STORY BYPatsy and Edward Pastrano had no idea their bright, young son Gabe might have a learning disability until he entered second grade in his Montessori school and learning began to involve more and more abstract concepts.
“He’s very smart but he would learn something and then it was gone,” Patsy Pastrano says. “He was also very distracted by other things in his environment.”
A teacher recommended that Gabe, then 8, be tested at the Children’s Learning Institute (CLI) at The University of Texas Health Science Center at Houston.
Experts there diagnosed him with learning disabilities in auditory processing, expressive language and short-term memory, as well as attention deficit hyperactivity disorder (ADHD). His parents were crushed when they realized that Gabe might never be able to make the grade for college.
Discovering that your child has a learning disability can be a frightening experience. In basic terms, a learning disability is a neurological disorder that affects a child’s ability to store, process or produce information. People with learning disorders may have problems with listening or paying attention, speaking, reading or writing, or doing math, according to the National Institute of Neurological Disorders and Stroke.
As daunting as finding answers may seem for parents with a recently diagnosed child, appropriate therapy can launch their child on a roadway to success. According to the Learning Disabilities Association of America (LDA), an estimated one in seven Americans has some type of learning disability, and if children receive effective intervention by the first grade, 90 percent will achieve normal reading.
Best of all, children such as Gabe can go on to attend college.
“It’s important to get an evaluation that will look at their strengths and weaknesses,” says Linda Ewing-Cobbs, PhD, professor in the departments of Pediatrics and of Psychiatry and Behavioral Sciences at the UT Medical School at Houston. “Having a learning disability is not unusual and early intervention is by far the best.”
Signs of a learning disability include not meeting milestones for basic motor skills and language development for toddlers, Ewing-Cobbs says. Pre-school children may have difficulty managing the structure of a classroom, focusing their attention, complying with teachers’ requests or getting along with other children. At the kindergarten level, children may have difficulty learning and remembering names of letters and the sounds letters make, or remembering math facts.
“When there is an impact on daily life and they’re missing out on activities, or when they’re avoiding reading or academics, or when they’re angry or withdrawn, it’s important to know what is contributing to the distress,” she says.

Gabe Pastrano at age 8.

Gabe Pastrano, 19 a successful college freshman (pictured here at his high school graduation.)
Gabe remembers a time when he would shy away from teachers when the class was asked a question. He would look down, hoping he wouldn’t be called upon.
Ewing-Cobbs is part of a CLI team that has assessed Gabe, now 19, over the past 11 years. She is also director of the new Dan L. Duncan Children’s Neurodevelopmental Clinic, which is going beyond testing to address developmental, parenting and educational needs for children from babies to young adults.
“What I tell parents now is that testing is the foundation. If you don’t know what you have, you don’t know how to deal with it,” says Patsy Pastrano, whose daughter Carissa, 15, was diagnosed at age 3 with difficulties in expressive and receptive language, fine motor skills and speech. “I also tell them not to fear the word ‘disability.’ You don’t let that paralyze you from taking action.”
The Pastranos worked hard to help their children, whose homework would take from one to three hours a night. Both children received weekly therapy for their learning disabilities. They also attended the School for Young Children, a small Houston school for grades 1 to 5 for children with special needs, and Houston’s The Briarwood School, a non-profit school that specializes in teaching children with learning differences and developmental disorders.
“My mom told me that nothing was impossible to get around,” says Gabe, now a freshman at Sam Houston State University who finished his first semester with a 3.0 grade point average. “She told me that everyone has differences and some just have to struggle a little more.”
Ewing-Cobbs says therapists help children use their strengths to compensate for their weaknesses. In Gabe’s case, his greatest strengths are his visual and tactile senses—sight and touch. Therapists worked with him to attach visual pictures of what he was learning in order to absorb it. “He’s so good at it that it’s like a motion picture for him,” his mom explained.
Mary Prasad, PhD, assistant professor of pediatrics and another member of his assessment team, suggested that he would do well in anything visual. (Gabe, incidentally, is majoring in graphic design.)
Patsy Pastrano reports that Gabe has needed no special accommodations in school, though certain accommodations are allowed by the state. “In a large class, he sits in the front and he actually can take really good notes. I’ve been blessed with my children. I have independent and hard workers,” Pastrano says.
Gabe and the CLI team credit the tenacity of his parents, especially his mother.
“A lot of teachers said I wasn’t college material,” says Gabe in a telephone interview between classes. “My mom refused to hear it and she pushed me really hard. At the time, I didn’t understand why. Now I’m glad.”
Comments do not necessarily reflect the opinion or approval of HealthLeader or The University of Texas Health Science Center at Houston.
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K. Smith writes:
Date: May 1, 2008
This was a much “touched home” article. I wish I would have been aware of these additional avenues, especially as they are UT Related. My son has had a learning disability, due to “epilepsy – seizure disorder”, all his life. During his school years, it was tough, extremely tough. His motor skills were not “quite fine tuned” for a teenager, and his ability to stay focus and memory was slightly disadvantaged. He is now 30 years old, and somewhat advanced, but moments still catch him. We are now involved with a State Based Agency, and hopefully seeking “coping skills”. As a parent, I know from firsthand experience what the Pastrano Family was dealing with.
I still have moments when I wished I could have progressed my son more, much more, and had the opportunity or someone to explain, or assist with knowledge of support services during his early years. If ever a time was needed, it was then. I applaud the CLI, it’s a loving moment, when a child reaches a potential point in life, knowing there were obstacles along the way; and even more when parents become their “abounding strength”.
Thanks.
Dr. Linda Ewing-Cobbs is a professor in the departments of Pediatrics and Psychiatry and Behavioral Sciences at the UT Medical School.
Eating healthy
reverses metabolic syndrome
Dr. Tasnime Akbaraly of University College London and her colleagues were interested if healthy eating could actually turn-the-tide and reverse metabolic syndrome, which is having 3 or more of the following risk factors: excess abdominal fat; high triglycerides, hypertension, low levels of HDL the “good” cholesterol, or type 2 diabetes. Having metabolic syndrome doubles a persons’ risk of heart disease and greatly increases the odds of developing type 2 diabetes.
The researchers studied 339 British civil servants with metabolic syndrome, and how closely the adhered to the Alternative Healthy Eating Index (AHEI) to see if it could help reverse metabolic syndrome. The AHEI is a set of published nutritional guidelines by the Harvard School of Public Health in 2002 that emphasizes whole grains, fruits, vegetables and decreased red meat consumption.
Five years into the study, nearly 50% no longer had metabolic syndrome. People who followed the AHEI guidelines the closest were nearly twice as likely to have reversed their metabolic syndrome. The results of the study were published in Diabetes Care, online July 29, 2010.
Dr. Alice Lichtenstein, an expert on diet and heart health from Tufts University in Boston who was not involved in the study said, "It's not about focusing on individual components of the diet, it's really the whole package, and that becomes important because it means that if one of the components of a healthy diet is to eat more fruits and vegetables, just buying a pill saying that there's a concentrated extract of fruits and vegetables is probably not what's going to help you."
Call and make an appointment with Wellness Coach Sam Hester, CWC, CPT, LWMC, at 713-500-3327. It's confidential and free. For more information on the wellness services provided, visit UT Counseling and WorkLife Services.