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Pediatrician and autism-trust their diagnosis?

Posted by on Dec. 7, 2013 at 7:53 AM
  • 36 Replies

My pediatrician said she doesn't have autism and I know I should be happy but he just seemed so dismissive. I'm still going to go to the February more thorough evaluation. He did some Denver test and also stated that she is very extroverted and very empathetic which are atypical for kids with autism. What do you think? I should be happy right?

by on Dec. 7, 2013 at 7:53 AM
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lancet98
by Member on Dec. 7, 2013 at 8:16 AM
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If I were in this situation,  I would not be happy until I was sure I was getting my child what she needed.   That would be my primary concern, not whether she had autism or not.

I would be thinking more about if the pediatrician's evaluation was accurate.  What had I seen, and why did I ask my doc about autism in the first place?

I would also look at the possibility that even if my child didn't exactly meet the criteria for autism, if she still had needs that should be addressed, and I would consider that important.

I would consider that my child may have missed some developmental milestones, or had trouble in certain situations.   I'd consider that she may really need early help, if these things are true.

It doesn't matter so much what the diagnosis is, autism, developmental delay, a language disorder, or possibly  a combination of several of these or something else, it's always good to get therapy started early on.   So for me early diagnosis would be important.

I'd also keep in mind that symptoms change over time and that my child might need re-evaluation later.

Pediatricians are no slouches at spotting autism.    But since it is an important step in a child's life to get him or her the right help, I'd take my child to a specialist in pediatric disorders and see if s/he recommended an indepth evaluation.

Momof4AEMW
by Silver Member on Dec. 7, 2013 at 8:54 AM

I'd get the 2nd opinion.  Our pedi told me for 3 years my so did not have ASD, and we knew something was wrong.  Once I got him to the developmental pedi for the testing, she said within 5 minutes of reading his records she knew he had it and just needed to figure out how he fell.  Turns out he is highly autisitc in that in interferes with the majority of his day.  I think it is important the experienced professional decide.  I'll still hope it turns out to be a no for you though!

dawncs
by Dawn on Dec. 7, 2013 at 9:05 AM

I hate to say it but it can show a little differently in both girls and the mild to High Functioning Autism. A good specialist who is familiar with Autism could tell the difference than just a regular pediatrician. In addition, girls tend to be a little less diagnosed or known by many.

Dawn
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by Janine on Dec. 7, 2013 at 9:16 AM
I'd get a second opinon & go by your gut feeling.
mypbandj
by Jen on Dec. 7, 2013 at 9:33 AM
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The thing with ASD is that it truely is a spectrum. So not all kids have the same symptoms. Or the same severity. If you ask others here I think you will hear from so many that they have heard from family or even teachers that their ASD child cannot have autism because they (enter anything here). Stuff like, they make eye contact. Or they do pretend play. So they can't have autism! But it's a spectrum. Some will be greatly affected and some not so much. But that doesn't mean they aren't on the spectrum.

Where are you taking her in February? I think the developmental pediatricians or neuropsychologist are the way to go. Just a regular pediatrician is not as trained in this as the other two I mentioned.
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emarin77
by Silver Member on Dec. 7, 2013 at 1:13 PM

Many pediatricians are not specialized in Autism.  My son was seeing one before he was diagnosed at age 3 and never knew because he was not showing the "symptoms" during his appointments.  We brought our son to a child psychologist and was diagnosed within a month.

jowen905
by Jan on Dec. 7, 2013 at 5:29 PM

 I'd definitely get a 2nd opinion from a neurologist or dev. pediatrician specializing in Autism.  With my son we had conflicting diagnoses over the years, but my gut feeling told me that he was on the spectrum.  I think it's worth checking into.  I would love to hear that she does not fall on the spectrum, and I wish you the best!

lady_katie
by Silver Member on Dec. 7, 2013 at 5:31 PM

No, regular pediatricians are notorious for not knowing what they're talking about when it comes to autism. To be honest, you can't even really trust a regular psychologist on this matter. Only professionals who specialize in autism are going to really know what to look for. Extroversion and empathy are not the kinds of traits that a doctor should be looking at, as people on the spetrum can easily have both. I made an extensive list of red flags that should be taken into consideration and posted it here: http://www.homewardcrowned.com/?page_id=1103 (I had trouble finding an already existing complete list so I just went ahead and made one myself). The traits on this list are just some of the specific ways that individuals with autism tend to display the behaviors that make up the diagnostic criteria. I would make a list of all of the autism traits on that list that your child exhibits and give it to the doctor who will be doing your childs full autism evaluation. If you want, you could also share the list with us. I'm sure everyone would still recommend getting the evaluation, but at least we could give you some more specific opinions. 

patnic
by Bronze Member on Dec. 7, 2013 at 5:36 PM

Argh, go to the specialist.

I went to my son's 2 year old check-up and the nurse practioner said he didn't have autism because he had eye contact.  

Trust your mom's instinct.

N.Carter2001
by Bronze Member on Dec. 7, 2013 at 9:10 PM

When jacob was a baby and as he got older we notice a lot of things not right. We had to teach him everything. Even after he was born he did not want to eat. I was the only 1 to hold him. I gave him to daddy or a friend and he would scream untill back in my arms. He finally started talking but then stopped. His doc said no he does not have autism. Cause he dont hit head on wall. But knew something not right. Found out at age 3 years old he has mild autism. He is 5 years old now.

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