Guest guest Posted September 15, 2008 Report Share Posted September 15, 2008 ===>Sorry, no can do, is like asking a lawyer not to look to the law or a dr not to look at the PDR. That is the standard.===> Some of the SLPs or neuromedical doctors look at the DSM but also look at the child to see what diagnosis best fits that child to secure the most appropriate services for the symptoms that present. I've heard from one PhD in speech pathology and one developmental pediatrician -both respected and knowledgeable about autism as well as apraxia and other disorders that around 40 percent of the children they see today diagnosed as autistic are misdiagnosed and were actually apraxic. While there is a place for psychological exams in a child with a speech impairment in regards to school testing IMO the best evaluations for apraxia will be with an SLP and a neurodevelopmental medical doctor as apraxia in itself is not a psychological disorder. Is your child in 1st or 2nd grade? ===>Just started second grade. Mainstreamed? ===>Yes, no support. What type of student? ===>Reading tested at 9th grade level, Math 8th grade level. She's in the gifted/enrichment program. A's in all academic subjects, Handwriting grades C+, B-. And I affectionately called her First Grade teacher, whom I loved, The Writing Nazi. Each letter was to be formed with exact precision. Someone recently helped me understand that teachers believe that this helps with reading fluidity/comprehension, etc.====> WOW!!!! If this group had HTML place a fainting smiley face here. Congratulations you are the new hero of the moms here! 8th and 9th grade level in 2nd grade?!! Do tell all your secrets!!! By the way one of Tanner's best friends is tested gifted and they are in touch with a number of programs -I know one is with Nasa as 's goal is to build a space station on the moon. Is your child a member of Mensa? http://www.previous.us.mensa.org/activities/giftedchildren.php3 ====>I'm still confused as she had these fluidity/comprehension skills (according to her teachers) before she could write so I'm still deciding if writing is something very important, for her. Her second grade teacher reported at our Open House that her writing is fine, very acceptable and neat. I think she had the right child in mind when she was speaking with us :-)====> Were there delays in speech? I can't recall from your previous message. here in the US the diagnosis term dyspraxia and apraxia are used interchangeable even though in some areas of the world it refers mainly to the motor planning issues of the body. If in speech I know it can create developmental lags that are not reflective of that child's cognitive nor receptive ability and when given appropriate placement most tend to make more than a year's gain in a year's time. Also apraxia/dyspraxia is typically never just contained to one area. and I had a discussion about this once and she told me that the diagnostic criteria for autism was never meant to be diagnostic criteria -it was meant to be a list of symptoms that typically can accompany a child with autism. Now that would have made more sense! " ===>And I can find you thousands of psychiatrists that will say that it WAS meant to be diagnostic criteria. I refer you to the name of the book/manual............ " Diagnostic Criteria from DSM-IV. " ===> Pediatric neurologist Martha Herbert Md PhD is not just any medical doctor -she was one of the medical doctors who put together the list of symptoms that typically accompany a child with autism and she said it was never meant to be a check list. http://www.massgeneral.org/neurology/childneurology/bios/herbert.html Here's a page about autism from her site http://web.mit.edu/autism/herbert.htm and http://web.mit.edu/autism/ASD.htm ===>The way the DSM works is that the most serious disorder is given, if there is a cluster of problems. For example if you have a child with Autism and/or Pdd-Nos and they have Developmental Coordination Disorder, the DCD Dx would NOT be noted, just the Pdd-Nos. The reason so many kids get put in the Pdd-Nos category has to do with language. If there is no language delay, they are not Autistic...so the clinician would look to Asperger's...no encompassing preoccupation with one or more stereotyped patterns of interest or inflexible adherence to routines, or hand or finger flapping, no Asperger's, would be Pdd-Nos.===> That doesn't appear to be the case because if a child has sensory integration dysfunction and apraxia which is a severe motor planning impairment that can affect both speech and the body many times they are given the PDD diagnosis -why? What type of placement and therapy does that provide that child? And what is PDD? Let's ask Dr. Rimland http://www.autism.org/pdd.html ===>Who might be benefiting from the studies? I guarantee you it isn't the parents or families of Autistic children. And what or who is benefiting from the rise of Autism that isn't benefiting from the rise of speech-based disorders? Help me understand this.===> Those that want to have funds for research will work around the autism diagnosis to get the funding. I know this for a 100 percent no doubt about it fact. If there isn't enough autism in the study those that hold the monies won't fund that study. In addition to seeing it first hand I was told this by a lawyer from a very large hospital that it's the way it works. Excuse me if I don't get this quote exact but something like " if a couple walks in here and the wife has MS and the husband slaps a million dollar check on the table and says " I want research " every researcher will be swarming around to have research to do for MS -and even if that research was originally developed for say Parkinson's Disease when the study is published all that will be mentioned is MS even if the exact same treatment would help those with Parkinson's. Follow the money " I've seen it and I've heard it. ===>The truth is that there are Autistic children who might fit anyone of those theories. Just saying that each child's path into Autism is unique and there are many subsets. Autism is millions of miles more complex than Apraxia, ADD, Dyslexia or just about anything else you can name, you'll have to trust me on this as if you have a child with just a speech problem, you really have no first hand experience. No amount of talking with someone with a child with Autism or even direct observation would give you a flavor for how devastating this is, you have to live with it. Also consider the story of " The Three Blind Mice " . Remember that story where each of the mice who were blind were at different parts of the elephant and each reported the elephant was something different; a snake a fan, a tree, etc? Autism is very much like this. I predict that we will find that you and I are at different parts of the same elephant.====> No diagnosis should be that wide -that's my point. It's not fair to those who really are autistic. ===>You and I will, no doubt, very much disagree on this. Whatever she was and I could just as easily say she was Apraxic and be happy, but don't think so, she no longer needs her cod liver oil or vitamins to function or in other words she does not lose her speech or start having word retrieval issues or quit noticing other people, if she does not have her vitamins/supplements. She has been without them for as long as three months with no discernible difference in functioning. She does take them for health and prevention reasons and they are the same supplements I was given as a child; multivitamin, clo, E. And it wasn't the nice tasting, lemony clo that we use, it was horrible. My mother was progressive or regressive, take your pick.====> Tanner regresses as well if not on his fish oils -but he's never been off of them more than a day. But I still don't look at the oil therapy as a cure. ===>And I will happily be the first one laughed at to say that this IS curable, all of it, no matter what you call it. ===> Well please prove me wrong! She also had anorexia- as a child? ===>Yes, she could and would go for 4 days and not eat when we were stupid enough to listen to stupid people who said she would eat when she was hungry. They were, at least right, she just wasn't hungry. Low serotonin was my guess. We fed her every single bite of food until she was 5 and 1/2. We used to joke that someone would have to go to kindergarten with her and feed her, but we weren't really laughing about it. The first time she said she was hungry, at 5.6 years, I ran for the video cam. She was almost hospitalized once for malnutrition. She could have cared less to eat. I've heard people complain that their kids want the same foods, but she wanted no food. I'm happy to report she eats normally now, gets hungry, asks for food, feeds herself and we just hit 53.5 lbs, we're within normal weight, but it was THE struggle of a lifetime, I can't begin to explain or tell you how horrible this was.===> Wow! How prevalent is this? I just searched and found this article http://www.ajcn.org/cgi/content/abstract/42/4/694 I don't buy the 1 in 150 kids anywhere until there is some sort of blood test etc. It's overblown and misdiagnosed. ===>Help me understand why you're willing to believe the astronomical rise in speech-based disorders but not Autism? You would be the best friend of the CDC who denies that this figure is correct or that all the additional immunizations given have anything to do with the rise in this figure or the rise in speech-based disorders. Something horrible is happening to our children. I had the occasion to spend the day doing a consult in our little one's kindergarten classroom. Small but affluent, very excellent school system, rural as we live among the Amish. Twenty-three healthy looking 5 and 6 year olds with clear skin, bright eyes and shiny hair. I could only count 8 without some sort of issue; dyslexia, ADD, articulation problems, fine motor problems (this is sad as even with our minor handwriting issue ours grades as squarely in the middle of the class) and one little girl who showed every indication she was on her way to a dx of Borderline personality disorder at adolescence. It was so incredible to me that I asked the teacher to confirm my number and we only differed by one. Seven of the eight children I identified with no issues......were Amish who don't vaccinate and I'd be willing to bet my licenses that the other child had not been vaccinated.===> I believe there is a rise don't get me wrong. I believe the rise is in various conditions that include autism as well as apraxia as well as cancer and heart disease- many things. Being in the special needs world however and knowing how many today are misdiagnosed and knowing from my own neighborhood where I lived in NJ how many kids block to block you can find with apraxia vs autism I say the numbers are skewed higher for autism. JMO. OK I'll be specific. What social aspects that can't be explained away from frustration? ====> Before Biomed, right before, she quit noticing other kids or people, at all. It wasn't that she was ignoring them....they did not exist for her. This is not in line with Apraxia I don't believe. She was never a child that any adult could look at and see Autism as she was young and there is a wide variance in children at that age. But children knew, they always know. I remember taking her to Mc's or the park to play on more than one occasion and all the children would shun her. Not fitting in well with peers is a BIG ASD sign. Also happy to report this is no longer true. Both K, first and second grade teachers report she was/is very popular with other kids and there have been times they have fought over the right to sit next to her, play with her on the playground. She gets invited to all the birthday parties and is eager to interact with any kid and they with her.====> Tanner as a young child didn't do well in crowds but did well with one on one play dates. Now he's social butterfly. It's hard to say when they are little as you have to know what's due to frustration and what's due to impairment. As the parent it probably is hard to be objective however as a parent that is also a professional you get to follow your gut as well as your brain! ===>Yes, very good article, track the increase in speech based disorders and the increase in vaccinations, I believe they are related as are the ASD rates. The second wave of ASD kids were born in 1988-89. I spoke to a speech teacher the other day who reported that they had downgraded the language requirements for TYPICAL 3 year olds as hardly any met the criteria anymore, deplorable. Something horrible is happening to our children.===> Very sad I agree -did you see this article I wrote a few years ago? http://www.cherab.org/news/Save.html Thanks again for sharing ! Quote Link to comment Share on other sites More sharing options...
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