From the site: http://www.autismndi.com/
We Rescued Our Child From Autism
By Karyn Seroussi, Parents Magazine - February,
2000
When the psychologist examining our 18-month-old son told me that
she thought Miles had autism, my heart began to pound. I didn't
know exactly what the word meant, but I knew it was bad. Wasn't
autism some type of mental illness- perhaps juvenile schizophrenia?
Even worse, I vaguely remembered hearing that this disorder was
caused by emotional trauma during childhood. In an instant, every
illusion of safety in my world seemed to vanish.
Our pediatrician had referred us to the psychologist in August
1995 because Miles didn't seem to understand anything we said. He'd
developed perfectly normally until he was 15 months old, but then
he stopped saying the words he'd learned - cow, cat, dance - and
started disappearing into himself. We figured his chronic ear infections
were responsible for his silence, but within three months, he was
truly in his own world. Suddenly, our happy little boy hardly seemed
to recognize us or his 3-year-old sister.
Miles wouldn't make eye contact or even try to communicate by pointing
or gesturing. His behavior became increasingly strange: He'd drag
his head across the floor, walk on his toes (very common in autistic
children), make odd gurgling sounds, and spend long periods of time
repeating an action, such as opening and closing doors or filling
and emptying a cup of sand in the sandbox. He often screamed inconsolably,
refusing to be held or comforted. And he developed chronic diarrhea.
As I later learned, autism -- or autistic spectrum disorder, as
doctors now call it -- is not a mental illness. It is a developmental
disability thought to be caused by an anomaly in the brain. The
National Institutes of Health estimates that as many as 1 in 500
children are affected. But according to several recent studies,
the incidence is rapidly rising: In Florida, for example, the number
of autistic children has increased nearly 600 percent in the last
ten years. Nevertheless, even though it is more common than Down
syndrome, autism remains one of the least understood developmental
disorders.
We were told that Miles would almost definitely grow up to be severely
impaired. He would never be able to make friends, have a meaningful
conversation, learn in a regular classroom without special help,
or live independently. We could only hope that with behavioral therapy,
we might be able to teach him some of the social skills he'd never
grasp on his own. I had always thought that the worst thing that
could happen to anyone was to lose a child. Now it was happening
to me but in a perverse, inexplicable way. Instead of condolences,
I got uncomfortable glances, inappropriately cheerful reassurances,
and the sense that some of my friends didn't want to return my calls.
After Miles' initial diagnosis, I spent hours in the library, searching
for the reason he'd changed so dramatically. Then I came across
a book that mentioned an autistic child whose mother believed that
his symptoms had been caused by a "cerebral allergy" to
milk. I'd never heard of this, but the thought lingered in my mind
because Miles drank an inordinate amount of milk at least half a
gallon a day.
I also remembered that a few months earlier, my mother had read
that many kids with chronic ear infections are allergic to milk
and wheat. "You should take Miles off those foods and see if
his ears clear up," she said. "Milk, cheese, pasta, and
Cheerios are the only foods he'll eat," I insisted. "If
I took them away, he'd starve."
Then I realized that Miles' ear infections had begun when he was
11 months old, just after we had switched him from soy formula to
cow's milk. He'd been on soy formula because my family was prone
to allergies, and I'd read that soy might be better for him. I had
breast-fed until he was 3 months old, but he didn't tolerate breast
milk very well, possibly because I was drinking lots of milk. There
was nothing to lose, so I decided to eliminate all the dairy products
from his diet.
What happened next was nothing short of miraculous. Miles stopped
screaming, he didn't spend as much time repeating actions, and by
the end of the first week, he pulled on my hand when he wanted to
go downstairs. For the first time in months, he let his sister hold
his hands to sing "Ring Around a Rosy."
Two weeks later, a month after we'd seen the psychologist, my husband
and I kept our appointment with a well-known developmental pediatrician
to confirm the diagnosis of autism. Dr. Susan Hyman gave Miles a
variety of tests and asked a lot of questions. We described the
changes in his behavior since he'd stopped eating dairy products.
Finally, Dr. Hyman looked at us sadly. "I'm sorry," the
specialist said. "Your son is autistic. I admit the milk allergy
issue is interesting, but I just don't think it could be responsible
for Miles' autism or his recent improvement."
Miles surprised everyone. We were terribly disheartened, but as
each day passed. Miles continued to get better. A week later, when
I pulled him up to sit on my lap, we made eye contact and he smiled.
I started to cry-at last he seemed to know who I was. He had been
oblivious to his sister, but now he watched her play and even got
angry when she took things away from him. Miles slept more soundly,
but his diarrhea persisted. Although he wasn't even 2 yet, we put
him in a special-ed nursery school three mornings a week and started
an intensive one-on-one behavioral and language program that Dr.
Hyman approved of. I'm a natural skeptic and my husband is a research
scientist, so we decided to test the hypothesis that milk affected
Miles' behavior. We gave him a couple of glasses one morning, and
by the end of the day, he was walking on his toes, dragging his
forehead across the floor, making strange sounds, and exhibiting
the other bizarre behaviors we had almost forgotten.
A few weeks later, the behaviors briefly returned, and we found
out that Miles had eaten some cheese at nursery school. We became
completely convinced that dairy products were somehow related to
his autism. I wanted Dr. Hyman to see how well Miles was doing,
so I sent her a video of him playing with his father and sister.
She called right away. "I'm simply floored," she told
me. "Miles has improved remarkably. Karyn, if I hadn't diagnosed
him myself, I wouldn't have believed that he was the same child."
I had to find out whether other kids had had similar experiences.
I bought a modem for my computer-not standard in 1995-and discovered
an autism support group on the Internet. A bit embarrassed, I asked,
"Could my child's autism be related to milk?"
The response was overwhelming. Where had I been? Didn't I know
about Karl Reichelt in Norway? Didn't I know about Paul Shattock
in England? These researchers had preliminary evidence to validate
what parents had been reporting for almost 20 years: Dairy products
exacerbated the symptoms of autism.
My husband, who has a Ph.D. in chemistry, got copies of the journal
articles that the parents had mentioned on-line and went through
them all carefully. As he explained it to me, it was theorized that
a subtype of children with autism break down milk protein (casein)
into peptides that affect the brain in the same way that hallucinogenic
drugs do. A handful of scientists, some of whom were parents of
kids with autism, had discovered compounds containing opiates --
a class of substances including opium and heroin -- in the urine
of autistic children. The researchers theorized that either these
children were missing an enzyme that normally breaks down the peptides
into a digestible form, or the peptides were somehow leaking into
the bloodstream before they could be digested.
In a burst of excitement, I realized how much sense this made.
It explained why Miles developed normally for his first year, when
he drank only soy formula. It would also explain why he had later
craved milk: Opiates are highly addictive. What's more, the odd
behavior of autistic children has often been compared to that of
someone hallucinating on LSD.
My husband also told me that the other type of protein being broken
down into a toxic form was gluten- found in wheat, oats, rye, and
barley, and commonly added to thousands of packaged foods. The theory
would have sounded farfetched to my scientific husband if he hadn't
seen the dramatic changes in Miles himself and remembered how Miles
had self-limited his diet to foods containing wheat and dairy. As
far as I was concerned, there was no question that the gluten in
his diet would have to go. Busy as I was, I would learn to cook
gluten-free meals. People with celiac disease are also gluten-intolerant,
and I spent hours on-line gathering information.
Within 48 hours of being gluten-free, 22-month-old Miles had his
first solid stool, and his balance and coordination noticeably improved.
A month or two later, he started speaking-"zawaff" for
giraffe, for example, and "ayashoo" for elephant. He still
didn't call me Mommy, but he had a special smile for me when I picked
him up from nursery school.
However, Miles' local doctors-his pediatrician, neurologist, geneticist,
and gastroenterologist-still scoffed at the connection between autism
and diet. Even though dietary intervention was a safe, noninvasive
approach to treating autism, until large controlled studies could
prove that it worked, most of the medical community would have nothing
to do with it.
So my husband and I decided to become experts ourselves. We began
attending autism conferences and phoning and e-mailing the European
researchers. I also organized a support group for other parents
of autistic children in my community. Although some parents weren't
interested in exploring dietary intervention at first, they often
changed their mind after they met Miles. Not every child with autism
responded to the diet, but eventually there were about 50 local
families whose children were gluten-and casein-free with exciting
results. And judging by the number of people on Internet support
lists, there were thousands of children around the world responding
well to this diet.
Fortunately, we found a new local pediatrician who was very supportive,
and Miles was doing so well that I nearly sprang out of bed each
morning to see the changes in him. One day, when Miles was 2 1/2,
he held up a toy dinosaur for me to see. "Wook, Mommy, issa
Tywannosauwus Wex!" Astonished, I held out my trembling hands.
"You called me Mommy!" I said. He smiled and gave me a
long hug.
By the time Miles turned 3, all his doctors agreed that his autism
had been completely resolved. He tested at eight months above his
age level in social, language, self-help, and motor skills, and
he entered a regular preschool with no special-ed supports. His
teacher told me that he was one of the most delightful, verbal,
participatory children in the class.
Today, at almost 6, Miles is among the most popular children in
his first grade class. He's reading at a fourth grade level, has
good friends, and recently acted out his part in the class play
with flair. He is deeply attached to his older sister, and they
spend hours engaged in the type of imaginative play that is never
seen in kids with autism.
My worst fears were never realized. We are terribly lucky. But
I imagined all the other parents who might not be fortunate enough
to learn about the diet. So in 1997, I started a newsletter and
international support organization called the Autism Network for
Dietary Intervention (ANDI), along with another parent. Lisa Lewis,
author of Special Diets for Special Kids (Future Horizons, 1998).
We've gotten hundreds of letters and e-mails from parents worldwide
whose kids use the diet successfully. Although it's best to have
professional guidance when implementing the diet, sadly, most doctors
are still skeptical.
As I continue to study the emerging research, it has become increasingly
clear to me that autism is a disorder related to the immune system.
Most autistic children I know have several food allergies in addition
to milk and wheat, and nearly all the parents in our group have
or had at least one immune-related problem: thyroid disease, Crohns
disease, celiac disease, rheumatoid arthritis, chronic fatigue syndrome,
fibromyalgia, or allergies. Autistic children are probably genetically
predisposed to immune-system abnormalities, but what triggers the
actual disease?
Many of the parents swore that their child's autistic behavior
began at 15 months, shortly after the child received the MMR (measles,
mumps, rubella) vaccine. When I examined such evidence as photos
and videotapes to see exactly when Miles started to lose his language
and social skills, I had to admit that it had coincided with his
MMR--after which he had gone to the emergency room with a temperature
of 106'F and febrile seizures.
Recently, a small study was published by British researcher Andrew
Wakefield, M.D., linking the measles portion of the vaccine to damage
in the small intestine--which might help explain the mechanism by
which the hallucinogenic peptides leak into the bloodstream. If
the MMR vaccine is indeed found to play a role in triggering autism,
we must find out whether some children are at higher risk and therefore
should not be vaccinated or should be vaccinated at a later age.
Another new development is giving us hope: Researchers at Johnson
and Johnson's Ortho Clinical Diagnostics division-my husband among
them- are now studying the abnormal presence of peptides in the
urine of autistic children. My hope is that eventually a routine
diagnostic test will be developed to identity children with autism
at a young age and that when some types of autism are recognized
as a metabolic disorder, the gluten and dairy-free diet will move
from the realm of alternative medicine into the mainstream.
The word autism, which once meant so little to me, has changed
my life profoundly. It came to my house like a monstrous, uninvited
guest but eventually brought its own gifts. I've felt twice blessed-once
by the amazing good fortune of reclaiming my child and again by
being able to help other autistic children who had been written
off by their doctors and mourned by their parents.
(Adapted from the book Unraveling the Mystery of Autism and
Pervasive Developmental Disorder: A Mother's Story of Research and
Recovery, by Karyn Seroussi. Published by Simon & Schuster.
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