developmental review

On June 14 we went to PCMC for my daughter's first reevaluation. it has been 6 months after her initial evaluation with her new neuro dev. we were at the hospital 3 hours before our appointment because we also had a schedule with her neurologist. 

when we entered the clinic, my daughter looked around and saw plenty of toys. i believe kids find it more comfortable when they see toys in clinics, but my daughter is not one them. she likes her neurologist's clinic more than her pedia and neurodev's because there's nothing in there for kids but a pack of crayons and coloring books. the neuro dev's clinic was colorful and attractive but that could not make my daughter stay inside without resistance.

during the task, she exhibited whining but eventually she complied with the activity shown to her. the evaluation per se took around an hour to finish. here is the result:

Chronological age at the time of assessment:3 yrs and 9 months

developmental domain       Estimated Developmental age

                                                           previous                current

Gross motor                                  1.11yrs                  2.7yrs    

Personal-social                          1.2yrs                    2.2yrs

Fine motor                                    1.10yrs                  2.5yrs

Hearing and Speech                 9months                11 1/2months

Perfomance(nonverbal)          1.3yrs                    2.9yrs

Practical reasoning                    n/a                         n/a

based on the result, she's functioning at 11.5months to 2.9yrs level and gains were noted on all domains. her improvement was significant on the performance(nonverbal) area. it was amazing that in a span of 6 months it jumped from 1.3yrs to 2.9yrs. even her doctor could not believe it that she have to recompute the result to see if there is any error. but there was none. i know that the heavy metal thingy has affected her cognitive skills big time and now that she is detoxing, im happy that she  slowly recovering on that area. speech is where my daughter is having a lot of difficulty .even her speech pathologist was devastated when she heard of the result. so now we are working doubly hard to improve her speech and her communication skills.

 as for the doctor's recommendations:

1. continue present therapy intervention: OT and ST
2. continue inclusion program with pull out session to increase to 3x a week
3. may start formal Sped tutorial 1-2 times a week to facilitate educational needs
4. encourage follow up intervention at home
5. engage in other activities at home:outdoor-pedaling a trike w/manuevering,bouncing  and catching ball and standing on 1 leg with no support for 5 sec 
6. listen to nursery rhymes
7. art activities: painting, scribbling, cutting paper, threading beads, molding clay of different consistency
8. play with other children
9. eat by herself, put on clothes  

in a matter of 6 months she has gained so many abilities. she can now jump from point a to b, blow bubbles, match upper case and lower case letters. eat with spoon and fork, undress herself. my daughter still has quite a number of autistic traits. she still has sensory issues that we have to resolve, potty training that we have to work hard on, speech that she has to learn, but with dedication and prayer and lots of love i know we are on the right track.i just wish that time wont fly fast so that she can learn all the things she has to learn while she's young.