Doctor insights on:
Early Intervention Speech Pathology
The field of: Pediatric neuropsychology really burgeoned when advances in chemotherapy improved survival in childhood cancers. "neuropsych" testing is ideal because it measures not only cognition & achievement, but also processing, memory, attention & executive functions (the "ceo" of the brain). Post-chemotherapy, a child qualifies for an individualized educational plan under public law idea age 3 & up. ...Read moreSee 2 more doctor answers
Very premature is a condition in which a baby is delivered between 28 and 31 weeks' gestation. Depending on how premature, how sick, and how lucky or unlucky a baby is, he can get brain problems, cerebral palsy, blindness, deafness, developmental problems, learning disabilities, severe lung diseases, infection and loss of some intestines, etc... Babies who are only moderately premature usually ...Read more
Many reasons: Mild cognitive impairment is often the initial manifestation of Alzheimer's but cognitive problems can be seen with vitamin deficiencies, thyroid problems, HIV and syphilis infections, and medication adverse effects. Alcohol and recreational drugs can also do this. ...Read moreSee 1 more doctor answer
4yo has severe laryngomalacia, sleep apnea, aspirates, history of hypotonia & gross motor delay, MTHFR, midline defects, SPD, possible autism. Causes?
Mgt, workup: The severe laryngomalacia can cause and contribute to sleep apnea and aspiration. I would suggest an evaluation by ENT and a sleep study to evaluate the need for CPAP. Speech and development can help with coordination/swallowing mechanisms. A virtual appointment: healthtap.com/DosanjhMD Code: NCYHPZ ...Read moreSee 1 more doctor answer
Definitely not: There are plenty of reasons why a child might have speech delay. Autism is only 1 of them. Has the hearing been checked? Are there other delays in motor or social realms? Likely your child would benefit from a speech and language evaluation at a speech center specialized in children and potentially an ENT evaluation and other workup eg. Developmental evaluation if other delays are present. ...Read moreSee 3 more doctor answers
The basics: Patient identifying data, site from which the tissue was taken, a description of what was received by the pathologist and if so what type of preservative / fixative if any. On resected specimens, the description showcases the pathologist's sharp eyes. Almost always there will be a microscopic description of some portion stained in some way, unless it's orthopedic hardware or something similar. ...Read moreSee 1 more doctor answer
Will an MRI without contrast show the beginning signs of MS?
Symptoms: slurred speech, memory problems, unsteady gait, confusion, etc.
Complex question: There are 3 types of MRI used to diagnose MS: T1-weighted, T-2 weighted, and FLAIR. No single test is used to diagnose MS, generally a combination of tests over time is needed to get a definitive diagnosis. You need to consult a neurologist experienced with MS and let him or her guide you. Do you have a family history of this disease? Although chronic, progression can be very slow. Good luck! ...Read more
The American Speech-: Language-Hearing Association defines the scope of practice for Speech/Language Therapists at http://www.asha.org/policy/SP2007-00283/#sec1.5: They address deficits in Speech,the motor aspect of language;Resonance, pitch & vocal quality; Feeding & swallowing issues; Receptive &/or Expressive Language Delays; Deafness; Social Communication, etc. caused by a variety of neurodevelopmental disorders. ...Read moreSee 1 more doctor answer
Mild cerebr atrophy MRI psych pt age 65 small lacunar infarct right putamen, mild word finding problems, attention/executive prob
As above: I hope s/he is being seen by a neurologist , if this the case discuss u question with him. ...Read more
My wife exhibits signs of possible early onset dementia (confusion, agitation, unsteady balanve, slurred speech). How can we get an accurate diagnosis?
Neurological Disorde: I understand your concern for your wife! unsteady balance and slurred speech generally are not due to early onset dementia . Alcohol use can cause unsteady balance and slurred speech . Please see a neurologist for the diagnosis and treatment of your wife's condition. ...Read moreSee 1 more doctor answer
Latest findings on when brain development--especially executive skills--is thought to be complete in most young adults?
see below: Most studies indicate by age 25 or 26, in males, the final frontal lobe development is in place, especially orbital frontal areas. Does occur a few years earlier in females. ...Read more
Lack of advances: Motor delay can be fine and/or gross motor delay, and gets evaluated at every pe. It starts with the baby not reaching for things, not holding their head up, and as they get older, the child will not manipulate objects well and will not stand or walk. Definitely a concern! ...Read more
Speech/Language: Pathology is the field of specialty of American Speech-Language- Hearing Association - certified Speech/Language Therapists. Speech is the motor aspect of language, including articulation, prosody & phonation. See www.asha.org. I guess a speech coach is a psychologist or therapist who helps deal with anxiety associated with stuttering, not an ASHA-certified SLT. ...Read more
7yr m has (apparent sudden onset) amblyopia, speech disfluency (repeating end sounds, pausing in mid word), dyslexia, ADHD, impulsiveness. Related? See neurologist? ADHD and impulsiveness have been ongoing but amblyopia and speech disfluency recent.
Neurological problem: I would definitely see a pediatric neurologist ASAP ...Read more