Does anyone know about Hemophilia?

I am taking care of a little boy that is 18 months old. Now I guess he fell this past weekend, but he has a huge bump on his forehead. He also has severe bruising on his abdomen and legs. Now his mother told me that he fell in the kitchen from a chair. I asked her if she took him to the doctor because of the wound on his forehead. She said that she did not because there are no hemophilia specialists in the area where we live. Now what I want to know is if every basic family physician specializes in hemophilia or are there actual hemophilia specialists? I am just try to track a pattern of abuse because she did not want to take him to a doctor.

Ok I just talked to my friend and she said there are three hemotology specialists in this area. I think I am just going to keep a journal of bruising and bumps. If I see anything odd then I will report abuse.

They are called hematologists. That is no excuse for him not to be treated.
Every injury in a hemopheliac needs to be treated. Does the kid really have hemophelia? When and where was he diagnosed?
I can't believe the parents of a hemopheliac would move to an area without specialists.
Something is very wrong here - maybe the boy is being beaten. Call Children's Services if you don't get any good answers.

I'm no doctor, but I think that a hemophiliac 18 month old falling from a chair would earn a trip to the ER. Hemophiliacs don't stop bleeding--bruises are bigger and more dangerous, and little cuts can lead to a lot of blood loss.

Did she tell you he was hemophiliac when you first took the job? That's a big deal to leave out of child care instructions--like a peanut butter allergy--she shouldn't have left her kid with you for an hour without telling you that, so if that was a new revelation, be suspicious. If she told you about his condition from the beginning, you should also know that a hemophiliac will get such big bruises that ordinary falls will leave horrible looking marks--bad bruising will happen a lot.

Are you seeing other signs of potential abuse, either from the mother or the kid? I'm really not convinced either way here. You are right to be suspicious though.

As a day-care provider, I would have called already. Severe bruising on abdomen and legs? (They all bang their foreheads a lot at that age.) No, you do not need to "make note" of anything, you are already pushing your luck by not having called. It is your legal obligation as a care provider.

If it's a medical problem that is being handled properly by the parents, the worst that will happen is they'll get mad and take their kid elsewhere. If not, the worst that can happen is a dead little boy.
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***Note: Your question indicates that you already *suspect* abuse. You are not required to report only "proven" abuse, but suspected abuse. It is not your job, but that of the child protective people, to determine whether or not your suspicions are founded. Believe me, I have no love for such agencies, as they made my life hell when my son was ill, but, in the end, they got me hooked up with the services we both needed. (Ours was not a matter of abuse, but of financial need, but they do treat everyone like suspects. Nonetheless, they helped us.)