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Hi. My son is 2 yrs and 4 months and our SLP told me the other day

(after about 2 months now of working with him twice a week) that she

thinks he has verbal apraxia. We've also had him evaluated by the

state's early intervention and that SLP suspects the same but has

said she's still " on the fence. " Anyway, our SLPs are both treating

him as though he has apraxia even though they both say he doesn't yet

have enough words or imitation to do the test to accurately determine

if apraxia is what's going on or if it's just some sort of

articulation disorder. My son is finally imitating much more often.

He only says beginning sounds though with no consenants on the end.

For instance, Mom is Mama, Ball is ba and water is wawa. My question

is when is it important to have him seen by a developmental

pediatrician? Our SLPs say it's not important since they are already

treating him as if he has the diagnosis. What would the Dev Ped do?

If both the SLPs think its just apraxia, is there any need to do

further testing at this point when he's not even 2 and a half yet? I

also ordered the ProEFA Jr and will start that as soon as it

arrives. 2 pills a day correct?

Any help would be greatly appreciated. Also, I'd love to hear a

success story or two from anyone who's had a child around 2 diagnosed

and has seen great improvements. I need to hear some positive

reinforcement!! Thanks!

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  • 8 months later...
Guest guest

Hi and welcome- 1st read the late talker try to get as much therapy as you

think your son needs, preschool is great- go to the apraxia- kids websit- and

you came here to the right lace- you are not alone-charlotte

************************************** See what's free at http://www.aol.com.

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Guest guest

Look, there are specific tests, I only know what I was told for celiac

and malabsorption which I'll share with you:

CBC with differential

Complete metabolic panel

Celiac panel to include IGA, TTG

Endomecial Antibody

Antigleiadin Antibody

IBD panel

Carnitene level (for my own peace of mind to rule in or out apraxia)

Sedimentation rate

PTPTTT (for my daughter with no speech symptoms but celiac and thyroid

symptoms)

Direct Measurement of vitamin levels A,D, E, K, and B12 (you can't know

what they need if you do not know what they are absorbing)

Understand something, sometimes the drs do not think of all the right

tests. It is likely all of the above were not done so that is a good

start. Some tests need repeating. The longer things go on the more

likely something might show up. If your gut says to do it again, beg for

these tests. They will think you are crazy but who cares if you have a

shot at helping your kid.

God Bless!

Liz

wrote:

>We've already went through all the pediatrician visits trying to pin

>point a specific problem. The pediatrician did blood work and a

>complete physical along with hearing tests and he said there is

>nothing physically wrong that is the cause. If that is what you are

>talking about?

>

>

>

>>

>>

>>

>>>Hi, my name is and I have a six year old son that has oral

>>>apraxia. He hasn't been officially diagnosed with apraxia, but

>>>

>>>

>his

>

>

>>>speech therapist and pathologist at school have both agreed for

>>>educational purposes they will classify him as having apraxia.

>>>

>>>

>This is

>

>

>>>all knew to me, I have done some research on the internet about

>>>apraxia, but I'm pretty much at a stand still at what to do next.

>>>Right now my son uses a word book that we have made for him to

>>>

>>>

>help

>

>

>>>communicate. We enforce him to say each word as he points to the

>>>object. I'm asking for any help or advice you may have.

>>>

>>>Thank you

>>> &

>>>

>>>

>>>

>>>

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Guest guest

Thanks! I know what you're talking about when dealing with

physicians. My stepmom urged us to take him to their family doctor

and he seemed to pretty much put all the blame on us parents. Saying

we needed to work with him more after all the tests were finished.

He never even mentioned anytime of speech disorder. He was very rude

about the potty training issue, my son is potty trained now, but then

he was four yrs old and not yet potty trained. That was a very

difficult process but we finally got there. I will not go back to

that doctor, because of the way we were treated. Right now we are in

the process of moving to the Houston, TX area and I'm looking into

finding a more helpful physcian.

> >>

> >>

> >>

> >>>Hi, my name is and I have a six year old son that has

oral

> >>>apraxia. He hasn't been officially diagnosed with apraxia, but

> >>>

> >>>

> >his

> >

> >

> >>>speech therapist and pathologist at school have both agreed for

> >>>educational purposes they will classify him as having apraxia.

> >>>

> >>>

> >This is

> >

> >

> >>>all knew to me, I have done some research on the internet about

> >>>apraxia, but I'm pretty much at a stand still at what to do

next.

> >>>Right now my son uses a word book that we have made for him to

> >>>

> >>>

> >help

> >

> >

> >>>communicate. We enforce him to say each word as he points to

the

> >>>object. I'm asking for any help or advice you may have.

> >>>

> >>>Thank you

> >>> &

> >>>

> >>>

> >>>

> >>>

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Guest guest

My son is 18 1/2 months old and can say only 2 words and a few sounds. 2 SLP's

says he has low oral motor tone and ?apraxia- maybe too early to tell. She

told us to see an OT and we just went for an evaluation. She told us he has low

tone in the trunk and is hyposensitive. A few months ago I wasjust hoping for

" speech delay " . This is all new to us. Do I need to test him for all of these?

His only digestive issue is that whole milk causes diarrhea so he is on lactaid,

but he is fine with all other dairy products. We will see a developmenatl ped.

in a few weeks. Would they know to test for any of these things? We started my

son on NN Omega 3-6-9 (half an adult capsule a day) Should I be giving the jr

version? The pediatrician told me it's not a good idea to give the Vit E so I

was scared to try that. I think the fish oils may be helping some. Thanks for

any feedback!!!

Liz <lizlaw@...> wrote:

Look, there are specific tests, I only know what I was told for celiac

and malabsorption which I'll share with you:

CBC with differential

Complete metabolic panel

Celiac panel to include IGA, TTG

Endomecial Antibody

Antigleiadin Antibody

IBD panel

Carnitene level (for my own peace of mind to rule in or out apraxia)

Sedimentation rate

PTPTTT (for my daughter with no speech symptoms but celiac and thyroid

symptoms)

Direct Measurement of vitamin levels A,D, E, K, and B12 (you can't know

what they need if you do not know what they are absorbing)

Understand something, sometimes the drs do not think of all the right

tests. It is likely all of the above were not done so that is a good

start. Some tests need repeating. The longer things go on the more

likely something might show up. If your gut says to do it again, beg for

these tests. They will think you are crazy but who cares if you have a

shot at helping your kid.

God Bless!

Liz

wrote:

>We've already went through all the pediatrician visits trying to pin

>point a specific problem. The pediatrician did blood work and a

>complete physical along with hearing tests and he said there is

>nothing physically wrong that is the cause. If that is what you are

>talking about?

>

>

>

>>

>>

>>

>>>Hi, my name is and I have a six year old son that has oral

>>>apraxia. He hasn't been officially diagnosed with apraxia, but

>>>

>>>

>his

>

>

>>>speech therapist and pathologist at school have both agreed for

>>>educational purposes they will classify him as having apraxia.

>>>

>>>

>This is

>

>

>>>all knew to me, I have done some research on the internet about

>>>apraxia, but I'm pretty much at a stand still at what to do next.

>>>Right now my son uses a word book that we have made for him to

>>>

>>>

>help

>

>

>>>communicate. We enforce him to say each word as he points to the

>>>object. I'm asking for any help or advice you may have.

>>>

>>>Thank you

>>> &

>>>

>>>

>>>

>>>

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Guest guest

Look, I am not a doctor, just a mom like you trying to help my kid. My

kid, a boy, had the same issues as yours at that age. I listened for far

too long to the wait and see crowd and would not do that again if I had

the chance. The thing is, a lot of the GI symptoms he may be having he

cannot tell you. My guy had ear pain. No infections, just pain and

fluid. He never pulled at his ears so I just thought he was colicky.

I would do this:

Take him to an ENT to check for fluid. ENT's can see more with their

scopes. Then ask for a hearing test. See what this brings and ask about

the relationship between GERD and ear pain.(some ent's know, some don't

so pull the article and show them then ask them about the relationship

between gerd and allergies). My kid had a milk allergy too and others

that never showed up on the labs because at 18 months their diet is limited.

Check with your families and ask if anyone has IBS, back pain,

heartburn, thyroid problems, diabetes, and specifically celiac. Ask also

about autoimmune disease. I am not a dr. and do not even know if I am

right. All my inquiries turned up celiac in my family but to be honest I

would have lied and said there was celiac in the family just to get the

test because I could tell:

1) When doctors see patients or mom's diagnosing it pisses them off.

2) They and the office staff get overwhelmed by the codes and try to say

you do not need this.

You still may not get all the labs. If there is a lag between

appointment times and now I'd do a gluten free diet and see if you

notice a change in abilities, temperament (for the better) and poop. The

thing is, if you do get someone to get the labs for you be sure the kid

is back on gluten products before testing so you do not get a

false-negative.

As to the question " Do we really need to do all this? " My position is

this: If I can find out if my kids problems are a result of a starving

brain and the condition, if left unaddressed, could harm his organs, and

cause further harm and all I have to do is go through red tape, have a

few folks roll their eyes at me, and get a blood test, why would I not

want to do that?

As for supplementing, I have no opinion. I pursued malabsorption testing

so that I'd know what he needed so I have yet to supplement. If you need

to do the ear tube surgery or any other surgery you'll have to stop the

fish oil and maybe other stuff (I don't know so you must ask the dr.)

temporarily to avoid complications. Plus, I figured the

neurodevelopmental pediatrician would want to know.

This is just what I think from my experience with my kid.

God Bless and best wishes!

Liz

lauren baron wrote:

>My son is 18 1/2 months old and can say only 2 words and a few sounds. 2 SLP's

says he has low oral motor tone and ?apraxia- maybe too early to tell. She

told us to see an OT and we just went for an evaluation. She told us he has low

tone in the trunk and is hyposensitive. A few months ago I wasjust hoping for

" speech delay " . This is all new to us. Do I need to test him for all of these?

His only digestive issue is that whole milk causes diarrhea so he is on lactaid,

but he is fine with all other dairy products. We will see a developmenatl ped.

in a few weeks. Would they know to test for any of these things? We started my

son on NN Omega 3-6-9 (half an adult capsule a day) Should I be giving the jr

version? The pediatrician told me it's not a good idea to give the Vit E so I

was scared to try that. I think the fish oils may be helping some. Thanks for

any feedback!!!

>

>

>Liz <lizlaw@...> wrote:

> Look, there are specific tests, I only know what I was told for

celiac

>and malabsorption which I'll share with you:

>

>CBC with differential

>Complete metabolic panel

>Celiac panel to include IGA, TTG

>Endomecial Antibody

>Antigleiadin Antibody

>IBD panel

>Carnitene level (for my own peace of mind to rule in or out apraxia)

>Sedimentation rate

>PTPTTT (for my daughter with no speech symptoms but celiac and thyroid

>symptoms)

>Direct Measurement of vitamin levels A,D, E, K, and B12 (you can't know

>what they need if you do not know what they are absorbing)

>

>Understand something, sometimes the drs do not think of all the right

>tests. It is likely all of the above were not done so that is a good

>start. Some tests need repeating. The longer things go on the more

>likely something might show up. If your gut says to do it again, beg for

>these tests. They will think you are crazy but who cares if you have a

>shot at helping your kid.

>

>God Bless!

>Liz

>

> wrote:

>

>

>

>>We've already went through all the pediatrician visits trying to pin

>>point a specific problem. The pediatrician did blood work and a

>>complete physical along with hearing tests and he said there is

>>nothing physically wrong that is the cause. If that is what you are

>>talking about?

>>

>>

>>

>>>

>>>

>>>

>>>

>>>

>>>>Hi, my name is and I have a six year old son that has oral

>>>>apraxia. He hasn't been officially diagnosed with apraxia, but

>>>>

>>>>

>>>>

>>>>

>>his

>>

>>

>>

>>

>>>>speech therapist and pathologist at school have both agreed for

>>>>educational purposes they will classify him as having apraxia.

>>>>

>>>>

>>>>

>>>>

>>This is

>>

>>

>>

>>

>>>>all knew to me, I have done some research on the internet about

>>>>apraxia, but I'm pretty much at a stand still at what to do next.

>>>>Right now my son uses a word book that we have made for him to

>>>>

>>>>

>>>>

>>>>

>>help

>>

>>

>>

>>

>>>>communicate. We enforce him to say each word as he points to the

>>>>object. I'm asking for any help or advice you may have.

>>>>

>>>>Thank you

>>>> &

>>>>

>>>>

>>>>

>>>>

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Guest guest

Hi ,

Take it from me, I've been doing this with my dyspraxic son for a while since he

is now 12. Your son has many of the symtoms of global dyspraxia though he is

rather young yet for such a diagnosis. Remove ALL of the milk products, not

just milk. Milk builds up a mucus in the system which results in congestion of

his ears; thus affecting his speech, his saliva build-up, his vestibular (thus

his gross motor). I found the same thing as you; eliminating the milk solved

the diarhea/constipation issues but.... it was still there in the cheese just

hiding in the ears! Nasty, nasty, nasty! He ended up with auditory processing

issues which is a real pain to eliminate, so don't travel down my road. Just

get rid of all of the milk products because it's doing 'nasty' things to his

system overall!

Your child needs to work on the low tone via strengthening his body core and in

his face muscles. The younger you work with this, the better. Take him to the

playground daily and have him " hang " from the bars (with you supporting him of

course) to build strength, play in the sand to work his tactility, twirl on the

tire swing to work his vestibular. Do a lot of walking with him pointing to

each opposing toe to work his cross-pattern. Make all of this stuff a game and

be upbeat. Give him lots of chewy stuff to eat, play with various types of

whistles and horns, bubble blowers and make lots of funny faces at him and try

to get him to copy you.

Get him into the ENT and thoroughly check those ears! No language = bad

hearing.

Be prepared to dig in for the long haul. There is no magic pill here, just a

lot of hard work. In the end it is extremely fulfilling and you will find this

a motherhood that bonds you to your child; you will become closer to your baby

than many other moms out there could even fathom.

While vitamins are great and nutrition is important, we build a child

neurologically through physical exercise and sensory experiences. Thus, once a

child is 'healthy', the real work begins. You must incorporate a wide variety

of sensory experiences into your child's day working his gross motor, fine

motor, auditory channels and visual channels. This can be enhanced through

vitamin use but in the end, experience is what counts to the brain and

neurological connections. Our children need much more opportunities to solidify

their sensory pathways than other kids.

I know this doesn't answer your vitamin question but I hope it gives you a

little insight.

Janice

PS. Lactaid is just a band-aid for those 'special occasions', okay? Don't use

it daily.

[sPAM] Re: [ ] Re: New to Apraxia

My son is 18 1/2 months old and can say only 2 words and a few sounds. 2 SLP's

says he has low oral motor tone and ?apraxia- maybe too early to tell. She told

us to see an OT and we just went for an evaluation. She told us he has low tone

in the trunk and is hyposensitive. A few months ago I wasjust hoping for " speech

delay " . This is all new to us. Do I need to test him for all of these? His only

digestive issue is that whole milk causes diarrhea so he is on lactaid, but he

is fine with all other dairy products. We will see a developmenatl ped. in a few

weeks. Would they know to test for any of these things? We started my son on NN

Omega 3-6-9 (half an adult capsule a day) Should I be giving the jr version? The

pediatrician told me it's not a good idea to give the Vit E so I was scared to

try that. I think the fish oils may be helping some. Thanks for any feedback!!!

Liz <lizlaw@...> wrote:

Look, there are specific tests, I only know what I was told for celiac

and malabsorption which I'll share with you:

CBC with differential

Complete metabolic panel

Celiac panel to include IGA, TTG

Endomecial Antibody

Antigleiadin Antibody

IBD panel

Carnitene level (for my own peace of mind to rule in or out apraxia)

Sedimentation rate

PTPTTT (for my daughter with no speech symptoms but celiac and thyroid

symptoms)

Direct Measurement of vitamin levels A,D, E, K, and B12 (you can't know

what they need if you do not know what they are absorbing)

Understand something, sometimes the drs do not think of all the right

tests. It is likely all of the above were not done so that is a good

start. Some tests need repeating. The longer things go on the more

likely something might show up. If your gut says to do it again, beg for

these tests. They will think you are crazy but who cares if you have a

shot at helping your kid.

God Bless!

Liz

wrote:

>We've already went through all the pediatrician visits trying to pin

>point a specific problem. The pediatrician did blood work and a

>complete physical along with hearing tests and he said there is

>nothing physically wrong that is the cause. If that is what you are

>talking about?

>

>

>

>>

>>

>>

>>>Hi, my name is and I have a six year old son that has oral

>>>apraxia. He hasn't been officially diagnosed with apraxia, but

>>>

>>>

>his

>

>

>>>speech therapist and pathologist at school have both agreed for

>>>educational purposes they will classify him as having apraxia.

>>>

>>>

>This is

>

>

>>>all knew to me, I have done some research on the internet about

>>>apraxia, but I'm pretty much at a stand still at what to do next.

>>>Right now my son uses a word book that we have made for him to

>>>

>>>

>help

>

>

>>>communicate. We enforce him to say each word as he points to the

>>>object. I'm asking for any help or advice you may have.

>>>

>>>Thank you

>>> &

>>>

>>>

>>>

>>>

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Guest guest

I really appreciate this. I am moving to gluten free now that the test

is over. I'll take him off milk soon after the allergy tests. I knew he

had a milk allergy and still must prove it but until then I would like

to reduce the damage. Thanks!

Janice wrote:

>Hi ,

>

>Take it from me, I've been doing this with my dyspraxic son for a while since

he is now 12. Your son has many of the symtoms of global dyspraxia though he is

rather young yet for such a diagnosis. Remove ALL of the milk products, not

just milk. Milk builds up a mucus in the system which results in congestion of

his ears; thus affecting his speech, his saliva build-up, his vestibular (thus

his gross motor). I found the same thing as you; eliminating the milk solved

the diarhea/constipation issues but.... it was still there in the cheese just

hiding in the ears! Nasty, nasty, nasty! He ended up with auditory processing

issues which is a real pain to eliminate, so don't travel down my road. Just

get rid of all of the milk products because it's doing 'nasty' things to his

system overall!

>

>Your child needs to work on the low tone via strengthening his body core and

in his face muscles. The younger you work with this, the better. Take him to

the playground daily and have him " hang " from the bars (with you supporting him

of course) to build strength, play in the sand to work his tactility, twirl on

the tire swing to work his vestibular. Do a lot of walking with him pointing to

each opposing toe to work his cross-pattern. Make all of this stuff a game and

be upbeat. Give him lots of chewy stuff to eat, play with various types of

whistles and horns, bubble blowers and make lots of funny faces at him and try

to get him to copy you.

>

>Get him into the ENT and thoroughly check those ears! No language = bad

hearing.

>

>Be prepared to dig in for the long haul. There is no magic pill here, just a

lot of hard work. In the end it is extremely fulfilling and you will find this

a motherhood that bonds you to your child; you will become closer to your baby

than many other moms out there could even fathom.

>

>While vitamins are great and nutrition is important, we build a child

neurologically through physical exercise and sensory experiences. Thus, once a

child is 'healthy', the real work begins. You must incorporate a wide variety

of sensory experiences into your child's day working his gross motor, fine

motor, auditory channels and visual channels. This can be enhanced through

vitamin use but in the end, experience is what counts to the brain and

neurological connections. Our children need much more opportunities to solidify

their sensory pathways than other kids.

>

>I know this doesn't answer your vitamin question but I hope it gives you a

little insight.

>

>Janice

>

>PS. Lactaid is just a band-aid for those 'special occasions', okay? Don't use

it daily.

>

>

> [sPAM] Re: [ ] Re: New to Apraxia

>

>

> My son is 18 1/2 months old and can say only 2 words and a few sounds. 2

SLP's says he has low oral motor tone and ?apraxia- maybe too early to tell. She

told us to see an OT and we just went for an evaluation. She told us he has low

tone in the trunk and is hyposensitive. A few months ago I wasjust hoping for

" speech delay " . This is all new to us. Do I need to test him for all of these?

His only digestive issue is that whole milk causes diarrhea so he is on lactaid,

but he is fine with all other dairy products. We will see a developmenatl ped.

in a few weeks. Would they know to test for any of these things? We started my

son on NN Omega 3-6-9 (half an adult capsule a day) Should I be giving the jr

version? The pediatrician told me it's not a good idea to give the Vit E so I

was scared to try that. I think the fish oils may be helping some. Thanks for

any feedback!!!

>

>

> Liz <lizlaw@...> wrote:

> Look, there are specific tests, I only know what I was told for celiac

> and malabsorption which I'll share with you:

>

> CBC with differential

> Complete metabolic panel

> Celiac panel to include IGA, TTG

> Endomecial Antibody

> Antigleiadin Antibody

> IBD panel

> Carnitene level (for my own peace of mind to rule in or out apraxia)

> Sedimentation rate

> PTPTTT (for my daughter with no speech symptoms but celiac and thyroid

> symptoms)

> Direct Measurement of vitamin levels A,D, E, K, and B12 (you can't know

> what they need if you do not know what they are absorbing)

>

> Understand something, sometimes the drs do not think of all the right

> tests. It is likely all of the above were not done so that is a good

> start. Some tests need repeating. The longer things go on the more

> likely something might show up. If your gut says to do it again, beg for

> these tests. They will think you are crazy but who cares if you have a

> shot at helping your kid.

>

> God Bless!

> Liz

>

> wrote:

>

> >We've already went through all the pediatrician visits trying to pin

> >point a specific problem. The pediatrician did blood work and a

> >complete physical along with hearing tests and he said there is

> >nothing physically wrong that is the cause. If that is what you are

> >talking about?

> >

> >

> >

> >>

> >>

> >>

> >>>Hi, my name is and I have a six year old son that has oral

> >>>apraxia. He hasn't been officially diagnosed with apraxia, but

> >>>

> >>>

> >his

> >

> >

> >>>speech therapist and pathologist at school have both agreed for

> >>>educational purposes they will classify him as having apraxia.

> >>>

> >>>

> >This is

> >

> >

> >>>all knew to me, I have done some research on the internet about

> >>>apraxia, but I'm pretty much at a stand still at what to do next.

> >>>Right now my son uses a word book that we have made for him to

> >>>

> >>>

> >help

> >

> >

> >>>communicate. We enforce him to say each word as he points to the

> >>>object. I'm asking for any help or advice you may have.

> >>>

> >>>Thank you

> >>> &

> >>>

> >>>

> >>>

> >>>

Link to comment
Share on other sites

Guest guest

> >>>

> >>>

> >>>

> >>>

> >>>

> >>>>Hi, my name is and I have a six year old son that has

oral

> >>>>apraxia. He hasn't been officially diagnosed with apraxia, but

> >>>>

> >>>>

> >>>>

> >>>>

> >>his

> >>

> >>

> >>

> >>

> >>>>speech therapist and pathologist at school have both agreed for

> >>>>educational purposes they will classify him as having apraxia.

> >>>>

> >>>>

> >>>>

> >>>>

> >>This is

> >>

> >>

> >>

> >>

> >>>>all knew to me, I have done some research on the internet about

> >>>>apraxia, but I'm pretty much at a stand still at what to do

next.

> >>>>Right now my son uses a word book that we have made for him to

> >>>>

> >>>>

> >>>>

> >>>>

> >>help

> >>

> >>

> >>

> >>

> >>>>communicate. We enforce him to say each word as he points to

the

> >>>>object. I'm asking for any help or advice you may have.

> >>>>

> >>>>Thank you

> >>>> &

> >>>>

> >>>>

> >>>>

> >>>>

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Share on other sites

Guest guest

Please know I am not dissing all docs. I don't think anyone would have

caught this stuff with my son. The thing is I am frustrated by the known

stuff I asked good docs about and was dismissed. About the GERD/Ear pain

thing I asked the ENT if he knew anything about it because I experienced

it, read about it and wondered if my son who could not tell me was

having it during that screamfest of 18 months, particularly every time I

laid him down. He is well-respected, did an awesome job of tubes on my

son and was great with running interference when he felt my regular

pediatrician was overprescribing meds for ear infections. He's a great

guy but does not listen. It's humanity. I am not dissing the docs so

much as I am pushing moms to push if they really know something's awry.

I hear you on the crazy things on the net (there was a comical episode

on Scrubs about that years ago that I often think of when I ask

questions) and I do realize the time crunch and totally appreciate your

openness and willingness to help.

claudia.morris wrote:

>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>

>>>>>>Hi, my name is and I have a six year old son that has

>>>>>>

>>>>>>

>oral

>

>

>>>>>>apraxia. He hasn't been officially diagnosed with apraxia, but

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>his

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>>>speech therapist and pathologist at school have both agreed for

>>>>>>educational purposes they will classify him as having apraxia.

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>This is

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>>>all knew to me, I have done some research on the internet about

>>>>>>apraxia, but I'm pretty much at a stand still at what to do

>>>>>>

>>>>>>

>next.

>

>

>>>>>>Right now my son uses a word book that we have made for him to

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>help

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>

>>>>>>communicate. We enforce him to say each word as he points to

>>>>>>

>>>>>>

>the

>

>

>>>>>>object. I'm asking for any help or advice you may have.

>>>>>>

>>>>>>Thank you

>>>>>> &

>>>>>>

>>>>>>

>>>>>>

>>>>>>

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Share on other sites

Guest guest

Sorry, should have said 'developmental' instead of global dyspraxia.

Here is a link to a fairly good definition:

http://www.answers.com/topic/dyspraxia

[sPAM] Re: [ ] Re: New to Apraxia

>

>

> My son is 18 1/2 months old and can say only 2 words and a few sounds. 2

SLP's says he has low oral motor tone and ?apraxia- maybe too early to tell. She

told us to see an OT and we just went for an evaluation. She told us he has low

tone in the trunk and is hyposensitive. A few months ago I wasjust hoping for

" speech delay " . This is all new to us. Do I need to test him for all of these?

His only digestive issue is that whole milk causes diarrhea so he is on lactaid,

but he is fine with all other dairy products. We will see a developmenatl ped.

in a few weeks. Would they know to test for any of these things? We started my

son on NN Omega 3-6-9 (half an adult capsule a day) Should I be giving the jr

version? The pediatrician told me it's not a good idea to give the Vit E so I

was scared to try that. I think the fish oils may be helping some. Thanks for

any feedback!!!

>

>

> Liz <lizlaw@...> wrote:

> Look, there are specific tests, I only know what I was told for celiac

> and malabsorption which I'll share with you:

>

> CBC with differential

> Complete metabolic panel

> Celiac panel to include IGA, TTG

> Endomecial Antibody

> Antigleiadin Antibody

> IBD panel

> Carnitene level (for my own peace of mind to rule in or out apraxia)

> Sedimentation rate

> PTPTTT (for my daughter with no speech symptoms but celiac and thyroid

> symptoms)

> Direct Measurement of vitamin levels A,D, E, K, and B12 (you can't know

> what they need if you do not know what they are absorbing)

>

> Understand something, sometimes the drs do not think of all the right

> tests. It is likely all of the above were not done so that is a good

> start. Some tests need repeating. The longer things go on the more

> likely something might show up. If your gut says to do it again, beg for

> these tests. They will think you are crazy but who cares if you have a

> shot at helping your kid.

>

> God Bless!

> Liz

>

> wrote:

>

> >We've already went through all the pediatrician visits trying to pin

> >point a specific problem. The pediatrician did blood work and a

> >complete physical along with hearing tests and he said there is

> >nothing physically wrong that is the cause. If that is what you are

> >talking about?

> >

> >

> >

> >>

> >>

> >>

> >>>Hi, my name is and I have a six year old son that has oral

> >>>apraxia. He hasn't been officially diagnosed with apraxia, but

> >>>

> >>>

> >his

> >

> >

> >>>speech therapist and pathologist at school have both agreed for

> >>>educational purposes they will classify him as having apraxia.

> >>>

> >>>

> >This is

> >

> >

> >>>all knew to me, I have done some research on the internet about

> >>>apraxia, but I'm pretty much at a stand still at what to do next.

> >>>Right now my son uses a word book that we have made for him to

> >>>

> >>>

> >help

> >

> >

> >>>communicate. We enforce him to say each word as he points to the

> >>>object. I'm asking for any help or advice you may have.

> >>>

> >>>Thank you

> >>> &

> >>>

> >>>

> >>>

> >>>

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Share on other sites

Guest guest

Liz,

Do they actually 'test' for milk allergies in the US? In Canada, we just do

'elimination' diets. I thought you couldn't get a reliable blood test for milk

allergies? Of course, we haven't done blood work in a few years, perhaps

technology has changed.

With regard to fish oils and vitamin E. I have been supplementing my son for

probably 6 years now and while I noticed improvement initially, the vitamins

have certainly not been a 'cure'. I do continue to supplement him however

because I realize that he has an unusual love of seafood. I mean at the age of

6, my son would devour an adult sized portion of muscles lickity-split. He

loves salmon, shrimp, oysters, anything and everything with the omega's. So, I

know that this child needs the extra supplementation.

But... there is no cure in a bottle. At least, none that I've found and I've

been searching for many, many years. Of course, we started looking

'pre-internet' and now information and studies are much easier to access.

So.... I am still looking! I am definately reading all of the posts here and

intend to research the carnitine connection. I have also read about

acetyl-l-carnitine and it seems to have some beneficial brain benefits. Also, I

wonder if anyone has heard about the use of periwinkle?

In the meantime, I have found that good sensory work and a wide variety of

experiences is essential. Unfortunately when my child was young, the doctors

all told me that he would 'grow out of it'. Well, he didn't. Every success has

come with a lot of effort and persistance. Mark is the poster boy for dyspraxia

these days. He skiis, water skiis, plays basketball, mountain bikes, does Tai

Kwondo, and is willing to try anything and everything new. There was once a

time when he couldn't sit in a chair without falling out of it, his dyspraxia

was so severe. Saliva just poured out of his mouth and he spoke like he had a

sack of marbles in his mouth. He also developed auditory processing issues:

(at age 11, he was processing at age 5 but with work is now normal). He used to

fall down the stairs chronicly, get lost walking 2 blocks to a friends house (at

the age of 10) and I often worried that he would accidently swerve out onto the

road in front of cars while bike riding (he did manage to peg the odd parked

car). In the house, he would step on anything in his path never looking where

he was headed. There was a head-body disconnect. After the age of 6, he became

severely ambi-dexterous which the baseball coach loved but I later learned is an

absolute 'no-no' for good motor ability. His fine motor is still a 'work in

progress' and we work daily at strengthening his fingers but we have the most of

the planning issues with gross motor nailed! It's been a lot of work.

Work on the child's physical body as young as you can. Neural pathways do

develop but they take longer than other kids; practice is key. The brain

'wants' to develop proper connections when a child is young. It is so much

harder to work them when they are older like my son: so please don't wait, start

now.

One thing about dyspraxic children, they develop a 'never-give-up' attitude that

truly serves them in life. They are generous, kind and so absolutely giving to

others. I'm on the dyspraxia families board and we have all noticed these

aspects in our children. Most of the kids there are school aged but we have

some moms with younger tots as well.

Janice

[sPAM] Re: [ ] Re: New to Apraxia

>

>

> My son is 18 1/2 months old and can say only 2 words and a few sounds. 2

SLP's says he has low oral motor tone and ?apraxia- maybe too early to tell. She

told us to see an OT and we just went for an evaluation. She told us he has low

tone in the trunk and is hyposensitive. A few months ago I wasjust hoping for

" speech delay " . This is all new to us. Do I need to test him for all of these?

His only digestive issue is that whole milk causes diarrhea so he is on lactaid,

but he is fine with all other dairy products. We will see a developmenatl ped.

in a few weeks. Would they know to test for any of these things? We started my

son on NN Omega 3-6-9 (half an adult capsule a day) Should I be giving the jr

version? The pediatrician told me it's not a good idea to give the Vit E so I

was scared to try that. I think the fish oils may be helping some. Thanks for

any feedback!!!

>

>

> Liz <lizlaw@...> wrote:

> Look, there are specific tests, I only know what I was told for celiac

> and malabsorption which I'll share with you:

>

> CBC with differential

> Complete metabolic panel

> Celiac panel to include IGA, TTG

> Endomecial Antibody

> Antigleiadin Antibody

> IBD panel

> Carnitene level (for my own peace of mind to rule in or out apraxia)

> Sedimentation rate

> PTPTTT (for my daughter with no speech symptoms but celiac and thyroid

> symptoms)

> Direct Measurement of vitamin levels A,D, E, K, and B12 (you can't know

> what they need if you do not know what they are absorbing)

>

> Understand something, sometimes the drs do not think of all the right

> tests. It is likely all of the above were not done so that is a good

> start. Some tests need repeating. The longer things go on the more

> likely something might show up. If your gut says to do it again, beg for

> these tests. They will think you are crazy but who cares if you have a

> shot at helping your kid.

>

> God Bless!

> Liz

>

> wrote:

>

> >We've already went through all the pediatrician visits trying to pin

> >point a specific problem. The pediatrician did blood work and a

> >complete physical along with hearing tests and he said there is

> >nothing physically wrong that is the cause. If that is what you are

> >talking about?

> >

> >

> >

> >>

> >>

> >>

> >>>Hi, my name is and I have a six year old son that has oral

> >>>apraxia. He hasn't been officially diagnosed with apraxia, but

> >>>

> >>>

> >his

> >

> >

> >>>speech therapist and pathologist at school have both agreed for

> >>>educational purposes they will classify him as having apraxia.

> >>>

> >>>

> >This is

> >

> >

> >>>all knew to me, I have done some research on the internet about

> >>>apraxia, but I'm pretty much at a stand still at what to do next.

> >>>Right now my son uses a word book that we have made for him to

> >>>

> >>>

> >help

> >

> >

> >>>communicate. We enforce him to say each word as he points to the

> >>>object. I'm asking for any help or advice you may have.

> >>>

> >>>Thank you

> >>> &

> >>>

> >>>

> >>>

> >>>

Link to comment
Share on other sites

Guest guest

I don't even know because whatever was done, all the things he clearly

is allergic too show negative so at this point the bloodtests are

irrelevant and I just need to figure out what to feed him. I think I

accidentally discovered my allergy suspicions were right and figured out

the way to metabolically help him along with the therapy he already

gets. I am so grateful to this board, to Dr. Agin and , and to

everyone who responded to me. My kid was and is not that bad off

compared to what some kids deal with and because he is young we can get

him where he needs to be. I am so thankful for that and for information

that helped my daughter (with a nonspeech issue) get help for metabolic

stuff I did not know she had. Hopefully I got it in time.

As for therapy...you are *so* right. It is the greatest help ever. I

mean all kinds of therapy. My guy particularly loves the DI and has high

concentration(compared to his peers and older kids) as a result. I also

take him to a music class that he is crazy about, as am I. There is an

excellent book that I got for like $4 a while back called Endangered

Minds, that really delves into that neural pathway stuff in a way that

those of us who are not MDs can comprehend and use. The basic message

is, play with your kids and expose them to everything because varied

experience stimulates the brain and gives them what they need.

You are so right about that " never give up " thing. I learn from him

daily as I do from all of you. One thing evident on this board is that

everyone on here is clearly doing the very best they know how to help

give their child the best life possible. I think we may have learned how

to do that from the very kids we hope to help because they never give up

so how can we?

As an aside, thanks for your very practical advice. You really gave some

tips in prior posts that helped me a great deal. You have a very lucky

(and fabulous) boy with a great mom.

God Bless!

Liz

Janice wrote:

>Liz,

>

>Do they actually 'test' for milk allergies in the US? In Canada, we just do

'elimination' diets. I thought you couldn't get a reliable blood test for milk

allergies? Of course, we haven't done blood work in a few years, perhaps

technology has changed.

>

>With regard to fish oils and vitamin E. I have been supplementing my son for

probably 6 years now and while I noticed improvement initially, the vitamins

have certainly not been a 'cure'. I do continue to supplement him however

because I realize that he has an unusual love of seafood. I mean at the age of

6, my son would devour an adult sized portion of muscles lickity-split. He

loves salmon, shrimp, oysters, anything and everything with the omega's. So, I

know that this child needs the extra supplementation.

>

>But... there is no cure in a bottle. At least, none that I've found and I've

been searching for many, many years. Of course, we started looking

'pre-internet' and now information and studies are much easier to access.

So.... I am still looking! I am definately reading all of the posts here and

intend to research the carnitine connection. I have also read about

acetyl-l-carnitine and it seems to have some beneficial brain benefits. Also, I

wonder if anyone has heard about the use of periwinkle?

>

>In the meantime, I have found that good sensory work and a wide variety of

experiences is essential. Unfortunately when my child was young, the doctors

all told me that he would 'grow out of it'. Well, he didn't. Every success has

come with a lot of effort and persistance. Mark is the poster boy for dyspraxia

these days. He skiis, water skiis, plays basketball, mountain bikes, does Tai

Kwondo, and is willing to try anything and everything new. There was once a

time when he couldn't sit in a chair without falling out of it, his dyspraxia

was so severe. Saliva just poured out of his mouth and he spoke like he had a

sack of marbles in his mouth. He also developed auditory processing issues:

(at age 11, he was processing at age 5 but with work is now normal). He used to

fall down the stairs chronicly, get lost walking 2 blocks to a friends house (at

the age of 10) and I often worried that he would accidently swerve out onto the

road in front of cars while bike riding (he did

> manage to peg the odd parked car). In the house, he would step on anything in

his path never looking where he was headed. There was a head-body disconnect.

After the age of 6, he became severely ambi-dexterous which the baseball coach

loved but I later learned is an absolute 'no-no' for good motor ability. His

fine motor is still a 'work in progress' and we work daily at strengthening his

fingers but we have the most of the planning issues with gross motor nailed!

It's been a lot of work.

>

>Work on the child's physical body as young as you can. Neural pathways do

develop but they take longer than other kids; practice is key. The brain

'wants' to develop proper connections when a child is young. It is so much

harder to work them when they are older like my son: so please don't wait, start

now.

>

>One thing about dyspraxic children, they develop a 'never-give-up' attitude

that truly serves them in life. They are generous, kind and so absolutely

giving to others. I'm on the dyspraxia families board and we have all noticed

these aspects in our children. Most of the kids there are school aged but we

have some moms with younger tots as well.

>

>Janice

>

>

> [sPAM] Re: [ ] Re: New to Apraxia

> >

> >

> > My son is 18 1/2 months old and can say only 2 words and a few sounds. 2

SLP's says he has low oral motor tone and ?apraxia- maybe too early to tell. She

told us to see an OT and we just went for an evaluation. She told us he has low

tone in the trunk and is hyposensitive. A few months ago I wasjust hoping for

" speech delay " . This is all new to us. Do I need to test him for all of these?

His only digestive issue is that whole milk causes diarrhea so he is on lactaid,

but he is fine with all other dairy products. We will see a developmenatl ped.

in a few weeks. Would they know to test for any of these things? We started my

son on NN Omega 3-6-9 (half an adult capsule a day) Should I be giving the jr

version? The pediatrician told me it's not a good idea to give the Vit E so I

was scared to try that. I think the fish oils may be helping some. Thanks for

any feedback!!!

> >

> >

> > Liz <lizlaw@...> wrote:

> > Look, there are specific tests, I only know what I was told for celiac

> > and malabsorption which I'll share with you:

> >

> > CBC with differential

> > Complete metabolic panel

> > Celiac panel to include IGA, TTG

> > Endomecial Antibody

> > Antigleiadin Antibody

> > IBD panel

> > Carnitene level (for my own peace of mind to rule in or out apraxia)

> > Sedimentation rate

> > PTPTTT (for my daughter with no speech symptoms but celiac and thyroid

> > symptoms)

> > Direct Measurement of vitamin levels A,D, E, K, and B12 (you can't know

> > what they need if you do not know what they are absorbing)

> >

> > Understand something, sometimes the drs do not think of all the right

> > tests. It is likely all of the above were not done so that is a good

> > start. Some tests need repeating. The longer things go on the more

> > likely something might show up. If your gut says to do it again, beg for

> > these tests. They will think you are crazy but who cares if you have a

> > shot at helping your kid.

> >

> > God Bless!

> > Liz

> >

> > wrote:

> >

> > >We've already went through all the pediatrician visits trying to pin

> > >point a specific problem. The pediatrician did blood work and a

> > >complete physical along with hearing tests and he said there is

> > >nothing physically wrong that is the cause. If that is what you are

> > >talking about?

> > >

> > >

> > >

> > >>

> > >>

> > >>

> > >>>Hi, my name is and I have a six year old son that has oral

> > >>>apraxia. He hasn't been officially diagnosed with apraxia, but

> > >>>

> > >>>

> > >his

> > >

> > >

> > >>>speech therapist and pathologist at school have both agreed for

> > >>>educational purposes they will classify him as having apraxia.

> > >>>

> > >>>

> > >This is

> > >

> > >

> > >>>all knew to me, I have done some research on the internet about

> > >>>apraxia, but I'm pretty much at a stand still at what to do next.

> > >>>Right now my son uses a word book that we have made for him to

> > >>>

> > >>>

> > >help

> > >

> > >

> > >>>communicate. We enforce him to say each word as he points to the

> > >>>object. I'm asking for any help or advice you may have.

> > >>>

> > >>>Thank you

> > >>> &

> > >>>

> > >>>

> > >>>

> > >>>

Link to comment
Share on other sites

Guest guest

> > >>

> > >>

> > >>

> > >>>Hi, my name is and I have a six year old son that has

oral

> > >>>apraxia. He hasn't been officially diagnosed with apraxia,

but

> > >>>

> > >>>

> > >his

> > >

> > >

> > >>>speech therapist and pathologist at school have both agreed

for

> > >>>educational purposes they will classify him as having

apraxia.

> > >>>

> > >>>

> > >This is

> > >

> > >

> > >>>all knew to me, I have done some research on the internet

about

> > >>>apraxia, but I'm pretty much at a stand still at what to do

next.

> > >>>Right now my son uses a word book that we have made for him

to

> > >>>

> > >>>

> > >help

> > >

> > >

> > >>>communicate. We enforce him to say each word as he points to

the

> > >>>object. I'm asking for any help or advice you may have.

> > >>>

> > >>>Thank you

> > >>> &

> > >>>

> > >>>

> > >>>

> > >>>

Link to comment
Share on other sites

  • 4 months later...

It is time to educate the teacher on what verbal apraxia is. Start

printing off and highlighting the information the teacher needs to

read to help your child in the classroom.

" CAS has much more effect on volitional (voluntary, creative) speech

than on automatic speech. This means that the more your child wants

to communicate a particular message, the harder it will be! "

Hope this helps you,

Tina

http://www.tayloredmktg.com/dyspraxia/das.shtml#characteristics

Also, avoid any power struggle situations in which you are requiring

the child to say a words before he can have something he wants. In

general, you want to avoid criticizing or correcting your child's

speech. You also want to avoid putting the child on display.

http://www.hsdc.org/Patient/Speech/devapraxia.htm

Have fun! The less pressure there is on the child to speak and

imitate sounds, the more successful they will be. You can model

sounds repeatedly in play without requiring a response. A child will

often produce more sounds when the pressure is reduced.

http://www-unix.oit.umass.edu/~velleman/cas.html

CAS has much more effect on volitional (voluntary, creative) speech

than on automatic speech. This means that the more your child wants

to communicate a particular message, the harder it will be! So, if

you happen to hear her/him say something once when there is no

pressure, and you say, " Say it again! " , you are guaranteeing that

she/he won't be able to. It is vital to put a minimum of

communication pressure on the child. Don't ever say " You can't have

it unless you say it first " -- that's sheer torture for a child with

CAS.

>

> Hi everyone. We were recently told our 3 year old has severe verbal

> apraxia. She has recently started preschool with the public

schools.

> She had been receiving Early Intervention for about a year due to

> speech delays and Sensory Processing Disorder. Anyway..here is my

> question. At preschool the other day the teacher withheld snack

> because my duaghter wouldn't say thank you. I tried to politely

remind

> her that she isn't being rude, she really can't say the word. The

> teacher wants some sort of attempt at a sound. My daughter won't do

> that. If she can't say it she shuts down. The thought from the

teacher

> is that the more they push her and take things away the more she

will

> try to at least attemp to make a sound. I guess I am confused. I

> thought that she really was unable to make attempts at a

sound..even

> signing is hard for her. Will pushing/bribing/taking things away

from

> her help to bring about an attempt at talking? Sorry this is so

long

> but I am just so frustrated. I really like her teacher and don't

want

> to cause a scene if I'm not understanding what apraxia is all

about.

> Thanks for your help!

>

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Share on other sites

As the mom of a nonverbal son, this really upset me. If the teacher wants some

sort of acknowledgement for the snack, she should hand over hand sign " thank

you " with your daughter. If she can't say it and the teacher wants to hear an

attempt, they should work on it during her speech therapy at school. But

witholding a snack at snack time is cruel. Once these kids can say a word, then

they should be prompted to use it all the time. But if she can't say it right

now, how can they punish her for that?

-------------- Original message --------------

From: " Amy " <waterlilie@...>

Hi everyone. We were recently told our 3 year old has severe verbal

apraxia. She has recently started preschool with the public schools.

She had been receiving Early Intervention for about a year due to

speech delays and Sensory Processing Disorder. Anyway..here is my

question. At preschool the other day the teacher withheld snack

because my duaghter wouldn't say thank you. I tried to politely remind

her that she isn't being rude, she really can't say the word. The

teacher wants some sort of attempt at a sound. My daughter won't do

that. If she can't say it she shuts down. The thought from the teacher

is that the more they push her and take things away the more she will

try to at least attemp to make a sound. I guess I am confused. I

thought that she really was unable to make attempts at a sound..even

signing is hard for her. Will pushing/bribing/taking things away from

her help to bring about an attempt at talking? Sorry this is so long

but I am just so frustrated. I really like her teacher and don't want

to cause a scene if I'm not understanding what apraxia is all about.

Thanks for your help!

Link to comment
Share on other sites

Hi Amy

Will the teacher let her sign thank you instead of vocalizing it for now?

Sharon

Amy <waterlilie@...> wrote:

Hi everyone. We were recently told our 3 year old has severe verbal

apraxia. She has recently started preschool with the public schools.

She had been receiving Early Intervention for about a year due to

speech delays and Sensory Processing Disorder. Anyway..here is my

question. At preschool the other day the teacher withheld snack

because my duaghter wouldn't say thank you. I tried to politely remind

her that she isn't being rude, she really can't say the word. The

teacher wants some sort of attempt at a sound. My daughter won't do

that. If she can't say it she shuts down. The thought from the teacher

is that the more they push her and take things away the more she will

try to at least attemp to make a sound. I guess I am confused. I

thought that she really was unable to make attempts at a sound..even

signing is hard for her. Will pushing/bribing/taking things away from

her help to bring about an attempt at talking? Sorry this is so long

but I am just so frustrated. I really like her teacher and don't want

to cause a scene if I'm not understanding what apraxia is all about.

Thanks for your help!

The information transmitted is intended only for the person or entity to which

it is addressed and may contain confidential, proprietary, and/or privileged

material. Any review, retransmission, dissemination or other use of, or taking

of any action in reliance upon, this information by persons or entities other

than the intended recipient is prohibited. If you receive this in error, please

contact the sender and delete the material from all computers.

Sharon Lang

__________________________________________________

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I am sure the teacher is not intending to be harmful but she clearly needs to be

educated on what apraxia is and means. Maybe bring in information for her or

even ask your child's speech therapist to write something for you. For your

daughter to be withheld snack when the rest of the class is eating their's is

really unfair and ineffective. Good luck!

klbushey@... wrote: As the mom of a nonverbal son, this really

upset me. If the teacher wants some sort of acknowledgement for the snack, she

should hand over hand sign " thank you " with your daughter. If she can't say it

and the teacher wants to hear an attempt, they should work on it during her

speech therapy at school. But witholding a snack at snack time is cruel. Once

these kids can say a word, then they should be prompted to use it all the time.

But if she can't say it right now, how can they punish her for that?

-------------- Original message --------------

From: " Amy " <waterlilie@...>

Hi everyone. We were recently told our 3 year old has severe verbal

apraxia. She has recently started preschool with the public schools.

She had been receiving Early Intervention for about a year due to

speech delays and Sensory Processing Disorder. Anyway..here is my

question. At preschool the other day the teacher withheld snack

because my duaghter wouldn't say thank you. I tried to politely remind

her that she isn't being rude, she really can't say the word. The

teacher wants some sort of attempt at a sound. My daughter won't do

that. If she can't say it she shuts down. The thought from the teacher

is that the more they push her and take things away the more she will

try to at least attemp to make a sound. I guess I am confused. I

thought that she really was unable to make attempts at a sound..even

signing is hard for her. Will pushing/bribing/taking things away from

her help to bring about an attempt at talking? Sorry this is so long

but I am just so frustrated. I really like her teacher and don't want

to cause a scene if I'm not understanding what apraxia is all about.

Thanks for your help!

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I know you've already received a lot of responses, and I didn't read

them all, but no - that teacher is using a technique that is

terribly inappropriate for an apraxic child. If you have to go so

far as to call an IEP meeting into session, I would. She should

model the word that she wants - and beyond that - at this point she

may just need to model the LETTER SOUND that she wants. " Thank " is

way to hard for a severely apraxic child (I know because I have

one). If I were to work on " thank you " with my child I would start

with /a/ and /oo/. Or better yet, as I did see in one post - work

on signing it first.

>

> Hi everyone. We were recently told our 3 year old has severe

verbal

> apraxia. She has recently started preschool with the public

schools.

> She had been receiving Early Intervention for about a year due to

> speech delays and Sensory Processing Disorder. Anyway..here is my

> question. At preschool the other day the teacher withheld snack

> because my duaghter wouldn't say thank you. I tried to politely

remind

> her that she isn't being rude, she really can't say the word. The

> teacher wants some sort of attempt at a sound. My daughter won't

do

> that. If she can't say it she shuts down. The thought from the

teacher

> is that the more they push her and take things away the more she

will

> try to at least attemp to make a sound. I guess I am confused. I

> thought that she really was unable to make attempts at a

sound..even

> signing is hard for her. Will pushing/bribing/taking things away

from

> her help to bring about an attempt at talking? Sorry this is so

long

> but I am just so frustrated. I really like her teacher and don't

want

> to cause a scene if I'm not understanding what apraxia is all

about.

> Thanks for your help!

>

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I worry that this approach will only ad to her frustration at this point.

There may be a time when she is able to make more sounds or say a few words

where an approach like this can be of benefit, but not now.

I had an ST for my son when he was three and she would shut his bedroom door

and hold it closed until he said OPEN... he was unable to say OPEN and he

became very frustrated. Luckily I fired her and a much smarter ST took her

place and used a much nicer approach with him like gaining his trust and being

a

playmate... this person brought sounds out in my son based on her approach.

************************************** See what's new at http://www.aol.com

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Someone posted this letter back in Sept. and I kept it. Perhaps this may

help.

Colleen

Dear teachers,

This year you'll be having my very special child in your class. When

you look at my child, you will see eyes that light up and are full

of life. He looks like the other children in your classroom. But my

child has lived with a lot of silence and a great struggle to

communicate. My child has Apraxia of Speech.

Childhood Apraxia of Speech is a speech disorder that is both

difficult to diagnose and challenging to treat. Children with

apraxia know what they want to say the words are in their heads but

often the child is not able to produce the words clearly. For

unknown reasons, children with apraxia have great difficulty

planning and producing the precise, highly refined and specific

series of movements of the tongue, lips, jaw and palate that are

necessary for intelligible speech. As one expert has said, The

problem occurs when the brain tries to tell the muscles what to do --

somehow that message gets scrambled. It's like trying to watch

cable TV stations without the

right descrambler. There is nothing wrong with the TV station, and

nothing wrong with your set. It's just that your set can't read the

signal that the station is sending out. The child's language-

learning task is to figure out how to somehow unscramble the mixed

message his brain is sending to his muscles.

Children with apraxia, however, do understand language and speech.

These children are smart! However, others might mistake and misjudge

their unclear speech or quietness as a lack of intelligence. Many

children with apraxia experience a great sense of failure and

frustration in their attempts to communicate. Some children grow

even quieter; others may act out their frustration. Children with

apraxia need the support of teachers and parents.

What you can do

A speech-language pathologist (SLP) needs to help my child learn to

speak with more ease and clarity. It will help my child if you

communicate frequently with the SLP and determine if there are

things that you can do in the classroom to help my child communicate

and practice speech.

Try to create a tension-free and interesting " communication

environment " for my child. Encourage but do not insist he try to

speak. Praise his attempts at speech, if only for effort. Please

know that sometimes my child might not respond or might respond " I

don't know " as a way to help himself get out of a difficult

communication challenge.

Be patient. Sometimes the fast pace of others can leave my child out

of the experience although he may be able to successfully

communicate if others just offer a bit more time and patience.

Watch for and even create opportunities to help my child make

friends. It can be difficult for a child with apraxia to " break

into " social communication and situations. A supportive and

nurturing teacher can surely help. No child should be lonely and all

children need a friend.

Intervene immediately in any situations that involve bullying or

teasing. Reassure my child that you are his supporter and advocate

and that no teasing is acceptable.

Be aware that sometimes children with apraxia are also physically

uncoordinated, making competitive sports or even drawing, cutting,

and other motor tasks difficult. If you notice something, please do

bring it to my attention so we can work together to help my child.

Keep alert for any other signs of learning difficulty. Sometimes

children with apraxia have difficulty learning to read, write, spell

or do math.

Be open to alternative ways my child may need to communicate. Often

pictures can help my child as a bridge to clear speech, helping us

gain insight into his thoughts.

Include me as your partner. I want very much to help my child and to

do everything possible to help him or her. I hope we will always

reach out to communicate and share information with each other for

the benefit of my child.

With appreciation,

[ ] Re: new to apraxia

I know you've already received a lot of responses, and I didn't read

them all, but no - that teacher is using a technique that is

terribly inappropriate for an apraxic child. If you have to go so

far as to call an IEP meeting into session, I would. She should

model the word that she wants - and beyond that - at this point she

may just need to model the LETTER SOUND that she wants. " Thank " is

way to hard for a severely apraxic child (I know because I have

one). If I were to work on " thank you " with my child I would start

with /a/ and /oo/. Or better yet, as I did see in one post - work

on signing it first.

>

> Hi everyone. We were recently told our 3 year old has severe

verbal

> apraxia. She has recently started preschool with the public

schools.

> She had been receiving Early Intervention for about a year due to

> speech delays and Sensory Processing Disorder. Anyway..here is my

> question. At preschool the other day the teacher withheld snack

> because my duaghter wouldn't say thank you. I tried to politely

remind

> her that she isn't being rude, she really can't say the word. The

> teacher wants some sort of attempt at a sound. My daughter won't

do

> that. If she can't say it she shuts down. The thought from the

teacher

> is that the more they push her and take things away the more she

will

> try to at least attemp to make a sound. I guess I am confused. I

> thought that she really was unable to make attempts at a

sound..even

> signing is hard for her. Will pushing/bribing/taking things away

from

> her help to bring about an attempt at talking? Sorry this is so

long

> but I am just so frustrated. I really like her teacher and don't

want

> to cause a scene if I'm not understanding what apraxia is all

about.

> Thanks for your help!

>

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My son with severe apraxia also shut down when asked to do things he

could not do (it's not a behavior thing). It was also almost impossible

for him to sign due to motor planning issues. He thrives in his school

because it is a POSITIVE environment. He felt safe to TRY and make

mistakes. It took almost a year at this school and EFAs for him to

finally start signing at almost 5 years old (mind you we had been

signing with him since age 2).

Positive reinforcement will win over negative every single time. For

him, watching the signs (because he notices everything) is more helpful

than even the teachers moving his arms to mimick the signs. So she

should be signing and saying and using pictures to give your daughter

any possible way to respond. Eye contact is also considered a response

and should be praised.

There is a sit down with this teacher - and possibly school - so that

any child with apraxia can thrive there.

Good luck and keep us posted.

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Amy, I'd also go w/ the signing if she's able to do that. Remind her

teacher (is she a public prek teacher?) of her issues and ask that she

say the word, do the sign and maybe even a picture cue (your daughter

could point to) would do for whatever she's asking of your daughter.

As a special education teacher, taht's what I do (both at school and at

home w/ my son). Good luck.

Bonnie

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