Joshua is a very quiet, sweet and affectionate boy. Physically he is progressing well however as far as communication he is severely lacking due to his hearing impairment. He loves his baby brother and shares his toys with him. He likes to play catch. He is very interested in learning and loves to color. Every time I see him he wants to sit on my lap so I can go through books with him and look at the pictures. He communicates through total communication as he is learning sign language, using pictures to help him express his needs and trying to develop speech.