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Communication with her is limited since she is deaf and has yet to learn sign language. She understands some signs such as “sit” and “no”, but has yet to repeat signs back to us such as “more” and “food.” Sasha continues to work on those both in her foster home and with her teacher at school, but it has been very slow progress. She also has a VSD (hole in her heart), but her body has learned to live with it well. She has been taken off all her heart medicine, and seems to be doing well so far. She has seen doctors about surgery, but none has been needed so far. She is also on medication for seizures, but under the current combination of seizure medication, she has not a had a seizure.