Tuesday, October 5, 2010

Navya’s 2 year Assessment Update

Every 6 month we get Navya assessed by the Developmental Pediatrician. We see a specialist from Ummeed.

The list of checkups/tests we do every 6 months are
1. Blood Test - Thyroid (T3, T4, TSH)
Our kids tend to have Thyroid abnormalities, either Hyper or Hypo Thyroidism. One needs to get this Test done periodically , as the child grows the time interval can increase;may be yearly for older kids
2. Total Blood Count
This test helps to identify if there is excess/less of Haemoglobin. Excess of Hb is not good for our kids.This test also helps to see if there are any abnormalities in other blood cells, as Kids with DS have higher chances of  Leukemia compared to typical kids.
3. Eye Checkup – To make sure everything is all well in that area
4. X ray of entire Backbone – We have been asked to get it done this time. We have one done for the Neck area. It was good. This one is probably a routine checkup

Coming back to the Assessment, the doc assessed Navya with a set of activities. Some of the activities I remember were
Pretend Play – Doc. observed her playing with doll, the Roti/Belan
Shape Sorting – Without any hints, doc gave her shapes and she had to put it in matching slot, no prompts- She did it. My OT had hard time teaching her this, but on the assessment day she did it like she knew what was coming
Block Stacking - Navya was asked to make a tower of small blocks.- This was a bit tough for her tiny fists/fingers. But she did it again :)
Imitation – Doc showed how to fold a piece of paper, Navya was handed over one paper to do the same - Again she did it no promts again.
Object Recognition – The book had 2D black/white images of common object like, shirt/book/apple/dog/cat. Navya was asked to point to these objects - She could recognize all known objects
2 Step Instruction - Doc asked her to 'feed the baby and pass the Pen to mommy' - She did it again. I was surprised, I never gave her 2 steps instruction. Something we need to start doing
(Actually in this assessment Navya did everything that was presented to her :) )

Then doctor asked me questions about
Her Language Development- 6 months back Navya was not even babbling, our Speech Therapist gave us some oral exercises. We have been doing that. Looks like it has helped. Now, Navya can say 'MaMa', "BaBa',"Bebi". Occasionally she says  ' Bhu bhu' (dog), 'bhae' (bye), 'Gigi' (Didi/sissy), 'Goo' (good)

Her receptive language is awesome, I feel she understands almost all the things we talk to her. She can sign lot of things, nod her head to say YES/NO. She can communicate using her signs, pointing, with her various sounds associated with the objects.

She has her own preferences for things like which dress to wear/what to play/where to go/what to eat/what not to eat. A long list there.

Does she walk with support  - Yup, she can. In fact she has already taken few steps independently, she needs more confidence. Has started to stand on her own from sitting position. Looks like she is almost there, but seriously we are very much delayed in this area, Navya started to crawl some 9.5 months back.
Navya's progress in school - I had two Parent-Teacher meetings with her teacher. And I was SURPRISED.
Meeting 1- Teacher said "Actually Navya is doing much better than other kids. She listen patiently, follows all the instructions, participates in indoor/outdoor plays/craft activities, knows all the rhymes/actions.". "She has two friends, she chats with them and prefers to play with them"

Meeting 2 - "Navya is doing very good". Teacher handed over the craft she had done and said "You wont believe she has done everything on her own. We had to help other kids, but Navya did everything on her own" . "Navya enjoys Water Play and dance to the max. For the Dance class Navya does all the steps, doesn't get tired of standing, even if she falls she stands up again" . "But she is getting naughty, during snack time, she takes out all the stuff from other kid's bags" (it confuses teacher as they don't know what belongs to whom).. ha ha ha.. I think I quite liked it
And no surprises but Navya is very popular in her school. All the teacher/Helpers adore her. One friend of hers cries if Navya is absent from class. Infact for her b'day celebration in school, all the kids from all 4 classes had gathered (according to her class teacher it's very rare scene)

Potty Training - Looks like we are quite successful there, Navya can sign. We still use Diapers at night and when we are out. We had started with potty training when she was 6 months, started with the regular Potty, now we are using the Potty Seat which can be placed on the toilet directly and it is easy to carry while travelling.

Does she have her own gestures - A lot, she is a little Drama Queen. She can show you how she cries (all crocodile tears). She also copies dance moves from TV, would upload some videos soon

Does she understand and follow 2 step instruction - We did not work on that. Not sure
My concerns - These days Navya is not ready to eat double textured things. E.g. You have green peas in Rice, she will not take it. Plain dal rice is ok.

After the Assessment Doc was very impressed.
Assessment Result: Intellectually Navya is just like any other 2 year old.
Expressive Language is lagging, we have improved in that area from our previous visit, but we need to work more on it. Navya's Receptive Language /Understanding of language is excellent.
We have been asked to continue with the Physio Therapy /Occupational Therapy /Speech Therapy and get the above mentioned tests done.

The language delay was something we knew about, but there is 'no developmental delay' was something I wanted to hear from the very first assessment. We saw the Speech Therapist and she thinks that may be Navya is taking a bit more time to process words. So she has asked to STRETCH the words. And has given one exercise for that 'Double Texture Problem'

My practical mind was not ready to accept that there are no developmental delay. But then on our 18th month assessment same doc. had told me that Navya's developmental age is 15.5 months.
So, that means we have clearly moved forward with a faster pace.

I really wonder what has changed since then,
Play school - Yes Navya started her play school roughly 3.5 months back
Nutrivene D - Yup we started her on this program some 3 months back
Your Baby Can Read Program - Started some 4 months back, I feel this is a good stimulation for her and exposes her to new vocabulary
Or may be she is just growing with her age :)
God knows, but we are not going to stop whatever we are doing currently.


Tina said...

Wow Navya is doing so well. Great going! Can you email me more about the "your baby can read program"? Where you go it and what you think of it and how it's helped?

Kelly said...

Woo Hoo Navya!! You are doing so well! Keep up the good work=)

And congrats to you too, Mommy!

To Love Endlessly said...

wow, she's doing absolutely fantastic! How on earth did you start potty training at 6 months old?

Devasena Hariharan said...

Your girl is having a heartthrob(who cries if she doesnt come)

Is that the boy standing next to her in her school photo.

Watch out Pallavi.. this is the problem of having a beautiful girl(hee hee)

Anonymous said...

Hello Pallavi!
It was just great reading all the things about Navya. It's amazing to see how well she's progressing.
My daughter is also having a delay in her milestones. Can you let me know more about the Nutrivene D program and Your baby can read Program? I was also wondering if you happen to know any good speech therapist too. BTW, I too reside in Powai.