1.Children’s growth and development outpatient clinic hours: Every Friday all day and Saturday morning (separate appointment during holiday season). In order to provide better service for special needs patients (including dwarfism, precocious puberty and growth retardation caused by anorexia), we do not accept children with other diseases. Due to the limited space in the classroom, the Saturday parent class and patient Q&A sessions are only open to parents of children who have already attended the clinic. 2. Due to the limited number of patients in the growth and development clinic, priority will be given to patients with telephone appointments. Special Needs Outpatient Clinic Reservation Phone Number: Reservations can be made only one week in advance, and the earliest appointment can be made on Saturday morning for the following Friday. 0531-86390058 (normal working hours, including Saturday morning. Saturday afternoon and Sunday are closed). Follow-up patients must call ahead to make an appointment so that the patient’s health file can be prepared in advance. 3, has been done, try to bring all the original information, especially the recently examined items, when done more standard, do not need to repeat the examination (because most of the relevant test results we need to keep, especially when the need for treatment, no corresponding test basis to keep, not convenient to prescribe. Therefore, it is better to make a copy of the local examination results in advance). 4. For those who need to consider growth hormone treatment for dwarfism, it is not convenient to do liver and kidney function, blood glucose, hepatitis B and half, blood routine and urine routine together with growth hormone stimulation test, so it is better to check locally first, but for those who are older and have no difficulty in collecting blood, it can be considered after coming to our hospital. Other tests such as thyroxine, IGF, chromosomes, etc., can be considered as they can be done together with the stimulation test, and in order to reduce the child’s pain, it is best to consider doing them together at our hospital, and being able to check them beforehand can also be considered. Pituitary MRI examination needs to be performed by imaging physicians with some experience, or if there is a local pediatric endocrinology specialist, it can be done locally first. Even the stimulation test, which is done locally, can be considered first. 5. On the day of Friday’s visit, most of the patients do not need to fast (some of those who need to fast to check adrenal cortical function for the first consultation of precocious puberty or to recheck fasting blood sugar and liver and kidney function for growth hormone treatment should arrive before 8:00 a.m., after that time, fasting is meaningless), first go to the service desk of the Child Growth and Development Clinic and Special Needs Clinic (second floor of Building 1) to receive an appointment number, then register, return to the Special Needs Clinic, first measure height, weight, and bone structure. The physician’s assistant will take a medical history, take a skeletal age film (you don’t need to retake a recent skeletal age film), evaluate the skeletal age in detail and predict the adult height (20 yuan evaluation fee), and then wait for the consultation. However, for those who need to consider ultrasound for precocious puberty, they need to drink more water and hold urine. 6. Because it is difficult for parents to determine in advance whether or not an excitation test is needed. Generally, we see the clinic on Friday and do the stimulation test on Saturday morning, and we can finish the growth hormone stimulation test before 12:00 noon on Saturday, plus the time for writing the medical record and proposing the treatment plan (by definition, we need to wait for all the test results to come out before giving the treatment plan, but for the convenience of foreign patients to reduce the travel, we usually write the treatment plan according to the estimated situation and go home first without treatment for the time being, and then after the test results come out, we will Parents will be notified via cell phone message to determine the final plan, and parents need to reply and confirm after receiving the message), and can go back around 1:00 noon. The doctor, assistant, and nurse will be present during the stimulation test, so if you do not consult on the day of the visit, you can consult again during the stimulation test, and a slide show will be shown during the stimulation test to introduce issues related to dwarfism, precocious puberty, precautions for the stimulation test, and growth hormone. (Our hospital does not require hospitalization for the stimulation test, and the cost is relatively low). 7.Note for growth hormone stimulation test: After making an appointment with the doctor on Friday, you do not need to pay the fee on the same day, you only need to leave your medical records and get the lab report, and then pay the fee on the next day. You need to arrive before 8:00 a.m. for the test, so it is recommended to arrive 20 minutes earlier. The day before the test, you should eat and drink normally, and on the day of the test, you should fast. Parents should bring a bottle of mineral water or a glass of water with cooled boiled water because oral medication is required during the test. The growth hormone stimulation test is done separately for both drugs, and the whole process takes 3.5 hours, and only after the test is over can we eat. Growth hormone stimulation test patients can generally return by 1:00 pm. Growth hormone stimulation test cost: growth hormone stimulation test examination and laboratory fee: about 480 yuan (including the cost of drugs varies slightly depending on weight), if you add thyroxine, IGF-1, IGFBP-3 total of about 720 yuan. Those who need to do chromosome examination will need to add another 300 RMB. 8.GnRH stimulation test (sex hormone stimulation test) Notes: The sex hormone stimulation test is relatively simple and does not require fasting. When you visit the clinic on Friday, you will be prescribed “Dabigia (Treprolin)” and pay the fee, but you may not take the medicine for the time being, because it is not as good as the hospital to take it to the hotel or take it home for safekeeping, and then take the medicine before 8:00 a.m. the next day and go to the designated place to do the stimulation test. Total time of 1.5 hours, not too early, because before 8:00 priority to do growth hormone stimulation test, growth hormone stimulation test longer. You can usually go back around 11:00 noon. GnRH stimulation test cost: examination and laboratory fees: 580 yuan, plus stimulation test drug Dabigat 131.04 yuan (the exact price is subject to charges). If you need to check thyroxine, you need to add another 120 yuan. 9, treatment issues: recombinant human growth hormone (rhGH) treatment, are injected by parents or children themselves every night about 1 hour before bedtime (there will be manufacturers of after-sales staff to visit their homes to teach parents the injection method), injection of growth hormone BD needle is very fine, fine to a certain degree of pain is not obvious, playing acupuncture pain is light because the acupuncture needle is very fine. rhGH treatment after 3 months only need to recheck blood sugar For patients from overseas, they can be checked locally, and they need to come to our hospital once in six months after treatment. For those who need gonadotropin-releasing hormone analogs (GnRHa) such as Dalfin, Dabigat, Baytril, Inhibiton, etc., local patients can get injections at our hospital because they need to be injected once every 4 weeks, while foreign patients are generally advised to go to local hospitals or community clinics for injections, and generally need to come to our hospital for a review once every six months or so.