Met with the neaurologist this week. He clearly came up with the Tourette's diagnosis but said no to meds. It was amazing when he said the problem is with the teacher and not my son. If she can't learn to handle vocal tics than she should see her doctor and get some meds. What he is doing is involuntary. He even said to have the school call him directly if the school has any questions. He is already an amazing advocate. I feel better having someone on our side. Now we have something to work from. ?Still have to get into the school , but that's another battle.