(that thing did come with pedals right?)

Nope - No chain at all :D She does have a bike already but struggles with it even with training wheels as it is too hard for her to pedal and there is no flat ground around.

I'm guessing your elbows and knees are also pretty scarred?

I once scraped an elbow to the bone... shudders.

With the grandparent thing I'm pretty sure they're overcompensating for something.

They are and it might be partly the poverty thing, but I think that mostly it is because they have four other grandkids from their other daughter and they have been able to be there a lot through their lives (they are now aged 10-22ish) while they had more energy to spend with them. I think they realise they won't have the same opportunity with smallsteps so want to make up for it somehow.

Even major surgery recoveries would probably get a card and a bunch of flowers or balloons, guess we're a heartless bunch XD

Flowers!? ;D

I have no idea what to get her now.