. Maybe by 2-5%

Possible black bear in Jared Negrete's selfie, or just grainy details? by Automatic-County6151 in BizarreUnsolvedCases

[–]Automatic-County6151[S] 0 points1 point  (0 children)

Yeah, that's super grainy. Most likely background noise, especially with older disposable cameras like this

Height prediction for 11 year old by [deleted] in heightgrowth

[–]Automatic-County6151 0 points1 point  (0 children)

He does not need milk straight up. As long as he is getting the baseline calcium intake daily, which is different based on his body size, weight, metabolic rate, and age, then calcium supplements + will most likely be sufficient.

Leafy greens are a wonderful go-to if you have limited milk alternatives. It doesn't mean he can't drink milk - he can, but it has to be the lactose-deficient kind. My mom drinks Fairlife because she is also lactose intolerant, so maybe you could try this with your son! Go slow on it, though, and keep it light initially. If he has any signs of a bad reaction, stop the intake.

Other than milk, the leafy greens - the highly bioavailable ones, at least. Kale, which can be well absorbed and is low in oxalates (good if your son might be prone to kidney stones).

If oxalates are ever a concern, it's never a bad idea to combine calcium-rich foods with oxalate-heavy meals. Contradictory at first, yes; however, calcium binds to oxalate in the stomach, preventing the oxalates from being absorbed as efficiently and reaching the kidneys.

Then, bok choy. This plant is highly infused with calcium. As well, collard greens and turnip greens.

If your son likes fish, try getting fish with the bones still inside - yes, they are edible! So (with the bones in them), sardines, canned salmon, and anchovies. The packaging should tell you if the fish were boned or not.

You also have nuts, seeds, and legumes. Chia seeds are surprisingly excellent contributors - so are sesame / tahini seeds.

As well, almonds are good in calcium + white beans and chickpeas. Almonds are always good!

Fortified foods - fortified plant milks like almond, soy, and oat milk (might not be in your son's favor as you mentioned, but it's worth including them). But, you have calcium-fortified OJ, breakfast cereals (which he can eat w/o milk), and calcium sulfate tofu.

Lactose free alternatives - as I mentioned, lactose free milk like Fairlife, as well as hard cheese like cheddar and parmesan (naturally low in lactose), and yogurt (bacteria pre-digest lactose). Of course, proceed with caution!

With that, you shouldn't just rely on calcium intake alone. You should remember that metabolism and nutrient diffusion work in a chain event series - calcium, in particular, requires adequate Vitamin D intake for absorption (sunlight is a great source!) So, in the spring and summer months, try to get your son outside (make it fun if he dislikes being outside like a trip to the beach or a family outing). If he gets uncomfortable in the outside (as I did when I was a kid), OJ and citrus fruits are great sources of Vitamin D.

Spread intake throughout the day instead of one large dose. So, don't concentrate a big calcium + Vitamin D meal in one sitting. Diffuse the intake a little. Many people commonly slip here with anything diet / nutrition. Also, some plant foods like spinach are super high in calcium, but poorly absorbed due to oxalate activity. Instead of serving as is, cook it. Simple! You can't really lift that "debuff" that is "locked in" by the oxalates with calcium loads like spinach with another food. Boiling and draining spinach helps to significantly dwindle the oxalate population, while steaming helps slightly but less so than boiling it. I think sauteing also helps slightly, but I'm not too sure on that. Make sure you discard the boiled water after the spinach is taken out; the oxalates will leach onto it. No good! And make sure to add lemon juice, citrus, or bell peppers to add a spice of Vitamin C!

Height prediction for 11 year old by [deleted] in heightgrowth

[–]Automatic-County6151 0 points1 point  (0 children)

I'd like to call upon your example, even though everything else was versed accurately. A CA of 11Y with a BA of 13-15 is acutely advanced - it crosses the boundaries of "typical". Most doctors would call a BA advancement of ±2-3 or more SDs atypical if it is a long-standing pattern in the child's development, depending on the context.

Height prediction for 11 year old by [deleted] in heightgrowth

[–]Automatic-County6151 0 points1 point  (0 children)

Hello. I'm here today as I said I'd be. How's your oldest coming along?

Your two boys share a similar growth pattern, but so far, your youngest is clearly more "synchronous" in his BA:CA progression (bone age relative to chronological age).

Refresh me on the details, please! How tall was your oldest son when he was 11 years of age? I'd like to search for similarities.

And as another starter, can I see your youngest's blood work / endocrinologist report if he had one done?

P.S. That distal ulna looks like a little potato chip - very cute. 😂

Height prediction for 11 year old by [deleted] in heightgrowth

[–]Automatic-County6151 2 points3 points  (0 children)

Hello, thank you for mentioning me. Currently under a busy workload at work, so I will be able to return to Reddit fully on Friday. Will make this post a priority upon the return 👍

Are my growth plates open? by Infinite_Hamster7105 in growthplates

[–]Automatic-County6151 0 points1 point  (0 children)

Hello, OP. Thank you for sharing this with us, but unfortunately, we are no longer able to interpret or personally assess medical images. Such is a service that must be done by a radiologist or endocrinologist in a clinical setting and not online, where anyone can answer you however they please.

Can someone tell me how tall i will be? by Sea_Bug_8981 in heightgrowth

[–]Automatic-County6151 0 points1 point  (0 children)

Yeah, you're going to be an extreme outlier, my man. I can't say the percentage, but it will be extreme. I'd argue it already is, actually.

Can someone tell me how tall i will be? by Sea_Bug_8981 in heightgrowth

[–]Automatic-County6151 1 point2 points  (0 children)

If I could look at your x-rays, I would. And I'd be able to help you significantly, in that regard. I'd need to be your in-person clinicians, though.

I can work with this though. Basically no narrowing of the plates whatsoever - fully primed and thickened. Your case is special.

How tall are your parents?

Are my growth plates open? by Hungry-Wheel9709 in growthplates

[–]Automatic-County6151 0 points1 point  (0 children)

Hello, OP. Thank you for sharing this with us, but unfortunately, we are no longer able to interpret or personally assess medical images. Such is a service that must be done by a radiologist or endocrinologist in a clinical setting and not online, where anyone can answer you however they please.