12/02/2025
Week 4 Update – Leucovorin (goal dose, week 1 at full dose)
This week marked our daughter’s first full week at the target leucovorin dose, and we’ve seen meaningful gains across language, social engagement, cognition, and adaptive behavior.
1. Language & Communication
• She is now producing new words and short phrases daily.
• During book reading, she engages throughout the entire story, answers questions, and responds with appropriate comments.
• She is beginning to use humor and intentional wordplay.
- Example: when called a “little monkey,” she immediately made monkey noises and gestures.
• Demonstrates emerging double meanings, showing higher-level language processing.
- Example: she jokes “HEADgehog” while carrying her toy hedgehog & pointing to her head.
• She has started counting, naming mostly intelligible numbers (although mixed in order) while counting on her fingers.
2. Social & Prosocial Behavior
• Marked increase in prosocial behavior:
- Anticipates her sisters’ needs and attempts to comfort them (patting their backs, bringing toys when they cry).
- Shows increasing spontaneous helping behaviors, e.g., grabbing a towel and wiping up her own spilled drink without prompting.
• Heightened awareness of social cues and protection of others:
- At the park, when another child was picking on her sister, she quickly assessed the situation and pulled the child away before an adult intervened.
• Increased participation in group-style activities, such as engaging with Danny Go.
3. Cognition & Interaction
• Clear improvements in joint attention, reciprocal play, and following social sequences during interactive reading.
• Humor, imitation, and wordplay suggest advancing cognitive flexibility and deeper understanding of context.
• Overall behavior appears more regulated, engaged, and purposeful.
4. Motor Planning
• She can now drink from a water bottle & an open cup
• She is able to coordinate jumping
Summary
After one week at the goal leucovorin dose, she is showing significant and measurable gains in expressive language, social reciprocity, play skills, prosocial behavior, humor, and emerging academic-like skills (counting). Developmental integration across multiple domains has become more apparent, and her interactions are richer, more intentional, and more connected.