Fillers A patient who changed my practice

The internet and a “small miracle”

BMJ 2000; 321 doi: https://doi.org/10.1136/bmj.321.7254.165 (Published 15 July 2000) Cite this as: BMJ 2000;321:165

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  1. Di Jelley, general practitioner
  1. North Shields

    I have just returned from a mother's day concert at my 6 year old's primary school. The first “welcome” statement was made by a friend of hers, A, in a loud clear voice—a remarkable achievement for this particular child.

    I have known A since she was a baby, watching her and two younger siblings pass through the baby clinic and reach normal development milestones. A was always a quiet child in company, but I was surprised to hear my daughter, in A's class at nursery, remark one day, “You know Mummy, A never speaks at school.” There was no hint of developmental delay, and at home A interacted quite normally with her family. The transition to primary school saw a persistence of A's determined silence—no verbal interaction at all with her class …

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