Trust, but...
I have been seeing Xinren for several months, on and off, in a primary care fashion. That is a frustrating interaction pattern from an occupational therapy perspective, and perhaps one that as a profession we are simply not acculturated to. In traditional contexts occupational therapists see children on an ongoing and regular basis. Xinren's family would call and then would be seen for a consult and recommendations were made and then they seemed to not follow up for some time. The family initiated contact with me because they were concerned about their child's gross motor skills. The initial evaluation indicated that three year old Xinren had a lack of muscle tone and strength in both lower extremities, primarily in the ankles and feet. Deep tendon reflexes were diminished and he had tightness in his heel cords and only trace strength in his ankles and toes that had a clear impact on his play skills. I sent my report to the doctor who had no problem with writing a scri