I called my difficult child's neuropsychologist's office Friday to see if the dictated final report was completed yet. I was told that it would be ready about 2 weeks after our last appointment, which was to go over all of the test results. My son was tested over 2 days earlier this month. The first day was to be the ADOS test to test for PDDs including Autism Spectrum Disorder. The second day was to be the NEPSY test, WISC-IV, CPT II, and VMI. Anyway....when I called the office Friday, I spoke with the neuropsychologist's tech. She told me that the dictated report was indeed ready. I asked her if I could come by and pick up a copy for myself. She told me should would print it off for me and have it ready. I asked her, since she was looking at the report, if she could check and see if a certain test was done...as it was not indicated on the written/rough draft of my initial test results report that I received at my results appointment. I told her I am sure it was just an oversight. She looked at the final draft in front of her...nope, it was not listed on that copy either. She put me on hold as she went to pull his file. She returned moments later and was shocked when she found out that the test that she scheduled....a test that the neurologist who refered my son wanted done....was never administered. It was one of the most important tests that needed to be done....the ADOS test! The referral from the Neurologist plainly says...rule out Pervasive Developmental Disorder (PDD) and/or behavioral disorders. Of course the neuropsychologist is out of town for a couple of weeks (I knew this) and is unable to be reached. The tech was VERY apologetic, saying she has no idea why this test was not done other than the neuropsychologist must have had seen or felt something enough to decide not to do the test. I told her...prior to that day of testing...she had only met my son and I for one hour. During that one hour, she explained the ADOS test to me and assured me that even though he is verbal, it would pick up any Pervasive Developmental Disorder (PDD) symptoms..so I have no idea why after that meeting, she would suddenly decide to go against the referring Dr's request and not administer the test. Her tech also didn't know why. I said...what DID she do during those almost 2 hours my son was back there with her!?!?! Her tech said she didn't know other than she could see where a couple of questionnaires were done. I told her...I was billed for 3 hours of testing...and the scheduled test didn't take place!!! I told her...after that "test" was supposedly administered, the neuropsychologist pulled my husband and I into an office and explained to us that she did not feel difficult child had any sort of Pervasive Developmental Disorder (PDD) or Austism Spectrum Disorder as he was very talkative and gave some witty answers to fill in the blank questions such as, "My mom should____" He said,"give more desert." She said she did not see ANY sort of eye contact issues AT ALL! I immediately questioned her about this, as EVERYONE has seen this but apparently her. I told her that difficult child was seen by another therapist who wanted to diagnose him as ADD and immediatly medicate him based on his lack of eye contact. Her only response was "there seemed to be a disagreement there." However, in her final report, there are multiple notations about his poor contact with the beginning of each test but since it seemed to improve over time, she felt it was anxiety related. Sure, that is possible...but that is a far cry from the "not at all" she gave us face to face in the office. The point is...never ONCE did she tell us she did not adminster the ADOS test that day...or any other day! I found out when I ASKED why it was not circled on the written/rough draft! The tech of course says this test needs to be done...duh! The earliest they can now get him in to have it completed...the end of June! I told her this is just not satisfactory as I have to meet with the school the middle of the month to discuss these test results and to get an IEP/504 in place for next year...as well as discuss an appropriate teacher placement that will best suit his needs! I also voice my concern that this neuropsychologist seemed to have made her mind up after our 1 hour inital appointment/interview what my son's diagnosis was/were and it didn't matter what the neurologist or anyone else for that matter wanted ruled in/out. My conern now, was that I would not get an impartial testing/reults from her with the test. How convenient that she is the only one in the area that can do this test. I have put a call into the neurologists office to discuss if they want to have this test even done now or just go by what is in the report...as it does suggest the possibility of a Pervasive Developmental Disorder (PDD), but the diagnosis given was not such. (see the laundry list in signature) I am just dumbfounded...but I am now waiting on a call from the neuropsychologist's office once the neuropsychologist gets back in town or if the neuropsychologist checks in with the office, her tech will discuss this with her..and call me back then. I am in need of advice here...should I allow them to do the test? Would YOU trust her to give your child an impartial evaluation at this point? What questions should I ask when they call? I am a bit stuck when it comes to choices of 2nd opinions. One...this testing was VERY expensive and I can't afford for someone else to start all over. My insurance only covers 4 psychiatrists in the entire area...this office was one...and one other that we went to prior to this neuropsychologist was the lady who wanted to medicate my son on the spot without any testing for ADD based on his lack of eye contact...no way! The other 2 names on the list...the pediatrican had never heard of. Thanks for any and all thoughts...just when I thought we had answers....I find out that all I have is part of the puzzle. Have a great day!