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» LymeNet Flash » Questions and Discussion » Medical Questions » Suggestions on classroom approaches for children w/Lymes?

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Author Topic: Suggestions on classroom approaches for children w/Lymes?
Lymeindunkirk
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Does anyone have any suggestions or know of any publications that can help in dealing with the school and Lymes? He presently has a 504 plan for inattentive ADD and executive dysfunction. Of course now I realize that both of these learning disabilities adiagnoses are symptoms of Lymes and coinfections. I have a meeting with school in a couple of weeks and would like to hear of other's experiences and suggestions that may help me in explaining Lymes to the school and getting their help.
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cootiegirl
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Go to www.lymediseaseassociation.org . There you will find some very good articles written by lyme literate docs on children and how lyme effects their learning. Also go to the 'archives' under the menu and click on '2004'. You will find an excellent article written by Pat Smith about lyme and how it impacts kids in school. I used that particular one with my boys for their schools when they had their CSE meetings this year. One of my sons has an IEP and one has a 504 - their dx - inattentive ADD for one and 'OHI' (ADD) with the other....so I can certainly relate!
cootiegirl

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hwlatin
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I guess my question to you is are his needs being met with the 504. Most schools would like to keep a child with medical issues in a 504. Reason being is that while Section 504 is the root for equal education, it provides very little in the way of mandate for the school.

The IEP created under the IDEA which was recently modified as of December 2004 gives a pathway for a child to realize goals set out in Section 504. Essentially it sits on top and a way of emplemeting section 504. Once you are able to define the needs of your child in order to give him a level playing field the school district must provide him with those services, or give you an alternative, i.e. private school at district expense.

By the way your local school district is required to provide you with these sevices even if your child is home schooled or in a private school.

It is better to have the IEP in place, because it is better defined, but if his needs are being met by the 504 the school will probably tell you that there is no need.

If you feel that the 504 is failing him at all you need to push the school for the assesment. If they decline the assesment, ask for the following:

Official school records, including but not limited to Student Records, Observations, Disciplinary Records, Teacher Reports, Progress Reports, Grades, Student Study Team participants along with their qualifications, Student Study Team process for determining eligibility to proceed to an IEP, Student Study Team notes on my son's assessment and any other information contained within.

Be very clear that you feel that your son's needs are not being properly addressed by the 504 and why you think changes should be made. Schools do not receive alot of funding for 504's, so most of the accomidations do not include resourcing. They focus on time for test taking, quiet areas for the student to study, special test reviews, basically stuff that does not require alot of funds.

Districts do receive money for IEP's but the problem here is that the amount of money that a district receives is no longer covering the needs of all the children they are required to serve, so the districts are starting to push back and limiting the IEP's. HR1350 passed and signed into law in December 2004 gives the school some ability to limit access. The problem is that more and more students are legitamitly qualified for an IEP, so it is becomming more necessary for the parents to stand up and be an advocate for their child.

That is why it is important to get all of your information together prior to any meeting. Make sure it is in writing, and repeat over and over again, in order for my child to have a level educational playing field, he needs the following services. Remember the IEP is not just for a student doing remedial work, but it is as much as for a gifted student that is not living upto his abilities because of his disabilities. So even if he is clasified as gifted he is still eligable for an IEP if he has disabilities.

Good luck

[This message has been edited by hwlatin (edited 25 April 2005).]


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pippy
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Hi
Ask for psychoeducational assessment in writing. The school district has a certain time limit by law in which they must respond to your request. There are some excellent measures of attention, retention, and processing that can and should be done. hwlatin is right that as a parent, you need to advocate for your rights to have your child evaluated and for the evaluation to constitute more than just the IQ/ Achievement discrepancy that is normally used as criteria for qualification for services.

Most districts are overburdened with the number of kids to be tested and the limited spaces available for certain programs. Do not let those constrains get in the way of exercising your rights. They will most likely try to argue with the need for assessment and services, but as a parent you have rights every step of the way. OHI "other health impaired" covers a wide variety of handicapping conditions (such as neurological lyme disease) that qualify a child for an IEP. There is great latitude here to get your child the accomodations and/or services needed.
Good luck to you!


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pippy
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sorry, my lyme brain is acting up...i forgot to ask you if your son has already had an evaluation? Your question suggests that he had an evaluation of some kind. If he already had a formal eval and did not meed criteria for IEP, can you show how the 504 is currently not meeting his needs?

504's are harder to enforce the higher up in school the child is (more teachers to deal with ). They do get overlooked but that does not mean they cannot be legally enforced. They ARE legally binding, yet they tend to be more vague. If a 504 is not being followed or not meeting your child's needs, you have the right to bring non-compliance charges in the worst case scenario. An IEP is more closely monitored for compliance.

If you can show that your child needs more than a 504 due to the degree of disability from neurological lyme, then you can demand an IEP be put in place. When the school knows you will go after them if they ignore the 504 they may bend on the issue of the IEP.

We had a parent sue the district because their middle school child's teachers did not follow the 504. She won the lawsuit and the teachers were taught a hard lesson. The child got an IEP and it was followed to the letter.


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pippy
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Sorry to keep butting in...I have read that neurological lyme disease is much like a TBI or traumatic brain injury. I would get info. about the encephalitis that is caused by lyme and present it to the school. Another thing about lyme is that it tends to wax and wane. Some days your son may not need as much support and other days he needs more. Some days he may not look like a learning disabled child and some days he may be incapacitated.

It can get confusing to outsiders why he can do it one day but not the next. Some educators will think that he does not have a true learning disability if his performance is variable. They will explain it away as being an "attention deficit" problem. While neurological lyme shares features of ADD and other disorders, it also involves other bodily systems, fatigue, vision issues, etc.

An injury to the brain would cause similar symptoms that wax and wane. It would be helpful to present information to the school about the variability of symptoms from one day to the next as well as neurological features of lyme and co-infections.

The school psychologist should know how to administer neuropsychological testing for some of these processing difficulties. Given that the processing deficits may vary from day to day, the testing should not be done in less than several sittings on different days and times.

You can back up your case with any and all records or documentation you wish. Testing alone does not decide who qualifies and who does not, although most districts try to get away with that.


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bg
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I have no kids with lyme, etc. but you mentioned books.

2-05, LDA came out with a book for 8-12 year old children, and written in user-friendly language:

LD for kids: Let's have fun for $6 includes S/H.

I learned a little from that wasn't in 8-04 that wasn't in adult's LD UPDATE: Science, Laws, & Policies....$12 - $15 including S/H.

I also recommend each school buy both books ot have in their school libraries & public library.

Bettyg, Iowa


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Lymeindunkirk
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thanks for the support! I am already a huge advocate for my 9 year old. I really appreciate the information given. My son already has a 504 plan in place for inattentive ADD and executive dysfunction but I plan on having the reason changed to Lymes. My plan is to make a packet of information on Lymes to hand out in my next meeting. All of the info provided here has been a big help. I am going to attempt to explain why my child has "on" and "off" days. Prsently he is in the regular classroom making A's and B's and if it weren't for those off days where he will get a C,D or even E out of the blue he would be a straight A student instead of an A & B student. He tries hard but as you all know the Lymes symptoms need to be recognized for what they are. I wonder if I can get them to put in the 504 plan that the teacher must read my "packet" of information to educate herself about Lymes and co-infections. I'm going to try.......thanks again for the information. Its nice to know that your not alone. I also plan on sending each member on the school board my information "packet". Perhaps one day they will understand that probably half the kids with 504 and IEP plans all have Lymes and coinfections. I used to attend a local chapter of the Learning disability assoc. meetings on a regular basis. Now that I have been Lymes educated I am trying to educate them as well. I hope that if I talk about it enough someday it will sink in. If you find out any other info that will be helpful in the future don't forget me. Post it for me to read.
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Yoda
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Here is a great pamphlet:
www.lymediseaseassociation.org/ABCsLYME.pdf

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hwlatin
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The schools have their hands full. In Los Angeles the number of students clasified as ADD/ADHD has gone through the roof. This is not fall back diagnosis, this is a reality, my mom who retired from teaching last year, has said that her and the other teachers can not believe that so many kids are truly ADD/ADHD.

In my sons elementry there are 25 kids out of 1000 that are diagnosed with Aspergers. 45% of the school is diagnosed with ADD/ADHD, there is now a full time VP dedicated just to IEP's. The CDC now lists Autistic Spectrum kids at 1 in 166. By definition you can not have an epedemic of Autism. Whether it is Lyme, mercury from vaccinations or other infections, the end results are probalby all related.

It is unbeleivable what we have done to our kids, and lies that our government is spewing on the American public.

[This message has been edited by hwlatin (edited 26 April 2005).]


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cootiegirl
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Just one important point for you....it may sound a bit petty, but as his advocate you need to be the most knowledgable. Make sure that you refer to your son's illness as 'Lyme Disease' or 'Lyme', not 'Lymes'. It is a common mistake, but one that we as members of the Lyme community need to make sure is corrected.

You have gotten some great advice from people here. In my case, I have actually had better results from the 504 than the IEP - go figure! Totally different teacher mix - the high school teachers (504) have been unbeliveably supportive, compared to the Middle School teachers (IEP). Believe me we keep on the Middle school ones and they are more 'beholden' by the law, but it just seems like there's more teeth pulling...

I think regardless of what you have for your child, if you remain a strong advocate and work closely with his teachers, he will get the education he has a right to.
cootiegirl


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Lymeindunkirk
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I attend a lot of meetings here with the Learning disability chapter in Calvert county, Maryland. I take an advocate to every 504 meeting, including the very first one. The school was quite surprised at the first meeting. I am a very fast reader so I read about four books on learning disablities so that I as informed for my meeting and was able to participate rather than just sit and listen. I had also scheduled an appt with a neuropsychologist before my son's first 504 plan meeting. I didn't trust the school to know what they were talking about as the schools Learning Specialist couldn't answer my very direct questions. I got the old I haven't been trained for that. The woman was a regular classroom teacher the year before. She didn't seem to appreciate "Why can't you answer my questions, your title indicates that you are a specialist in learning?" I believe my comment is what started our meetings..... My advocate, who is the President of this LDA(learning disability assoc) chapter, also suggested I request that the school nurse be at our next meeting, but I didn't realize why. Thank you for the suggestion Imanurse. I will call tomorrow and request a meeting prior to our 504 meeting. That was a really helpful idea. I'm going to call my friend whose son also has Lymes to give her your suggestions. Her son seems to effected a lot more than my own with the Lyme and as a result is having a much more difficult time with her elementary school. I'm so glad that I posted this subject. You all have been more than helpful. Yoda, I agree with you. The schools do have their hands full. I feel for all of the teachers and can understand their frustration levels but that doesn't mean that I will let them get away with not helping my son. I understand their point of view but I always remember that their problem isn't my problem. My problem is to be my son's advocate and to make sure he is given the attention and education he deserves. The schools are spending more and more money for children with disabilities. I wonder where it will all lead to..... I have a dear friend who is a high school teacher and I am sorry to admit that she has lost patience with the children themselves. Soon she will move on to teaching college. I just hope that most of the qualified teachers don't leave the system for something else. The teachers here are paid very well but I know in other places they aren't. I'm all for paying teachers more. It seems to reason that the more they are paid the more competition there will be for those teaching positions. thanks again for all the info.
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Yoda
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Hi,
Short and blunt. Most people have no idea what to make of LD. The majority think that it is a nuisance that can be easily treated with some antibiotics. (even in NJ!)

As a Learing Consultant in the public schools (and an LD sufferer for 15+ years) we see our share of kids with LD. I even had one girl who had a stroke caused by LD. There are no standard protocols for LD accommodations in the classroom since everyone presents differently. The point being that all kids with LD who are struggling in the classrrom must be assessed individually for educational impact. Once the educational impact is defined, modifications can be devised to fit that child's needs. If there is no educational impact, the child does not need an IEP or a 504 Plan.

You are right to arm yourself with information if the school district is ignorant. Try your best to work cooperatively with the school district, the more effectively you can communicate your needs in a pleasant manner, the better for all involved. Things can get in place quicker without due process etc...

Educate them so that they are in a better place for the next child who comes along with LD.


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shazdancer
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My son was originally diagnosed with severe depression. He was evaluated at school. He tested very high in most areas, but had below average scores in speed processing and auditory processing. Despite this, they judged him normal, and not worth an IEP.

But when his standardized test scores plummeted, THEN they wanted another look at the IEP!

This was in Connecticut, BTW.

Just about then, he tested positive for Lyme. I showed his test scores to Dr. Jones, who said the speed processing score was a red flag for Lyme.

I have moved to Maine, and they have been wonderful to accept and modify his IEP. He is s-l-o-w-l-y improving.

More in the morning -- I'm pretty bushed.

Regards,
Shaz


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pippy
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imanurse has a good suggestion. if the school still has a nurse, it would be a good idea to have him or her at the meetings and to help with the medical side of it. The more professionals you can involve in your child's education, the better.
School nurses are great advocates for kids with special needs!
they check up on the kids to see how they are and even have office hours so that kids can feel good about seeking help when they need it.
It is really a shame that the schools ax the nurses when in budget crisis.

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Lymeindunkirk
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Hey shazdancer. Thanks for the reply. I have a good friend whose child has an auditory processing problem and she has been having a hard time with her elementary school. I'll have her look at your post. She may want to email with you if its okay for more info.
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DeniseBunty
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Hi I truly believe that Lyme causes many things like ADHD ADD Aspergers, my son is now diagnosis as Aspergers they thought he was ADHD/Tourettes, he has tics. The local schools here have a hard time believing it is Lyme and Asperger, I am from PA and went to a seminar at Penn State was the best thing I did they opened my eyes to Aspergers but I could not seem to convince others, till now, you have to use different ways of helping these kids, my son is in a Emotional Suport class, but it is not helping his behavior, he can not control his talking,we are now trying differnet ways that sem to help him.
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pippy
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I agree with the other posts that Asperger's and the autistic spectrum disorders are on the rise and are directly related to pathogens like lyme disease. Modern psychology has yet to acknowledge what our LLMD's already know: these bugs affect the brain in ways we do not yet know. Every day studies and papers in scientific journals are pouring in about how these bugs are being implicated in almost every neurological condition there is....more will be revealed. Mainstream medicine is lagging way behind. There will be a day soon when all of this will be common knowledge.
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shazdancer
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Dear Lymeindunkirk,

You're welcome, and sure, your friend can contact me at [email protected] (or just click on the Lymenet link).


Now, the rest of the story (sorry, was getting over a Meprom/Zith herx)...

When my son tested positive for Lyme, I had the school change his IEP designation to Lyme disease. I had a note from Dr. Jones giving a list of my son's symptoms due to Lyme (including fatigue, impaired concentration, depression, noise sensitivity, etc.) and suggestions on how the school could cope with them (open attendance, tutor, less written work; which might need to be changed from day to day, as his symptoms fluctuate).

School personnel are not medical doctors. They are not supposed to question the doctor's diagnosis. They are supposed to work with you to hash out a workable solution for your kid based on that diagnosis. If, based on interest and concern for other students, they want to learn more about LD, you can hand them the "ABC's of Lyme Disease" published by the LDA, or other articles on neuroborreliosis. (I have a folder full of them, if you'd like I can list them for you.)

But I leaned heavily, though politely, on that doctor letter. When we moved to Maine, the IEP went with us. The school here immediately adopted it, and has since modified the plan more than once, trying to get my kid into a success mode, from which to build. They have done an admirable job, and put the financially well-off CT school he was in to shame!

Regards,
Shaz


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