Speech Disorder - BSER Test

ummimon

Originally posted by ummiaqeel at 28-7-2008 11:11 PM
rasanya boleh refer kat thread anak comelku autistic spectrum disorder, kat section Parenting Tips and Issues. Anak saya, 3 yrs old 31 August ni, pun ada masaalah ni...

Few weeks back kat Beri ...

bukan saya tu.
yang sulung tu mmg boleh speaking english dgn slang bagai tapi takdelah berabuk! dan kebetulannya adiknya pulak tak bercakap.

so far, kami belum sampai ke tahap assess utk austistic. paed dia kata most probably not but possibility still ada. unless sampai ke assessment yang itu, baru boleh tentukan dia autistic or not.

so, your son ni u dah buat apa ek? boleh share? saya ni masuk tahap berdebar jugak bila audiologist dengan ent sp tu kata we're referring to them 2 years late!

ummiaqeel

Rasanya better you check kat thread yang saya katakan tu, byk info kat situ..
Anyway, my son, I bawak gi HUKM masa early this year, doc diagnose as mild autism, x de hyper, cuma actie masa budak2 biasa, boleh sit down lah. Tomorrow gi jumpa doc lagi (after 6 mths!). Monthly eversince jumpa doc gi speech & occupational therapy kat HUKM. Hearing test dah buat, Alhamdulillah OK. Am about to start ABA Home Program.
Ada lagi I cerita pasal anak I kat thread Anak comelku Autistic Spectrum Disorder tu...

Now autism case on the rise worldwide. Kalau x silap I, one in every 150 birth.. scary kan...And x de sape tau what's the causes

ayamkatik

ummimon,

I buat ENT kat pantai cost dalam RM60++
So my paed tanya i company cover ke. i cakap sendiri bayar.
So dia suggest gi govt sebab cost untuk child psycologist mahal. (i dah check 200++ pervisit) kalau sebulan sekali no problem tapi kalau dibuatnya seminggu sekali memang kopak le.
So i pun call Klinik Audiologi dan Pertuturan UKM (dekat tasik titiwangsa) dalam dua minggu speech terapi call for appoinment.
Klinik UKM milik govt so murah je.
Pendaftaran RM30 dan RM5 pervisit. Kalau keje gomen free.
Dari Klinik tu speech terapi buat surat register ke HUKM untuk child pcycologist.
Nak dapat appointment dengan HUKM memang lambat. selepas sebulan baru minggu lepas  jumpa nurse untuk screening dan Child psycologist dan tengok result dan mengatakan my son GDD.
Dari result tu jumpa doktor next month.
Cost HUKM pun sama RM30 pendaftaran and RM5 pervisit.
Tapi child psycologist pun ada recommend untuk buat aktiviti kat luar seperti masukkan dia dalam playgroup supaya dia lebih banyak bergaul.
Sebab kalau kat kindy dia kena push belajar tapi kat playgroup dia lebih banyak main.

Tenko

Dedulu, aku pernah wat posting psl anak sulung aku yg doc ckp speech delay.
Tp, aku dpt detect the problem masa umur Abg Long 2 thn.
Dia mmg slightly hyperactive mengikut kata doc.
Aku start detect bila aku rasa Abg Long tuh lain sikit dr bebudak yg seumur dgn dia.
Bila tgk anak member2, Abg Long nyer behaviour tak sama ngan anak2 diaorg.
So, since that, aku sokmo observe Abg Long.
Masa umur dia 2 thn, dia tak leh put 2 words together cam... "Nak air".
Dia nyer speech cam bdk umur 1 thn.
Kalu nak air, dia just ckp "air" jek.
One more thing, dia lbh paham BI dr BM even though aku tak train sgt.
Doc ckp, bebudak hyperactive mmg lbh cepat "tangkap" BI dr BM sbb BI tak byk suku kata.
Bebudak cenggini tak rasa speech tuh penting sbb depa byk salurkan apa yg depa nak through action.
Although kita rasa anak2 kita tak ada hearing problem but the procedure tuh mmg menetapkan bebudak yg ada problem ngan speech mesti undergo hearing test ngan pakar ENT.
Kalu nak citer psl hyperactivenya Abg Long... mmg byk la!
By 2 yeras old, dia terjun dr tingkap rumah ke bwh.
Pastu spray aerosol ke muka dia sendiri la, mcm2 lagi.
Since kat Ktn tak ada behavioural terapist so kitaorg kena refer ke KL.
Kat sini just ada speech terapist jek.
However, aku ngan hb decide, we try our own way dulu utk bantu Abg Long.
Mmg kita kena bykkan bersabar melayan karenah anak2 cenggini and kena sokmo berckp ngan dia.
Abg Long leh ckp BM btl2 masa dia masuk Tahun 1.
Before that, dia byk ckp BI yg kdg2 kita sendiri tak paham apa yg dia ckp.
Now, Abg Long dah Tahun 3 and pengawas sekolah lagi.
Belajar pun so far ok la... tak pernah drop dr top 3.
However, dia nyer speech dlm BM still a bit terabur gak la but undertandable than before.
Alhamdulillah, member2 dia tak ada yg ejek2 dia.
Aku pun sokmo citer kat cikgu2 dia tentang problem Abg Long.
So, seme cikgu tau la condition dia.
Masa Tahun 1 dulu, dia mmg tak masuk kelas.
Dia bantai berlari keliling padang sampai la time rehat.
Lps rehat, dia tibai meround area sekolah.
Dah setgh thn, baru la nak masuk kelas.
Down deep inside my heart, I'm so proud of him.
Masa memula tau problem Abg Long dulu, aku ngan hb sokmo tanamkan dlm diri kami, we're not going to put high hope on him.
So, apa yg Abg Long capai skrg nih mmg beyond our expectation la.
Cuma, bebuday hyperactive nih... nama pun hyper so depa nyer feeling pun a bit hyper.
Kalu dia sedih, dia leh jd sedih sgt.
Kalu marah, leh jd marah sgt.
Kalu happy, leh jd happy sgt.
Yg kelakarnya, bila dia nak tolong cikgu angkat brg, dia akan tanya... Blh cikgu tlg saya?
Pdhal sepatutnya... Blh saya tlg cikgu?
Hahaha...

mder

rasanya semua parent yang ada anak with speech delay ni memang akan rasa stress...........especially kalau ada anak lain/kawan/cousin  yang petah bercakap..... what i did pekakkan telinga.......... so ummimon, just pekakkan telinga, and just focus on his ability alone........sometime if we too hung up on verbal skill, we miss out on other wonderful stuff that he did.......
    we started off ngan speech theraphy......and gradually sent him to nursery......luckily cikgu dia baik-baik...they won't stress him so much.....diaorang layan jer kerenah dia.....
    tenko, u are right, for them lagi senang cakap BI dari BM........and i believe mandarin should be easier for them....tapi mana reti cakap apart from few words.....
    but emotional ni jgn cerita la....mungkin sebab payah nak express feeling.........kadang hal kecik jer.....like yesterday.....tertinggal kasut adik dia akt nursery........adik okay jer.....si abang yang melalak......
    first time dia boleh create a full sentence........."i want to drink susu"........rasa dunia ni memang indah sangat............
    this morning, I ask him"aiman sayang cikgu tak".......and dia jawab "mamau sayang cikgu"......"aiman sayang abah"......it meant nothing but for me it meant a lot coming from him...

MrsJohn

Originally posted by Tenko at 29-7-2008 01:22 PM
Dedulu, aku pernah wat posting psl anak sulung aku yg doc ckp speech delay.
Tp, aku dpt detect the problem masa umur Abg Long 2 thn.
Dia mmg slightly hyperactive mengikut kata doc.
Aku start d ...

duh...meresapnyer citer ni di hati aku. .....

mder

mendap lagi

ummimon

Originally posted by ayamkatik at 29-7-2008 12:03 PM
ummimon,

I buat ENT kat pantai cost dalam RM60++
So my paed tanya i company cover ke. i cakap sendiri bayar.
So dia suggest gi govt sebab cost untuk child psycologist mahal. (i dah check 20 ...

HUKM dekat dengan my house. kalau direfer utk apa2 pun maybe ke sana lah kot since I pun bayar sendiri.
Thanks for sharing

ummimon

Originally posted by Tenko at 29-7-2008 01:22 PM
Dedulu, aku pernah wat posting psl anak sulung aku yg doc ckp speech delay.
Tp, aku dpt detect the problem masa umur Abg Long 2 thn.
Dia mmg slightly hyperactive mengikut kata doc.
Aku start d ...

makaihh... dengor cerita aje pun dah penat. bunyi cam comel je kan tapi makpak yang menghadapinya tataulah nak kata. seligat2 anak saya, tak pernah lagi dia pi spray muka sendiri or terjun tinggi2 gitu. sebenarnya ada sekali dua dia attempt nak terjun tapi saya sempat sambar

ummimon

Originally posted by mder at 30-7-2008 01:12 PM
rasanya semua parent yang ada anak with speech delay ni memang akan rasa stress...........especially kalau ada anak lain/kawan/cousin  yang petah bercakap..... what i did pekakkan telinga........ ...

my son ni so far paling panjang ayat dia was 3-words. 'kakak yuyuk ataishh' (kakak duduk atas). by far itulah yang paling panjang. lelalin 2 words bila nak mintak nasi, air, makan. most of the time single word. kalau tak pun, dia heret kita and tunjuk apa dia nak.

but like you lah, when he said kakak yuyuk ataishh tu, it was like a magic to me. another time masa dia mula2 start kindy, he got in the car and suddenly pat my head and said 'apa khabar' - loud and clear, no pelat. that was the only time lah.

ayamkatik

Macam my son, kalau dia dapat perkataan baru, i rasa seronok sangat.

Sejak dia pergi speech terapi, makin bertambah vocab dia.
Walaupun masih belum ada two way communication dengan dia tapi i rasa bersyukur kerana dapat melihat perkembangan dia.

paulinevoon

just wanna share an article i got from yesterday's newspaper...

Originally posted by paulinevoon at 31-7-2008 10:08 AM
just wanna share an article i got from yesterday's newspaper...

http://img523.imageshack.us/img523/5321/20080731xz9.jpg

thanks pauline.
i've long stopped comparing too much between my kids and others'. afterall children grow at their own pace. to be frank it took me quite sometime to admit to myself that iman has problem. especially when he has a cousin at his age who can read a bit at 3yo. but iman could hardly talk! lama-kelamaan i learned to stop comparing and shut down comparisons thrown in by aunties/uncles/grannies. my focus is to help iman now.

iman has a younger brother. now coming to 3 months old. with iman being himself, all the limelight is still on him walaupun dia ada adik kecik. and thank God, his brother seems to understand what's going on. he makes minimal fuss and easy to care.

mder

one thing i like about my son........ kalau adik dia terjatuh ker, example this morning, jatuh tepi kasut bola i...... teruk la beg tu kena tendang ngan dia.....same goes ngan peti ais or almari......jsut becoz adik dia nangis sebab terlanggar benda tu.....
last weekend pegi rumah great grandpa dia......adik dia tersadung carpet, berdarah la mulut.....teruk jugak dia kerjakan carpet tu....

me & my wife gelak, and said to him, mesti semua orang takut nak jadi boyfriend adik hang........ .....protective sungguh.......tapi once a while bila dia geram, dia pok jugak adik dia........

paulinevoon

must be hard for u..

u made the right move to seek professional advice.. but do maintain good communication with your son.. cemana pun parents are the best teacher, best example figure & are the best remedy for such little kids.. they need us most.. cam i, i treat and speak to my son like he were a grownup.. i bantai je samada dia paham atau tidak.. nonetheless, i believe dia faham... and in due time he will speak his mind out..

ummimon

Originally posted by mder at 31-7-2008 11:46 AM
one thing i like about my son........ kalau adik dia terjatuh ker, example this morning, jatuh tepi kasut bola i...... teruk la beg tu kena tendang ngan dia.....same goes ngan peti ais or almari. ...

ahhh... so cute!

ummimon

Originally posted by paulinevoon at 31-7-2008 11:58 AM
must be hard for u..

u made the right move to seek professional advice.. but do maintain good communication with your son.. cemana pun parents are the best teacher, best example figure & are  ...

true.
i remember buying a toy lama dulu. siap ada warning that goes something like this 'whatever the toy does pun, still parental involvement is the best'.
i am a working mom. i have limited time to spend with him. if need be (depending on his other assessments and suggested theraphies and its kind), i don't mind quitting my job. cuma nak kena adjust financially lah.

paulinevoon

absolutely.. parents involvement penting.. i noticed that.. esp. if the daddy join sama.. he picked up even faster & will show more interest..

act. this is also the reason why i delay nak beranak lagi satu.. i am also a working mum w/o maid.. so my time is also very limited.. skrg ni i dah tukar schedule buat kerja rumah.. mlm lepas dinner i terus luangkan masa bersantai dgn anak, play dgn dia, sometimes read him books, etc etc.. masuk tidur pukul 10.. pagi bangun pukul 5 baru la siapkan semua kerja rumah..

ummimon

hai semua.

my son dah undergone hearing test. tak buat BSER tapi behavioral audiometry. according to the audiologist, budak besar tu (4yo) susah nak lelap even after sedation.

it was a test through playing games. bila ada bunyi, he needed to do something like staking blocks or putting shapes into place. mula2 dia cooperate. masuk 2nd game he got restless and needed so much of coaxing. completed the test in 1.5 hours. resultnya -> hearing normal.

i went to innovative hearing in jalan ipoh, btw.

we went back to ENT specialist. kena refer to child psychiatrist pulak. utk buat assessment ADD/ADHD/Autisme. we are thinking of dr Rose Peng in APSH tapi belum betul2 decide. at the same time, tgh dok cari speech therapist ni. kalau ada sesapa come across, pse let me know ya. can pm me as well. and kalau ada info, what to look for in a speech therapist/sessions.

sharing few photos during the test.

honeybee1802

saper leh bgtau mcm mana aku leh arrange appt nak buat assessment test utk ADHD kat spital serdang (ada ker?) or other gomen spital?...last year aku ada bwk anak aku juper private child psychologist pasal hal lain, dia ngk anak aku dia ckp maybe ada skittt mild hyper nih...aku waaa..kalo gi shopping complex..aduss..pengsan aku nak ngejar wehh...skang dah 4yrs old, so aku kire b4 msk skolah nak test sesaiap kot ada skit2 leh inform cikgu awal2 kot anak aku buat main dlm kelas jgn marah sangat...hhehe...