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Post by Emilysmom on Dec 11, 2005 19:33:18 GMT -5
LOL I wasn't sure if this was interesting to anyone, but thought I'd post up about Em's check up at the Down syndrome clinic last week. It had been over a year and a half, so we went and I had a list of questions for the doc. We did not see the speech therapist or any of the other people that are usually there this time........just the doc.
Emily weighs 97lbs (50th percentile for girls with Ds) and is 57 inches (75th percentile for girls with Ds).
She told me on the way to the doctor that she was NOT going to "do the talking". She asked me to answer all the docs questions and I said "no way". You could tell that she was nervous, shy, and reluctant to answer his questions at first.....but by the end of the visit, she was telling the doc about her favorite TV programs, her favorite teacher, what grade she was in, etc. When he said "It's time for her thyroid and celiac screen", her response took me by surprise! She looked at me and said "Mom, you took my bandaid off at Baja Fresh". The doc and I both looked really surprised until I realized that the last time she had blood work for thyroid and celiac, we left the clinic and went to eat at Baja Fresh, and she was acting like the silly bandaid on her arm was preventing her from eating.........so I took it off right there. So, after a year and a half....her first response to the words "thyroid and celiac screen", was to NOT remember the pain of the venipuncture, but her MOM pulling off her bandaid! The girl is a trip.
We went over her IEP a bit. He said that he had just seen a young man, a 16 year old boy, in the clinic who was totally included at school..............but during Algebra class, this boy was COLORING! He said that "if not done correctly" inclusion can serve to loudly point out differences, rather than to make kids feel the same. And I could not agree more.
One thing he asked me was "hypothetical situation: Say you have a grocery store 2 blocks away from your house. Could you give Emily money and send her there to get a gallon of milk"??? I could easily tell him "DEFINITELY". (However, we don't have any stores within 2 miles or more from us. ) But, Emily certainly could be sent on errands like that if we lived closer.
One of the things we talked about was the little "shuddering" thing Emily does with her hands. She did it when she first sat down in the examining room, and the doc asked me how often that occurs. I asked him "WHAT IS THAT?????" She has done it since she was about 2 years old and I have always wondered! He says it is a type of "tic", and not to be worried about UNLESS it starts to get in the way of her doing stuff she needs to do. So far, that has never been the case.....just sort of an unusual thing she does from time to time. (and in this case, I think because she was nervous).
Last but not least, we talked at length about ARICEPT. I've been reading about it's use in adults (and teens) with Ds for years and have been following the studies on it. Anyway, I now have a prescription for it for Emily that I'm tightly holding onto until I read a bit more about it. I know it's another one of those controversial things.............any ideas???
Edit: I forgot........we also talked about TNI and flax seed and Melatonin. (all stuff Emily takes) He said he feels strongly that none of it is harmful and the "good night's sleep" that Em gets from the Melatonin is worth a LOT!!
Susan
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Post by Valerie on Dec 11, 2005 20:13:09 GMT -5
How interesting to hear how a checkup for an older child goes! (By the way, we only live 2 blocks from a small grocery store in our little bitty town. I FULLY intend to send Nicholas after things when he's older! Even if I couldn't fully trust him, I could see him all the way there! ) Anyway, about the Aricept. I know you're probably familiar with it, because if I remember correctly, you work in the same setting I do. We have a lot of people with early stages Alzheimer's or dementia on it. I havn't really seen any side effects from it. On some of the people, you could really tell a difference in their cognitive functioning, in others, you couldn't really notice a change at all. Obviously, I've only seen it used on older people. I didn't realize they started our kids on it so soon. I guess I assumed it would be later on in life if they started showing signs of Alzheimer's. Is that standard to start them on it as teens?
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Post by Emilysmom on Dec 11, 2005 20:22:03 GMT -5
Hi Valerie! www.webmd.com/content/article/94/103042.htmFor the past 2 years, there has been some research done at Duke University on the effects of Aricept and speech in persons with Ds. It was initially a fairly small study, but significant improvements were seen. I went to a Ds conference about 2 years ago and one of the speakers was the doc at Duke who was conducting this study. She talked a lot about each of the young adults who were in the study and how it affected them. She said they would soon be enlarging the study to include kids from 13 on up. That was about 2 years ago. I am VERY interested in anything that might help Emily be able to express herself better!!! Last year, at Em's Ds clinic visit I asked about it but was not even close to being ready to try it. I talked to the mother of a six year old who had been using it for a year, and was very pleased with the results. In the past, I have been hesitant to mention that we were even considering this because all the "controversial stuff" is just so...........lol controversial. We used Piracetam many years ago, and still use TNI (although not consistently) and I have no regrets, whatsoever. I'd do it all again if Em was once again 3 years old (when we started it).........the only thing I'd change is to be more consistent about it! If and when we do start Emily on the medication, I promise to post about it. Another thing I want to be sure to do here is to not worry about whether or not something is controversial and just post about what has and has not worked for Emily.............who knows? It might help someone along the way. Susan
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Post by CC on Dec 11, 2005 20:28:34 GMT -5
Sounds like a great visit girl I know you and I chatted some the other night bout all this BUT Hmmm I didn't get to ask you then, what exactly is ARICEPT?? Hmmm or maybe I did ask is this to help one sleep better ? or a vitamin? I forget if we talked bout it. BUT inquiring minds would love to know I loved the ? from the Doc bout if you sent Em for Milk... Hmmm for us I would honestly have to say YES I could send him and YES my bet is he would get the milk BUT what he would do after he got the milk, at the moment is our fear For us I can't do that yet with Chris and we do have a local deli just a few blocks away. Although I will say my guy has gotten so much better with going from point A to point B, I just never know when he might decide to make a detour, KWIM YIKES I truly hope one day I will be able to say YES he can, did and took no detours This might just be what we will work on this upcoming New Year CC ~
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Post by CC on Dec 11, 2005 20:33:05 GMT -5
K, forget my ? above LOLOL I just read your post to Valerie, THANKS I have never heard of this so will definitely look into CC ~
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Post by Valerie on Dec 11, 2005 21:32:46 GMT -5
Susan, how interesting! I was not aware that they were using Aricept to enhance our kids' speech skills! That is definitely something to look into, huh? Thanks for sharing!
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Post by Emilysmom on Dec 11, 2005 22:56:46 GMT -5
www.dsala.org/wsj_article.htmwww.dukehealth.org/news/8184Here are some other articles I have read on this topic. VERY interesting to me!!!!! Right now, I'm holding on to that prescription and reading everything I can find on this. We hope to decide on this by around January 1st. LAURIE~ What do you think? ? Susan
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Post by meghans_mom on Dec 11, 2005 23:21:29 GMT -5
hahaha....Susan - I was just about to post when I saw your last reply. re: Aricept - I honestly don't know enough about it's use in our kids. I will say this however, and this is what gives me pause, when I think about giving it. When we would use it in the nursing home on our patients w/ Alzheimers - the drug could not be stopped. That is to say, if a person was responding well to it, and had to be taken off of it, for side effects, or temporarily - the gains the person got from the drug would be lost. Regression to the old behaviors, or not doing well with ADLs (activities of daily living) as they had while they were on it. Moreover, if they were put BACK on the drug, they would never REGAIN the same level of functioning. This is what our doc's told me - I have never actually seen it, but I had requested several patients have the drug discontinued because of side effects. The doctors told me no, because of the reasons stated above; because the side effects could be managed (by adding other medications, etc) So, that would be my only reason for waiting, or not giving the drug... I'd definitely ask about it - because I don't know if this is listed in the literature, or just an anecdotal type of reference. You work in a nursing home, or did, if I remember correctly? You may want to ask...or ask the doc Em saw...see what they say. I think it's terrific that Emily is doing so great!! The doctor you saw sounds really on top of things. MM will see the behavioral pediatrician this week - and I hope we have a good appointment as well. Keep us updated, and let me know if you hear anything to support/negate what I have heard. I'm going to try and read the stuff you posted this week, if I get a chance to breathe! hugs, laurie
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Post by Alice on Dec 12, 2005 10:59:02 GMT -5
Susan, Thank you so much for such great update and info. Every time I read your messages, you seemed to me so informed and so professional with DS. All stories about Emily warms my heart! Thanks! Also, I would like to ask you to tell more about TNI and flax seed and Melatonin, as you mention Emily takes them for good night sleep. Luke is "terrible" at night: he can not stay at his bed all night long (he goes from bed to bed - visits all of us). He doesn't sleep well and doesn't let us to have some rest. Thanks to you, Alla
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Post by Jessie on Dec 13, 2005 7:29:15 GMT -5
Love to hear how Em handled her appt. That's great that she warmed up and shared so much with the doctor. I was just telling Brian the other night that we don't give enough credit to Jason as to how much and for how long he does remember things - which Emily just proved too! Great story about the bandaid.
I'm VERY interested in the studies on the use of Aricept. I'm going to ask Jason's doc and both of his speech therapists what they know about it.
Also, did you see the blurb about using this for kids with Autism:
'Another research group outside of Duke also has found that donepezil and a related drug improve the language performance of children with autism, suggesting that such therapies might alleviate language impairments associated with a variety of developmental disabilities, the researchers said.'
Thanks for the info - and keep us posted on Em!
Jessie
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Post by steffipoo on Dec 13, 2005 23:42:05 GMT -5
;D ;D ;D ;D LMAOROTFLOL!!! Susan Olivia has the same bandaid thing with the exception of she want to have em all the time. AND once they are on she wants them OFF... And bugs out when I take em off. We have adopted the no bandaid unless you are bleeding idea but its a tough sell on my girl.. Your an awesome momma susan. I love hearing all about EM. The idea of Olivia walking to the store freaks me out. BUT we live in Los Angeles full of harried drivers crazy nutz. I am concerned that I could be holding her back and protecting her to much. Any ideas where to start with an 8 year old. I'd love to hear em.
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Post by momofrussell on Dec 14, 2005 4:43:13 GMT -5
I was reading this post the other day... sounds like a very productive visit at the DS clinic! I love to read about Emily and her days!
A.
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Post by Emilysmom on Dec 14, 2005 7:18:56 GMT -5
Steff~ I know EXACTLY what you mean!!! There are so many times that I feel SO confident and relaxed with Emily, and then there are times when I think "but what about the CREEPS out there" ?? I mean........having her walk several blocks to the store would not worry me at all. And, when we go to our local Walmart or Penney's or Old Navy, etc I always let her go off to look at whatever she wants to "shop for". But, when we go to Nashville, I get a bit worried............and lol if we lived in LA, I'd be even more concerned! Just sooooooooo many more faces that you don't know, and just tooooo much stuff in the news about young girls being grabbed! After our visit at the Ds clinic, we went out to eat and then to a huge mall. The minute we got there, Emily insisted that she was going to "Limited Too" alone.............and I would have loved to have let her go there to shop! But there was just no way! So, I never know when I'm being overprotective and when I'm being SMART!! I think SO often she sees herself as much more grown up than she really is and gets so frustrated with me for not seeing the same. I'm probably not helping you here..........I just think that it has been easier for me to give Emily a bit of space in our small TN town than it would be if we lived in a huge city. Susan
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Post by Jackie on Dec 14, 2005 8:35:02 GMT -5
Good visit Susan....as to the Aricept....when Em was younger the trials began on it...and Ed always meant to enter Em but...LOL..of course...never did.
I will poll the teens and adults site. I think some there did or are taking it. I remember visitng at meetings with some people who liked it and the "results" and others whose kids had side effects...I will look into this for you...but for the record ...don't really think it is harmful.
Jackie
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Post by Connie on Dec 16, 2005 15:35:18 GMT -5
Susan..... Emily was going to the ATM machine by herself at the age of 9!!!!!
So getting milk should never be an issue for her!!! Hugs, Connie
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