Additional medical examination requested

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Old Oct 20th 2010, 1:03 pm
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Default Additional medical examination requested

Hi,

On Monday, the case officer has requested for additional tests of my new born baby from specialist Paediatrician and/or developmental Psychologist. the request reads like this.

Code:
124   A current assessment from a specialist Paediatrician and/or
  developmental Psychologist is required regarding applicant's cognitive
  and developmental status: intra-uterine growth retardation, query
  microcephaly.
  Please forward a report addressing history, physical examination
  findings, diagnosis, full details of psychological testing,
  developmental milestones (such as Denver or Griffiths scale) and a
  developmental age/IQ assessment.
  Please indicate the ability to perform activities of daily living.
  The report should address the need for special schooling and the
  prognosis for independent living and future employment in adulthood.
has any one come across this or similar issue? does any one know what is the reason that they are asking the additional medical tests although the doctors who examined my baby said everything was normal. my baby is under weight but still she doesnt have any issues. it gets me a bit worried that my 2 year wait would be turned into no positive results
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Old Oct 20th 2010, 2:30 pm
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Default Re: Additional medical examination requested

Originally Posted by ahmedwaseem2000
Hi,

On Monday, the case officer has requested for additional tests of my new born baby from specialist Paediatrician and/or developmental Psychologist. the request reads like this.

Code:
124   A current assessment from a specialist Paediatrician and/or
  developmental Psychologist is required regarding applicant's cognitive
  and developmental status: intra-uterine growth retardation, query
  microcephaly.
  Please forward a report addressing history, physical examination
  findings, diagnosis, full details of psychological testing,
  developmental milestones (such as Denver or Griffiths scale) and a
  developmental age/IQ assessment.
  Please indicate the ability to perform activities of daily living.
  The report should address the need for special schooling and the
  prognosis for independent living and future employment in adulthood.
has any one come across this or similar issue? does any one know what is the reason that they are asking the additional medical tests although the doctors who examined my baby said everything was normal. my baby is under weight but still she doesnt have any issues. it gets me a bit worried that my 2 year wait would be turned into no positive results
the only people who will know the reason for the request will be the medical panel making the request, and possibly the case officer. It sounds like there was something in the original medical report which needs further investigation.
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Old Oct 20th 2010, 2:38 pm
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Default Re: Additional medical examination requested

Well, I have checked with the doctor who did the initial tests and he has confirmed that there were no issues at all. since, there was a number(124) mentioned I thought it would be indicating a particular issue. hence wanted to check if any one has been requested similar test.

just one more question. can I take off my wife and daughters name from the application for now and apply for a fresh visa later on after few years, as my wife is still studying her degree and she wouldnt be able to move along with me until she completes her degree and my daughter would also stay there along with my wife.
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Old Oct 20th 2010, 3:36 pm
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Default Re: Additional medical examination requested

firstly you will have to explain your move to DIAC, as to why your wife is not going with you. Then you will have to explain a reverse situation in a few years time. Do you believe that you have a plausible enough stories that DIAC will actually believe in? Not to mention that non-migrating dependents (what your wife and baby are) go through same medical routine anyway. Do as you are told by your CO, what is the problem with additional medical reports? Especially when you believe that there is no health issues?
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Old Oct 20th 2010, 3:45 pm
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Default Re: Additional medical examination requested

Originally Posted by newjersey
firstly you will have to explain your move to DIAC, as to why your wife is not going with you. Then you will have to explain a reverse situation in a few years time. Do you believe that you have a plausible enough stories that DIAC will actually believe in? Not to mention that non-migrating dependents (what your wife and baby are) go through same medical routine anyway. Do as you are told by your CO, what is the problem with additional medical reports? Especially when you believe that there is no health issues?
well, there is no problem in additional medical tests and I dont see an alternate option other than going for the medical tests. and I would be going for the medicals soon for my baby. However, just got worried and wanted to check with other people in this forum if they have already come across such situations.
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Old Oct 20th 2010, 4:40 pm
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Default Re: Additional medical examination requested

Originally Posted by ahmedwaseem2000
well, there is no problem in additional medical tests and I dont see an alternate option other than going for the medical tests. and I would be going for the medicals soon for my baby. However, just got worried and wanted to check with other people in this forum if they have already come across such situations.
Many people have had extra tests requested. However that isn't relevant to your case, especially as you seem to think that your child does not have a problem. Occasionally its usueful to swap notes woth people who have the same condition or illness, but in this case you have no name for a condition, merely a request for extra reports, and knowing that oithers have had to supply extra reports for completely unrelated scenarios isn't going to help you at all.
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Old Oct 20th 2010, 6:01 pm
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Default Re: Additional medical examination requested

you know after reading it 2-3 times more I got to know the test is for "intra-uterine growth retardation". not very familiar with the medical terms so thought they have assigned a number to some status that I didnt catch up at the first instance.

this was the issue during pregnancy where the development of my baby was slower than the normal and at the time of delivery her weight was way less than the normal range. the doctors have already performed the tests locally and they have confirmed that there is no issue with the baby. actuallly, they wanted to know things like the baby being able to do daily activities and special requirements if any.

Hoping not to see any negative reports!!!
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Old Oct 20th 2010, 6:29 pm
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Default Re: Additional medical examination requested

Originally Posted by ahmedwaseem2000
you know after reading it 2-3 times more I got to know the test is for "intra-uterine growth retardation". not very familiar with the medical terms so thought they have assigned a number to some status that I didnt catch up at the first instance.

this was the issue during pregnancy where the development of my baby was slower than the normal and at the time of delivery her weight was way less than the normal range. the doctors have already performed the tests locally and they have confirmed that there is no issue with the baby. actuallly, they wanted to know things like the baby being able to do daily activities and special requirements if any.

Hoping not to see any negative reports!!!
Well waseem I have crossed my fingers for you and your family.
There is nothing to worry about. This is normal practice asking for medical and further medicals. Just act according to the CO's direction. Hopefully you will get vsia soon. All the best.
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Old Oct 20th 2010, 6:37 pm
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Default Re: Additional medical examination requested

Thank you all for your time and response!!!

Seems, like others have not come across similar condition. anyway, Ill keep you all posted about the developments.
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Old Oct 20th 2010, 7:30 pm
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Default Re: Additional medical examination requested

Originally Posted by ahmedwaseem2000
Thank you all for your time and response!!!

Seems, like others have not come across similar condition. anyway, Ill keep you all posted about the developments.
Do not worry for nothing. Show courage man..
There might be no issue in the end. Even if your wife and daughter do not want to join, you should go for their PR and they might join you later to validate their visa and fulfill their citizenship requirements.
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Old Nov 16th 2010, 4:13 pm
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Default Re: Additional medical examination requested

Thank you all, for your replies and support. I have just got the report which reads like below for the pre-term baby of 3 months 22 days old.

Code:
Mental assessment: Her mental age with the observations corresponds to 2.7 months 
with a DQ of 77. the baby shows mild delay in mental milestones

Motor(physical) assessment: Her motor age with the observations corresponds to 
1.1 months with a DQ of 31. the baby shows major delay in motor(physical) 
milestones

Impression: 3 months & 22 days old baby born with severe IUGR, birth 
weight of 1.25 kg and her head weight and head circumference is below 
3 centile for her age. 

at the end of the assessment baby shows mild delay in mental milestone and 
significant in motor milestones. 

her visual and auditory responses are satisfactory.

Doctors recommendations: The child will need an early intervention program and 
infant stimulation program comprising physiotherapy. 

at present it is not possible to predict the IQ, considering the child's age.
 
A below average IQ is a possibility However, a reassessment at 
2 years will be more useful to evaluate future potential need for further 
assistance and ability for independent living. 

Further referrals including a 
genetic evaluation & early intervention services has been made. Though child 
responds satisfactorily to sound, a routine hearing test has been 
recommended.

Note: I havent included all the details. I have typed just the conclusions
Not sure about the below questions:

1. How much impact will the recommendations have? I know they are just recommendations.

2. They have mentioned a possibility of having below average IQ will this matter and have any negative impact?

3. Will the delay in growth be a factor at all?

4. they have not clearly mentioned about being able to live independently stating that its not possible now. and having delay in both mental and physical delay in growth milestones. what impact this might have?
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Old Nov 16th 2010, 5:32 pm
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Default Re: Additional medical examination requested

Originally Posted by ahmedwaseem2000
Thank you all, for your replies and support. I have just got the report which reads like below for the pre-term baby of 3 months 22 days old.

Code:
Mental assessment: Her mental age with the observations corresponds to 2.7 months 
with a DQ of 77. the baby shows mild delay in mental milestones

Motor(physical) assessment: Her motor age with the observations corresponds to 
1.1 months with a DQ of 31. the baby shows major delay in motor(physical) 
milestones

Impression: 3 months & 22 days old baby born with severe IUGR, birth 
weight of 1.25 kg and her head weight and head circumference is below 
3 centile for her age. 

at the end of the assessment baby shows mild delay in mental milestone and 
significant in motor milestones. 

her visual and auditory responses are satisfactory.

Doctors recommendations: The child will need an early intervention program and 
infant stimulation program comprising physiotherapy. 

at present it is not possible to predict the IQ, considering the child's age.
 
A below average IQ is a possibility However, a reassessment at 
2 years will be more useful to evaluate future potential need for further 
assistance and ability for independent living. 

Further referrals including a 
genetic evaluation & early intervention services has been made. Though child 
responds satisfactorily to sound, a routine hearing test has been 
recommended.

Note: I havent included all the details. I have typed just the conclusions
Not sure about the below questions:

1. How much impact will the recommendations have? I know they are just recommendations.

2. They have mentioned a possibility of having below average IQ will this matter and have any negative impact?

3. Will the delay in growth be a factor at all?

4. they have not clearly mentioned about being able to live independently stating that its not possible now. and having delay in both mental and physical delay in growth milestones. what impact this might have?
To be honest this is a bit too specialist for BE. There are some medical/nursing people around who may be able to give an opinion but they won't be able to talk from the point of view of DIAC.
The two agents most often recommended for medical issues are George Lombard and Peter Bollard, might be worth a consultation with them.
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Old Nov 16th 2010, 7:10 pm
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Default Re: Additional medical examination requested

Nobody mensioned how old the concerned child is.
Maybe if she is at school age, DIAC wants a proof that she can handle school in australia. as easy as that.
Did the child had any medical tests submitted, was it a physical test only or blood sample also.
Maybe it is nothing majour...........just submitt the additional tests if you can.
If your wife needs less than 4 years to complete her studies then keep her in ur current application instead of launching a new one and start over.
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Old Nov 16th 2010, 7:27 pm
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Default Re: Additional medical examination requested

Originally Posted by Saracen
Nobody mensioned how old the concerned child is.
Maybe if she is at school age, DIAC wants a proof that she can handle school in australia. as easy as that.
Did the child had any medical tests submitted, was it a physical test only or blood sample also.
Maybe it is nothing majour...........just submitt the additional tests if you can.
If your wife needs less than 4 years to complete her studies then keep her in ur current application instead of launching a new one and start over.
Thanks Pollyana - I have posted the same questions to my agent. Ill update here once I get the reply from him.

Saracen my baby is 3 months and 22 days old. there was a medical test submitted earlier. due to her low weight there was additional tests requested and the outcome of the further test doesnt indicate anything negative but there are lots of *Probabilities* *may be* *might be* kind of things in the report. which concerns me.

Last edited by ahmedwaseem2000; Nov 16th 2010 at 7:32 pm.
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Old Dec 5th 2010, 9:03 pm
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Default Re: Additional medical examination requested

Today I can see that the status of our baby's medicals show it as finalised and my PCC is still showing as requested although the documents have been submitted quite some time back. I was assuming that the status would be updated along with the medical updates of our baby. However, in the document checklist I cant see anything listed about medicals.

My question is if the visa is reject what will be the mode of communication? is it again going to be the emails from the case officer? or will there be any status updated in the immi.gov.au website? If I dont get any sort of communication in next few days, say about a week or so. is it right for me to assume that the visa has not been rejected?

Thanks for your inputs!!

Last edited by ahmedwaseem2000; Dec 5th 2010 at 10:35 pm.
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