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978-1572305441

autism

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Sally, Ann, and Danny 117<br />

ever, he seemed to be a different child. He became lethargic, withdrawn,<br />

and reclusive, and over the next few months he stopped using his words<br />

altogether. He no longer smiled or brought objects to show his parents.<br />

He was cranky and irritable. Soon he started to show a fascination with<br />

bits of paper, ripping them up into little pieces, rolling them into little<br />

balls, and throwing them down the stairs. He would also spend hours<br />

flipping through the pages of his father’s law books.<br />

His parents were of course devastated by this turn of events. They<br />

had in effect lost their son; to them it felt as if he had died that night of<br />

the convulsion. Robert’s mother was deeply distressed, and his father<br />

tried to be supportive, but he too felt a deep loss. They started seeing<br />

doctors in their local area but became angry, frustrated, and disappointed<br />

with the answers and opinions they received.<br />

Eventually, Robert was given a diagnosis of autism by a specialist.<br />

But this did not end his parents’ search; they now began an intensive<br />

and exhaustive search for a cause. They were convinced that something<br />

must have caused this regression in his social and communication<br />

skills—perhaps the vaccination. But they could not get the doctors to<br />

agree with them. It’s true that regression like this can occur in about<br />

thirty percent of children with autism, usually in the eighteen- to<br />

twenty-four-month range. In the vast majority of cases, though, no discernible<br />

cause can be identified, and this can cause the parents a great<br />

deal of frustration. (This is not the same as disintegrative disorder, another<br />

ASD subtype, where the period of normal development is much<br />

longer than twenty-four months.)<br />

For this new appointment with me, Ron and Carol have sent along<br />

a rather large stack of medical documents that chronicles the story of<br />

these investigations and consultations carried out around the country.<br />

Robert had several magnetic resonance imaging (MRI) and computerized<br />

tomography (CT) scans done and many other investigations, but<br />

nothing specific showed up. Similarly, all the blood tests gave results in<br />

the normal range. In the meantime, he became very fussy about food<br />

and would eat only chicken nuggets and drink apple juice. He soon developed<br />

frequent diarrhea. As a result of this new set of problems, he<br />

had several gastrointestinal investigations, including X rays of his digestive<br />

system and biopsies of his intestines. These produced some nonspecific<br />

findings suggestive of colitis. Ron and Carol had read on the<br />

Internet recently that vaccinations for measles, mumps, and rubella<br />

(MMR) can cause colitis and that this may alter the permeability of the<br />

digestive system, allowing toxins into the bloodstream. According to

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