Something we don’t talk about enough in peds PT/OT...

May 17, 2025 12:34 pm

Hey


You ever have a weird gut feeling (pun fully intended)...

…that a child is not progressing because they are irritable, not focused, and something deeper is going on?


Me too.


It’s wild how often we focus on motor skills, tone, milestones…

…but skip over one of the biggest drivers that might be causing distress and dysfunction 👉 Pee and poop.


I used to just assume kids being constipated or incontinent was just part of the picture of low muscle tone, or high muscle tone or neuromotor issues.


Honestly, I just didn’t give it much attention


But someone recommended I interview one of the absolute greats - Dawn Sandalcidi a couple of years back and our conversation blew my min 🤯


If we’re ignoring bowel and bladder, we’re often missing the main story.


That’s why I’m bringing Dawn back for a live Ask-Me-Anything Q&A.


This time it's live so you get to jump in and connect with Dawn.

And the best part?


YOU get to bring your weirdest, niggliest, “am I missing something?” questions and get them answered live.


It’s happening next Thursday — and we’re announcing everything tomorrow.


In the meantime, I just published this


5 Stories That Should Make Every Pediatric PT & OT Uncomfortable (in a good way)

https://open.substack.com/pub/wiredondevelopment/p/five-stories-that-should-make-every


Inside, you’ll hear from real therapists who've teamed up with Dawn Sandalcidi

and seen dramatic changes in their clients, their clarity, and their confidence.


Like:

  • A child on the verge of surgery… who didn’t need it after all
  • A 13-year-old’s night-wetting that resolved after one small change
  • A rare diagnosis no one caught… until a PT asked the right question


These are the kind of stories that make you go:

“Wait… am I missing this too?”


They changed how I practice.

And they’re exactly why I’m inviting you to join Dawn and I for a live Ask-Me-Anything Q&A this Thursday.


If you’re ready to move from “I think I get it…” to “OH, now I get it!” —

there’s a quiet link inside the Substack post where you can grab your seat early before public promo starts.


This is the real, raw, unfiltered convo we’ve needed for a long time.

No fluff. No awkwardness. Just real questions — and answers that could change lives.


Talk soon,

Mindy


P.S. Don’t miss the part about the child with CP who started sleeping, regulating, and moving better — just by addressing long-term constipation. It gave me goosebumps.


Here’s that link again → https://open.substack.com/pub/wiredondevelopment/p/five-stories-that-should-make-every



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