Showing posts with label Provider. Show all posts
Showing posts with label Provider. Show all posts

Monday, April 19, 2010

UW Autism Center

The next step on Harry's journey is to have him evaluated at UW Autism Center. The teachers and ourselves are noticing some behaviors with that may indicate Aspergas(sp?) or Autism Spectrum Disorder. We booked him in today and have our first appointment on the 5th of May. I am crossing my fingers for some answers!!

http://depts.washington.edu/uwautism/Bios/kelly.html

Some of the signs...
  • Fixation on belongings, thoughts, conversation
  • Phobia of germs, loud noises, bright lights, being breathed on
  • "Overreacts" when things don't go his way
  • Never sure what will set of depression/anxiety with him
  • Insecure and wanting to be accepted
  • Rituals, always needing to wear the same clothes
  • Still has a stuffed animal that needs to go everywhere and is "real"
  • Cries in front of peers if things don't go right
  • Inflexible, can not stand change from his routine or what he expects
  • Has to talk about what he wants too and not interested in others around him
  • Socially, does not relate to peers, does not participate in play or conversation
  • Very creative/imaginative, has a hard time distinguishing between this and reality
  • Always believes his way is the only way, will not listen or learn from others
  • Is often in a daze, will not make eye contact for more than a second
  • Does not understand simple commands and will need to be repeated
  • Is not really aware of his responsibilities and still waits for prompting
May 5th - 9:30am: Parent Intake (get there 15mins early+IEP)
May 11th- 1pm -3pm: Harry one on one
May 19th- 9:30am: Harry one on one
May 27th- 1pm: Parent feedback
June 24th- 1pm: Optional Parent feedback

Tuesday, November 17, 2009

Today - First appointment with Dr Dassel

We finally met with Dr Dassel today, the pediatrician who specializes in kids with ADHD. Firstly what a wonderful man, kind of like the sweet old grandpa who loves kids. He has specialized in this field for over 40yrs and you can tell he still loves what he does. He really enjoyed chatting with Harry and was full of smiles and compliments for him. He said to Harry "you're a smart one aren't you?" Harry slightly blushed, very cute.

The purpose of our appointment today was to have a medical opinion and diagnosis of what Harry has. He is positive Harry has ADHD but can not 100% say that until the final stage of the diagnostic procedure is completed. This is a survey that needs to be completed by Dave, myself, his teachers and Master Chung. Once those come back he will be able to confirm the diagnosis.

He suggested 3 different styles of treatment:
- Behavior Therapy
- Non stimulant Therapy
- Stimulant Therapy

It feels so amazingly wonderful having a direction and a team of dedicated professionals in his life.

Thursday, November 5, 2009

Explanations Appointment...

What happened? Dave, Harry and myself met with Cindy Dupuy to get further help with Harry.
She sat with him and interacted one on one with him, asking him questions and getting to know him. After about 20mins Harry went to the next room and played with her assistant so that Dave and I could talk to her. Straight away, she brings up ADD. Did not even ask us questions, or look at past evals, just straight away, it was that obvious to her. As it was becoming that way to us too. Finally someone who has hit the nail on the head who can help us!!!

Harry has huge problems with focus and attention that effects every facet of his life. And until we get this under control we will not be able to evaluate him properly. His school evals are miss leading his true potential as they are language based tests, which comes to his next problem area, Language!
Language is a huge problem as well, he's got it all in there but just does not know how to get it out properly. His comprehension is a real problem for him.

Cindy states though that we can not do anything until his focus and attention are being addressed. Her advice was the med route! Scary!!! She said until we get the ADD side under control that the rest will just fall to the way side.

Client consultation outcome...


1. Get the attention and focus issue under control
2. Get the help with Language and Speech
3. Come back and get him evaluated again with an appropriate test

Steps for us to take....

1. Make an Appointment with Dr Dassel - Pediatrician

2. Call Deb Cooper/Sonja - Speech Pathology
Rose Mary White - Sensory Integration
Dr Kwon - Psych

3. Hold diagnostic testing for 6mths

4. 6mth mark come back to Explanations for an IEE




Dr Dassel - Pediatrician
Ph:206 525 8000
Address:Sandpoint ped
Appointment:
website:

Deb Cooper/Sonia - Speech & Language Pathologist
Ph: 206 232 2046 /
Address:
Appointment:
Website: www.mispeech.com

Sonjia Bradford
Ph: 206 232 2046
Address: Mercer Island (same building as explanations)
Mercer island speach pathology

Rosemary White - Sensory Integration
Ph: 206 367 5853
Address: Shoreline
Appointment:

Dr Kwon - Psychologist
Ph: 425 454 2911
Address:
Appointment:
Dr Klokeid - Family Doctor
425 271 4910

Northwest Asthma and Allergy specialist

425 235 1716

Friday, October 2, 2009

Harry's first visit to see Dr. Klokeid.

Besides the flu shot at the end of the appointment, it went really well.
I was able to share a lot about Harry's medical/special needs history with her, as well as talking, she got to see his quirky behavior first hand. He headbutted the wall and was acting a little hyper during the visit today. It was nice to feel like it wasn't all in my head but yes it really does happen.

I had to explain to her that he converses and interacts best with adults, especially when it is in a one on one environment like this. Its when there is a lot of distraction, in a uncontrolled environment, with lots of people ie, his class or school bus, he just doesn't cope, he will not make eye contact with others and will not easily talk with other children. He finds it very hard to make friends because of this. So in seeing him in such a wonderful environment that brings out his best, that she may not see the real Harry. but luckily he did come out!

I shared all the normal stuff that share with all the dr's we've seen. His behavior/emotional/social/cognitive/OT issues. She was surprised that it has taken this long to get the right help for him and was more than shocked when I shared with her the findings from Children's.

Dr K has suggested he sees a neurophysiology who we will try and set up with next. Also to get an allergy test as he has horrible postnasal drip which could also be adding to his behavior and problems. He needs on going therapy and someone working on his case to give him the on going help he needs. Hopefully then we will figure out how to help him best.

I loved how Dr K says this is a new start, that we will do everything we can to get him the help he needs. such a difference to Pediatrics Ass. We are moving ahead, boy it feels great!!!

Now just waiting to get some contacts from her, she is all about getting us referrals and making it work!!! He is also on a antihistamine for the nasal drip, so will call them in a week to let them know who that is going.

Thursday, October 1, 2009

Dr Guy Oram Neurophysiology
Could be a good option for getting further testing on Harrison. Seems to have a more thourgh procedure than children's hospital. Initial visit, meeting parents, child and teacher, second and third meeting with the child and fourth is the evaluation findings. So much better than a 20min eval. lets cross our fingers on this lead.

Dr Guy Oram
Kirkland
ph. 425 576 1817
e. droram@droram.net
www.droram.net

Tuesday, September 29, 2009

Volunteering in Harry's Class - Day 1

Today was a wonderful 2hrs spent with Harry in his class environment. His teacher had mentioned that he was not very productive in the afternoons and was not focusing or producing work like his peers. I thought I would take the opportunity to go and take a look and to see if there was anything I could help with or learn about him. these were my findings.

The main thing I noticed today was the lack of attention he gave his teacher, not once did he look up and listen or look in her direction when she spoke. When she gave the directions to the class for the next activity they were to complete he was off in the clouds. He was fidgeting with a clip on his desk, the rest of the class was going on with what was asked (there were a few exceptions) it was like he had not even noticed that he was meant to be doing something. He needs some type of prompting or cuing to get him to sit up and pay attention.

He would slouch in his seat, usually with arms folded and head on the table. He would look around the room swinging his legs and would not be aware of what his table was doing, the class work he should be doing. The teacher asked his table to put there work away and come join her on the mat, he put the work under his desk and then just sat there looking around at the ceiling. While the rest of his table had been on the mat for a few mins already. He was not aware of what he should be doing. I intervened a few times with directing and showing him what the teacher has asked everyone to do. They had work on the over head projector which I sat with him and helped him complete. Without that one on one he would just sit there and look around the room with the work sheet in front of him, waiting to be worked on.

As a result of Harry's unawareness, he is missing out on getting tasks done, the sense of achieving at school, the reward of finishing a task and letting his table down for not showing he is ready by sitting there with work away and arms crossed. He misses the cues.

I also had the opportunity to meet with his reading tutor today Heather Cook, she is a wonderful resource teacher who will work with Harry one on one with his reading, letters, phonetics and writing skills. I believe 20mins every afternoon.

Tuesday afternoons will be his social group time for 1 hour. Yet to start, I think next week is the kick off for that. This will take place with Mrs Jones.

During Writing time, I sat with Harry and helped him through the process the teacher has put in place to get the kids journalling, thinking, drawing, writing. To this day all Harry had achieved was the drawing stage, but today, I sat with him and made it fun and achievable, helping him every step of the way, in the end he finished it and you should have seen the sense of accomplishment. In fact it is now 6pm and he is still talking about it. He could not wait to show his teacher, he put his hand up to get her attention, she came over. Harry could not contain himself, I finished it!!! He was so proud! She was beaming too, that is great Harry! what did you write about, can you tell me what it says? he shared it with her with a smile on his face.
He had a few hurdles along the way, one was the motivation to see it through to the end, he wanted to give up a number of times. Saying its too hard, I don't know how to do it. I eased him through one small step at a time, looked at a word rather than everything he had to write. I also made it exciting for him, by encouraging him to draw and write about something that he found fun over the weekend. Daddy cutting down a tree...cool!

This was a very rewarding time for both of us, we both learnt a lot about each other. I want to help him and see this as a great way of giving him something he needs.

Friday, September 25, 2009

So the Play therapist didn't work out!

I went in for an interview without Harry. It turns out she does not help special needs children? Which was kind of puzzling as Harry is not "labeled" as special Needs, just quirky! So not sure why normal happy children would go see her.
But anyway, it really sounded like a bunch of hooey! She would sit and play with the children in the corner of her small office. One small box of toys some coloring in books and Hi Ho cherio is what consisted of her play area. All she would do is observe and make factual comments based on what they are doing. Other than that no communication. Its a little strange if you ask me. But hey I'm not the professional here.

On a positive note I did tell her quite a bit about Harry and what we have been through so far on our quest for help. She was totally appalled by Children's for not having him tested further or at least seen by a Dr.

She was positive and very encouraging of me and the hardships a mom goes through, she herself has a son with ADD. So all in all, yes it was a waste of time for Harry and any progression there. But for me it was a very therapeutic session for me to keep me going on my quest!

One thing she did say was that because a Nurse Practitioner had refered Harry to be seen at Childrens, that that may be why we were seen by a ANP rather than a Dr. Very frustrating.

Wednesday, September 16, 2009

Update: search for Social worker/Therapist!

I contacted several therapist/counselors today, hoping they could see Harry for Anxiety/behavior. I was really crossing my fingers we could get into to see someone and soon. It turns out that they are either booked up until next year or they are not accepting new clients. I contacted the one I had posted about the other day and she is not accepting new patients either....grrr!

So after about 20 phone calls and 20 voice mail boxes later, I finally started to get some call backs and the chance to speak with some therapists. I have Harry booked into see Margaret McCulloch next week, she is a child therapist who works with children through play. It will be interesting to see what comes from this.

It feels great that we are rolling forward again with some interventions, fills me with hope and optimism that we can do something!!!

Contact details:
Margaret McCulloch
425 277 5492
level 3 Evergreen bld Grady way
Renton
IEP evaluator/educator

Harry's resource teacher for the year is Mrs. Brumley and I totally adore her! She called here this afternoon to update us on what Harry is doing and how he will be attending her classroom every day (except Fri) from 8:30-9:30am. This is going to help Harry with getting the one on one attention he needs. The focus will be on his academics and social needs, providing a social group once a week.

Contact info:
Julie Brumley
Resource Room Teacher
425 204 4189
julie.brumley@rentonschools.us

Wednesday, September 9, 2009

Next step....Psychiatric help!
This is the Doc I am hoping to get Harry into see.
I guess the blog is a great place to post contacts and bio's of people and Doc's Harry meets.

Oakesdale Center

600 Oakesdale Avenue SW #104
Renton, WA 98057
(425) 228-5336 (425) 228-4540 (Fax)


Dr. Mary Hendrickson

I am a licensed clinical psychologist in Washington. I went to the University of Washington as an undergraduate. I received my doctoral degree in psychology in 1997 from Finch University of Health Sciences/The Chicago Medical School in North Chicago, IL. My training included an emphasis on health psychology both in graduate school and during a one-year internship in pediatric psychology at Michigan State University. After graduation, I worked in private practice as a clinical psychologist and as a school psychologist in New Mexico.

I work with children and their families, adolescents, and individual adults. Some of the issues I work with are depression, anxiety, child behavior problems, Attention Deficit/Hyperactivity Disorder, child abuse, adjustment problems (for example, family changes, loss, divorce), school problems, and coping with chronic illness. I also have experience in psychological evaluations for children and adults. I do not perform custody evaluations but can refer you to other professionals who do. My theoretical orientation is generally cognitive-behavioral but I also integrate other approaches, such as biological and developmental understanding and psychoeducational interventions.

Wednesday, September 2, 2009

First day back at school!

Considering what a huge transition this day is, Harry did surprisingly well! We have been preparing all week for this day so maybe the preparations have really paid off.
  • We talked about first grade and going back to school everyday
  • We cleaned out his room and got organized and cut the clutter
  • prepared his closet and school clothes
  • Bought the school supplies together
  • worked out his lunches and shopped for fixings together
  • Got him back into Tae Kwon Doe and the practice of listening and following insturctions
  • Provided more structure around the house
  • Helped him focus on the task at hand
  • Talked about school scenarios that will need problem solving and how to handle it
All while trying to help him feel confident and not overwhelmed, to date I think this week has been one of our huge accomplishments. Feeling like we are breaking through with understanding and helping him.

Some things that were a real challenge today was listening, focusing and self confidence.
  • When I asked him to get dressed into all the clothes we had layed out the night before, he could not remember where they were, he asked "what should I wear?" when I reminded him of the clothes he then had to be shown again where they were put.
  • Getting dressed he needed reminding to focus on what he was doing, and the order of how to get dressed. He put his pants on without underpants, so he needed to redo.
  • On redoing this he said "I'm just stupid!" and was very down on himself for not doing it right.
  • I needed to provide prompting for every thing he had to do to prepare for today. Even with his printed out morning routine. I guess its the first day back and will get used to this again over the next few weeks. But without prompting at the moment he would be distracted and play with his lego's, anything that he would rather be doing and not what he should be doing.
Tomorrow he will catch the bus to school and will need an earlier wake up, I am hoping he will get into a routine and things just become habit for him. My goal at the moment is to keep the morning simple and focused. Providing the same routine day in day out with out distraction.

Contact details:
Sarah Baumgartner
Grade 1 teacher
425 204 4176
sarah.baumgartner@rentonschools.us