Mr. I had a perfect first half of 2nd grade. But since christmas he has been refusing to work and chewing like crazy. We are dealing with the chewing. But the refusal to work is a problem. His Special Education teacher is a wonderful sweet woman. She takes the same kind of ADHD medications Mr. I does. She also has special needs kids of her own. She gets it. Friday she kind of mentioned maybe checking with the Dr. about upping Mr. I's medications. She wasn't all pushy about it, it was a comment as part of things we could do. How do I know when to up his medications? How did you know?