Archive for Cape Town – Carel du Toit

Friday 30/11/90 – 3rd Lesson in Cape Town

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DIARY NOTES – In 1990, 23 years ago today Hughan and I were attending our third lesson with Vanessa at the Carel du Toit Centre in Cape Town…

This is what Vanessa wrote in the Diary -

Activity : farm animals/ trees/ blocks

Aim : same as last lesson

“Up” (Pick me up). He says this is very nearly now.

“dow” – lovely interpretation (look in the window).

When giving commands: first give the language then when you’re finished speaking, do the action and then repeat the language:

1)      Speak

2)      Do the action

3)      Repeat language.

When saying a sentence, finish the whole sentence before you do the action.

“ba” (sheep)

“woo” (barking for the dog)

“Ayoyoyoyoyo”   “ uwewewe”

good your imitating the sound with your voice:

“Boom-boom- boom” wind shaking the bowl.

“woof – woof” for the dog – it’s good to bring in the animal noises. For auditory training remember to point to your ear and say “I can hear”, so that we are making him aware that we are listening.

We must go back to very intensive auditory training because it worries me that he isn’t responding to very loud noises – knocking, banging with blocks.

Please concentrate on auditory training – start with very loud noises – this weekend.

Hughan gets very excited and then when he’s excited he laughs constantly and I don’t think he can take much in when he’s constantly laughing loudly. At this stage however it is still important to follow his interest.

Thanks Sue. Enjoyed the weekend.

See you Monday

Vanessa

While we were in Cape Town, Hughan had a visit to the Ear Nose and Throat Specialist. Hughan thought he would be helpful!!! (picture – Hughan helping!)

(Helping parents with hearing impaired children through our experience…we are following our profoundly deaf son’s diary, from 1990, so you can see what we did to help him with his speech and hearing. Hughan is 25 years old now and he can hold a conversation on a phone. It is the little thing we did every day, over a long period of time, that has helped him. Please visit our page…’like’ and follow us to help others…Thank you)

Thursday 29/11/90 – 2nd Lesson in Cape Town

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DIARY NOTES – In 1990, 23 years ago today Hughan and I were attending our second lesson with Vanessa at the Carel du Toit Centre in Cape Town…

This is what Vanessa wrote in the Diary -

Activity : jelly

Aims :

1) auditory training

2) expect one word utterances

3) extend his receptive language with simple commands.

Lovely eye contact Sue: this worked nicely because you work both positioned so well. You sat opposite him, close to him and were on his eye level. You also held each object next to your face.

“Aa” : lovely interpretation      –“ take out the beater”, “the ice is cold”.

Your naming was much better today and you do this with your eye contact. Naming/labelling is so important as we want to build up his vocabulary.

Name an item – then paused and expect a response then you use that word in a short full sentence. Use more words on their own before you use the short sentence.

“Pour” (pause and expect) “pour the jelly”.

“Drink” ………………………….”drink the jelly”.

“Cold”……………………………”the ice is cold”.

“Hot”…………………………….” the cup is hot”.

We need to do more auditory training – please work on this and the emphasis on vocabulary.

Thanks for a lovely sticky session.

Vanessa

(Helping parents with hearing impaired children through our experience…we are following our profoundly deaf son’s diary, from 1990, so you can see what we did to help him with his speech and hearing. Hughan is 25 years old now and he can hold a conversation on a phone. It is the little thing we did every day, over a long period of time, that has helped him. Please visit our page…’like’ and follow us to help others…Thank you)

Wednesday 28/11/90 –1st Lesson in Cape Town

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DIARY NOTES – In 1990, 23 years ago today Hughan and I were attending our first lesson with Vanessa at the Carel du Toit Centre in Cape Town…

This is what Vanessa wrote in the Diary -

Activity – Balls

Sue you are giving him the language for everything eg. “Kick the ball, throw the ball, roll the ball”.

Hughan’s eye contact has improved. You get it successfully by wiggling your fingers. It would be even better if we could get it by responding to sound – in other words, I would like you to first try to –

a)      call him

b)      Clap hands/ click your fingers

c)       bang on something

d)      wiggle your fingers

We will also be working on auditory stimulation.

Well done! Your intonation has improved (I had stopped raising the tone of my voice at the end of a sentence), you don’t emphasise the last word so much anymore. Keep this up.

Hughan laughed a lot as he thoroughly enjoyed the session and therefore didn’t babbled much (only one near the end, when he was purpose the using sound to communicate. This was wonderful). I therefore need to observe this aspect more.

Lovely intonation of his gestures and vocalising. Your input is good.

His motor development has really improved a lot. He is walking much better and is a  lot more stable balance wise. The occupational therapist observed this session and was most impressed with his progress. His pencil grip is age appropriate.

Well Sue: welcome back to the fairest Cape. It is wonderful to see you and Hughan again. I always look forward to your visits as it is such a pleasure to work with such a talented’s, loving, patient, dedicated Mum. You have such an admirable positive attitude. Don’t ever lose it.

During our two weeks will be working on

a)      expectation of one word utterances

b)      extension of his receptive language

c)       refinement of his auditory skills

Thank you for all your constant hard work.

Vanessa

This is a picture of Vanessa and Hughan taken in 1990.

(Helping parents with hearing impaired children through our experience…we are following our profoundly deaf son’s diary, from 1990, so you can see what we did to help him with his speech and hearing. Hughan is 25 years old now and he can hold a conversation on a phone. It is the little thing we did every day, over a long period of time, that has helped him. Please visit our page…’like’ and follow us to help others…Thank you)

Monday 26/11/90 – 4th Visit to Cape Town

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DIARY NOTES – In 1990, 23 years ago today Hughan and I travelled to Cape Town to the Carel du Toit Centre, for more lessons. This was our 4th trip back to the Centre. We were living in Gaborone in Botswana and travelled to Cape Town, as there were no Specialists where we lived. This was a speech only program we were following.

This is what I wrote in the diary -

I explained to Hughan we were going in the aeroplane and he’s seemed to know exactly what I was saying and going out to the airport he had a lot to say, babbling away.

We left home just after eight o’clock in the morning, after saying goodbye to Vil, who went to school.

We arrived in Cape Town at about 2.15 in the afternoon.

Hughan slept in the plane from Johannesburg to Cape Town and he seemed to know exactly where we were going.

Driving towards Tygerburg hospital Hughan said “home” to me.

As soon as we arrived we went up to the room and the first thing he did was play with the lights – which he always does when we arrive. While I unpacked he wondered about by himself with the other children.

As usual it’s is great to be back in our second home and looking forward to seeing you again and hope you can see an improvement in Hughan’s progress.

See you tomorrow

Sue

(Helping parents with hearing impaired children through our experience…we are following our profoundly deaf son’s diary, from 1990, so you can see what we did to help him with his speech and hearing. Hughan is 25 years old now and he can hold a conversation on a phone. It is the little thing we did every day, over a long period of time, that has helped him. Please visit our page…’like’ and follow us to help others…Thank you)

Thursday 23/08/90 – 3rd visit to Cape Town – Great encouragement

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DIARY NOTES – Notes of encouragement…In 1990 this was our third trip and the last session we had with Vanessa at the Carel du Toit Centre in Cape Town.

Vanessa always gave me a lot of encouragement and praise, which inspired me to go home with lots of new ideas of how to work with Hughan. This is what she wrote in our diary before we returned to Gaborone in Botswana…

Dear Sue

Time to bid adieu – can you believe it? Time flies doesn’t it? Once again it has been an absolute pleasure working so intensively with you.

Thank you for all your patients, dedication, hard work and determination! You are a very special lady and your sons, Hughan and Vil (Jamie) are extremely fortunate to have you as their mum.

Some aspects you must please give attention to, on a constant basis at home:

1) Auditory training:

• Intensive -it must be done daily, as well as throughout your day – as much as possible.
• Remember to imitate the sound with your voice after you have made the loud noise (so as not to drown your voice).
• Point to your ear: “I can hear”.
• Make intensive use of animals sounds especially as you frequent the farm and as Hughan loves animals and has already acquired “ooo” for “moo”. Reinforce this at home through storybooks, play etc.

2) Expect:

• language from Hughan. Give him an opportunity to respond vocally (verbal turn taking). eg: “open” (pause and expect with your facial expression, your posture everything) and then put that word into a single sentence “open the door”.
• In this way we are also emphasising certain words by isolating them that encouraging one word utterances.
• Reinforce his receptive vocabulary (words he understands) by labelling everything. Using everything was named.
Banana: this is a banana, give me the banana, Hughan’s banana, peel the banana,
the banana is yellow, it is a long banana and so on – labelling is interrelated with meaningful repetition.
• Imitate and interpret his babbling (this you do very nicely).

3) Receptive language:

continue to extend his receptive language – to determine what he understands without any visual clues. Remember should you give a command and he doesn’t respond DON’T gesture. Rather do the command yourself and simultaneously repeat the appropriate language.

4) Incorporate Vil (Jamie) as much as possible:

• Don’t rush your “activity”
• Be patient with Vil and have realistic expectations of the understanding you want him to have.
• Intensive turn taking.
• Control the pace of the activity – one toy at a time.
• Use language on Vil’s level when talking to him (challenging him linguistically).
• Encourage Vil to communicate verbally as much as possible with Hughan.
• Model for Vil (with his attention) so he knows exactly what you want him to do.
• Remind Vil not to touch Hughan to get his attention, but rather to make a loud noise or click his fingers, clap his hands etc. You could say …” Remember what Vanessa told you to do…..”

5) Be aware of your interaction. Be natural. To aid his concentration on shifting your stress eg: don’t always emphasise the last word.

• Tell continuous made up stories with puppets.
• Sing nursery rhymes and other songs (do the actions).

6) Note the occupational therapists home program. Use her ideas for activities and in so doing kill two birds with one stone.

Read through your session notes as often as needed – plenty of information from, ideas, examples etc. are in them.
Have a safe journey home. I hope the boys enjoy the Smarties.

Thanks once again.

I’m already missing you guys and I am looking forward to your next visit in November.

Please keep in touch. Your long letters mean so much to me. My regards to Willem.

Fondest wishes

Vanessa

Thursday 23/08/90 – 3rd visit to Cape Town – 7th lesson

DIARY NOTES – play tea….In 1990, this was our third trip to the Carel du Toit Centre in Cape Town. Vanessa was teaching us and this is what she wrote in our hearing impaired son’s diary…

Activity: play – play tea
Aims: same as the 22nd, plus bring in plenty of sounds.

Eye contact was much better when you held the item next to your face and distanced yourself slightly eg: half a metre as opposed to being so close that your face is almost touching his.

Remove things that will distract his attention. This makes eye contact a lot easier. If you only have the jug between you and him and he wants the jug, he will look at you.

He is using a new sound “dit,dit,dit”.

He didn’t always react immediately to my loud banging. Please bring sounds in as much as possible.

Thanks Sue. Unfortunately this was our last session . It has been a great two weeks.

See you tomorrow

Vanessa

Wednesday 22/08/90 – 3rd visit to Cape Town – 6th lesson

DIARY NOTES – Brushing teeth and foam farm animals….In 1990, this was our third trip to the Carel du Toit Centre in Cape Town. Vanessa was teaching us and this is what she wrote in our hearing impaired son’s diary…

Activity: brushing teeth and foam farm animals
Aims:
1) intonation – emphasise first word, be more natural
2) Expect a response from Hughan

Good auditory training with the toothpaste box. “I can’t hear”. Lovely emphasis of the no-sound.

Expect that language:
“brush (pause – expect) brush Hughan’s teeth”
“Open (pause – expect) open the box”

Sue you are giving language for each action. This is super, keep trying to get that eye contact. You got it beautifully when you held the teeth (plastic ones) and the brush next to your face and said “brush the teeth”. Remember to hold things next to your face as opposed to him holding it and you look down.

“Oooo” – moo (wonderful)

Lovely auditory training with the animal sounds
Horse – neigh
Pig – oink oink
Cow – Moo
Dog – woof, woof

Hughan definitely is using his voice to communicate – to tell you something specific. I love the way you are interpreting his babbling and then interpreting it (giving him the language). You are also labelling everything beautifully.
- Pull the plug out
- feel the water
- the water is hot / cold
- turn the tap

Much better interpretation and emphasis today, Sue. As a tip to maintain this, trying concentrate on emphasising the first word instead of the last word.

Thanks for a beautiful session. Please do intensive auditory training and work on our aims for this session.

Thank you

Vanessa

Tuesday 21/08/90 – 3rd visit to Cape Town – 5th lesson

DIARY NOTES – Bowl of goodies….In 1990, this was our third trip to the Carel du Toit Centre in Cape Town. Vanessa was teaching us and this is what she wrote in our hearing impaired son’s diary…

Activity: Bowl of goodies
Aim:
1) auditory training
2) expect language
3) incorporate Vil (Jamie)

I (Vanessa) modelled the session. We did a group activity – re: incorporated Vil, with auditory training. Had a bowl with various goodies (each with a specific sound) in it, covered with a towel to create an element of surprise so as to make the game exciting and consequently keep Hughan and Vil interested.

We took one item out at the time – each having a turn to take a toy out without looking (maintaining suspense aspect). We played with each item until they were tired of this toy. Extend each toy to its fullest potential. Get in varied language and intensive auditory training.

Once again I did turn taking. Vil was a lot more patient today. Both of them loved the activity. Try this activity at home. Vil communicated nicely with Hughan today. Daily practice and it will improve even more. Be patient with Vil – always remember he is also still growing in all aspects – emotional, social, thinking etc. Sometimes we are actually expecting adult behaviour and understanding from him, which isn’t fair. Just be aware of this.

Some of the toys we played with and those sounds –
1) car – brrm, brrm
2) doll- crying
3) bell – ting a ling
4) duck – quack, quack
5) dog – woof, woof
6) cow – moo
7) trumpets – toot

Thank you
See you tomorrow
Vanessa

Monday 20/08/90 – 3rd visit to Cape Town – 2nd Video

DIARY NOTES – play dough….In 1990, this video was taken during our third trip to the Carel du Toit Centre in Cape Town. Vanessa was teaching us and this is what she wrote in our hearing impaired son’s diary…

These notes were taken during the video recording.

Activity: play dough

Aims:

1)      incorporate Vil (Jamie)

2)      name everything

3)      expect language

Lovely eye contact: “pour the flour”.

Vil also gave his language nicely to Hughan. Remember to guide him not to touch Hughan when he wants Hughan’s attention. The most rather bang / clap – make a noise ie. use sound.

Good turn taking: each one had a turn to pour the flour, pour the salt, stir the mixture and roll the dough.

This is super and it’s good for Vil to also wait until it’s his turn (to learn turn taking).

Lovely use of the sentence of touch:

“feel the flour”

“flour is soft” – good labelling Sue.

“Salt – put the spoon in the salt”

“pour the salt” – lovely labelling. You rarely using everything’s name. Keep this up. Also you paused after “salt”, expect language and then put the single word into a full sentence.

Lovely Sue: you’re getting beautiful eye contact before and while you’re giving language input to Hughan.

Nice interaction Sue:

”Mix, Mix – Mix with your hands”.

“Push the dough”.

Hughan imitated you beautifully non-verbally:

pushing the dough with your finger.

Rolling the dough to and fro.

Super: You imitated him banging and took the opportunity to do auditory training. Remember to imitate the sound with your voice after you have made the sound, or else your voice (Bang – bang / Tap – tap) is drowned by the very loud noise your making and don’t forget to point to your ear and say “I can hear”. We are making him aware that we are listening, so in turn heel let us know when he hears something by pointing to his ear.

J Hughan localised my tapping with keys on the dustbin – lovely!

“Give me the star” – nice interpretation of Hughan’s actions and babbling.

Vil said “Look mummy” – give him attention when he wanted to share something with you. It won’t have disrupted the activity or lost Hughan’s attention because Hughan was content playing on his own with the play dough.

Sue thanks round lovely session. Remember the following tips

don’t rush – Sue give attention to both appropriately

do intensive turn taking

model for Vil

encourage Vil to talk to Hughan.

Your rarely labelling beautifully. Note my intonation when I played with Hughan.  Tried to shift your emphasis sometimes to the first word especially if it’s the one you’re emphasising (as opposed to the last word).

“Open – open the tin”.

“Roll – roll the ball”.

Keep this lovely work Sue – Hughan is progressing nicely.

Thanks

Vanessa

Friday 17/08/90 – 3rd visit to Cape Town – 3rd lesson

DIARY NOTES – Sweetie flowers….In 1990, this was our third trip to the Carel du Toit Centre in Cape Town. Vanessa was teaching us and this is what she wrote in our hearing impaired son’s diary…

Activity: Sweetie flowers

Aim:

1)      name everything

2)      incorporate Vil (Jamie)

3)      expect language

Note how we started with a real flower : smelling, feeling ect.

Always try and expose Hughan to the real thing (we call this the concrete thing: usually 3 dimensional).

We then played with the flower puzzle (two dimensional and therefore slightly more abstract than the real flower) Hughan loved the puzzle.

You incorporated Vil well. Try not to be too anxious about Vil’s behaviour during the activity. He will get impatient because he works quickly and our timing with Hughan is a lot slower.

Important tips:

Do intensive turn taking. It is good for Vil to also learn to wait until it is his turn. When it is his turn for example in this activity – to put the jelly sweet on; encourage him to :

1)      get Hughan’s eye contact

2)      to give Hughan the language for what he is doing.

His timing will improve with practice. Remember to model for him so he gets the exact idea of what you want him to do (like I model for you).

He tried to do the action as he spoke to Hughan and therefore lost eye contact. Remind him: -

SPEAK – then do – then SPEAK again.

In other words he must hold the jelly sweet next to his face – get Hughan’s eye contact and attention and give the language : “put the Jelly sweet on the biscuit” and when he has finished speaking – only then put the jelly sweet onto the biscuit. ie – do the action.

Use more complex language when speaking to Vil so as to stimulate him on his language level.

The two of them thoroughly enjoyed the activity. Pick activities (when incorporating Vil) where they can each have their own utensils, ect eg: each made his own flower today.

Thanks Sue – enjoy the weekend

Vanessa