Henry Joseph Hasson, MD Pediatric Neurologist Children’s Hospital at Montefiore Medical Education: Albert Einstein College of Medicine
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Host: A 15 month old, first of all, she will be walking? Henry Joseph Hasson: So a 15 month old really should start beginning to walk independently. Not all children can until 18 month of age, it's still within normal, and we are not going to do any major intervention, other than just try and encourage and help the child; maybe some physical therapy. But at 15 month old, they should really start being able too, especially holding onto someone's hand or holding onto other furniture. Host: Now, if the kid doesn't walk, but is cozying around the table, afraid to release, we are not too worried about the kid, are we? Henry Joseph Hasson: Sure. As long as they are doing everything else normally, they are developing fine, they just have this concern about things and just don't want to. That's okay, we will give them some more time and we will give them a couple of more months and we watch them. Host: If he could break vase on the table, he is okay, right? Henry Joseph Hasson: Sure, sure. Again, assuming that the examination is completely normal. You should still be evaluated by your doctor, but you have to make sure that as long as the muscle tone is fine and everything else is fine, it's really not too much of a concern. Host: Now speech, there are two types of speech; words and expressive. Is he speaking right now, a couple of words? Henry Joseph Hasson: Yeah, at 15 month old they should already have at least one or two words, maybe more, and they are really developing their language. They are starting to use language to communicate with parents, to get what they need, and to get what they want. Host: But sometimes the language is with the hands, gyration, those kids I am okay with, but then -- Henry Joseph Hasson: They can shake their head no, they might shake their head yes, all of these count as language. Host: But the kid is not trying to reach out of his little world, red flag, be evaluated by your pediatric neurologist; maybe he has one of those early intervention problems, because that's a really important side. Henry Joseph Hasson: Yeah, and the first thing that any doctor should be doing when a child is not speaking as well as doing the hearing testing, a lot of parents will say, oh, he definitely hears, I clap, I do this. Host: Oh, they had the newborn scream. Henry Joseph Hasson: Or they had the newborn scream. They don't realize that hearing is actually very delicate balance between different frequencies, and we speak at different frequencies and languages. A formal hearing testing, where they really test a child, well, it should be done if the child is not speaking at this age. Host: So in other words, he suddenly gets out of his little world, he is getting to a bigger world, and what you wanted the kid to do, and he starts seeing what he is doing around that house, he is getting little bit independent now, isn't he? Henry Joseph Hasson: Right, yeah, definitely, especially once they start walking on their own and crawling around on their own, this is when you really need to keep your house safe, and you can block things off. Host: That's a very good point. They should make sure nothing within his reach or her reach could be in the mouth. That's a poison or small object, little tiny magnets, cleaning agents, to all potential emergency home visits, 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 parents think, oh, they can't open that cabinet, they will never be interested, or I left them on one side of the house, they will never get to the other side of the house. Kids move a lot faster than we realize, especially the first time a parent might not realize it. Host: Like a mother, don't put that on the floor, Alba. If you think that safety prescription bottle is meant for you, do not open, and the kid not to open to, I have news for it; the adult can't open it, the kids could figure out a
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