4 month checkup

• stats:
  16 lbs, 1 oz (95%)
  25 inches long (75%)
  41.5 cm head circumference (65%)
  
• cradle cap:
  should be washing her hair daily.  apply shampoo at beginning of bath, use fine tooth brush with shampoo still in hair, then rinse.  did this last night and it's already looking much better!
  
• bald spot:
  totally normal.
  
• skin care:
  she has some bumpy stomach skin and dry patches on her legs/knees.  dr said it is "winter skin" and i should use a cool mist humidifer (already doing this) and use more lotion.
  
• teething:
  she's still teething.  can use teether rings (cold, vibrating, etc.).  tooth could pop through next week or in two months.  tylenol as needed for sleep issues.
  
• labial adhesion:
  this was the only hiccup in the physical.  dr found this issue and decided to treat right then.  after i got home, i found out that, generally, the course of treatment doesn't initally involve puncturing the labia as he did.  this caused me great concern because of the pain amelia endured.  however, what's done is done and i now know for next time.  i will have to apply vaseline to the area several times daily until she's out of diapers to ensure it doesn't reclose.
  
• rice cereal:
  dr does not recommend rice cereal or solids until at least 6 months.  this was pleasing to my ears because i don't feel she needs any supplementation (especially with her weight always being 95-97% her entire life).  starting too early can affect iron absorption, can effect food allergies later on, and can irritate an immature digestive system.
  
• shots:
  she did better with these shots than the 2 month shots.  i did not give tylenol before and she stopped crying within a few minutes.  she was NOT a fan of the roto "drink" (probably because she likes the grape taste of tylenol).  i tried to nurse her afterwards, but she wasn't having it.  she sucked on her paci most of the way home, before talking a little towards the end of our ride.
  
• shot post-effects:
  she's had two 2-hr naps in the last two days, but every other nap has been her normal 45 minute ones.  she didn't want to bear weight on her left leg yesterday, but was fine today.  she wasn't nearly as boisterous as normal in her jumperoo and has been very whiny this afternoon.  i've given her tylenol twice today.