Just had Mana's 4 year old check-up at Dr. Macias. She's made it back up to 50% in height and weight! (39.5 in tall, 32.5 lbs). She can do all the things a 4 year old is supposed to do, and some things a 5 year old can do. He liked that she can count to 20 in Spanish. But mostly he was impressed with her fine motor skills. He asked her to write her name on a lined paper. She wrote it in all caps, very tiny, perfectly between the lines. I hadn't thought about it, but he's right, most kids would have taken up almost half the page to write their name at that age, and wouldn't stay between the lines. He said it was unusual. The only thing she couldn't do was skip, but he said it's something that they are supposed to do when they're five. We're proud of our little, big Mana.