So let me start by saying I am not worried. Truly. Well, maybe kind of.
Last week we finally had the non-shot portion of Belén’s one-year well baby checkup . Have I mentioned that I hate those checkups?
While I love the opportunity to ask questions and receive guidance from a real life medical professional I hate the fact that it feels like an oral exam that I cannot study for nor do I have any control of the outcome.
This is probably due to the fact that her well baby check-ups have led to a CT-scan for a head growing too rapidly, an ultrasound on her hips for being a first born female breech baby and then all of the HSP-related doctor’s appointments we have been to in 2010. You know you visit the doctor too much when you walk in and the receptionist says, “Hi Belén.”
Last week’s visit went okay. Little B is tipping the scale past the 22 pound mark and is well over two feet tall. The original measurement of her head had her in the 101st percentile but when the doctor remeasured it it went back down to 99th. We are sure it is all of those brains…except…
Mixed in with the doctors 20 questions, she asked if Belén says any words. I asked if sounds like ma ma ma and da da da counted. She said, well you know, like she sees something and she calls it by its name.
I looked at Andy. Andy looked backed at me, both racking our brains for a word she says. There was that one time I swear she said donkey…but that didn’t stick. I think I have heard her say, “all done” and very briefly she did the signs for “more” and “all done, ” but none of these things does she say on an ongoing basis.
And to be fair, I am not always good about talking with her and coaxing her to talk back. Believe it or not, I usually do not talk often in the comfort of our home. Andy and I don’t talk just to talk and generally save our verbal cycles for words that need to be said. Neither of us are fans of filling perfectly nice quiet time with useless chatter. I know this is not the best environment to develop a baby’s verbal skills so when I remember, I try and emulate those people I do know who are constantly talking in an effort to stimulate the vocal chords in Miss Belén.
She makes noises and sounds and communicates with “uh uh and reaching” but no consistent words. And clearly she knows what we are saying, “Hey, Belén, go get your shoe” (she comes back with her shoe), but nothing of the English language comes out of her mouth.
So I didn’t realize this was a problem until our pediatrician said that they look for one word by 12 months and six words by 18 months. I likely don’t need to remind you that she is nearly 14 months…nothing.
I remained cool but of course my internal mommy alarm clocks were going off. Oh no, my child should be able to say one word and she cannot!
The minute the doctor left the room, Andy turned to me and said, “she’s fine, honey.” I turned to Belén and said, “CRAY-ON. CRAAAAAY-ON. Belén, can you say crayon?”

“SHOE. SHOOOOOE. Belén can you say shoe?”
If Andy didn’t literally roll his eyes at me, I am sure he did internally.
Andy said to Belén, “Belén, you might as well start saying words because your mommy is going to be all over you until you do.” I half smiled and said, “ha ha…B, he’s right.”
So ever since then, there is a whole lot of “What does a doggy say?”, “Belén can you say CAT?” and repeating words over and over. My mom swore she heard her say “green” yesterday and Andy and I heard her say “All Done” a few days ago. The problem is that she does not use those words again at a later date.
My friends tell me I should not worry, but alas, I am a mother…and there is something my child is apparently behind on, I *might* worry a bit…Argh.
I keep thinking back to the fantastic book recommended by my friend Sara, A Girl Named Zippy. Zippy does not talk until she is nearly three years old. They think that perhaps a staff infection she had in her ear when she was a baby caused brain damage. It wasn’t until she was camping and her father told her she was too old for a bottle and took it away that Zippy finally decided to use her words and tell her father, “I’ll make a deal with you.” She then proceeded to say that she wouldn’t use the bottle when company was around.
So every time I start to spend brain cycles on Belén’s lack of coherent verbal thoughts I start to wonder if maybe she is a Zippy. She lets a word or two slip out now and again and once she sees our reaction, she knows she is using it correctly, so perhaps she files it away inside her 98th percentile-sized brain for a future complete sentence.
But until she tells me “Mom, look, I’ll make a deal with you.” I will continue to try my darndest to persuade her to talk.
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{ 4 comments }
OK, Alecia, I’ve got two hats: the parent hat and the speech-language pathologist hat.
Let me put on my SLP hat for a moment: Try not to get overly worried at this point. Dr. B. is “right,” in that the milestones she gave you are within the realm of reasonable, given how difficult it is to nail down what “normal” is. Here’s the thing. There is such a HUGE range of normal under that bell curve of language development. There are a lot of different definitions of what is normal, all based on different studies… and many of them are “right.” Some of them are probably “wrong.” But it’s really hard to say which criteria are right and which are wrong because normal kids are so, so different. In all likelihood, Belén’s language development is entirely normal.
Here’s the other thing. I have the greatest respect for Dr. B and I think she is an excellent pediatrician and knows her stuff. Her pediatrician stuff. Pediatricians are not experts in speech and language development. They are there to refer patients to people who are. While there was undoubtedly a huge component of child development in her educational background, of which language development was a piece, she is most likely using one fairly simple set of language milestones to screen her patients and educate their parents on what should be happening developmentally. So, as that “magical” 18-month mark approaches, remember that, while what Dr. B tells you is right, remember that there is a lot of “right” out there.
Switch! Now I’m wearing my parent hat. I don’t blame you for being worried — it’s what moms do. Despite having the SLP hat hanging in my closet, I was not able to keep from worrying when Aiden was saying only about one word at 15 to 16 months. We’re overachievers! If our kid isn’t *ahead* of pace for his/her age, something is wrong, right?
)
In spite of the SLP degree and several years of experience with young children, it’s taken having one of my own and then watching other people’s normally-developing kids (especially Belén, because I have lots of data on what she can do every day!) to really drive home for me how differently kids develop. For example, when Aiden learned to walk, he waited until he was 15 months old to take his first solo steps… and then he just WALKED. My impression/memory is that Belén started walking several months earlier than that, but then took some time to really get comfortable with it. Reading all your posts about Belén learning to walk made me smack my head internally and go “Ohhhhhhh! I get it!” Perhaps Belén will do with talking what Aiden did with walking: save it up for a while and then start hemorrhaging words. (Oh dear, did I just use the word “hemorrhaging” in an e-mail that was supposed to make you feel better?!)
)
Finally, you’re probably already doing all the right things naturally, but if you’d be interested, I’d be happy to enumerate some parent behaviors that facilitate language development. (That way, you can say “Oh, yay for me! I’m already doing all that!)
Two things:
1. Zippy!!!!!
2. Your entire paragraph about not talking just to talk and chatter and about not talking at home killed me! Haaa!! I’m a complete 180 from you two! I go so far as to say that my major reason for getting a dog was for an excuse to talk outloud and not seem crazy

sara´s last blog ..Cooking with Sara: Granola Bars
I love Laura L’s comment. What a wonderful collection of wisdom!
I know just how you feel about these milestones. My baby is also almost 14 months and he has done everything related to movement on the very late side of normal. Luckily he is my second child and his older brother developed in the same way so I’ve been less worried the second time around. But I do think it is in our nature to worry. I’m just glad for posts like yours and comments like these to remind me that I’m not alone and that “normal” casts a very wide net!
Kristen @ Motherese´s last blog ..Life After Yes, Chapters 23-33
I agree that Laura has some great advice and, after all, we are all individuals and don’t always follow the norm (thank goodness). However, I too will continue to work with Little B’ to improve her vocabulary when she is visiting Nana’s house. If she is like your sister, she didn’t talk until later because you did all the talking for her – then, when she was ready to talk, she was talking in sentences.
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