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Hi Tim,

Thanks for the information....We just had evaluated and they were leaning

towards to an auditory processing disorder...He has great difficulty taking

information from the over head or from the board and applying it to the paper at

his desk....Our specialist who works with children with processing disorders has

stated does not fit into any of the 4 profiles for CAPD..

It was frustrating because our former director wanted to put an ADD or ADHD

label on him.

This information makes more sense... had difficulty learning to walk..

Again thank you for this information it will help

Ellen mom to 7

Tim Hartshorne wrote:

Hi Bonnie,

You can make a good guess that the semi circular canals are missing or

damaged by the balance problems and difficulty learning to walk. You can

confirm that with an MRI of the temporal bones, but you would probably need

a medical reason to get that done. It is the vestibular sense from the semi

circular canals that allows you to look at an object while you move your

head. Without them, every time your head moves you can lose sight of the

object. So it will take a lot of concentration to keep everything focused.

Our kids seem to learn to do it, but I imagine it takes a lot of energy and

effort.

Best,

Tim

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Vicky,

Bryce's audiological history always baffles the audiologists too. They

believe that neurological fatigue must explain part of the bizarre results.

Meaning, that his neurological system is weak and sometimes the sounds get

connected better than others creating an inconsistency. His system is getting

stronger and more consistent slowly over time and with practice.

Deedee

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I don't see again how adjustment to the visual near/far can be leaning

to auditory processing--did you mean visual processing???

To me it suggests a problem with visual accomodation. The lens of the

eye has a muscle attached, which helps the lens to adjust for near or

distance vision in order to have a clear view of the object. When

teaching the DB course, always a jolt of humour during cow eye

disection is you can tell where the cow was looking before slaughter,

by the shape of the lens --squishy and long like an egg or round like

a grape. The lens actually changes shape depending on if you look

near or far. Enough of that, but we need to also remember what

influences the mov't of these muscles? cranial nerves, eye

reflexes....and in CHARGE they often have been showed to be compromised.

ann gloyn

Education Specialist

Canada

> Hi Bonnie,

>

>

>

> You can make a good guess that the semi circular canals are missing or

> damaged by the balance problems and difficulty learning to walk.

You can

> confirm that with an MRI of the temporal bones, but you would

probably need

> a medical reason to get that done. It is the vestibular sense from

the semi

> circular canals that allows you to look at an object while you move your

> head. Without them, every time your head moves you can lose sight

of the

> object. So it will take a lot of concentration to keep everything

focused.

> Our kids seem to learn to do it, but I imagine it takes a lot of

energy and

> effort.

>

>

>

> Best,

>

> Tim

>

>

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Hi Vicky,

The situation you describe with is very interesting. I think the ABR

is a good idea. I think processing problems are very common with CHARGE,

but the exact source of them is hard to identify. My own guess is that our

kids have a regulatory disorder so that they have a great deal of difficulty

with their arousal levels, or reaction to stimuli. I believe their

threshold for arousal probably varies from time to time, as does the way

they cope when they do react to stimulation. So you could hypothesize that

hears OK, but does not respond to language unless it gets into him at

some threshold level that keeps changing. Once he does register the sound,

he may choose to react by soaking it up (so to speak) or by trying to avoid

it. Does that make sense?

Best,

Tim Hartshorne (father of )

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Hi Tim,

I spoke with our deaf/blind specialist here about the vestibular and ocular

relationship you spoke of in a previous post.... She had never heard of that

connection before...So I have spent several days trying to find some written

material to support that...with no luck...It make so much sense to me that this

is the issue with my son...We have a PPT soon and would like to implement some

strategies for this...Any ideas? Is it possible for you to point me in the

direction of some articles?? I've spoken with 's team and they are very

interested in this...It would explain a lot of behavior ...often the teacher

felt was not paying attention....and that takes additional time

especially doing work requiring getting information from the board and writing

it on the paper. He needs to look back and forth several times before getting

the task at hand done.....Our previous director( the person who told me that in

order to qualify as deaf/blind needed to be totally deaf and

totally blind) was convinced that this behavior was indicative of ADD or

ADHD....She wanted tested for that...Our pediatrician clarified that with

her....The director is no longer with us and we are getting a fresh set of eyes

to the team...I would like to introduce vestibular and ocular relationship to

the team. Any info will be helpful.

Thanks

Ellen mom to ...7

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Ellen-

Aubrie has the same trouble copying from the board. Our DB specialist

observed this behavior in the classroom on her last visit -- start of

1st grade. This is not something they had ever done in Kindergarten.

So our solution is that the aide writes whatever the teacher writes on

the board on a white dry erase board at Aubrie's desk. Then she has the

material from the board closer. There was never a question of this

being anything other than a visual issue.

Michele W

Aubrie's mom 6 yrs (7 on Nov 29!)

>

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Kim-

You have such skill in making these abstract ideas concrete for me. The

world of our kids is so fascinating and you're examples and explanations

really help me to understand .

Michele W

>

> I agree with him wanting to enjoy the world. With deafblindness we know

> that first we must reach him in his world, then provide a safe bridge out.

> I like to remind parents that the child must have control of how quickly

> they navigate the bridge and if they need to step back into their world at

> times, if they are stressed or overwhelmed. You sense his cues, when

> he can

> be led out and when you need to provide the safe place for him to retreat.

> Trying to force them out can cause further retreat. I think you know

>

> and know his cues and you are without even knowing it helping him navigate

> his bridge.

>

> Kim L

>

>

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Thanks and glad it helps. Kim

Re: re: question for Tim

Kim-

You have such skill in making these abstract ideas concrete for me. The

world of our kids is so fascinating and you're examples and explanations

really help me to understand .

Michele W

>

> I agree with him wanting to enjoy the world. With deafblindness we know

> that first we must reach him in his world, then provide a safe bridge out.

> I like to remind parents that the child must have control of how quickly

> they navigate the bridge and if they need to step back into their world at

> times, if they are stressed or overwhelmed. You sense his cues, when

> he can

> be led out and when you need to provide the safe place for him to retreat.

> Trying to force them out can cause further retreat. I think you know

>

> and know his cues and you are without even knowing it helping him navigate

> his bridge.

>

> Kim L

>

>

Membership of this email support groups does not constitute membership in

the CHARGE Syndrome Foundation.

For information about the CHARGE Syndrome

Foundation or to become a member (and get the newsletter)

please contact marion@... or visit

the CHARGE Syndrome Foundation web page

at http://www.chargesyndrome.org

7th International

CHARGE Syndrome Conference, Miami Beach, Florida, July 22-24, 2005.

Information will be available at our website

www.chargesyndrome.org or by calling 1-. In Canada, you may

contact CHARGE Syndrome Canada at 1- (families), visit

www.chargesyndrome.ca, or email info@.... Thank you!

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