The pt's attorney alleged, "(subject) suffers from the effects of mercury poisoning caused by...the products which (subject) was injected with during the time frame of 8/98 through at least 11/00...The (subject) now suffer (s) and, in the future, will continue to suffer from the toxic neurological effects of mercury poisoning...The highly toxic emissions of certain power production facilities in the environmental zone of (his) residence contributed to (the subject's) total dose of mercury poisoning...Because of (the subject's) heightened vulnerability to heavy metal poisoning and (his) compromised condition related to the mercury poisoning discussed above, (he was) unable to process heavy metals and suffer (s) neurological compromise as a result of the heavy metals contributed by the fossil-fuel burning utilities. (His) impaired condition is compounded by these exposures and (his) injuries made worse by them". The pt presented to his PCP for the 1st time on 8/14/98. The PCP's assessment was "healthy". On 1/17/00, 1/27/00, 5/25/00 and 11/3/00 the PCP still considered the pt healthy. On 1/11/01, audiological evaluation were interpreted as normal. On 1/8/02, the PCP noted "delayed speech...Assessment: healthy". The pt remained under her care until at least 4/22/02. The physician referred the pt to a neurologist. The neurologist's initial impression was: "hypotonia and developmental delay". He recommended a CK and Aldolase to evaluate for underlying muscle disorder, an acylcarnitine profile with urine organic acids to evaluate for underlying metabolic and an MRI of the brain to evaluate for cerebellar hypoplasia. The pt was evaluated by a psychologist on 1/3/01 for concerns of possible autism. On assessment performed on 6/14/00 by ECI using Battelle Developmental Inventory. On exam, the psychologist noted that the pt had reciprocal interaction; delays in communication, play and interaction skills, while having the capacity for some interactive play and enjoyment of attention. He indicated that he should be considered "at risk" for Pervasive Developmental Disorder. From 4/26/01 to at least 5/16/02, the pt was treated by a physician specializing in autism for speech and severe language delay, difficulty in engaging and holding attention and sensory issues. At that time, the pt's mom reported that she had high blood pressure during her pregnancy with the pt for which she took blood pressure medication. She reported that the pt had trouble sleeping, bad breath, grinds teeth, he was a picky eater and had skin rashes. He had a short attention span and noted that communicating was the pt's greatest problem/frustration. He did not walk until 22 months and he talked more a 1 year. Diarrhea started at age 2. His bowels were never fully formed. He seemed to revert his talking after the last vaccines August 2000. The pt began a casein free diet on 5/16/01 and his concentration went up. The pt was prescribed evening primrose oil, dimethyglycine, "bifffidobacter", dimercacaptosuccinic acids, "NFYK", selenium and zinc diuretic. It was noted in 11/01: Elevated mercury, cadmium, nickel, tin. Continue with 3 rounds of DMSR. He began acting like a normal 2 year old. On 3/19/02, the pt was evaluated by a physician specializing in allergy, asthma, immunology and respiratory disorders for possible food allergy, hyperactivity and chronic diarrhea. The allergist stated that he was at risk for autism but there was no clear-cut dx and on exam he noted a very active and at times pleasant child in no distress. Assessment: Developmental delay, hyperactivity and chronic diarrhea but with normal growth and discouraged mom as to the probability that foods would be contributing to his developmental delay or behavior disorder. The pt received speech, physical and occupational therapy. The pt was evaluated by an occupational therapist for developmental delay on 3/13/02 who determined muscle weakness, bilateral upper extremity strength, lack of coordination, decreased functional activity, decreased fine motor/dexterity and sensory processing as pt problems. The report of mercury poisoning is considered "Other Important Medical Event". The most recent information received on 8/8/02, did not provide the outcome of the reported events.