My son is 14 years old he is in the gifted and talented classes at
  school.  His major problem is organization not hyperactivity
[Fred A. Baughman Jr., MD: and someone convinded you that at 14, not being organized is a "disease." Anyone saying such a thing is a fraud. He started failing school in 7th grade and we went to Dr Jim Beard in Greenville SC he is a behavioral MD who specializes in TX of ADHD kids [Fred A. Baughman Jr., MD: It has often occurred to me that I would hate to have gone to all the trouble of medical school to end up a specialist in a disease that doesn't exist.]
  We have been on Adderall
  XR 20mg for about 1yr now with great improvement in school! 
[Fred A. Baughman Jr., MD: Tons of people, children and adults, having illusions of betterment, even omnipotence, on amphetamines, this is one of their great appeals. I took Dexamyl, methamphetamine, for a time while studying for board exams in 1959 and had just such illusions but performed no better than usual and quit when the detail man's samples ran out...quit before becoming dependent]

  My major concern is the health risk posed to my son.  I have read and heard
  on TV  the risk of death cardiac related.  My son has developed substernal
  chest pain also at level of esophagus mostly transient, but fairly
  pronounced one night. 
[Fred A. Baughman Jr., MD: if he has never had such pain before the only safe, reasonable assumption is that it is due to amphetamine for that is all Adderall is--pure mixed amphetamine salts, and you would be foolish to continue your son on it or anything like it. Likewise, tics, commencing after the start of ADHD meds are due to the drugs though ADHD experts will tell you these too are part of the ADHD, but rembember this, there is no abnormality on any exam or any test or any scan...to make of it a real disease, it is all a scam, a fraud, the greatest health care fraud ever, in the USA.]
 He is tall and naturally very thin and now more thin
  since on this medication 
[Fred A. Baughman Jr., MD: Growth retardations, diminution of height, weight and brain size, are all proven to be due to the Ritalin/amphetamine ADHD drugs. Wake up please, for the sake of your son. Do you want him to go thru life believing he has a brain disease and cannot control himself without these drugs. He is on the way. You better believe that. It will be difficult--the money is too good--but your better find yourselves a family doctor who will be content being ethical and scientific and treat only abnormalities/diseases he/she can actually prove exist.]
. We are going to the peditrician today 2/26 and to Dr Beard
  tomorrow 2/27.  Do you have any suggestions or questions I can raise with
  the MD.
  Thanks
  Wendy *******