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Merlin was born at 35 weeks gestation. After birth, he was diagnosed with ventricular and atrial septal defect and patent ductus arteriosus (large). He received several operations. At the age of 2 years, Merlin received frenulum incision due to his speech development delay. He has since been evaluated for speech, cognitive, and motor development. He began receiving therapy for his delays and was evaluated as having moderate intellectual deficiency. He continues to receive therapy while residing in the orphanage. Physically, Merlin has a wide nasal bridge, eyelids slanting downwards, big thumbs, wide gaps between his fingers, and conditions of short attention, motion disharmony, and blurred pronunciation.