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What can we expect to happen during DSs assessment tomorrow?

42 replies

Tiggiwinkle · 30/03/2005 17:18

We have DSs diagnostic assessment tomorrow. (he is suspected of having AS). From other posts, the procedure seems to differ from area to area.
Here, it is usually done by the Communications Clinic in the CDC, but because they have a 12 month+ waiting list the clinical psychologists and paed. have decided to do it themselves.
So he has a 2 hour appointment tomorrow with a clinical psyc. (possibly 2), the paed and possibly a speech therapist.
Will this mainly involve us answering questions or will he be asked to do any tests etc? Am now getting nervous about it!
TIA

OP posts:
Jayzmummy · 01/04/2005 18:14

Tiggi....your statement "Above all I want their acceptance and acknowledgement of the fact that there is a genuine problem" is excatly how I have felt for the past 4 years.
This has been my driving force to ensure my wee man gets all that I KNOW he NEEDS.

Hope the dx wasnt to much of a shock...my head is still spinning and I cant quite take it all in.

I went to see our MP about thye problems we have been experiencing with the LEA and LHA. Yesterday I recieved a letter from our MP to inform me that he had spoken with both directors of each authority.

Today I have recieved a letter from the Comm Paed....asking me to go and see him on Tuesday of next week......We had previously been chasing a diagnostic assessment at NAS or with Gilly Baird at Guys. If the Paed agrees to refer us I am seriously thinking about going ahead with the assessment.....a sort of back up to the dx we have already been given.

I have a very niggly feeling that the Paed will not accept the dx we have been given because he has not been instrumental in it implementation....he has so far rejected any other independent assessment reports we have sent him....always stating they have been done "out of area".

Hope your feeling OK...have been thinking about you.

Tiggiwinkle · 02/04/2005 10:33

Hope you are feeling better today Jayzmummy-I feel a lot calmer today and my thoughts are not racing around at such a speed as they were yesterday!
I hope your meeting with the paed goes well on Tuesday-another stressful day for you I would imagine.
How long has J been seeing him? And why is he so resistant to accepting a diagnosis?

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Jayzmummy · 02/04/2005 11:19

When we adopted J he had the most awful upset tummy...all the time!!! His foster Mum told me not to worry about it....but I did because I knew it wasnt right IFYKWIM.
J was referred to see the Paed when he was 11 months old because of his tummy problems.....the Paed was excellent and dx lactose intollerance.
At 2yr 7 months J was referred to SALT because he was non verbal....years of tooing and frowing to differnt SALTs.
School started and J's behaviour was causing problems...EP called in and she said she thought J had ASD type traits. Referred back to the hospital...but the old Paed had left and no Paed had replaced him so we were seen by a string of locums.
In November 2004 the old Paed returned to the area and took up the post of Comm.Paed. i was so pleased that bhe was back....this was the guy who finally sorted out J's tummy problems as a baby...he was excellent then with us and we really thought we would start to get some answers...I got a referral to him....we sent him all the copies of the independent reports we have had done and a copy of the Attwood Questionnaire.....Finally saw him at the bgining of Dec 2004.

He is very anti label. He would not agree to send us to Guys or Elliott House for assessment because in his words "whats the point?".

Paed wrote a very daming letter about us and cc it to everyone who has ever been in contact with J....he almost accused us of having MSBP.

That is why I was so insistent on getting a dx.....if the dx had come back reporting J was fine, but has behavioural issues because I am a crap mom....I would have been the happiest person in the world because I can change my parenting ways. Both Hubby and I knew J was on the spectrum....we just wanted to know where.

Initially J was dx with ADHD....easy option....shove Ritalin down his throat...that'll keep him quiet whilst at school....WRONG...Ritalin made J's ASD traits worse...the school could not cope with him at all....he was on all fours barking like a dog!!!!
If J had had ADHD then the medication would have helped.....but it dint because he hadnt!!!
J has no problems concentrating, he is not hyperactive and I managed to get a copy of his connors rating score which showed there were no significant scores to warrant a dx of ADHD....although scribbled on the bottom of the report is the word....."Autistic"!!! I wanted to know who had written that....but none of the professionals would hold their hands up and admit to being the one who dared to write the word!!!

I fought to get the ADHD dx removed from his medical records after I went to see a independent EP who assessed for ADHD and his report clearly highlighted that it was NOT ADHD....but "Highly Likely" to be ASD. The Paed didnt like the fact that I was so adamant to get the dx removed.....I wanted them to admit they were wrong.

Relationship with the Paed is very frosty....and will be because he admitted to us he knows nothing about ASD....and yet wrote a horrid letter about us and in his opinion J's problems were a direct result of our anxieties!!!!

Im not going to tell him we know have a dx....just will sit very quietly listening to the prat witter on about how little he knows about ASD...and because J doesnt "window lick" he cant possibly have a ASD!!!!!!

Total incompetance....if he doesnt know about ASD he should have at least referred us to someone who does....but it's all down to money, funding and resources....of which there are very few within our area.

Cor....Im on a roll.....better go before I start getting on the soap box....bet you wished you hadnt asked!!!

Tiggiwinkle · 02/04/2005 11:37

Jayzmummy-What an awful time you have had-I did not know the extent of the difficulties you have had with the "authorities".
In our case it was the keen observance of the paed which picked up the possibility of an ASD last October. My DS had been seen by two other paeds at the same CDC who did not feel there was any significant problem other than slight fine motor control difficulties,for which he was referred to an OT. The OT who was not happy-she felt he had dyspraxia-and referred him back to the (3rd) paed. It was on this occasion that ASD was first mentioned. I was disbelieving at first but shortly afterwards he started displaying major anxieties and having difficulties coping at schol and everything began to make sense in terms of an ASD.
Our difficulties have been getting the school to accept the possibility of an ASD because the SENCO feels he is "not like the other autistic children" they have in the school.
But it must be so awful to have to fight your corner with the medical side as well-I really feel for you. You must feel so drained by it all.

OP posts:
Jayzmummy · 02/04/2005 11:44

Its what keeps me going!!!!
If I didnt have such a fight on my hands I think I would have cracked a lot sooner.....my wee man NEEDS me to fight for him.....and I will.

Jayzmummy · 02/04/2005 11:47

Having a professional that knows what he/she is talking about makes all the dfifference.
The CP who came to see us said he thought hubby and I knew more about ASD than the majority of Professionals in our area....he even said he thought we had a better understanding of it than he did

JUST WISH THE PROFESSIONALS WOULD LISTEN TO PARENTS MORE!!!!!

Tiggiwinkle · 02/04/2005 11:48

By the way, JM, I know how it feels to be made to feel that you are somehow responsible for your childs problems. The school have been doing this to us: I suffered a very serious illness 5 years ago when DS was just a year old (cancer)-my DH was also ill in hospital last year- and the school have been implying that it is the anxiety created by these events in the family that have caused his own anxieties.
We knew this was not the case as has been confirmed by the clinical psychologist, but it is so undermining at a time when you just dont need it.

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Jayzmummy · 02/04/2005 14:23

Tiggiwinkle....when J was 2 I was dx with a reoccurrence of cancer....having had a hysterectomy at 21 I thought I would be clear....then the ugly blighter raised its head just as I was enjoying family life.
I was far to ill to care for the boys and as i have no family near the boys went to stay with my mother for 8 weeks....during this time I spoke with them constantly and it broke my heart each time I had to say bye bye to them.......guess what???? The CP told us that that 8 week period caused J to develop attachement disorder and that we had caused his problems!!!!!!!!!! Talk about grasping at straws!!!!!

Punnet · 02/04/2005 15:32

Jayzmummy, some of your problems sound familar to me too!

Sam was born small after Hyperemesis and Pre-Eclampsia (he lost a pound in utero apparently), then his trace during labour showed heart irregularities, but my blood tests had been lost and so no anaesthetist would attend. Obs were all busy. Sam didn't grow, instead he got down to 4lb 4oz before we tried soya milk (couldnt get a referral) and he flourished- now know after five years he is lactose intolerant.

We had behaviour prbs with Sam until he went to playschool, then it went quiet and we thought he 'grown into his skin', until I went to visit the group and actually he was running it- telling them their routine, what to do, picking on the other kids. Health visitor decided to refer to paeds as we had other worries still. Got a home visit by the community assessment team who filled in forms, etc. Then told me that they couldn't provide me with a diagnosis until they had confirmation of his problems from another agency. We gave them address of playschool. Playschool wrote and told them it was our parenting- they had long been funny that DH and my Mum did the childcare whilst I worked, they catered mainly for income support famillies and just couldn't get it. So end of paeds for us. We put Sam in a Montessori nursery, which helped a LOT.

Anyway, about a year later Sam started school and immediately flew! Reading, maths- the lot. Except socially. Eventually, by last term we were called in to be told school just couldn't do anything with him during unstructured time, although in class he was A1. I knew this I guess, I'd been having this problem for years. So I took Sam to doctors last week and old Dr i've known forever flicked through the file and said 'ah yes I see- we had a letter from community assessment before, they were sure he ahd Aspergers, but without back up'...

Except, now we have back up don't we? So Sam isn't EXACTLY diagnosed- due to a technicality I guess- but we have been unofficially told the outcome. We know we need help; Sam responds less and less well to me, perhaps because he is being really badly treated at school by female teachers (has to sit at back despite visual loss with kid who has dyspraxia and wets pants a lot, that sort of thing). I've done every AS test I can find on Sam, same result every time, every symptom too. As he gets older it becomes easier to see that what I thought of as emotional intelligence was really intelligent language- he has no concept of emotion in other people, or really of differences between people (especially status). He is obsessed with junk modelling and aliens, he is SO literal, sleeps little, hoards old food (yuck!) in any place he can, NEVER plays role play games. He is also quite aggressive and has become hard to take anywhere, although I have understanding friends. There was an attempted child snatching in a local restaurant last week, and I know of at least another two suspicious attempts in the same time frame, so with his behaviour I just can't go out the house unless DH is with me. Sam cannot socialise with his own age at all, adults and little kids only. His brother who is 13 months younger hs a horrid time of it! But he doesn't get the concept of reward charts, and he just does not feel guilt.

I am going to go see the school SEN on their return, she is not even aware of Sam despite repeated conversations with his teacher and the fact he has only 50% vision. I heard she was surprised when a friend mentioned his name, in that the teacher had never introduced her.

I know the school will back me up this time, and I am keen to get it sorted but I think dh will take a LOT longer! My Mum and MIL too, they only see the Sam in an environment where he is stimulated kid, or the Sam interacting with adults kid. My Mum just say 'well, what are you doing to him at home then?' every time I say anything! Dear Mum!

Jayzmummy · 02/04/2005 17:49

ummmm punnet.....sounds a bit like we are living parrallel lives!!!!!!!!!
Im in North Devon.....not so far away.....maybe we should meet up and bang our heads together.

Are you under Musgrove hospital?????

I know a really good CP there who is at the moment taking on kids for ASD assessment.

Punnet · 02/04/2005 18:34

Yes, MPH. Dr has asked us to be seen quickly (yeh right), but any help appreciated!

Punnet · 02/04/2005 18:39

Just a thought... does anyone elses kid do the hoarding old food bit? Found some rotten apple cores in a spiderman bag, wrapped in a junk model (Bleeding things!)... yuck... difficult to live with, esp. for hubby who REALLY likes clean.

Tiggiwinkle · 03/04/2005 13:48

Jayzmummy-we seem to have quite a lot in common! My cancer was a "nasty" one too (oesophagus). The DS just diagnosed with AS is DS5, and between his first and second birthdays I had chemo, radiotherapy and major surgery.
However, we were lucky in that our two eldest DSs were in their late teens at the time so were able to help out with caring for the younger ones-hence we were able to keep disruption at home to a minimum.
How old are your DSs? Am I right in remembering that J does not have a school place at the moment?

OP posts:
Jayzmummy · 03/04/2005 15:53

R is dh1 and is 11 and NT....although he has some very dizzy blond moments and is hopeless at being organised!!!!
J is 9. You are correct....I am home edding him at the moment although he has just been awarded 5 hours a week home tuition and has 2 hours every friday at the local special school....which is where he will go from Sept full time.

jjsma · 04/04/2005 14:41

Hi, a lot of the topics you've mentioned have helpful links at

mama2.suddenlaunch3.com

it covers health issues such as Autism and related issues, msbp, social services etc but is mainly meant for mums apart from their children for one reason or another, thanks for readin, Liz.

Punnet · 05/04/2005 15:29

Hiya.

Have just made contact with BIBIC. They are sending me a pack and we are having a meeting to discuss Sam. Fortunately, from here it's not far over a walk away so it is easy to work with DH's shifts. We were a bit concerned over the money, I have to pray now I get my Uni place so I can use my load, and I shall sell some cards to raise funds- something I don't normally like doing!.

I take it it's worth it, isn't it?

Jayzmummy · 05/04/2005 18:25

Punnett....they offer a bursary scheme so dont worry too much about the financial side of things.....BIBIC's policy is to never turn away a child through lack of funding....Good Luck.

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