Although neuropsychological testing will identify a learning disorder and will also determine if your child is exceptionally bright and thus bored in school, private neuropsych testing can be very expensive. I think it is reasonable to start with your pediatrician for a thoughtful assessment of the situation and exploration of the diagnosis of ADHD. This will typically involve you and the teacher completing one or more rating scales. You can also have a discussion with the teacher and see if more stimulating material, if presented, will improve the problem. If your instincts tell you it is ADHD, then I suspect you are right. Depending on your budget and inclination, you can pursue neuropsych testing privately or psycho-educational testing through the school district.
Preferential seating may help, as would some behavioral strategies in the classroom to keep her focused. These would be reasonable first steps before treatment with medication is considered or pursued.
Good luck, and let us know how things work out.View Thread
My very educated guess is that you are focusing on him too much. Your son's mishap is yet another reminder how easy it is for accidents to happen even when we think we are being vigilant. The normal CAT scan and the rest of the story makes it very improbable that there will be any sequelae from the head injury.
Take a few deep breaths, foregive your husband, count your blessings, enjoy your son, and try to put this behind you.View Thread
If it looks like a boil, you may want to check with your pediatrician about possibly using warm soaks and giving your child an antibiotic. If possible, I would encourage you to take daily pictures of the affected area, perhaps with a ruler or coin as a benchmark for size. If it indeed looks like a progressive localized infection or if it seems more worrisome in other regards, then either see your pediatrician, return to the ER, or consider seeing a (pediatric) dermatologist.
You should not have to wait a week for your pediatrician to see your child. You should press for a same day or next day appointment. Tell the staff that you are quite concerned, that it is getting worse, and that it would likely just require a quick inspection from your pediatrician to guide treatment for your child. If it looks like an infection, you can also tell them you are concerned about the possibility that the infection could get into the blood stream and make your child septic. Explain further that you don't expect the pediatrician to prescribe an anitbiotic without seeing your cihld, but you cannot wait a week for them to consider if an antibiotic is needed. Under these circumstances, you should be able to get an appointment more quickly. If necessary, speak with a nurse or doctor on the phone, not just an inflexible secretary.
Good luck, and let me know how things turn out.View Thread
I am not sure what MOPS is. I believe children with a severe behavioral disorder can qualify for EI. Apart from getting him into an EI setting, I would work on respite for yourself occasionally and, most importantly, seeking out a behavioral psychilogist to work with you. Do not see yourself as failing as a parent; recognize that you have a very challenging child and that you need some help.View Thread
Some children walk on their toes for no apparent reason (idiopathic toe walking), and in other cases there are neruological causes -- either isolated tightening of the heel tendons or, less commonly, mild cerebral palsy.
The treatments for these latter two possibilities can include stretching the tendons with exercises (physical therapy), and if that does not do the trick, either using plaster casts ("serial casting") to stretch the tendon incrementally or minor surgery.
I would suspect your daughter has heel cord tightening which may require more aggessive treatment. The neruologist may recommend a specific course of treatment, or you can see a pediatric orthopedist or pediatric physical medicine (physiatry) doctor for guidance or treatment.
Although a cause is often not found, clinicians must also be sure there is no problem with the spinal cord at its base ("tethering"). This diagnosis sounds less likely in your niece's case given how long the problem has been there. You should discuss all of these medical issues with one or more of the suggested pediatric sub-specialists.
Difficult as it may be, I would try to take a deep breath -- and -- I would definitely not pursue any surgery at this stage.
If you want to explore medical causes, I would strongly encourage you to go to a pediatric endocrinolgist for evaluation. In addition to doing some blood work for hormone levels, he or she may also order some straight-forward genetic tests. Hopefully you have this type of specialist nearby; if not, I would suggest you make arrangements to see one in a neighboring city. If you cannot do this immediately, you could also get another opinion from a different general pediatrician. But, I woud still push for the sub-specialty consultation.
I agree with the suggestion to explore early intervention. It is a free program for children who qualify. Be sure to describe his behavior in its most severe form.
If he does not qualify, you may explore other care options with your pediatrician. Sometimes, parents can get "respite" care which can provide temporary relief for a parent. If you don ot have family or neighbors that can help, perhaps your local church or community group can provide some assistance. You can also higher a middle school or high school student as a mother's helper to engage your child in play or other activties. Your son may connect with this youth by virtue of her age and the novelty. A male "mother's helper" may provide even greater opportunity for your son to get out his high-energy play
As for ADHD, clinicians are generally reluctant to diagnose it in a child below 3 or 5 years of age. It is important to be sure your child does not have other developmental delays that are leaidng to the short attentioin span and high activity level.
A small bit of encouraging news is that many children that are hyperactive at age 3 settle down by age 9.
Although there have been many fears about aluminum over the years, these are not supported by research. To my knowledge, the aluminum/Alzheimer's association has been disproven, and it is now considered a myth or red herring.View Thread
Out of curiosity, from what parts of her body did they try to draw blood besides the mid-arm? For example, did they attempt to draw blood from veins in her hands? What about her feet?
If these other areas were not tried, they may be more fruitful. EMLA is definitely a great option since it provides total anesthesia (no pain) if applied more than an hour in advance. It can be applied in multiple locations well in advance of the next attempted blood draw. Hopefully your daughter is not too traumatized by the failed attempts at blood drawing.
Speak with your child's doctor about using EMLA in the future.View Thread