Normal? Pics Inside

[MarinaVanessa]

The first photo definitely raises some flags. Can you mention it to DCM?

"Hey Susan, I'be been observing Johny and I noticed that when he stands his knees tough and his ankles don't. His lower legs splay out at an angle. It could be something that he grows out of but it's my obligation to bring up anything out of the ordinary and since I have never seen this in any other daycare children in the X number of years that I've been doing daycare I feel a sense of urgency to bring it up. I really think it's important to take him in to his pediatrician as soon as you can get him in and mention my concerns to his DR. I'd also like to give you a note to give his DR. with my observations and a few photos as examples for his DR to see. If there is something atypical going on with his legs it's best to notify his DR as soon as possible so it can be monitored and if any physical therapy is needed it's best to start as young as possible for the best chance of getting it corrected before he gets a little older and it's harder to repair. Again, it could be nothing but my experience and gut are telling me it's important enough to bring up again to his DR."

Something like that that is sensitive but still communicates the urgency for possible intervention. She could be in denial. Does he have a hard time keeping up with other children his age in your care? Perhaps bring that up as well? It's possible that he doesn't interact with children his age other than daycare so maybe DCM and DCD don't have any other comparison and they don't know.

It's great of you to be concerned. Thank you for caring lovethis

[Leigh]

Possible undiagnosed CP?

https://www.abclawcenters.com/freque...erebral-palsy/

My kid with CP does this. With the head, it's because it's the easiest position (requires less muscle to hold his head up when he lets it fall back).

I'd definitely suggest to parents that he gets assessed at a children's hospital by experts. I wouldn't leave this to his PCP, who has already missed it.

At a minimum, I'd guess that the child needs some physical therapy. Cerebral Palsy is often undiagnosed until the child ages. Are you aware of any problems with his birth where CP could have occurred?

[MarinaVanessa]

I wouldn't leave this to his PCP, who has already missed it.

I was thinking about this also. I can think about several instances when I was concerned over something either for myself or my children and it was noted yet brushed off by our PCP. It wasn't until I asked for a referral for a second opinion or went around them to a different DR that anything was done about it. Sometimes it was nothing but at least 3 times it was something serious (my DD's severe ADHD, my DS's speach impairment, my DH skin cancer on his face).

Without us as adults insisting a potentially severe issue can continue with no intervention

[hwichlaz]

My daughter has that...she's 7, and has had orthotics to correct it since she was 2. It's working, we're avoiding surgery.

[Mom2Two]

SMH. People have NO CLUE how much stuff we have to deal with. Seriously, we are ALL Wonder Woman!!!

[Baby Beluga]

The first photo definitely raises some flags. Can you mention it to DCM?

"Hey Susan, I'be been observing Johny and I noticed that when he stands his knees tough and his ankles don't. His lower legs splay out at an angle. It could be something that he grows out of but it's my obligation to bring up anything out of the ordinary and since I have never seen this in any other daycare children in the X number of years that I've been doing daycare I feel a sense of urgency to bring it up. I really think it's important to take him in to his pediatrician as soon as you can get him in and mention my concerns to his DR. I'd also like to give you a note to give his DR. with my observations and a few photos as examples for his DR to see. If there is something atypical going on with his legs it's best to notify his DR as soon as possible so it can be monitored and if any physical therapy is needed it's best to start as young as possible for the best chance of getting it corrected before he gets a little older and it's harder to repair. Again, it could be nothing but my experience and gut are telling me it's important enough to bring up again to his DR."

Something like that that is sensitive but still communicates the urgency for possible intervention. She could be in denial. Does he have a hard time keeping up with other children his age in your care? Perhaps bring that up as well? It's possible that he doesn't interact with children his age other than daycare so maybe DCM and DCD don't have any other comparison and they don't know.

It's great of you to be concerned. Thank you for caring lovethis

Yes I absolutely plan to bring it up to mom. I intend on sending an email with my observations and pictures along with my suggestion to get an eval. I just feel so strongly that something is not right. There is too much going on in multiple areas of development. I am taking separation anxiety into consideration.

[Michael]

I wonder, since he is so new to walking, that this is a matter of his balancing himself until he leg muscles get stronger.

[Ariana]

Definitely something up here for sure. All of the behavior combined does not indicate knock knees to me. He has never been seen by a DR (or the dr is an idiot) I can pretty much guarantee it! Mom is lying. No way this child is running around at home etc.

Trust your instincts. I would look up different types of bone diseases or issues like hip dysplasia. That can cause all sorts of issues. To me this is what it looks like. The bones are not fluid, might be misaligned or joints out of socket that sort of thing?

[DaveA]

I agree that would raise some red flags to me. I would talk to DCP about what you see/ your concerns.

[daycarediva]

You have no idea how many times this thought has occurred.

Think mom is in denial?

either that or no kid experience to base anything from. I'm seeing more of that- only children, no close relatives, no babysitting in high school experience even. Many of my daycare parent's first times caring for a child is their own.

[Baby Beluga]

Spoke to mom last night at pick up. I was originally going to send an email and just decided to address it then and there. Showed mom the pictures and described what I see here, mom was surprised. Said DCB doesn't do any of that at home.

At home he eats like a horse (they have to tell him to slow down) he plays, sits upright, maneuvers corners well (here when walking he only walks in straight lines. When it is time to turn or pivot he falls to the ground.) I asked if his pedi has ever mentioned possible low muscle tone, she said no.

Little one is due for his 18 month check up and immunizations. Mom said she would likely schedule that this month and talk to the pedi about it. She said his stance when standing wasn't normal, but really didn't seem too concerned.

Mom also mentioned he gets a bottle of oatmeal in the morning before coming here..... I try to not be concerned with what parents do at home (their home their choice) but this one shocked me. I was so shocked I didn't think to ask why he drank his oatmeal instead of eating it with a spoon but I did wonder if that is contributing to his none eating here.

I'm at a loss. I have had kids with severe separation anxiety. Sleep and eating schedules have been changed and social butterflies turned introverts, but the children adjust usually within a month and things are back to normal. I have never had psychical discrepancies due to separation anxiety. Is that even possible?

[Rockgirl]

I don't think dcm is being honest with you. There is definitely something physical there...that wouldn't magically change at home. In my opinion, she is either just denying it, or really out of tune with her child.

[Unregistered]

I had a dck once with hip dysplasia and had a similar gait while standing. My dck had to have surgery and a lower full body cast for a few months.

[Baby Beluga]

I had a dck once with hip dysplasia and had a similar gait while standing. My dck had to have surgery and a lower full body cast for a few months.

Oh gosh, poor thing. I hope he/she is okay now!

[Baby Beluga]

either that or no kid experience to base anything from. I'm seeing more of that- only children, no close relatives, no babysitting in high school experience even. Many of my daycare parent's first times caring for a child is their own.

I have seen a lot of this in my community, but thankfully many of my parents have had experience with nieces, nephews, friends children, etc.