School readiness is a contested and emotional term..
Young Kaleem, from India, is unable to carry out simple tasks, including tying his own shoe laces, after he was born with hands twice the size of an average baby.
According to Mail Online, his mother Haleema, 27, said she knew he was different at birth but was powerless to help and the youngster's hands have now grown so large they measure 13 inches from the base of his palm to the end of his middle finger.
The boy has been bullied, shunned and even beaten because of his hands.
"But I don't know if I want doctors to operate on my hands. They would have to make me unconscious and then they would cut me open," said Kaleem
Kaleem's other siblings do not suffer from the same condition.
His parents do not earn enough money for proper medical testing and treatment
Doctors speculate that he has Lymphangioma or hamartoma but can't be certain without conducting genetic testing as the condition is extremely rare.
If it is found to be Lymphangioma or hamartoma, then treatment is possible.
Apart from his large hands, Kaleem, is in good health
Duangjai Samaksamarn, from Thailand, has been given the crown of having the world's largest hands, by Ripley's Believe it or Not.
It appears that attempts at medical intervention have so far been botched.
No one realized that her oversized hands and arms were caused by a hormone imbalance. Hoping to right the wrong, she had two operations, one when she was 25 and another 5 years later. The operations proved to be disastrous. Instead of stopping the growth, they activated the cells causing the arms and hands to grow even larger.
She seems to be getting on with her life but her hands now weigh 10 kilograms.