When I read a lot of articles about ADHD on the Internet, I began to suspect that my baby was with this disease, and I also saw many cases saying that after taking the drug Zhida or Zesida, there was a significant improvement, and I was like finding a life-saving straw. I think as long as I go to the hospital to see a doctor and diagnose it, I can take medicine, and then the baby will get better. But in fact, the process of diagnosis is not so easy.
First of all, pediatric hospitals in major cities now have outpatient clinics for learning difficulties. Since most parents are too anxious, it takes a long time to register, especially on weekends, so everyone should take a leave of absence to see a doctor in the middle of the week! To see a doctor, you need to bring your baby and be prepared to see it for most of the day. The first time you go to the hospital, the doctor will do the following tests and examinations for your baby (each hospital program may vary to some extent, but there are roughly):
1. The assessment of intelligence and other cognitive abilities uses the "Merriam-Webster Children's Intelligence Scale" and "Wechsler Memory Scale" to exclude whether it is an intelligence problem.
2. Attention detection (Test your child's attention span)
Intelligence tests and attention testing are not allowed by parents. Listen to Wa and I said that the intelligence test is to have a doctor and her ask and answer questions, and then do the questions; The attention test was conducted on a single computer, and nearly 100 graphic-like questions were done in a relatively short period of time.
2. Blood test (to rule out whether it is caused by other diseases), this requires fasting, so it was not done on the day, and then an appointment was made to do it specifically, and the results of the blood test could not be released on the same day.
3. Trace element examination (to exclude whether there is a vitamin deficiency).
4. EEG (45% to 90% of children with ADHD have abnormal EEG. It is manifested as increased slow wave, poor amplitude modulation, irregularity, and unstable baseline, suggesting delayed brain development. Epilepsy should also be investigated to avoid drug-induced seizures.
My baby showed abnormalities after the EEG, and was also asked to go to the neurology department to see a doctor and ask to exclude epilepsy. In neurology, he was hospitalized for 24-hour EEG monitoring. Because I have to be hospitalized, I still need to queue, and the test results take a week to get. Until epilepsy is ruled out, the Learning Difficulties Clinic will not help you diagnose the diagnosis or have any treatment procedures. In addition, we must remember to bring the small book of the hospitalization mutual aid fund when we are hospitalized, we could not find the small book at that time, and we specially went to the government-designated place to make up for this. If you do not use the fund, you must pay the full amount of the hospitalization fee yourself.
5. Brain evoked potentials and EEG fluctuation charts. Abnormalities in the frontal lobes and nie lobes in children with D H D were found, and EEG ultra-slow spectroscopy results also showed possible synergistic dysfunction between neurotransmitters.
You think that's the end of it? Of course it is impossible........
In addition to these tests, a pile of forms called the Child Behavior Rating Scale is filled out, which contains:
1 Parent rating scale, there are nearly ten different name assessment tables in the parent assessment scale alone, which need to be filled in by parents according to the actual situation of their children.
2. Teacher rating scale, this form will be sent to you 4 copies for the class teacher and the main course teacher to fill in. I didn't do it at first, because I didn't want the teacher to treat my child differently before the diagnosis, and I was afraid that the teacher would tell the other children in the class and the child would be pointed at. However, when I went to the difficult clinic for the second time, I was directly returned because this form was not filled out, and I was not allowed to see a doctor. That is to say, all the forms required by the hospital cannot be less.
3 Children's self-rating scale, professional rating scale. This was filled out one-on-one by the child and the doctor at the Nth visit, and the parents could not accompany them, so I had no way of knowing the content.
Finally, after doing various examinations of thousands of yuan in the learning difficulty clinic, and inpatient EEG testing in the neurology department, N times of learning difficulty clinic, the doctor confirmed that Wawa had ADHD. The whole process lasted 3 months and the inspection cost nearly 10,000 yuan. Not to mention the time, the cost of this examination is really not a small amount, the child's medical insurance can not cover, although hospitalization is partially covered by the city's coordinated hospitalization mutual fund insurance, but still need to pay part of it. And these are just diagnoses, and I will share with you the various costs and options of treatment later.