This week Taylee had an evaluation with the Primary Children's Speech therapy team. Our pediatrician thought we should pursue further speech therapy, and we thought "why not?!" The evaluation was quite thorough, lasting over 2 hours - which is a really LONG time for a toddler. The evaluation involved mostly play evaluation (yay!), and an interview session with Kent and I (not so fun for Taylee). As usual, Taylee was at times cooperative, and at times, very NOT cooperative. Long story short - the "official" evaluation is still pending, but the therapist did feel that she does have a language delay - both receptive and expressive, as well as a speech delay. She has definitely made some significant improvements since we began speech therapy with early intervention (when she was 12 months). However she still has some delays, primarily in receptive speech. She just doesn't respond to the things we say to her appropriately for her age. When the therapist would give her a "command" (ie give the ball to mommy), it took several repetitions to get Taylee to follow the command. But, maybe this is just her personality, right? Well, either way, the therapy can't hurt. Her speech delay seems to be related to her cleft palate. She is using a nasal tone to say her words. Turning b into m, and d into n. Baby is mamy, ball is mall, daddy is sometimes naddy. The therapist thinks this is because the nasal tone was easier for Taylee while her cleft was open (in fact, maybe the only sound she
could make). Now that her palate is closed, she is either used to this feeling, so is still trying to make her sounds nasally, or her palate isn't working as well as it should be. We need to teach her to use her palate and force the words through her mouth. No problem, right?! Well, our first homework assignment is auditory bombardment. We are supposed to fill her world with sound - especially b's, p's, and d's. Which is pretty much what we've been doing for months, but we are even MORE focused now! Go Baby! (not mamy)