There was the ENT who, after he had determined that Charlie did not have a hearing problem and we had mentioned “autism,” said “Adios.”

There was the pediatrician who, noting that ten-month-old Charlie had just started to roll over and was not crawling and not trying to crawl, said to me, “So this is what happens: He cries and you go right over and pick him up?”
There was the pediatric neurologist who charged a “fee” before giving me the forms so Charlie could get an MRI when he was 5 years old.
There was the child psychiatrist who shut the door to her very small, windowless office and, when 7-year-old Charlie did not stay in his seat, said “Why is he not sitting still? Why is he so hyper?”
As we left the ENT, Jim had said, “He heard the word ‘autism’ and he doesn’t want any part of it.”
As I carried Charlie out from the pediatrician’s office, I said over and over to myself: “But no matter what we do, he doesn’t move his legs and arms to crawl.”
As I wrote out a check to the man at the pediatric neurologist’s front desk, I said, “I don’t know about this.”
As I tried to get Charlie to sit back in his chair (he did, for five seconds), the child psychiatrist read what I had written on the forms out loud, then said she wanted to double Charlie’s dose of Risperdal.
I guess you could say we have not had the best of experiences with doctors in our Autismland journey. I should say that the pediatricians who we met in St. Paul were kindly and sympathetic; it was they who attended to Charlie’s ear infections and had to deliver the “we’ll wait till February and see if he’s got any words” sentence and then, in the next visit, to say the “a-word.” By the time Charlie was six, I had concluded that the best thing for us to do was to find a pediatrics practice with a staff of different doctors, a decent-sized waiting room, an office that was ten minutes from our house, and walk-in hours on schooldays so we could bring Charlie in without having to schedule an appointment.
Practical? Indeed yes. Cynical? Probably.
So why did we drive an hour and a half to Bucks County, Pennsylvania, and then wait another hour, to see one certain pediatric neurologist?

“We go way back,” the doctor said to Charlie who was leaning, face down, on the examination table. It was 5.30pm. We had first taken Charlie to him in early 2003, because Charlie’s head-banging was happening more and frequently. I had initially hoped to take Charlie to another pediatric neurologist who came with stellar recommendations, but he was not accepting new patients, and so I put down Charlie’s name for an appointment with another doctor—who, as it turns out, has been the one doctor whom Jim and I have found listens to our sometimes chaotically expressed accounts of Charlie’s progress, and with whom we have been able to have a conversation about what to do for Charlie: Medications to try? How much? How often? Side-effects? What happens when we take Charlie off the medication? The doctors always notes that school–education—should be our primary focus, and that the medication was to help Charlie do a bit better.
So when the doctor went to work for CHOP, we decided we would still go to see him, whatever the driving distance, whether or not the doctor was on our list of “in-network providers.”
Charlie kept his head buried on the exam table but did start shooting a smile in the doctor’s direction. We had not seen him since last March when Charlie was doing better, but not as well as he is now, and we enthuasiastically described Charlie’s school program, his home ABA, piano lessons. “Charlie, do you like school?” asked the doctor. No answer, then “eye oooo” without Charlie raising his head. Jim had mentioned that we were planning to get Mexican food afterwards, at which the doctor said “I love guacamole,” which evoked a “guakahmolay” from Charlie. “Geen guakahmolay!”
“A lot of echolalia,” noted the doctor. And then reminisced about a Mexican restaurant he used to visit but too many chips are too many chips……
“Charlie really just started that in the past year,” I noted. (Speech is speech—nothing like the sound of one’s child’s voice.) “He never did it before.” The doctor recommended taking Charlie off of Zoloft as it overlaps somewhat with the Risperdal Charlie also takes, and we went over how to do this gradually (we once took Charlie “cold turkey” off Zoloft and he head-banged in a driveway on the way to school). “He’s doing good now,” said Jim. “He’s growing up, too” the doctor said. Jim mentioned the autism conference and we talked about the Combating Autism Act. We all agreed that we would like to see more of the $1 billion used for the needs of older autistic children and adults—”what about clinical services for teenagers transitioning out of school?” the doctor asked.
“I always like seeing you guys,” said the doctor as we left. “Bye, Charlie.”
“Bye, dokk-tor.”
We stopped in New Hope for the promised Mexican food, which we ate in our car in a parking lot with a view of the Delaware River, obscured by warm, clingy mists; we drove home listening to this (Charlie’s choice) and finished up the rest of the rice, refried beans, and corn tortillas at home.
Who said a visit to the doctor can’t be positive—about Charlie’s progressing—-and fun?




















