|
 |
Williams
Syndrome
Providers |
 |
Last Update 4-10-07
|
Cardiologists are doctors who specialize in conditions of the heart
and vascular system. They can evaluate the presence or extent of
cardiovascular compromise by listening carefully to heart sounds,
performing an ultrasound for the heart (echocardiogram), and
measuring blood pressure (both arms) and femoral pulses. In the
role of medical director for the Williams syndrome clinic program,
the pediatric cardiologist will also provide a full medical examine
for your visit, including lab tests such as thyroid function and
calcium levels.
|
Geneticist/Genetic Counselor
A geneticist and/or a genetic counselor (specialists in congenital and inherited
disorders) might be helpful in establishing a diagnosis, offering chromosomal
analysis and/or FISH testing, coordinating care, providing emotional support,
keeping parents up to date with the latest medical information, assessing
recurrence risk and prenatal diagnosis.
|
|
A behavioral psychologist can assess to what degree a child fits the unique
cognitive and behavioral profile associated with Williams syndrome and assist in
the definition of an appropriate treatment strategy. Behavioral problems may
include hypersensitivity to sound, sleep problems,
attention-deficit/hyperactivity disorder, and anxiety. Overfriendliness and an
empathetic nature are commonly observed.
|
|
A psychologist can provide psychological testing to assist with the development
of an early intervention or individual education plan, determine school
readiness, assess developmental and psychoeducational status, identify the
presence or extent of developmental abnormalities, areas of neurobehavioral
dysfunction, and/or whether a neuropsychological issue may be an underlying
problem. They can provide formal evaluation for attention-deficit hyperactivity
disorder, anxiety, or both and discuss treatment options. |
The Williams
Syndrome team psychopharmacologist is a developmental pediatrician
who specializes in the use of medication to address emotional or
behavioral difficulties, particularly for children with
developmental disabilities. Working in close collaboration with the
rest of the multidisciplinary team, this provider can suggest
medication strategies and/or modifications for reducing and managing
psychological and behavioral problems.
|
Children with feeding difficulties, hypercalcemia and/or other gastroenterology
issues may benefit from an evaluation and/or assistance from a
gastroenterologist, developmental pediatrician and/or feeding specialist.
Feeding issues can include GE reflux, refusal, disordered suck or swallow,
vomiting, colic or growth concerns. Hypercalemia can contribute to the presence
of extreme irritability, vomiting, constipation, and/or muscle cramps.
|
An audiologist can evaluate and help manage various degrees of hearing loss.
Audiologists conduct diagnostic tests to assess hearing disorders, provide
guidance to families of children with hearing loss, and recommend appropriate
care for hearing loss. Audiology works closely with the pediatric otolaryngology
service. An audiologist has a master's or doctoral degree in Audiology.
|
Pediatric Dentists work with families to ensure the oral health of children
providing comprehensive dental care, teaching children the importance of good
oral health care, and providing the means to achieve it.
|
|
Occupational therapists use purposeful everyday activity to help children with
physical, developmental, or emotional challenges integrate new life and play
skills. Evaluating developmental and neuromuscular problems (including sensory
integration), they can plan treatment activities that will help children grow
mentally, socially, and physically. They also can recommend changes in layout
and design of the home, school, or workplace to allow persons with injuries or
disabilities greater access and mobility. |
|
The physical therapist sees children with Williams syndrome in our program as
part of the team evaluation and also sees them for separate visits. The emphasis
is on development of gross motor skills and function in everyday activities in
relation to posture and movement. Since flexibility, balance, strength, motor
learning and coordination may be affected by the syndrome in varying degrees,
these areas are emphasized both in evaluation and treatment and treatment
programs. In our clinical experience, intervention that emphasizes anticipatory
guidance and physical fitness through parent and patient education is very
important.
Throughout infancy and childhood and beyond, supplemental recreational programs
and activities based upon the family’s life style as well as the interests of
the individual with Williams syndrome are very effective.
|
Speech-language pathologists provide assessment of language, pragmatics, play
skills, articulation, fluency, voice, resonance, oral motor skills, feeding, and
swallowing. Using a variety of therapeutic methods, such as group
speech/language therapy and psychotherapy, they can help enable children to
maximize their communicative abilities. The Speech-language Pathologist only
provides assessment with recommendations for intervention. Therapy is not
provided as part of the WS team. Families may set up appointments
separately with the pathologist.
|
Communication Enhancement
Center
The Communication
Enhancement Center (CEC) at Children's Hospital Boston provides
comprehensive, state-of-the-art evaluation and treatment for
children and adults with congenital or acquired disorders affecting
hearing, voice, and speech. Using a variety of assistive
technologies, the CEC strives to meet the communication needs of
individuals who visit the center. |
|
An ophthalmologist
ia a specialist who provides diagnosis and treat a variety of eye diseases and vision problems in children and
adolescents. |
Additional Specialists
Speak the the Williams Syndrome Clinic coordinator
about additional specialists at Children's Hospital.
Katie Scarpelli 1-617-355-5429 |
|