Going back to the radio show on Tuesday I did on WWKI I had a caller call in with a question regarding her son and the ability to talk to the doctor one-on-one and the inability to socialize in a school setting. I gave an answer, but I don't think I gave the perfect answer so I'm going to take this blog post and give a proper answer.
First, this is something that I have struggled with as well. If anyone ever gets me into a one-on-one conversation I usually am rather able at having the conversation without issues. Should another person join the conversation the issues will mount as I have a harder time being able to process all that is going on. Should yet another person join I will become almost unable to chime in with any of my thoughts and anything more than three people in a conversation and I will have a hard time uttering a single word. Since this is true a one-on-one conversation with a doctor is easy where as anything in the school setting would be much trickier.
Also, speaking to a doctor is a much narrow range of communication. What I mean by that is that a conversation with a doctor is usually going to be just heavy in facts. On top of that, after a while, the conversations can become a routine. A doctor may ask the same questions so it becomes almost scripted. In a school/group setting this is harder to achieve with the range of conversation being much greater and a routine much harder to achieve.
Yet another aspect is timing. This is one thing I still struggle with and timing is so critical. What timing is, by my definition, is the timing of when to speak. When talking to a doctor the doctor will speak, ask a question, and wait for a response. The doctor may also give ample time for processing. Others though, especially in a group setting, will have a much more fluid and ever changing conversation. To speak, one must be somewhat aggressive in getting their words out much like trying to navigate a busy four-way stop situation where drivers aren't really obeying the protocols. I will wait for that right moment when no one is speaking, but each time I get ready to speak someone else beats me to it.
All in all these issues can be rather confusing for a doctor because, should the doctor only get the story from what they are seeing in front of them right then and there, it may be hard for the doctor to get the complete picture. Let's take myself at a young age; I could talk to the doctor just fine. I could talk about the weather, or body temperature, and I was ahead of my years. Why would the doctor think there was anything wrong? This is a rather common story! I'm not sure what future book I have this in, but I do call it a "problem with Kansas" as, if a person only sees us in Kansas then it will be practically impossible for that person to think of us as having any challenges at all.
I hope I answered this better than I did on the air. Perhaps my answer was decent on the air, but I feel this is a much better painter picture than what I gave on Tuesday.