June 3 2009

Today we went to the Oakland Kaiser Cranio facial clinic annual eval for Zakary.
to make a long visit short. He is doing very very well. The speech therapsit says he has a funny rectangular shaped blunt ended tongue which is making some of his sounds come out rather thick and slurred. His palate is working fine and is not the issue of his speech at all. So she has us working on some sounds at home while the Speech therapy is not going on over the summer. She says his language development is way above that of a 4 yr old so we really need to get the speech sounds to sound as intelligient as he and his speech are.
The surgeon says he will need his bone graft about this time next year,he will have the synthetic bone and they can do it in one surgery. We were expecting this so not a surprise.
The Audiologist says he is having some trouble hearing right now,both tubes are out of the ear canal and there is fluid behind both ear drums. We will see ENT again asap and get some new tubes put in as soon as we can. i knew there was hearing prob,but the pediatrician said all was fine and he could hear. HMMMMm amazing how no one listens to mom and mom usualy knows best.
Akk in all,we had a very good visit and i am happy with what i hear.
We have been so very lucky with Zak,other than the obvious issues that he may have,there have been no other surprises so far.