Archive for February, 2012

The World Wide Autism Web

Tuesday, February 28th, 2012

At the time of this post, there were over 80 million Google pages which answered to a Search request for “Autism”. There were 9 million pages for “Autism Cure”. We can’t cure autism yet; we can treat it, however, quite successfully. Such a point-of-view confers this site a lower listing on that search topic. However, there were 18 million pages for “Autism Doctor” and TheAutismDoctor.com appeared as the first result. I am very proud of that, because it means that people are reading and starting to trust my opinion about this childhood epidemic. My Google rating comes from my readership, not Search Engine Optimization Services.

Somehow, conventional medicine and pediatricians have dropped the ball on this important condition. Where else is a parent going to find information about their child’s condition, especially when professionals appear so clueless?” I just read about … fill in the topic… on the Internet and I wanted to know what you think,” is one of the most commonly asked questions in my practice at The Child Development Center of America. This article will cover what I consider to be the good, the bad and the ugly when it comes to the ‘net and ASD:

The Good:

I get to treat patients from all over the world. Are you kidding me? This is the greatest honor that any doc could ever have. So, that’s a plus.

Getting important information out to the public so efficiently couldn’t be accomplished before the Internet. There’d be no ‘TheAutismDoctor.com’!

The web contains a great deal of important and correct information about ASD. Especially when confronted by pediatricians who continue to exclaim, “He’s a boy (premie, like-his-Dad, only-child, spoiled-by-grandma, etc.)… they talk late,” the www helps parents who remain concerned about their child’s development. The diagnosis of autism is often reached by searching for answers about why your child lacks eye contact, or has lost words, or “doesn’t play like the other kids.”

Also, this is my way of venting my frustration about ASD (have I said ‘epidemic’ too many times?); a modern medical condition which has profound effects upon families, patients, and our educational and healthcare resources – present and future. This method of communication adds to the body of clinical experience by reporting how children change and develop with various interventions. Evaluating those 80 million of pages can best be done by a real doctor, however.

The Bad:

Misinformation is rampant. There are treatment protocols that could harm your child, have not been adequately evaluated, or lack reliable data. There are therapies that could deplete your resources at the expense of treatments that have been proven to help your affected child.

All information appears equal at this i-level. Just ’cause a person learns about architecture doesn’t make them an architect. I have previously admitted that the traditional pediatric community seems to share a large part of the blame by not listening to parents and exhibiting a lack of intellectual curiosity that this problem demands. Once a parent finds a trusted physician, protocols are best handled at that level of expertise. “Can’t you do treatments every 3 weeks instead of every 2?” seems a silly question for a cancer specialist, right? ASD is a mystery that has only a few really successful interventions. If a patient is going through several therapeutic interventions at the same time, it is really rolling the dice as far as what outcomes you should expect.

All parents want more. Just like for neuro-typical kids, you want more communication, academic achievement, maturity, friends, etc. Amid a myriad of valid, but conflicting information that awaits more thorough research, there are many websites promising miraculous and instantaneous symptom reversal with nearly-scientific explanations and elaborate video testimonials from actual parents. Furthermore, the more that the treatment seems to cost, from thousands-to-tens of thousands per treatment – the more it entices serious consideration by some couples. OK, doctors have been wrong about some stuff. But we’re not all ignorant about childhood development and physiology.

The Ugly

I got hacked recently! Even my little blog that is just trying to disseminate the truth. The user doesn’t need to provide an email address or fill in a survey, and no money is exchanged. There are no advertisements. Who would want to disturb this outlet? Anyway, I purchased a virus checker and an infection cleaner and changed all of my passwords to encrypted terms that I’ll never remember… so that I will have to keep hitting “forgot password” and wait for that email that tells me that it’s OK to access my own information. Which, apparently, someone in Russia is able to do! But, I’ve digressed…

On the ‘www’, therapies that are unwarranted because of risk, cost, or efficacy appear equal to more sustainable treatment protocols. If I may offer a bit of old-pediatrician advice: that risk thing… you gotta take it into account, and not just say, “I’ll do anything for my child!” The ability for the dishonest to seek out desperate families is greatly aided by web capabilities. People who are maybe even well meaning, or have helped another child with some other treatment protocol. Plus, perhaps it worked or perhaps it didn’t because you didn’t see / examine that child when a diagnosis was made. So, that’s basically the lowest level of information (scientifically) that you want to evaluate. It’s not invalid, it’s just not YOUR kid.

The scrutiny with which a parent considers the information that is presented by multiple sources of information, including their (regular) pediatrician, their (conventional) specialist, therapists, the child’s grandparents, teachers, books, publications, conferences, research and the web need to be included in order to arrive at the most helpful experience for your child.

A Tale of Two Autisms

Monday, February 20th, 2012

It was the best of conferences, it was the worst of conferences. There were families living the reality and experts carrying the truth. These were my experiences at two very different autism conferences this past week. There were sharp contrasts in spirit, knowledge about this topic, curiosity, healthy skepticism, and life experience.

Let’s start with the first presentation, which was a panel of University of Miami autism doctors attended by 40 or so professional school students. I’ll called this ‘Autism I – The Scientific Autism Panel’:

  1. Originally just myself and the Chief of Pediatrics, the panel increased to include two additional well-known, well-published experts. Why add a psychiatrist and a genetics doctor… to defend the flawed/non-existent causation theory?
  2. ‘Conventional’ medical beliefs were in full regalia. When questioned by one of the wonderful, bright students as to whether it was “OK to fire patients from our practice?” the professor answered that the “American Academy of Pediatrics felt that it was best to continue to work on the patients and convince them of the decision to move forward with vaccination,” though personally, he thought that it was unethical. UNETHICAL?? Yo, bro, I have been a member of many-a-hospital-medical-ethics-comittees, and I would love to debate about that. I think that it was Mister Spock who once said, “Sometimes the good of the few outweighs the good of the many… or the one.” (or something like that). I feel that my loyalty is to the family sitting in front of me, and not the “herd” (as the general population is frequently referred to). That is especially true since I do not believe that all the studies show that all the vaccines are good all of the time. Too many variables there, doc, to be pontificating about the good of the many.
  3. A major reason for my presence there was to request young healthcare professionals (and their teachers) to inquire about the clinical condition of their patients before administering vaccinations. I was assured by the Chief that his colleagues and students certainly conformed to that practice routine. I am certain that most doctors never even GAVE a vaccination, let alone asked whether the child was recently ill, or did poorly with a previous vaccination, or whether there were other kids at preschool who were sick, etc.?
  4. Pretty much, the experts that I encountered that day were of the opinion that the course of autism was pre-determined. If  you got it, that was just a bad coincidence, and if you got better from it, that was a fortunate coincidence and if the child was really affected, there was little that could be done medically, other than treat the symptoms. Except, of course, traditional S&L, OT, PT and ABA. I felt that the other panel members were totally dismissive of the theories about causation and treatment. They were teaching future professionals.
Then there was Saturday’s presentation to “A Bridge To Healing” group in picturesque Palm Beach. Attendees were professionals and parents from the area who were interested in understanding biomedical intervention. I’ll call this one “Autism 2 – The Real Thing.”
  1. These folks were living the epidemic. There was no 20 minute theoretical discussion about an increased incidence of ASD. The questions that they asked revolved around what they could do to further their child’s development.
  2. When it came to the topic of vaccinations, I found that the audience was receptive to a schedule that was more appreciative of the needs of the few and the many, if it made more sense. I frequently encounter this sentiment; that there would not be so much polarization if the powers-that-be would reconsider a schedule with fewer vaccines, spaced farther apart.
  3. Their interest about the workup and treatment of a child’s condition led me to believe that parents were re-thinking their views about their child’s future and steps that they might take to address symptoms, and in a more natural way.
  4. The professionals in the audience were eager to understand how meshing biomedical and traditional interventions would produce superior results for their patients.

This is a time when parents are not on the same page as their doctors, which can’t be the best situation for affected individuals. From where I stood this past week, it’s the experts who could do “a far, far better thing,” and pay more attention to helping this growing patient population.

Old Autism Tales

Sunday, February 12th, 2012

Recently, a very caring, observant and apparently well-read Mom who is “only interested in ‘natural’ therapies” for her moderate-to-severely affected 10 year-old son asked, “What about focalin?” Um, that’s not exactly a homeopathic remedy. Likewise, I spend a great deal of time counseling other parents about the safety of a particular therapy, as opposed to the terrible stories that they have encountered on the web. So, I have put together a list of my top autism tales… stories which appear and get quoted and re-quoted until they become issues for my practice, as far teaching families the truth, not made-up fairy tales.

10. When he/she gets hungry enough, the child will eat (a particular food, or enough food).  Neighbors, grandparents and other family members often offer this advice.  This is not true for autistic children. They will starve before they eat that crunchy (or mushy, or smelly, or whatever) stuff sitting on their plate. First, fix their autism, then we’ll get the picky diet worked out.

9. If you give melatonin, the brain won’t make any. There are lots of melatonin myths. I addressed them in a previous blog.

8. “I know that ‘x-y-z’ fact is true, because it was written by a doctor.” First, I have found that many of the stories that parents provide are not written by a doctor at all. If you are going to really consider a therapy for your child, especially an invasive one, you ought to get a sound scientific opinion. Just because doctors have been wrong about ASD, doesn’t mean everything that we say is incorrect. More importantly, the Internet is rife with misinformation that needs to be evaluated. In this blog, I try to be careful about my medical citations when I make an important point. As I have written in another blog, I may read all that I can about plumbing, but you don’t want me fixing your toilet.

7. “Sugary foods cause yeast in the gut.” I have a previous post about this one, also, but it bears repeating. Simple sugars are handled by insulin in the blood. Slightly more complex sugars like sucrose are broken down into simple sugars in the stomach with acid and water. Complex carbohydrates, undigested food and bad bacterial overgrowth are the problem, since the slow breakdown creates a substrate for fungal growth. Similarly, yeast in foods does not promote yeast, as long as the patient is not allergic to it and it gets digested. When you eat a mushroom, you won’t grow the fungus in your intestines.

6. “Children mainly seek the foods to which they are most allergic.” Although it often appears that way, it’s not necessarily true. Lots of children are quite allergic to stuff that they have never seen – like garlic or brewer’s yeast, for example. The point about autism is that the patient has become allergic to crazy things in the environment and so the body creates antibodies against foods to which they haven’t ever been exposed. The converse also appears to be true; as we improve the child’s general health, everything that they are sensitive to improves, including foods that they now consume in great quantities.

5. “The child is ‘stimming’ because of…” – anger, frustration, anxiety, fear, desire, happiness, etc. The reason that a patient ‘stims’ is because the hard wiring in their brain is not the same as in neuro-typical people. The affected child’s narrow range of expressive behaviors gets manifest as a repetitive movement that may or may not represent what they are truly feeling. I had one young man who ran screaming toward the TV when SpongeBob was on. “He’s afraid of SpongeBob,” explained the Mom. If he were really afraid of the cartoon character, why wasn’t he running away from the screen? One of our parents said that she thinks that her kid’s ‘stims’ occur “whenever he is bored. So I make him empty the dryer.” That sounds like a good idea.

4. “I don’t have to worry about my child escaping because… he’s never done it before… the doors are all secure… he would be afraid to leave… someone is always watching her.” Roughly half of children with ASD between the ages of 4 and 10 attempt to elope. This rate is nearly four times higher than for the children’s unaffected siblings. Of children with ASD who attempted to elope, ~1/2 succeeded, 2/3 had a close call with traffic and 1/3 had an issue with water safety.

3. “I know he can do that… (say “Daddy”, point to an object, behave properly) ’cause he does it when he wants to!” That’s what makes the child normal. As patients improve, they are able to perform tasks because they are getting better wiring and so the activity becomes second nature, instead of it being a major chore for the poor kid.

2. Homeopathic remedies won’t harm my child. There are plenty of chemicals in many non-FDA approved formulations. Just because you don’t need a prescription, it doesn’t mean that a) the stuff is safe or b) it will or won’t work. It would be preferable to do all of your care under the umbrella of a good, caring, competent doctor.

1. My doctor said that all of this biomedical is a bunch of hooey so that the DAN! doctors can make more money as they prey on helpless families. Parents of autistic children are left with a great deal of responsibility which requires research, treatment, therapy, trips to various specialists, loss of personal time, and tons of money. If the traditional medical community even did a half-decent job of listening and helping understand this epidemic, there wouldn’t be a cottage alternative medicine industry.

MMR Vaccine Related to ITP

Sunday, February 5th, 2012

Pediatrics, one of our primary and most respected medical journals, published a report this week that “There was no elevated risk of ITP after any vaccine in early childhood other than MMR in the 12- to 19-month age group.” ITP stands for “Immune Thrombocytopenic Purpura.” Thromobcytopenic means low platelets – the cells in our body that help the blood clot. Purpura stands for the purplish discolorations on the skin when a person bleeds from within. Yecch, right?

It’s the “I” in ITP that I want to discuss. It used to stand for “idiopathic” – which means “unknown cause.” However, sometime after I graduated medical school in the last century, it was discovered that most cases were due to antibodies created against our bodies’ own platelets. In other words, it is an autoimmune disease, and the more precise name is “immune thrombocytopenic purpura”.

Now, I believe that this is a very important distinction because it means that the MMR vaccination can, indeed, lead to at least one autoimmune condition. I have been noting for several years the differing types of autism and reporting evidence that inflammatory reactions are not an uncommon association. Take a look at the age group that was affected by the vaccine (in the study in question) – 12 to 19 month old children. Sound familiar? It’s probably just another coincidence.

The study concluded that “Among 12- to 23-month-olds who received their first dose of measles-containing vaccine, fever and seizure were elevated 7 to 10 days* after vaccination. Vaccination with MMRV results in 1 additional febrile seizure for every 2300 doses given instead of separate MMR + varicella vaccines.” Begs a couple of questions, huh? Like, “How many febrile seizures for just MMR and how many children do 2300 doses affect?”

Trying to ascertain that number, I based some figures upon the authors’ top-cited reference which showed a “not statistically significant… increase in febrile seizures in the 7- through 14-day interval following MMR immunization. That really crappy study (retrospective, 18,000 single-state residents, MR and MMR included (that should rule this one out altogether)) found only four children who had febrile seizures that could be related to the vaccine. However, even this computed to 900 children per year having a seizure following the shot (very low level computation based on 4M+ births in US per year). At the 2300 dose number, 4,130,665 (births) equals 1,796 innoculees? That must be wrong. The stated objective of this reference was to check out a twofold increase in convulsions following MMR.

How many times, and with what conviction has conventional medicine proclaimed that all the studies show that vaccination is safe? Can we continue to be so certain? I’m reporting the most recent stuff, and from the most respected journals. Would you call this latest study “conclusive evidence” that the present vaccination schedule is proven to be safe?”

I am not a conspiracy guy. I don’t think that there are cancer cures locked away, funded by nefarious pharmaceutical companies, so that medical expenditures will rise. I believe in the MMR and other vaccinations. I had an uncle who was blinded by measles in infancy, a childhood friend whose right side was paralyzed by polio virus, and too many newborn patients have been born suffering from the devastating effects of congenital Rubella prior to MMR vaccination. It’s effective, basically free, and relatively low risk – when given properly. Instead of testing how many other things we can add to make it ‘easy’, we should be examining each one separately again. Or, in some cases, for the very first time.

I will conclude with the statement from this latest paper: “Providers who recommend MMRV should communicate to parents that it increases the risk of fever and seizure over that already associated with measles-containing vaccines.” Their words, not mine.

*If the fever-associated seizure occurs within a week or so, the powers-that-be have agreed to accept causation
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