Abstract Introduction A 19-year-old non-verbal male with history of CHARGE syndrome, severe autism, intellectual disability, coloboma blindness OD and severely imparied vision OS, deafness, self-injurious aggressive behavior, Tetralogy Fallot status post repair, pulmonary valve replacement, hypertension, hypothyroidism, megacolon, gastrostomy tube dependence, eosinophilic esophagitis chronic ki...