Follow-up Speech Eval

Gracelyn had a follow-up evaluation with a speech therapist 3 weeks ago. Since her first eval in August, besides for more single words, she really wasn't speaking better. Gracelyn says words, she is not mute, however it's very difficult to make out what she says. She doesn't speak clearly at all.
Like before, she didn't qualify for speech therapy. She is at the very bottom of communication, barely passing, but she passed. The therapist gave us more tips to help Gracelyn and said if her peers talk better than she does to ignore it. As long as she is able to communicate in some way then she is on the right track. Gracelyn still signs a lot of words. That helps so much because as she signs we repeat that word several times and then she does. The therapist was very concerned about her ears so we recently had a followup with her ENT and sure enough the tubes had slipped and the area around was inflamed. The doctor thinks there could be some improvement once her ears heal.