Board Contributors,

It is with my most sincere intentions of expanding mine and the family courts understanding of what constitutes an "appropriate" CAH caregiver AND what are the real dangers presented to CAH children from life's "Normal Stressors" such as running, swimming, minor bumps, minor bruises, scratches, minimal corporal punishment, verbal scolding and the like that I present this series of messages to the board.  I would appreciate any contributions you deem appropriate.

How are parents of children with CAH advised on the extent to which they are to minimize a CAH child's potential exposure to life's "Normal Stressors" such as running, swimming, minor bumps, minor bruises, scratches, minimal corporal punishment, verbal scolding and the like?

What additional cortisol may be advised for the CAH child upon the occasional excessive exposure to life's normal "Normal Stressors"?

What constitutes an "appropriately" informed trained care provider of a CAH Child?

1st Letter: Pedi-GP (Clarence L. Kemp, MD) regarding his professional opinion on what constitutes an acceptable care provider for CAH Children. Apparently the Judge interpreted the Dr's letter in a way whereby he agreed that my parents did not have the specialized training required to care for a child with CAH. I am currently under court order not to leave Triton unattended with them, and this court decision sets the legal president for further court ordersrestrictions on me as to whom I am permitted to leave my son unattended with without providing me any tangible criterion as to what specialized knowledge is required.

2nd Letter: Pedi-Endo-MD (Steven Kemp) regarding his professional definitions of stress and the CAH patient. All of the definitions of "Physical Stress" and Serious Injury descriptions are consistent with what I understand. However the last line of the letter reads: "The CAH patient needs to maintain a low stress level and continue medications as directed in order to maintain a healthy life."

Dr's prescription: Pedi-Endo-MD (Steven Kemp) Suggests in writing that Corporal punishment should be avoided as much as possible. As a direct result of this "Dr's Suggestion" the court subsequently ordered that I was permanently restrained from using any form of corporal punishment on Triton for any reason.

1St Court Order:  I have been recently served with court order terminating my visitation rights and authorizing my ex-wife to remove Triton from his Paternal Grandparents care in Dallas, TX during his 1 week summer vacation with them. The court order based its decision on the interpretation of afore mentioned medical professional position letters and a Dr's "Suggested" prescription included within the pleadings requested of the courts by the mother.

2nd Court Order:  As a result of the corporal punishment order imposed by the courts in the 1st Order, I was subsequently served with another court order taking away my unsupervised visitation rights with my CAH Son for a "so-called" violation of the no corporal punishment restriction.

Letter From The Judge (Re 2nd Court Order):  This provides a bit more detail into the cours intrepretation of the two Dr. letters and Dr's prescription. 

Thank you again for your opinions and contributions to mine and the family courts understanding of what constitutes an "appropriate" CAH caregiver AND what are the real dangers presented to CAH children from life's "Normal Stressors" such as running, swimming, minor bumps, minor bruises, scratches, minimal corporal punishment, verbal scolding and the like.

Best Regards,

Douglas L. Arnold, Jr. (father)

(870) 236-2473