I am going to disagree with the others and say that you should have him evaluated. The worst that would happen is they would say he doesn't need EI, right? And that would reassure you. Otherwise, he might benefit from EI. I am having May evaluated and she does all the stuff on that list, except she doesn't have many words. I don't think there is reason to freak out at all. He will likely get there on his own soon (and so will May, I think), but I don't see the harm in getting them a little extra help if they would benefit from it.
Honestly, qualifying is not that easy. You need to be delayed in two areas or have a specific medical diagnosis to qualify. Colin was delayed in one area but that alone did not qaulify him even though he was significantly delayed. It was his actual medical diagnosis of epilepsy that qualified him. That said, at least here in TN you can only be evaluated every few months if you dont qualify which is my reasoning for saying wait a month or a bit longer as I think a month or so could actually make a difference.
This is true, and it is not something I knew originally, jsillyfun. It ended up biting us in the ass in regards to speech therapy because we had her evaluated way too young (we didn't know any better) and then we "wasted" our chance. Even when she began exhibiting actual serious delays we had to wait to get re-evaluated. Just keep in mind that you if you have her evaluated now you won't be able to again for x amount of time.
Honestly, qualifying is not that easy. You need to be delayed in two areas or have a specific medical diagnosis to qualify. Colin was delayed in one area but that alone did not qaulify him even though he was significantly delayed. It was his actual medical diagnosis of epilepsy that qualified him. That said, at least here in TN you can only be evaluated every few months if you dont qualify which is my reasoning for saying wait a month or a bit longer as I think a month or so could actually make a difference.
This is true, and it is not something I knew originally, jsillyfun. It ended up biting us in the ass in regards to speech therapy because we had her evaluated way too young (we didn't know any better) and then we "wasted" our chance. Even when she began exhibiting actual serious delays we had to wait to get re-evaluated. Just keep in mind that you if you have her evaluated now you won't be able to again for x amount of time.
Trudy, not to threadjack, but do you have any updates on V's progress??
I think it depends on the state, though? Obviously H was in EI 6 years ago, but he qualified with a 25% delay in expressive communication when he was tested. He was ahead in all other tested areas and had no medical diagnosis. He did 6 months of EI (an hour a week) then they retested and he "graduated". We paid for it (they charge based on a sliding scale according to income, but the most you would pay for what we received was $250 for the full 6 months). i know they have changed the criteria and you now need at least a 30% delay, but other than that I think it is the same? Anyway,it sounds like things may be very different on a state by state level.
This is true, and it is not something I knew originally, jsillyfun. It ended up biting us in the ass in regards to speech therapy because we had her evaluated way too young (we didn't know any better) and then we "wasted" our chance. Even when she began exhibiting actual serious delays we had to wait to get re-evaluated. Just keep in mind that you if you have her evaluated now you won't be able to again for x amount of time.
Trudy, not to threadjack, but do you have any updates on V's progress??
Not really.
Today she did really well with making sounds and (sort of? we think?) signing milk and we were pleased. She was also cracking up at herself imitating us clicking our tongues (we'd do it, she'd do it, she'd crack up at how hilarious she was). But lately she has been worse than ever... super, super quiet at all times. Our neurologist said that it seems like for some reason she just has decided that speech is not important to her. Our speech therapist has us focusing on getting her to imitate actions and she's doing really great with that. She also has us helping her focus on tasks and she's doing great with that too... she is great with her puzzles, block building etc. She is just SO quiet. She seriously made more sounds as a 2 month old.
Therapist recommended we video tape her giggling and crying and play it back to her so she can hear more of her own voice so we're trying that along with showing her the videos of her babbling and saying hi and mama that we have from a few months ago. She loves watching herself but doesn't respond verbally.
She's happy, smiley, giggly, social and curious... she is just so, so quiet. I don't know what to do/think. Speech therapist thinks we need to really push PT and get her walking, which I think is our current plan, but the neurologist and pedi basically said PT should be the least of our concerns because she WILL walk eventually since she's cruising, standing with some assistance, etc. Sooo....
I think it depends on the state, though? Obviously H was in EI 6 years ago, but he qualified with a 25% delay in expressive communication when he was tested. He was ahead in all other tested areas and had no medical diagnosis. He did 6 months of EI (an hour a week) then they retested and he "graduated". We paid for it (they charge based on a sliding scale according to income, but the most you would pay for what we received was $250 for the full 6 months). i know they have changed the criteria and you now need at least a 30% delay, but other than that I think it is the same? Anyway,it sounds like things may be very different on a state by state level.
It definitely could be a state to state thing. Our EI people were major jerks. EVERY time we saw them they told us he didn't need the program even with an actual delay and medical diagnosis. They also tried to tell me BFing past one was awful so I don't put too much stake in my areas EI services, lol.
I wouldn't know what to think about how quiet she is. It sounds like cognitively she is doing a lot of what she should be doing, but physically and verbally she is in a different place, moving in the right direction at least physically, though. Will you see the neuro again? Or was that a one time consult thing? When do you guys see the geneticist?
It must be hard to be working so diligently with her and not seeing a lot of progress. I hope she gets walking for you soon and then starts working on her talking! It's a shame we don't live closer because we could have a very quiet playdate with our 2 Violets.
Keep in mind it says "might." There are a lot of variables there. My doctor is going to have us fill out a questionnaire similar to the 9 month appointment at the 18. If your doctor does it too, that might help you and them make a more informed decision.
If you do think an evaluation could help, maybe ask for an evaluation with an audiologist also?
I wouldn't know what to think about how quiet she is. It sounds like cognitively she is doing a lot of what she should be doing, but physically and verbally she is in a different place, moving in the right direction at least physically, though. Will you see the neuro again? Or was that a one time consult thing? When do you guys see the geneticist?
It must be hard to be working so diligently with her and not seeing a lot of progress. I hope she gets walking for you soon and then starts working on her talking! It's a shame we don't live closer because we could have a very quiet playdate with our 2 Violets.
What about YOU? How's your m/s?
We're not seeing the neuro again until January. He basically said she doesn't have any obvious concerning symptoms that would point to a neuro problem and an MRI has a very low yield at this point so it's just wait and see. We see the geneticist in October.
Honestly, it IS really frustrating to work so hard with her and see almost zero progress. I also felt really upset with her the other day when she refused to stand for an entire day after she had been doing so well with PT, and then of course I felt awful for feeling that way towards her . I just really wish I had a window into the future so I could see how this will all play out. I want her to walk so badly FOR HER because I know she will be so much happier when she can get around the playground more easily etc. But I can't really say the same for the speech because she doesn't seem frustrated or bothered by her lack of speech at all. It's hard to explain but she just doesn't seem to feel the need to communicate in any way at all for the majority of the time.
I really don't think if a child does everything on the list and only has a "few words" that they will qualify, or even that it makes any sense to have an evaluation?
I'm just thinking that if everybody starts having their kids evaluated even when they DO meet all milestones it could clog up the system and make for a longer wait time for those with children who do have delays?
I wouldn't know what to think about how quiet she is. It sounds like cognitively she is doing a lot of what she should be doing, but physically and verbally she is in a different place, moving in the right direction at least physically, though. Will you see the neuro again? Or was that a one time consult thing? When do you guys see the geneticist?
It must be hard to be working so diligently with her and not seeing a lot of progress. I hope she gets walking for you soon and then starts working on her talking! It's a shame we don't live closer because we could have a very quiet playdate with our 2 Violets.
What about YOU? How's your m/s?
We're not seeing the neuro again until January. He basically said she doesn't have any obvious concerning symptoms that would point to a neuro problem and an MRI has a very low yield at this point so it's just wait and see. We see the geneticist in October.
Honestly, it IS really frustrating to work so hard with her and see almost zero progress. I also felt really upset with her the other day when she refused to stand for an entire day after she had been doing so well with PT, and then of course I felt awful for feeling that way towards her . I just really wish I had a window into the future so I could see how this will all play out. I want her to walk so badly FOR HER because I know she will be so much happier when she can get around the playground more easily etc. But I can't really say the same for the speech because she doesn't seem frustrated or bothered by her lack of speech at all. It's hard to explain but she just doesn't seem to feel the need to communicate in any way at all for the majority of the time.
A looking glass into the future would be so nice! I often feel that way too. Just know that you are doing such a great job. When she is older you will be able to tell her, with complete honesty, that you did everything you could to help her - got her great therapists, in with the best doctors and continued to believe in her. (Your frustration with her is because you care so much, lady!) I'm looking forward to lots of good updates from Miss VEC. 6 months from now when she is running around town like she owns the place and using her words, we will look back and sigh. And yes, I'm sure of it.
Post by TrudyCampbell on Sept 1, 2013 21:00:54 GMT -5
Oh, and ruby412 I accidentally ignored your question. My m/s has been better, for sure. Yesterday with my family I had to take zofran 3 times because of all of the cooking going on so that sucked but I've been trying not to take it at all... it is sooo constipating! Never in my life have I been constipated until now and I am not a fan. TMI?
I'm eating really bland stuff for the majority of the time but I've def been puking less. I'd say like every other day.
Oh, and ruby412 I accidentally ignored your question. My m/s has been better, for sure. Yesterday with my family I had to take zofran 3 times because of all of the cooking going on so that sucked but I've been trying not to take it at all... it is sooo constipating! Never in my life have I been constipated until now and I am not a fan. TMI?
I'm eating really bland stuff for the majority of the time but I've def been puking less. I'd say like every other day.
Less puking is good, but no puking is best! Hopefully you'll get to the end of the m/s soon. I do not look forward to going through that again one bit. Only a few more weeks until you're in the blissful 2nd tri!
I really don't think if a child does everything on the list and only has a "few words" that they will qualify, or even that it makes any sense to have an evaluation?
Agreed. G tested (scored? Measured? Not sure on word choice) in normal developmental ranges for everything except expressive speech, so he qualified. Had he even had one word I don't think he would have qualified for services.
Trudy, not to threadjack, but do you have any updates on V's progress??
Not really.
Today she did really well with making sounds and (sort of? we think?) signing milk and we were pleased. She was also cracking up at herself imitating us clicking our tongues (we'd do it, she'd do it, she'd crack up at how hilarious she was). But lately she has been worse than ever... super, super quiet at all times. Our neurologist said that it seems like for some reason she just has decided that speech is not important to her. Our speech therapist has us focusing on getting her to imitate actions and she's doing really great with that. She also has us helping her focus on tasks and she's doing great with that too... she is great with her puzzles, block building etc. She is just SO quiet. She seriously made more sounds as a 2 month old.
Therapist recommended we video tape her giggling and crying and play it back to her so she can hear more of her own voice so we're trying that along with showing her the videos of her babbling and saying hi and mama that we have from a few months ago. She loves watching herself but doesn't respond verbally.
She's happy, smiley, giggly, social and curious... she is just so, so quiet. I don't know what to do/think. Speech therapist thinks we need to really push PT and get her walking, which I think is our current plan, but the neurologist and pedi basically said PT should be the least of our concerns because she WILL walk eventually since she's cruising, standing with some assistance, etc. Sooo....
I kind of feel creepy since I seem to always butt in on your posts, but I will anyway!
Just to let you know our developmental therapist (who I love and trust) said that walking will strengthen G's core muscles, which in turn will allow him to actually make more sounds. He just started walking more than a few steps at a time this week, so maybe we will see some new sounds soon?
It took a while for the physical imitation to lead to vocal imitation, but the improvement is so huge! G is still very delayed in just about everything, but it is so amazing to see the progress he has made.
I am sorry you are getting conflicted messages from your drs and therapist. It is sucky feeling when you are trying to what's best for your baby but you dont what that is.
I think it depends on the state, though? Obviously H was in EI 6 years ago, but he qualified with a 25% delay in expressive communication when he was tested. He was ahead in all other tested areas and had no medical diagnosis. He did 6 months of EI (an hour a week) then they retested and he "graduated". We paid for it (they charge based on a sliding scale according to income, but the most you would pay for what we received was $250 for the full 6 months). i know they have changed the criteria and you now need at least a 30% delay, but other than that I think it is the same? Anyway,it sounds like things may be very different on a state by state level.
Here in OK a medical dx is not needed. A child has to have a 25% delay in two or more areas or a 50% delay in one. All services are free regardless of income.
Your H and my G sound similar at this age. Was H much of a babbler? G is/was not.
I kind of feel creepy since I seem to always butt in on your posts, but I will anyway!
Just to let you know our developmental therapist (who I love and trust) said that walking will strengthen G's core muscles, which in turn will allow him to actually make more sounds. He just started walking more than a few steps at a time this week, so maybe we will see some new sounds soon?
It took a while for the physical imitation to lead to vocal imitation, but the improvement is so huge! G is still very delayed in just about everything, but it is so amazing to see the progress he has made.
I am sorry you are getting conflicted messages from your drs and therapist. It is sucky feeling when you are trying to what's best for your baby but you dont what that is.
Don't worry, I appreciate it!
Our speech therapist says the same thing about the core muscles. We want her to walk ASAP anyway, regardless of speech, so we're planning on really pushing PT until this happens... we're just waiting for our insurance to pre-approve.
I'm glad G is doing well with vocal imitation! That's a really great sign!
Here in OK a medical dx is not needed. A child has to have a 25% delay in two or more areas or a 50% delay in one. All services are free regardless of income.
Your H and my G sound similar at this age. Was H much of a babbler? G is/was not.
He wasn't a babbler at all, and never did the whole "fake talking" (I can't remember what it's called, but the babbling with inflection, etc). I can't remember all the specifics now, but I know he didn't make a consonant sound until much later than normal (close to a year?), didn't mimic sounds or expressions (sticking out his tongue, etc), and didn't point/wave/clap at the time of his eval (right around a year). He was (and still is) VERY social and active - walked early,etc etc. Very gregarious. He was just kind of in his own world...he just didn't notice/didn't care that there was this other level to life with communication. Once he was older, it just kind of clicked for him. He is still like that - I really think for him it was personality based. EI was a great service and I loved it, but in retrospect I don't think he needed it. I think he would have progressed in the same way with or without EI.
Today she did really well with making sounds and (sort of? we think?) signing milk and we were pleased. She was also cracking up at herself imitating us clicking our tongues (we'd do it, she'd do it, she'd crack up at how hilarious she was). But lately she has been worse than ever... super, super quiet at all times. Our neurologist said that it seems like for some reason she just has decided that speech is not important to her. Our speech therapist has us focusing on getting her to imitate actions and she's doing really great with that. She also has us helping her focus on tasks and she's doing great with that too... she is great with her puzzles, block building etc. She is just SO quiet. She seriously made more sounds as a 2 month old.Â
Therapist recommended we video tape her giggling and crying and play it back to her so she can hear more of her own voice so we're trying that along with showing her the videos of her babbling and saying hi and mama that we have from a few months ago. She loves watching herself but doesn't respond verbally.Â
She's happy, smiley, giggly, social and curious... she is just so, so quiet. I don't know what to do/think. Speech therapist thinks we need to really push PT and get her walking, which I think is our current plan, but the neurologist and pedi basically said PT should be the least of our concerns because she WILL walk eventually since she's cruising, standing with some assistance, etc. Sooo....
I kind of feel creepy since I seem to always butt in on your posts, but I will anyway!Â
Just to let you know our developmental therapist (who I love and trust) said that walking will strengthen G's core muscles, which in turn will allow him to actually make more sounds. He just started walking more than a few steps at a time this week, so maybe we will see some new sounds soon?
It took a while for the physical imitation to lead to vocal imitation, but the improvement is so huge! G is still very delayed in just about everything, but it is so amazing to see the progress he has made.Â
I am sorry you are getting conflicted messages from your drs and therapist. It is sucky feeling when you are trying to what's best for your baby but you dont what that is.
That is so interesting about the walking/talking core connection!
Here in OK a medical dx is not needed. A child has to have a 25% delay in two or more areas or a 50% delay in one. All services are free regardless of income.
Your H and my G sound similar at this age. Was H much of a babbler? G is/was not.
He wasn't a babbler at all, and never did the whole "fake talking" (I can't remember what it's called, but the babbling with inflection, etc). I can't remember all the specifics now, but I know he didn't make a consonant sound until much later than normal (close to a year?), didn't mimic sounds or expressions (sticking out his tongue, etc), and didn't point/wave/clap at the time of his eval (right around a year). He was (and still is) VERY social and active - walked early,etc etc. Very gregarious. He was just kind of in his own world...he just didn't notice/didn't care that there was this other level to life with communication. Once he was older, it just kind of clicked for him. He is still like that - I really think for him it was personality based. EI was a great service and I loved it, but in retrospect I don't think he needed it. I think he would have progressed in the same way with or without EI.
This sounds a LOT like Andrew. It's like he doesn't know that talking/communicating is an option. It's good to hear how it all worked out for G. I think I'll wait out the month, but I'm pretty sure he'll qualify, unless he makes miraculous progress in the next few weeks.
For us ECI has been more to give us tips for what to do all the rest of the time that the therapist is not here. I don't think the actual hour a week that she is here does a whole lot in and of itself, but I can ask her questions on what I am concerned with and techniques to do and if she doesn't know she has a whole team to help. It's also helped to have a professional modeling the right way of talking for my husband and MIL to get them on board. Some good tips that we've had where to take pictures of all the objects around the house and to flip through them and talk about them every day so that they are relatable pictures, and to focus on building the basic, basic, basic vocabulary before worrying about sentences. I *really* like the Baby Babble DVDs that I got off of amazon as well, and they are perfect for the 1-2 year old crowd. They have a great section at the end of each video that basically models all the tips that we've been told to do by our speech team.
I kind of feel creepy since I seem to always butt in on your posts, but I will anyway!
Just to let you know our developmental therapist (who I love and trust) said that walking will strengthen G's core muscles, which in turn will allow him to actually make more sounds. He just started walking more than a few steps at a time this week, so maybe we will see some new sounds soon?
It took a while for the physical imitation to lead to vocal imitation, but the improvement is so huge! G is still very delayed in just about everything, but it is so amazing to see the progress he has made.
I am sorry you are getting conflicted messages from your drs and therapist. It is sucky feeling when you are trying to what's best for your baby but you dont what that is.
Don't worry, I appreciate it!
Our speech therapist says the same thing about the core muscles. We want her to walk ASAP anyway, regardless of speech, so we're planning on really pushing PT until this happens... we're just waiting for our insurance to pre-approve.
I'm glad G is doing well with vocal imitation! That's a really great sign!
I just saw that you are meeting with a geneticist october. Do your drs have any suspicions of anything? Our pedi wondered about fragile X, but that is unlikely since I was screened for that while pregnant. G had an appointment with a geneticist at our children's hospital 2 weeks ago. It sounds like it may take months to find something, if anything is ever found. Even though I knew it going into the appointment, I completely broke down when the dr told us that there is nothing that can be done to cure G or make him better. I still hold out hope that they wont find anything and somehow G's delays and microcephaly aren't connected and he will be able to catch up, but I know that is unlikely.
shmoo I am sending you big, huge, giant hugs right now!! As parents we just want to fix things and make everything okay for our kiddos. It's sad and frustrating when we can't. It sucks.
I just saw that you are meeting with a geneticist october. Do your drs have any suspicions of anything? Our pedi wondered about fragile X, but that is unlikely since I was screened for that while pregnant. G had an appointment with a geneticist at our children's hospital 2 weeks ago. It sounds like it may take months to find something, if anything is ever found. Even though I knew it going into the appointment, I completely broke down when the dr told us that there is nothing that can be done to cure G or make him better. I still hold out hope that they wont find anything and somehow G's delays and microcephaly aren't connected and he will be able to catch up, but I know that is unlikely.
What? Does he have an official diagnosis? I am surprised a doctor would say that nothing can be done to help him? I wouldn't give up hope, at all. That sounds really extreme. I'm so sorry you're going through all this, it sounds really stressful (and I can relate to an extent).
Our neuro was basically like you *can* see a geneticist if you want, but the likelihood of them finding something is pretty rare. There is nothing specific in mind, we just want to cover all our bases. The geneticist we are seeing is very well known and supposedly excellent, so if anyone can pin point a genetic problem then it's probably her.
I just saw that you are meeting with a geneticist october. Do your drs have any suspicions of anything? Our pedi wondered about fragile X, but that is unlikely since I was screened for that while pregnant. G had an appointment with a geneticist at our children's hospital 2 weeks ago. It sounds like it may take months to find something, if anything is ever found. Even though I knew it going into the appointment, I completely broke down when the dr told us that there is nothing that can be done to cure G or make him better. I still hold out hope that they wont find anything and somehow G's delays and microcephaly aren't connected and he will be able to catch up, but I know that is unlikely.
What? Does he have an official diagnosis? I am surprised a doctor would say that nothing can be done to help him? I wouldn't give up hope, at all. That sounds really extreme. I'm so sorry you're going through all this, it sounds really stressful (and I can relate to an extent).
Our neuro was basically like you *can* see a geneticist if you want, but the likelihood of them finding something is pretty rare. There is nothing specific in mind, we just want to cover all our bases. The geneticist we are seeing is very well known and supposedly excellent, so if anyone can pin point a genetic problem then it's probably her.
He has microcephaly, his head is abnormally small. Of course the concern is that since his head is not growing normally, his brain cannot grow normally. His head is far below the 1st percentile in size. So there is nothing that can be done to give him a normal sized head. Even if his cognitive development catches up, there is still a chance he look "off" physically (of course I will be ecstatic if that is the extent of his disability). If there is an underlying cause to the microcephaly that manifests in other ways that need medical treatment, we want to know which is why we are seeing a geneticist. It would also be a deciding factor in whether we would have any additional children.
Oh gosh, big hugs shmoo. I hope the best case scenario for you guys. You said he's walking, right? That sounds like great developmental progress.
Thanks! Yes the walking (more than just a few steps) really just started this week. He spent the afternoon running around the playground.
He has an appointment with an ophthalmologist on tuesday based on a referral from our pedi and geneticist. I guess the thinking is that it is possible to see abnormalities in the brain through the eyes. He had an MRI in May that didn't show anything to be concerned about. Thank god for good insurance and that my H has a flexible schedule. I am really cursing myself that I was ever curious to see what the new children's hospital looked like.
He wasn't a babbler at all, and never did the whole "fake talking" (I can't remember what it's called, but the babbling with inflection, etc). I can't remember all the specifics now, but I know he didn't make a consonant sound until much later than normal (close to a year?), didn't mimic sounds or expressions (sticking out his tongue, etc), and didn't point/wave/clap at the time of his eval (right around a year). He was (and still is) VERY social and active - walked early,etc etc. Very gregarious. He was just kind of in his own world...he just didn't notice/didn't care that there was this other level to life with communication. Once he was older, it just kind of clicked for him. He is still like that - I really think for him it was personality based. EI was a great service and I loved it, but in retrospect I don't think he needed it. I think he would have progressed in the same way with or without EI.
This sounds a LOT like Andrew. It's like he doesn't know that talking/communicating is an option. It's good to hear how it all worked out for G. I think I'll wait out the month, but I'm pretty sure he'll qualify, unless he makes miraculous progress in the next few weeks.
I just wanted to let you know that this all sounds very much like my L, too. I've posted before about my concerns. He didn't clap or wave and showed no interest no matter how much I communicated these things. Around 6 months he had been babbling but then stopped. He then started working on pulling up then walking so I didn't think much of it. Reading the milestones for communication and about how other babies were communicating really made me start to worry. He ended up clapping and waving for the first time at 14 months- both on the same day. He started pointing a few days later. I just wanted to share to try to put you a little at ease that they really can go from not doing something one day to completely surprising you. We still have a bit to go as far as saying words and communication with true words. Discussing it all with my pedi really helped. I know if you go through the EI evaluation you guys will be in good hands. (((Hugs)))
Huh. Well, I am hoping May doesn't qualify, but my friend has a son who is 17 months and has the same number of words as May (and follows directions, etc...) but he did qualify and she urged me to have May evaluated. FWIW, the thing that worries me with May is that she used to say her words a lot, but now rarely does and used to babble, but now rarely does. That was more behind me having her evaluated than the fact that she didn't have many words. I was afraid that if she was losing skills, that something might be wrong. But now, she actually added a word or two this week (after adding NO words since 10 months), so i have a feeling we will end up not qualifying, which, again, I would be happy about. The evaluation is more to ease my mind.
I would assume your friend's child has other things going on that maybe you aren't aware of?? It doesn't seem like May is behind at all. If she had even one word at 10m, that's incredible! If the evaluation is to ease your mind I'm pretty sure it will do just that! It sounds like she's doing great.
Thanks for letting me know that info. My friend totally scared me because from what she was saying, her son seems to be at the same level as my daughter and is already getting EI. Her older son is over 2 and still not really speaking and she was saying that if she had gotten him evaluated earlier he would be much further along by now. So, I kind of had the idea that it was really important to get on it early if there is a problem. But, it sounds like maybe it is better to wait if you can only be evaluated every few months.
I second waiting. Ari has, seemingly overnight, added to his vocabulary. If you really are stressing over it then I would put a call in to your pedi but I know mine would say let's see where he is in a month and then schedule an eval.
Max's vocabulary has really (surprisingly) exploded in the last month, and he has been signing a lot better too (he signs and says things at the same time) so it might happen in the next month or so - so I would also wait but definitely bring it up if it's still an issue at the 18m checkup.