Thursday, September 30, 2010

We started Keshav on the MMR,Varicella,HepA[30c] clear on Monday 09/27/2010. Today morning we noticed that Keshav has been having a runny nose again. Rochelle, reports that since Monday(09/27/2010) this week, Keshav's mouthing and drooling has increased.
It is known to us now that Keshav has a low muscle tone as it was confirmed by various experts in the field. His low muscle tone hampers his movements and might be also relation to him not chewing his food and eventually no babbling and no sound production.

Wednesday, September 29, 2010

For the past 2 nights 09/27/2010 and 09/28/2010 we have noticed that it is hard for Keshav to fall asleep in the night although he hasnt been taking a nap. He is just sitting up for nearly an hour before going to sleep. Rochelle reports that last night Keshav woke up crying and was trembling while crying in the night. May be a nightmare may be something else.We dont know.

Tuesday, September 14, 2010

For the past one week Keshav has had a runny nose, which is very evident. We have had to clean his nose every few minutes because it is really runny. Most of us at home are sick with runny nose too, so it is really hard to say whether Keshav is having a reaction to the MMR control course or whether Keshav is just having a common cold that he could have caught from anyone of us at home.
Based on my reasearch, I started a secret something yesterday night(Monday 09/13/2010) for Keshav. We will see how that goes.
Keshav went to sleep early at around 8:00PM last night as he was tired from all the activities at school and home. Surprisingly he woke up at 3:00AM wanting to play and his mother had to force him back to sleep. He did not sleep until 5:00AM in the morning.

Sunday, September 5, 2010

Keshav has flu like symptoms and he woke up coughing in the night today. I am sick and so is Rochelle. So i am thinking it is something that he got from us and it has nothing to do with the MMR in any way. It was apparent that the kid is having a hard time swallowing because he would cry every time he swallowed. Today Sunday 09/05/2010 we have noticed that.
He has been sleeping quite well without waking up in the nights.

Thursday, September 2, 2010

We started Keshav on CCC LM6 potency on Monday, giving it everyday since then. Also SacchOff 30C twice in a week. Since tuesday 08/31/2010, we have noticed that Keshav is mouthing and biting everything that comes his way. Rochelle reports that at school his mouthing is out of control. His mouthing had actually reduced quite a bit over the last 2 months but seems to be coming back. We are also doing the control course of the MMR, so we are not sure whether return of the mouthing is due to the MMR or the CCC LM6. Keshav also got a rash on his tummy. Small chicken skin like red bumps which is ittchy as he is trying to scratch it. Also there are some rashes on his cheek and chin.
These rashes were apparent at Indrani's place on Saturday 09/04/2010.

Keshav had a good session today. His Communication and Social Skills were excellent, pointing was especially good! He still does not make eye contact when I say his name. But, when we said "Come Here" when out of sight, Keshav came to us 100% of the time!!! Object Imitation was also really good, ring on, ring bell and roll ball are all 100% throughout the session. He is still having some trouble with receptive instructions such as arms out and hands down. Receptive ID was great with book and cup. Keshav produced a ton of mands today! 126 total in 1 hour and 45 min session! He was even doing a couple signs at a time, for example, listening to music and asking for chips, and did not confuse the two. During play skills, we are slowly working are way towards riding the tricycle. He pushed the bike and held the handle bars today. Object imitation w/discrim was great,we introduced fly a plane. Overall, good session.

Rochelle-Abhi Kumar at 9:42 AM EditLabels: good session

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Friday, September 03, 2010

Today was a bit tougher for Keshav. He seemed to have a much shorter fuse and was much less tolerant to time at the table. He still performed well on his programs and made vast improvements with GMI today, especially with "hands down." Keshav did demonstrate some confusion between the signs for "music/eat" today. When the helicopter was first brought out, Keshav signed appropriately the first 20 times or so. The following 15-20 trials, however, Keshav was immediately signing, "eat" instead of "music." We worked on this extensively throughout the session. When we brought the piano out, Keshav's sign for "music" was very clean and concise! He was highly motivated by the piano and this seemed to correct the issue. Keshav did become distressed with certain songs, another sign that something was a bit off today. We were able to get Keshav to push his new tricycle today, but he is still expressing distress with sitting on it. We will keep working on this as well! Lastly, during music/dance time at the end of the session, Keshav imitated dance moves that Rochelle was doing (e.g., turning around, arms up for "hooray", etc.). Great job!

Morgan Mix at 11:46 AM

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Thursday, September 02, 2010

Pretty good session! I came it today from 12:30-2:30 to make up for this upcoming Labor Day. I have never worked with Keshav at any time other than 10:00-12:00 and I was very impressed with how well he did with the change in schedule! Seeing the notes from a couple of days ago regarding pointing and sign discrimination, I have been putting a lot of emphasis on targetting these skills during session. Today, we incorporated bubbles into time with the musical helicopter and Keshav's signs were very clear! He even referenced the objects he was requesting with eye contact as he signed. We have also been targeting his eye contact with me during manding and temporarily witholding the reinforcement to gain that eye contact and he did great! Fantastic job!

Morgan Mix at 6:46 AM

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Wednesday, September 01, 2010
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Rochelle-Abhi Kumar at 9:43 PM Edit Delete

Very good day again! Keshav mastered Receptive Identification, "car!" Great job! He also mastered "Come Here" while engaged in an activity from various distances. We are thinking that now we could start working on this skill out of sight. We will probe this during our next session to see how it goes. :) Also, Keshav continued initiating various play activities during free play time today! He held out the pillow during couch play, walked over to various musical toys and manded appropriately and did the same thing with bubbles (hence the 166 mands today!). Keshav also began humming the "mmmmm" sound during music time! He did this 4x throughout, exclusively when we were playing with the helicopter! Fantastic job! We did see some confusion between the "open" and "more" sign today when Keshav was requesting more of an object or activity, but corrected himself after a couple of times when we shaped the correct response. Keshav is doing well with the non-identical matching when he scans, however, about 20-40% of the time, Keshav is dropping the picture cards as I deliver the instruction, "match" before he scans. Just something to watch for. Lastly, Keshav imitated me putting on my glasses (he put on the potato head glasses) during play time with Mr. Potato Head! Great job, especially considering how distress he was with this when we first introduced it! :)

Morgan Mix at 11:45 AM

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Tuesday, August 31, 2010
Keshav had a good session today, he was more cranky and whining a lot more than usual, but we got through all of the programs at least once. A lot of initiation with play, like bringing over the tunnel. He did a great job with Mr. Potato head, he picked up the ear right away and tried to put it in the one of the holes, he doesn't know which holes for each body part yet, but he's trying really hard and is interested in the toy. Manding was great, he had 20 independent mands for chip and only 1 prompted. Pointing was excellent today!! Very clear and concise. Receptive Id is going a lot better, car was 100%. We introduced a new puzzle (12p), he needed a lot of prompted and seemed to get frustrated when he couldn't' put the piece in. Object imitation went really well, we introduced ring bell, which he did a great job 100% on the first day! Ring on was very difficult for Keshav, but he was trying hard, easily frustrated. Squeeze toy was also great for the first time 2/3 correct. Besides the whining, Keshav had a good session.