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Hello Dr. Silver,

I have a 5-year-old boy that had craniosinostosis surgery when he was 3 years and 9 months old. Next year he is going to be in kindergarten but he can’t talk well - he can say words but not sentences. He does not know his colors, numbers, or letters and he is not interested in learning. He has short attention span (2 or 3 minutes at most). I’m really concerned. Please advise.

You should be concerned. Have you discussed your questions with the professionals who have been working with your son? Given your descriptions, I suspect that you have had evaluations and services since he was three. If not, you should know that you are entitled to a full assessment and services from your public school. Discuss this with the principal of the school where he would attend for kindergarten. Don’t stop asking until you get your answers.

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