<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: Should children with autism be diagnosed at home?</title> <atom:link href="http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html</link> <description></description> <lastBuildDate>Tue, 14 Feb 2012 23:00:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: BA</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113593</link> <dc:creator>BA</dc:creator> <pubDate>Fri, 09 Oct 2009 16:35:12 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113593</guid> <description>I&#039;ve actually seen the data that suggests this device can accurately detect ASDs.  Though I&#039;m interested to see what eventually come out of the peer review process, I believe the deficiencies in verbal behavior that are picked up may correlate with other more standardized tools.  That said, I&#039;m also not excited about the use of such a device as a home testing kit.  The best means of coming to a diagnosis is through sound developmental screening.  By the way, I don&#039;t think a pediatrician is the person for this job either.  A screening (the MCHAT for instance) done by a ped should lead them to refer the child suspected of an ASD for evaluation by a developmental specialist.</description> <content:encoded><![CDATA[<p>I&#8217;ve actually seen the data that suggests this device can accurately detect ASDs.  Though I&#8217;m interested to see what eventually come out of the peer review process, I believe the deficiencies in verbal behavior that are picked up may correlate with other more standardized tools.  That said, I&#8217;m also not excited about the use of such a device as a home testing kit.  The best means of coming to a diagnosis is through sound developmental screening.  By the way, I don&#8217;t think a pediatrician is the person for this job either.  A screening (the MCHAT for instance) done by a ped should lead them to refer the child suspected of an ASD for evaluation by a developmental specialist.</p> ]]></content:encoded> </item> <item><title>By: Nuclear Fire</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113529</link> <dc:creator>Nuclear Fire</dc:creator> <pubDate>Thu, 08 Oct 2009 13:00:46 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113529</guid> <description>You certainly have to have a sense of humor to be a physician these days.A &quot;non-profit&quot; company is selling a technological device supported by their own studies and when a few physicians cite concerns about utility and efficacy they are immediately accused of protecting their turf and acting out of financial motivation.  God forbid we assume they are acting out of a genuine concern for their own patients and the patient population at large.Replace &quot;non-profit&quot; with &quot;drug company&quot; and suddenly you&#039;d see the same paranoids accusing physicians of trying to drum up business by using a poor test with high false positives based on bad data &quot;sponsored by the drug company.&quot;Since ad hominem attacks is the way things are done around here: I think &quot;buckeye surgeon&quot; must be scared of losing out on all the surgical procedures he would have done if this wonderful device was not available.  That&#039;s the only reason he would be mocking such a wonderful scientific advancement.  I bet he&#039;s not even a real buckeye.  Probably roots for Michigan.</description> <content:encoded><![CDATA[<p>You certainly have to have a sense of humor to be a physician these days.</p><p>A &#8220;non-profit&#8221; company is selling a technological device supported by their own studies and when a few physicians cite concerns about utility and efficacy they are immediately accused of protecting their turf and acting out of financial motivation.  God forbid we assume they are acting out of a genuine concern for their own patients and the patient population at large.</p><p>Replace &#8220;non-profit&#8221; with &#8220;drug company&#8221; and suddenly you&#8217;d see the same paranoids accusing physicians of trying to drum up business by using a poor test with high false positives based on bad data &#8220;sponsored by the drug company.&#8221;</p><p>Since ad hominem attacks is the way things are done around here: I think &#8220;buckeye surgeon&#8221; must be scared of losing out on all the surgical procedures he would have done if this wonderful device was not available.  That&#8217;s the only reason he would be mocking such a wonderful scientific advancement.  I bet he&#8217;s not even a real buckeye.  Probably roots for Michigan.</p> ]]></content:encoded> </item> <item><title>By: Evinx</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113506</link> <dc:creator>Evinx</dc:creator> <pubDate>Wed, 07 Oct 2009 22:16:09 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113506</guid> <description>A terrible idea. It is extremely difficult to diagnose a 2 year old for autism. An ipod type device for sounds will yield meaningless results, as Greg suggests . Professionals have a tough enough time diagnosing autism and at 2 years old,this device will yield virtually meaningless results.Let&#039;s face it. In most average size cities, there is hardly anyone qualified to diagnose autism accurately. One finds day care providers suggesting the autism possibility, teachers are suggesting it, and so on. Pretty soon your garbage man will be suggesting autism.We do not need more false positives.</description> <content:encoded><![CDATA[<p>A terrible idea. It is extremely difficult to diagnose a 2 year old for autism. An ipod type device for sounds will yield meaningless results, as Greg suggests . Professionals have a tough enough time diagnosing autism and at 2 years old,this device will yield virtually meaningless results.</p><p>Let&#8217;s face it. In most average size cities, there is hardly anyone qualified to diagnose autism accurately. One finds day care providers suggesting the autism possibility, teachers are suggesting it, and so on. Pretty soon your garbage man will be suggesting autism.</p><p>We do not need more false positives.</p> ]]></content:encoded> </item> <item><title>By: Undiagnosed</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113504</link> <dc:creator>Undiagnosed</dc:creator> <pubDate>Wed, 07 Oct 2009 21:46:39 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113504</guid> <description>I agree with skeptikus.  Seems like a turf war to me.  I have never had a medical provider show any acknowledgment to anxiety produced by waiting for a diagnosis.If one were to take the time to go to the website of the LENA Foundation, one would see that studies have been conducted to show the research behind the devise.  Perhaps if one wanted to make an argument on the devise&#039;s inability to detect autism, finding flaws in their research method may be a better choice.</description> <content:encoded><![CDATA[<p>I agree with skeptikus.  Seems like a turf war to me.  I have never had a medical provider show any acknowledgment to anxiety produced by waiting for a diagnosis.</p><p>If one were to take the time to go to the website of the LENA Foundation, one would see that studies have been conducted to show the research behind the devise.  Perhaps if one wanted to make an argument on the devise&#8217;s inability to detect autism, finding flaws in their research method may be a better choice.</p> ]]></content:encoded> </item> <item><title>By: skeptikus</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113486</link> <dc:creator>skeptikus</dc:creator> <pubDate>Wed, 07 Oct 2009 15:05:29 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113486</guid> <description>G-d, is all you med people do is turf protect?  Early intervention is good for autism.  Giving people tools to id problems and get help is good.The one downside:  false positives.  Well, that&#039;s a problem that does go away once you see a professional.As for &quot;anxiety,&quot;  doctors really don&#039;t seem all that concerned about it when they delay/forget to relay test results to patients.   Being sick or possibly being sick is by definition anxiety inducing.   Why is &quot;anxiety&quot; only a concern when its remedies cut into doctors&#039; pocket books?</description> <content:encoded><![CDATA[<p>G-d, is all you med people do is turf protect?  Early intervention is good for autism.  Giving people tools to id problems and get help is good.</p><p>The one downside:  false positives.  Well, that&#8217;s a problem that does go away once you see a professional.</p><p>As for &#8220;anxiety,&#8221;  doctors really don&#8217;t seem all that concerned about it when they delay/forget to relay test results to patients.   Being sick or possibly being sick is by definition anxiety inducing.   Why is &#8220;anxiety&#8221; only a concern when its remedies cut into doctors&#8217; pocket books?</p> ]]></content:encoded> </item> <item><title>By: buckeye surgeon</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113484</link> <dc:creator>buckeye surgeon</dc:creator> <pubDate>Wed, 07 Oct 2009 14:23:46 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113484</guid> <description>Is this real or something from the Onion?</description> <content:encoded><![CDATA[<p>Is this real or something from the Onion?</p> ]]></content:encoded> </item> <item><title>By: Greg</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113481</link> <dc:creator>Greg</dc:creator> <pubDate>Wed, 07 Oct 2009 13:41:18 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113481</guid> <description>As an autism researcher, there is no possible way that this condition can be detected accurately with just an audio sampling.  So much of what makes the diagnosis of autism, includes eye contact, shared experiences, repetitive behaviors (not just vocal), insistence on sameness (again, not just vocal), etc. that it would be impossible to extract meaningful clinical data from just an audio sample.  An additional caveat is that many speech and language disorders could produce false positives on such a test, leading to further misdiagnosis of autism and under-diagnosis of other conditions.</description> <content:encoded><![CDATA[<p>As an autism researcher, there is no possible way that this condition can be detected accurately with just an audio sampling.  So much of what makes the diagnosis of autism, includes eye contact, shared experiences, repetitive behaviors (not just vocal), insistence on sameness (again, not just vocal), etc. that it would be impossible to extract meaningful clinical data from just an audio sample.  An additional caveat is that many speech and language disorders could produce false positives on such a test, leading to further misdiagnosis of autism and under-diagnosis of other conditions.</p> ]]></content:encoded> </item> <item><title>By: family practitioner</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113479</link> <dc:creator>family practitioner</dc:creator> <pubDate>Wed, 07 Oct 2009 13:12:40 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113479</guid> <description>dumb dumb dumb If if an accurate earlier diagnosis is even possible, there are no good treatments.  True, forms of therapy may help a little, but need for this should be assessed during routine well child visits.</description> <content:encoded><![CDATA[<p>dumb<br /> dumb<br /> dumb<br /> If if an accurate earlier diagnosis is even possible, there are no good treatments.  True, forms of therapy may help a little, but need for this should be assessed during routine well child visits.</p> ]]></content:encoded> </item> <item><title>By: Healthcare Observer</title><link>http://www.kevinmd.com/blog/2009/10/children-autism-diagnosed-home.html#comment-113475</link> <dc:creator>Healthcare Observer</dc:creator> <pubDate>Wed, 07 Oct 2009 11:23:43 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=40441#comment-113475</guid> <description>This is ghastly. Words fail me. Except - how about a device that tests parents&#039; gullibility - yours for $99 + $499 for the results.</description> <content:encoded><![CDATA[<p>This is ghastly. Words fail me. Except &#8211; how about a device that tests parents&#8217; gullibility &#8211; yours for $99 + $499 for the results.</p> ]]></content:encoded> </item> </channel> </rss>
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