Emily had a great Monday following the "all birthday, all the time" weekend. She woke up to her favorite Rehab Tech, which she was obviously happy about. The days go so much more smoothly when she has a Tech that both of us are comfortable with.

She moved her right leg today - and then moved it again on request. She's moved her right leg many times before spontaneously, but today was the first time she moved it in an obviously purposeful way and then moved it again on request. In OT she moved from sitting work to kneeling. She told me it felt good to be more upright. I understand now that it's a progression - head control, trunk control, kneeling, then standing. In PT her therapist had her using her left arm/hand to stretch her right arm. She really did seem to have a new awareness of her right arm when she was stretching it herself, and she got it much higher than I'm usually comfortable going. Her right ankle seems to be loosening up a bit - they had to adjust the foot rest on her wheelchair to a more "neutral" position today after she complained her ankle hurt.

Emily is getting more and more comfortable with her voice. On Saturday she announced at dinner that she'd really like to have a sandwich. Sunday when Hendo visited she asked him if they could ski together again. Today during OT she asked her therapists "why are we doing this?" She seems to work much better when her therapists explain why they want her to do things.

Her doctor is going to have her seen by the vision clinic and have her vocal chords looked at. The neuro-ophthamalogist will be able to tell us the best way to get her right eye working while avoiding issues like double vision. A more detailed look at her vocal chords will give us a better explanation for her difficulty speaking in a stronger voice.

All in all she continues to make good progress and surprises her therapists and nurses with her progress.