I’m a nurse. FAS was my first thought, too.
My wife worked front desk in an elementary school in a top 5 school district in an upscale neighborhood in Texas during the 00’s & 10’s (in Abortion Barbie’s distict before she moved to Austin) and amount drugs they kept for the kids and drugged/drunk moms she delt with in her daily interactions is off the charts.
She told me if she’s ever in a car accident, she was going to request a full toxicoligy report from whoever hit her.
These parents are not 1 off’s.
The kid was pretty intelligent, knew about all of this and hated his parents for it.