How nice of you to respond Pamela. Yes, I did consider the fact that Ryan has a small hearing deficit so he wouldn't hear the footsteps coming before the sound. We try to make light of it as much as we can, but he usually is soooo frightened by it that he drops to the floor and begins to cry and yell at me that "you did it on purpose" or "why am I such a scaredy cat". It really seems more like anxiety than the average run of the mill startle. I suffered from severe anxiety when I was young as do many people with CAH. I, like you, am a carrier. I happen to believe that there are some symptoms that DO show up on carriers that are definately exhibited by people afflicted with CAH. This is a relatively small thing on the grand scheme of things, but it is a huge thing in his life right now. Perhaps when he gets back in good control we can eleviate some of this anxiety. It will be hard though as we will be playing "chase the OHP levels" now that he is on the Growth Hormone treatment. At least he feels comfort in the arms of his mom. I usually try to get him to laugh about it and then tell him he can get a "saftey hug" in mommy's arm "where nothing in the world can harm him". We then share a really warm moment and end it with a "tickle fest". I try to turn the whole thing into a tender moment. Luckily, we're pretty big on hugs and kisses in this house.XOXOXOXOXOXOXOXOXOXO See what I mean?!