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A Piece of My Mind
October 6, 2010

Anticipatory Guidance

Author Affiliations

A Piece of My Mind Section Editor: Roxanne K. Young, Associate Senior Editor.

JAMA. 2010;304(13):1421-1422. doi:10.1001/jama.2010.1388

Sometimes being a pediatrician is magical.

I stand across the examination table from first-time parents, their 6-month-old infant daughter on her belly, between us. We watch her put her hands on the crinkly paper, elbows flaring to the sides, and raise her head, and I confidently tell them this is the beginning of crawling. As we continue to watch, their infant moves her legs alternately in frog leg–like motion, trying unsuccessfully to get traction on the table with her feet. For my first trick, I put my hands behind her feet, perpendicular to the exam table, and we all watch as she uses my hands to push off with her feet and propel herself forward. She appears to be crawling. The parents are captivated.