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Re: Ritalin for sale

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In a message dated 97-10-22 23:50:14 EDT,  writes:

>   I encourage all physicians to request parent input from the teacher
>  and school nurse prior to subsequent appointments and medication
>  refills

I couldn't agree more.  Parents only see their kids at home, and really don't
know waht happens at school except for what they hear from the child and the
teacher.  For that reason, we request evaluations from parents and teachers
before even seeing a child for possible ADHD.  We like to see the kids every
6 months while on medication, and before each visit we ask the parents to
pick up enough forms for each teacher to fill one out.  I find these
invaluable in my evaluation of a patient with ADHD, and hesitate to change
doses without them.  Before we did this, we only had the parents' history to
go on, and this is usually sketchy at best.  The major problem we have now is
getting the teachers to fill out the forms before the child comes in for the
office visit.  BTW, the forms we use are the ADDES.  If anyone wants more
info, let me know, and I'll get there address and post it.

Moshe Adler, MD