When I got back to Janet’s room this afternoon I tried my best to rush her out the door to take advantage of the sunny break that was happening. She doesn’t move that fast though and I wanted to let her do as much of the getting ready as possible. I did a quick limbering up of her legs then invited her to get up from bed. Her first attempt failed then I coached her through another that had much better success with me helping the right leg the last little bit. A high five was in order as she sat up then into the wheelchair, shoes on, jacket on and out we went. Of course by this time it had mostly clouded over again but it was still nice to be out and Janet assured me she was warm enough. To stay that way we avoided the beach and headed south, away from the darkness to the north but it caught up to us twenty minutes later and we had to head for cover. We sat in the Centennial Building lobby for a lot longer than I thought we would as Janet was really enjoying watching all the people go by. It was quite busy and there was every size and shape and color of person walking and wheeling and hobbling by. It was quite interesting. I asked her a couple of times if she was ready to move on and she shook her head no and then would track someone else’s movement. Fun to watch them and her.

On the way back to rehab I asked her to try her Bam Bam driving, but the hallway was too busy and I think she was nervous about that so we went to a quieter one and she did well. She wasn’t totally into it as I guess it was a little late for that much work. Back in her room we Skyped Andrew and I couldn’t get her to do more than a whisper for him despite having done some vocal exercises in preparation. She seemed to enjoy looking at herself on the screen more than anything else, which is rather unlike Janet. Anyways it was good to chat with Andrew.

I tried to get some more loud voice going with Janet after that and didn’t have much success. I have noticed something over the last couple of days though. Now that she uses her loud voice more and her whispers are louder I can hear that a lot of what she says is a repeat of something I’ve just said even though I didn’t ask her to say it. A few times I’ve leaned in to try and decipher what she is trying so hard to say and I pick out what I said a few minutes ago when I thought she was coming up with something original. I’m going to ask Connie about that tomorrow.

During the last half of dinner I read some of Anne 2 to her. First time in a while and it was nice to get back into it. She was luke warm to the idea at first but once I started reading she was dialed right in. Janet only had a few very short crying episodes this afternoon and two were pain related. One for her right shoulder and one for her left knee. The frustration one was really minimal and stopped when I completely changed the subject of our conversation and had her getting ready to brush her teeth. She was a little restless in getting ready for bed but once tucked in and we said our prayer she rolled onto her side with her legs bent up and all I could do was shake my head and smile as she closed her eyes. I’ll talk to Moira about the legs tomorrow.

Praying Janet moves her legs around lots tonight and is ready for a great day tomorrow.

For a rainy Monday morning I got a pretty nice greeting from Janet. A smile and a hug. We had a little chat then I told her what she had scheduled for the day and that’s when the tears started. Not as intense as yesterday and she did manage to whisper through it a number of times, “what’s happening about getting up?” Not sure what she was concerned about but she stopped crying after a couple of minutes and we started stretching. Her right arm seemed pretty good today and just as I was starting her legs her nurse came in with her meds and I asked that Janet be freshened up before we headed off to Physio. While laying there getting cleaned up she started crying again, this time showing me that her right shoulder hurt. I told her that should start to go away in the next couple of days and she calmed down with that. Her legs were super tight this morning so I am thankful I had time to spend stretching them before we had to leave. I got a decent result but I warned her again about keeping them curled up so much. Connie stopped by again to kick start Janet’s voice. So fun to be able to hear Janet from ten feet away instead of needing to be ten millimeters.

Janet was all gung ho to get up but we were running out of time so I helped her and once up you could see the increased brightness. I had Janet drive to Physio and we met Moira right by the nurses station. She was impressed with Janet’s determined driving and asked if she had propelled with her left leg at all. Of course she has so it was time to show off a little. Janet used her leg and arm to gain record speed and control of her wheelchair all the way to the gym. I had to help her when she drifted too far to the left but she corrected from the right by using her left foot. I also helped with the sharp right turns along the way but I think she did well enough to be elevated from Pebbles to Bam Bam status on the Flintstones driving scale. High five! I left Janet with Moira and she was her usual happy self in the gym.

This morning I met with Gordon and Gord at CedarCreek and submitted my resignation. This was by far one of the most difficult decisions I have had to make mostly because I could not discuss it with Janet. It is because of my love and commitment to her that I chose to resign. I truly feel that as long as she is in recovery mode I need and want to be there for her doing whatever I can to give her the best chance at recovery. CedarCreek has been supportive of any family event I’ve needed or wanted to attend to since I started working for them. They have been very patient and supportive since Janet’s hospitalization I thank them sincerely for that and encourage you all to buy their wine. Seriously. It’s good. Thank you also to those of you who took time to help me with this decision. Being able to bounce different scenarios off of “neutral parties” helped for sure.

Thanking Jesus for His guidance and looking forward to a bright afternoon.

The afternoon started with the longest and most intense crying session from Janet that I have experienced. I looked in her window before I went in and she was eyes closed looking rather peaceful. I got into the room and she gave me a little smile, we had a brief chat, I asked her what she wanted to do for the afternoon, then she turned away and let the floodgates open. She wouldn’t/couldn’t tell me why she was crying nor did she seem to want me there at all as she kept turning away from me. After ten minutes with no sign of letting up or telling me what the issue was I got a little mad at her (tough love style) and told her she was being rude in turning away all the time. No reaction except for her starting to try to get out of bed. I encouraged and coached her for the first couple of attempts but each one resulted in more tears even as she was progressing towards the edge of the bed. In another tough love move I sat in the comfy chair away from her and just watched her try and get out of bed while crying for about fifteen more minutes. It hurt a lot to watch her as she was very upset but I felt like there was nothing I could do. She wasn’t in pain, this was all about frustration and awareness of her situation. I’m not even sure she knew I was there most of the time. I experienced a lot of different emotions and thoughts during this time and it really helped to solidify my devotion to her. I think I needed this pain to erase any doubt about my role in Janet’s life and as soon as I realized that she had calmed down and was about half way towards sitting up on the edge of the bed. I approached her with a new attitude and assisted her the rest of the way. I smiled at her and told her we are going outside for a walk whether you want to or not, it’s sunny and the fresh air will be good for you. She looked at me like I just walked in the room. I apologized for getting mad at her and off we went.

It was a beautiful warm Fall afternoon and we sat at the beach for about fifteen minutes. Janet had a smile on and I asked her if she wanted to get on with our walk, she said “just sit in the sun”. We did. She was very content and it was really nice to be there in the peace and quiet. We did go for a long walk enjoying the Fall colors. I even got to throw huge piles of leaves at Janet and make her laugh. I kept her out about fifteen minutes too long though as she got a little cold near the end so once we were back inside she went straight to bed to warm up a little.

We had a Skype session with Heather and Allan. Janet refused to use her loud voice but managed a few audible whispers. Cam managed to overcome yesterday’s technical difficulties and had a little chat with his mom. Janet may not have said much during these conversations but she was smiling and enjoying listening. I think it is very beneficial to stay connected this way. I noticed Mary/Gaga now has a Skype name so maybe we can connect with her on Tuesday. Andrew is up tomorrow as long as Rachel permits. 😉

Janet was pretty worn out by this time so I got her dressed for bed, had her brush her teeth, then I stretched her legs and said goodnight by 6:15 as she was pretty much asleep. A tough start to the afternoon but a loving and enjoyable finish.

Praying for a restful and healing night and a bright and progressive day tomorrow.

Janet must have known it is Sunday, a day of rest, as she snoozed until 9:30 this morning. I took a slow approach to starting her day so we had a nice chat (me talking) then I got her to brush her teeth which she did with great enthusiasm. Then the dreaded stretching. When I came in this morning she was curled up pretty tight and so she was difficult to stretch. I got a good result from the right arm but pushed my luck with her wrist (made her cry). The legs were ok considering how she slept but I warned her again to keep changing position as much as possible so it is easier to stand and eventually walk.

When asked what she wanted to do this morning Janet didn’t seem to really care. We started by Skyping Laurel and Raj, caught them just before they headed out for a run in the snow. Crazy newlyweds. Janet brightened up as soon as the call was placed and whispered a few things to them. She was in a much better mood after that so I took advantage to do some vocal exercises with her. She did amazingly well and that kick started her loud voice. Should have done them before the Skype call. We ran through a whole battery of tests Connie had given me and Janet was loud and clear all the way, even when she complained, “this isn’t working well”. It was.

Tired of “vocal school” we just had time for a quick inside walk before lunch and Janet asked that I drive. We had a nice walk around as I asked her to name things along the way and to read some of the signs. A mixed response to those questions.

In bed for lunch and nodding off again by 12:15. Hoping she has some energy for the afternoon.

Suzanne was visiting Janet when I returned this afternoon. They were having a little spa session as Janet’s fingernails did need a fresh coat of paint. Janet was all smiles and was admiring the purple. She is definitely enjoying the visits from everyone lately, keep it going please. Janet was in need of a change though as that hadn’t been done since early this morning and we had a Skype date with Cam set up so we had to say so long to Suzanne until next week.

With a nice clean Janet and a late Cam I decided to rush Janet home for the afternoon thinking we would get there in time to keep our Skype commitments. We did and I set Janet up beside the fire so she could enjoy her chats with Cam and then Leslie. Cam had technical difficulties so we only saw freeze frames of him and heard the odd bit of sound. We’ll try again tomorrow. Leslie of course came in loud and clear, and so did Janet a few times for that matter. Janet was tuned in right off the bat but only started smiling after Leslie got some light on her face so Janet could see her. It was all smiles after that. We had a little time left before we needed to head back for dinner so I put Janet on the couch so she could hang with Nash for a bit. He jumped right up with her and lavished in her pats for fifteen minutes. That was plenty long enough for both of them and Janet started to try and stand up. I couldn’t do our usual stand up routine here because the floor is too hard so I tried holding her arms so she could push with them as well as her legs and she cleared her butt off the couch by a couple inches one time. Impressive. I was interested to see how Janet could move about the house in her wheelchair so I got her into it and removed the left foot rest. She Pebbles Flintstone’d around amazingly well and didn’t even hesitate to start exploring. She seems to crave mobility. She circumnavigated the kitchen then made it down the hall to the bedroom and we had a little chat there before we had to go. Nothing mushy this time but a really nice few minutes where I actually understood some of what she was saying and she just seemed really really happy.

We made it back to rehab right at five which is when I said we’d be back and I wanted to be on time so I don’t lose the privilege of taking Janet out like that. Thinking of a trip to Sandrine’s soon and maybe even a wheel around the mall (help me) for something different to do. I plugged her in for dinner then said goodbye as I headed off to church. Janet was in a really good mood which made it hard to leave her. Courtney and I arrived after church at seven and Janet surprisingly was still pretty awake. She gave Courtney a nice smile and a “hello Courtney”, even remembering her name. Janet wanted to sit up really bad so I helped her and as soon as she was up the tears started flowing. We couldn’t figure out why but she was frustrated about something. The smiles returned after a while and it ended up being a nice little visit. I then got her ready for bed and said goodnight as Courtney and I headed out for her birthday dinner. Janet was still smiling as we left.

Praying for a restful and healing night and thanking Jesus for blessing me with such a beautiful bride.

Janet seemed a little mad when I arrived this morning as she mumbled something in Klingon to me. I avoided asking her how she’s doing etc. and focused on what today had in store for us. That tactic seemed to work and we started the stretching routine after a decent chat with only a short crying session. The stretching went really well, I took my time as we didn’t have to rush off to any appointments and I was able to hold some of the stretches a lot longer and explain to Janet why we are doing this. I’m hoping she’s starting to get it.

In trying to keep a similar schedule to weekdays I kept going with a PT theme after stretching. I invited her to try and get out of bed and she couldn’t wait to try as she had her upper body up in what seemed like a split second. She had trouble figuring out what to do with her legs then got tired so had to lay down and reset. The next attempt was stronger but not close enough for me to step in for the final bit so down she went again. Third time she managed to get her left leg over the edge and I helped with the right. Sitting up she was like a new person. The eyes got brighter and she started whispering/talking to me. I suggested we do some sitting exercises and reminded her she had just gotten up from the left side so let’s try the right. She took a long look at the right side then turned left and started climbing onto the bed. She had her left leg up and was moving her butt to gain more traction for the right leg. She wouldn’t tell me what she was trying to do and I figured this was a good workout so I’ll let her keep going. After a long time she managed to get close enough to her pillow, picked it up, turned herself to sit square on the edge again, placed the pillow on the bed to her right and proceeded to lay down on the bed with her head where her feet would normally be. She had a huge smile on her face, lifted her left arm to wrap it around me and gave me a big hug. She was very proud of herself and I’ve no idea why. After the hug and a few seconds to catch her breath she tried getting back to a sitting position. I had to help her a little but she got back up and was like, ok, what’s next? I helped her stand a few times and explained to her how it would be easier if her legs were straight and she can help that by keeping them straighter in bed. She didn’t argue.

PT was over so it was time for some Speech. I got her into the wheelchair and up to the workstation. She had been using her loud voice a fair bit once she was sitting, including looking over at the iPad and telling me “we see someone on there”. I asked “where, the iPhone or iPad?”, she said “iPad”. I asked her who did we see, she said “Andrew”. Nice. We started with the E exercises and she did really well. Best she’s done for me. The other vocal exercises did not go well as she started crying so I stopped those and took her for a walk. Once out in the KGH hallways I had her try a little Flintstones action and she amazed me at how well she can propel the wheelchair with her left leg. Probably went twenty meters fairly straight before tiring. High five! I had her try with both legs but no go there. I think she can eventually get to full Flintstones mode one day.

Back in her room we played catch with the mini basketball and actually passed it to each other ten times before dropping it. High five! I got her into her new bed ( with a built in alarm) and plugged in for lunch then headed out for mine.

Looking forward to our Skyping sessions and more this afternoon.

No Houdieno action while I was away this time and Janet was looking pretty comfy in her bed when I got back. The nurses had installed a bed alarm that in theory will warn them when Houdieno gets too close to escaping. After a chat and a little stretch I invited them in to see if the alarm works. Janet started her moves towards getting out but did not have the energy to complete them so I helped with her legs. When she was sitting on the edge of the bed there had still not been an alarm. Good thing we tested it. Apparently the mattress she has requires the sensor to be on top instead of underneath like it was for our test. An adjustment will be made and it’ll be interesting to see if Houdieno sets it off tonight. I say yes.

With Janet up and in her wheelchair we were having a little chat trying to decide on how to spend the rest of the day when Connie dropped by again. She asked Janet to say a bunch of things which she did very well. She really is a teacher’s pet. Connie seems so excited about Janet’s progress it’s like she has to prove to me each day what a good job she’s done. Doesn’t look good for Music Therapy Guy if this keeps up. Connie informed us that the swallow X-ray will happen Thursday at 1pm. Should be fun.

It was then time for the weekly call to Mary/Gaga and Janet insisted on holding the phone and smiled brightly when she heard her mom’s voice. She tried to say hello mom out loud, I heard it, not sure if it made it all the way to Collingwood but a few words did later on in the conversation including one very long sentence that included …”we are very far away…”. Janet was the most tuned in I’ve seen her and smiled the whole time. Mary/Gaga is threatening to get set up with Skype so if that happens Janet will be able to see her mom as well as hear her. I can totally see the positive impact these calls are having. Cam and Leslie are up tomorrow.

After all that talking I decided Janet needed to move around a bit and told her we were going on an inside walk, she told me I was driving first though. I went fairly slowly as Janet really does seem to be taking more in as she travels around. We chatted with a few different folks along the way and Janet had smiles for all and some quiet hi’s and bye’s. Once we made the turn in the Centennial Building lobby it was Janet’s turn to drive. No speed records today but I think it was her best attempt at The Bump. Next time I’m going to let go and see if she can make it totally on her own. She’s close now.

As we entered the last hallway before rehab, Janet had had enough. She stopped driving and started crying. No explanation just a nod of the head when asked if she wanted to go back to her room and another one when asked if she wanted to lay down in bed. After relaxing for a few minutes she started crying again saying “it hurts so much”. She wouldn’t tell me or show me what hurt so I just cuddled up to her for a while and she closed her eyes and relaxed. By six o’clock I had her changed with teeth brushed and everything else done for bedtime. She was content and smiling and kinda dozy so I said goodnight.

Praying for a restful night of healing and a positive day of learning and activity tomorrow.

I walked in on a rather sleepy Janet this morning and noticed she had the funny padded hospital pants on instead of the ones I left out for her. She didn’t tell me why and was not very talkative at all. I told her about my night and what was planned for today and wasn’t getting much reaction at all. I started reminding her how well she talked yesterday and how much I’d like to hear her voice. I asked her her name so I could hear her talk and she started crying. She wouldn’t tell me why and rolled away from me towards the right side of the bed. I played a little tough love with her and said “I’m just going to start stretching you if you’re going to turn away from me”. I went around to the right side of the bed and started positioning it for stretching and she rolled onto her back and stopped crying.

Janet had a really good stretch this morning. Maybe her mood helped relax her, I don’t know but her right arm and hand were much looser than yesterday as were her hips and pelvis. The right leg stretched well and hardly shook at all. The left leg was tight but not bad. I praised her all the way through the routine and she seemed to be brightening up as we went along. She did a great job brushing her teeth and made a good effort at getting up with the bed flat. I had to help her legs to get over the edge, she did the rest.

Once in the gym I gave her a five pound weight to do some bicep curls with. She went for it right away but with each rep she was holding the weight up to her ear like it was a phone. Janet did have an aversion to “smart” phones but this was a little extreme. I could not help laughing and that of course made her cry. She kept on doing the curls right up to ten even as she cried and she stopped crying after I told her why I was laughing. I/we need to be careful about this now as she becomes more aware of her situation. She is an intelligent women and needs to be treated as such. No baby talk, no laughing at her unless she laughs first, no silly questions without an explanation as to why you are going to ask that question or have her say something. She is becoming more and more sensitive to this stuff. After a little chat I gave her a six pound then a seven pound weight and she did both easily. I asked her if she remembered how much weight she used at The Women’s Place but she didn’t remember.

Moira arrived with some custom made styrofoam wedges for Janet’s shoes. The idea being when Janet is standing her heels currently don’t always touch the ground, these wedges will compensate for that and Moira can help Janet take a few steps. Exciting.

I had a chat with Erica about the funny pants and she said it’s part of the Fall Prevention Protocol. They are concerned about Janet injuring herself getting out of bed. I suggested having the lower rails up but apparently that is a form of restraint and they don’t want to go there. Also there is a risk of her getting stuck in between the two rails. Janet can wear regular pants when someone is with her but the rest of the time it’s the padded goofy ones and they will also turn on the bed alarm. I predict it will take less than thirty minutes for that to go off the first time.

Praying for a bright afternoon.

In what may be her best move yet, Houdieno made it out of her bed this afternoon and was found by the nursing staff SITTING on the fall mat beside the bed! Not laying on the floor but SITTING all nice and calm as if nothing was out of the ordinary and maybe she was doing some yoga. The girls were just getting her back to bed when I walked in and as they told me about it Janet had a smile on her face so I gave her a high five and we all laughed. What else can you do.

I would guess Janet spent most of her lunch time perfecting her move so was a little tired once she was back in bed. I just hung out with her for a while and waited for Dr. McCann. While we were waiting the dietitian dropped by in response to our concern with the formula from a couple of weeks ago. Nice response time. I told her what had happened with the stool softener and that all seemed fine now. She was interested to hear of a possible swallowing X-ray and will chat with Connie about that. I told her it could happen next week so she better hurry up. Not really, but sheesh.

Dr. McCann arrived on time and asked if I would bring Janet down to EMG (Electromyography). I did and that is where he stabbed her multiple times with Botox. The EMG allows the doctor to hear muscle activity so he can more accurately apply a drug. Cool to watch. Janet received 400 units of Botox in her right shoulder and right upper arm. That was how much she got in the legs previously so the effect should be greater in these smaller muscles. The hope is to eliminate the pain and tone she is experiencing now and allow the therapists and myself to get some range of motion going with the right arm again. It should take a week or so to really kick in and we can continue to work her forearm and hand until we notice less tone there, then we can try the shoulder. Janet handled the procedure very well. Dr. McCann said the X-ray showed nothing major, just some calcification around the rotator cuff. There is some subluxation of her humerus which Dr. McCann presented as old news and the focus now is to get her range of motion back and to keep stretching lots. I asked him again about an eye exam and he said the problem is that to test accurately Janet would have to respond immediately when she saw something and she is not ready to do that yet. He explained his theory on her vision issues as; she likely has spaces in her view that are blacked out. definitely the right peripheral and most likely dead centre as well. Imagine your field of view with black to the right side and a black space in the middle. It could be permanent or it may not be. I asked about the deviation between the eyes and he had a fancy name for it which I can’t remember but same thing. Could improve, may not. I think it has improved since her eyes first opened so I’ll go with it will improve. I also asked about her incontinence and if there was a switch turned off somewhere causing it or is it just lack of awareness. He felt awareness was the bigger issue and thinks Janet can go onto a program where the nurses get her onto a commode or something at a certain time each day and try to encourage her to go. As her awareness increases we should be able to “train” her. Janet did for the first time tell me she was wet when I asked her yesterday so I will keep asking.

When we got back to Janet’s room, Janet F. had arrived for a visit. I gave them some space and when I returned Janet had drawn a nice picture of herself on the whiteboard. Janet seemed please to have her friend visit but I felt she needed some physical activity so we went for an inside walk. Janet drove down to the Royal Building elevators where I gave her the option of fourth floor or big hallway. She chose fourth floor and I’m glad she did. She drove right into the nurses station at 4B and surprised a whole bunch of them sitting there. They all loudly greeted Janet with big smiles. Janet was a little surprised and overwhelmed despite my warning her people would be excited to see her. They truly were and I think it did Janet some good.

She chose to have dinner in the dining area and I’m not sure why. I found it noisy which made it difficult to talk to her and she seemed uncomfortable the whole time but she insisted on staying until 6:15 when I said we had to go back to get changed before the nurses changed shifts. Once again I was able to get a pretty good stretch on her before leaving as she relaxed with her eyes mostly closed. I saw Cathryn as I was saying goodnight to the night crew and told them all about Houdieno. Cathryn is pleased with Janet’s drive and her increased awareness.

Praying for the Botox to be effective, for Janet to use her “loud voice” all the time and for an active day tomorrow.

More tears as I arrived this morning. Janet had been for a shower so was all dressed and clean but got all emotional before I really even said anything to her other than good morning. She calmed down after a little while and allowed me to get a really good stretch on her right arm. I am noticing an increase in the tightness of her hips and pelvis and neither leg would go as flat out as I’ve had them in the recent past.

Connie came in during stretching again and wanted to hear Janet’s voice, she did, Janet smiled and off Connie went. It’s starting to bug me how Janet is nice and loud for Connie but not me or anyone else. Teacher’s pet.

I offered Janet the opportunity to get up on her own but she just did not have the energy to do so today. I think she may be getting a little bit of a cold. Once I helped her up and she shook off the cobwebs she couldn’t wait to stand up and got all emotional that she couldn’t. She tried really hard to tell me something amongst the tears but I couldn’t understand her. When I asked if she was ready for the wheelchair, she calmed down and put her left arm on my shoulder in the ready to be lifted position.

Janet brightened right up as we entered the gym and saw Moira. I stayed for a bit to discuss the increased tightness and Moira didn’t seem overly concerned about it but did say “she’s certainly not getting any looser”. I know Janet has been like this before and hopefully with regular stretching things will improve again. Moira got Janet up on the tilt table and I left to go and talk with Jessica as it has been a while since I’ve had an update from her. Jessica is looking for ways to better engage/relate to Janet as she seems a little bored in her OT sessions. I can understand that as some of the tasks are pretty basic and from yesterday’s reaction to the what color is the pen question Janet would not be happy doing that level of stuff with anyone else either. I suggested she find things that are fairly active and learning motivated. Janet never was a good ball thrower but seems now to enjoy the challenge of doing that, especially for Nash. We discussed the new wheelchair and I think it’s fine for now as an inside chair. Janet can propel it better and we’ll keep practicing the Flintstones method. I mentioned the informal eye exam I gave Janet yesterday and Jessica said she mentioned Janet’s vision issue in Rounds on Tuesday so the team is aware and maybe we can head to some sort of real exam soon. Jessica asked about the home access issues and I explained I was only in an information gathering mode now. As long as Janet is in recovery mode I’m not planning on bringing her home. She agreed.

Since I was still in the building and Physio was almost done I went and got Janet and took her to speech. Connie started with having Janet choose between chocolate pudding, butterscotch pudding or apple sauce. She chose apple sauce and fed herself six spoonsful and swallowed within four to six seconds each time, sometimes with a secondary swallow. Connie had her make an audible A sound after each swallow as a way of testing if she swallowed correctly and each time Janet gave a nice loud A. Next up was saying words soft then loud. Janet did remarkably well. Then it was time for repeating multiple word phrases. Good again. Connie then challenged Janet with name the opposite and Janet surprised me with how well she got the answers and how loud she spoke. Vocal cord exercises were next using the E sound and Janet performed very strong again. Last was writing on the whiteboard. Lots of room for improvement there. A very strong session and I’m very impressed with how Janet has progressed and responds to Connie. Far beyond my expectations.

Dr. McCann called to say he wants to do the Botox thing at 2:30 today. I asked him about an eye exam and he doesn’t feel Janet is ready yet but we’ll talk about it this afternoon. I left Janet with Jessica and the iPad in hopes they have fun learning.

Praying for a happy afternoon and good results from the Botox.