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  1. I am curious if anyone in the PANS community has recommended imaging studies and if so do they ever show anything? We hate winter. DS13 goes from an "A" in Algebra 2 to forgetting his multiplication tables and how to subtract when he is flaring. It's so dramatic. The brain fog is truly remarkable. Sometimes I feel like half of this is an act. Maybe he just doesn't want to review math (he's reviewing for an entrance exam in a few weeks). But then I remember. He's sick. His OCD and insomnia have returned and thus basic math concepts are out the window - (replaced with anxiety and tears). How can such a cognitive shift not show up on some sort of scan? On the days that I feel vulnerable - I still so much want some tangible hard evidence to define this ridiculous roller coaster.
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