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First off he is definitely not tongue tied so that isn't part of his speech and eating problems. She said that intellectually he is very smart, but he does display some odd behaviors leading her to believe he has some degree of PDD. That includes his refusal to potty train among other things which I'd never thought to associate with his other behaviors. They're referring him to a developmental pediatrician at the Children's Hospital in DC, but it could be a good 6+ months before we're able to actually get in. He also has flat feet that he'll be referred to a podiatrist for. The old pediatrician messed up his vaccines a bit so those were straightened out and she confirmed my suspicion that his growth has essentially stopped. He's gone from being tall and average weight to being very short and very light weight for his age. She was pleased that we're already working with a speech pathologist and said that she'll give us any referrals or other forms that we need to help that along. So now we're basically waiting on the referrals (they'll call us with the appointment) to the specialists. He sees the speech pathologist for those tests tomorrow morning.