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Chapter 14 - THE PEDIATRICIAN’S EMAILThe strongest evidence against Mark’s claim that he believed his method was professionally reasonable came from Dr. Shah’s portal messages.

Three months before the bathroom night, Mark messaged privately through the family account:

Can we use timed exposure if she refuses bathing?

Dr. Shah replied:

You can use gradual exposure, but I do not recommend forcing her to remain in the tub while distressed. Avoid restraint except immediate safety needs. Focus on choice, sensory comfort, and short successful experiences.

Mark asked:

What if she learns crying ends the bath?

Dr. Shah:

The goal is not to extinguish crying. It is to help her tolerate hygiene without panic. Consider pediatric OT.

I had seen none of this.

Mark had archived the messages.

Then never scheduled OT.

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He knew the recommendation.

He chose a different path.

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