Thanks so much for all the comments. We have worked hard to catch up by doing the dolch words this summer. That was the big thing along with math. She was also given a summer packet. Since she began treatmentw/ Cefdinir, she has made huge improvements academically. Still has social issues, touches too much, hugs too hard, etc. She is improving on focus after I added another dose of Cefdinir in the evening. She wakes up undermedicated. Obviously the strep is still present if each dose of medicine seems so crucial. The teachers in the special class are poor communicators, so we never really know how school is going since we drop off early and pick up late due to work schedules.
As I said if she were in the regular class all day, the decision would be an easy one. We would repeat first. But as she is making such strides, I hate to give her work that is beneath her especially since the work in the pull out class is adjusted for her level. Again you have helped me see this from more angles.