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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Dx With RAD, Problems In School Though Social, Adopted, Has Significant Genetic Background

I have an adopted son who has been dx with RAD. He has incredible problems in school though is very sociable. We have had him since 9 months. He is 11 now soon to be 12. His therapist moved out of state. She was in Woodbridge.
Is there anyone you can suggest to see him. We are in New Milford. His genetic background is significant but we are working hard against that. The RAD has been a more recent dx.
Carol Piliero
Mon, 29 Apr 2013
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  Anonymous's Response
's  Response
IT WOULD BE INTERESTING TO KNOW THE EXACT NATURE OF RAD, LIKE HOW MANY EXACERBATIONS HE IS GETTING EVERY YEAR. ASSUMING HE HAS A POSITIVE FAMILY HISTORY OF ASTHMA. IF THE PROBLEM OF COUGH COLD AND BREATHING DIFFICULTY IS VERY DISTURBING TO HIS USUAL SOCIAL ROUTINE I WOULD ADVICE YOU TO START ON BUDESONIDE 100MCG TWICE DAILY AND ASTHALIN 100MCG AS AND WHEN REQUIRED METERED DOSE INHALERS. IT IS DIFFICULT TO START BUT 90%RESPOND WELL TO MDI'S. HIS RESPONSE TO THESE INHALERS IS TO BE CAREFULLY MONITORED BY A PEDIATRICIAN/THERAPIST AND IF HE IS WELL CONTROLLED WITH THAT THEN IT CAN BE TAPERRED TO ONLY MDI ASTHALIN AFTER A PERIOD OF 6 MONTHS.
REGARDS.
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Child Has Dx With RAD, Problems In School Though Social, Adopted, Has Significant Genetic Background

IT WOULD BE INTERESTING TO KNOW THE EXACT NATURE OF RAD, LIKE HOW MANY EXACERBATIONS HE IS GETTING EVERY YEAR. ASSUMING HE HAS A POSITIVE FAMILY HISTORY OF ASTHMA. IF THE PROBLEM OF COUGH COLD AND BREATHING DIFFICULTY IS VERY DISTURBING TO HIS USUAL SOCIAL ROUTINE I WOULD ADVICE YOU TO START ON BUDESONIDE 100MCG TWICE DAILY AND ASTHALIN 100MCG AS AND WHEN REQUIRED METERED DOSE INHALERS. IT IS DIFFICULT TO START BUT 90%RESPOND WELL TO MDI S. HIS RESPONSE TO THESE INHALERS IS TO BE CAREFULLY MONITORED BY A PEDIATRICIAN/THERAPIST AND IF HE IS WELL CONTROLLED WITH THAT THEN IT CAN BE TAPERRED TO ONLY MDI ASTHALIN AFTER A PERIOD OF 6 MONTHS. REGARDS.