Corrected entry: The episode completely contradicts what we've learned about Bashir and his family from previous episodes. In 2-6 "Melora" Bashir told her that his father was a Federation diplomat. If so, wouldn't some of the high-ranked people in Starfleet know about his family life? Having a son with birth defects certainly would not have been that big a secret and Richard certainly wouldn't have gotten away with having Julian enhanced if he chose to do so. In 3-18 "Distant Voices", Julian's mind was viciously probed by a Lethean, who via this contact knows everything about him. Of course, there was no mention of the genetic enhancements here, otherwise the evil alien would have easily used the secret and its illegality against the doctor. In another episode, Julian said he was very skilled at sewing up his teddy bear at the very young age of 5, which seemed to be the first indication of his desire to be a doctor. But as "Doctor Bashir, I Presume" indicates, Julian was genetically enhanced around his seventh birthday. If he was indeed physically and mentally deficient at the age of 5, he would have been completely incapable of patching up little Kukalaka.