That gleam in his eyes and set of the mouth says he is ready for more. You are not going to keep him down for long! I can see he is a charmer. It's not just his good looks, it's his expression.
Even with three boys we never came close to three ER visits on a week but Children's Hospital had good records on all three. At one stretch we were starting to joke about being investigated for abuse even though some were at school or church events when we were not with them. Between the three of them there were only two broken bones, both collarbones about a month apart from falling out of bed, one at my parents house and the second at an overnight church camp.