This is vital, her condition as expressed by her father. Read this carefully. Note the first line “remains undiagnosed.” He is expressly saying that neither he, nor medical science, knows what is actually wrong with Ashley. The etiology is unknown. She does not have a known syndrome or condition. His claim. Hence there is NO way to predict the future.
Then the first bullet, “Permanently Unabled” which are words he has made up. This is NOT a diagnosis, it IS an OPINION. How can he say she “will not improve” if in fact there is no diagnosis? Where is the proof? You do not do surgeries and treatment on a hunch. Then it says “infant level mentally & physically” which is a guess as to where her mental abilities are. She may not be able to communicate but there is no way to measure her understanding of the world, especially her environment. It may not be on an infant level. “… and will not improve” with this he is saying she will not improve mentally, yet there is no diagnosis or etiology so it is a guess. He also says she will not improve physically, again a guess, or a self-fulfilling prophecy due to the surgery and hormone treatments.
The next two bullets have the same issue, how can he have an expectation of size if he does not know what is wrong with her? And her lifespan? Again, an OPINION of her father. Additionally, you do multiple surgeries on this young lady based on YOUR EXPECTATIONS of the future?