Developmental Pedia (Thread 2)

[marose17]

^ Yes, hanap ka ng therapy center that you think will fit your son's needs.  And yes, may initial evaluation ding gagawin ang OT.  Hope you can geta sked soon.

May listng therapy centers sa autism Pinoy blog.  Just google those 3 words and you will see the blog.

[otsowaloeyt08]

hi mga sis!

update ko lang kau. last week we visited my son's pedia for vaccine.. and she again said that my son needs assessment from a dev pedia. malambot pa daw ang tuhod.

pero magkaiba kami ng opinion ni doc.. my son improved a lot.. ngayon at 15 months he is walking n naman.. short distances pero kasi ang bigat niya. tas sa speech naman, my mga recognizable words na naman.

dapat daw kasi at 18 months he is running na tas knows at least 10 words. sabi nia, baka delayed nga kaya she urged me to schedule an assessment.

naghintay na rin naman kami ng 3 months.. kaso un mil ko ayaw.. normal naman daw son namin ang talino nga kasi magaling mag-observe at he imitates un mga ginagawa namin kahit one time lang nia makita.

pero kami ni hubby is willing to go to a dev pedia. hanap [textspeak!] ng sked na ok din s sked ni hubby..

@cocoysmom - pa pm naman nun nauna mong dev pedia. para maiwasan din namin.. thanks!

[KB]

sked ang daughter ko kay Dr. Mark Reysio Cruz this thursday delayed na kasi speech n'ya at her age. Ano kayang mga questions ang pwede kong i ask?

[Amphitrite]

I visited the website http://www.psdbp.com/ and saw the directory but I'm not sure which doctor I'll call for an assessment.

Just a bit of info:
My son is already 6yo.

When he was 3, his speech was still slurred but the pedia said maybe its because he's confused between english & filipino. Then we enrolled him in preschool and he started talking straight.

Now almost every thing in this list screams out yes except for some like
 - move slowly
 - struggle to follow instructions
 - have difficulty processing information as quickly and accurately as others

He's really smart, he rarely spends a couple of hours to study yet his grades are really high. Though one constant comment of his teachers from preschool to grade 1 is that he always loses concentration and is really active.

Sorry medyo napahaba post ko. I'm just concerned because he's being "makulit" is getting a bit out of control. Please recommend a developmental pedia, yung hindi masyado puno ang schedule kasi we want to have him assessed asap.

Thanks

[snowyice]

sis the best way to know is i pacheck mo na lang yung anak mo.  But I remembered when I had my son assessed sabi ng DP sa akin is we can have the child undergo therapy kung umaangal yung mga teacher so from my understanding kahit hindi nagfall under autism,adhd yung anak mo if the teacher is calling your attention then you can have your son undergo therapy para maayos yung behavior.

[pompz]

mga sis napadropby lang, pansin ko puro boys ang mga baby nyo, ano kayang reason behind this... saludo ako sa inyo mga moms, ang be brave nyo may pamangkin sa pinsan  babae naman, from ot to speeach and developmental pedia tawag nga sa kanyang autism  ay global churva kasi halos mapunta na daw mental retardation kumbaga now 10 yrs old sya pero pang 4 years old pa lang alam nya, patuloy pa din ang dev pedia nya, pinasok na din sya sa school sa sped sa public school. ang hirap talaga ng pinagdadanan nilang mag asawa, nakaawa talaga  ang bata, kasi [textspeak!] hipag ko sa pinsan nagkasakit sya nung 1st tri nya , nagka viral daw sya that time. kayo sis nung pinagbubuntis nyo ba mga babies nyo nagkasakit kayo..? ako kasi nagkasakit e nilagnat din, tapos naconfined gawa ng diarrhea and uti, nagchill din ako, kaya panay pray ko maging normal si baby boy, nakakapraning kasi. pasensya na so far naman at 3months active si baby and still keep on praying sana walang effect sa kanya. pasensya na ha.. praning na mommy kasi ako talaga .

[Amphitrite]

^^ Saan / Kanino mo pina-check yung son mo? Wala talaga ako idea kung kanino / saan eh. Thanks.

^ Nagkasakit ako noon, sipon at lagnat lang pero hindi sabay at hindi tumagal ng 1 week.

[cocoysmom]

@cocoysmom - pa pm naman nun nauna mong dev pedia. para maiwasan din namin.. thanks!

i don't want to name names na sis, basta wala sya sa nababanggit ng mga sis natin sa GT, and nalaman ko din after sis amphitrite gave the psdbp website na wala pa rin sya sa list ng members dun. lalo akong nainis sa sarili ko. 

eto pa po. i brought her "summary" to my son's school na. they're advising me to seek second opinion nga kasi parang they disagree with the diagnosis nung dev ped. they were asking nasan ang basis for the assessment, yung "checklist" daw as with the other dev peds ng ibang students dun, eh wala nga binigay sa amin. i texted the sec of the dev ped, tumawag lang daw yung school/OT kung may questions sila kasi verbal lang daw yung detailed information. nagkatinginan yung teacher ng son ko at head ng school nung sinabi ko yun.

pero we're continuing with the OT to manage my son's fine motor skills kasi tamad talaga magsulat saka shaky pa ang grip, tapos to help din with managing his kalikutan. i feel fault ko yun kasi since wala syang tyaga to practice his handwriting eh i didn't push it. ewan ko dami din kasi nagsasabi mas matagal mag-mature ang boys sa girls, tapos only child pa anak ko so tingin ng oldies sobra kong nabi-baby. ewan, nakinig naman ako, hehe. 

[missoni]

naku, da who kaya itong DP na ito? ka-intriga....

griffith's mental development scale yung alam ko na kadalasang ginagamit ng mga dev peds during the assessment.

di ko rin gets kung bakit kailangan pa tumawag just to get other information about the assessment. 

[marose17]

@cocoysmom, I think your son's teachers are in a good, if not better, position to assess his development because they see him daily.

Regarding the fine motor skills aspect, how old is your son?

The weak tripod grip and poor control of the hand muscles are the main reasons why Dr. Tippy recommended OT for my four year-old twin sons.  We're now in our third month of OT and my sons have really improved!  One of them even likes practicing on workbooks.  And as for the behavioral aspect, especially compliance, nag-improve din.  So really, I have to thank the OT, the teachers and Dr. Tippy for helping me with this aspect of their development.  And as I often post in this thread and the delayed talker thread, being a pro-active parent means doing something to address a particular weakness, delay or concern instead of waiting for something to happen.

I do hope you will post the doctor's name so that other GT sisters who may have scheduled an appointment with such doctor would not waste their time and money keeping their appointment.  Marami namang iba diyan na okay.

[cocoysmom]

^my son is soon to be 4 yrs old 7 months na sis. according to the OT, ok naman ang grip sa umpisa pero kapag natatamad na pa-loose na ng pa-loose ang grip.  1 OT session pa lang kami. napansin ko he follows his teachers more pag sa writing/coloring tasks more than he follows me, kasi pag sila gagawin nya agad. kapag ako parang daming whining pa... same tayo, yun din ang main concern ng OT, fine motor skills. so now, mas conscious ako to avoid doing everything for him, like letting him eat on his own na talaga. parang pati nga ako nati-therapy eh, behavior mod din, hehe.

actually it was husband who said wag na i-post name ni dev ped. kasi baka daw unfair. baka iba lang daw ang "style" nya than the other dev peds. hindi din ako sure why his school is keen on getting a second opinion. i actually got more worried than they are. iniisip ko baka mas malala pa ang tingin nila. well, sa monday ko pa malalaman kasi friday lang kami nag-usap nung teacher nya. sabi kasi ni husband baka hindi kami objective about the whole thing so wait and see na lang. just because saglit lang kami in-assess at walang written detailed info given doesn't mean mali daw yung assessment ni dev ped. so in the interest of fairness, i won't name her muna. 

[billy]

Yung ibang devt pedia,kulang pa talaga sa experience, expertise and exposure. Sabi ni Doc Joel, konti pa lang talaga yung masasabing expert na devt. pedia. Kumbaga sa badminton (my own analogy na ito), may levelling. While we want to give them a chance (para naman dumami ang devt. pediatricians dito sa country), hindi din naman natin pwedeng ipagsapalaran ang mga kids natin sa kanila.

[marose17]

^^ My sons are 4 years, 3 months old.  In just 2 months of OT and home exercises, their tripod grip has considerably improved.     They can write their names already and do not shift hands anymore.  Of course, we still need to have them practice at home.  And yes, they also whined at first sa OT but fortunately, the whining has stopped and they are more compliant now during therapy.

[cocoysmom]

^happy for your sons sis. sana ganyan din mangyari sa little boy ko. what i noticed from 2 OT sessions is mas okay na sa kanya lately kung magsusulat kami sa bahay, not much "arte" unlike before. i bought him this workbook from natio and he keeps answering them, ako na yung nagpapa-stop kasi kahit eating na kami, he brings the workbook to the dining table na. hayun, nasobrahan naman ata, hahaha...

as for our current dev ped's assessment, naisip namin ni husband to just let it be muna. may pending appointment naman na kami with dr dimalanta kaso feb 2012 pa so tamang-tama siguro yun for his re-assessment after 6 months of OT, sa kanya na lang kami babalik instead of our current devped. we considered kasi that if we undergo assessment at med city, then in case mag-fail nga sa fine motor skills (since hindi nga maganda pa magsulat) eh i-refer sa ibang dev ped, eh maliwanag na almost 5t na naman yun dba? one month of OT na din, eh pano kung pareho din assessment nila?  kung hindi man agree ang school sa diagnosis ni devped for now, then win-win pa rin for my son to undergo OT for his poor fine motor skills dba? so we really don't have anything to lose if we hold on to the present diagnosis and management ni current devped. malay nga ba namin, kung magaling talaga sya kaya lang ayaw lang talaga nya magbigay ng detailed report, hehe. so wait and see mode muna ako mga sisters. 

[sweetut]

^^Sis anong activity sa bahay yung pinapagawa mo sa mga babies mo para ma-improve yung fine motor skills nila? My son is 3 years old na, ang ginagamit ko lang is yung Lego pinapalaro ko sa kanya everyday, bukod dun ano pa kaya?  Usually kasing comment after every session ng OT nya eh yung grip ng anak ko mahina pa rin until now. Nasa 3 1/2 months na din sya nag-undergo ng OT.

[snowyice]

^clay sis

[marose17]

@sweetut, usually the OT will recommend activities to do at home for follow-up.  Why don't you ask the OT for suggested home activities?

Aside from playing with clay and play dough, I recommend snipping with scissors, lacing beads, staplering (but make sure an adult is closely monitoring the child), pouring exercises, buttoning, zippering, snapping the sipit (the ones na pang-sampay ng clothes), coloring, painting with a thin paintbrush and some writing exercises like tracing, connecting the dots and writing letters - hindi naman kailangan perfect.  I make sure that the yaya or my mom who stays with us (I'm working kasi) does these activities with the kids.  I also like the Trio (by Fisher Price) building system and I plan to buy Jawbones for them.

[billy]

Careful lang with the clay, some kids put this inside their noses, ewan ba

Some suggestions:

Routine:
Warm up before each session
   Hand /arm exercise
   Foot / leg exercise
   Neck
   Twist

Fine motor skills
1.   Pencil grip
2.   Beading
3.   Folding paper
4.   Cutting

   A fringe from a piece of paper
   Cut off corners of a piece of paper
   Cut along curved lines
   Cut lines with a variety of angles
   Cut figures with curves and angles
   Cut clay with blunt scissors

5.   Placing and Pasting
   Place a variety of forms (eg. blocks, felt, paper, string, yarn, cereal, cotton) on outlines
   Match shapes, color, or pictures to a page and paste them within the outlines

6.   Tracing and Coloring
   Use a thick black line if needed
   Trace and then color shapes, increasing the size and complexity gradually

7.   Finger Tracing
   Trace objects or patterns (straight line, curved line, etc) in sand, oatmeal, finger paint, etc. The textures give the child kinesthetic feedback.

Self-Care Skills
   Buttoning
   Lacing
   Tying
   Zipping
   Carrying
   Using a screwdriver
   Locking and unlocking a door
   Winding a clock
   Opening and closing jars
   Washing plastic dishes
   Sweeping the floor
   Dressing
   Bathing

Materials
1.   bead set, buttons, laces
2.   sand, oatmeal, paint
3.   white board / eraser
4.   paste, glue, stickers
5.   rubber ink-stamp
6.   reusable vinyl stickers to make pictures
7.   art paper, scissors

[sweetut]

Thank you mommies! Actually puro lang o, mommy practice at home, pag tanungin ko sya ano pa ba pwede gawin namin yun lang ulit sasabihin nya yung sa beads. Kung hindi pa ako mag-google or magtanong sa inyo wala ako idea.

Introduce ko muna pala sya sa clay. Napapansin ko sa baby ko takot sya mag-slide, nagagawa naman nya pero may takot tsaka mali yung position bale naka-side sya. Ganun ba talaga pag poor ang fine motor nila?

[billy]

^baka sa gross motor skills naman yun sis, sa large movements like running, crawling, jumping. may mga drills din ang OT to address that.