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Doctor insights on: 3rd Grade Student With Fine Motor Skill Problems

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How do gross and fine motor skills improve throughout a child's development?

How do gross and fine motor skills improve throughout a child's development?

Brain development : from 3 weeks after conception - 25 years dictates developmental trajectory in all streams. Typically, neurons form, migrate to correct positions in the cortex & send out axons & dendrites in correct paths to transmit signals across synapses. From then on, environmental input is key, because experience- dependent neural activity, aka LEARNING, modifies synapses & eliminates unnecessary ones. ...Read more

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My 6 yr old was diagnosed with pdd-nos ADHD odd tics anxiety and expressive and receptive language disorder how do I deal with the melt downs?

My 6 yr old was diagnosed with pdd-nos ADHD odd tics anxiety and expressive and receptive language disorder how do I deal with the melt downs?

Combination approach: Programs for management would include medications such as stimulants and Amantadine, clonidine for the tics and anxiety and consult with a behavioral psychologist. A consultation with a speech and language therapist may help with the language difficulties. ...Read more

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My 5 year old was born with mild pvl. He is now experiencing reading difficulties. I need a neurologist who specializes in sld with pvl in georgia?

My 5 year old was born with mild pvl. He is now experiencing reading difficulties. I need a neurologist who specializes in sld with pvl in georgia?

Child study center: Pvl is a marker for brain injury that is often associated with other problems when a kid ages. In the past decade a subspecialty of pediatrics, the developmental pediatrician has grown to fill part of this need.They are often found at child study centers affiliated with children's hospitals or med schools. Often the work of a team can provide more answers than any single specialty. Good luck. ...Read more

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Academic, family, social n financial problems in Pune,since 6th grade till now when I'm 24 yrs old and still unable to get a single bachelors degree.

Academic, family, social n financial problems in Pune,since 6th grade till now when I'm 24 yrs old and still unable to get a single bachelors degree.

Not MedicalQuestion: We are sorry for your situation. It might be a social problem or you might have underlying Learning Disabilty.iwe can not advice you how to resolve your problem on this site. May be you get training in a vocational programme and find a job. ...Read more

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For a child wit developmental & severe attentional issues, not circumsized at birth due 2 respir instability, do u recommend circumcision later? When?

For a child wit developmental & severe attentional issues, not circumsized at birth due 2 respir instability, do u recommend circumcision later? When?

Circumcision: There is no medical reason to cicumcise a male with a normal male penis. If you have religeoous issues then you should discuss this with your doctor. ...Read more

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Idevelopmental delay and learning difficulties across the board and language delay , my child is 6 and 22 months behind should school take it serious ?

Idevelopmental delay and learning difficulties across the board and language delay , my child is 6 and 22 months behind should school take it serious ?

The earlier you help: developmental delays the better. Please seek professional help from a specialist. Special tutors and speech therapy can be very effective and your child will feel less frustrated. Peace and good health. ...Read more

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Mom thinks I have ADHD because of major trouble with focusing in school & socially & thinks I need "Adderall"?

Mom thinks I have ADHD because of major trouble with focusing in school & socially & thinks I need "Adderall"?

Maybe/maybe not: Adderall is a schedule 2 controlled drug which is closely monitored by the feds. To use it you need to be evaluated by a physician and found through exam and testing to be a reasonable candidate for it's use. Failure of the physician to properly evaluate a patient and keep proper records of their need can result in loss of their license.There are many other issues that can have similar symptoms. ...Read more

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Is there such a disorder where can sort of sing w/ great distortion/articulation difficulties & have 6 mon dysarthria w spch thrpy no improvmnt/worse?

Is there such a disorder where can sort of sing w/ great distortion/articulation difficulties & have 6 mon dysarthria w spch thrpy no improvmnt/worse?

Many speech disorder: Maybe you possess a spasmodic dystonia, or a problem with brainstem disorder. Perhaps one should consider a pseudo bulbar location, which would be higher within the brain. Presume you have seen a neurologist. Did they explain mechanism of your difficulty? ...Read more

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How do gross and fine motor skills develop from age 0-3 years?

How do gross and fine motor skills develop from age 0-3 years?

It takes > 400 words: to give you specifics; see healthy children.org & firststeps.org. Gross motor develops head-to-toe from 0-12 mos. Fine motor develops from regarding one's hands at 2 mos. to hands in midline, proximal-distal. Grasp develops ulnar to radial, palm to thumb & index finger. Volitional movements require normal muscle tone & strength, vision, disappearance of primitive reflexes & "tummy time". ...Read more

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What do kids with conditions like special needs such as dyslexia and speech, language difficulties get in public schools now?

What do kids with conditions like special needs such as dyslexia and speech, language difficulties get in public schools now?

Less help: We are in an epidemic of need and a crisis of lack of resources. Not just the public schools, but private schools as well just can not accommodate the need. Parents need to look to private agencies and services. However, they need to be careful to not get ripped off by false claims. Support must come from professional agencies that will determine appropriate use of limited resources. ...Read more

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Will my son outgrow his dyslexia? My son was diagnosed with dyslexia last year in third grade. He is still struggling a lot with reading and writing. Will he outgrow dyslexia as his brain develops? .

Will my son outgrow his dyslexia? My son was diagnosed with dyslexia last year in third grade. He is still struggling a lot with reading and writing. Will he outgrow dyslexia as his brain develops?

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No, but his reading: decoding can improve with intensive multi-modal reading therapy like LindaMood Bell. Read " Overcoming Dyslexia" by Dr. Sally Shaywitz. If the school is doing Response to Intervention, you can request a Multi-Disciplinary Team Evaluation for eligibility for an Individualized Educational Plan at any time during RTI Levels 1,2 or 3. Lexialearning.org has modules to improve phonological awareness. ...Read more

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What is a receptive and expressive language impairment , my child is 6 and told she has this and learning disibility and mild anxiety, thanks ?

What is a receptive and expressive language impairment , my child is 6 and told she has this  and learning disibility and mild anxiety, thanks ?

Receptive language: has tto do w/the ability to process/understand what is being said to your daughter. Expressive language has to do w/her ability to make herself known/understood w/language. Learning specialists, perhaps found through your school district or doc, can help. All of the above can make her anxious, which interferes w/communication. Lots of reasons to hope. Peace and good health. ...Read more

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My 3 yr old son has very low patients. Doestnt play with others. Only interested car or trucks OCD about routine doesn't sleep well has sever meltdown?

My 3 yr old son has very low patients. Doestnt play with others. Only interested car or trucks  OCD about routine doesn't sleep well has sever meltdown?

Developmental screen: Your pediatrician can do a developmental screening to assess whether your son's behavior is normal or whether it might point to a condition such as autism. ...Read more

Dr. Al Hegab Dr. Hegab
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Daughter's pancreas scores low and not functioning properly. She was diagnosed @19 with type2 diabetes now is type1. Now shes 23 w/new baby. Serious?

Dr. Al Hegab Dr. Hegab
2 doctors agreed:
Daughter's pancreas scores low and not functioning properly. She was diagnosed @19 with type2 diabetes now is type1. Now shes 23 w/new baby. Serious?

If not followed up: needs rigorous follow up with her obstetrician / meternal fetal medicine specialist throughout her pregnancy, she will be fine and her baby as well, good luck ...Read more

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Learning disorder: my bro could only read/write with his teacher, could not recognize colors.He left school 8 yrs ago at age12.How can he be rehabbed?

Learning disorder: my bro could only read/write with his teacher, could not recognize colors.He left school 8 yrs ago at age12.How can he be rehabbed?

It depends...: Upon his motivation, the nature of his learning difficulties, possible related/coexisting problems, & upon the support of family/friends/professionals. 1 emphasis right away is to build upon whatever his relative strengths are. Competence can be developed which can build self-confidence & a measure of independence. But he has a serious disability; cognitive development may not be the 1st priority. ...Read more

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My son is 2 & just had chromosome test b/c facial features such as small jaw & high palate &he's not speaking well .He smart understands me well. Dr says just precaution. Are these serious disorders?

My son is 2 & just had chromosome test b/c facial features such as small jaw & high palate &he's not speaking well .He smart understands me well.  Dr says just precaution. Are these serious disorders?

Try not to fret.: Some syndromes do not have intellectual disability as part of their neurodevelopmental profile, & some do. The newer genetic microarray tests yield more information than chromosome analysis. Call your state health division's early intervention program for free assessment of all areas of your son's development. He'll benefit from therapy now, even if it's an isolated expressive language delay. ...Read more

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