If you have done the best that you can, and I am sure that you have, then I would send a referral to the state authorities...I would feel that it was my duty to do so. A caseworker would then be assigned..this child needs to have that as it appears the parents may have low thyroid as well leading to their own lack of brain development...seriously..I have a young patient who has low thyroid and when we checked mother she had it for at least 10 years and it went untreated..I fear it damaged her...take care....
