Doctor on shackled malnourished siblings' recovery: 'It's not going to be achieved overnight'
Fari Kamalpour
Dr. Fari Kamalpour  the hospital's director of internal medicine   told ABC News that  her  "first impression" when  she  saw the siblings was that  she  was in the pediatric unit.
The malnourishment that the siblings endured was "systematic" and occurred over a long period of time   Kamalpour  said.
The malnutrition "absolutely" impacted the children's cognitive and physical development  and the staggering development tends to progressively get worse over time   Kamalpour  said.
 Kamalpour  said the "main sign" that someone is malnourished or mistreated is "pale skin that you can see from a normal distance."
"Basically  you don't see much muscle mass on the face or the arms " or other extremities that are exposed when they venture outside   Kamalpour  said.
People who are malnourished do not walk steadily and have poor posture   Kamalpour  said.
"As a parent  if you know what is normal in a child  you can easily find out what is abnormal in a child "  Kamalpour  said. "You don't need a medical degree."
 Kamalpour  said  it  is the "responsibility" of members of the community to watch out for each other.
"If you see a child that doesn't go to school and is putting sod on the ground at midnight  or looks pale and doesn't walk appropriately  that kid probably has some issues that need to be paid attention to "  Kamalpour  said.
[TGT]told ABC News that  [TGT]  "first impression" when  [TGT]  saw the siblings was that  [TGT]  was in the pediatric unit.
The malnourishment that the siblings endured was "systematic" and occurred over a long period of time   [TGT]said.
The malnutrition "absolutely" impacted the children's cognitive and physical development  and the staggering development tends to progressively get worse over time   [TGT]said.
 [TGT]said the "main sign" that someone is malnourished or mistreated is "pale skin that you can see from a normal distance."
"Basically  you don't see much muscle mass on the face or the arms " or other extremities that are exposed when they venture outside   [TGT]said.
People who are malnourished do not walk steadily and have poor posture   [TGT]said.
"As a parent  if you know what is normal in a child  you can easily find out what is abnormal in a child [TGT]said. "You don't need a medical degree.[TGT]said  [TGT]  is the "responsibility" of members of the community to watch out for each other.
"If you see a child that doesn't go to school and is putting sod on the ground at midnight  or looks pale and doesn't walk appropriately  that kid probably has some issues that need to be paid attention to [TGT]said.