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Search Results
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Topic: Gluten-Free Diet Guide
I was researching some foods for Kendra and came across this helpful guide.
here it is: https://web.archive.org/web/20060210162434/http://celiachealth.org/pdf/GlutenFreeDietGuideWeb.pdf
Topic: Developmental ped evaluation
Ann Marie
Happy to talk to you re our visit to the dev ped… Dr Agin… she was really great. If you want more details PM me and we can talk…For others — i know there are not a lot of kids in this forum with issues like Matthew’s, so this was posted in another forum, but i still thought it woudl be worth it putting it here… there is some good info about what the dev ped does, what they think is going on with Matthew and new ways we are trying to help him…Ask any questions you have!!========================================I am posting this here (vs Special Kids but will link it)… I think that there is some good info from the visit and i know that some people have been wondering about what a dev ped would look at…So, we took Matthew this morning to see Dr Agin (she is well known in NY and wrote the book called The Late Talker… she is well known in the apraxia world and she used to be a speech pathologist).
Anyway — 3hour meeting with her, another dev ped that she is prob training and a speech therapist. They played with Matthew, examined him, did full speech/feeding eval, physical, reflexes, history etc etc. Matthew was really cooperative so we were pretty impressed although he was quite tired at teh end and a bit cranky.
Their thoughts:
– congnitively he is doing wonderfully – very smart. His language processing and development is on target. So it was nice to hear.
– he has hypotonia, mostly on hips, trunk, face, but in general everywhere. Not developmental but rather neurological… however, the reflux has had a big impact in him it seems — ie once he hit the 18-20month mark, he started sleeping well, talking, eating, etc so they feel that there was something there that was just too much for him to handle and once the reflux was more under control he started being able to process language, thoughts, motor planning etc. So, they do not know how much of his low muscle tone is caused by neurological issues/how much is caused by reflux. Anyway, they want some testing, both extensive blood work and genetic testing.
— on the bloodwork, if anyone is interested, i can give you the specific list of things they are looking for that could impact hypotonia, ranging from full metabolic workup, to vitamin deficiencies, to a celiac panel, to some muscle enzymes etc. If you are interested i can put it in here. They said that they do see reflux kids have malabsorption issues of some sort… so they need to rule this out and mkae sure he is getting everything.
— on the genetic workup — they really do not have any specific in mind… ie they just want the geneticist to see if he can identify the muscle disorders that could go with reflux/big head/prominent forehead features and do some testing… especially with the new baby coming etc. and for Matthew;s own sake in the futureThings we need to work on — they feel that at this stage, we need to focus on PT, rather than speech and OT. They feel that we need to get his body stronger now… his speech is delayed but his language is appropriate and he is making progress there. His grasp etc is weak and he is slightly delayed in fine motor — they think that he needs his core strength first. So, they want Matthew to do PT 2x per week + do one of those gym sessions like Little Gym + sign him up for swimming if possible… said it is really good for kids like him, because they get to move legs/arms a lot more.
Want us to give fish oils (ProEFA)… 2 capsules, 1-2 times a day… so that is a big amount; they will prob want some vitamin E too (new research on its effect on language and apraxia kids as well as fine motor skills) (i can tell you which vitamin exactly if you are interested….)
Wants us to increase consumption of proteins… once we get the labs back with carnitine levels, they will see if he needs carnitine but in the meantime, tons of meats/beans, less carbs.
I think that is it… so we will be focusing on doing a lot of physical stuff, doing the fish oils/increasing protein intake and getting all this labwork done.
On prognosis, they said it was great given where he was vs where he is but they said that we will prob have to work on PT for a long time… said that kids like this take years to catch up… but they also said as soon as testosterone levels surge during puberty, they usually see a change in muscle strength/tone.
On the socialization part of it… he is doing fine. They said nothing to worry about but they thought he was almost TOO GOOD/TOO GENTLE. They usually want to see someone with a bit of a temper etc but said that school should take care of that.
Sorry this is long… just know there have been some questions re dev peds and what they do/what they can do and also i thought it was interesting that they have so many supplements that could help with hypotonia and some of the deficiencies that they think can affect it.
If you made it this far — thanks for reading. Happy to answer any questions.
