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Doctor insights on: Picture Schedule Getting Dressed Autism

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Can a child with autism end up getting good grades?

Can a child with autism end up getting good grades?

If high functioning: Provided they have the right supports at School making sure that he has an IEP which is indicated for autism. IEP stands for individualized educational program which poses legal responsibility upon the school to help the child. A formal request by letter from the parent can be made for this-stating what are the issues that need support simply stating then that IEP is needed as soon as possible. ...Read more

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Dr. Johanna Fricke
532 doctors shared insights

Autism Spectrum Disorder (Definition)

ASD are a spectrum of disorders of varying degrees that are characterized by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors. Autism statistics from the U.S. Centers for Disease Control and Prevention (CDC) identify around 1 in 68 American children as ...Read more


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Is there any help for someone with hypogammaglobulinemia, ocd, granuloma at lung , hypersomnia and getting weaker n sicker evey day low g, m, a

Is there any help for someone with hypogammaglobulinemia, ocd, granuloma at lung , hypersomnia and getting weaker n sicker evey day low g, m, a

There : There is no single diagnosis i can come up with to explain all your symptoms. Sounds like you may have common variable immunodeficiency which increases your risk of sinus and lung infections. I suggest regular follow up care with an immunologist/allergist. That would be a good start. Travel to such a specialist if one is not in your area. Good luck. ...Read more

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As a child, i thought: "too happy" made me sad later. At 30, i'm dx'ed: bipolar ii. Is it a "healthy" view to keep? Are ups & downs always connected?

As a child, i thought: "too happy" made me sad later. At 30, i'm dx'ed: bipolar ii. Is it a "healthy" view to keep? Are ups & downs always connected?

Not always connected: One of the best ways to understand the ups and down is what is called a stress-diathesis model. Means that stress affects our biology& physiology and stress is an environmental force.And it can so affect our internal states down to gene expression of genes. Genes that produce neurochemicals. And in the balance, is our resiliency. Resiliency; your toolbox of emotional selfsupport. Thus even keel. ...Read more

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The CDC recommends kids under 9 get 2 flu shots 30 days apart. My child got the European version (Istivac Junior). Does this guideline still apply?

The CDC recommends kids under 9 get 2 flu shots 30 days apart. My child got the European version (Istivac Junior). Does this guideline still apply?

Yes: The issue is less the vaccine producer than it is the flu protection itself. Flu is an evasive, difficult set of strains that cause death worldwide every year. When kids start their move toward protection, the immune system needs a strong push to get started. Data shows we get the most active protection for kids if they get started this way. ...Read more

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Teen health topic about girls: should you wear 2 tampons so you don't make a mess at school?

Teen health topic about girls: should you wear 2 tampons so you don't make a mess at school?

No: This is an adamant no. Having 2 tampons in can increase your risk of toxic shock syndrome - a very serious and life threatening bacterial infection. ...Read more

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Aspergers symptoms? Son tested dyslexia at scottish rite waiting results. Looking up things asper came up. He possibility stimms rigid thinking, sound

Aspergers symptoms? Son tested dyslexia at scottish rite waiting results. Looking up things asper came up. He possibility stimms rigid thinking, sound

Needs evaluation: What kind of testing? If it was a thorough neurodevelopmental evaluation, they should come up with an accurate diagnosis(es). Many conditions share common symptomotology. Your child's school should have good input as well with regards to socialization and appropriateness of interactive behavior. Be patient and wait for results. Have a neurodevelopmental pediatrician go over the results with you. ...Read more

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Do russell silver syndrome kids need to be kept on a strict feeding schedule?

Do russell silver syndrome kids need to be kept on a strict feeding schedule?

Yes: Children with russell silver syndrome have a tendency for hypoglycemia (low blood sugar), so it is very important that they be fed frequently and regularly. We often prescribe a minimum amount that should be fed, as well how frequently. If illness precludes following that schedule, I have my patients call me for guidance. ...Read more

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Which jobs suitable for someone narcissistic , introverted , low esteemed , social anxiety one ? Or its better to keep home - no treatment is vital

Which jobs suitable for someone narcissistic , introverted , low esteemed , social anxiety one ? Or its better to keep home - no treatment is vital

Job could help: While treatment may not be vital, it could certainly help given your description. So could working since it will direct attention toward doing something useful. This will likely increase self esteem and help overcome social anxiety. Staying at home is a setting which is likely to increase the negative feelings which you imply. Your first step may be to speak with someone about your concerns. ...Read more

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Why would one child getting measles trigger a city-wide health alert?

Why would one child getting measles trigger a city-wide health alert?

Vulnerable groups: Recent cases in Houston and Ohio have been traced to cases brought in by international travelers. Unvaccinated infants and some that had only one dose are most vulnerable to the disease, which can produce death or disability. The surge in vaccine deniers makes the possibility of community outbreaks more likely. ...Read more

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Home O2 monitor consistently records 17-30 hypopnea/hr at night but GP still won't refer as 'looks fine-no apnoea'! Persist y/n? In UK, v. frustrated!

Home O2 monitor consistently records 17-30 hypopnea/hr at night but GP still won't refer as 'looks fine-no apnoea'! Persist y/n? In UK, v. frustrated!

Hypopnea: If you are not happy with the explanation of your GP, find a new one or ask to see a sleep specialist, as 17-20 apnea/hypopnea index is not a normal number to see in the USA for our recordings. ...Read more

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Can my child be given MMR vaccination at 6 months if we are going on a foreign vacation?

Can my child be given MMR vaccination at 6 months if we are going on a foreign vacation?

Yes: You may want to visit the cdc traveling with children web page @ www.Cdc.Gov. This is a common preventive measure recommended @ 6 m if travel will take you into an endemic area. The vaccine would need to be repeated at 1 and 4 years as the early dose is not considered adequate to firm up long term immunity. ...Read more

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New carseat rec are rear-facing longer. My kids seats can rear-face til 45lbs- my kids weigh 36 but are 6&4. What is reasonable for micro-preemies?

New carseat rec are rear-facing longer. My kids seats can rear-face til 45lbs- my kids weigh 36 but are 6&4. What is reasonable for micro-preemies?

Question unclear: If your 6 & 4 yo were micro-premies , it never hurts them to be rear facing if the seat is so designed. Protection from the forward head snap & spinal cord stretch is the primary reason for this recommendation. You can see an interesting video at www.Joelsjourney.Com reflecting the neck injury of a 35 lb boy who was forward facing. If you have new micro-premies, a car bed may be in order. ...Read more

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39 year women w/o child would like children Still has ovulation but has diaphragmatic endometriosis. Need to make decision. Remove it or get pregnant?

39 year women w/o child would like children Still has ovulation but has diaphragmatic endometriosis. Need to make decision. Remove it or get pregnant?

Why either/or ?: You might consider doing both, in whatever sequence you desire. Removing the troublesome area or areas may delay pregnancy, but by 40, women's risk of adverse outcome through age alone is just 1% above that of younger women. You may want to meet with a genetic counselor to identify any family,health and age specific risks and decide based on full knowledge of the possibilities. ...Read more

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Is there a difference between high functioning autism and pdd-nos? My sons diagnosis changed to PDD after his 6 month checkup.

Is there a difference between high functioning autism and pdd-nos? My sons diagnosis changed to PDD after his 6 month checkup.

Too early to be sure: It is much too early to be sure what pattern of behavior your child will ultimately develop. Discuss the situation with your pediatrician and get an opinion from an autism specialist. ...Read more

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At what age do late talkers generally catch up thier peers. My son is 2 y 4 m. Has vocab of 50 words 3-4 two words comb. Will goin to nursery help?

At what age do late talkers generally catch up thier peers. My son is 2 y 4 m. Has vocab of 50 words 3-4  two words comb. Will goin to nursery help?

Development Testing: Before your son can be labeled "late talker", a medical or developmental disorder must first be ruled out. Child's past medical/family/development history is not given but is important to know. Be aware that hearing loss is a major cause of language delay in this age group and must be tested for. See doctor for a full medical and developmental assessment to determine true cause of speech delay. ...Read more

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At what age will you see a child with autism display social withdrawal?

At what age will you see a child with autism display social withdrawal?

12-18 months: Autism is by definition a derangement in social interaction, among other things. Most parents may not see autism symptoms for what they are until later, and those not familiar with the child may not recognize them either. But looking back, often you can see where the signs began before 1 year of age: not making good eye contact, or looking to mom for social cues. These become more obvious by 2 y. ...Read more

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22mth son obsessed with nmbers wants rubber digits1-9 ALWAYS with him, wails without them, asks for number songs. He Speaks well. Is this aspergers?

22mth son obsessed with nmbers wants rubber digits1-9 ALWAYS with him, wails without them, asks for number songs. He Speaks well. Is this aspergers?

Could be but first: research Obsessive-Compulsive Disorder (OCD). On the other hand, your son is not even two, so let's not be too alarmed. Kids go through stages, and the stages change rapidly--the younger the more rapid the changes. Be patient and indulge him. What you describe is not harmful, just different. Consult with other parents, or if you are still concerned, a pediatrician or child psychologist. ...Read more

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Dx. With abnormal pap at age 55. 34 year monogamous relationship. We both had 2 partners at age 17 and 18. Could this just be appearing?

Dx. With abnormal pap at age 55.  34 year monogamous relationship.   We both had 2 partners at age 17 and 18.  Could this just be appearing?

HPV: We now know that hpv (human papilloma virus) is the cause of abnormal cells on the pap. About 80% of sexually active people have been exposed to hpv and it is usually dormant. This is likely the case for you; you may have had hpv for many years without knowing it. This is also true for your husband. It does not mean he has been unfaithful to you. More info: acog.Org. ...Read more

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Is it possible that getting a MMR booster shot for my autistic child possibly cause her autism to be more severe?

No connection: There is no evidence that vaccines cause or worsen autism. The one paper that implicated vaccines was retracted and the lead physician lost his medical license due to various improprieties. Millions of dollars have been spent looking at vaccines and autims, and there has never been any link found. ...Read more

Dr. Johanna Fricke
643 doctors shared insights

Autism (Definition)

A neurodevelopmental disorder affecting three areas: abnormal socialization, communication, and restricted interests with repetitive patterns of behavior. It is usually detected in the first two years of life. Cause is unknown but strong evidence points to an interplay between ...Read more