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Yes - how it fits in with his previous measurements makes a big difference. Also - and I'm sure they were really careful - but did they double check their measurements? We have twice had nurses measure David and be so far off that the doctor rechecked. Once, his head measurement was put at the 10th percentile (usually he's close to the 90th) and his length below the chart completely (he's usually at the 30th). And when they rechecked - sure enough it was the measurements that were off. The difference between typical and below the chart can be only an inch or less, so they have to be careful.