This case illustrates the difficulty of assessing and treating developmental and learning problems in children. Many specialists are consulted but little is achieved. Paill Spectrum therapy can make a difference to school performance and memory. Parents can do some simple assessments themselves. Neuropsychiatric and developmental assessments are the norm, but much simpler assessments such as number recall, may indicate a much more treatable problem.
Female, now 7 years three months old
Paill Spectrum assessment is simple, can be objective when the blood tests is used. response to therapy can be verified both in terms of symptoms and in terms of the blood test results.
Past history:
Atopic rash at 12 month of age, four years old
Asthma approximately at two years old, four years old: mild
Gingivitis approximately at three years old
June 2004: Back to top
Concerns about school performance
A hearing test has been suggested.
Report presented to the doctor: Female, Grade 1 at 5 years and six months of age
Case 8 was referred to the Support teacher: Learning Difficulties by her class teacher because she wished to know her dominant learning channel so that her intervention program could be better channelled to meet her needs.
Case 8 was assessed in small group situation. Case 8 presented as a happy compliant child who willingly attempted all tasks asked of her. She is young (November birthday) and she found it difficult to remain on task. She did not know her telephone number or address. She uses standard English speech patterns and sentence structures. Back to top
The Early Years Easy Screen (EYES) indicated that her dominant learning channel is Kinaesthetic. She performed the visual memory task well but had difficulty with visual discrimination tasks with orientation. She had a little difficulty with the visual sequential memory tasks in that she could retain and recall items but not in the correct sequence. She had difficulty matching word and letter shapes. This relates to the difficulty with visual discrimination.
While she performed the identification of gross environmental sounds well, she had difficulty with fine environmental sound discrimination. She was able to locate a chosen sound. In the auditory sequential memory test, she could retain and recall only two items.
I feel that some of the difficulty experienced by Case 8 may be due to her immaturity.
Recommendations: Back to top
That Case 8 has a full auditory assessment.
That Case 8 has a full optometric assessment
That wherever possible and practical, Case 8 is given short tasks that she can perform before losing her concentration. The length of the task can be extended as she gains a greater attention span.
That Case 8 manipulates concrete materials top assist in her understanding
That Case 8 is encouraged to focus on her tasks.
Report form Support teacher: Learning Difficulties/ Learning Problems
Dr.’s assessment Late June 2004: Back to top
Patient has no complaints and feels well
Patient noted to sleep for 11 hours per night, mum says there are no naps on weekends or at other times, but the girl seems to like to have an extra nap before school.
History suggests she is a little impulsive in what she does and that perhaps she is a little forgetful
On examination: Back to top
Dyslexia Test:
Note: the picture really tells the best story.
Management:
Referred to ENT (Ear Nose Throat Specialist) for audiometry (hearing test).
Blood Investigations
Reviewed One month later Back to top
Management
Visual assessment
Near vision is 6/6 for both eyes. There is a need to allow for the dyslexia effect on vision.
Reviewed end of Year: Back to top
She is repeating Grade one of school. She has a very poor 68% average in word recognition.
ENT showed essentially normal hearing with bilateral ear effusions. The middle ear appearance is normal enough to exclude a requirement for repeat tympanometry.
Left ear at –5 dB line roughly at main speech frequencies.
Right ear at –15 dB line roughly at main speech frequencies.
May 2005:Back to top
Pharyngitis noted: Treated with Roxithromycin 100 mg daily.
Dyslexia Test:
June 2005: Back to top
Continuing on antibiotics: usage suspected to be erratic
Bruises noted on thighs: seems to bruise slightly easily
Dyslexia Test:
Note: the picture really tells the best story.
Feb. 2006
Well Child except for a current minor Respiratory infection with mild pharyngitis.
Has been taking multivitamins regularly for the past eight months and made some attempt at excluding gluten in her diet. Has been taught to recognize gluten products and has been instructed to avoid these
No antibiotics for quite some time
Dyslexia Test: Back to top
Note: the picture really tells the best story.
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CD Book Information
Answers to case questions will appear on our CD Book:
"Closing the Circle - The PaillSpectrum Story", *:-] planned for release in Early 2008.
It describes a range of medical conditions that in their own right may cause symptoms of chronic fatigue. Back to top
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Click the download activator and "Save to disk". You will need a decompression program such as Winzip or Winrar. Listen to the mp3 file at the same time as following the pdf file supplementary notes. They are designed to be used together, in much the same way as speakers put up prompts or notes for their listeners. Go to Download Page
Copyright AMT Pty Ltd
Copyright AMT Pty Ltd
The Paill Spectrum Disease Model has been developed by Dr. Andrew Xxxxx. It will be some time before the knowledge of the syndrome becomes independently tested and accepted. Disclaimer
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