I have a nephew... lots of birth issues due to irresponsible mother... He has a shunt in head, he's dealt with brain draining and other issues since birth, wasn't supposed to make it, etc. He's thrived in a new home, he's healthy and a regular 13 year old kid now, doing great in school and all that.
The problem is, he hasn't grown in several years. Something to do with the shunt in his head (still there). They've had him on growth hormone for 6 or 8 months now, and he's grown taller as a result. They're hoping he'll start puberty soon (turning 14 shortly) but it isn't happening yet. He takes 2 shots a day, alternating abdomen, glutes and thighs. But he's a nearly 14 year old with completely kid-like features. Worrisome.
Does anyone have any knowledge on how they treat a kid that just plain doesn't start puberty? He has a brain growth as well - it's just a benign growth and they're watching it. Sitting near the hypothalamus and possibly hurting pituitary function. I know the docs will have a plan down the road... right now, they're just *hoping* something kicks in, and hoping it doesnt grow. Do they put a kid on test for life? Other drugs to kickstart the process? Does puberty just never happen for some individuals? Baffling and new.
Just wondering if any getbiggers have any input on the subject? I'll be pretty involved with medical care for him in the coming years.