Billy is alert and recognizes when he is called by name, maintains adequate periods of attention to different types of stimuli, both visual, tactile and auditory, and monitors them, responding assertively to environmental demands.
Although Billy is behind developmentally, he has and is making strides in his overall development. Billy is alert to his environment and recognizes facial features appropriately in terms of modo, and he cries or smiles appropriately. He recognizes things that bring his discomfort such as wet diaper, being hungry or tired, or an injury, and responds appropriately.
He has diagnosis of Imperforate Anus, neurodevelopmental disorder and intellectual disability as evidenced in his intellectual and developmental delays. He has had previous urinary tract infections caused by E. Coli and Klebsiella Pneumonia, Imperforate Anus, possible Trigonocephaly, trend to microcephaly, may have other associated conditions.
Update 2022: He had surgery to repair his imperfect anus and his colostomy removed. Surgery was successful and he is eating and eliminating well. We also now have a brief video of Billy.