Date: 2010-09-22 10:46 pm (UTC)
Well, ultimately the developmental pediatrician is being consulted to be the holistic guy - to look at the whole child and his development and think about what's being done and what isn't being done and what should be done and report. For the apraxia diagnosis, for example, one might have wanted our EI speech therapist to do it, but it was reasonable for Nico (because of DS) to be seriously non-verbal for his first few years. We might have wanted our school speech person to do it, but she may not have enough contact yet, or might not have had the right training.

Anyway, it was the feeling that we were missing things that led us to the developmental pediatrician, and then J. magically appeared in our lives to help sort it out. Our primary pediatrician, school therapist, or non-specialist therapist might well not be able to recognize such things. Even our endochrinologist or ENT, both of whom are concerned with development and are really sharp, don't really have the same expertise as the developmental guy.

I wonder what Dr. Stella thinks ...
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