Janet surprised me this morning by greeting me with a huge smile as she sat in the living room at Connect watching CNN. She said she had a good breakfast and was having a good morning so far. In anticipation of the appearance of Tez the Physio Therapist, we headed down to her room and had a little chat and played a math game on the iPad. Janet impressed me with her recognition of patterns and grouping from smallest to largest. I realized we forgot to weigh Janet yesterday so I asked Garrett if we could do that. Janet has gained again so I think it’s safe to say we are done with tube feeds. Next step is to get her drinking water well enough to get rid of the peg tube altogether.
Mary Lou dropped by to see if Janet had any time for a little Speech session. I left them at Janet’s newly installed desk and chair and when I returned a half hour later they both had big smiles on their faces and gave an encore performance of a vocal exercise they had just done. Janet was nice and loud and clear and was very much enjoying the singing aspect of this session. I will try and get music therapy man in soon as Mary Lou thinks that would be really good for Janet.
It was clear by this time that Tez was not going to appear before lunch so we headed to the kitchen and I blended and heated some vegetable soup for Janet. It was actually pretty good and she ate all but a few spoons full. We got word that Tez would appear between 1:30 and 2:00 so we hung out in Janet’s room for a while reading and talking. To speed the arrival of Tez I put Janet on the toilet and like magic he appeared. All I had heard about Tez before was he was an Aussie. Usually I know what that means and I was looking forward to ribbing him about being the last therapist to see Janet and being late today etc. He’s not your stereotypical Aussie and although I think I will eventually be able to give him the gears today was not the day as he was all business.
As the lone PT at Connect it is Tez’s job to create programs for all the residents there. This afternoon was his chance to see what Janet can do and can’t do and figure out what to work on to help her recover the most physically. He came in with pretty much a blank slate, not relying on Janet’s chart and only using a few key things that Moira had passed on to him. Since Janet had just gotten out of the bathroom and was sitting on the edge of the bed it was the perfect opportunity to watch her transfer using the sliding board. We then went down to the gym with Garret and Lorne in tow and Janet transferred onto the table mat. Tez talked to her for quite awhile about what she felt she could do, what she liked to do prior, what she wanted to be able to do and about a wide range of other things. I was very impressed with Janet’s responses to his questions and her engagement in the conversation. I only had to correct her a couple times and elaborate on a few things otherwise she handled it all remarkable well. It was then time for the let’s see what you can do test and after a thorough workout, sometimes painful, Tez said “your going to be fun to work with” and “I usually put together a program pretty quick for people but I’m going to give yours some long thought”. He seems truly intrigued by Janet’s case and I think sees quite a bit of potential for her. His short term goals are to protect the functionality she has now and start building strength in her legs and arms. Long term will be discussed at the coaches meeting next Thursday but likely will be similar to Brian’s. Independent transfers and walking short distances, maybe some use of that right arm. It was a very interesting session and a tough workout for Janet at times but she realizes the importance of it and I think will respond well to whatever program Tez comes up with.
We finished in the gym just after three and I decided to bring Janet home for the rest of the day. She enjoyed playing with Nash again and is getting really good at telling him what she wants him to do. He is learning to put the ball on the floor where she can reach it so they actually can have some decent play time. We sat by the fire and watch the start of the Fiesta Bowl and Janet remembered she was cheering for the Oregon Ducks as soon as I reminded her of their nickname. Dinner was a bowl of pasta and meat sauce which Janet ate with gusto. Ice cream followed and then after helping me fold laundry she had another dessert, one of Laurel’s Turtle Squares.
Bob and Chris were watching the game in the living room when we got back to Connect and Janet wanted to stay and watch with them for a bit. We stayed until the end of the third quarter then got ready for bed. Another busy day for Janet and I asked her to recap it for me before I said goodnight. She was able to tell me most of what she did in chronological order with a few names different than reality. Breakfast was lunch, our home was Ontario and her room was Bolivia. That’s still the best recap I’ve had from her and she is no longer giving the automatic “terrible”, or “nothing” answer to my questions. Nice.
Praying for a restful night and a productive day tomorrow.