[E.Allen]

It’s obviously not Munchausen by proxy. The daughter has been away from the parents for some time now. If her symptoms were inflicted by her mother she would be cured by now. Looking at her pictures she appears markedly worse.

[exDemMom]

If that were it, the girl would be getting better, not worse, since she is no longer with her mother.

She has been moved to a foster home. I would say that is evidence that she is not getting worse.

It’s obviously not Munchausen by proxy. The daughter has been away from the parents for some time now. If her symptoms were inflicted by her mother she would be cured by now. Looking at her pictures she appears markedly worse.

A feature of Munchausen by proxy is that the children learn to pick up signals from the Munchausen parent and act more sick than they really are.

We cannot forget that she has had some pretty drastic surgery; she will never be "cured" regardless of what the true situation here is.