Hi everyone!
      Joe Joe had his MRI done, under sedation, for the 7th time, he is only
three years old.   I want the next dose of sedation to be for MEEEEEE!! LOL

     So, the radiologist said she does not see anything, but the xray showed
something on his left femur, so we still dont know if he has an osteosarcoma or
leukemia, but, we have an appoinment coming up on Monday, June 1, at
Sloan-Kettering in Manhattan, the wheels on the minivan go where they need to
go!!

      So, we still dont know much, but, I am happy that we dont have an MRI that
shows some horrible tumor invading his femur!  I am praying that this is some
sort of medical mistake, and the pediatric oncologist will tell us that its not
cancer, but since we realized his alkaline phosphatase is so high, 6470, and it
should be about 300, we really need to pursue this.   I am hoping we will rule
out leukemia too!  If anything bad IS there, then we must have caught it early,
because the alkaline phosphaste test was normal the last time it was checked, in
October, 2008.

      Could I actually say now that I am happy that my son has epilepsy?  YUP,
because if he did not have epilepsy we would not have done the blood test that
told us to go over him again, with yet another fine toothed comb and some more
doctors, we already have a bunch of them, but this is his most serious type of
problem so far.

     Please keep Joseph in your prayers, my father in law will watch Amanda on
Monday, and I am praying too that we dont have to take a leave of absence from
Joseph's school.   We have a great IEP that I am happy with for now, and he is
in the ESY program, so I am hoping that our lives wont have to turn upside down
to take care of this, but, if it does, than we will do what we need to do.

      Has anyone ever taken a leave of absence from school for medical problems? 
I guess if it becomes necessary, I would need to tell my district in writing,
and I will do that when we know more.   I dont know if Joseph will need some
form of radiation treatments or chemotherapy, and if he does, I would be happy
to take him out of school to protect while his immune system is down, and then
have him return to school at a later date, when the doctor says its OK.   With
all the stuff in the news about swine flu, and my daughter had strep last week,
and then I caught it, so if that what we need to do, then I just need to find
out what is required to put his school plans on hold.

      Also, I saw a picture of Mrs Biondi's new little boy, Matthew, in my
daughter's school, Christ the King, in Manville, so Congratulations to the
Biondi bunch!!!  God Bless you!!!
     Diane LaMorticella

Finally, now we have an MRI being done on Tuesday, May 26 for Joe Joe, and his
visit with the Pediatric oncologist is on June 1, at Sloan Kettering Cancer
hospital, in Manhattan.   I am hoping and praying that this will be some type of
false alarm, our pediatrician is going to be watching for the results on Tuesday
afternoon for us. Hopefully, we will have a sense of direction after our June 1
appointment.  We went shopping for a kiddie pool today, I did not really have
the money this week, but, I figured if our summer is going to get turned upside
down, I want the kids to have time to play in the kiddie pool in the backyard
now.
    Joseph will be plenty angry with me on Tuesday, because he will be getting
some chloral hydrate to sedate him, this is his 7th time under some type of
sedation in three years.  Our pediatrician thinks that we will probably have to
get some type of surgery for the suspicious lesion in Joseph's left femur to be
removed, at a minimum.  Sloan Kettering has a doctor who is a pediatric
orthopedic oncologic surgeon, with 25 years experience, so we will be seeing him
too.
     If we have to, he will take a leave of absence from school, but we will try
and avoid that.  I got a note from the insurance today that they wont cover any
speech therapy for him.  I just said, OH well, I have to be his Physical
therapist, now I have be his speech therapist too!  Now the important think is
to keep him alive! And keep things as normal as possible for Amanda too!
     Tuesday seems like a long time from now, and so does June 1, but, they are
not.  wish us luck! Thank you for all your prayers so far! Have a great holiday
weekend! Diane LaMorticella


--- In Care-to-ShareSupportNetwork@yahoogroups.com, "dianelanglamorticella"
<dianelanglamorticella@...> wrote:
>
> just when I thought we could settle into a routine, the ESY is all set up and
I even found a place to do some speech therapy with Joe Joe over the summer, my
daughter has a summer camp that she is all registered with and its paid for,
......
>      Joseph has had a very high alkaline phosphatase blood test, we repeated
it, and its high, not a lab error.   The result is about 6400, it should be
about 300, it was in the fall, we did some blood tests then when we were taking
him off Phenobarbital, and it was normal then.   Now we did a new blood test,
actually it was a Keppra level, and we found this by accident, so we did some
x-rays and a liver ultrasound a few days ago, and the x-ray shows a lytic lesion
of boney destruction in one femur, so now we have to do a bone MRI.
>     Crap, we just did an MRI of his brain on March 1.  His MRI require
sedation, so now he gets to be sedated AGAIN!!  and, this is not the kind of
stuff we can wait around and take care of, our pediatrician is finding a good
radiology expert he knows, and if it is an Osteoblastoma, the treatment is
surgical resection and local radiation treatments!!!
>     SHIT,  can we just go back to Epilepsy and Cerebral palsy please!!!!wasnt
THAT enough?  so, now the schedules go down the toilet, and we drop we are doing
and run, hoping that we are treating this before it has become something that
has metastasized, and I thought it was bad that my kid cant walk or talk
right????
>     DRAMA,  I HATE IT!!!
>      I wish I was somebody else, how did I get this far without needing
anti-depressants, or becoming a fregging alcoholic!
>      We have an IEP that is good, and his teacher and school nurse are doing
great, even the bus driver is so patient about waiting for Joe Joe to get up
into the bus each morning, and now, we have to hightail our butts to go to
whichever hospital we need to so that we can take care of this.      I HATE MY
LIFE!!!!
>      so, if you think you have problems?  just remember, things could always
be worse!  at least my husband has not been laid off and we still have our
health insurance.   Damn, I hate this crap, I wish the drama would go away!!!!  
I have taken consolation many times in the past two years that "at least my son
does not have anything that is life threatening"   and now, we possibly do.
>       The pediatrician is calling another doc he knows who would be able to
help, and I asked him to line us up with a hematology and ocology doctor because
I would like to get the MRI done, and a bone marrow biopsy right away, instead
of two separate procedures, and separate doses of sedation.   He asked me if I
mind going to Overlook hospital, I said, hell, I will go anywhere, that has been
my life's story for the past two years.
>      Wish me luck, I have to explain this to my husband tonite when he gets
home from work.   Looks like this is gonna be one hell of a summer.  Now I have
to go find babysitters for Amanda so that she is not left stranded while I am at
some other fregging hospital with Joseph and my husband is trying to hold on to
his job.  This sucks, I was just trying to figure out how I could get back to
work too!!!!!
>       Diane LaMorticella (mother of Amanda, 5, a TD princess, and Joe-Joe, 
with myoclonic epilepsy, external hydrocephalus, Cerebral palsy, mild
sensorineural hearing loss, a heart murmur, takes Keppra daily, wears SMO's for
his gait, and various developmental delays.)
>

Thank you, Eileen. That case is very encouraging.

Jessica

--- In Care-to-ShareSupportNetwork@yahoogroups.com, Eileen Reilly-Horch
<reillye@...> wrote:
>
> Hi,
>
> Here is a link to an article that mentions the court case I was trying to find
for you.  I don't have the time to get a link to the full case.  I'd suggest
looking it up on wrightslaw.com perhaps. 
> Here's the link:
> http://www.drcnh.org/Maine.htm
> The gist of it is that the circuit court which covers Maine ruled in 2008 that
social skills *are* education.  The fact that someone doesn't need academic
help, per se, does not exclude them from being eligible.  If you follow that
line of thinking, then having goals for such would be appropriate.
>
> You're not the only one who has had this struggle, believe me!!
>
> Good luck
> Eileen
>
> --- On Mon, 5/18/09, jessicajlh2002 <jessicajlh2002@...> wrote:
>
> From: jessicajlh2002 <jessicajlh2002@...>
> Subject: [Care to Share Support Network] Questions about Social Goals in
General Education
> To: Care-to-ShareSupportNetwork@yahoogroups.com
> Date: Monday, May 18, 2009, 11:39 PM
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>       Hello,
>
>
>
> I have some follow-up questions regarding the IEP social goals in my previous
post. The followings are some behavioral/social goals I requested to add to my
son's IEP (I've also added some pragmatic language goals separately), but our
case manager told me since my son will be in general education, his goals would
be the general ed goals and he will not have an IEP that includes the skills
which are taught at the kindergarten level. I don't agree with that because I
think a kindergarten teacher will not teach those social skills and monitor the
progress specifically. Since my son had the PDDNOS diagnosis and social skills
are definately his weakness, I feel very strongly to keep those social goals in
his IEP. Is it common for a PDDNOS kid mainstreamed but still has soical goals?
Any strategies/talking points I could use to convince our school district?
>
>
>
> - make appropriate eye contact with peers and adults during various
activities.
>
> - take turns with 2 or more peers during a structured game.
>
> - Given a 10 minutes non-structured or structured play situation,
appropriately initiate or respond to interactions with peers at least 2 times.
>
> - attend in a large group (10 or more) for 20 minutes by looking at the
speaker and/or orienting his body toward the speaker or relevant stimuli.
>
> - learn new abstract concepts in a large group (10 or more) 9 out of 10 times.
>
> - follow social cues in the classroom, ie. peers sitting in circle/cleaning
up/lining up and joins.
>
> - vocalize an appropriate statement or comment when he is frustrated, upset,
needs help or doesn't understand a concept or direction.
>
> - always raise hands and wait to be called on when he wants to ask/answer a
question or needs teacher's attention in the classroom.
>
> - vocalize his personal needs and feelings, ie. use the bathroom,
thirsty,hungry, hurt.
>
>
>
> Any suggestion/advice would be greatly appreciated.
>
>
>
> Jessica
>

Hello,

I am interested in working with children between the ages of 4 and 12
this summer in a learning environment to help me grow as an educator.
This could include a therapeutic center or tutoring, and may include
children with special needs.

I have been teaching for over 6 years, the last 5 in Branchburg School
District at Whiton Elementary School.  I have had many years of
childcare experience as well.  Attached is my resume.  Please let me
know if you have any questions.

Christy Bitner
First Grade Teacher
Whiton Elementary School

Hello,

I have some follow-up questions regarding the IEP social goals in my previous
post. The followings are some behavioral/social goals I requested to add to my
son's IEP (I've also added some pragmatic language goals separately), but our
case manager told me since my son will be in general education, his goals would
be the general ed goals and he will not have an IEP that includes the skills
which are taught at the kindergarten level. I don't agree with that because I
think a kindergarten teacher will not teach those social skills and monitor the
progress specifically. Since my son had the PDDNOS diagnosis and social skills
are definately his weakness, I feel very strongly to keep those social goals in
his IEP. Is it common for a PDDNOS kid mainstreamed but still has soical goals?
Any strategies/talking points I could use to convince our school district?

- make appropriate eye contact with peers and adults during various activities.
- take turns with 2 or more peers during a structured game.
- Given a 10 minutes non-structured or structured play situation, appropriately
initiate or respond to interactions with peers at least 2 times.
- attend in a large group (10 or more) for 20 minutes by looking at the speaker
and/or orienting his body toward the speaker or relevant stimuli.
- learn new abstract concepts in a large group (10 or more) 9 out of 10 times.
- follow social cues in the classroom, ie. peers sitting in circle/cleaning
up/lining up and joins.
- vocalize an appropriate statement or comment when he is frustrated, upset,
needs help or doesn't understand a concept or direction.
- always raise hands and wait to be called on when he wants to ask/answer a
question or needs teacher's attention in the classroom.
- vocalize his personal needs and feelings, ie. use the bathroom,
thirsty,hungry, hurt.

Any suggestion/advice would be greatly appreciated.

Jessica

Diane:
  I did not check my e-mail until today.  I completely understand your situation.
I hope everything will be fine.  I will be thinking of little Joseph and you. 
Is it hard to be a Mom with a special need child.  You are such a strong Mom and
I am sure you will be OK.  You did the right thing to let it out.  I think that
I live close to you and I wish I could be some help. If you can think of
anything, please let me know or e-mail me at hcai20@.... love,  Hong

--- In Care-to-ShareSupportNetwork@yahoogroups.com, "dianelanglamorticella"
<dianelanglamorticella@...> wrote:
>
> just when I thought we could settle into a routine, the ESY is all set up and
I even found a place to do some speech therapy with Joe Joe over the summer, my
daughter has a summer camp that she is all registered with and its paid for,
......
>      Joseph has had a very high alkaline phosphatase blood test, we repeated
it, and its high, not a lab error.   The result is about 6400, it should be
about 300, it was in the fall, we did some blood tests then when we were taking
him off Phenobarbital, and it was normal then.   Now we did a new blood test,
actually it was a Keppra level, and we found this by accident, so we did some
x-rays and a liver ultrasound a few days ago, and the x-ray shows a lytic lesion
of boney destruction in one femur, so now we have to do a bone MRI.
>     Crap, we just did an MRI of his brain on March 1.  His MRI require
sedation, so now he gets to be sedated AGAIN!!  and, this is not the kind of
stuff we can wait around and take care of, our pediatrician is finding a good
radiology expert he knows, and if it is an Osteoblastoma, the treatment is
surgical resection and local radiation treatments!!!
>     SHIT,  can we just go back to Epilepsy and Cerebral palsy please!!!!wasnt
THAT enough?  so, now the schedules go down the toilet, and we drop we are doing
and run, hoping that we are treating this before it has become something that
has metastasized, and I thought it was bad that my kid cant walk or talk
right????
>     DRAMA,  I HATE IT!!!
>      I wish I was somebody else, how did I get this far without needing
anti-depressants, or becoming a fregging alcoholic!
>      We have an IEP that is good, and his teacher and school nurse are doing
great, even the bus driver is so patient about waiting for Joe Joe to get up
into the bus each morning, and now, we have to hightail our butts to go to
whichever hospital we need to so that we can take care of this.      I HATE MY
LIFE!!!!
>      so, if you think you have problems?  just remember, things could always
be worse!  at least my husband has not been laid off and we still have our
health insurance.   Damn, I hate this crap, I wish the drama would go away!!!!  
I have taken consolation many times in the past two years that "at least my son
does not have anything that is life threatening"   and now, we possibly do.
>       The pediatrician is calling another doc he knows who would be able to
help, and I asked him to line us up with a hematology and ocology doctor because
I would like to get the MRI done, and a bone marrow biopsy right away, instead
of two separate procedures, and separate doses of sedation.   He asked me if I
mind going to Overlook hospital, I said, hell, I will go anywhere, that has been
my life's story for the past two years.
>      Wish me luck, I have to explain this to my husband tonite when he gets
home from work.   Looks like this is gonna be one hell of a summer.  Now I have
to go find babysitters for Amanda so that she is not left stranded while I am at
some other fregging hospital with Joseph and my husband is trying to hold on to
his job.  This sucks, I was just trying to figure out how I could get back to
work too!!!!!
>       Diane LaMorticella (mother of Amanda, 5, a TD princess, and Joe-Joe, 
with myoclonic epilepsy, external hydrocephalus, Cerebral palsy, mild
sensorineural hearing loss, a heart murmur, takes Keppra daily, wears SMO's for
his gait, and various developmental delays.)
>

Diane,

I wish you luck and remember "Just Breathe"  Take 3 x during the day to stop and
recognize the emotions you are feeling.  Take like a minute to breathe and move
the negative emotion out. Once you do that, you will have more focus and clarity
to make next step decisions.  I just learned over the years to make sure I stop,
take care of me - in order to help my children and the many others I work with
daily.

My daughter had neuroblastoma stage 1 and it was found through a chest xray ..
we did every scan under the sun and the chest xray is what found it.  It took us
2 weeks in a hospital to find it and then longer to resect and recoup.

We did a resection of the tumor and did not need chemo after the resection.

Colleen Bain






--- In Care-to-ShareSupportNetwork@yahoogroups.com, "dianelanglamorticella"
<dianelanglamorticella@...> wrote:
>
> just when I thought we could settle into a routine, the ESY is all set up and
I even found a place to do some speech therapy with Joe Joe over the summer, my
daughter has a summer camp that she is all registered with and its paid for,
......
>      Joseph has had a very high alkaline phosphatase blood test, we repeated
it, and its high, not a lab error.   The result is about 6400, it should be
about 300, it was in the fall, we did some blood tests then when we were taking
him off Phenobarbital, and it was normal then.   Now we did a new blood test,
actually it was a Keppra level, and we found this by accident, so we did some
x-rays and a liver ultrasound a few days ago, and the x-ray shows a lytic lesion
of boney destruction in one femur, so now we have to do a bone MRI.
>     Crap, we just did an MRI of his brain on March 1.  His MRI require
sedation, so now he gets to be sedated AGAIN!!  and, this is not the kind of
stuff we can wait around and take care of, our pediatrician is finding a good
radiology expert he knows, and if it is an Osteoblastoma, the treatment is
surgical resection and local radiation treatments!!!
>     SHIT,  can we just go back to Epilepsy and Cerebral palsy please!!!!wasnt
THAT enough?  so, now the schedules go down the toilet, and we drop we are doing
and run, hoping that we are treating this before it has become something that
has metastasized, and I thought it was bad that my kid cant walk or talk
right????
>     DRAMA,  I HATE IT!!!
>      I wish I was somebody else, how did I get this far without needing
anti-depressants, or becoming a fregging alcoholic!
>      We have an IEP that is good, and his teacher and school nurse are doing
great, even the bus driver is so patient about waiting for Joe Joe to get up
into the bus each morning, and now, we have to hightail our butts to go to
whichever hospital we need to so that we can take care of this.      I HATE MY
LIFE!!!!
>      so, if you think you have problems?  just remember, things could always
be worse!  at least my husband has not been laid off and we still have our
health insurance.   Damn, I hate this crap, I wish the drama would go away!!!!  
I have taken consolation many times in the past two years that "at least my son
does not have anything that is life threatening"   and now, we possibly do.
>       The pediatrician is calling another doc he knows who would be able to
help, and I asked him to line us up with a hematology and ocology doctor because
I would like to get the MRI done, and a bone marrow biopsy right away, instead
of two separate procedures, and separate doses of sedation.   He asked me if I
mind going to Overlook hospital, I said, hell, I will go anywhere, that has been
my life's story for the past two years.
>      Wish me luck, I have to explain this to my husband tonite when he gets
home from work.   Looks like this is gonna be one hell of a summer.  Now I have
to go find babysitters for Amanda so that she is not left stranded while I am at
some other fregging hospital with Joseph and my husband is trying to hold on to
his job.  This sucks, I was just trying to figure out how I could get back to
work too!!!!!
>       Diane LaMorticella (mother of Amanda, 5, a TD princess, and Joe-Joe, 
with myoclonic epilepsy, external hydrocephalus, Cerebral palsy, mild
sensorineural hearing loss, a heart murmur, takes Keppra daily, wears SMO's for
his gait, and various developmental delays.)
>

thank you all for your prayers and responses!  Amy, you are right, I can
handle this, we just need the stupid MRI go get done, then we will know what
needs to happen next.   I am sorry about the new diagnosis for Emily, and I can
return the compliment, you are a very strong woman too!!
     thanks for your prayers Cheryl, we need them too!!!

     Adrienne, and Jessica,  thank you so much for your offers!  I will contact
you soon, when I know more about what and when we need to do things.   For now,
the big deal is just doing the MRI and having the hematology/oncology doctor
check it out.   I got very "assertive"  with my husband last nite, and I told
him that he will just have to take one stinking day off from work, and they will
just have to get over it, for the MRI to be done.   I am hoping we have an
alternate place for the MRI, maybe it could be done as an open MRI at the same
place where we did the xrays, and then I can hustle our bustle to go see the
hematology/oncology doctor.   I looked on our list of insurance providers, and I
found him on there, so he is in our network, now if we can just avoid an extra
dose of sedation ........
      So now I have to wait for the phone to ring, and I know from experience
that this is the worst part.  Whatever the problem is, I feel better when I can
actually do something about it!  That has been the story of my life for the past
two years, Joseph was diagnosed with epilepsy after a lot of effort and
investigation from me, and a pediatric neurologist.   At least this time we dont
have a pediatrician who is saying its nothing.   THat was very bad when we had a
doctor doing that to Joseph two years ago, it caused a delay of at least four
months, and he was seizing every day during those four months.
      I have to wonder if we need to do surgery and radiation treatments if
Joseph can still do his ESY program for the summer, I dont know if he will be
considered too immunocompromised to be able to go to school, in that case, I
dont know if I can get home based instruction for him??  Maybe I would just have
to take over, put on the teacher's hat, it would not be the first time, and
probably not the last.
       Oh well, now I will go back to being mother hen, and sit by the phone and
wait for it to ring!
       Thank you all for your prayers and good advice!  love, Diane


    --- In Care-to-ShareSupportNetwork@yahoogroups.com, amykav@... wrote:
>
> Hang in there, Diane.  Another diagnosis SUCKS, there's no twoways about it. 
The most important thing you need to do right now is take care of yourself.  Do
whatever you need to do, cry, vent, talk to others you trust will understand.  I
remember the despair I felt last year when my daughter got a new diagnosis - I
was crushed, angry, and very sad.  It all seemed so unfair.  Didn't she already
have enough to deal with?  Didn't I?  How in the world would we handle this,
too?
>
> But you can handle it, Diane, you can.  You're a very strong woman and your
experience in handling Joseph's challenges thus far will help you get through
this, too.  It may not feel that way to you right now, and if so, just rely on
the strength of those around you to bolster you for a while.  Make sure to get
whatever you need emotionally, right now, so you can gather your strength to see
this through, too.  Make sure you make LIBERAL use of your support network in
whatever ways that work for you.  Also, whatever the outcome of the tests that
are coming up for Joseph, see if the medical folks involved can connect you with
other parents who have faced the same or similar issues with their kids.  I know
it was immesurably helpful to me to be able to speak with parents who were
further down the road with the same isue, as they could really empathize as well
as educate me and help me get a broader perspective about this new frontier.
>
> Take care.  You and your family are in our prayers.
>
> Amy
>
>
> -------------- Original message from "dianelanglamorticella"
<dianelanglamorticella@...>: --------------
>
>
>
>
> just when I thought we could settle into a routine, the ESY is all set up and
I even found a place to do some speech therapy with Joe Joe over the summer, my
daughter has a summer camp that she is all registered with and its paid for,
......
> Joseph has had a very high alkaline phosphatase blood test, we repeated it,
and its high, not a lab error. The result is about 6400, it should be about 300,
it was in the fall, we did some blood tests then when we were taking him off
Phenobarbital, and it was normal then. Now we did a new blood test, actually it
was a Keppra level, and we found this by accident, so we did some x-rays and a
liver ultrasound a few days ago, and the x-ray shows a lytic lesion of boney
destruction in one femur, so now we have to do a bone MRI.
> Crap, we just did an MRI of his brain on March 1. His MRI require sedation, so
now he gets to be sedated AGAIN!! and, this is not the kind of stuff we can wait
around and take care of, our pediatrician is finding a good radiology expert he
knows, and if it is an Osteoblastoma, the treatment is surgical resection and
local radiation treatments!!!
> SHIT, can we just go back to Epilepsy and Cerebral palsy please!!!!wasnt THAT
enough? so, now the schedules go down the toilet, and we drop we are doing and
run, hoping that we are treating this before it has become something that has
metastasized, and I thought it was bad that my kid cant walk or talk right????
> DRAMA, I HATE IT!!!
> I wish I was somebody else, how did I get this far without needing
anti-depressants, or becoming a fregging alcoholic!
> We have an IEP that is good, and his teacher and school nurse are doing great,
even the bus driver is so patient about waiting for Joe Joe to get up into the
bus each morning, and now, we have to hightail our butts to go to whichever
hospital we need to so that we can take care of this. I HATE MY LIFE!!!!
> so, if you think you have problems? just remember, things could always be
worse! at least my husband has not been laid off and we still have our health
insurance. Damn, I hate this crap, I wish the drama would go away!!!! I have
taken consolation many times in the past two years that "at least my son does
not have anything that is life threatening" and now, we possibly do.
> The pediatrician is calling another doc he knows who would be able to help,
and I asked him to line us up with a hematology and ocology doctor because I
would like to get the MRI done, and a bone marrow biopsy right away, instead of
two separate procedures, and separate doses of sedation. He asked me if I mind
going to Overlook hospital, I said, hell, I will go anywhere, that has been my
life's story for the past two years.
> Wish me luck, I have to explain this to my husband tonite when he gets home
from work. Looks like this is gonna be one hell of a summer. Now I have to go
find babysitters for Amanda so that she is not left stranded while I am at some
other fregging hospital with Joseph and my husband is trying to hold on to his
job. This sucks, I was just trying to figure out how I could get back to work
too!!!!!
> Diane LaMorticella (mother of Amanda, 5, a TD princess, and Joe-Joe, with
myoclonic epilepsy, external hydrocephalus, Cerebral palsy, mild sensorineural
hearing loss, a heart murmur, takes Keppra daily, wears SMO's for his gait, and
various developmental delays.)
>