Notes for Friday 08/20/1010
Keshav woke up at around 8AM by himself in the morning. According to Rochelle he is sleeping through the night. Keshav pooped twice today and both times the poops were soft and not mushy/airy/loose.

ABA Therapist Notes
Morning Session
Very good session for Keshav1 He did extremely well with his Gross Motor Imitation targets today, scoring 100% for all three targets! :) Keshav is also doing a fantastic job with generalizing his mands. Rochelle picked up a bubble blower toy and once Keshav realized what the toy did, he signed appropriately "bubbles" every time! He is also signing "music" for a variety of activities (e.g., helicopter, CD, computer, musical book). He has also begun signing "chip" independently!! Per parent report, Keshav waved and vocalized "hi" to the speech pathologist independently.yesterday! Great job! Also, Rochelle spoke to the staff at Keshav's school and they do not really do group games as part of their curriculum (something we discussed at our meeting on Monday.) Lastly, we probed Receptive Actions today and Keshav was unable to identify any of the actions on the 2D cards. We are going to work on manding for "chips" right now and probe musical chairs. I will include another comment following to let you know how it went!
Evening Session
Keshav was very playful and initiated play a couple times throughout the session! He picked up the tunnel, walked over and handed it to me and signed open! The tunnel was very reinforcing. He did the same thing with the blanket. He picked up the blanket, walked over to me, and signed open. Play skills went really good today, he was very motivated and happy while playing bowling and Mr. Potato Head. Eye contact was also really great today. As far as object imitation, he is still having a hard time putting on the sunglasses and that's the only target he didn't get 100% on. Touch nose as a receptive command and imitation was difficult for Keshav today. He also had a difficult time with receptive identification. The receptive Action pictures were also difficult, but we just started. I used pictures of Keshav eating, drinking and sleeping in hopes that it would help him attend to the pictures more. The Object imitation with discrimination 2 went really well, he had no problems imitating me with the random sequence. Keshav also independently signed chips 10 times!!!! Overall, great session!

Keshav slept at 8PM tonite.

My observations
Whatever the therapist might say, I think Keshav's overall understanding is not a lot. He hasnt gained anything. He is unable to respond to his name, does not point, doesnt acknowledge when i get back home. He also does not know how to discriminate between the signs and will use all the signs in his repertoire to get to stuff that he wants. He is still obsessed with spinning lids and is still looking somewhere else without making proper eye contact while saying bye to me in the morning. His gait is still unsteady, muscle tone still low. Overall i would say Keshav has gained nothing that he wouldnt have gained without all these interventions.


Notes for Thursday 08/19/2010
Keshav woke up at 7AM in the morning and later that day we had to go to the ENT doctor for his check up. At the ENT doctor Keshav did not co-operate and the visit was an utter failure. They couldnt check his hearing in anyway. According to the ENT doctor from Keshav's previous hearing tests, his hearing seems to be fine and he has no inner ear fluid.
Keshav pooped once and it was loose/mushy.
Also, I went to the DAN doctor and according to the DAN doctor, Keshav's urine test(Organic Acid Test) and previously his stool test indicated that he has high yeast.His urine test also indicated that he has very high Oxidative Stress. For yeast they prescribed Nystatin and for the Oxidative Stress they gave a transdermal Anti-Oxidant. I think the transdermal antioxidant might have some ALA,glutathione or COQ10. The DAN doctor probably does not want to use oral ALA as it is shown to aggravate yeast. DAN doctor also indicated that Keshav might have some methylation issues and some mitochondrial issues.
We gave Keshav his second dose of MMR10M in the night yesterday. Keshav has shown no reaction to the MMR1M or the MMR10M. He did show some reaction, that of a runny nose that lasted for about a week on the MMR 200C. Keshav went to sleep at 10PM tonite.