As I mentioned, almost in passing, Ava was discharged from speech therapy at the end of the school year. I was fine with that. She had achieved all of her goals working on specific age-appropriate sound targets. We finally got the /k/ and /g/ sounds even at the conversational level and the only sounds she makes errors with at the word level aren't eligible for therapy until she's much older. Besides, we were beginning homeschooling, and as a SLP myself, I'd rather do therapy here at home from here on out.
I've taken a more laid back approach with Ava at home. Once she started making progress and her intelligibility was no longer an issue, I decided to let structured therapy happen with her therapists and let her time at home with Mama just be Mama time. And it has been fine. She's doing so well. Most people can understand her most of the time. You would no longer pick her out from a crowd of her peers and notice her speech. All of these things are wonderful and amazing and facts I wish I could have known about two or three years ago. It would have saved me so much worry.
However... She's 4. She has so much to say. Her language skills are perfectly normal and so her sentence length and grammatical complexity are shooting up. She want to tell stories and participate in active conversations and is competing with an extremely verbal older brother. And we're starting to have trouble understanding her again. It certainly isn't all the time, but several times a week she'll say something and we won't have any idea what a couple of key words are. We'll ask her to repeat herself, and that doesn't help. I'm finding myself asking questions like, "Can you tell me something else about it?", or "What does it do?" in order to try to figure out what she's trying to tell me.
Some of that is specific sound errors. She has a consistent /v/ for voiced /th/ and /f/ for voiceless /th/ substitution. /w/ and /r/ are weak. But some of it is the mild apraxia rearing it's head as utterance length and complexity increases. Soon it will be time to incorporate some structured speech therapy into our homeschooling routine. If it weren't affecting her intelligibility, I would wait. But it is. So, soon...
I'm an SLP too who has a daughter about to turn four in October with CAS. I can relate to finding that happy medium between just being her mama and being a portable SLP walking around with her all day. I'm worried about 'r.' At the CASANA conference, one of the speakers mentioned they are finding that we should probably start targeting that sound earlier instead of waiting around 8 when it is then considered delayed. Older adults talk about an apraxia accent...do you think they are hearing a lack of the 'r' or a distorted 'r?'
ReplyDeleteI’d recommend using Dr. Utu Herbal Cure topically for instant pain and itch relief as well as accelerated healing of lesions and permanently stopping oral and genital herpes virus outbreaks. I have tried just about everything from acyclovir suppressive therapy to different natural oils, extracts, and other natural methods, some of which are EXTREMELY painful and exacerbate the problem (i.e. apple cider vinegar!). While vitamin E oil and suppressive therapy worked well for me, when I became pregnant I went back to trying to find a herbal cure. I was using vitamin E oil topically for a while but it was thin and difficult to use and only seemed to prevent further outbreaks rather than getting rid of it. I contacted Dr. Utu Herbal Cure through my friend. To my surprise, I could tell my outbreak was starting to heal within only a few hours! No more itching or pain! Dr. Utu Herbal Cure that I used was liquid herbs in bottles, so it was very easy to use. It simply whiffs, but it works so I don’t care! The best part is I successfully delivered a herpes-free beautiful daughter without further medication. Anyone who’s tried Dr. Utu Herbal Cure knows just how quickly those treatments can come. So give it a try! Anyone can reach Dr. Utu through drutuherbalcure@gmail.com
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I was able to overcome senile dementia via a complete naturopathic process.
ReplyDeleteAbout two years ago, when I was 56, I started feeling foggy and had occasional memory lapses. My wife, Mary, started to notice it, too, but I also have hearing issues so she thought that was the problem. My memory problems worsened very gradually over the years, and we lived with it, compensating as needed. I became less social. After some months thereafter, it got to the point where we couldn’t keep making excuses or ignoring it. I had gone from doing our grocery shopping without a list to going with a list, to having the list but not buying what was on it.
Mary went online to do some research, and it was during this process we had been fortunate enough to come across Dr. Utu Herbal Cure: an African herbalist and witch doctor whose professional works had majored on the eradication of certain viral conditions, especially dementia, ( improving the memory capacity positively), via a traditional, naturopathic process and distinguished diet plan. It was by the administration of this herbal specialist that I had been able to improve my condition for better. So to say, the encounter with the above-mentioned herbal practitioner was the first time we ever heard there was something that possibly can be done to improve my memory functionality.
By the existence of such an encounter, I was able to learn of the new approach by which this herbalist successfully treated dementia conditions, which included a distinguished herbal therapy and lifestyle changes of which I had undergone to a tremendous, positive effect.
It was after the completion of the herbal therapy I had started to experience a great deal of cognitive improvement when it came to rational decision making.
In brief, I was able to go through the dreadful hollows of senile dementia without any further hazardous damage to my health condition, and within a short period. Had it not been for the support of my wife, of whom had encouraged me to undergo the above-mentioned therapy and that of the herbal practitioner of whom now happens to be benefactor - I would have been long exposed to the further perils of this condition and of which had been apt to result to a calamitous end.
I would also wish for the same positiveness upon patients who may happen to be suffering from this debilitating disease, and would warmly beseech them to find a confidant like this herbal specialist with whose professional services I was able to attain a divine recovery.
For further information concerning this African traditional cure for Alzheimer's condition; feel free to contact Dr. Utu directly via email: drutuherbalcure@gmail.com
Hi, there. I am Tom Neil and I wish to describe how life had been for my younger brother living with schizophrenia and how he had been permanently able to overcome this debilitating ailment via a naturopathic, herbal method.
ReplyDeleteMaicon - my kid brother was twenty years old when he was carried to the emergency room by the campus office of the college from which he had been suspended several months ago. A professor had called and reported that he had walked into his classroom, accused him of taking his tuition money, and refused to leave.
Although he had much academic success as a teenager, his behavior had become increasingly odd during the past year. He quit seeing his friends and no longer seemed to care about his appearance or social pursuits. He began wearing the same clothes each day and seldom bathed. He lived with several family members but rarely spoke to any of them. When he did talk to them, he said he had found clues that his college was just a front for an organized crime operation. He had been suspended from college because of missing many classes. My sister said that she had often seen him mumbling quietly to himself and at times he seemed to be talking to people who were not there. He would emerge from my room and ask my family to be quiet even when they were not making any noise.
My father and sister told the staff that Maicon's great-grandmother had had a serious illness and had lived for 30 years in a state hospital, which they believed was a mental hospital. Our mother left the family when Maicon was very young. She has been out of touch with us, and they thought she might have been treated for mental health problems.
Maicon agreed to sign himself into the psychiatric unit for treatment. The whole family except I had agreed to have Maicon transferred to a mental asylum. I knew inwardly there was still some plausible means by which my kid brother could overcome this condition. I knew botanical means of treatment will be more favorable than any other type of treatment, and as such, I had taken a keen interest in the research of naturopathic alternative measures suitable for the treatment of schizophrenia. I had pleaded for some little patience from the family in the delay of the transfer, I was looking forward to proving a point to the entire family, of a positive botanical remedy for this condition.
It was during my ceaseless search on the internet I had been fortunate enough to come across Dr. Utu Herbal Cure: an African herbalist and witch doctor whose professional works had majored on the eradication of certain viral conditions, especially schizophrenia, ( improving the memory capacity positively), via a traditional, naturopathic process and distinguished diet plan. It was by the administration of this herbal specialist that my brother had been able to improve his condition for better.
Before the naturopathic remedy - Maicon's story had reflected a common case, in which a high-functioning young adult goes through a major decline in day-to-day skills. Although family and friends may feel this is a loss of the person they knew, the illness can be treated and a good outcome is possible.
My brother Maicon is just like many other patients out there suffering from this disease. Although he was able to overcome this condition via a naturopathic herbal remedy administered by this African herbal physician and saved completely thus, rekindling the lost joy which had been experienced by the family members.
I wish to use this opportunity to reach across to anyone who may happen to be diagnosed with this disastrous condition to spread the hope of an everlasting herbal remedy that is capable of imposing a permanent end to this disease.
For more information concerning this naturopathic herbal remedy, feel free to contact this African herbal practitioner via email:
drutuherbalcure@gmail.com
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