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Yay Tricia!!!! That's fantastic!! Thank you so much for sharing

that. I can understand how that could be a very scary feeling after

everything you have all been through, and yet on the other hand--what

a relief!!! Those mixed emotions can be so strange to work through.

One question though....with the IEP and the schools--why wouldn't you

have any say in who his teachers are and the discipline methods

used? You pay your taxes and they work for you, are they really that

arrogant that they don't listen to the parents and what you want for

your kids?? I'm not saying that to be mean, I'm just puzzled about

that.

Bisel

WOW! What a journey this is!

> >

> > Tricia Morin

> >

> > Mom to the greatest kids in the world!

> > Board Member www.speech-express.com

> > Outreach coordinator www.cherab.org

> > Co-moderator

> > Board member Equus Heals animal assisted therapy

> > http://www.homestead.com/equusheals/

> > Co-Founder SPEAK, St. Louis Parent Extension for Apraxic Kids

> > http://www.speech-express.com/communication-station/missouri-

speak.html

> >

>

>

>

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Wow! What an inspriration your son is! As the mother of a 2 1/2 year old

autistic and apraxic son, I sometimes feel despair that things will ever

improve.

It's reading wonderful stories like yours that gets me through each day.

There's hope on the horizon yet.

Thanks so much for sharing. And tell what an aweseome little man he

is!

Best,

Pam O'Connor

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  • 1 year later...

i would bet buckets that its mold esp if his IgE is

increasing and he is on pred. Pred lowers IgE and that

is one way of getting into the dosing range that ppl

have written in the literature about.

As for sleeping, benzodiazepines (rivatril 0.5mg) is

what saved me from chronic insomnia. Habit forming yes

but you need to sleep to get better....

__________________________________________________

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i'm glad your getting " somewhere' with your son -- even if it is into

" unchartered territory " . i'm sure no parent wants their kid to be sick, but

getting a diagnosis is half the battle, so i'm told. (i say this as a mom of 2

year old twins cried on my shoulder today, b/c they cannot figure out what their

disability is - we suspect muscular dystrophy, but nothing is showing up with

chromo. tests and muscle biopsy...all she wants is a diagnosis, so she can deal

with it)

reflux may in fact play a large role. i know it did for me. even if his endo is

" normal " , ask if they'd consider putting him on a month or two trial run of

something (protonix? pepcid? nexium?). you just never know.

as for sleep - i've had asthma since i was about 2, and i was a poor sleeper

before then. my mom says as an infant i never slept. in the last 5 years or so,

i'm lucky if i get three or four hours a night. the prednisone can definately

keep him up. i'm told melatonin can make nighttime asthma worse (i can find the

article if you want). i've tried ambien (i realize a little boy wouldn't take

that) with no success. benedryl makes me hyper. as a kid, the only thing that

helped me sleep was atarax - i was originally prescribed it for itching

(eczema). i was recently prescribed it, and i'm finding the nights i take it,

i'm sleeping a little better. maybe you can ask for that. fortunately, there's a

generic form, so the copay would be minimal, so its not a big (financial) risk

if it doesn't work.

i wish you luck, and improved health for your son. please keep us posted

heather

ipedlnpadl <IpedLnpadL@...> wrote:

Thanks for all the great advice. We have all hardwood floors. This

is So.Cal. so the humidity is minimal. I am getting a mold inspector

in though because I was told it could be in the walls, under the

house, ceilings, etc.. They are doing an upper GI on him tomorrow as

they strongly suspect reflux. Also, he's going in for a bronchoscopy

next week. They suspect aspergillis(sp?) mold may be a culprit. He

is on so many strong meds though that he suffers from horrible

insomnia. We've tried the melatonin, valerian root, benadryl program

with little success. How about the rest of you out there on all

these meds? How do you sleep? They did another Ig E test because the

insurance companies like to see lower numbers which is confusing to

me. The doctor felt his would be down from 2300 since he's been on

prednisone for a week. Unfortunately, it was up to 2800. I think

it's an issue in that the original testing of this med was done on

people with Ig E levels from 35 to 700 and the insurance companies

use the excuse of it not being safe for people with higher levels.

We have not heard back from Blue Cross as of today, Thursday. He's

in the hands of an Allergy Specialist and Pulmonary Specialist. They

have both pleaded his case to Blue Cross. Keep your fingers crossed.

This boy deserves a life. Thanks again for all the helpful tips and

information.

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Thanks, I do appreciate all the input. Quite frankly, his attacks

terrify me but I try to keep a stone face and cool demeanor. He had

3 bad ones today. His barium swallow is tomorrow. They put him on

Prevacid and metoclopramid. He's complaining of stomach cramps since

being on it for 24 hrs. What I'm dealing with is here it is the week-

end and he can't be with his friends. They just called to tell him

they won the game and he hung up and was very happy and very sad all

at once. He begged me to let him go back to school but the

Pulmonologist said " no, too dangerous " . Here is this big, hulking

5'10 " 197lb. biggest, baddest player on his team having to allow

himself to be treated like...well...bubble boy! But I do have real

concern of him being around others and getting a cold. When the

Allergy and Pulmonary specialist both tell you he is a rare case

indeed; that gives you pause for thought and concern. I will let you

know what his tests point towards as they are medical detectives

now. Previously, they've treated symptoms. Now they need to go after

the cause.

> Thanks for all the great advice. We have all hardwood floors. This

> is So.Cal. so the humidity is minimal. I am getting a mold

inspector

> in though because I was told it could be in the walls, under the

> house, ceilings, etc.. They are doing an upper GI on him tomorrow

as

> they strongly suspect reflux. Also, he's going in for a

bronchoscopy

> next week. They suspect aspergillis(sp?) mold may be a culprit. He

> is on so many strong meds though that he suffers from horrible

> insomnia. We've tried the melatonin, valerian root, benadryl

program

> with little success. How about the rest of you out there on all

> these meds? How do you sleep? They did another Ig E test because

the

> insurance companies like to see lower numbers which is confusing

to

> me. The doctor felt his would be down from 2300 since he's been on

> prednisone for a week. Unfortunately, it was up to 2800. I think

> it's an issue in that the original testing of this med was done on

> people with Ig E levels from 35 to 700 and the insurance companies

> use the excuse of it not being safe for people with higher levels.

> We have not heard back from Blue Cross as of today, Thursday. He's

> in the hands of an Allergy Specialist and Pulmonary Specialist.

They

> have both pleaded his case to Blue Cross. Keep your fingers

crossed.

> This boy deserves a life. Thanks again for all the helpful tips

and

> information.

>

>

>

>

>

>

>

>

>

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Hang in there. I know you and your son and family are frustrated

and frightened. PLease let us know what you find out. We're all

thinking of you!

Addy

> > Thanks for all the great advice. We have all hardwood floors.

This

> > is So.Cal. so the humidity is minimal. I am getting a mold

> inspector

> > in though because I was told it could be in the walls, under the

> > house, ceilings, etc.. They are doing an upper GI on him

tomorrow

> as

> > they strongly suspect reflux. Also, he's going in for a

> bronchoscopy

> > next week. They suspect aspergillis(sp?) mold may be a culprit.

He

> > is on so many strong meds though that he suffers from horrible

> > insomnia. We've tried the melatonin, valerian root, benadryl

> program

> > with little success. How about the rest of you out there on all

> > these meds? How do you sleep? They did another Ig E test because

> the

> > insurance companies like to see lower numbers which is confusing

> to

> > me. The doctor felt his would be down from 2300 since he's been

on

> > prednisone for a week. Unfortunately, it was up to 2800. I

think

> > it's an issue in that the original testing of this med was done

on

> > people with Ig E levels from 35 to 700 and the insurance

companies

> > use the excuse of it not being safe for people with higher

levels.

> > We have not heard back from Blue Cross as of today, Thursday.

He's

> > in the hands of an Allergy Specialist and Pulmonary Specialist.

> They

> > have both pleaded his case to Blue Cross. Keep your fingers

> crossed.

> > This boy deserves a life. Thanks again for all the helpful tips

> and

> > information.

> >

> >

> >

> >

> >

> >

> >

> >

> >

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No sign of reflux, even when they tried to induce it. So...I guess

that eliminates that theory. The bronchoscopy is the next one coming

up. Hope that sheds a bit more light on why. I don't have asthma. I

am a personal trainer and I teach hard core Boot Camp and cycling

classes also. I wish, I wish I wish I could trade lungs with him.

And since I can go for over an hour doing extremely hard cardio

without breathing difficulties, it doesn't seem fair to me. And

because I've never experienced shortness of breath, the thought of

it is terrifying to me too. When I put the 2 coffee stirrers in my

mouth and breathed through them while holding my nose, I almost

freaked out. (This was recommended to let you know what it feels

like to have an attack) He's just a 14 yr. old kid. How he remains

calm if that's what it feels like to have an attack, is beyond me.

Much LESS going back out on the field after he's gotten one under

control. I've just venting here. He's getting so depressed.

> > > Thanks for all the great advice. We have all hardwood floors.

> This

> > > is So.Cal. so the humidity is minimal. I am getting a mold

> > inspector

> > > in though because I was told it could be in the walls, under

the

> > > house, ceilings, etc.. They are doing an upper GI on him

> tomorrow

> > as

> > > they strongly suspect reflux. Also, he's going in for a

> > bronchoscopy

> > > next week. They suspect aspergillis(sp?) mold may be a

culprit.

> He

> > > is on so many strong meds though that he suffers from horrible

> > > insomnia. We've tried the melatonin, valerian root, benadryl

> > program

> > > with little success. How about the rest of you out there on

all

> > > these meds? How do you sleep? They did another Ig E test

because

> > the

> > > insurance companies like to see lower numbers which is

confusing

> > to

> > > me. The doctor felt his would be down from 2300 since he's

been

> on

> > > prednisone for a week. Unfortunately, it was up to 2800. I

> think

> > > it's an issue in that the original testing of this med was

done

> on

> > > people with Ig E levels from 35 to 700 and the insurance

> companies

> > > use the excuse of it not being safe for people with higher

> levels.

> > > We have not heard back from Blue Cross as of today, Thursday.

> He's

> > > in the hands of an Allergy Specialist and Pulmonary

Specialist.

> > They

> > > have both pleaded his case to Blue Cross. Keep your fingers

> > crossed.

> > > This boy deserves a life. Thanks again for all the helpful

tips

> > and

> > > information.

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

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This is just an idea -

you might have a respiratory therapist get together with one of your

son's coaches. There are probably some breathing exercises he can

be doing to increase lung capacity as well as to increase oxygen

intake during/following an attack. There are a couple that I do

that I got out of a book called (I think) Reversing Asthma...if I

can find that book around here somewhere I'll post them.

It is not uncommon for serious asthmatics to experience depression.

As for staying calm, it's just the best way you can keep breathing.

Good luck,

Addy

> > > > Thanks for all the great advice. We have all hardwood

floors.

> > This

> > > > is So.Cal. so the humidity is minimal. I am getting a mold

> > > inspector

> > > > in though because I was told it could be in the walls, under

> the

> > > > house, ceilings, etc.. They are doing an upper GI on him

> > tomorrow

> > > as

> > > > they strongly suspect reflux. Also, he's going in for a

> > > bronchoscopy

> > > > next week. They suspect aspergillis(sp?) mold may be a

> culprit.

> > He

> > > > is on so many strong meds though that he suffers from

horrible

> > > > insomnia. We've tried the melatonin, valerian root, benadryl

> > > program

> > > > with little success. How about the rest of you out there on

> all

> > > > these meds? How do you sleep? They did another Ig E test

> because

> > > the

> > > > insurance companies like to see lower numbers which is

> confusing

> > > to

> > > > me. The doctor felt his would be down from 2300 since he's

> been

> > on

> > > > prednisone for a week. Unfortunately, it was up to 2800. I

> > think

> > > > it's an issue in that the original testing of this med was

> done

> > on

> > > > people with Ig E levels from 35 to 700 and the insurance

> > companies

> > > > use the excuse of it not being safe for people with higher

> > levels.

> > > > We have not heard back from Blue Cross as of today,

Thursday.

> > He's

> > > > in the hands of an Allergy Specialist and Pulmonary

> Specialist.

> > > They

> > > > have both pleaded his case to Blue Cross. Keep your fingers

> > > crossed.

> > > > This boy deserves a life. Thanks again for all the helpful

> tips

> > > and

> > > > information.

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

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  • 5 months later...
Guest guest

Hi -

We took my son off it once for 2 weeks and then my son put him back

on it secretly. I could tell within 6 hours - and called him and

told him that I had figured it out. And my son swallowed the pills,

so there was not tell-tale fishy cup! Later, we tried him on it

again after about a year. He was on it for a week and we saw a lack

of patience and that he easily turned on the tears, but there wasn't

the full-out tantrums- but he was also older. It also didn't affect

his speech at all - it was no better and no worse.

I'd wait an entire month and do it when there's no other factors

involved. I also believe that there's a disruption to the sleep

cycle involved with the weepiness and tantrums, so be sure he has

the opportunity to get a good night's sleep.

Good luck -

Marina

-- In , Grassia

<miche@...> wrote:

>

> I wrote just over a week ago about my son and his sad mood and

regression

> in spontaneous language that has lasted a while. I want to thank

everyone

> who wrote me offlist. I started writing replies, but then my

hectic life

> got the best of me and I never went back and sent them!

>

> I ended up stopping the ProEFA to see if that made a difference.

His

> sadness had started around the time I reintroduced them after a

month break

> when he had a bad stomach flu and it had continued for 2.5

months. Within

> two days of stopping the fish oils his mood improved. He stopped

crying

> when dropped off at school and the second day off fish oil his

teachers

> said he spoke more and more clearly than they have heard him all

year. He

> had a great afternoon speech session as well, in fact his last

three

> sessions have been wonderful and filled with spontaneous

language! Friday

> he participated in his dance class and the same thing yesterday

(it had

> been several weeks of cowering in my arms prior to last week.)

He's not

> crying at home anymore either.

>

> I have no idea if we're one of the rare ones that has bad side

effects or

> what. To check I'm going to keep him off the ProEFA for a while

longer and

> reintroduce it and see if he gets sadder, clingier and weepier

again. If

> it is due to the oils I guess it isn't too huge of a loss. Aside

from the

> initial week when his verbal attempts quadrupled we didn't see any

surges

> or major improvement in the 7 months he was taking them.

Hopefully I'll

> find out in a few weeks when we reintroduce them. I want to make

sure that

> it is the fish oils causing the crying and not just that he

suddenly

> clicked things in place and it happened to coincide with stopping

the fish

> oils. He's had plateaus before a book in the past, but never with

these

> mood changes too for this long of a period.

>

> For anyone who has stopped for a potential negative side effect

then

> restarted what time period have you done for the " break " ? I was

thinking

> two weeks, but then his grandparents will be back in town after a

long trip

> around the end of the month and I want to be a bit scientific

about this

> and not restart the oils when something else major is happening in

his life

> too! I was thinking of waiting a full month - two weeks to clear

out of

> his system some and then another two to adjust to gma and gpa

being back in

> his life daily (well in person which is different than regular

phone calls.)

>

> Miche

>

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Guest guest

I posted a few of your archives from the first you ever

posted here, to most recent to see if any answers lie in them. In

quickly looking over them it appears your child had a surge in 3

days of taking one capsule of ProEFA at around 4 years old. When he

hit the plateau you were not sure if you should increase to two

capsules as you were waiting for the 6 month point. Doesn't appear

that you ever did increase -did you?

One capsule of ProEFA is about equivalent to the dosage the FDA

approved for infant formula, so extremely conservative dosage wise

for a 4 year old. We've noticed in this group that most older

children around 5 and up do need at least two a day to acquire the

more dramatic surges seen in the 2 and 3 year olds starting at the

one a day. Also even though it took my son Tanner 6 months for his

first plateau, the typical time is around 3 to 6 months. We can

follow what has worked for years in this group, but as time goes on

we learn more and more, which is a good thing.

More recently in this group there has been another exciting change

in dosing which appears to be a much better way to go for at least

those who have tried it so far. 's child at 2 and a few

others are multi dosing a few capsules worth 3X a day with reported

even more dramatic -even more accelerated progress. What is

using however is more typical of the amount of EFAs used in research

by both Dr. Stordy and Dr. . In this group we've always

kept the dosage low and gradually over a year's time increased to

about 3 capsules a day because anecdotally that worked -but that

doesn't mean that low dosage is always the best for all. Especially

for those that are older and/or hit a plateau it appears that higher

dosages even raised gradually, may be beneficial. I'm curious now

for those children that didn't respond (or as in your child's case

stopped responding) what gradual higher increases would do. It's

easy enough to find out as long as a child isn't allergic to fish

oils of course. In most cases as Marina just reported within a day

to 3 weeks you'll notice the changes.

I'd run the following by the professionals that work with your

doctors. (coincidentally just when you started PROMPT was about a

month after you started seeing the accelerated surges from the

ProEFA -run by Deborah Hayden too if you are still working with

her) I know that you have the approval from them already for the

fish oils, but perhaps discuss the latest behaviors with them if

they don't know about them already.

In March of 2006 you wrote, " I've been stumped with my son's

behavior changes the last two

months. Sometimes I think it's related to not being able to express

the

more complex thoughts he has, but that doesn't seem to answer it

all. He's

4.5 and his expressive language is around 17 mo to 2.5 yrs depending

on

which test, approx 200 single words, still telegraphic speech,

but /just/

starting to tie together 3-5 word sentences on odd occasions when

he's not

thinking about talking. "

If Tanner is off his oils he regresses as I've posted, and only once

as reported did we leave him off for a week which was a nightmare

and that's when he exhibited the behaviors you see in your son on

the one capsule of ProEFA. (this was due to his IEP testing as

reported in the book The LCP Solution " It was the saddest thing. We

will never do that to him again. The poor little thing was no longer

able to say as much, and he just didn't seem to learn. He wasn't

able to 'parrot' us like he had when taking the supplements. And for

the first time he was frustrated to the point of tears. "

http://www.drstordy.com/stories.html )

Even if that's not the reason for your son, there is no doubt in my

mind that is what caused the behavior in my son Tanner. He was

aware of what he was not able to do anymore. In the archives I

describe it like he had it -and suddenly it was gone.

I know most may view your message as a negative -but given your

child's history (which is why I posted the archives) I actually

think frustration is a good thing -especially since your child's

receptive ability had been in question by various professionals.

Perhaps ...the one

capsule (?) of the fish oils are causing the crying and clinging

behaviors because the amount is just enough to make him aware of

what he isn't able to do, as you wonder, but not enough to help him

do anything about it.

The fish oils initially created surges in your child but again once you

hit the plateau you wanted to wait 6 months to go to 2 a day. Since

your child is older and the range is typically 3-6 months for the

first platue -to me it's clear that stopping them, or starting them

again at one a day may not be the answer.

I am suggesting trying a slightly higher dosage to start (for

example two vs. one) rather then stopping them or going back to one

a day for a 4 1/2 year old. I wouldn't suggest this if they never

worked, but because they did " work " for your child initially and

because it appears he still has a ways to go. If you raise the

dosage a bit to try that, you can go slow and go from there. You'll

know within a few weeks if it's a good thing or not.

Marina had posted that even though the ProEFA created surges in her

son's speech to start, that once her son's speech was fine that the

ProEFA caused behavioral issues and taking him off and putting him

back on made no difference in his speech. She was the first to

state this, and I had wondered here if it was because he no longer

needed the oils for some reason? Marina's a chef and perhaps he

gets all he needs from a healthy diet -something most of us don't

get into our kids. In your child's case it sounds like he still

needs a great deal of help with his speech, so doesn't sound the

same in that matter.

Best to you and let us know how it goes. Below are again some of

your archives to see if any answers lie in them:

From: Grassia <miche@...>

Date: Sat Jul 16, 2005 2:47 am

Subject: New Member Intro - what do you do when a diagnosis doesn't

fit? miche37

My son will be 4 in September and he has a severe speech and language

delay. That much we all agree on! He's been working with a SLP

since he

was 2 with very little progress. 16 months ago he was evaluated by a

multidisciplinary team and diagnosed as moderately autistic. From

the

start we strongly disagreed.

A second opinion by a pediatric neuro did not confirm the first

diagnosis,

and the additional therapists he was given through EI haven't helped

either. The original eval said he has SI disorders, but we and his

OTs

have disagreed. A second visit to pediatric neuro gave us a vague

general

diagnosis. She said he had a developmental language disorder which

could

be due to many conditions from mild autism to auditory processing

disorders, language dyspraxia, epileptic aphasia and minor

developmental

brain malformation. How's that for being specific? Her point was

that

it's more what we do about it than what we call it and I do agree,

but what

we're doing doesn't seem to be working and the schools really DO

care about

what we call it!!!

To me verbal apraxia has always seemed to be the best fit. I'll

expand

with details on why we don't agree with moderate autism and why we

see

apraxia if anyone wants to hear it. :) What has been my biggest

worry

that he needs more directed therapies than what he has gotten.

Initially

his SLP said that she couldn't do typical apraxia therapies (even

though

she thought it could be apraxia) because of his age and lack of

cooperation, but now he is older and much more cooperative! His SLP

is out

of the picture now (moved - we'll miss her support!) and the EI

center

doesn't have a replacement so he will get no more speech until after

his

IEP at the start of the school year.

At this point I am searching for a more accurate diagnosis and I

don't know

where to go. The original team won't reevaluate him because he is

over age

3. The schools won't evaluate him until he's in K, yet what they are

offering at his tentative IEP is not appropriate. They are offering

one

hour of group speech and one hour of group OT (which he doesn't even

need)

and 20 hours per week in an " inclusive " program. Their definition of

" inclusive " is having 1-2 typical children in a class of 8-10 kids

total! His pediatrician and therapists say he needs 80-100% typical

peer

models due to his learning style (almost exclusively visual

learning.) We're going to argue for outreach services to his private

preschool because the public school program isn't the " least

restrictive

environment. " He's doing great in " full inclusion " at the private

preschool btw. But at the IEP in May they wouldn't bend on that.

I am confused and frustrated. I want what is the best for my child

and

honestly I'd be fine with the autism label if it seemed to fit him

better

and if the services he was getting seemed to be helping, but they

don't. I

have no idea how to go about getting a more accurate diagnosis. I

know a

diagnosis online is impossible and that's not what I'm asking for,

but I'd

love any suggestions on where we could go next. I would appreciate

any

recommendations for physicians or therapists and especially support

groups

in New Mexico (greater Santa Fe or Albuquerque area.) I'd love and

suggestions on programs (formal or informal activities) I can do

with him

at home. His cooperation level is improving and I feel we can move

beyond

play based labeling and support. I'm happy to share more specifics

about

his speech and language as well, but I didn't want to make this too

long!

From: Grassia miche@...

Date: Wed Aug 17, 2005 10:09 pm

Subject: Need IEP advice and report on PROMPT eval

We had our initial eval at PROMPT today. He cooperated well for 40

mins

(total eval was about twice that including some fun swing time at

the end)

and was more verbal than I've ever seen him be with a therapist. He

needed

less modelling than when I'm working with him at home, but then when

he

gets in any kind of a therapy environment he instantly

speaks " therapyese "

as I call it. Where anything and everything the therapist says he

just

parrots back in a singsong tone. It's trained, not true echolalia

because

he doesn't do this at home unless I'm " working " with him and

modelling in a

sit down (aka non-natural environment) and trying to get him to

repeat.

About 40 mins in he was DONE, but he still sat and feigned

attention. His

receptive language just disappeared. He did not or could not

understand

anything and just repeated words poorly, even questions that were

asked he

would just reply back with the last word, ie. " Do you have a cat? "

Reply:

" ahht? " I did explain that he was done cooperating and that it was

not

typical. The therapist wants to see him again next week same time

to do

more evaluating. She didn't ask me any questions at all which I

found odd,

but the session was video taped and Deborah herself will review it

and plan

a therapeutic approach with the other clinicial (who is fairly new)

and I'm

assuming we'll discuss more after the next eval? I did give her all

the

reports we have gotten, ECEP eval that diagnosed autism (complete

with my

comments refuting their reasoning) pediatric neuro reports that

mentioned

everything under the sun as possibilities, therapy reports from early

intervention. They asked I mark them up with a red pen to show

progress

since they were done or places I disagree with the assessment. Oh

he also

had very little eye contact during the eval with the therapist. He

was

more fascinated with watching himself on the video recorder! And he

also

avoids eye contact with new people who he knows are testing him. He

normally has decent eye contact with strangers unless he's focusing

more on

the mouth of the speaker. He didn't do that at all today and his

articulation was worse due to that.

Of course they haven't done the final report, but she did mention

verbal

and oral dyspraxia in our BRIEF discussion after. I knew he had

some signs

of oral, but I thought he moved past them (didn't drink from a cup

or blow

out candles or blow bubbles until age 3, didn't pucker and smack

with a

kiss until earlier this year around 3.5 yrs of age and he still

stuffs a

lot of food in his mouth and uses his fingers to push in things like

long

noodles.) I was amazed to see that he could not move his tongue up

very

well if he was first sticking it out then trying to go up, and he

could not

put his tongue to the back of his front teeth. He could lick his

lips, but

not in quite the same way as she was modelling, and he could not go

from

smiling to blowing a kiss without a big pause in-between. She also

noted

weakness in his muscles and cheeks (he does not have low muscle tone

in his

body) and he still has the " sucking pads " on the inside of his

cheeks? Anyone know what that is or could mean? It stumped her and

she

was going to ask Deborah about it. Could it be related to the fact

that he

didn't wean until this year? She also said that his articulation

would

clearly qualify him for therapy (with insurance) but thankfully we

don't

have that issue. Due to a skull fracture at 5 mo of age our

insurance is

covering therapy (with a $15 copay) since it is " medically

necessary. " The

clinician also noticed some receptive language delays which I was

aware

of. He does fine with most verbal instructions that are simple, but

sometimes needs non-verbal cues. He does not answer WH questions

except

for where ones like " where is the cat? " He will point to it. His

receptive

is still VERY high compared to his expressive. Both are clearly

delayed,

but expressive if much more significant.

So moving on from the PROMPT eval we now have the public schools. I

had a

meeting with the new IEP coordinator and the principal of the school

to

discuss a run-in I had with the pre-K teacher at our last two IEPs.

I had

another horrible run-in with her when I went to register my child

last

week. The principal immediately assured me (before hearing my

complaint!)

that we would have a different teacher at the next IEP which has been

tentatively scheduled for Sept 2 (my birthday and the day after my

son's! Happy birthday to me. :()

The problem is the school is still saying they have no outreach. The

private preschool environment is perfect for him. He has friends

who he

mentions at home (a first!) He is thriving socially (which is BIG

for a

child who supposedly has autism) and I am not willing to pull him

out of

there for a public school pre-K that has only 25% typical peers. At

the

private school it will be 9 kids and a 3 to 1 ratio of

teacher/parent to

child. There two teachers both with masters in early childhood, one

with a

master in special ed and 34 years of teaching experience at this

school

that she co-founded! The cofounding teacher really " gets " my son

and he

adores her. He hasn't met the other teacher yet as she wasn't there

for

summer session. There will also be at /least/ one parent

participator

every day as it is a co-op school. So the public school is saying

he can

still go there, but then I have to send him four afternoons a week

to the

(essentially) special-ed school. Technically they meet the law

because

they aren't getting enrollment of typical children, but when it

really

comes down to it you can't call it an inclusive environment which is

what

my son needs!

What I am asking for is that he attend the private school and the

public

schools pay for it. That he has an outreach SLP at least twice a

week OR

that they pay for PROMPT. I want him to continue to see the autism

specialist who will help him build VERBAL social skills at school

and help

him with verbal communication repair to further facilitate the social

communication skills he has. And if they still want to do OT I'm ok

with

that although my son doesn't really need it at this point. He may

need it

again in the future as more demands are put upon writing skills. He

has

some very minor motor planning issues with pre-writing skills (not

severe

enough to be considered motor dyspraxia), but according to the

sensory

specialist we saw a few weeks ago (on two separate occasions) he is

at age

level with fine motor skills and has no sensory issues. This isn't

asking

a lot as there is already a child at the SAME preschool who is

attending

more hours (on different days) and getting the tuition paid by the

public

schools and is getting a SLP and OT and five hours with the same

autism

specialist. She has the same diagnosis (autism is all we officially

have

at this point.) There is also another child at another private

preschool

in town who is getting his tuition paid for as well.

So I guess at this point I need suggestions on how to get more and

more

appropriate speech therapy for my son. Right now his IEP from May

says 1

hour of small group speech and 30 mins of direct group OT and 30 mins

indirect (ie classroom support.) Also how do I effectively argue

for a

least restrictive environment? What are the best studies to show

that

one-on-one therapy is necessary? From what I understand in talking

with

the other parent of the child at the private preschool is that she

came in

prepared with studies on autism and the specific sub-condition her

child

has and was able to argue based on that.

I'm switching back and forth between anger (at the schools, not at

my son's

communication problems,) crying, feeling drained and floppy (like a

wet

noodle if that makes sense) and just wanting to give in to make it

all end

(which I know is the depression and I know is NOT the answer!) I'm

not

usually an overly emotional person. I am extremely professional

when I

need to be, but somehow the schools here are so good at knowing

EXACTLY

what button to push to roll over me. :( And I HATE HATE HATE that I

feel

like it has to be a fight, but after being completely bullied at the

last

two IEPs we had I don't know how else to feel (not my words, but the

words

of his case manager.) This one should be a little better because

we'll

have a different special ed teacher there, but I still feel like it

will be

an us vs. them situation. :( Then I'm just feeling overwhelmed.

How am I

going to find the time to homeschool my older son (who is 6, gifted

although he has never been tested, doing mostly 2nd grade work aside

from

reading and who has attention issues so I really need to spend time

with

him, one of many reasons he's not in public schools here - have I

mentioned

our public schools rank #49 in the nation?) On top of that I don't

think

my 4 yr old who has never been in daycare needs to be away from me

full day

twice a week and half day the other days. I even noticed this

summer that

it was difficult because he cannot tell me what happens when I'm

away from

him and it makes it very difficult to figure out why he's withdrawn

or over

excited, etc. And this was with good communication from the

preschool

teachers which I don't think I'll get from the overwhelmed public

school

teachers. :( I'm afraid frustration (which shows up as withdrawal

and

depression not tantrums or behavioral issues) will happen if he is

away

from his brother and I this much. We are his connection with the

world

because we completely understand him (especially his brother!)

Sorry for writing an novel here. If anyone made it to the end I'd

appreciate ANY suggestions! I'm really at a loss and feeling like

I'm

having a nervous breakdown trying to deal with this, but at the same

time I

can't NOT think about it when I just try to relax. I wish I had the

money

to pay for all private therapies and private schools, but as is we're

digging into non-existent savings so I have to make things work with

the

public schools.

Miche

From: Grassia miche@...

Date: Tue Aug 16, 2005 6:28 pm

Subject: Re: [ ] Re: what is de difference between

Just wanted it to be clear that I didn't ask the original question

about

the differences, that was . The way replies to my replies

have come

through it looks as if I wrote the original. :)

My son was diagnosed " moderate autism " by a multidisciplinary team

which

included a SLP, OT, congnitive specialist and pediatrician. I think

they

got it wrong! A second opinion with a pediatric neuro neither

confirmed

nor refuted the diagnosis as he in her opinion was too young to

test. The

possibilities she mentioned were mild autism, apraxia, auditory

processing

disorder, epileptic aphasia, etc. Basically everything in the

book! The

one thing she was clear on is he was not mentally retarded

(something the

initial team felt was the case - they said " cognitively impaired "

which he

is NOT! His therapists now all think he is actually brighter than

average.) I definitely feel that initial team was looking to

diagnose him

as autistic and found things they thought fit. Everything that to

ME I now

see as common with apraxia they saw as a " red flag " for autism. It

may be

that he has both apraxia and mild autism. It may be he doesn't have

apraxia at all - we go for an eval at PROMPT tomorrow! I hate to

say I'm

hoping he has apraxia, but I think you all know what I mean. I hope

that

whatever it is called we feel is accurate. We don't get this

feeling about

autism and he hasn't responded well to the autism therapies, nor has

he

made much improvement related to speech therapies either and he's

been

going for two years! I just spoke with my son's private preschool

teacher

at length today (she feels it is autism.) She said that he will

walk up to

a group of children who are playing and with non-verbal means make

it clear

he wants to join their game and they will accept him. That is not

something you see a child with " moderate autism " do. A child with

autism

may join in play when offered, but has difficulties initiating play,

and

rarely will join an established group in play (according to this

teacher

although I have heard the same from many others.)

Miche

From: Grassia miche@...

Date: Wed Jan 4, 2006 10:19 am

Subject: Re: [ ] PROMPT (was Our IEP woes)

miche37

>Can you, if you don't mind, give me your opinion as to how you see

PROMPT

>helping your child as opposed to " regular " speech therapy??

For my son it is exactly what he needs. Two years of " regular "

speech

therapy and he made hardly any progress. Labelling everything just

taught

him what it was without teaching him HOW to say it. When Deborah

herself

works with him she can run her hand back and forth over his mouth so

fast

that he can speak a full sentence. His other therapist obviously

isn't as

skilled, but she helps him prompt parts of the word. For instance

he says

" soga " instead of " soda " so she prompts him by touching under his

chin

right under his jaw to tell him to bring his tongue forward more for

the

D. At other times he will make a g or k sound instead of a d or

another

sound. In those cases she will touch him at the back of his throat

to

prompt the sound to come from there. I have to laugh because in

some ways

I am the same way. When I was giving birth to him I wasn't pushing

right. The nurse prompted me to push differently by placing

pressure on my

perineum and it was all I needed to focus further back and he pretty

much

popped out! :) Funny the parallels we think of.

He has started prompting himself for the M, K and G sounds and a few

others. He used to call me Tommy (his brother) because it was hard

for him

to get that M out at the front. When he thinks of it he now touches

his

lips to give himself the tactile cue to keep them together and make

the M

sound. From what I understand most kids don't start self prompting,

but he

has been a little. If he asks for something like a cookie and the

answer

is no he'll come over and put his hands on my face and try to prompt

a yes

out of me! It's so funny! :)

The way I think about the theory is with the tactile prompting and

repetition he starts to FEEL where the proper placement of

everything is to

make the speech sounds properly. Also in his case by saying things

properly he is storing language better and his receptive is

improving some

as well (he has some receptive delays as well, especially with

auditory

input.)

In August before we started PROMPT he had about 150-200 words that

were

used infrequently, under 50 that he used with any frequency and most

of

those were animals. Most were single nouns, some single verbs. Now

he is

regularly using 2 word phrases and starting to string 3-4 words

together to

express ideas instead of just labelling. The words he had he is

pronouncing better and more consistently. He is also speaking with

more

confidence.

It hasn't been an overnight miracle, but the progress has been

steady. In

the past when he made progress it was in spurts and seemed unrelated

to the

speech therapy. Now I notice a direct correlation. He works on some

sounds and words and then I hear them more often at home.

Miche

From: Grassia <miche@...>

Date: Wed Jan 11, 2006 9:54 pm

Subject: RE: [ ] Re: question-omega half lifes

miche37

I wonder if it is absorbed more efficiently when taken in multiple

dosing. You know too much of one thing at once and so much gets

wasted.

On that topic, I started my son on proEFA about 4 months ago. We

stopped

for a week in early Dec. due to a bout of a horrible stomach and

intestinal

flu that went through all of us. He wasn't keeping anything down so

I

couldn't imagine giving him anything oily to eat! With all the

craziness

in our lives since then I've only remembered to give it to him

sporadically

until a few weeks ago. Initially we noticed an increase in his

verbal

attempts after just a week, but that seemed to stop after about 6

weeks. I've heard I should up the dosage after six months. It

hasn't been

as long for us, but would it still be worthwhile to do twice a day

this early?

Miche

From: Grassia <miche@...>

Date: Wed Aug 24, 2005 9:38 pm

Subject: Re: [ ] Speech Delay - Is There Really

Such a Thing? miche37

My oldest had strictly a speech delay. He, like my younger child

had no

interest in learning to sign or compensate for lack of language in

other

ways (what I think is a personality trait for them both.) Unlike my

younger he threw monster tantrums when he wasn't understood and we

had

other behavioral issues such as a complete lack of impulse control!

He

also had some sensory issues that didn't really interfere with his

life

(didn't like feet on pj's or anything tight on his wrists - both

things I

hate and both things he has mostly grown out of and could also be

attributed to allergies and eczema.) Basically if you go down the

diagnostic criteria that was used to diagnose my second son with

autism my

oldest would have " scored " higher! He's now 6 and speaks like a

little

adult. His vocabulary is immense and the only thing that is a little

different is his energy level. Many pseudo professionals try to

tell me

to get him evaluated for ADHD, but it's more an energetic and easily

bored

boy thing than ADHD. He CAN concentrate for hours not minutes if he

is

interested in what he is doing. He's the best behaved and most on

task

student in his dance classes even after skipping up to the next

level with

8-9 yr olds. He JUST turned 6! We homeschool him and while many

days it

is pulling teeth to get him to do ANY work overall he is mostly at

second

grade level (in all but reading where he's just ahead of your

average first

grader.)

My second child was given a diagnosis of moderate autism at age 2.5

after a

2 hour exam in a chaotic crowded noisy environment. Since then

specialists

have neither confirmed or denied the diagnosis, but all have said if

it is

autism he is extremely high functioning. The therapist at PROMPT

today

said that she sees " some Aspergers " which really confused me because

I was

told by the university team that Aspergers never has a speech delay

component. I think it was this therapist's way of saying very mild

autism? Unfortunately I couldn't question her as I had to be at a

training

for work and my mother was the one who she told this to.

The difference I see between my kids is that my oldest was never

tested by

" the professionals. " I am convinced that if the same team had seen

my

older son at the same point in life he would have been given a

diagnosis of

autism and sensory disorder as well and there is NO way that it fits

him. (The sensory component of my younger son's diagnosis has been

clearly

debunked by a SI specialist earlier this month. I have always known

he did

not have sensory issues.)

I believe that many (not all) professionals are quick to diagnose

autism

when a child is not at age level in speech. The team that diagnosed

my son

acted like we should bend over backwards thanking them for making

more

services available. Unfortunately the services which were not always

appropriate did have a cost. Not monetary, but it took a lot of

time away

from our family and just normal life and play and added a lot of

stress. In hindsight I would don't 2/5 of the therapies we had and

pushed

for a change in the kind of speech he was getting because two years

should

have shown more significant improvement than we've seen!

Miche

From: Grassia miche@...

Date: Sat Jan 28, 2006 2:29 pm

Subject: Question for those with autism diagnosis miche37

Who gave the diagnosis? Was it a team or a psychiatrist? I'm

particularly

interested in people who were diagnosed around age 4.

My son was diagnosed by a team at age 2.5. We have always

questioned the

diagnosis, but the schools said we had to accept it for him to get

any

services (even though he also has a speech and language issue -

formally

diagnosed at age 4 as verbal and some oral dyspraxia and a mixed

language

issue - he also has receptive delays.)

Now the schools want to send him within the month to THEIR

psychiatrist

because they are questioning the diagnosis (oddly at the same time

that

they don't want to make up the services they agreed to in Sept and

never

provided!) While I truly believe the diagnosis of " moderate autism "

is not

accurate I do see slight things that could put him mildly on the

spectrum. I also am annoyed that the schools didn't care about

accuracy

until it served THEIR interests. :(

I have great concerns over a psychiatrist's ability to accurately

diagnose

a minimally verbal 4 yr old with dyspraxia and significant receptive

delays! I've heard of psychiatrists diagnosing 8-10 yr olds, but in

the

case of my son he just won't understand questions. When he doesn't

understand he non-verbally tries to change the subject, or ignores

the

speaker or just turns off completely. His SLP in her most recent

report

stated that this could be taken for inattention, but it is basically

his

coping mechanism to ward off frustration. Therapists in the past

have

gotten irritated and called him uncooperative and questioned his

cognitive

abilities, etc. Finally he has people who understand him and he

attends

fabulously at therapy with the proper supports! He knows he doesn't

understand, but rather than asking for clarification he just tunes

out. I

want an accurate label for him which is why I got on the waiting

list at

the clinic that is best able to diagnose autism or refute a previous

diagnosis. I requested an eval in winter or spring '07 to give him

time to

improve in speech and language and so we would have a more accurate

assessment for the IEP in the spring before he starts K in fall '07

(he'll

turn 6 a few weeks after the school year. His bday IS the cut-off

date

which in this case is great!)

MicheFrom: Grassia miche@...

Date: Sun Feb 19, 2006 10:31 pm

Subject: Re: [ ] misdiagnosis miche37

At 03:56 PM 2/19/2006, you wrote:

>Hi,

>I am curious as to how many people have children with apraxia and

>sensory issues who have been misdiagnosed as on the autistic

>spectrum.

I believe my son is misdiagnosed as autistic. His diagnosis is not

high

functioning or PDD-NOS it is " moderate autism. " We already know

that that

team misdiagnosed him with sensory issues and also initially said he

was

congnitively delayed until I demanded a meeting with the cognitive

specialist! When she saw him again in a better environment she

actually

had tears in her eyes...she said she had never in her life

misdiagnosed a

child so severely! And she had a long career. She retired a few

months

after my son's eval! We've been on a rollercoaster for the last two

years.

>My daughter is 3 now and is about a year behind in

>expressive language though her receptive is age appropriate.

My son is almost 4.5 and is 2 to 3 yrs behind in expressive

(depending on

which test - he has about 200 words intelligible to family with

inconsistent pronunciations) and he also has receptive delays, but

not as

severe as the expressive. His SLP believes that he is not storing

language

correctly because he is not saying words correctly. We also suspect

some

auditory processing issues. He does many things non-verbally that

are age

appropriate, and even with communication he corrects and criticizes

which

are appropriate milestones for a 4 yr old. This usually consists of

saying, " No, not ____. "

> She

>definitely has sensory issues which we receive ot for and has made

>tremendous strides w/ a prompt trained speech therapist.

Prompt is what finally started improvement for my son after TWO

YEARS of

regular speech therapy with virtually no progress! Unlike your

daughter he

has no sensory issues. He was misdiagnosed with this by the same

team that

diagnosed him as autistic and he was in OT for sensory issue for a

year but

it was pointless!

>She is up

>to multiple word sentences though she is very difficult to

>understand. She still resorts to crying (and recently tantruming)

>when she is frustrated instead of using her words. She is also

>somewhat echolalic (copies what we say)

Until recently my son was very echolalic which everyone said was a

red flag

for autism. I never believed it was echolalia in an autistic way,

but that

he was trained to do it. Others think I'm nuts, but I feel that

with all

the speech and other therapies he was trained into knowing he had to

give

some response so he'd just repeat to be left alone. Now the ONLY

times he

exhibits echolalia is when he's tired (or as I say, DONE, which

happens

after 45 mins of very focussed therapy) or when he isn't really

paying

attention or is uninterested in what someone is saying to him at

that time.

> She however has a

>tremendous interest in socializing with other children and adults

>though because of her issues her social skills are weak. She is very

>affectionate and also pretty hyper.

Hyper can be related to sensory. My son tests one point outside of

norm in

modulation with respect to movement which basically means if you get

him

going he's hard to stop and hard to refocus. Usually it is not a

problem,

but his brother is very active so when the two of them get

going...well

he's in tears now from being too rambunctious and getting hurt and I

have a

soaked bathroom floor right now after their bath as an example. All

logical thought goes out the window once they get going! :)

>I am wondering about the people who KNOW their children are not on

>the autistic spectrum, but KNOW that they have sensory issues and

>apraxia. What does that look like? What is the difference?

Well I can't say for the sensory because he doesn't have problems

there,

but the difference I've seen between my son and kids truly on the

spectrum

is first the behavioral issues. My son has none, autistic kids

usually

do. From what I've heard kids with sensory issues ALSO have a lot of

behavioral issues. The biggest thing aside from that is a

chicken/egg

thing. My son is delayed socially because he has speech/lang

issues. Autistic kids are delayed in speech/lang because they are

delayed

socially. The autistic child at my son's school can't sit in group

time,

can't initiate play with others (she does join in if asked) and has

to be

prompted verbally for speech, but when she talks her speech is fairly

clear. My son initiates play, and more importantly has imaginary

play. He

needs to be prompted for speech multiple times if it is an auditory

prompt. If it is a tactile prompt (like with PROMPT) he does it

easier. Also autistic kids usually have very little eye contact.

This is

not always the case, but often is. From the kids I know on the

spectrum

they have a look...hard to describe, but it's not what I see in my

son's eyes.

>I am

>wondering if we have been somewhat misdiagnosed or if we are just in

>denial? She is DEF. not classically autistic, of that we are sure,

>but the " spectrum " is just so wide. Any help or experiences in this

>area would be greatly appreciated. You can e-mail me privately if

>you prefer.

I've been told the line " the spectrum is so wide " and been accused

of being

in denial for almost two years now! My son is at a private preschool

(placed there by the pub schools) and we have been fighting the

public

schools forever about his services. Well they FINALLY sent two

observers

to his school. One is a social worker and the other an autism

expert/consultant. BOTH are now questioning if he is even ANYWHERE

on the

spectrum. His peditrician has always questioned it, the ped neuro

we went

to for a second opinion questioned it, his speech therapists

(private and

through the schools) question it. It infuriates me that when I

tried to

say I disagreed the school administrators shut me down, accused me of

denial and said he would get NO services unless I accepted it. (He

was not

diagnosed as apraxic until this past August - we're in NM and went to

PROMPT and the diagnosis is by Deborah Hayden herself so I trust

it!) Now

the schools want to get rid of the diagnosis ASAP because they don't

want

to give him the services they owe him for the last five months (IEP

was in

May, amended in Sept to double speech and his FIRST hour of speech

this

school year was last week!!!) They now want to get him evaluated by

a

psychiatrist. I don't think that a single psychiatrist is qualifed

to

diagnose him. I want to wait until next winter or spring when our

spot on

the waiting list with the best clinic in the state comes up. That

will be

the most accurate re-evaluation for him. At this point the diagnosis

doesn't matter because the therapies are appropriate. It took me a

long

time to get to this point, but now we have things that are working

and I

don't care what they call it. We'll clear that up in a year.

So anyway that is our long saga, but I too have been asking the

question

for two years about how many kids are being MISdiagnosed with autism

these

days. Yes, it IS a wide spectrum, but it seems that they apply it

to a lot

of young kids and then expect the parents to be grateful because it

will

get them more services. What it got my son was harsh, strict ABA

therapy

which HURT him, depressed him, frustrated him. And it got people to

stop

considering apraxia which is what I figured his diagnosis would be

when I

took him to the early childhood team. :( I feel like we had 18

months of

lost time until I heard about PROMPT and took him to be evaluated

privately.

So accept therapies that you feel are working for her, stick up for

her if

you think something is harmful, and try not to stress too much about

the

diagnosis. As kids grow these things usually become more clear.

Miche

From: Grassia miche@...

Date: Thu Feb 23, 2006 11:17 am

Subject: Re: [ ] Re: Pro-EFA miche37

>Phoebe went from having a hand full of words we could pretty much

>make out. She was saying one word at a time. Now she is saying 3

word

>sentences. However we really were expecting her to take and if it

worked

>for her to

>just start talking and it to be clear.

This happened to my son. His verbal attempts increased, but the

more words

he suddenly had the more garbled all the motor planning was. In

that sense

my dad in particular was claiming fish oil regressed him initially.

Then

he realized, no, he was talking more, but less clear. We made a

list of

all his words and then in speech and at home we started working on

taking

the words he had and increasing the function. His vocabulary

(expressive)

has not increased much over the last 6 months, but his clarity on

those

~200 words he has has greatly improved. The only new words we've

given him

have been have been carrier phrases such as " I want " and " I need "

and " Come

see. " Things that he can add to to help get his ideas across

better. While this happened his receptive (he also has delays, but

not as

great as expressive) has really improved. Now we're at the point

again

where we're adding more words since the consistency of his current

vocabulary has really improved. He still makes a ton of errors, but

now

strangers can understand a lot more of what he says, and familiar

listeners

get maybe 80%! :) On many words he's gotten them down so the errors

are

just phonological (r's are w's, final consonant deletion and subbing

g for

d - " fwock=frog, soga=soda, etc.) He's not switching vowels in

famliar

words as much anymore either! :) Hat is now almost always hat and no

longer sometimes hot and sometimes het! :)

I just thought I'd share what has helped with us to get him on track

after

an initial surge in language after starting ProEFA. Unfortunately

after

that first surge proEFA doesn't seem to have continued the surge. We

haven't stopped it, in fact his slp and pediatrician thought it was

a great

idea! But he's definitely hit a plateau.

Miche

From: Grassia miche@...

Date: Thu Feb 23, 2006 11:26 am

Subject: Re: [ ] Pro-EFA miche37

About 3 days. It was clear by 1 week. For us it leveled off

unfortunately.

Miche

At 08:01 PM 2/22/2006, you wrote:

>I am a lurker for about 3 months and started my daughter on Pro-EFA

a week

>ago. I was curious about those of you who DID see results from

them, how

>long did it take?

>

> Any input whould be appreciated!

>

> Thanks, Sara in GA

From: Grassia miche@...

Date: Mon Mar 6, 2006 9:55 pm

Subject: HELP! sadness, weeping and clinging behavior

I've been stumped with my son's behavior changes the last two

months. Sometimes I think it's related to not being able to express

the

more complex thoughts he has, but that doesn't seem to answer it

all. He's

4.5 and his expressive language is around 17 mo to 2.5 yrs depending

on

which test, approx 200 single words, still telegraphic speech,

but /just/

starting to tie together 3-5 word sentences on odd occasions when

he's not

thinking about talking. He's still unable to answer questions 90%

of the

time without a prompt. " Are you hungry? " will almost never get a

reply,

but " Are you hungry? <pause> yes or no? " will get a yes or no most

of the

time. He doesn't have sensory issues (aside from some mild oral

sensory

issues - tends to overstuff his mouth.) He has only very minor

finger

motor issues, but not severe and he's still at age level in fine

motor. He's above age level in gross motor, a true strength for

him! He

does have receptive language delays as well (not as severe), but with

environmental cues he functions very well in day to day life. New

situations don't bother him at all, he loves meeting new people. He

only

has problems in situations where all the information is auditory or

where

there is a mix, but things are changing too fast.

Once in December he cried for a long time and I had to come early to

his

school to get him. After holding him for about 30 mins on the

playground

he got back up and played until we had to leave. I stayed (it's a

co-op so

parents are encouraged all the time anyway!) A week after we

discovered a

bad sinus infection so I wrote off the crying to that. When school

started

back up after the break he was happy to go back and was fine the

first

week, but the next week he started crying at random times of the

day. It's

a sad weepy kind of cry where he curls in my lap or his teacher's

lap and

just buries his face in his hands or my chest and whimpers. If you

talk to

him he cries harder and wails a little. He just wants a safe place

to tune

out for a while it seems.

Now these last two weeks have gotten worse. He's doing this at home

regularly and he has refused to participate in dance class for the

last

three classes. If it were /just/ dance I wouldn't be so worried, but

he has

loved dance for so long and his mood changes are in other situations

too.

I have no idea what this could be. He has one new dance class with

older

kids (ages 4-6, his brother is one of the oldest, he is one of the

youngest.) Other than the special dance class nothing has changed at

school or dance. My son is a very easy going kid often described as

happy

go lucky. He has a serious side too, but his serious (relaxed) face

quickly turns to a smile when he's smiled at. He's cuddly and funny

and a

joy to be with...and this part of him is just gone for the last

couple

months! He's gone through brief periods of frustration (which he

reacts to

with introversion) in the past, but he's snapped out of them sooner

than

this. Right before this started he had an explosion of spontaneous

speech

in therapy and at school (he was doing it at home before then) then

he hit

a plateau. His SLP suggested it was a period of processing and

awareness

that was making him sadder.

Now he's hit the point where he cries the minute we pull into speech

therapy, dance or school. He's also crying a lot more at home. I

don't

think anything alarming has happened at any place. School I trust

and I'm

with him 25% of the time. The kids there are very kind, so much so

that

all activity stops when he cries because they KNOW he's not a regular

crier. In speech I'm watching the whole time through a one way

mirror (he

knows I'm on the other side.) At dance I'm either in the room or

watching

through a window. I haven't seen anything that warrants this

change. He

has had two sinus infections since December, but he isn't

complaining of

pain right now. The last was two weeks ago and day two of

antibiotics gave

him instant relief and stopped the complaints of pain. He's getting

enough

sleep and eating normally. I am pregnant, but he doesn't seem to be

upset

in any way about the new baby. I don't think he understands it all

yet

except that there is a baby in mommy's tummy and he got to see

ultrasounds

and hear the heart beat. He was worried about me when the doctor

put the

doppler on my belly last week. He kept saying, " No! Hurt! " But I

reassured him it didn't hurt. After about 5 mins we finally got the

heartbeat (baby was wiggling too much) and he understood what that

was and

smiled big. He's been coming up to me since and pointing at my belly

saying, " Baby! " with a big smile. He loves babies when we see them

and

seems excited. He's started playing with my old baby dolls at my

parents

again too. The only thought I just had when reading other threads

is we

restarted ProEFA at the beginning of Jan. The first time in Aug he

had a

great increase in verbal attempts then it stopped. We stopped in

early Dec

when he got a stomach bug and just forgot to restart, but finally

did in

Jan. He eagerly takes the fish oil with me just squeezing the

capsule

right into his mouth. Last night asked for a second (I was

considering

doubling the dose as it's been six month so I went ahead and gave

him one,

but will start 2x a day with one from here out.) Could ProEFA cause

this

kind of sadness mood change?

Sorry this is so long. The more upset I am the longer winded I get.

:( For anyone who made it through I'd love any suggestions.

Miche

~~~~~~~~~~~~~end of archives

=====

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Just FYI - my son does eat very well, but we eat absolutely no fish

in my house. None. I don't eat it, I don't cook it, and I don't

serve it to my kids. And though I consider myself a " cook " (a

distriction Ray has made well many times) I'll take the

compliment. :)

I believe it was a metabolization issue - not that he " no longer

needed it " - and I also think that it changes REM sleep, creating

extra cranky kids.

I also want to say that I think frustration in moderation is a GREAT

motivator for kids. It is NOT what my son experienced, though.

M

>

> I posted a few of your archives from the first you ever

> posted here, to most recent to see if any answers lie in them. In

> quickly looking over them it appears your child had a surge in 3

> days of taking one capsule of ProEFA at around 4 years old. When

he

> hit the plateau you were not sure if you should increase to two

> capsules as you were waiting for the 6 month point. Doesn't

appear

> that you ever did increase -did you?

>

> One capsule of ProEFA is about equivalent to the dosage the FDA

> approved for infant formula, so extremely conservative dosage wise

> for a 4 year old. We've noticed in this group that most older

> children around 5 and up do need at least two a day to acquire the

> more dramatic surges seen in the 2 and 3 year olds starting at the

> one a day. Also even though it took my son Tanner 6 months for

his

> first plateau, the typical time is around 3 to 6 months. We can

> follow what has worked for years in this group, but as time goes

on

> we learn more and more, which is a good thing.

>

> More recently in this group there has been another exciting change

> in dosing which appears to be a much better way to go for at least

> those who have tried it so far. 's child at 2 and a few

> others are multi dosing a few capsules worth 3X a day with

reported

> even more dramatic -even more accelerated progress. What

is

> using however is more typical of the amount of EFAs used in

research

> by both Dr. Stordy and Dr. . In this group we've always

> kept the dosage low and gradually over a year's time increased to

> about 3 capsules a day because anecdotally that worked -but that

> doesn't mean that low dosage is always the best for all.

Especially

> for those that are older and/or hit a plateau it appears that

higher

> dosages even raised gradually, may be beneficial. I'm curious

now

> for those children that didn't respond (or as in your child's case

> stopped responding) what gradual higher increases would do. It's

> easy enough to find out as long as a child isn't allergic to fish

> oils of course. In most cases as Marina just reported within a

day

> to 3 weeks you'll notice the changes.

>

> I'd run the following by the professionals that work with your

> doctors. (coincidentally just when you started PROMPT was about a

> month after you started seeing the accelerated surges from the

> ProEFA -run by Deborah Hayden too if you are still working with

> her) I know that you have the approval from them already for the

> fish oils, but perhaps discuss the latest behaviors with them if

> they don't know about them already.

>

> In March of 2006 you wrote, " I've been stumped with my son's

> behavior changes the last two

> months. Sometimes I think it's related to not being able to

express

> the

> more complex thoughts he has, but that doesn't seem to answer it

> all. He's

> 4.5 and his expressive language is around 17 mo to 2.5 yrs

depending

> on

> which test, approx 200 single words, still telegraphic speech,

> but /just/

> starting to tie together 3-5 word sentences on odd occasions when

> he's not

> thinking about talking. "

>

> If Tanner is off his oils he regresses as I've posted, and only

once

> as reported did we leave him off for a week which was a nightmare

> and that's when he exhibited the behaviors you see in your son on

> the one capsule of ProEFA. (this was due to his IEP testing as

> reported in the book The LCP Solution " It was the saddest thing.

We

> will never do that to him again. The poor little thing was no

longer

> able to say as much, and he just didn't seem to learn. He wasn't

> able to 'parrot' us like he had when taking the supplements. And

for

> the first time he was frustrated to the point of tears. "

> http://www.drstordy.com/stories.html )

> Even if that's not the reason for your son, there is no doubt in

my

> mind that is what caused the behavior in my son Tanner. He was

> aware of what he was not able to do anymore. In the archives I

> describe it like he had it -and suddenly it was gone.

>

> I know most may view your message as a negative -but given your

> child's history (which is why I posted the archives) I actually

> think frustration is a good thing -especially since your child's

> receptive ability had been in question by various professionals.

> Perhaps ...the one

> capsule (?) of the fish oils are causing the crying and clinging

> behaviors because the amount is just enough to make him aware of

> what he isn't able to do, as you wonder, but not enough to help

him

> do anything about it.

>

> The fish oils initially created surges in your child but again

once you

> hit the plateau you wanted to wait 6 months to go to 2 a day.

Since

> your child is older and the range is typically 3-6 months for the

> first platue -to me it's clear that stopping them, or starting

them

> again at one a day may not be the answer.

>

> I am suggesting trying a slightly higher dosage to start (for

> example two vs. one) rather then stopping them or going back to

one

> a day for a 4 1/2 year old. I wouldn't suggest this if they never

> worked, but because they did " work " for your child initially and

> because it appears he still has a ways to go. If you raise the

> dosage a bit to try that, you can go slow and go from there.

You'll

> know within a few weeks if it's a good thing or not.

>

> Marina had posted that even though the ProEFA created surges in

her

> son's speech to start, that once her son's speech was fine that

the

> ProEFA caused behavioral issues and taking him off and putting him

> back on made no difference in his speech. She was the first to

> state this, and I had wondered here if it was because he no longer

> needed the oils for some reason? Marina's a chef and perhaps he

> gets all he needs from a healthy diet -something most of us don't

> get into our kids. In your child's case it sounds like he still

> needs a great deal of help with his speech, so doesn't sound the

> same in that matter.

>

> Best to you and let us know how it goes. Below are again some of

> your archives to see if any answers lie in them:

>

> From: Grassia <miche@...>

> Date: Sat Jul 16, 2005 2:47 am

> Subject: New Member Intro - what do you do when a diagnosis

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All,

I have a 2 years old son. Suspect having apraxia. He

use know how to speak 'ba ba'(father)when he is 18th

mhts but lately he hardly speak.

he understand what we say and can communicate with us.

I read some of your mails that EPA or Omega will

improve his speech ability.

kindly advise

Thanks

KC

--- kiddietalk <kiddietalk@...> wrote:

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