There is a different category of ASD emerging for those with neurodevelopment disorder with clear physical issues. As such my son could not swallow for 2 years from birth in that this epiglottis failed to close so all fluids went into his lungs He was tube fed. This was accompanied by microcephaly on the 9 centile.
He had associated developmental delays eg delay in developing his immune system he was hospitalised with cellulitis at aged about 3.
There was development delays in several areas.
He has profound fits lasting over an hour and even now has these odd sleeps in inappropriate places. We await neurology on this.
Also he had severe bowel incontinence and is managed on bowel medication - he now has a stretched bowel shown by on x ray
Hw has hypotonia which we improve with lots of exercise but nonetheless it’s there.
There is also associated severe dyspraxia ( 0.5 percentile) severe receptive and pragmatic language. This is accompanied by paranoia as when your semantic pragmatic score is that bad life is scary.
Development was heavily delayed eg alternating feet at aged 10. Touching nose at similar age.
Yet he has a spiky profile and goes to university with a PA ( to ensure he checked emails / gets to the right place at the right time/ supports him to try to engage in work shops/ help him navigate corridors). Part of the jobs is to wake him up a Sen can fall asleep any where eg on buses etc
As a toddler he had a VEP done and that showed latency of the white matter. I was told by the neurologist to brace for global delays but here we are
So for ASD there can be hard physical signs for some that can’t be imagined/ made up etc. You can imagine profound fits or an epiglottis that does not work. You can’t fake hypotonia. You can’t create white matter damage.
Yea the hourly clock dose not function eg awake at 3 0 clock. Having to be told to go to bed. Melatonin taken.
There are also odd things like a desire to make a cake ( inedible) at 10 o clock at night. Sometimes our World seems a bit mad. He tried to meet a ‘friend’ and got the wrong time / had the wrong idea so his dad had to sit with him in the pub whilst he ate waiting for the friend to show to go to a theatre performance. This was his second attempt to meet a friend/ friends. Both were a disaster eg wrong time / place / dare - he can’t make arrangements. We run his diary.
He can’t seem to ask people about themselves. He would like to have friends but does not know how it works eg asking questions about them.
Due to our journey, there is a strong suggestion that our position was caused by a genetic predisposition to ASD (mild enabling success in life) combined with an assault on the brain by a virus in utero ( CMV) This has led to all this. I think that the viral impact on babies should wn looked at more. CMV is more devastating in women who delay having kids until late 20 or 30s when they lose their immunity and then get exposed to nursery aged children after their first child’s birth. So that could account for an increase in ND.
Despite all that I had a neighbour saying he does not seem that ASD. However as we ( his team LA / mentors) can’t stop him talking to himself I am not sure what visual spectacle they want. Had they been in our house last week, they could have seen him make a noose with the charging cables of his lap top whilst his PA and I were talking walking around and saying ‘o have to die now ‘. His Pa and I thought ‘jeez’
I have a neighbour saying that and in contrast a mentor said this about my son
XXX is a lovely young man but providing support
for him is very difficult - he has very complex needs
i also had life skills deciding that he was not overly safe around for example a microwave. One day they send him home for safeguarding as he was having an incident and expressing desires of death.
I have constantly had to deal with the opposite eg things my son could not do because he was too ASD eg years ago he could not go to a local SEN school as it was for learning issues eg dyspraxia and dyslexia and they said he was ‘ too autistic for their other students’. I desperately told them ‘ he can overcome that I will tell him to mask it ‘ and we agreed another trial day but he decided to stim all day in the different school surroundings. ( even through he knew the building well as he were there for tutoring) The nearest proper ASD school for academically ok kids would have been boarding. The LG gave me a free hand as we had an NHS consultant recommendation for 5:1 class size due to hearing / very severe receptive language issues. I could not face that and kept him mainstream.
This is the deranged Hell I live in when a neighbour can say that and then a mentor/ school head / life skills says the opposite. This is the issue - the neighbour does not work with my DS but the mentor and life skills did.
I try to explain to my neighbour that telling me that my son does not ‘look ASD’ is not helpful - it’s actually called micro aggression. I don’t say it like that as it’s tooo overt.
My neighbour is kind and means well. They want to say he seems normal. I think that they think this helps or they think he’s not presenting like Rain Man.
Yet there is me telling my DS not to flap his hands whilst walking down a road or talk to himself as it looks odd.i am so scared about his being the odd ball in the community when we ( his parents ) die.
I have made so much effort to ensure he dresses well so he does not look ‘different’ To overcome the hunched ( retained reflexes / anxiety caused by ) ASD walk we bought him a back support. He tiptoe walked at aged 3 and had paedo boots as part of that.
I have to deal with the reality of the experts and their opinions which have broken my heart over the years . If my son goes for a walk with me and this neighbour and has a conversation about his hyperfocus that’s lovely. If he can present normal for that 20 minutes I am glad but I have the reports from school ( sixth form)
saying my son was bashing his head on a desk drawing blood. I had reports from life skills saying similar ( he was hitting his head). Recently I get calls from a disability agency telling me that was an emotional flare up. Or I get his Pa telling me about some event / misunderstanding. This is the horribleness of the reality I live in.