It was raining this morning so we took the opportunity to do something indoors!
I had a fingerprinting kit so we used it to take A and S's fingerprints just like criminals!!!
Physical symptoms of PANDAS frequently include tics and a significant deterioration in fine motor skills. Tics can be isolated or may come in multiples and in bursts. They can be especially noticeable when child is tired, irritated, or left alone. Common tics include eye blinking, tapping, facial grimacing (motor tics), or coughing, throat clearing, uttering words for no apparent reason (vocal tics). Less frequently child can have unexplainable purposeless motions with all four extremities that look like a weird dance (St. Vitus dance was an early description of this symptom). Interestingly enough, despite of obvious shaking of hands child is able to use fork and spoon without spilling food. One of the hallmark symptoms is obvious deterioration in writing and drawing.
Obsessive-compulsive symptoms can vary greatly. Obsession with mechanical devices (i.e. fans), running in circles in a predictable manner, hoarding of trash or other useless objects, death thoughts, unusual fears (fear of natural disasters, fear of not being able to fall asleep, etc.), repetition of obscene words or phrases, repetition of certain physical (hand washing, clothing change, clicking lights certain number of times, etc.) or mental activities (incessant praying or repeating certain words or mantra), insistence on certain order of things, hair plucking, unfounded fears of enclosed spaces (agoraphobia), germs, being contaminated by body fluids (urine, saliva) are some of the common symptoms. Use of obscenities (within or out of the contest of discussion) is a common symptom. When asked why, children usually state that "something" is making them say these words.
(5) PANDAS is more likely to occur in certain "phenotype" of children:
In children with a history of early speech development, and who (usually) (prior to the illness) excel in school, particularly in math and sciences.
In children who normally exhibit certain amount of obsessions with order, punctuality, preciseness, school work, etc., before the illness.
Parents of children with PANDAS are more likely to be either highly educated or extremely enterprising. Even more likely is that the mother of a child with PANDAS is highly intelligent, has a history of being good in math and with computers (computer-savvy), and normally exhibits certain amount of obsession with punctuallity and order.