I have a 4 y/o son also. He was switched from the liquid Cortef to the tablets in January when his levels came back 11,000! We are dealing with many of the same issues as you. I wish I knew a simple solution/explanation to dealing with the erections :o( My son is under NIH's care though. He does seem to be getting better because they keep such a close eye on him and do such extensive testing. My son's bone-age was 11 y/o at our last visit to NIH in Nov. We are due to go back in May and I'm hoping it hasn't advanced any further. Raising a child with CAh and dealing with all the extras CAH brings along is such a challenge, but I'm so glad I'm his Mommy! I had a real rough time a couple months ago. I was crying all time and having some real heart-to-hearts with God, asking "Why us?". I sat down and wrote my feeliings (well, typed them) and decided to post them to a playgroup board that I'm a member of. I wrote the piece very somberly, but when I went back to read the responses and my original post, I cried like a baby. I think I still have a copy if anyone is interested. I feel so much better since doing that. I hope you find some peace. Please remember, you are not alone! Maybe Susan (braydensmom) will see this and respond....I'm sure she will have even more insight. Feel free to e-mail me batmanv@mindspring.com Selena