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  • [-]My ds has sensory issues and language delays just turned 5, he uses his hands a lot to hit instead of using his words not at school only at home. I was considering buying him a punching bag so that he could hit that rather than his sister. What do you think, good idea or no?

    7 replies [ Reply | Watch | Options ]
    11.30.08, 12:55 PM [ Flag ]
    • I think it's a bad idea, but I get the logic behind it. There have been studies of kids told to punch pillows and other surrogates and after doing so they show no signs of being calmed by the act. On the contrary, it raises their aggression (at least according to hormone levels, heart rate, etc.). I would try to get some of your intervention services in the home so that his therapists and SEIT can help DS strategize how to deal with conflicts in the family. If you don't have extensive services, I'd really read up on how you can support DS in this way.

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      11.30.08, 12:59 PM [ Flag | link to this post ]
      • I will speak with his therapists at school. No SEIT and no way of getting services at home thanks to the good old nyc boe :) thanks for your information....I was thinking it could go either way

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        11.30.08, 01:01 PM [ Flag | link to this post ]
      • ^^^Maybe you could make a special quiet area (some kind of fort or tent) where only DS is allowed and where he can go when he needs a break. This isn't for punishment, rather for when DS recogizes a situation is too challenging. Maybe he would like listening to earphones, music or stories on tapes, as another way to take a break.

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        11.30.08, 01:01 PM [ Flag | link to this post ]
        • If only I had the space but I will definitley work on it sounds like a great idea.....The music on tape would be a great thing I am trying to get him onto a listening program

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          11.30.08, 01:02 PM [ Flag | link to this post ]
          • It sounds really tough but it's obvious that you're a really engaged parent so DS is really lucky. I used to teach and had a number of children with challenging behaviors and so many parents prefer to label and judge children. It's nice that you're not fixating on what a "bad" boy he is and strategizing punishments.

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            11.30.08, 01:06 PM [ Flag | link to this post ]
            • It is tough but I really believe that punishment is not the right way to go as I feel bad enough that he can't get out his words and that he is resulting to hitting. Treating him as he is bad for hitting is not necessarily the wrong thing to do in this case I don't think it is the right thing to do. Thank you for your help and encouragement

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              11.30.08, 03:00 PM [ Flag | link to this post ]
          • You can get pop-up tents that will fold up and store behind a chair when you don't need it. There are lots of them -- we used to have a Thomas the Tank Engine one. Once you get the hang of folding it up, it's easy.

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            11.30.08, 03:09 PM [ Flag | link to this post ]
  • [-]Question to mamas: I'm 14 wks into pregnancy, and just got my nuchal screening results. My risk is very low (1/2,000 for DS) and want to skip amnio altogether for fear of MC. Do you think this is a wise idea? Do you know anyone who's had positive nuchal results, only to give birth to baby with DS? Thank you for taking a moment to respond. Happy Thanksgiving!

    23 replies [ Reply | Watch | Options ]
    11.28.08, 08:52 AM [ Flag ]
    • yes, i have heard of good nuchal results and resultant DS. the question you have to answer is what would you do with the information? would it be helpful for you to know that you would be having a special needs child ahead of time?

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      11.28.08, 09:02 AM [ Flagged | link to this post ]
    • Having a baby is a gamble. The odds are with you having a totally fine baby. If you think you can relax without the amnio, avoid it. There's just way too much intervention in pregnancy.

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      11.28.08, 09:15 AM [ Flagged | link to this post ]
      • (Original poster) I want to agree with the poster above, about the gamble. My mother had me, in 1971, at the age of 37, with nothing more than a good doctor and a leap of faith. I want to believe that today's screening tests are pretty reliable...but still can't help but want to know whether mamas out there, with odds as 'good' as mine, ever lived to regret their decision not to do further diagnostic testing.

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        11.28.08, 09:18 AM [ Flag | link to this post ]
        • the answer is yes. you had good odds of having a non-DS baby, but without further testing you can't be sure until delivery.

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          11.28.08, 09:24 AM [ Flagged | link to this post ]
        • (poster above) Definitely, people have lived to regret not taking every test but given the odds above, more have lived to regret having the test, no? You've done the tests I did (36 yo) and they've come back great. Life is unpredictable, I was totally relaxed with a great nuchal too then DD came 2 mo early. So all the testing in the world won't make childbearing 100% guaranteed.

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          11.28.08, 09:28 AM [ Flagged | link to this post ]
          • It's really about whether you are ok with the uncertainty. I had similar results at 35 w/ baby #1 and opted for no amnio, but later in the pregnancy, (probably b/c of crazy hormones) I started freaking out and wished i had done the amnio; with #2 at age 28 nucal results were still good for age, but I opted for the amnio and felt better about it. Made it hard to resist finding out the sex of the baby though.

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            11.28.08, 09:42 AM [ Flagged | link to this post ]
            • But how would you have felt if you'd had the test and it caused a mc and you found out the baby was 'normal'? There's a much greater chance of that happening. I wouldn't let any dr put a needle in my belly when everything says the baby's fine. Dr love to recommend all these tests, safe or not. OP. just remind yourself of the odds and try to relax.

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              11.28.08, 09:53 AM [ Flagged | link to this post ]
    • You have to understand that nuchal is just statistics so they don't mean anything. It is just an estimate, so nothing is for certain. I am did amnio with # 1 and will do the same with # 2. It was very easy nothing to be afraid of and very low risk. I wanted to know 100 %.

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      11.28.08, 03:05 PM [ Flagged | link to this post ]
    • f you would terminate child with down syndrome, get the amnio.

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      11.28.08, 03:58 PM [ Flagged | link to this post ]
    • It's simple math, really. Decide on a number of how bad it would be to MC due to the amnio. Then decide on a number on the same scale of how bad it would be to give birth to a Down's Syndrome baby. Multiply the first number by 1/200 or so, and the second number by 1/2000. If product 1 is lower than product 2, skip the amnio.

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      11.28.08, 04:23 PM [ Flagged | link to this post ]
    • If you get the amnio in NYC with eddleman/ stone at mount sinai, the risks of miscarriage are ultra low. A friend had normal everything but insisted on an amnio and discovered she was carrying a baby with Trisomy 18. I would do the amnio.

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      11.28.08, 05:14 PM [ Flagged | link to this post ]
    • If you would terminate (I would too) then the risk of having a Downs baby is too high. Get the amnio. You have the best hospitals around to do it. I had much better results fro the nuchal with my first, less than 1 in 10,000 chance, but my OB made very, very clear that the nuchal is not diagnostic and it can happen. In fact, she noted there have been cases in her practice in which the mother got great nuchal results and gave birth to a baby with DS.

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      11.28.08, 05:17 PM [ Flag | link to this post ]
    • Would not risk miscarriage, but would not terminate a baby with down syndrome either.

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      11.29.08, 01:10 PM [ Flag | link to this post ]
    • With those odds I would not do amnio. I had a higher risk than that and decided not to do it. It just depends on whether you're comfortable with your risk. My OB's advice was that if I was still worried about it after a week, to go ahead and do it. You can also wait until the 18-20 week anatomy scan. If you have a healthy scan, plus the low Down's risk, chances are good the baby will be healthy.

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      11.29.08, 03:47 PM [ Flag | link to this post ]
    • I am pretty adverse to risk. Shit happens. As a doctor said to me, it does not matter if it is one chance in a million. You either have a healthy baby or not.

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      11.30.08, 11:54 AM [ Flag | link to this post ]
  • [-]Can someone recommend a social worker specializing in working with children in NYC? Thanks!

    18 replies [ Reply | Watch | Options ]
    11.24.08, 07:50 AM [ Flagged ]
    • Can you be a little more specific? Age? Problem? Why you want a SW instead of psychologist etc.

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      11.24.08, 07:52 AM [ Flagged | link to this post ]
      • would like a child psychologist too, but they seldom take insurance. we have oxford. 3 yo has problems connecting and socializing in school. he talks and interacts with us a lot at home but at school he shuts down.

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        11.24.08, 07:54 AM [ Flag | link to this post ]
        • i dont think a social work will help.

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          11.24.08, 07:56 AM [ Flagged | link to this post ]
        • did this just start? have you had him evaluated for anything?

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          11.24.08, 07:57 AM [ Flagged | link to this post ]
          • he started schcool this fall. had him evaluated for ei twice and did not qualify, bc evaluations never take place in group setting. i hear that a child psych eval is very costly, so we are trying to avoid it, given that we already had him evaluated twice and we and the teachers can tell a therapist what the issues are.

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            11.24.08, 07:58 AM [ Flagged | link to this post ]
        • hmmm, I would no go social worker at this point, but that is simply my opinion. A three year old boy is allowed to do this. IF you are really worried, I would find a psychologist to just check him out once or twice. Chances are all is well. I met a great man once at a seminar - I think the organization he worked for was Park East Associates. Something like that. He was a child psych and he just totally got children and didn't get hysterical about small children and small things. I wish I knew how to find the number or address. I think its on the east side (obviously) in the 40's. Anyone?

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          11.24.08, 07:57 AM [ Flagged | link to this post ]
          • op - thanks! trust me, we have been anti-therapy all along, but the teachers brought it up. i think he is fine, and he takes a LONG time to warm up, but the teachers think he is not reaping the benefits of going to school and he may need a little more help.

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            11.24.08, 08:00 AM [ Flagged | link to this post ]
            • which school is this?

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              11.24.08, 08:04 AM [ Flagged | link to this post ]
            • you know what, maybe he doesn't need to be in school at age 3. I think the man who gave the seminar also worked with IPS preschool - the main location is in the 40's. If you call them and tell them you are looking for a child psych and you think they gave seminars there and the name is something like Park East Associates, you might hit pay dirt. Also, have you read Preschoolers At Risk? You might want to pick that up too. Parenting is so hard, best of luck to you and your little guy.

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              11.24.08, 08:07 AM [ Flagged | link to this post ]
            • Listen. Your kid is 3 years old. Don't listen to that teacher. My kid was exactly the same at that age and she was like that for 3-4 more years. Then she came out of the shell and became a social butterfly. Let him be. Don't make it an issue. I know it is hard because it is brought up in every single parent-teacher conference but you know your child better.

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              11.24.08, 12:39 PM [ Flag | link to this post