Guest guest Posted June 21, 2005 Report Share Posted June 21, 2005 Don't blame yourself. It's easy enough to say -but it's harder to accept and believe. As parents we always wonder " what if?... " But the truth is that nobody knows for 100% sure what caused a child's oral apraxia or any other of the multifaceted diagnosis we are seeing today. I can tell you for example that any type of apraxia in children was so extremely rare just years ago -lack of oxygen or not -that it wasn't even considered a " real " diagnosis by many SLPs even!! As we've talked about on previous messages -it's probably a combination of factors, and probably environmentally triggered which translates to not your fault as to why there is such a huge rise in children like yours. You ask: Why doesn't your son want you to help? He does. But even though it's perfectly normal to feel what you are feeling, children can sense when we are upset and stressed, and therapy with a preschool child should be done in a casual and fun way, in a way that the child doesn't even know that you are " helping " even. Find ways to reduce your own frustration -and your child's too. Talk to others going through the same thing. Read Chicken Soup For the Soul books while taking a hot bubble bath. Get a baby sitter and go for a massage -or to the movies -or just to walk around the mall. Try to find things to make 'you' happy. Find things that your 2 year old can excel in that don't involve speech. What about arts and crafts or dance or gymboree classes? I'll never forget one grandfather at one of our in person meetings told the group that the best sound he ever heard in his entire life was the sound of his apraxic grandson laughing. He said that a child that can't yet talk -but who can laugh out loud just gave him chills and so much hope. Think about it -isn't that true? Probably a sound better than that -would be the two of you laughing together. Do you observe how the therapist is working with your son and try to imitate her? Probably better yet would be to speak with your child's SLP and let her give you " homework " There are also a ton of suggestions in The Late Talker on how to help your child at home with issues like your sons. Having a late talker is even more frustrating than other more serious impairments in some ways due to lack of acknowledgment by some professionals and the media and the mixed signals we receive from the public when we hear anything at all. When a child doesn't speak up till the age of two -around your son's age -you are hearing " just give him time " while starting to also hear at the same time " what's wrong with him? " It's enough to drive anyone nuts - sometimes you just have to find the humor in it. Below are some archived messages to show you are not alone! From: " kiddietalk " <kiddietalk@...> Date: Tue Apr 29, 2003 1:13 pm Subject: Re: Feeling alone here in Colorado Hi Kris and welcome! Just the fact that you are searching and searching on various grouplists for support on how to help your child shows what a loving mother you are! What type of therapies specifically is Chase receiving and do they appear to be beneficial? Are they one on one? Is he responding to the oral motor therapy for the feeding issues? I'm sure that our advisor Sara CCC SLP may have some suggestions too! We all feel alone when we hear " your child has... " from the doctor. After the initial shock -it's because most of us look around us and don't know anyone else going through what we or our child is. The Internet is amazing and changes all of that for us. Today we all have each other to share with, cry or laugh with, learn from, teach or support, even if our child has a rare disorder. Today there are many parents in this group who can relate to what you are going though. In fact there are some MDs who now view gastrointestinal abnormalities as part of the autistic spectrum. (and some that don't) At least today with a click of the mouse we can read and understand both sides. I can't imagine what it was like for parents before -even though I was there, as a baby. My mom felt alone after I was born. I was born with celiac disease which almost killed me, like GERD another gastrointestinal condition. Back then the MDs didn't know that I was born with celiac disease even though my brother was born with celiac two years before me. Back then celiac was considered " rare " -now it's known celiac disease does run in families. More than once after I was born I was rushed to the hospital malnourished from severe vomiting. Fortunately for my mom, her sister has her PhD in nursing and knew right away that I probably had celiac disease just like my older brother -which is what I was later also diagnosed with. My mom was told that if she had one more child born with celiac disease that she would go into the Guinness Book of World Records -celiac was considered that rare. Celiac disease was not rare -just like apraxia, people just didn't know the symptoms so some children were misdiagnosed -and because various treatments weren't known either - some died. I could show you pictures of me where even though I was on a special diet that saved me -I looked like one of those starving Unicef children during my sick times. I was very sick -in and out of the hospital. Imagine the guilt of some parents who were blamed for starving their baby to death back then. My mom said people used to look at her like she was a mean parent in keeping me (this rail thin child) from eating so many different foods. Probably doesn't happen as much today thanks to the Internet. Just like then -some things we accept as " fact " today will be laughed at tomorrow as we learn more as the things that were laughed at yesterday will be viewed as fact today (or tomorrow -fish oil) Try not to feel so bad about what you are going through -or your child. We all have amazing abilities to heal. I have two children that were both considered special needs -one from birth trauma -one after fevers at 11 months old -and both doing really great today after years of therapy. http://www.cherab.org/information/familiesrelate/workandfamily.html I can tell you as a child who grew up after being described as " sickly " as an infant that I'm a very happy person today, don't have horrible memories of my childhood (other than one time in the hospital) -and have always been described as happy go lucky -and rarely am I ever sick today. I was told as sick as I was back then -I rarely cried -today I only cry watching Kodak commercials - or movies like Steel Magnolias. Dakota and Tanner are both very happy boys too. I did cry when Dakota and Tanner were diagnosed however -and more than once after as I learned to deal with it. I never let Dakota or Tanner see me cry when their conditions got to me. I don't believe most parents appreciate how much our children understand when there is talk in front of the child about their " condition " as if they weren't there. I remember my mom crying at the hospital when I was just a baby and couldn't talk. (then again I remember things most people forget -even times as a baby - some credit that to the fact I almost died more than once?) My mom told me before she would leave me in the hospital she would pick me up crying and hugging me tightly and she would repeat over and over " Please don't die , please don't die " Back then parents were not allowed to stay in the hospital overnight like today. My mom was ahead of the times -and with my aunt having her doctorate in nursing -once out of the hospital -my brother and I were put on a strict diet of " no wheat - no sugar - no oil " which at that time was not considered part of " medical treatment " . I posted here how I used to want to walk into candy stores and bakeries just to smell the air. I eat whatever I want today -and have no symptoms anymore if I eat sugar or wheat. However with oil get horrible cramping stomach aches if I eat more than a few potatoes chips or fried foods -and yet can't believe I didn't know about EFAs before a few years ago -they are amazing. As everyone else assured you -you are not alone!...well in Colorado you may be more alone than you would be in other states -but due to the Internet - " friendship is just a click of the mouse away " as it says in The Late Talker. I just posted how Sallie Bernard moved to Colorado after living in NJ (Apraxiaville) for so many years and how " strange " it feels not to be surrounded by other families of apraxic and autistic children. Here is a quick comparison: Colorado Population 4,417,714, land area 103,718 square miles with 41.5 people per square mile. New Jersey Population 8,484,431, land area 7,417 square miles with 1,134.4 people per square mile. If you once again compare stats -Colorado has stayed " fairly " consistent in numbers for speech and language impaired classification when you compare to states with dramatic surges like NJ Colorado 1996-1997 School Year 12-17 years old speech and language impaired 2,052 (MR -1,555 / Autistic -36) 6-11 years old speech and language impaired 8,803 (MR 1,191- Autistic -134 ) 1999-2000 School Year 12-17 years old speech and language impaired 2,572 (MR -1,644/ Autistic -94) 6-11 years old speech and language impaired 9,999 (MR 1,248- Autistic -243 ) And since I have been doing this -to compare the pharmaceutical/biotechnology industry in Colorado (since chemical industry has the most toxic emissions -and it's know that toxins do effect neurological function) " The biotechnology industry in Colorado has grown from 38 companies in 1996 to nearly 60 today, employing over 3,900 workers. " http://www.denvergov.org/admin/template3/forms/Biotech%20Brochure% 20new.doc And NJ " New Jersey houses 110 biotechnology companies, making it the fourth- largest biotechnology center in the nation. The New Jersey pharmaceutical and medical technology industry supports 140,000 jobs in New Jersey " (from the archives) It's true our children can acquire many labels outside of " late talker " which can at first overwhelm us, however the good news is that you will be better equipped at learning how to best help our child. Yes apraxia and dyspraxia can mean the same thing in the US -in other countries dyspraxia is used to describe the motor planning disorder of the body, where some of these children also have verbal apraxia as well. Of course if you look at verbal apraxia -many of these children have apraxia in various parts of the body as well. (wait...didn't I just say that?) Saying apraxia and/or dyspraxia (?)can drive you nuts. That's why in the book The Late Talker we decided to just call it " apraxia " And thanks Kim for recommending The Late Talker book for insurance. It will help with school, therapy, medical, frustrations, and to show you that you are not alone as well. BTW -you may want to explore diet (just like my mom did) for your child. I wasn't allowed any wheat -or sugar at all as a baby. Talk to your child's doctor about the GFCF diet for example -I hated it as a child but today there are so many more options than (lets say sixteen) years ago. Also please talk to your doctor about EFA supplementation too. Here is just one article on EFAs in treating various disorders: " Similarly, arthritis, Crohn's disease, ulcerative colitis and lupus erythematosis are autoimmune diseases characterized by a high level of IL-1 and the proinflammatory leukotriene LTB(4) produced by omega- 6 fatty acids. There have been a number of clinical trials assessing the benefits of dietary supplementation with fish oils in several inflammatory and autoimmune diseases in humans, including rheumatoid arthritis, Crohn's disease, ulcerative colitis, psoriasis, lupus erythematosus, multiple sclerosis and migraine headaches. Many of the placebo-controlled trials of fish oil in chronic inflammatory diseases reveal significant benefit, including decreased disease activity and a lowered use of anti-inflammatory drugs " http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve & db=PubMed & list_uids=12480795 & dopt=Abstract " Although more study is needed for all of the following, supplements or specific food ingredients that may prove to be helpful for the treatment of GERD symptoms or prevention of its complications include Bromelain...Gamma Linolenic Acid (GLA)...Selenium " (please click on the following link from the University of land Medicine to read in full) http://www.umm.edu/altmed/ConsConditions/GastroesophagealRefluxDiseas ecc.html Here are some resources for GERD which you probably already have but just in case: Guidelines Summary on Pediatric GERD http://www.cdhnf.org/openbinfile.php? app=pdf & subfold=pdf & name=GERD_8_pg_brochure_031103.pdf NASPGHAN strives to improve the care of infants, children and adolescents with digestive disorders by promoting advances in clinical care, research and education. Pediatric gastroenterologists specialize in the care of children with chronic abdominal pain, diarrhea, constipation, vomiting, bleeding from the GI tract, inflammatory bowel disease, liver diseases, diseases of the pancreas, poor weight gain and nutritional problems. Pediatric gastroenterologists specialize in gastroesophageal reflux (GER), peptic ulcers, H. pylori, celiac disease, Crohn's disease, ulcerative colitis, Hirschsprung's disease, cyclic vomiting, polyps, gallstones, hepatitis, biliary atresia, jaundice, pancreatitis, lactose malabsorption, failure to thrive and other common and rare disorders. Most pediatric gastroenterologists perform endoscopy, colonoscopy, esophageal pH probe studies, esophageal and rectal manometry and liver biopsies http://www.naspghan.org/. The mission of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition is to be a world leader in advancing the science and clinical practice of Pediatric Gastroenterology, Hepatology and Nutrition in health and disease. The membership of NASPGHAN consists of more than 800 pediatric gastroenterologists, predominantly in 46 states, the District of Columbia, Puerto Rico and 8 provinces in Canada. http://www.cdhnf.org/MedProfessional.asp And just one other bit of advice since my son Dakota also had gagging and feeding (and breathing) problems his first years -don't buy a new couch yet. Hope this brings you one more friendly voice to show you " you are not alone " ! ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2005 Report Share Posted June 21, 2005 Audra Hang in there..you will see improvment, it just takes time. It seems like you are getting him the services he needs. This may not be at all applicable, but my daughter had the same issues with her tongue. She couldn't lift it - stick it out - move it etc.. Her tongue was always protruding a bit & she was not aware of it. Her slp suggested we look into having her frenum clipped. We did & almost right aways she had tongue mobility. With that procedure & lots of oral moror therapy, her tongue moves a mile a minute & she can now lick food from her lip & side of her mouth. Just a thought & maybe something to look into. > I apologize if I seem to whine a lot. I just find myself confused > quite a bit. > > I had 2 abdominal surgeries (bowel obstructions) while I carried my > son and they believe he may have suffered a loss of oxygen to the > brain and it resulted in Oral Apraxia. > > Kellen, my 2-YO, has trouble lifting his tongue, licking his lips and > moving his tongue from side to side. He now recognizes that he has > trouble with his tongue and I notice that he will try to stick it and > move it and realizes that he can't. When I try to assist him, he > becomes upset and rebellious and yells " no! " Has anyone had a child > who behaved like this, but then cooperated with the SLP? He will > begin 1-hr of both Speech and OT session 3X a week, next week. How > long will it take to see improvement? I just feel a bit discouraged > about the help the can provide him with his condition and attitude. > > Please excuse my post if it seems whiney or ignorant. I am just a > bit worried and could use a little encouragement. > > Thanks > Audra--mom to 2-YO Kellen, Oral Apraxia and lacks fin motor skills Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2005 Report Share Posted June 21, 2005 Thanks for the suggestions, . I will try to relax a bit. It's just bothering me that it's bothering him. I guess I want a quick fix and there isn't one ... > Don't blame yourself. It's easy enough to say -but it's harder to > accept and believe. As parents we always wonder " what if?... " But > the truth is that nobody knows for 100% sure what caused a child's > oral apraxia or any other of the multifaceted diagnosis we are > seeing today. I can tell you for example that any type of apraxia > in children was so extremely rare just years ago -lack of oxygen or > not -that it wasn't even considered a " real " diagnosis by many SLPs > even!! As we've talked about on previous messages -it's probably a > combination of factors, and probably environmentally triggered which > translates to not your fault as to why there is such a huge rise in > children like yours. > > You ask: Why doesn't your son want you to help? He does. But even > though it's perfectly normal to feel what you are feeling, children > can sense when we are upset and stressed, and therapy with a > preschool child should be done in a casual and fun way, in a way > that the child doesn't even know that you are " helping " even. > > Find ways to reduce your own frustration -and your child's too. > Talk to others going through the same thing. Read Chicken Soup For > the Soul books while taking a hot bubble bath. Get a baby sitter > and go for a massage -or to the movies -or just to walk around the > mall. Try to find things to make 'you' happy. Find things that > your 2 year old can excel in that don't involve speech. What about > arts and crafts or dance or gymboree classes? > > I'll never forget one grandfather at one of our in person meetings > told the group that the best sound he ever heard in his entire life > was the sound of his apraxic grandson laughing. He said that a > child that can't yet talk -but who can laugh out loud just gave him > chills and so much hope. Think about it -isn't that true? > Probably a sound better than that -would be the two of you laughing > together. > > Do you observe how the therapist is working with your son and try to > imitate her? Probably better yet would be to speak with your > child's SLP and let her give you " homework " There are also a ton of > suggestions in The Late Talker on how to help your child at home > with issues like your sons. > > Having a late talker is even more frustrating than other more > serious impairments in some ways due to lack of acknowledgment by > some professionals and the media and the mixed signals we receive > from the public when we hear anything at all. When a child doesn't > speak up till the age of two -around your son's age -you are > hearing " just give him time " while starting to also hear at the same > time " what's wrong with him? " It's enough to drive anyone nuts - > sometimes you just have to find the humor in it. > > Below are some archived messages to show you are not alone! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2005 Report Share Posted June 21, 2005 Thanks for the encouragement. I will talk to his Ped and SLP, when she starts, about Frenum clipping. Did your ins. co. say she needed it clipped? How did you go about it? > Audra > > Hang in there..you will see improvment, it just takes time. It seems > like you are getting him the services he needs. > This may not be at all applicable, but my daughter had the same > issues with her tongue. She couldn't lift it - stick it out - move > it etc.. Her tongue was always protruding a bit & she was not aware > of it. Her slp suggested we look into having her frenum clipped. We > did & almost right aways she had tongue mobility. With that > procedure & lots of oral moror therapy, her tongue moves a mile a > minute & she can now lick food from her lip & side of her mouth. > Just a thought & maybe something to look into. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2005 Report Share Posted June 21, 2005 hi audra, when things are hard to do children are going to act out its normal. My son still has issues when he needs to talk. just think when you have to do something hard, I think of math, I used act out a lot with that subject,(he-he) its to feel the way you do. You just want them to be good because it helps, they do know that but.... they have to do the work. I hope all goes well chris audrachanell <audrachanell@...> wrote: I apologize if I seem to whine a lot. I just find myself confused quite a bit. I had 2 abdominal surgeries (bowel obstructions) while I carried my son and they believe he may have suffered a loss of oxygen to the brain and it resulted in Oral Apraxia. Kellen, my 2-YO, has trouble lifting his tongue, licking his lips and moving his tongue from side to side. He now recognizes that he has trouble with his tongue and I notice that he will try to stick it and move it and realizes that he can't. When I try to assist him, he becomes upset and rebellious and yells " no! " Has anyone had a child who behaved like this, but then cooperated with the SLP? He will begin 1-hr of both Speech and OT session 3X a week, next week. How long will it take to see improvement? I just feel a bit discouraged about the help the can provide him with his condition and attitude. Please excuse my post if it seems whiney or ignorant. I am just a bit worried and could use a little encouragement. Thanks Audra--mom to 2-YO Kellen, Oral Apraxia and lacks fin motor skills Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2005 Report Share Posted June 21, 2005 i took her to a Ped. oral surgeon to have it checked. He said that it is a very common precedure & yes, her was short & tight. Insurance did cover everything. The precedure lasted about 10 - 15 minutes & it was far more tramatic for me than for her. By the time we left the hospital she was drinking through a sippy cup & eating a turkey burger that night. No blood either. I was amazed & the results were immediate. If you live in the New York area I'd rec. her Dr. in a minute. > > Audra > > > > Hang in there..you will see improvment, it just takes time. It > seems > > like you are getting him the services he needs. > > This may not be at all applicable, but my daughter had the same > > issues with her tongue. She couldn't lift it - stick it out - move > > it etc.. Her tongue was always protruding a bit & she was not aware > > of it. Her slp suggested we look into having her frenum clipped. We > > did & almost right aways she had tongue mobility. With that > > procedure & lots of oral moror therapy, her tongue moves a mile a > > minute & she can now lick food from her lip & side of her mouth. > > Just a thought & maybe something to look into. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 My son also had a frenulectomy, a regular ENT will recommend it if he is actually tongue tied, and do the surgery, and they will definitely do it if there are speech issues involved, and yes it will be covered because it is medically necessary !!! Hope this helps Michele Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Susam, thanks for the info...I am on it! I have a follow-up appt w/his ENT surgeon on June 29. I will definately address this at that time. Thanks a million > i took her to a Ped. oral surgeon to have it checked. He said that > it is a very common precedure & yes, her was short & tight. > Insurance did cover everything. The precedure lasted about 10 - 15 > minutes & it was far more tramatic for me than for her. By the time > we left the hospital she was drinking through a sippy cup & eating a > turkey burger that night. No blood either. I was amazed & the > results were immediate. > If you live in the New York area I'd rec. her Dr. in a minute. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Yes, it helps a lot Michele. Thanks! > My son also had a frenulectomy, a regular ENT will recommend it if he is > actually tongue tied, and do the surgery, and they will definitely do it if > there are speech issues involved, and yes it will be covered because it is > medically necessary !!! Hope this helps > > Michele > > > Quote Link to comment Share on other sites More sharing options...
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