To Your Good Health
DEAR DR. ROACH: Are people with autism spectrum disorder normal functioning? I’m thinking of “Rain Man,” and I don’t know how to behave around a friend who has this diagnosis. — R.S.
ANSWER: Autism and related disorders are much more commonly diagnosed now compared with years ago, probably due mostly to better recognition of the condition — and the movie “Rain Man” has had something to do with that. Although the portrayal of the autistic man in “Rain Man” accurately captured some typical features of autism, this was a Hollywood script and a skilled actor, not a person with autism. Very few people with autism have savant abilities, such as amazing memories or calculating abilities, for one.
More importantly, people with autism are indeed on a spectrum. By definition, people with autism have deficits in language, difficulty with social interaction and restricted, repetitive patterns of behavior. A subtype exists with no language difficulties. This is often still called Asperger’s syndrome, despite the new definition which does not specifically name it. As a consequence, people with autism spectrum disorder do not always follow typical social interactions. This can make people uncertain how to behave. Even people who have extensive experience with a family member with autism may feel at a loss when meeting a new person with autism whose “normal” behaviors are completely different. Likewise, the person with autism may struggle to meet societal expectations when interacting with a new person. You very likely have friends who are diagnosed (or could be so) as autistic who you weren’t aware of, because some people with autism have learned to behave in the way that society expects.
You will notice that cognitive and other abilities are not discussed in the definition, and people with autism may have below-normal, normal or above-normal intelligence, and may have other skills (particularly visual and special skills) that are remarkably adept.
If I were to give you advice, I would say to remember that a person with autism is most importantly a person. If you try, you may find some areas of common interest that can allow a relationship to grow. It isn’t always easy, and some people with autism struggle to make new friendships and even acquaintances. Nonetheless, respectful persistence, and recognizing that an autistic person’s normal behaviors vary widely, may lead you to a rewarding relationship with your friend. Meet your friend where they are, and ask how you can be the best friend for them.
DEAR DR. ROACH: I am recovering two weeks after an evidently milder case of COVID. I am over 65.
Should I get the vaccine when it’s available to me, or can I wait a while and let others get it ahead of me if I now have natural immunity against reinfection? If so, how long? I am guessing I can wait upward of six months.
Even a mild case is no fun to have, and quarantine for 14 days is really boring. So follow advice to avoid getting in first case. — N.R.B.
ANSWER: I am glad you had a mild case. Most people do, but severe cases can cause many complications and persistent symptoms.
The risk of developing another case of COVID-19 is low in the 90 days after infection, so you may defer the vaccine until after that time. However, you may also get the vaccine now. I would not wait any longer than 90 days, if possible, as even people with a history of COVID-19 may get the disease again.
Natural immunity is not long-lasting in everyone.
P.S.