Well, Ava got a huge knot in her head yesterday when she decided to stand up in the stroller while Kim went inside the garage and then proceeded to tumble head first into the concrete.  Let’s just say she hasn’t quite perfected her face to concrete technique as the concrete won in this instance and scored a bloodied nose and a knot on the head.  At least Kim didn’t freak out – she just called to verify that she should just monitor her behavior and kept an eye out for signs of a concussion.  That afternoon, it was as if nothing happened, other than a sore spot if she touched it.