Yesterday, Julia learned to say "more". She signs it, putting her two hands together.
Already, mealtimes are much more pleasant. Now when she starts to squawk, I can ask her if she wants more. And she's so surprised and proud and delighted to be able to communicate her needs that she has stopped being as much of a tyrant. Or--perhaps, perhaps it's just that I feel better, having some dialogue, instead of complete blind frustration.
She also learned the sign for nurse. We are doing that much more frequently. Big surprise.