James had an appointment with his developmental pediatrician yesterday. It went really well. Unfortunately Dave couldn't be there with us because he had to come home to be with Kayla and John but James and I managed. I have to just say that I love this doctor and her staff. We haven't been there since January and her assistant recognized James immediately and commented on how much he has grown.
Some of the more interesting/exciting things that came out of this meeting:
She wants to leave James's diagnosis as Autism Spectrum Disorder for now. I asked her about the possibility of Aspergers Syndrome (AS - the very high end of the spectrum) and she hesitates to give that diagnosis so young for a bunch of reasons. She isn't ruling it out completely yet but said that when he is a bit older she can administer some IQ tests that will help her get a better determination. My understanding is that kids with AS don't generally have language loss (which James had) and usually are on par verbally by age three. They generally just have extreme social delays. So we will see.
James is NOT hyperlexic. I know, I know... I have been hard core thinking this but I learned something very interesting yesterday in this area. Hyperlexics don't read with or for comprehension. They are simply decoding symbols (ie letters and numbers) and producing a string of words. Which leads me to my next point...
James is performing academically (in her opinion) at a 2nd grade level. Yes, you read that correctly. James read her a short story which was just printed words on a page. Then she asked him some basic questions which required some abstract thinking. (The story was a bout a yellow cat and what he likes and dislikes. So being able to answer questions about someone/thing that isn't actually there requires abstract thinking.) Then she asked him to do some basic addition and subtraction through a verbal word problem and he got that right too. (If mommy gives you a cookie and I give you a cookie, how many cookies will you have? Then if daddy gives you another cookie, how many cookies will you have? If you eat one of the cookies haw many will you have? etc.) So I of course said what are you recommendations for harnessing this power for good and not evil? ( a phrase I use a lot when referring to James) She said we could either have him moved up to the second grade where he would be on par academically with his peers but very socially delayed or we could amend his IEP to include one on one instruction in reading and writing. Oh, I forgot to mention that he is writing even more now. He demonstrated this for her by writing MOMMMY and JAMeS (his spelling choices).
So once I have something in writing from her we are going to go into the school and make some serious changes. They probably aren't going to like this but they are required to give him and appropriate education and I think that this is what we need to do. She mentioned some other things but over ll she was very pleased with the gains he has made in the last year and is encouraged for his future.
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