Samuel is a 4 year old who has been receiving occupational therapy (OT) treatment for the past 5 1/2 months. His occupational therapist is Margot Baker, OTR/L, who serves the Southwest District. Sam has had numerous medical concerns. Sam has a condition that causes him to have a compromised immune system. He has had many bouts of respiratory inflammation and bronchitis. He developed feeding problems and was placed on multiple antibiotics.