LT, it can be hard to see those reports on paper even when you are aware of the realities of your child's life and challenges. Of course it's painful. I'm sorry.

On another note: WHY is any fourth grader even getting letter grades of any kind to begin with? It's so counter-productive. It hits my early interventionist/homeschooler heart right smack in the peeves. Letter grades in elementary school are ridiculous. It's not like they're building a transcript, and the focus should really be on what your marvelous little human needs to learn and the kinds of supports they will provide to help her learn it. More hugs.