pool

Janet, A Success Story. December 13. #TSJ

Yesterday was the big day for Janet’s first venture into the pool at H2O and she was not looking forward to it at all. Her memories of pools are completely associated with cold and having to “work”. I promised her this time that if its not warm or fun she wouldn’t have to go again. Alyssa reinforced the fun aspect as soon as she saw Janet and thankfully there had yet to be any hint of cold.

The focus of pool work this time is to increase Janet’s ability to walk so the entire session was spent in the wave/kiddie pool, waves off of course and the water nice and warm. Janet entered without a wetsuit by walking down a ramp then out to about chest depth. Alyssa led her through a series of exercises that had Janet walking forwards, backwards and sideways, concluding with Janet stepping up and down with a pool noodle under her foot to provide some resistance. Janet was last in a pool in August and was unable to keep her right foot on the bottom even for a few seconds. Yesterday she was pushing that noodle down strong and never for a moment had any trouble getting her right foot down. Even Alyssa was impressed and happily took Janet over to the hot tub for some stretching to finish things off.

Things went so well in the pool that Alyssa recommended switching that to the primary activity for Janet now. Water therapy worked well before and she believes it can again. Janet is up for it and is happy to not have the leg presses or treadmill in her life anymore. Those weren’t fun or very effective. Janet will continue to ride the bike now and then.

The pool experience was a very pleasant surprise and set Janet up nicely for exercise being fun again. She enjoyed the water, was warm enough and really likes Alyssa. Praying for the fun to continue.

Janet, A Success Story. May 31. #TSJ

Being up late last night didn’t deter Janet from getting up early this morning which was surprising to me but I’m glad she did. Mostly because the landscaping committee rang the doorbell at 9:30 and Janet got a say in where some new plants went. Shortly after that we got a call about something we are selling then we walked over to the pool to help clean and set up the furniture and stuff for it as today was opening day. Janet helped me put some stuff away from Wine Club when we got home and by the time noon rolled around it had been a very productive day which meant we could spend the afternoon in the sun.

I tried to convince Janet to go for a swim but she wasn’t buying it despite the air and water temps being right in her range. Hopefully tomorrow. She did do good work on her tan before nap time though.

Our outing to church this evening was Janet’s first without her wheelchair which meant she even walked down the ramp in our garage for the first time. She was a little scared at first but handled it very well. Guess its time for a hand rail.

Pizza, a movie and ice cream rounded out the night and Janet was in bed snoring at a much more reasonable hour. Praying for a long night of sleep that gives Janet lots of energy for a fun Sunday.

Janet, A Success Story. May 1. #TSJ

What a difference going to the pool in summer weather. So much easier as Janet isn’t wearing fifteen layers of clothes to change out of and into and she’s not already cold before getting near the water. There were even bigger differences in her abilities today as opposed to a few months ago when she last went, such as, walking down the ramp into the kiddie pool with me leading then walking up it on her own using the handrail all the way to seating herself in a wheelchair. Walking down the stairs into the hot tub and up again using the handrail with me supporting at the hips. I used to have to carry her into the hot tub. High five!

Today’s agreement was for kiddie pool and hot tub only and I stuck to that as the whole point was to give Janet a safe environment to walk on her own in. It took a little while to get loosened up and confident but after a few attempts and some coaching from Tez Janet walked on her own for five or six steps at a time. She fell a few times and didn’t seem to mind at all and I think that eased her fear a little. For the most part she did a good job of pushing down with her right leg. The experience was good and in talking afterwards Janet was receptive to trying the sling once to compare.

That opportunity came sooner than Janet expected when she walked from her room to the kitchen after a nap to ask Curtis if he would help her before he left for the day. To Janet’s dismay, Curtis agreed. The difference in Janet’s walking in the water and using the sling is night and day so I had to rescind my offer of her choosing one or the other as the sling is just a million times better for her. She is scared and pouted a lot the first attempt but persevered and turned in an excellent walk around the ten foot square the sling allows her to travel in. Janet stood on her own for over five minutes arguing for us to take the sling off not even realizing she was standing on her own. She thinks that somehow it is holding her up and affecting what she does but its all her and on the last lap I think she started to realize that. She put good combinations of steps together, made really nice turns and corrected her balance well a few times. She lost it a few times too and I think started to understand how the sling prevents her from falling and nothing else. After a lot of sweat and hard work Janet completed what will now be a daily routine at Connect for her and should help her to make significant gains in walking on her own.

Having worked so hard today I gave Janet a pass for good behaviour and brought her home tonight. Along the way we stopped at the mall to do some shoe shopping. The lady that built Janet’s AFO stopped by Connect this afternoon and gave some advice as to the types of shoes Janet can wear with the biggest rule being no heals. For casual shoes, pretty much anything that fits will be fine and for the wedding it’s a lot more complicated. Janet is wanting a dressy shoe for that but is restricted by needing pretty much the whole shoe to open up in order to get it on her AFO. We found some that were close, one pair actually went on but just weren’t stylish enough for her. We may try more tomorrow.

Praying for strengthening of Janet’s right leg and confidence to keep working hard.

Janet, A Success Story. April 29. #TSJ

Another busy walking day for Janet with lots of time to warm up for it though. Jess took her and Angie to a nursery to buy some plants and herbs for the patio at Connect. Janet says it wasn’t fun but I’m sure it was better than being in the gym and it was sunny outside.

Tez had agreed to meet with Janet and I late this afternoon and Janet called me to confirm that appointment. I asked her to be rested up for that and when I got to her room she actually was asleep. Our meeting with Tez was quite helpful and insightful and hopefully gave Janet some confidence to keep working at this walking thing. She demonstrated walking with the cane, using me as the cane with me leading her and walking beside her. There was also a reluctant attempt at free walking so Tez could see first hand Janet’s entire repertoire. He was impressed and lamented that the sling at the parallel bars would be the best tool for Janet to use right now but she “hates” it and I don’t think we’ll get her in it but will try. In the meantime, Janet has agreed, quite readily, to meet Tez at the pool Thursday morning to do some walking in the warm water of the kiddie pool. A big part of Janet’s challenge is fear/confidence and Tez feels that a few falls with no risk of injury could help. Should be fun.

The few times Janet has used the Tilt Table she’s complained quite vociferously that it hurts and she’s not going on it again. I suggested she ask Tez if she needs to be doing it during today’s meeting and she did. Fortunately Tez had time to respond with “lets see you in it and we’ll go from there”. Janet walked to the Den with me leading and stepped onto the table reasonably well and Tez tried a few different positions to maximize the benefit for Janet. The end result is, yes, she needs to be doing it but now in a different manner than previous. Janet will be at ninety degrees with a safety strap at chest height and no support at her legs at all. In addition to no leg support she is to do some foot raises and side stepping while standing and stay in the thing for as long as possible. Tez wants to tire her right out with everything she does now, including walking. What was going to be a short let’s see what you look like session turned into a twenty minute workout for Janet and a good learning session for me and Jess. Janet rather smugly ended the session herself by undoing the velcro strap and stepping forward right to the edge of the table before grabbing me for her step down to the floor. She then impressed us all with a nice unassisted step to and turn to sit on the couch.

A tired Janet walked out to the lobby with me leading, got in her wheelchair and went to the gym for a Shuttle workout. I agreed to shorten the session based on all the walking and standing she’d just done and focussed on the right leg. Janet did well and never complained. After a toilet break we walked down to the dining area for dinner. Janet did complain a little along the way but persevered. With the sun still shining after dinner, Janet took a well deserved break in it’s warmth.

Ahhh

Ahhh


Games Night always produces a pouting session with tonight’s being much less than previous and Janet did very well with a lot of the questions given to her. She still came away saying “it’s stupid” but she’ll be back next week “just to watch”.

I meant to have Janet walk down to get her meds but she preempted me and arrived in her wheelchair struggling to find that word, meds, in her head. There has been an increase in her inability to find key words when speaking and it may have something to do with a high level of Dilantin in her system. Jess took her for a blood test this morning and Janet’s levels are very near the top of the therapeutic range for the second week in a row. I asked her doctor to seek the opinion of Janet’s neurologist, Dr. Adams and she agreed. No change in dosage until we hear from him.

While Curtis was getting Janet’s meds I had her get ready to walk back to her room and left her standing at the door to the med room while I parked her wheelchair. On her own, loosely hanging onto some shelving, Janet walked six feet into the room to get her meds from Curtis who was as surprised as me. Maybe she’s gaining confidence? Holding my hand to turn around to come back out of the room she forgot to step once and came very close to falling. A good lesson learned I hope. The walk to her room was very good considering how tired she was. Not tired enough to miss out on some Easter chocolate, some reading then ready for bed. It all caught up to her once she was tucked in and she was sleeping minutes later.

Praying for a night of healing sleep and lots of energy tomorrow.

Stop and Go. A back and forth week for Janet. #TSJ

Early on in this journey I referred to what Janet and the rest of us were going through as a roller coaster. That analogy still applies but thankfully the peaks and valleys aren’t quite as dramatic or long lasting as they used to be and Janet’s rate of ascent is steady.

Her most obvious gains continue to be seen in the gym and during physical activities in general. Janet’s reluctance to go to the gym continues but her resistance to it is less dramatic and I’m hoping she’s starting to notice the positive results herself. I’m with Janet mostly for her bike riding sessions and can report that each day she sets a personal best for distance travelled. Today she made it .71 miles. Her rides are thirty minutes long with the focus on building speed in the hope of being able to add more resistance at some point as that would mean a significant increase in her leg strength. Janet’s tolerance for the standing frame isn’t improving much from what I’ve seen with those sessions maxing out at forty five minutes to an hour.

20130606-001609.jpg
There is tremendous value to it though and we saw a great example of that over the last couple of days. Monday night I was unable to get the frame set up optimally for Janet so she had a very short session. When I got her into bed and stretched her legs out as I always do they were very stiff. Tuesday night with Curtis’s help we got things set up nicely and Janet had a good long session standing nice and straight. Her goodnight leg stretch was a hundred percent better and I made sure she knew it. Since the installation of the stripper pole in her room Jess has been working with Janet on transferring from bed to wheelchair and vice versa using the pole.

20130606-001124.jpg
As Janet gains strength she’s getting better and better at the transfers. I still do a pivot transfer with her but no longer have to carry her weight as much as I used to and she can let herself down into her chair using the arm rest. My arms and back are liking this improvement. The team continues to work with Janet on sit to stands at the parallel bars and I’m noticing nice improvements in her ability to get up out of her wheelchair because of that work. All this exercise is paying off for sure and to prove it, Janet for the first time I know of rolled all the way over from one side of her bed to the other today! This may not sound like much but when you consider all the muscles you need to use to accomplish a move like that its very impressive for Janet. It wasn’t long ago that laying on her tummy would start her crying and she pulled off today’s maneuver with relative ease. High five!

Personal bests are also being reached in the pool with Janet now able to swim one length on her tummy. We haven’t yet figured out how to get her to breath so she can swim longer but its pretty exciting she can go that long holding her breath and propelling herself that far. Her right leg continues to mostly do its own thing in the pool and is impeding her progress for sure. I’m looking at ways to help her regain control of it but don’t see anything obvious. Janet’s attitude towards the swimming sessions remains positive but she is much more excited about hot tubbing, even asking a couple of times this past weekend if we could go. I feel truly blessed to have the ability to provide that for Janet as it is so therapeutic in so many ways. I’ve noticed and increase in the range of motion for her right shoulder and arm as well as her wrist and attribute that to the hot tub. Walking in the pool remains a challenge due to the uncooperative right leg but we practice each session and Janet is still willing to work hard at it. This past Monday after a good walking session I wanted her to swim on her back a little but she couldn’t. Seems she totally forgot how and it wasn’t till the next session that she figured it out again. Weird.

So far I’ve told you lots of positive things so let’s do some negatives now. Janet’s chronic constipation got to her again this past weekend and we ended up with a nice long visit to the ER because if it. The doctor was unable to get anything to move that night so put Janet back on the Resotran that had just run out a couple days prior. It works great and Janet is for now going regularly but the problem is not solved and we continue to wait for this illusive “urgent colonoscopy”. Restoran is not a drug you want to be on long term as your body can become dependent on it and you may not regain control yourself ever and that would not be cool. Pray for the colonoscopy and a visit to the GI unit soon. KGH treated us well that night although slow and I found it a little surprising to be driving home in the daylight at 4:15am. This past Tuesday we finally had our meeting with Dr. Adams the neurologist. He ordered an EEG for Janet just prior to our appointment with him and it was really cool to see how that is done. Janet had twenty nine electrodes on her head as they measured the various electrical discharges from her brain. Dr. Adams confirmed there are some epileptic discharges occurring so he is keeping her on the Dilantin probably forever. That’s not the news I was hoping for but at least now we know and we also know there is no other drug out there obviously better than Dilantin. My concerns have diminished as Janet is making cognitive gains and the side effects have diminished since she got into a therapeutic range with that drug. Dr. Adams described Janet as high risk for another seizure but is confident the Dilantin is working as she’s been seizure free for five months now. He does not see a need for Janet to visit or have an EEG on a regular basis but made himself available on an as needed basis. I liked him and was impressed he remembered us from five months ago.

Back to the fun stuff. On Friday we enjoyed a nice lunch visit with Jim and Nancy Church, long time friends from North Vancouver, always good for a laugh and intelligent conversation.

20130606-001246.jpg
We also had a voice call with my youngest daughter Brittney who lives in Edmonton and I was impressed with Janet’s conversational skills during that call. She was loud and articulate and seemed genuinely pleased to hear from Brittney. On Saturday we realized that only two of the dresses in Janet’s closet fit her and neither is wedding appropriate so Laurel has agreed to shop around for something Janet can wear to her and Raj’s “wedding” here in July. Janet is excited to finally be a part of her daughter’s nuptials.

20130606-001437.jpg
Sunday started late after spending the night at KGH then we had to try and get some Resotran for Janet and Jen from Connect was a huge help with that. While we were out there I put Janet through her paces on the bike and standing frame and she did very well at both considering how tired she was. Back at home she really wanted to finish watching Les Miserables after it was interrupted to go to the ER, so we did and Janet was surprisingly tuned in to it. She even caught a line that I missed. Impressive. We both were in tears by the end of course but thoroughly enjoyed it. Monday was a great outside day. We had lunch outside after swimming then went for a really nice walk that evening at Connect. Janet was able to play I Spy much better than the last time we tried and really enjoyed the warm evening. She went to bed very giggly in her new bed that night. Tuesday was Skype day with calls to Mary Gaga, Andrew and a special one to Heather on her birthday. Janet impressed me by explaining to Heather how sorry she was for not getting her a present yet and that she is getting one soon. She did that all on her own and with great conviction. Nice.

The week ahead is setting up to be fun and busy. I’ve switched Janet’s swimming from Friday to Thursday so we can go to Nanaimo for the weekend, then there is the usual Monday swimming followed by a trip to the dentist. I think I’ll have a very tired Janet on my hands by Monday evening. Praying for continued physical healing and cognitive gains and thanking Jesus for all we’ve been blessed with.

20130606-001748.jpg

A Fish Like Janet. Video of Janet swimming today. #TSJ

Many thanks to Joel and Kiko for hanging with us at the KGH Rehab pool today to cheer Janet on in her swimming sessions.

20130527-220941.jpg
Here are a few videos expertly shot by Joel so you all can see just how well Janet is swimming on her back. At the end of today’s sessions we tried a little face in the water while lying on her tummy action and she conquered that challenge easily. I was even scared a couple times at how long she was keeping her face in the water. The confidence continues to build.

20130527-221915.jpg

Water Baby. Lots of pool time for Janet. #TSJ

Janet must’ve known it was Monday as she was in no hurry to get up this morning which normally would be OK but we had an appointment before swimming today so up she had to get. Her right leg on the other hand stayed asleep most of the day. In the pool it was doing its own thing most of the time despite a real effort from Janet. She did manage some good balancing and floating and over all both pool sessions were worth the trip. Even more worth the trip was a reunion with nurse R J as we passed by the Rehab nurses station. He was very excited to see Janet and could not believe she was talking to him. He was as excited as a little kid on Christmas morning and Janet thought the whole thing quite funny.

Unsure of what to do for lunch and with Janet announcing she had to go to the bathroom once we were in the car, I decided to take her home for the bathroom break and a quick lunch. I really need to stop referring to meals as quick with Janet as they never are. It was three o’clock by the time we were done and Janet was clearly getting quite tired. She would have nothing to do with the idea of a nap either at Connect or home but I offered to lay down with her and she accepted that. Asleep within five minutes and still sleeping at 4:30 I called Connect to say we’d be back after dinner. When she woke up after five Janet was refreshed and totally up for a hot tub. That warm water worked its magic on Janet again as I was able to get excellent stretches on both legs and some good work on her right arm and shoulder. With the cooler air temperature and the fact we weren’t in the overheated pool before going to the hot tub we were both able to stay in longer than yesterday and Janet was very relaxed when we got out. Her right leg seemed a little more responsive towards the end of the session and while doing some squats I could feel that leg working a little. Janet later executed some really strong standing transfers that I think even she was happy with.

No longer rushing to get back to Connect we had a good Skype chat with Andrew then a decent dinner before making the half hour drive to Lake Country. Bob had a good basketball game on when we got there so we stayed up too late and watched that but Janet wasn’t really that tired until the end. Regulation time ended at around 9:15 or so and I tried to fool her saying the game was over but she knew it was going into overtime and so she got to watch the whole thing.

Lots of time in the water today, a fun reunion with R J, a nice chat with Andrew and an extended stay at home made for a fun day for Janet. Praying for a good night of sleep and healing and a productive day tomorrow.

Mother’s Day. An emotional day for Janet. #TSJ

Mother’s Day. Janet and I don’t usually make much of Hallmark holidays but I sensed this one would be special for Janet and it was. As we were finishing breakfast I read, or at least attempted to read a poem written by Laurel and emailed to Janet this morning. Laurel really should know how difficult it is for me to read sappy things like that and when Janet started crying five words in, that was the end of me too. It seriously took me twenty minutes to read fourteen verses to her in between the watery eyes and running noses. I tried to laugh through it to get Janet to laugh but no. Tears tears and more tears. And that was just the start of our day.

The service at Trinity was of course designed to honor moms and following a very entertaining take on Queen’s Bohemian Rhapsody, the message was delivered via a table discussion with four next gen members of our church. They told stories of what it was like growing up in their homes and some of the comments resonated deeply with Janet and brought more tears. The comments that really hit her were about values and practices that Janet always fought hard for as a mom and to hear them validated by a group of young people was very powerful. She was still in tears long after the service ended and it took a visit from Kiko and Joel to cheer her up.

At home the Skype marathon began with Cam who we have not been able to connect with for a while. Janet was surprised that he remembered it was Mother’s Day. Heather was next followed by a voice call to my mom. Determined to avoid a nap Janet agreed to go for a swim and a hot tub. Knowing the Rehab pool is 36C I brought ours up to 32C hoping Janet would be comfortable. I think there’s something wrong with my thermometer because that 32C felt more like 52C but Janet of course loved it. I quickly learned that I need some different exercises for our pool as its only three feet deep in the shallow end and slopes dramatically to the deep end so there’s not enough water to work with in one end and too much in the other. Janet did manage to float on her back all by herself for five seconds today even recovering twice in that time when her face dipped below the surface. Next time the water will be cooler and I’ll have a better routine for her.

The hot tub’s 38.7C felt cooler to me than the pool I think because its supposed to be hot where I’ve always liked the pool to be refreshing. Once again I got a really good stretch on both Janet’s legs in the hot tub and set her up nice for a long lounging session this evening in her wheelchair. That came after a Skype chat with Laurel who apologized for the tears this morning then a voice call to a surprised Mary/Gaga.

Dinner was take out from our go to sushi place where Brian and his family were having dinner when we got there to pick ours up. Brian went out to see Janet and she identified him as Gary. When I got back to the car she told me Jimmy came to say hi to her. Oh well.

Janet was determined to watch The Voice with me tonight and I could see her fighting to stay awake for it all. She managed barely and was asleep before I finished our goodnight prayer. Today was an emotional day for Janet. It was also one of those days where you look back and think it was really busy but it seems like you didn’t do much. What we did do was great though. We are proud of our family, blessed by our friends and our church and grateful for the progress Janet is making. Praying for a healing and restful night providing lots of strength for tomorrow.

Wet but not Wild. Janet’s 2nd dip in the pool. #TSJ

Jess had Janet pretty much set to go when I arrived at Connect this morning. Like Garrett, she is very good with Janet and I think they get along pretty well. Janet got a little upset about being put on the toilet before we left but that’s the rule, try and go before you go.

On the drive to KGH Janet was reasonably talkative but a little on the quiet side and seemed concerned about something. She said she was fine but she just seemed a little off to me. Thanks to Jess’s foresight we were at the pool with lots of time to spare. This session was not as good as the first one as Janet just didn’t seem to have the energy she’s capable of having. I found it hard to get her positioned well enough to float on her own as she kept listing to the right pretty severely. With that in mind I tried some standing exercises with her first and that went really well especially with the left leg. Eventually Janet warmed up and loosened up enough to make her own way one length of the pool floating on her back. Definitely not in Olympic record time but a first is a first. That was the highlight for sure and we’ll just have to keep working on the other stuff. The good news is Janet was approved to use the pool twice a week now. Mondays and Thursdays starting April 8th. The Monday session is at 10am so I’ll just keep Janet home Sunday nights now, go to the pool then be at Connect by lunchtime. Although her performance wasn’t as strong today she still had fun and that’s something we can build from. We had a nice chat with Moira and Rob on the way in and Janet got a nice hug from Rehab nurse Jason on the way out. Made her smile big.

We did a little grocery shop on the way home and it was nice to have Janet in the store with me and have her be able to help and she likes to contribute. At home and after lunch she protested quite vigorously about having a nap but I’m bigger than her so I won and she slept loudly for an hour and a half and said she felt good afterwards. She certainly has no shortage of an appetite as she polished off the dinner that was waiting for her at Connect even after eating a big lunch. Bob and Fred joined us for an evening of March Madness before Janet finally tired out just before nine.

Today was a good day but noticeably quieter than the last few. Janet’s speech was good as far as the words spoken but her volume level was low all day. Hopefully a good night of rest will recharge her for the weekend. Laurel and Raj are here and will pick Janet up tomorrow and take her out for lunch before bringing her home for the weekend. Janet is really looking forward to that.

Praying for lots of rest, healing and recharging for a fun weekend.

Just Floating Along. Janet goes “swimming”. #TSJ

What an exciting day! I knew today had potential and I couldn’t be more happy with how Janet was from start to finish. It wasn’t all ups but there were enough of them to make this a stellar day and judging by the big grin on Janet’s face as I said goodnight she is satisfied with what she did too.

I arrived in time to get her ready to go to KGH Rehab for her session in the pool. She was waiting for me in the living room with a big smile and I could sense she was a little nervous about the swimming thing. Excited but nervous. She took a while on the toilet before we left so instead of being all pool ready underneath her clothes we would have to get changed there. I should have expected the next delays as the hallway to the pool goes right by the rehab gym so Moira and Rob both came running over as soon as they saw Janet and the reunion was on. Janet kept saying she didn’t remember any of the area or the hospital as we approached but as soon as she saw Moira her face lit right up as it did for Rob. I think that gave her a nice confidence boost for the task at hand and she didn’t seem nervous about the pool at all after that. Moira guided us to a bathroom we could change in but it was locked then I remembered one in the other hall so we went there and donned the swimming attire. There are change rooms in the pool area but the only private one was in use and pool guy, Jim, was nowhere to be seen. He saw fit to chastise me for using the washroom we did and told me to make sure we stay in the pool area to change afterwards. He seemed nice when we talked on the phone but after encountering him in person today I think he’s a bored man that needs to find something more challenging to do. I transferred Janet into a waterproof wheelchair and we walked out onto what would become the water. There’s a biblical joke there somewhere. Anyone? Jim gave us a small inner tube so Janet could float and then lowered the floor. Janet started floating long before the floor maxed out and it was very exciting to see. She was smiling and laughing at the sensation and was very relaxed and “at home” the whole time.

20130321-223852.jpg
I only knew what Tez wanted me to do with Janet as far as exercise goes and Jim just said “float around, get used to it”. Janet was used to it in two minutes so I had her try kicking her legs. That was tough at first especially as her right leg was drifting over her left one which was bent back at the knee quite dramatically. The more time we spent in the pool the more Janet loosened up and for the last ten minutes she was kicking and propelling herself through the water. She instinctively started using her left arm to paddle as well and looked totally at home doing it. I tried standing with Janet a few times. Each attempt was better than the previous and involved her touching bottom with her left foot and me guiding her right to where I could step on both feet and hold her down. I then straightened her lower back slowly and could feel her hips and pelvis move in a way I’d not noticed before. Everything felt more relaxed and Janet said she felt good, no pain.

Our thirty minute session was over super fast and Jim showed us the correct change room to use. Janet was cold as soon as we were out of the pool so good thing I brought her large beach towel to wrap her in. On our way out we went through rehab and stopped at the nurses station where a gaggle of nurses marveled at how good Janet looks. One nurse who worked with Janet on 4b actually started crying when Janet smiled and loudly said hi to her. Awesome moment.

The pool experience deserved a reward and Janet agreed ” it would be nice” to go out for lunch so we went to Original Joe’s and had a very civilized long lunch date. That cut into Janet’s nap time which she protested all the way into bed but was snoring three minutes later. Unfortunately I had to wake her forty five minutes after so we could get to her doctor’s appointment. We made some minor changes to the Dilantin dosage, capsule form instead of liquid, and she has sent a referral into the neurologist. The constipation issue has obviously been resolved but I asked her to instruct us as to how much fluid Janet should be drinking in a day. She pointedly said to Janet, one cup before and after each meal at least. Try to get two more in there somewhere but at least those. I hope hearing it from her doctor will help motivate Janet a little more.

It was just us for dinner by the time we got back to Connect but Garrett and Bob hung around to chat a little then Jess and her little niece came by to encourage Janet to come up to ladies night. Bad timing today but hopefully next week. Janet happily put her laundry away and helped me make her bed after watching a little March Madness. She very contentedly lay down in bed a little earlier than the last few nights after a busy and fun day. This was the Janet of three weeks ago that had Mary Lou all excited about her speech potential. I think as long as the Dilantin levels don’t rise Janet has a good chance of really advancing from here. Praying for a good nights rest and an equally bright and energetic day tomorrow.