Makes you wonder what these parents looked like when they were first born, doesn't it? As far as the guts to diagnose it - think what would have happened if you had waited, and then they changed providers. That happened to me - saw a baby years ago as a new patient at around 3 months old - obvious Down syndrome - no one had told them. I asked the physician about it & he said he was going to talk to them at the office visit. The parents had wondered why their baby wasn't "acting/looking right", especially when their physician hadn't alerted them to any problem. -Diane, CNP > Now at 6 months she looks NOTHING like how she did before > and has not the slightest Down's features. Oh well, I had to, I > would have felt worse telling them after 4 months that she had Down's > but I didn't have the guts to diagnose it . > Dianna Tolen, M.D. > > Kids First Pediatric Care > Canfield, Ohio