A Lightbulb, at last
Hoo, boy it's been while since I posted. Real life, Twitter and a bizarre-but-good few weeks on Facebook have left me with very little leftover computer-directed energy.
A few weeks ago someone found me on Facebook that I've thought about for more than 20 years. She was my best friend from birth, practically, until about 4th grade? I'm still not sure. I was hesitant at first, not certain how we fell out of touch and afraid I had been responsible. Also, I was going to have to explain a lot about my mother.
Turns out we have been living almost parallel lives and writing back and forth has felt as easy as if I'd seen her last week. When I gave her the short version about my mom, her answer made me laugh out loud at it's accuracy. If her 12-year-old perspective on the situation could have been so right, could I have been so wrong? It was strangely comforting to find out how obvious some of my mother's issues were. Even to a kid.
But that's not the real reason I've popped back in. Back in August, we had our first appointment with the Developmental Pediatrician that would treat The Bird (as opposed to the PhD that diagnosed her). One of the first things she asked was if I agreed with the diagnosis. I must have hesitated because in the report the doctor said my response was, "I guess." I hadn't remembered that, but it's true that I've never been 100% on board with this ASD diagnosis.
I think if you've had a kid diagnosed with something, it's often a relief. When you do the research you nod knowingly at the list of symptoms. I didn't have this with The Bird's diagnosis. Everything I read about PDD-NOS left me scratching my head. Some criteria could, I suppose, be massaged to fit her particular issues. But it was never this lightbulb, never this relief of having identified what was up with her.
Then there are the therapies. Have they helped? Yes. I guess. Or maybe she's just matured. The things that never improved were her ability to sit at circle, follow through on a project, to follow a conversation to it's conclusion, to listen to directions.
Somewhere in this diagnosis process, I KNOW I gave a family history. In fact, I probably gave it more than once. In that family history are not one, not two, but three diagnosed and medicated cases of ADHD. And not just on one side. Both my brother and The Bird's own father were medicated as kids.
How was this not addressed in the diagnosis process? Your guess is as good as mine.
But back to August. The new doctor who sat with me to go over The Bird's file seemed puzzled as she looked at my girl. We went over everything and at the end of the meeting she said something very revealing. She said, "There are people in this practice who are very quick with the Autism diagnosis."
I almost peed in my pants.
Sitting through the initial testing I could see that doctor using ASD testing materials. Exclusively. It was as if she had predetermined that this is what was going on and was just interested in making The Bird fit into the diagnostic criteria. Even after discussing the family history, she never asked for further testing, she just gave us that diagnosis.
The new doctor gave me three Connors Evaluations.
She told me to give her new teachers time to get to know The Bird, then fill out the forms.
We met Monday to go over the results. Of course this test is not fool-proof, but looking at the graphed data it was pretty amazing. The three responses were nearly identical. In every single one she was at the TOP, not maybe somewhere in the range of "clinically significant," the absolute tippy-top of the scale. And, AND! For a lot of the typically autism-related indicators, she was in the average-kid range. Then there's the hereditary component. A parent and an uncle! That's significant! (Also, I know it's not diet-related, because with the marked exception of Halloween, my family is on a purely-coincidental version of the Feingold diet.) The doctor said it was, "the most diagnostically clear-cut case of ADHD" she'd seen in a long time.
Turns out a lot of the symptoms that lead us to start this whole process can be explained (a lot more simply) by an ADHD diagnosis. I mean, OF COURSE she was having trouble talking to peers, nothing couldn't hold her attention! And the problems at circle time? Duh.
We're not going to touch the ASD diagnosis. She gets some great services and we like her current school situation. Also, the transition to kindergarten will be a lot easier with the help of our current Early Intervention team. We're talking about medication now. I'm getting all the feedback from, ahem, my husband and my brother on their experiences with Ritalin. And I'm doing my due diligence on the documented pros and cons, of course.
For me, the best part, is having a diagnosis that really, truly fits. Yesterday while re-reading the list of symptoms, I found myself nodding. Yup, yup, yup. That's her.
Finally.







