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-- Hello welcome to -- -- I'm Dr.
From the first words to their first steps children grow and learn at an incredible rate -- time there and to the world.
But how do you know if your child's development is normal -- to tell us is doctor -- wasserman and pediatric resident and New York Presbyterian Hospital.
Hot a hot hey welcome back thanks great to be there I think is a very important question is you know I have an autistic child and he was.
Because of the milestones that -- Began to realize that there was a problem with my Ryan so the first thing is of one of the milestones in the child's development.
So developmental milestones are things that we look at -- all children starting from the day that there born.
Until they progress through early adulthood and what they are there each specific.
Goals that children will reach in various capacities and find motor skills in gross motor skills in language.
And social development -- are things that we expect children to -- in a certain window of time.
OK so let's tried to break them down in each specific tour so.
At the end of the let's say second year -- What should the child be doing.
It's about 24 months you would have a certain set of expectations.
Their toddler -- you expect a child to be able to walk independently.
To start running to be able to go up and down -- with assistance.
We'll consider those the gross motor skills.
Fine motor skills you expect them to be able to scribble.
To copy shapes if you dropped for them they can copy what you've drawn by the agent to -- by the age of two simple shapes how you I'm sure.
A line -- circle we're not yet asked them to copy Picasso okay.
There's a certain number of -- usually two year old -- between thirty and fifty words this can vary especially in bi lingual household sometimes children.
-- a little bit longer to catch up when they're hearing two languages.
You know you expect them to be interacting with other people you expect them to copy and to mimic what they see going on and these are all part of normal development.
-- -- Let's do another milestone let's say each of five -- when we got a five.
-- -- five years all of like that two year olds completely sped up so.
And for talking from a gross understand what you expect five -- to be able to hop on one foot they have some element of balance.
From a language standpoint and a social standpoint you expect them to interact -- pretend play.
-- see -- -- have -- -- -- talked with little girls or are you a little -- have baby dolls and they'll play with them and speak with them.
From a language standpoint.
You expect them to be forming complex sentences so subject and verb you expect all of their language will be understandable.
At least to the parent they're still you know.
Learning and and their mind is still.
Absorbing we expect them to be reaching certain -- Well what would be let's -- I didn't see my child full the speak at the age of two.
How much time should I wait before -- say hey dot can't come my child is not talking yet.
-- is that that's an excellent question so it's important to remember that all of these different.
Tracks -- language social all of those things they happen sequentially.
So before you realize that your child is -- speaking in complex sentences by the age of five you have to look back toward the beginning.
-- around four to six months you expect a child to be cooling and dying in cooling.
You know that will lead to -- Using repetitive vowel sounds.
Let leads the -- repetitive consonant sounds dot dot dot that's when you know -- say mom I doubt that the parents are so happy right.
And you know to you follow this progression so anywhere along the line if there's a problem hopefully you'll be able to realize that sooner rather than later.
What about from -- to kids premature children in a category all their own.
So when you have a child that's born before her.
37 weeks gestational we called premature.
Even late preterm kids you need to correct for their gestational age in this continued although -- -- two years -- Who should do that job is -- -- pediatrician.
Or is that the parent or is that a combination of both it's certainly a combination of -- as a parent you know your child the -- with them every day.
Watch them interact you're the one that presumably is spending the most time with them so what's -- -- student parent with the knowledge on board of what to look for.
That can then bring that information to the pediatrician.
And that collaboration -- -- is what usually results in the best outcome for the child.
So when a parent comes to me at a well child visit and says -- -- and concerned because XYZ.
I can delve into that further.
That said if the parent comes -- with no concerns it is still my job is a pediatrician to make sure that I.
Go down my list of things to look for and make sure that we're not missing anything.
That's what that's why you're the best speed -- -- Thank you for coming I -- he's an elaborate.
Again you always bring the best information and I will be keep on coming back every time thank you much.
Andy do you have any health problems you wanna talk about email me here at fox said -- -- -- -- -- com until next time I'm back to.
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