Good morning. I am coming to all of you for advice and help. I apologize in advance if I inadvertently use incorrect terms or context - there is no offense meant and I really, truly appreciate any feedback or ideas. My darling nephew is 11 months old. Recently I have started noticing some development issues that I feel are important enough to at least bring to the pediatrician's attention. Examples include things like: - He refuses to eat any solid foods and gags/throws up on even small (Cherrios) things. He prefers babyfood and bottles. - He is not trying to walk. He will attempt to walk if you hold both of his hands and insist that he try, but you are supporting almost all of his weight and he has no interest in trying to stand or walk on his own. - Not much talking at all. Some babbling, but nothing like I am used to with my/other kids. - It is very, very difficult to get him to smile. At all. - If you walk in the room or make a loud noise, he doesn't care. Doesn't turn his head or acknowledge your presence. (Not a hearing issue - that's been checked) - He gets really focused on spinning things. He will sit and spin coasters or baby toys (steering wheels, tops, etc.) for a very long time. Over and over. It is difficult to distract him. Now my other sister used to teach special needs kids. She has raised similar concerns, but she uses bigger words like "gross motor skills", etc. She says that she feels it could just be delayed devlopment, but that she would be concerned enough to have him 'checked out'. I want to offer support and help with anything she needs, but I worry that any mention of our concerns will cause her to shut down or explode. I think she already suspects that there is something 'different' about my nephew and her solution has been to withdraw and pretend like everything is fine. If anyone starts to talk about any of these 'quirks' of his, she picks him up and leaves the room/house. Even more concerning is that she seems to have closed in. She doesn't have any friends. Her husband and her work off shifts so that they don't have to use child-care, but they never see each other. She rarely, if ever, takes him out beyond the local park or grocery store. The poor kid hardly ever sees other kids and my sister only sees my parents and the folks she works with. (My other sister and I live about 1200 miles away.) So my question is - how to I start this conversation? What can I do to help my nephew and my sister? How do I convey my concern and support without causing my sister to shut down and withdraw from us? Or should I truly just mind my own business and let it be until she asks for opinions or help? Thanks for any help!