Now we are into 1997 and hes on a combination of Prozac,
Amphoteracin B and a little kyodophilis. His speech is getting better but his behavioral
problems are still there. Remember what I said on the other child. Just because your
children are functioning better cognitively doesnt mean theyre going to decide
to listen to you and behave. In fact, you almost get the other direction. Theyve
never gone through the normal 2, 3, 4 year old, "Whos in charge?". So what
I had to get used to as a pediatrician is a 6, 7 year old child giving you the
terrible twos. The trouble is they can be a lot more destructive and a
lot bigger problem at that age. But it really is just a behavioral development. The brain
has to grow up and mature.
So, this child was doing well but still had brief periods of
spaciness. I changed him to Diflucan, re-adjusted Prozac and he actually went
through a little period of readjustment where he did worse, but then came out of it doing
better. This is something that Ive gotten used to with many of your children.
Its like when you first make the adjustment on an SSRI, if a child goes hyper,
bouncing off the walls, and it lasts more than a day or two, I generally know thats
not going to be the right thing for that child. But, if they go spacey or a
little zoney, Ive begun to appreciate that maybe its reflecting
that youre turning on these circuits that havent been working. I almost look
at it like the kid is overloaded for a while, but then starts to process.