02 FEEDING
Write volume, tube, night call
Most start with NG. NG or G.
NICU
Before discharge, confirm that a methylation test was ordered.
This is phase 1a: low tone, weak suck. Hyperphagia is not the problem yet. You need a test that can actually detect this syndrome, written feeding volumes, and an endocrinology appointment so growth hormone is not delayed for months. Infant oxytocin has been studied in Europe. It is not US standard care. Do not buy a spray.
PANEL ONE
Methylation detects about 99 percent. FISH is a different test.
Ask whether DNA methylation analysis has been sent. FISH or microarray can miss imprinting defects.
03 ENDOCRINE
Order sleep study before GH
Oximetry is not polysomnography. Sleep study.
