Ms. Liz's buddy

It's been lots of t, z, and s this school year. You don't always want to work- but will do most anything for candy and Ms. Liz. Such a flirt...

Speech Progress Report

Speech Progress Report - Not bad - Car-Car :)

Ms. Liz sure is a fan of yours.

LONG AND SHORT TERM GOALS DESIRED FUNCTIONAL OUTCOME
Long Term Goal: Carter will produce age appropriate sounds during structured activities to improve effective communication.

Short Term Goal: Carter will produce /k, g, f, v, s, z, “j”, “th”, “ch”/ in the initial position, medial position and final position of single words, phrases, sentences and in conversational speech with 80% accuracy. 

PRESENT LEVEL
Carter has mastered /k, g, f, v/ in all positions of single words, phrases, sentences and in conversational speech. He ended the 2016 school-year mastering /s,z/ in sentences. We are currently focusing on these sounds along with s blends in conversational speech.

I started seeing Carter in September of 2015. He has made tremendous progress over this past school-year and continues to make improvements. His mother and father are a great source of support and encouragement for Carter. He is an absolute joy to work with! Keep up the hard work, CarCar!

Speech Stats

Someone is killing it in the speech goals area - you! (Above...what happens when you don't take a nap. You fall asleep on Mommy at 4:30p...and I get to watch Anthony Bourdain.)

Scores -

Expressive Language

6/10/15
Raw score: 89
Standard score: 102
Percentile: 54%

1/13/16
Raw score: 95.5
Standard score: 109
Percentile: 73%

Comments from Ms. Geneine -
Your boy is looking great.  Consistent errors were noted on th, s and s-blends.  His intelligibility has improved significantly since the last time I saw you all.  I love that everything is just falling in place for him.

Almost 3 updates

Oh my goodness cute boy!

1. Hair - Around Thanksgiving - we had a lice situation via Holly Street and your sister - so we opted to cut off all of your beautiful locks. Your hair finally growing back some and I'm hopeful the curls return.

2. Hearing - Your last hearing test was okay. You're still at that age that fatigues early and doesn't always give the audiologist the clearest of answers. BUT - what we did get was consistent with all previous tests.

Once you moved up T-4, which is bigger in every way - room and class size, it was very clear that the classroom was much louder- making it even more difficult for you to hear your teacher's instructions. Mommy immediately asked Vanderbilt if they had an FM system we could borrow until you get your own FM system through Metro Nashville (when you turn 3).

It took a a couple hours of playtime at home for you to get used it, and it's only for 1 ear, but it's made a huge difference. Your teachers are using it all day long - during circle time, table-art time, and outside while on the playground. Mommy and Daddy like using it during car rides, outside, or a place where you want to run free.

3. Speech -  At your December appointment with Ms. Geneine, she recommended starting weekly speech visits. Mommy and Daddy alternate taking you and you are already making some great progress.
So far -we've checked off  -Initial/Medial/Ending - "P" sounds/words
We're currently working on our "T" words. You can get frustrated, but are still working hard to get these sounds right. We get so excited and do all kinds of dances, kisses, and high fives when you've mastered a word - this week it's been "table" and "time".

Your narrative speech is still coming along, and most recently your imaginative play has really increased. Your teachers report that you love all the centers and all your friends. It doesn't surprise me that you like being friends with everyone!

4. Potty - For the most part potty time is going great, but we're still working on #2. You've been telling everyone that you get an excavator if you go poop on the potty, BUT have yet to actually go poop on the potty.

5. Sleep - Going to bed has gotten a million times better in the last 3 months. Most nights we are done with your bedtime routine by 7:30p and you are asleep by 8p. This week you've also actually stayed in bed until your clock turns green - then yelling the second it turns green - "Mommy - the clock is GREEN!" None of the above is consistent, but I have no complaints. Last night- for instance- you had tons of energy, and were found/you came out of your room twice completely naked! - after taking off both your footed pajamas and your pull-up. Both times - you gave this hilarious sly look - like look at me - this is funny, right?!

6. TV/Toys - You spend every morning before we leave for school watching a show, while eating your dry cereal breakfast, and lately you've become obsessed with one show and watch it every morning.
For 2 weeks - it was Room on a Broom. This week it has been Dumbo.

You are doing more roll playing now - like bringing your baby doll to dinner, feeding her, take care of her, etc... But your go-to toys are still all things transportation and construction.

Phew...I think that's it for your much needed update. Mom and Dad love you to pieces. Note to self - upload some videos from Dad's phone. Lately you've liked dressing up in Maevy's dresses and then dancing to Let it Go from Frozen. It's pretty stinkin' cute.

Love you,

Mommy

Hearing and Speech Update

Hey Cart-

 (Walden Treehouse- Cheekwood - August 2014)

With your new modified speech and hearing appointments, time has been flying by.

First up- Speech

Ms. Geneine was pleased with your progress and just wants to see you back in a (3) months. We need to work on "p" sounds and reinforcing ending constants. I would say ending constants are your major "error" right now.  We spent a a good couple minutes working on "mint" last night and this morning. You like to just say "mih". Finally this morning you pronounced that "nt" and we made a huge deal about it. You didn't seem to care, and were just happy finally get the mint!

Some of our favorite phrases lately have been-
"What are you doing guys?"
"I go outside. Be right back."
"Oh my goodness"
"Mommy, look at me!"
"No, I want to do it!" "No, I can do it!"
"Please, Daddy can I have more raisins?"

Also you love talking on the phone and always ask to speak to whoever it is. It usually starts out okay, but then you get excited and start talking gibberish with real words mixed in about whatever it is you see in front of you. It's a lot "over there" "in there", etc...

You also like taking care of your baby and telling us about feeding her, wiping her nose, and changing her diaper. Lastly, you love putting your lovie in timeout. It's pretty cute- how you go through the whole routine -

You'll do this roll play- where you act like lovie bit you. Then you say-
"Ow!"
"No, lovie! No biting! You go in timeout! Two minutes"
(you walk away)
"Ok, give hug, lovie"

Next up- Hearing 

No major changes in your audiogram . We attempted to the play the "hearing test" game instead of the normal conditioned play audiometry, but you grew bored with it pretty quickly. So instead we built a tower with pegs and you turned your head toward the tvs when you heard the tone.

Ms. Danielle still isn't ready to switch you to every 6 months; so we decided to meet in the middle again and we'll be back after the holidays in January. Ms. Danielle's schedule is changing; and she won't have any more 8am appointments. So she's referred us to her colleague. We are going to try out the new person and see how you do.

Otherwise - your hearing aids received their normal cleaning and tune up, and we ordered replacement ear mold since your molds are already looking a little too small.

  

 As always, you are doing great and hope you keep up the great work! Love you lots!

-Mommy

2 year old Hearing Test, Well Visit Stats, and Speech Update

Hey Cart-

Well it was bound to happen...you finally had a not so great hearing test. You aren't quite old enough to start playing the hearing test "games" and the wind and bird sounds aren't nearly as interesting to respond to as they were a few months ago. At one point, you looked at me and said "Tweet-tweet, bird"- rather than turning your head towards the sound. Even without the full hearing test, what Ms. Danielle did get still seemed consistent. We'll try again in August, and hope that we'll be able to switch to every six months soon.

Then we saw Dr. Mukundan. You were in a great mood when we saw him, talking up a storm. You even announced "Uh oh, I poopy"- which is a good sign that we are getting close to potty training season.


Here are your growth stats-
Weight: 31.4lbs (92%)
Height: 35 1/2 inches (78%)
BMI: 17.52 (54%)

Next up- your ENT - Dr. Goudy. Your tubes look great, and you've been ear infection free for almost a year now. Nice! We scheduled your CT scan for June to see if we can gain any more info on your hearing loss. Depending on the results we'll know if we can expect it to get worse or if an injury to your head would cause additional damage. Basically- we need the all clear so you can start T-ball next summer. :) 

Finally we saw Ms. Geneine for a speech check in and vocab test. You did okay on the vocab test,  BUT for remainder of the visit, you were talking a ton. You did so well that Ms. Geneine wants to switch to visits every 2 months. Whoa! I could tell in the last month that your 2-3 word combos had really picked up; so it's great that Ms. Geneine agrees. Just the other night- you were bossing Daddy and me around- "Sit down Mommy. Sit down Daddy. I want to play game.* Here Daddy. Here Mommy. I'm ready." (*We have color/shape matching game we play almost every night.) Then later- playing with stuffed tiger. " Oh no, Tiger bit me. Ow! No, Tiger. I don't like that! Uh,oh- tiger bit Mommy! Ow! It's okay."

Ms. Geneine also taught us a listening game that should help with your older hearing tests. Pretty soon they'll give you an object to drop in a cup/bucket when you hear a sound. You immediately loved it and we've been playing every night since. We just practice the ling six sounds, which you mimic perfectly and then drop your block in the bucket.

Recent pics...rooting Uncle Jake on at the Country Music Marathon and Strawberry Picking-

Keep up the great work, Cart!

Love you bunches,

Mommy

23rd Month Speech Update

Cart-dog and Bennett (Bene) reading in T-2

Hey Cart-

Your 23rd speech follow-up went well again. Miss Geneine is not worried at all. You are still well within average for speech vocab and articulation. You'll get an official vocab test in a month or so.

Our favorite phrases right now are:
I don't like that. (kind of in a southern accent...need to get video!)
No, stop that!
Uh oh, spaghetti- os!
Mommy/Daddy/Maevy, where are you?
Wow, look at that!
No way, read book, chair (at bedtime, No, don't put me in the bed. Read book, in the chair)
Come on, Maevy.
Sit here/down.
I want bite. (always hungry! and stealing my food!)

Keep up the great work!

Love you,

Mommy

22 Month Speech Follow-Up

Hey Cart-
Your speech follow-up went well last week. Your expressive vocabulary increased this last month by 60 words; so you're well within range of your hearing peers. No major goals were discussed for this month, but Miss Geneine did give us a Comprehension check list that includes major concepts, adjectives, and early two/three word phrases for your age group.

Some of your favorite current phrases are:
Carter, That's Carter! That's Carter's! (your Carter is more articulate now, and you use it often. )
You've shorten "up please" to uppey. It's both cute and annoying. 
Help please.

I got ball.(or other items)

I did it!

I'm messy.
I'm ready.

I want (various things).
I need (various things).
I see (various things).

Mommy/Daddy sit.
Light on/off.
Hat on/off.

That's silly.

Have good day!

Wuv you. 

Guh Morning!

Hi/Bye (everyone)

Right now we're really working on colors, shapes, counting, and singining. We do love when you try to sing Frozen's "Let It Go" with Maevy, and your "ABCs" are getting better.  Keep up the good work!
Here are some pretty cute pics from school during Dr. Suess week.

Making truffula trees-


Dressed up like a pumpkin - duh!-

Love you silly boy-

- Mommy

 

21 month Speech Update

Hey Cart-

Shocker, you are dressed like a tiger at school. You love your stuffed tiger!

Based on your number of words, you are in the 50th percentile...so okay. You have good base of vocab, but we need to work on adjectives and stringing the 2 together, and pronouns.

Examples-

brown bear

big dog

little car
loud truck

fast slide

silly hat

hot soup
cold milk

sleepy baby

You have all the consonants that you should have at 22 months, but your "H" is a little weak. We need to reinforce/repeat "H" words as much as possible (hi, hello, honey, hop, honk, horn, helicopter, hot dog, hay, hamburger, house, hippo, happy, hat, horse, hole, heart, hand and hair.) I think you say your "H" when saying hello, hop, and hot...hi and hat...not really. It's more like "eye" and "at". No biggie..we'll figure it out.

Keep up the good work, cutie.

Love,

Mom

19 Month Speech Update

Hey Cart-

Your most recent speech follow-up went great, and we actually got some scores that show you are well within range of your hearing peers. Here are the stats-

Receptive Language

Raw score = 20
Standard score = 112
Percentile rank = 79

Expressive Language
Raw Score = 22
Standard score = 118
Percentile rank = 88

Rossetti Infant-Toddler Language Scale
Language Comprehension: 18-21 months/ emerging 21-24 months
Language Expression: 18-21 months/emerging 21-24 months

I knew you were doing great the second I emailed your language tracker to your therapist, and immediately thought of 4 more words. Then I pick up up from school that day, and your teachers said that you had a "happy plate" for lunch and said "happy plate!"

Some new words in the last couple of weeks-
banana (nana), butterfly, eat, love you (wuv you), please, thank you, snack, snake, elmo, iPad, train

Keep up the good work. I can't wait to hear some phrases and sentences.

Love you lots-

Mommy

18 months Language Tracker

Car-Car-

This is how nuts your mom gets before a speech therapy appointment. Since we're still just monitoring, I've been using Miss Geneine's tracker and I have Miss Lee Ann and Miss Catrina review and update these before I send them to Miss Geneine.

Not bad...We'll see how tomorrow goes!

Love you lots-

Mommy

Jibber Jabber

Language Tracker as of 7/31/13-

Spoken
ball (4/26/13)
ma-ma (4/26/13..in progress, not specific, will mimic 7/20/13)
uh-oh (4/26/13)
da-da (4/26/13, not specific, will mimic)
row-row (during row your boat song 5/28/13)
bye/ bye-bye (5/28/13)
daw-daw/ dog (5/28/13)
that/ dat (while pointing - 5/28/13) (intermittent 7/23/13)
mmm (while eating 5/28/13)
duck (6/5/13)
hi (6/15/13)
ow (6/15/13)
boom/bang/boa (6/15/13)
bat-bat (pat-pat for pat-a-cake 6/30/13)
p sound (popping ps 7/1/13)
fish/shh, fish-kiss noise (7/10/13)
panting/ (what does a dog say- 6/30/13)
mmm/moo (cow sound- 7/4/13)
ruh ruh/ruff ruff (dog sound- 7/20/13)
wach wach- quack-quack (duck sound - 7/20/13)
eye- (7/23/13)
hat (7/23/13)

Signed
milk (4/26/13)
all-done (4/26/13)
waves hi/bye (4/26/13)
more (6/12/13)
bird (6/12/13)
eat (6/10/13)
outside (6/30/13)
thank you (7/1/13)
help (in progress)
gentle (in progress)

Receptive-
Properly identified- dog, cat, horse, pig, cow (7/23/13)
Pointed to mouth when asked "where is your nose" (7/23/13)
Properly responds to "what does the dog, duck, and cow say?" with no visual cues (7/20/13)