Hi there,
so dd has been approved by EI for speech and feeding and OT for some fine/sensory issues.
OT delay is little (11m vs. 18m), SLP is a larger delay (6m vs. 18m). We are talking 1 word only (mamma), little babbling, most pointing. However, the receptive/cognitive is very high (22-24m).
The first meeting with the SLP went well. She will do speech (.30 x 1 a week) and feeding (1h x 1 a week). She appears to have low muscle tone in her upper lip (which we knew from PT and OT eval) and a combined hear loss. Classical language delay. At the moment, apraxia is not something that came up (my biggest concern). She seemed positive that therapy will work bc of the high receptive (she understand 2 languages and follow 1-2 direction commands).

Back to the ENT/Audiologist yesterday for a 3rd opinion. Audio is not bad, she can hear but muffled sounds and the 3 bones in her ears do not vibrate when air/sound is pushed in her ears. It is inevitable that she needs tubes and *maybe* adenoids (65% enlarged). We are not sure about the latter since this is the first time they were checked.

At the moment she has a massive ear infection, which we did not know anything about it until the ENT told us. Kids are really resilient.

So, another pedi app today to discuss the latest development and off at least for the tubes.

In the mean time her speech exercises are blowing a cotton ball with a straw (impossible at the moment bc she just chews on the straw) and blowing bubbles (just got this as per many SLP blog/sites/forums http://www.nationalautismresources.com/pustefix-bubble-bear-.html?gclid=CKyQy6CWmr4CFWIF7AodlmEAFw).

I hope my journey can help someone here. It is already difficult to raise a "normal" child, imagine one that has delays. Kudos to all you for thriving and educate yourself in this journey without directions.