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Telephone appointment with new community paediatrician

4 replies

elliejjtiny · 25/08/2020 22:25

Ds, aged 6 has been under the community paediatricians since he was 3 and under the neonatal paediatrician from birth to 3. Since then he has had 3 appointments with 3 different paediatricians. The first 2 said he was still very young but they would ask school/preschool and us to complete a questionnaire. The 3rd one diagnosed gdd and said he didn't think ds has autism but referred him for an ados test anyway. Said it would take about a year but then covid happened so who knows. We have been waiting for 10 months so far. Ds's dad and one of his brother's have aspergers syndrome and another brother has autistic traits so he is more likely to have asd than the average chances.

Next month we have a telephone appointment with community paediatrician number 4. I am wondering what the point of that is if they can't see ds. Is there anything I should be doing or asking for? We have a report from school (done a year ago) and from the speech therapist (done 2 years ago). We have filled in several questionnaires, had hearing/sight checked and genetic testing done.

OP posts:
PandaEyed13 · 26/08/2020 01:03

Hi OP. I wonder whereabouts in the workd/country you are.

I find your post relatable. My DS is 3 and has been waiting over a year to see our community paediatrician and speech and language therapy. We noticed when he was nearly 2 that he wasn't talking and it was quickly becoming obvious that he wasn't just merely a late bloomer. He baby babbled when his peers were beginning to string 2 and 3 word sentences together, whereas my boy had never even said "mama." Plus he was slow to reach developmental milestones and to this day has no comprehension or understanding of anything about himself or the world. For example, he's 3 and a half now and his peers can say "I am ...... and I am 3 years old," yet my DS cannot say anyof that or would even understand it. He doesn't know he's 3, he doesn't know his last name, he doesn't know what Christmas and birthdays are, he doesn't understand anything. It's incredibly difficult trying to get him to do or learn anything, for example, toilet and potty training. Again, all his peers are 3 and a half and independently toileting by now, yet we can't communicate with him in a way he'll understand to get him to do it. He doesn't understand his own body to know when he needs to go and to hop on the potty. He can't even say "potty!"
However, he's bright as a button at problem solving, puzzles, using cutlery, running, jumping, climbing, drinking from an open cup with no spills.

We are in Manchester, specifically Trafford and our first port of call was we forego the physicians/GPs and took him straight to our local walk in children's clinic.

From there, they sent a health visitor to our home to observe DS and referred him to something called Traffords Educational Development Services, who in turn were able to refer him to the paediatrician, speech and language and also occupational therapy. However all this has been put on ice during the pandemic and he hasn't been seen by anyone. Even before lockdown, the paediatrician cancelled his appointment 3 times due to her own unavailabity. One of those times we got to the office and she just hadn't shown up that day, no phone calls to any of her scheduled appointments or meetings from her team to let any of us know! Trafford NHS community services aren't the best, they're slammed and veeeeeeery slow.

DS has been accepted to his older bro's school now and is due to start in the nursery in 2 weeks time. The school applied for funding for him to have help in school because he's currently admitted to the services of something called SENAS (Special Educational Needs Advisory Service.) But I don't know what help that will be?! I'm in the dark because DS hasn't been seen by anyone and the school are asking questions I can't answer right now.

SENAS have suggested Autism to us but it doesn't feel like that's what it could be. He's cuddly and sweet and loves attention and cuddles, provided he's in the mood for it!

We've also had dyspraxia suggested to us, I wonder if you've had that mentioned to you?

My older DS was diagnosed with ADD two years ago (he manages it so well with no meds at all that aside from him struggling to focus and being easily distracted, you'd never know he had it!) and the health carers younger DS has seen so far have mulled over that being genetic and hereditary.

DS has been offered a face to face occupational therapy appointment in 2 weeks but I don't even know what that is for, he hasn't had a diagnosis of anything yet! We're going because it's at least a visit to someone, anyone! Has occupational therapy been offered to you?

I'm interested in your story OP, without wanting to pry. You mentioned DS was in neonatal paediatrics from birth?

xx

Ellie56 · 26/08/2020 12:04

ENAS have suggested Autism to us but it doesn't feel like that's what it could be. He's cuddly and sweet and loves attention and cuddles, provided he's in the mood for it!

Don't discount autism because of this.My son is autistic and has always been cuddly and affectionate.

However your son sounds a lot like our second son who was diagnosed with a severe and complex language disorder at age 4.

elliejjtiny · 26/08/2020 17:08

Thankyou. We're in Somerset.

My ds is very cuddly too. We have really struggled taking him out in the last few months because he just wants to hug everyone he sees and he licks people too given half a chance. I have to have eyes in the back of my head with him.

We haven't had dyspraxia mentioned to us, just autism and global development delay. We haven't been offered occupational therapy. I'm not sure what they would do either. I know they sort out specialist seating, ramps etc but that's it.

You can ask anything about ds @PandaEyed13 I don't mind. I think I've learnt more from other parents than from professionals.

Ds was initially under the neonatal paediatricians because he had sepsis when he was born. Then when he was 4 months old his older brother had an operation and ds's consultant offered to take him for me when I went to get my older boy from recovery. I had already said to the health visitor that I was worried about him not making eye contact and lack of smiling. The consultant said that when she had ds she took him round the children's unit and to meet her secretary (I think she was quite enjoying herself Smile) and despite loads of people cooing over him and trying to make him smile he completely ignored them all and didn't look at them. The consultant referred him for an urgent eye check because she thought he had severe sight problems.

I've been saying I thought he had autism since he was really tiny but here we are 6 years later. I think it's really obvious that he has autism and so does the school senco.

OP posts:
Ellie56 · 26/08/2020 18:18

Sorry @PandaEyed13 my post was directed at you. Your son sounds a lot like our second son.

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