Emilia is now seven weeks past her open heart surgery and aside from the scar, there's no telling that it ever happened. She is active and happy and there's almost no keeping up with her.

Emilia's speech continues to blossom. She uses hundreds of words now, many of them multi-syllabic. Sentences are still far and few between, but she makes the best of it and lets us know what she knows with little statements like, "Bear pink", "Want up", and "Light off." She is also now using the -ing verb form and accurately announcing her own activities, such as eating, running, jumping, waiting. We cannot possibly imagine how many words are in her receptive vocabulary as she constantly surprises us with the things she understands. She's still not a big fan of following instructions even though it is clear that she knows what's asked of her. It's more a battle of the wills in that area. By the end of January, Emilia had mastered all of her speech IEP goals for the school year. Oh and she can blow bubbles all by herself now which is a giant feat in oral motor planning.
Another really fun thing is that Emilia has started singing songs. She cannot produce a single complete line of any song yet, but she hums or makes other melodic sounds and throws in the words that she does know. With this method she is singing songs in English, German, French and Japanese. On a daily basis you might hear her throughout the house: "Twinkle, twinkle, mm-mm star, da-da wonder mm you are" or "Ba-boo-ba-ba dormez-vous" or "Rie ra rutsch da-dum-da-dum-da Kutsch" or "Hmm-hmm-hmm-hmmm hikaru."
Emilia's gross motor skills are coming along, albeit slowly. If she doesn't think about it, she can now walk up and down the stairs without holding on, but if she realizes she is doing it, she gets scared and reaches for the railing. She can ride a tricycle, but steering is still an issue. We can't wait for warmer weather to get in more practice. Fine motor skills are still way behind, but we can see some good developments. Emilia is trying more to use both hands when a task requires it (like holding the paper with one hand while coloring with the other). She can purposefully draw dots, lines and circles now, but everything else is still scribbles though she tells us the scribbles are Ws or stars or snowmen. Emilia has not yet picked a dominant hand and it looks like she might be mixed handed instead. As for self-help skills, don't get me started. Emilia has a streak of stubborn independence, but not when it comes to taking care of herself (with the exception of getting into any and all food left in her reach). She'd rather be pampered and babied. We have started potty-training and she's able to feed herself with a spoon or fork with the right kinds of food.

Emilia has been making wonderful progress on her pre-academic skills. She can identify and name all upper case letters of our alphabet. She can do the same with numbers 1-9 and she can count to ten. She knows at least ten colors, twenty body parts, and I have stopped tracking the number of animals, household items, instruments etc. that she can name. Emilia has learned to match objects to pictures and pictures to pictures. She is now beginning to work on sorting and already doing quite well sorting by multiple colors.
Emilia continues to have 2-3 hours of professional therapy each week and it's very helpful. We can keep an eye on her skills that way and get great ideas for what to do at home. At her most recent therapy session through our school district, her therapists told me that - based on their observations, Emilia's progress, and the way she seems to be processing information and learning best - they believe Emilia has above average and much advanced for her age visual perception skills. This might be the first time ever that a professional has told us one of our children is ahead in something.
Emilia loves to eat and has tried and enjoyed new foods lately, including homemade egg salad sandwiches, sauteed chicken breast and even Rex's spicy pesto chicken dip. She sleeps through the night though we know that after we put her to bed, she gets back out and plays in her room until she's ready to go to sleep. We find her in her bed each morning, so she knows where to lie herself down. Since the surgery, Emilia has been napping more in the afternoons again, typically anywhere from 1-3 hours. Maybe she is growing.

Some of Emilia's favorites at the moment are The Very Hungry Caterpillar (especially the Saturday page), eating hummus with a spoon, singing Twinkle Twinkle Little Star, and guitars. The child is seriously obsessed with guitars and can often be found sitting in front of a mirror with a badminton racket pretending it's a guitar. I think there's a ukulele or something long those lines in her near future. She has also started watching movies and especially likes the Pixar animation. She cannot sit through an entire feature film yet, but returns to it with interest for 10-15 minutes at a time as it plays. Her giggles when Woody, the cowboy runs are priceless.
Come next week, Emilia will be a busy girl again. On Mondays she will attend a musical play class and a sign language class (did I mention that she acquires signs with ease?) at a local family center, on Tuesdays she has therapy at our elementary school, Wednesdays we wedge out, Thursdays she has Prompt therapy and Fridays she either has Prompt or a three hour session with Ms. Rie.
We couldn't be more thrilled to see our sweet daughter grow and learn and thrive. It feels miraculous to witness how she is blossoming and we are thankful.