Dr Kondekars approach to Asthma Care and Cure for Asthma like illnesses [OTA] at www.breathingdiary.comDr Kondekar’s PLACE: Pediatric Ld Autism-ADHD Cerebral palsy and Epilepsy Care Services click for more details : Neuro Developmental Pediatrician Mumbai
To download Dr Kondekar’s Booklet on Autism for Parents visit http://www.pedneuromumbai.wordpress.com To Download Dr Kondekar’s Fortnightly Autism Symptom /Goal monitoring chart visit http://www.pedneuromumbai.wordpress.com
To directly fill the Autism history Sheet for Dr kondekar’s Consultation in DSM 5 way, visit https://autismdr.wordpress.com/dsm-5-autism-history-dr-kondekar
If your child is not likely to be autism, but a case related to neurology like epilepsy, CP, ADHD etc you may need to fill history form for neuro cases. visit http://pedneurodr.wordpress.com
to know more about issues related to constipation, repeated respiratory issues that may come along with, visit http://www.kondekar.com or just google with kondekar and the topic you are looking for.
1. MOLTEN METAL – RESHAPING
2. TRAIN WITHOUT ENGINE , WITHOUT WHEELS, WITHOUT TRACK
3. TRAIN NOT PLANE, NEED FOR SPEED
4.DISH ANTENNA – SENSORY INTEGRATION, VISIBLE AND NON VISIBLE SENSES
5.TIME TRAVEL – BACK TO PRE REGRESSION– AND CATCH UP SPEED, CONCEPT OF NEO BRAIN, RESHAPE, NEUROPLASTICIY
6.NEWER CONNECTIONS, PARALLEL CABLES, BRIDGING HYPOTHESIS
7.CHAOS OF COMMUNICATION: INTERNAL TO EXTERNAL , CHILD WILL COMMUNICATE WITH OUTSID ONLY WHEN HE COMMUNCATES WITHIN INSIDE BRAIN
8.COMMUNICATION BETWEEN DIFFERENT CABLES/SENSES/ BODY PARTS/THOUGHT PROCESSES/FROM OBJECTS TO LIVING BEINGS FROM MEANINGLESS TO MEANINGFUL/ TO IMITATIONS TO ROLE PLAYS
9.DISTRACTION AS A RESULT OF NONSENSE STORY OF A NONCOMMUNICATING OFFICE DSM 5 WAY
10. NO ADVANTAGE OF SEVENTH SENSE IF SIX SENSES NOT IN ORDER
11.IMPULSIVITY, ANXIETY AND HYPERACTIVITY AND RRB A RESULTS OF INSECURITY OF SENS EPERCEPTION
12. PRUNING- SYNAPSES- CONNECTIONS-RAS-TRACTS
13. NEUROPLSTICITY- LONG WAY TO GO, NEVER TOO LATE TO START NOW
14.AGE IN ROPRIATENESS IS DEFICIT.. THATS THE KEY TO UNDERSTAND
15.ITS RIGHT FO EVERY CHILD TO LOOK LISTEN TALK READ FEEL WRITE .., AGE APPROPRIATELY. ITS WISE TO STAY ADVANCED.
16. DONT RUN FOR LABEL, ASK FOR A CHANGE.
17.MAKE YOUR KID SOCIAL AND NOT SPECIAL.
18.HOLISTIC DEVELOPMENT AND NOT JUST CARING AS A PET OR A MACHINE.
19. GOAL : SCHOOLABLE, THERAPIABLE
20.HABILITATION, AND NOT REHABILITATION
21.IF NOT NOW, NEVER
22.MANAGE EVERY SYMPTOM, GOAL DIRECTED- IN STEPS. DONT LIVE WITH A SYMPTOMS GLORIFYING IT.
23.ENGINEER, BRIDGES AND RAW MATERIALS, EARTH QUAKES, BASEMENT, WHAT TYPE OF HABITAT, HOW BIG, HOW LONG?
24.THERAPY AS TUTIONS APPROPRIATE FOR AGE AND STAGE OF DEVELOPMENT, MEDICINES TO MAKE TUTIONABLE.
25.PHASES AND STAGES OF DEVELOPMENT, RECOVERY , MEDICINES, TIME SPANS
26.EMOTIONAL AND BEHAVIORAL, FAMILIAL AND SOCIAL, UNDERSTANDING AND BONDING, IS EARLY STAGE OF COMMUNICATION
27.CLUTCH, ACCELERATOR, PETROL
28. NEED FOR SPEED
29. COMPUTER ANALOGY, HARDWARE, FORMAT, OPERATING SYSTEM, SOFTWARE, VIRUSES
30.LEARNING IS LIFE LONG, WHERE TO STOP IS INDIVIDUAL CHOICES
Dr Kondekars Protocol : Neuro developmental Pediatrician
How does Dr kondekar treat Autism cases:
Dr Kondekar’s Autism management protocol:
Step 1: Discussion with parents about confirmation of diagnosis and understanding seriousness and need for confirming or ruling out other diagnoses. Neuro Developmental pediatrician Dr Kondekar Doesn’t advice any serious evaluations or tests at the onset of treatment, as no treatment or therapy should be pending diagnosis or tests even if diagnosis may not be what we assume. As a part of research an EEG, MRI-DTI-tractology , PET brain and clinical exome sequencing for autism are few tests which may help in understanding, explaining and monitoring progress. technically all may come normal. its good that all comes normal, so that normal brain can be trained better.
Step 2: Sharing of videos [whatapp 9869405747] with neuro developmental pediatrician Dr kondekar to make Dr understand the case. Please insist on what child is not doing as per some age rather than showing only what the child is not doing. this helps in developmental assessment of suspected autism children. Dr kondekar will also share with you videos of parents who have benefited by this protocol in 100 days, with prior permission. every speech and communication delay may have many hidden things beyond it. pure speech delays certified by developmental pediatrician need hearing evaluations like BERA, CT cochlea, Cochlear implant etc which will never be A case with suspected autism spectrum.
Step 3: Autism is autism there is nothing to be happy and neglect everything saying mild autism. Every child has a right to get evaluated by developmental pediatrician. Dr kondekar will plan early goals for first 100 days depending on the data your provide. if possible, its always preferable that developmental pediatrician will have clear idea about the case, even before you plan an appointment. to save time during consultation in quality counselling and planning, developmental pediatrician recommends that you fill up two forms available at http://www.pedneuro.in
At this website there are two easy to fill forms. one form is about birth milestone and neurological history and other form is about DSM 5 criteria for autism evaluation. These forms need single word or yes no answers. You can surely give any extra details you have. you may share your past experience and medicines too. you may download a free FAQ pdf booklet available at this site prepared by developmental pediatrician. This small booklet of few pages is must read for general understanding and hopes in autism. it will also explain you how communication develops or altered.
you can also download a five minute objective weekly symptom monitoring chart for autism monitoring where you give scores of -5 to 0 to +5 for each parameter to worry and observe weekly or monthly progress. Prepare a list of questions before you visit Dr or plan an appointment for each visit.
Step 4: Direct consultation with Dr in Clinic or Video call. In this, Developmental pediatrician will make you aware of pathophysiology, developmental delay components of disease. Hidden issues. Dr will use Ages and stages questionaiire, DDST 2, VSMS for social IQ, DSM 5 for autism and MCHAT-R/F , ISAA, CARS2, AIIMS INCLEN modified tool for autism DSM 5, sensory profile components as per need. There will be no extra charges for these assessments or test or evaluations unless you need a report to be shown elsewhere. Developmental pediatrician Dr kondekar also has his own goal based assessment/ tool which will be applied in each patient in clinical consultation. During the phase of data collection, developmental pediatrician is also simultaneusly assessing the child for various inputs for tool/tests, added a clinical examination. This is the most crucual step involves keen inspection by developmental pediatrician.
Step 5: Once assessment is done, in the same clinical setting developmental pediatrician dr Kondekar will disclose you probability / possibility of same or different diagnoses after going through your reports. Remember developmental pediatrician may not advice any tests for diagnosing autism, but may be for ruling out. Tests are not must for treatment for therapy at least in early phase.This involves great counselling. In doctors experience many parents go through stages of rejection and denial of diagnosis before accepting the facts that there is developmental delay and there is need fro speed to prevent the child from losing catchup with schooling. remember time wasted and treatment or therapy delayed is disability created and age for learning /schooling lost.
Step 6: Developmental pediatrician will make you understand need for Speed and Concept of neuroplasticity. Concept of initiation, regulation and consolidation stages of different milestones. Accordingly, parents will decide key 3 goals for next 3 months to be seen as improvement in the child.
Often the key goals are Eye contact, response to commands, vocalisation, structured activities and restless / hyperkinetism. As per the goals Dr with issue a prescription of medicines and Therapy. Most kids usually discontinue therapy seeing response with medicines but that is not recommended as therapy is like tutions… tutions for LKG/ SKG/first std.. etc
Step 7: Medications prescribed by Dr Kondekar are easily available and free of any side effects. if any side effects for any new drug added as per need, developmental pediatrician will make you aware of the side effects if any. doctor may use 5-6 different medicines or nutrients or a mix of them as per need, indication, complications or parental anxiety and the predecided goals of holistic neuro-developmental-nutritional-pediatric-respiratory-gut-weight and age of the child. Dr may use one or many of these medicines in groups in phases and stages to achieve hopes in directed goals. the medications are in 3 monthly three stages in most situations .. usually 3 months initiation, 3 months consolidation and 3 months maintenance. none of the medicines unless started for seizures or neuro psychiatric issues need not be taken for years or life. Usually, after 2 months or 3 months Dr starts tapering medicines by giving weekly off to medicine depending upon the case. in first three months, being a phase of titration, developmental may call you weekly or two weekly or three weekly depending upon judgement of Dr in a given case, expecting the hopes in directed goals and parental anxiety being kept in mind. each consultation will be between 30-60 minutes as per need decided by Dr. On an average. One needs five visits in first 3 months and then monthly or two monthly or as per need. donot forget to ask key diet restriction. Also understand that Dr Kondekar doesn’t not recommend any fixed time or relation to time or food for any medicines he prescribes for neuroplasticity.
Also Ask Dr Kondekar to advice instructions to therapists, to set collective goals.
Dr Kondekar Santosh Neuro developmental pediatrician Byculla West South Mumbai