And so it begins....
4/22/2004
Matthew was seen for neurologic follow-up and was
accompanied by his mother. He is a 4-year-old boy with significant
developmental delays. Testing today has not provided a clear identifiable
etiology. He continues making nonspecific noises. He has not had much interest
in peers. He still finger feeds. He puts carpet strings in his mouth. He has
hand regard behavior. He likes watching computer screen showing the image of a
certain level of a game for up to half an hour. He sleeps about seven to eight
hours and smears stool. He gets speech therapy twice a week and attends school
four days weekly for 3-1/2 hours per day. He has an attendant.
Today’s exam finds a weight of 18 kg, height of 105 cm and
head circumference of 54.5 cm. He makes nonspecific noises while jumping and
pacing around the room. Eye contact is inconsistent. Overall tone is unchanged.
No words are heard. He has no focal neurologic deficit.
Matthew continues to have significant developmental
impairments. I agree with his father that he clearly shows some features within
the autistic spectrum. This label can be useful for identifying his areas of
need. He has had some other lab tests, results of which will be checked. He
will continue with his school programming. Family will call if there are
problems, otherwise follow-up will be in one year.
Max Wiznitzer, M.D.
Pediatric Neurology
Pediatric Neurology
(Amazing how something can be so concisely worded but not even come close to the depth of what we would experience in the 10 years following. Here's how it should have read:)
4/22/2004
Mr. and Mrs. MacNair;
I believe that your son exhibits characteristics consistent with those on the autism spectrum.
HA HA HA HA HA HA HA!!!!!!!!!!!!!!!!!!!!!
You had ideas, goals and dreams for your son? Toss them in the crapper my good friends. Your new life begins today, a life filled with ambiguity and unknowing. What causes autism? We don't know for sure. How should it be treated? There are various and manifold ways, not all working the same for every child. Is there anyone who can help you navigate the waters? Sure, there are several people with various areas of expertise, and they will all tell you something different. Then there are the people with no expertise- amazingly they seem to have more to say than the educated ones. It's a jungle out there, Mr. and Mrs. MacNair, and I've just handed you a butter knife. Have fun navigating the forest.
You had ideas, goals and dreams for your son? Toss them in the crapper my good friends. Your new life begins today, a life filled with ambiguity and unknowing. What causes autism? We don't know for sure. How should it be treated? There are various and manifold ways, not all working the same for every child. Is there anyone who can help you navigate the waters? Sure, there are several people with various areas of expertise, and they will all tell you something different. Then there are the people with no expertise- amazingly they seem to have more to say than the educated ones. It's a jungle out there, Mr. and Mrs. MacNair, and I've just handed you a butter knife. Have fun navigating the forest.
Welcome to the wonderful world of autism, my friends! BWAHAHAHAHAHAHAHAHA!!!!!
Max Wiznitzer, M.D.
Pediatric Neurology
Pediatric Neurology
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