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Sorry you guys I feel like I keep asking questions that maybe I

should already have the answer for but honestly this group just

keeps me thinking about this topic all the time and so I have new

questions. I have a 4 yr old son officially diagnosed with apraxia

by his pediatrician sometime well into his second year. What

happened was that due to our concerns about not talking or even

attempting noises we got a referral for ST and she mentioned rather

casually that she thought he had apraxia. For different reasons we

ended up switching to another SLP and she concurred that he was

orally apraxic. At that point we called our pediatrician and he

gave the diagnoses but it was definitely based on the opinion of

that second SLP who was very very good and knowlegeable about

apraxia. She gave me tons of info about apraxia and we all agreed

this was our son. Then he went through the very thorough early

intervention assessment with many professionals as well as the

school system's assessment and everybody agreed he has apraxia. It

seems almost entirely verbal though I do see some awkward movements

in him at times. He walks, plays, runs, jumps and recently even

started pumping his own legs while swinging just like other children

his age. Now just a few weeks ago we had him evaluated privately for

additional ST and they agree he is mild-moderate apaxia/articulation

disorder. He still has problems moving his tongue intentionally but

the only thing remaining after intensive therapy that he cannot do

with his tongue is move it upward outside of his mouth. He is on an

EFA supp OTC and ProEFA is in the mail.

My question after giving all this history is...do we still need

to take him to a neurologist? He's never been to one and I'm

unclear about what we would gain. I don't want any unnecesarry

testing since he's already been through so much. Currently he gets

ST five times a week 1:1 through the school and additional private.

By the way he's not getting it twice in one day after all as once

thought might happen. He's been screened on about 3 different

occassions for OT and all thought he did not need it. Any thoughts

would be appreciated. Thanks in advance. Jill

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