Houston Cardiovascular Associates Houston Cardiovascular Associates

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Speech and Language Milestones, Ages 3 to 5 Years

Overview

Speech and language development milestones relate to two areas:

  • Receptive language. This is the ability to understand words and sounds.
  • Expressive language. This is the ability to use speech and gestures to communicate meaning.

A child's speech and language development becomes more advanced starting around age 3 through age 5. Receptive language skills during this period become more sophisticated. A child learns to make subtle distinctions between objects and relationships. Also, the child can understand multi-step requests. Most children also gradually speak more fluently and use proper grammar more consistently.

Speech and language milestones

Age

Receptive language

Expressive language

3-year-olds:

  • Follow two-part requests, such as "put your pajamas in the hamper and your slippers in the closet."
  • Learn new words quickly; know most common object names.
  • Understand the concept of "two."
  • Understand gender differences.
  • Know their own full name.
  • Start to correctly use plurals, pronouns, and prepositions more consistently.
  • Often ask "why" and "what."
  • Often use complete sentences of 3 to 4 words.

4-year-olds:

  • Know the names of colors.
  • Understand the difference between things that are the same and things that are different, such as the difference between children and grown-ups.
  • Can follow three-step instructions, such as "Go to the sink, wash your hands, and dry them on the towel."
  • Use the past tense of words.
  • Use sentences of 5 to 6 words.
  • Can describe something that has happened to them or tell a short story.
  • Can speak clearly enough to be intelligible to strangers almost all of the time.

5-year-olds:

  • Understand relationships between objects, such as "the girl who is playing ball" and "the boy who is jumping rope."
  • Usually can carry on a conversation with another person.
  • Often call people (or objects) by their relationship to others, such as "Bobby's mom" instead of "Mrs. Smith."
  • Can define words such as "spoon" and "cat."

Credits

Current as of: October 24, 2023

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: October 24, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

Houston Methodist DeBakey Cardiology Associates
6550 Fannin St.
Smith Tower, Suite 1901
Houston, TX 77030

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Houston Cardiovascular Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded HCA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary