Friday, 11 July 2008

Paediatrician Visit

I took Little Prince to see the Paediatrician this morning. We were with him for about two to two and half hours, even the nurse said we got our money's worth lol. He took extensive birth and developmental history. He observed Little Prince as he played and we talked. He asked lots of searching questions about his behaviour and schooling. The Paediatrician wants Little Prince to have blood tests to see if there is any underlying medical/chemical reason for Little Prince's difficulties, as we have little to no medical history for his birth family. He also wants him to be checked out by a specialist Speech and Language Therapist, to check his understand and comprehension of speech, due to the fact that Little Prince can take things that are said, very literally. He wants Little Prince observed and assessed by the Educational Psychologist and for school to fill in some questionairres about his abilities and behaviour. He took a copy of the Occupational Therapist report, and said it was a very good report. He said that given Little Prince's scores for fine motor control and visual motor integration that there is no quesiton that he has dyspraxia. But that he thinks there is a lot more going on, he is considering ADHD and Aspergers. He does not like to diagnose ADHD before the age of six years, but says that Little Prince has obvious attention and concentration issues. The Aspergers comment was due to Little Prince's penchant for lining up his toys and his very literal interpretations of things that are said to him. We are seeing the Paediatrician again in November after the other tests/investigations have been done, so that he has a more complete idea of Little Prince's areas of difficulties. The Paediatrician checked that we were okay with travelling to that particular hospital as he said Little Prince would probably be under his care for a good few years to come. He mentioned the dreaded medication for ADHD, but said that he does not prescribe this unless the child is given a lot of other support, as the medication just masks the symptoms and does not help the underlying issues. This was quite reassuring as I would hate for a 'chemical cosh' to be used on my bouncy little man.

At the moment I'm quite stunned and overwhelmed by all of this. We have other things going on at the moment that make this quite a difficult time and have some hard thinking and decision making to do. Think of us...

15 comments:

Whatshername's Mummy said...

I know that the Ped's appointment will have been a shock but please remember that the diagnosis won't change LP - just make it easier to help him.
Sending big hugs and sloppy Alice kisses,
K and A xxx

Janet said...

Thanks Kate (and Alice) :-)
He's not been diagnosed yet, the paediatrician just suggested these were areas of concern and is doing further investigations to confirm/rule out these thoughts. And you are right, knowing what we are dealing with will be a huge help to us in how to support him.
Love
Janet
xxx

Anonymous said...

See, listen to Kate, this is EXACTLY what I keep trying to say, she just said it much more succinctly and understandably :p

LMS
xxx

Janet said...

I know honey. My head is listening, but my heart is just sad at the moment.
Lots of love
Mummy
xxx

Whatshername's Mummy said...

Of course your heart is sad, you've had your perspective changed and are probably uncertain of what's to come and therefore questioning your expectations of LP's future and your expectations. Change can be frightening but it can also be theraputic (sp?) and helpful.
You will get through this, it will make you stronger.
Sending love and sloppy Alice kisses,
K and A
(Hope LMS's wrist is quickly healed too) xxx

Rosie said...

I'm not sure about the ADHD at all.Ok hes got energy but what little five year old hasn't.He seems a bright little boy and although has difficulty with writing,many,many boys do and also some of the most brilliant minds on the planet struggle with their handwriting.
Oh Janet I really UNDERSTAND what you are going through(you know why) and its so difficult and especially with what else is going on in your life.
He is still little gorgeous,handsome.cute,lovely little Prince.
Medication is Never the answer and I don't agree with the Doctors on all this,unless its so severe.
HUGS and thinking of you.

Cristina said...

{{{{{{{HUGS}}}}}}}} Janet. Thinking of you.

Cristina xxxx

Anonymous said...

Hi Janet,
Also sending lots of hugs and good wishes your way. I know you must be feeling very sad for LP and I hope things will be easier when the further investigations have been completed - whatever the results, it will be much more clear what help he needs. Thinking of you loads in your difficult time,
WL xxx

Janet said...

Hi Kate,
Thank you so much :-)
Lots of love
Janet
xxx

Janet said...

Hi Rosie,
I think the Paediatrician was just letting us know all possibilities and will confirm/rule out things as the investigations proceed. He is still my fantastic, happy, gorgeous, energetic little boy and that's all that matters, not labels.
Thank you for the hugs and support it really does mean a lot to me :-)
Love
Janet
xxx

Janet said...

Hi Cristina,
Thank you so much, I'm getting sloppier but seeing your message made me all tearful - support from around the globe, isn't the internet fab :-)
Lots of love
Janet
xxx

Janet said...

Hi WL,
Thank you so much :-)
Things will probably be harder than average for Little Prince and its sad that he has to struggle with this on top of everything else! Poor little lamb. But we (and school) are doing all we can to help him.
Lots of love
Janet
xxx

Rosie said...

Janet,thinking of you.
LOts and Lots of hugs.

Shawnstribe said...

thinking of you and lots of hugs.
Janet pop to the INPP( institute of neuro physiological phsychology in Chester) site and have a look at their check list, its the British Neuro Developmental Delay program.
Give me an email on tomlinson1tribe@btinternet.com
id love a chat
xxx
s

Janet said...

Hi S,
Thank you very much for the website link, and I've sent you a quick message :-)
Love
Janet


OUR ETHIOPIAN ADOPTION TIMELINE


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