Shirley Vacanti, RN, BSN

Shirley Vacanti, RN, BSN

Clinical RN, Pediatric Endocrinology; Swedish Pediatric Specialty Care

Shirley is a clinical RN at Swedish Pediatric Specialty Care and has assisted Dr. Kletter in since 1996. She previously worked at Seattle Children’s Hospital. Shirley loves family time and boating in the San Juans with her husband, hiking, biking, and reading.

Blog Posts by Shirley Vacanti, RN, BSN

Worrying about your child's growth

The above letters reflect many of our children’s feelings when they are first seen by Dr. Kletter. They and their families arrive to the Pediatric Endocrinology clinic with hope that something can be done.

Children are usually followed by their pediatrician or primary care provider. The following questions are guidelines for parents who are worried about their child’s growth. While any “yes” to the questions may not indicate a problem, it warrants a discussion with your child’s healthcare provider.

  • Is my child the shortest or tallest in the class?
  • Is my child unable to keep up with children of the same age in play?
  • Is my child growing less than 2 inches or more than 3 inches a year?
  • Is my child showing signs of early sexual development (before age 7 in girls and before age 9 in boys)?
  • Has my 13 year old girl or 15 year old boy failed to show signs of sexual development?

An experienced pediatric endocrinologist will evaluate the following possible causes of short stature and growth failure:

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