This is a follow up to the original The Knotted Cord published by Nova Science in 2014. It is written as a conversation between myself in 2014 and then in 2019. The conversation is structured around the chapters of the initial book. Thus Ireland's toxic romance with alcohol, the stigma of transgenerational alcohol and the ethical dilemma of diagnosing and managing Neurodevelopmental Disorder prenatal alcohol exposure offer the beginning thrust to the book showing what has changed in the intervening five years and what has not changed. Overall the book is a critical and academic update on the...