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I've since learned that his moodiness were because of serious the symptoms of anxiety. The anxiety was fueled by two variables. First, he was on sensory overload on his previous school; too many bodies, extreme amount noise, and too much commotion for him to effectively deal. Second, I eventually discovered he had been treated poorly by two teachers and the main. Just days before the infamous meeting, I witnessed an incident while volunteering for Mark's class.
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I wasnt able to imagine how he would fill that hole left by the surgery. This doctor just kept sewing around the hole, pulling the skin together prior to hole was all coated. My Mom did the same procedure when she patched an opening in my britches.