Speaker: A 15 month old, first of all, should be walking?
Henry Joseph Hasson: So 15 month olds really should start being to walk independently, not all children can until 18 month of age, it’s still within normal and we’re not going to do any major intervention though then just try and encourage and help the child, may be some physical therapy. But at 15 months old, they should really start being able to -- especially if you know, holding onto someone’s hand or holding onto other friends or.
Speaker: If the kid doesn’t walk, but it’s cruising around the table, afraid to release, aren’t that to worry about kid, are we?
Henry Joseph Hasson: Sure, as long as he’s everything else normally, everything else, they are developing fine, they just have this concern, it seems okay, just don’t want to -- that’s okay, we’ll give them some more time and we give them a couple of more month and we watch them.
Speaker: If he can break that names base on the table, he’s okay, right?
Henry Joseph Hasson: Sure, sure.
Speaker: Okay.
Henry Joseph Hasson: Again this is assuming that the examination could be normal, you should still be evaluated by your doctor, and you can be sure as long as the muscle tone is fine, everything else is fine, it’s really not a matter of a concern.
Speaker: No speech is a little, you know, there’s two types of speech, you know, words and expressive, the child would be speaking right now or a couple of words.
Henry Joseph Hasson: Yeah, at 15 month old, they should already have at least, you know, one or two words, may be more. Some you know -- and they will be developing the language is starting to use their – they are just trying to language to communicate with parents to get what they need and get what they want.
Speaker: That sometimes the language is with the hands conjuration, those kids are I’m okay with, but then they should be knowing --.
Henry Joseph Hasson: They know thing for they what want, they can shake their head no, they might shake their head yes, there are lots of signs, and all these count as language.
Speaker: But if the kids are trying to reach out of this little world, the red flag be evaluate your pediatric neurologist, all the compression may be send ?all those early into eventual problems because that’s are important time.
Henry Joseph Hasson: Yeah, and the first thing that any doctor should be doing in a child who’s not speaking as well as doing the hearing test and a lot of parents will say, Oh, he definitely hears I clap and --
Speaker: Or there newborn’s kiss.
Henry Joseph Hasson: Newborns being, they don’t realize that he means actually a very delicate balance between different frequencies and we speak at different frequencies and languages -- a formal hearing testing where they really test the child, well it should done at the child who is not speaking at this stage.
Speaker: So in other words, he’ll suddenly get out off this little world, he’s going to a bigger world.
Henry Joseph Hasson: Sure.
Speaker: And what you want the kid to do and you start seeing what he is doing around the house, if getting always a little bit independent now, isn’t it?
Henry Joseph Hasson: Right, yeah definitely right, especially once they start walking on their own and crawling around their own, this is when you really need to keep your house safe and block things up.
Speaker: That’s a very good point. They should make sure that nothing within his reach or hers reach could be in a mouth, that’s a poison or a small object, little tiny magnets, cleaning agents, they are all potential, is that true?
Henry Joseph Hasson: Sure, I think many parents realize that, what I think they don’t realize is, what is within the child’s reach. I think a lot of times the parents think, oh, they can’t open that cabinet or been sitting there ready or I left him on one side of the house, they’ll never get to the other side of the house, and kids need up a lot of spaces and you realize -- especially the first time parent might not realize.
Speaker: Or you can talk about her mother, don’t put that on the floor ever.
Henry Joseph Hasson: Sure.
Speaker: And do you think that safety prescription bottle is meant for you?
Henry Joseph Hasson: Right.
Speaker: Do not open, and the kid not to open too, and knows what? The adults can open it, the kids can’t figure out?
Henry Joseph Hasson: Right, exactly.
Speaker: So anything are crucial part because we have some situations where the mother had medicine we talk about with a safety while that it was perfectly safe, and I don’t know the kid just was much better helping in this sign of the safety box.
Henry Joseph Hasson: Right.
Speaker: He got in about two seconds and swallowed about 20 pills, so that is something you will forget about?
Henry Joseph Hasson: Yeah, this is especially a concern in -- when the child goes to see the grand parents house, where a lot of times they’ll give the grand parents pills without the safety cap on it, because if they are arthritis or whatever other reasons and they think, just because it’s in a high cabinet or some over the child , can we now get with the children climb, they get to a lot of places and they are very accurate, isn’t these things look like candies for them, and a lot of medicine case -- especially medication that older people are taking could be very dangerous for children.
Speaker: And we emphasis, well all for the kids doing and I want everybody to video tape in different ages of the kids doing.
Henry Joseph Hasson: Sure.
Speaker: The reason is you can as soon as complaint one of any kind of an issue, you can get with kids at 15 months, so kids at 4 months because kids often change or some concerns come up is a wise one over is that so?
Henry Joseph Hasson: Yeah, it’s always great when I’ve got a have patient who has -- comes with concerns of what the child was doing before and is doing now. And a lot of parents are coming with a videotape and I can just sit and watch the video on DVD or on their camera itself and that’s very helpful in actually seeing because I decide, thinks this worth thousand words and a video is really -- it’s very crucial in making diagnosis.
Speaker: And you know, you’re worried about -- now they are doing at doctor’s office is natural?
Henry Joseph Hasson: Sure.
Speaker: Makes a live review, you think a tape improves it.
Henry Joseph Hasson: Right.
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