Practitioners commonly feel overwhelmed when treating children with complex medical conditions or complications. This can foster an attitude of 'too hard basket', skimming over issues or negatively reactions due to frustration and other emotions. I believe the key to success is in a thorough assessment of essential and basic physical bodily functions. There will always be more than one area of deficiency or disfunction. Create a realistic and achievable treatment pathway to better health and wellness and the rest of the puzzle will fall into place. Piece by piece keep guiding the family towards those steady improvements and never become complacent. Wondering, questioning and building continuously is rewarding and empowering for everyone involved. The second you close off ideas or options, you will lose. And have no other option but to give up and accept helplessness and hoplessness. And that serves no body.