Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 How much does he weigh? [ ] Hello All - My 22 month old has been given an Apraxia Dx I have read the reseach on Fish Oils and Fatty Acid and would like to start Tucker on them - he has been in speech therapy for 3 months now and has gone from saying nothing to saying BYE BYE, DADA, and MAMA, and learning about 15 signs (Sign Language)which is great, because is frustration level has come down a lot. His receptive language is great, he is truly a smart little guy, just want to see if starting him on a fish oil regimen will help bring out some more word. If you have the names of the best products and where to get them, I would love for someone to supply those names for me. Thanks, Brett Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 That's awesome Brett that he's starting to say words so quickly! Most with speech impairments have normal receptive and cognitive ability, and 75% of " late talkers " are just that -children that speak developmentally a bit later. Why do they suspect apraxia? Has he been seen by any neuromedical doctors (pediatric neurologist or developmental pediatrician) to check for any " soft signs " such as low tone, sensory or motor planning deficits in the body? Anything else? It would have to be a knowledgeable professional that would diagnose as we as parents and even some pediatricians can't always pick the soft signs up early. As again speech impairments don't have anything to do with receptive or cognitive ability they know what is expected of them -which is very little when they are little. But if you don't get the appropriate therapies to address any other issues through Early Intervention -these are the kids that first are diagnosed when it's obvious to all -even lay people -and typically school age...so yes to know sooner is better. If it's a developmental delay with or without therapy or fish oils speech will just come in -but just a bit later. Thing is you don't want to take a wait and see approach because if there is an impairment you want to get therapies as early as possible. So awesome you are on it with therapy and advocacy for your 22 months old!! Here's a basic archived message from our facebook page http://www.apraxia.org and the direct link to Fish oils 101 http://www.facebook.com/topic.php?uid=115029735601 & topic=7401 There is no set dosage for children as you'll read -but in general one capsule of ProEFA is about what the FDA approved for infant formula -so a capsule of ProEFA would be a good start point. Again more info on that link. Here's more " new member " info that may help I just posted here that may help: If your child is apraxic that would mean the inability to perform on command- and that goes for speech, sounds, words, as well as actions -motor planning in the body. The sticking out the tongue could be a sign of oral apraxia as well -so will want to check that out -here's some info on that http://www.cherab.org/information/speechlanguage/oralapraxia.html If you let us know what state of country you are in we may be able to get you help as far as local support. There may be parents or professionals in your area that will be able to recommend private SLP or neuroMDs to you to help you advocate for appropriate placement and services if needed going ahead. Regardless of the diagnosis (which by the way does sound like apraxia) there is SO much hope that your child will be able to be mainstreamed in school and life. I know that is a huge fear of ours when our kids are little -but statistics as I say below -are extremely high in our group. A distinguished group you are now a part of! So welcome to you and good for you! Below is a bit more info which may help too, after reading all of this we are here to help more! First of all congratulations for being so " on it " when your child is still such a young age. Because of you, it is my belief that your child's future prognosis is bright!! What you are describing in symptoms is actually more advanced than my son Tanner was at the same age...in fact even after almost a year of therapy from 2 to 2 years 10 months my son was not able to make just about any sound except " ma " and " mmm " In therapy we would have to sing this " silly song " and act like a ghost and say " boooo " to get Tanner to attempt the sound " ooooo " and a conductor of a train and say " choo choo " to get Tanner to attempt the sound " ch " (yes not kidding -that severe) but...he wasn't able to put them together to say " choo " He didn't have the ability to say that simple little sound -even with a professional SLP working with him a number of times a week. Tanner also was diagnosed with hypotonia, dysarthria (weakness in the facial structure for speech) apraxia including oral, verbal and through out the body...apraxia being a motor planning disorder- the inability to do or say something on command -as well as sensory issues of course. That's the short list. And yes as suggested you probably will have genetic testing done by some of the neurologists -most in our group do. A decade ago most of us found no answers there -today due to better testing we are learning there are some chromosomal deletions or additions that may play a part -but being that in some cases one of the normal functioning parents have that same chromosomal issues as the child -it's still too new to answer questions as what to do with that information. What we do know is yes get the testing, but the most important thing at your child's age is appropriate diagnosis to secure appropriate placement and services (therapy) There is so much hope for any child with a speech impairment or delay or any sort. And again especially because you are out searching so young- again good for you and your child! There are things you can do to help too; in addition to what the therapist can provide to you to do as " homework " there are many fun and effective things to do at home to help your child. Have you read the book I co authored -The Late Talker? Here's a clip of parent tips I wrote for Contemporary Pediatrics which is the trade magazine for pediatric medical professionals across the US which covers things to do at home http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard//\ \ \ contpeds/492004/136315/article.pdf I have a new member archive up on this facebook group http://www.apraxia.org/ page- and if you check the discussion board here there are many other new members with children around your child's age. What's awesome about facebook is that you can ask the other parents to be your friend- and it's your choice and theirs whether you do or don't " friend " someone. Here is just one new member archive http://www.facebook.com/topic.php?uid=115029735601 & topic=13085 or http://www.facebook.com/topic.php?uid=115029735601 & topic=7329 but there are so many others if you check the discussion board topics at this site. Just a few things to point out when you take your child for second opinions with a speech pathologist, a neurodevelopmental medical doctor (pediatric neurologist or developmental pediatrician) and even occupational therapist- all of which I recommend you secure private outside of EI -through insurance. We have a chapter in The Late Talker book on how to help with coverage and there is also a topic in the discussion area here with a wealth of info on this -here is a direct link to this topic http://www.facebook.com/topic.php?uid=115029735601 & topic=13830 ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 He is 31 lbs and 34 inches tall. > > How much does he weigh? > > > [ ] Hello All - My 22 month old has > been given an Apraxia Dx > > > > > I have read the reseach on Fish Oils and Fatty Acid and would > like to start Tucker on them - he has been in speech therapy for 3 > months now and has gone from saying nothing to saying BYE BYE, DADA, and > MAMA, and learning about 15 signs (Sign Language)which is great, because > is frustration level has come down a lot. His receptive language is > great, he is truly a smart little guy, just want to see if starting him > on a fish oil regimen will help bring out some more word. If you have > the names of the best products and where to get them, I would love for > someone to supply those names for me. > > Thanks, > > Brett > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 Hi, Thanks for getting back to me so quickly. We had him tested by the local CDSA when he was 18 months because my wife just had a feeling the something was wrong. When he was tested, he tested at a 30 month old level for fine and gross motor, which was great, but when it came to speech and social - he was on a 10 month old level. His social has come a long way with OT once a week and playschool 4 hour/2x a week, although he still doesn't really like playing with kids his age (he more or less just watches and then play by himself). We were worried that he fell on the autism spectrum, but after his therapist have worked with him they said he is not on that spectrum and is normal other than his speech delay. CDSA said that he qualified for ST, so we started him 2x a week. The thearpist that he goes to specializes in Apraxia and says that he demontrates a lot of the symtoms of verbal Apraxia, although she said it wasn't a 100% dx. She said that she would not feel comfortable give a concrete DX until he was 30-36 months. She mentioned the Nordiac Naturals fish oils and I was just wanting to get some feed back on people that have tried it and find out where the best place to purchase it would be. > > That's awesome Brett that he's starting to say words so quickly! Most with speech impairments have normal receptive and cognitive ability, and 75% of " late talkers " are just that -children that speak developmentally a bit later. Why do they suspect apraxia? Has he been seen by any neuromedical doctors (pediatric neurologist or developmental pediatrician) to check for any " soft signs " such as low tone, sensory or motor planning deficits in the body? Anything else? It would have to be a knowledgeable professional that would diagnose as we as parents and even some pediatricians can't always pick the soft signs up early. As again speech impairments don't have anything to do with receptive or cognitive ability they know what is expected of them -which is very little when they are little. But if you don't get the appropriate therapies to address any other issues through Early Intervention -these are the kids that first are diagnosed when it's obvious to all -even lay people -and typically school age...so yes to know sooner is better. > > If it's a developmental delay with or without therapy or fish oils speech will just come in -but just a bit later. Thing is you don't want to take a wait and see approach because if there is an impairment you want to get therapies as early as possible. So awesome you are on it with therapy and advocacy for your 22 months old!! Here's a basic archived message from our facebook page http://www.apraxia.org and the direct link to Fish oils 101 http://www.facebook.com/topic.php?uid=115029735601 & topic=7401 > > There is no set dosage for children as you'll read -but in general one capsule of ProEFA is about what the FDA approved for infant formula -so a capsule of ProEFA would be a good start point. Again more info on that link. > > Here's more " new member " info that may help I just posted here that may help: > > If your > child is apraxic that would mean the inability to perform on command- and that > goes for speech, sounds, words, as well as actions -motor planning in the body. > The sticking out the tongue could be a sign of oral apraxia as well -so will > want to check that out -here's some info on that > http://www.cherab.org/information/speechlanguage/oralapraxia.html > > If you let us know what state of country you are in we may be able to get you > help as far as local support. There may be parents or professionals in your > area that will be able to recommend private SLP or neuroMDs to you to help you > advocate for appropriate placement and services if needed going ahead. > > Regardless of the diagnosis (which by the way does sound like apraxia) there is > SO much hope that your child will be able to be mainstreamed in school and life. > I know that is a huge fear of ours when our kids are little -but statistics as I > say below -are extremely high in our group. A distinguished group you are now a > part of! So welcome to you and good for you! > > Below is a bit more info which may help too, after reading all of this we are > here to help more! > > > First of all congratulations for being so " on it " when your child is still such > a young age. Because of you, it is my belief that your child's future prognosis > is bright!! What you are describing in symptoms is actually more advanced than > my son Tanner was at the same age...in fact even after almost a year of therapy > from 2 to 2 years 10 months my son was not able to make just about any sound > except " ma " and " mmm " In therapy we would have to sing this " silly song " and act > like a ghost and say " boooo " to get Tanner to attempt the sound " ooooo " and a > conductor of a train and say " choo choo " to get Tanner to attempt the sound " ch " > (yes not kidding -that severe) but...he wasn't able to put them together to say > " choo " He didn't have the ability to say that simple little sound -even with a > professional SLP working with him a number of times a week. Tanner also was > diagnosed with hypotonia, dysarthria (weakness in the facial structure for > speech) apraxia including oral, verbal and through out the body...apraxia being > a motor planning disorder- the inability to do or say something on command -as > well as sensory issues of course. That's the short list. And yes as > suggested you probably will have genetic testing done by some of the > neurologists -most in our group do. A decade ago most of us found no answers > there -today due to better testing we are learning there are some chromosomal > deletions or additions that may play a part -but being that in some cases one of > the normal functioning parents have that same chromosomal issues as the child > -it's still too new to answer questions as what to do with that information. > What we do know is yes get the testing, but the most important thing at your > child's age is appropriate diagnosis to secure appropriate placement and > services (therapy) > > There is so much hope for any child with a speech impairment or delay or any > sort. And again especially because you are out searching so young- again good > for you and your child! There are things you can do to help too; in addition to > what the therapist can provide to you to do as " homework " there are many fun and > effective things to do at home to help your child. Have you read the book I co > authored -The Late Talker? Here's a clip of parent tips I wrote for Contemporary > Pediatrics which is the trade magazine for pediatric medical professionals > across the US which covers things to do at home > http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard//\ \ > \ > contpeds/492004/136315/article.pdf > > I have a new member archive up on this facebook group http://www.apraxia.org/ > page- and if you check the discussion board here there are many other new > members with children around your child's age. What's awesome about facebook is > that you can ask the other parents to be your friend- and it's your choice and > theirs whether you do or don't " friend " someone. Here is just one new member > archive http://www.facebook.com/topic.php?uid=115029735601 & topic=13085 or > http://www.facebook.com/topic.php?uid=115029735601 & topic=7329 but there are so > many others if you check the discussion board topics at this site. > > Just a few things to point out when you take your child for second opinions with > a speech pathologist, a neurodevelopmental medical doctor (pediatric neurologist > or developmental pediatrician) and even occupational therapist- all of which I > recommend you secure private outside of EI -through insurance. We have a chapter > in The Late Talker book on how to help with coverage and there is also a topic > in the discussion area here with a wealth of info on this -here is a direct link > to this topic http://www.facebook.com/topic.php?uid=115029735601 & topic=13830 > > ===== > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 Brett you can read some of The Late Talker book online for free at Google books -go check it out and see if your child to you fits any of the description of apraxia. If you agree with the therapist that suspects it -then you should make an appointment with either a pediatric neurologist or developmental pediatrician to confirm or rule out those soft signs- and the more knowledgeable ones who see children with apraxia, autism and other disorders will be able to let you know if your child is presenting as normal in all other areas. Even from your first email I'm kind of getting the impression your child may just have a simple delay and that's awesome. Goodness knows some of our kids have to be in that 75%!!!! You'd think we'd end up with more typical " late talkers " here -but I believe what happens is that most of them read some of the other messages and are blown away to say anything. At least that is what a few have written to me. This group is for any type of delay in speech from developmental to impairment and for any reason. The goal is to provide you with the tools you need to best advocate for what would be the appropriate services for now to provide your child with the best possible prognosis. I'd say once you get a neuroMD exam if he finds your child falls into the normal range in other areas than of course continue the SLP, but the fish oils or NV ( http://pursuitofresearch.org/science.html which I highly recommend if your child does have an impairment vs a simple delay) may or may not help stimulate the speech any faster. Typically for whatever reason it is us, the moms that get that " feeling " Ask her how she feels now about your child. Does she think it's a simple delay or does she agree it's apraxia? I believe that all of us as parents can tune into that internal sixth sense if we are open to it- and seems you two are as parents. Awesome!! ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 Hi Brett, I would take your child to a developmental pediatrician. Our son's has been such a huge help in helping us with insurance. My son uses proefa fish pills and I usually get them at the cherub site http://www.speech411.com Kate > > Brett you can read some of The Late Talker book online for free at Google books -go check it out and see if your child to you fits any of the description of apraxia. If you agree with the therapist that suspects it -then you should make an appointment with either a pediatric neurologist or developmental pediatrician to confirm or rule out those soft signs- and the more knowledgeable ones who see children with apraxia, autism and other disorders will be able to let you know if your child is presenting as normal in all other areas. Even from your first email I'm kind of getting the impression your child may just have a simple delay and that's awesome. Goodness knows some of our kids have to be in that 75%!!!! You'd think we'd end up with more typical " late talkers " here -but I believe what happens is that most of them read some of the other messages and are blown away to say anything. At least that is what a few have written to me. This group is for any type of delay in speech from developmental to impairment and for any reason. The goal is to provide you with the tools you need to best advocate for what would be the appropriate services for now to provide your child with the best possible prognosis. I'd say once you get a neuroMD exam if he finds your child falls into the normal range in other areas than of course continue the SLP, but the fish oils or NV ( http://pursuitofresearch.org/science.html which I highly recommend if your child does have an impairment vs a simple delay) may or may not help stimulate the speech any faster. > > Typically for whatever reason it is us, the moms that get that " feeling " Ask her how she feels now about your child. Does she think it's a simple delay or does she agree it's apraxia? I believe that all of us as parents can tune into that internal sixth sense if we are open to it- and seems you two are as parents. Awesome!! > > ===== > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2010 Report Share Posted November 17, 2010 We use the Nordic Naturals ProEFA liquid and the Nordic Naturals ProEPA capsules. My son was dx with apraxa at 21-22 mos and we started the fish oil shortly before the dx and noticed a moderate improvement from it. His dosage then and now has been 1/2 TSP of ProEFA liquid which we started first, and then about 3-4 wks later added 1 capsule of the ProEPA. I know that you can get them through the cherab site, but I tend to get mine through Amazon since I tend to always need to get other items from there at the same time. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 18, 2010 Report Share Posted November 18, 2010 now you have me even more excited about trying NV, we are planning on it being a Christmas present! You don't say how soon you saw all the improvements. I looked at Amazon and the proefa is 4 dollars more a bottle. For 4 dollars less a bottle at the cherab http://www.speech411.com site I'm willing to open another window LOL! Kate > > We use the Nordic Naturals ProEFA liquid and the Nordic Naturals ProEPA > capsules. My son was dx with apraxa at 21-22 mos and we started the fish oil > shortly before the dx and noticed a moderate improvement from it. His dosage > then and now has been 1/2 TSP of ProEFA liquid which we started first, and > then about 3-4 wks later added 1 capsule of the ProEPA. > > I know that you can get them through the cherab site, but I tend to get mine > through Amazon since I tend to always need to get other items from there at > the same time. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 18, 2010 Report Share Posted November 18, 2010 Hi Kate, I'd say that we saw improvement in my son's speech within 3-7 days of starting NV. I will say that at the same time, and for about the first 2 weeks, these positive speech changes were coupled with more crankiness/tantrums, etc. At one point, I think he also just wasn't getting enough water (even though we were trying for the amt they recommend) and he got constipated. Since the recommended dose for his age is 1 scoop, we started with 1/2 scoop for a few days and then went to 1 scoop but then cut back to 1/2 scoop due to the constipation and crankiness (which was likely the detox process they talk about). Once we got past that 2 week adjustment period, I feel like his speech has just continued to get better and better. And since we've seen so many changes on just 1/2 a scoop and it's working for him so well -- we decided to keep him there - which also gives us some " room to grow " and go up to 1 scoop in the future if we start to see a plateau. I should note that I have noticed that since he has been on NV, he gets very hungry in the later afternoons. He typically gets a snack at around 10 am and 3 pm (in addition to bfast and lunch in between) but we started to add a third snack btwn his 3 pm snack and dinner time b/c he really seems to need it. I also definitely make sure he has this extra snack on days when he's in daycare b/c I think he burns even more calories there due to all their physical activities. Not sure quite how it works, but I think the NV kind of fills him up for the morning and afternoon along with bfast and lunch, but he needs the extra calories in the later afternoon to make it to dinner. Just an FYI. Good luck! - On Thu, Nov 18, 2010 at 10:02 AM, mykitkate <mykitkate@...> wrote: > > > now you have me even more excited about trying NV, we are planning > on it being a Christmas present! You don't say how soon you saw all the > improvements. I looked at Amazon and the proefa is 4 dollars more a bottle. > For 4 dollars less a bottle at the cherab http://www.speech411.com site > I'm willing to open another window LOL! Kate > > > > > > > We use the Nordic Naturals ProEFA liquid and the Nordic Naturals ProEPA > > capsules. My son was dx with apraxa at 21-22 mos and we started the fish > oil > > shortly before the dx and noticed a moderate improvement from it. His > dosage > > then and now has been 1/2 TSP of ProEFA liquid which we started first, > and > > then about 3-4 wks later added 1 capsule of the ProEPA. > > > > I know that you can get them through the cherab site, but I tend to get > mine > > through Amazon since I tend to always need to get other items from there > at > > the same time. > > > > Quote Link to comment Share on other sites More sharing options...
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