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Two Problems: How can you treat them?

Q I have treated an 8-year-old boy and his 5-year-old sister in my practice for the past two years. They have always been healthy and seem to have good interactions with each other, their mother, and me when they are in the office. However, at a routine well-child examination, the boy's mother informed me of two concerns about her son and even broke down in tears when describing them.