Saturday, March 17, 2007

Preview to Summer
Last week we had a couple of days where the temperature was in the 70's. Madison has never liked the grass. When she was crawling we would go outside and she would crawl on a blanket to the patio, but would scream if she was put in the grass or touched the grass. She is still not crazy about the grass but will run around in it and has moderate screaming if she sits in the grass or touches the grass. Here are some photos of our first day of some really great weather.






We are having some issues with Madison in daycare. We like the facility but the daycare has had some turnover in staff. The teacher that Madison loved left and now the teacher Madison has is one that she cares nothing for. Madison's screaming and agression have increased. More than likely because she does not feel bonded with the teacher. We are investigating different centers and the possibility of getting a nanny. We think that if the center she is in will get a new 2 yr old teacher, Madison would be able to stay there. Madison also started back with her First Steps program. The speech therapist she sees is recommending to Madisons case manager that Madison have an intensive evaluation. Basically Madison will be put in a room with various items and they will observe her. Then they will interact to see how her development is going. The evaluation also involves a developmental Pediatrician. Madison has several major issues going on. Madison has always drooled profusely. We never made the connection to this and speech issues. She has poor muscle tone in her face. Her cheeks are low and she constantly has her mouth open. She does not have the muscle tone for the drool to be swallowed, so it flows freely. The speech therapist will be working to increase this muscle tone, while another therapist will come in and actually work on speech (sign language, etc.) Madison also has all over low muscle tone throughout her body. She has been walking for about 5 months. She does not have a steady gait. She is small but has a BIG belly. The therapist explained this is due to the lack of muscle tone in her abdomen. Madison has made great strides in the 10 months since she has come home. She is just hitting some developmental roadblocks. We know that with the help of her doctors and therapists she will catch up.

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