My son's pediatrician in the Philippines was obviously choosing her words. In June to September 2008 my son and I stayed in the Philippines and during that time we were seeing her original pediatrician regularly for his vaccines and whenever he has health issues. In this particular visit, she was inquiring about my son's tendency to cry aloud while waiting for our turn in her clinic's crowded reception area. It had been a month since we came back from Thailand and she was wondering if his behavior was occurring only in her small clinic or elsewhere. She asked if my son had acquired new friends in our neighborhood. She also asked if he already learned to talk. We discussed during our previous visit my son's delayed speech, and she recommended to use only Tagalog or English when communicating with him, in case the reason for the delay was due to the confusion from hearing different languages. Although she was smiling