Children with complex needs often have limited communication which makes clinical assessment extremely difficult. They also require complex feeding regimes and are prone to chronic bowel dysfunction and dysmotility requiring frequent admissions to hospital. We present the case of an 11-year old boy with mosaic trisomy 13 and an end ileostomy (for gut dysmotility) who presented with a ... https://www.roneverhart.com/Rawlings-34-Maple-Fungo-Bat-MLF6/