From: "Sue Hedberg"
To: "Keith and Sandra"
Date: June 09, 2007 09:31:52 AM CDT
Subject: FW: Reenviar: Jose Daniel Sanchez Ramos

De: Francisco Montiel
Fecha: 08/06/2007 02:21:03 p.m.
Asunto: Jose Daniel Sanchez Ramos

Hello!

This morning I had the opportunity to review little Jose Daniel, he is now aged 4 months and has been, I am told, doing really well in the time since he was seen for the last time one month ago, he shows a constant and normal development, a very bright little boy he shows interest in all that goes on around him, will turn to sound without localizing it, and is quite vocal himself making many cooing and some initial babbling noises of his own. He now shows better control of his neck muscles an will keep the head pretty straight in the midline when pulled to the sitting position, also when on his stomach he is able to lift his head clear form the bed, will attempt, with swiping movements. To grant things that are nearby and puts everything into his mouth. He will hold his hands together in the midline and also enjoys looking at his fingers whilst putting them in front of his eyes. The caregiver tells me that this little one takes well his formula and is also receiving his ordered vitamin supplement. Upon evaluation today I found him in good health with no obvious physical or neurological abnormalities, his weight today is 17 lbs 14 oz, length of 61 cms and head circumference of 42 cms. He received today his second dose of DPT and HiB. Please find his pictures attached.


Best Regards

Francisco