The SpecialMoms Parenting Magazine 3rd Issue | Page 11

Developmental Pediatricians But parents needn’t sit back and wait for their appointment, worrying that their child is falling behind more with each passing week, Roberts says. “When we get the intake package back that we ask parents to fill out, we review it, and if a child isn’t receiving any services and it’s clear there are issues there, we will call that family and say, ‘While you’re waiting for our appointment, you can start intervention, and here are some therapies that we would suggest,’” she says. Roberts’ team encourages families to contact Early Childhood Intervention services in their area (see resource list in sidebar) so their child can be evaluated. “They can get them started even before a diagnosis, and in most developmental situations, that’s an OK thing to do,” she says. “The other thing we do is look at what the situation is: If a child is losing skills or having more of an acute issue, we prioritize those patients to make sure that they get seen as quickly as we can possibly see them.” A Marathon, Not A Sprint Catherine Allen learned that this waiting time can be very productive for parents and suggests that if you’re on the cusp of this uphill journey, there are ways to be proactive. “For these parents – and I used to be this way when I started out – everything is so vitally important that it needs to be dealt with right now,” Allen says. “But that’s not really the truth, because sometimes what happens during the waiting period, especially if you have to fill out a very intense application, is you’re forced to put everything down on facebook 11 paper, think about it and observe more of what’s happening.” Allen thought doctors would be telling her what was wrong and what to do, but she quickly realized that as a parent, she was the expert. “Parents have to be prepared for their appointments,” she says. “Doctors don’t know what’s happening at home, and they cannot observe everything that is vital to them being able to make a really great strategic plan in a 30-minute appointment. They rely on parents’ information.” First Visit Roberts notes that a first appointment generally lasts between 90 minutes to two hours, during which she will take a thorough medical history and conduct a comprehensive physical examination. “We focus on the child’s features, looking at the neurological exam in particular, and also at skin, because those are the three basic areas that help us point to some developmental issues,” she says. “We then look at how the child is interacting in his/her environment: We watch them play, we do some standardized developmental testing to assess where they’re functioning. We then sit down with the family and come up with a comprehentwitter