Wednesday, November 11, 2015

To the Pediatric Neurologist Who Goes the Extra "Mile"

When it came time to see a pediatric neurologist (Dr. F) after Dominic's seizure in June of this year, all I knew was that we were going to have to drive 60 miles to his office. When Dr. F was able to work Dominic into the schedule to get an Electroencephalogram (EEG) of his brain the same day we went to Dominic's first appointment because he didn't want us to have to drive two hours round trip to see him again, I thought that was pretty cool. When I got home from that appointment and found a phone message from Dr. F telling me to call him back because his EEG showed, "intermediate activity," he took the time to explain to me what that meant.  When I called Dr. F after Dominic's second seizure, he highly suggested we put Dominic on an anti-seizure medication. As you can imagine, I had many questions. Every single e-mail or call I made to Dr. F was answered promptly, sometimes within an hour.  After talking it over with family members, friends and Dominic's psychiatrist, we made the decision to put him on the medication. It was not a decision my husband and I made lightly, given that Dominic will have to stay on the medication for at least two years.


When Dr. F told us we had get an MRI of Dominic's brain with sedation, I asked him to redo the order so we could try it without sedation.  After that was unsuccessful, Dr. F redid the order, so we could do the sedation and MRI at the hospital near us.


When the radiologist at the hospital found something on the MRI and told us that Dr. F would need to review it, he took the time to call me himself with the results. Thank goodness, it was a "non-specific finding." Whew. This past Monday, when we went for a checkup with Dr. F, we got the same nurse that we've had before. She doesn't treat Dominic any differently, just because he has Autism, she treats him just like any other 11-year old boy, which I sincerely appreciate. Gone are the days when Dominic would raise a "ruckus" about getting his blood pressure taken. The nurse explained every single thing she was doing and he did awesome! When Dr. F came in to examine Dominic, he spoke directly to him and slapped him a "high-five," every time Dominic did what he asked him to. I was so proud of Dominic, there was only one question he couldn't answer himself. When Dominic reached his hand into Dr. F's black medical bag, Dr. F didn't get upset, but rather said, "we don't need anything in there right now, Dominic." After Dr. F finished the examination, he sat down, looked at me and said, "so, do you have any questions?" After he answered my questions, he then told me that we don't need to see him for another six months! Shortly after I got back home, I sent an e-mail to Dr. F expressing my gratitude. This morning, he wrote me back telling me, "thanks for the kind words." No, Dr. F, thank you for going the extra "mile."

Presume Competence

Since we have traveled outside of the United States since Dominic was very small, we have had to get him a Children's Passport every fiv...