We saw Ms. J for therapy yesterday. It was the first time in about three months. Ms. J had some issues with her office space and wasn't seeing clients for a while and then we had some scheduling conflicts. It is amazing how time can just slip away.
Three months is a long time at this age. Ms. J was amazed at Ava's language. She's talking in full sentences. For her age, her sentences are complex and she is also doing well with grammar. To be honest, even when she had no words, I wan't super concerned about her language skills. She always understood exactly what was being said around her and was managing to be pretty expressive through body language and other non-verbal communication. Now that she's talking she has a lot to say.
Her speech, on the other hand, hasn't progressed a lot. After working with her for an hour, we were sent home working on mostly the same things. We're still working on that final /k/ sound. I think I hate /k/. Never once, did I imagine working on the same sound for months and months and months on end. However, I should note that it is finally coming in. It is guttural, but with prompting and multiple cues we can get a back sound instead of a front one. So now we're going to try to stimulate /k/ in medial and front positions as well.
So, in summary, language is great, intelligibility is moderate (pretty good in context to a familiar listener, but iffy under other circumstances), and speech is still our biggest area of concern.