Tuesday, September 30

Good progress for Tommy the last couple of days, especially with Shannon in walking and continuing to master transfers. Speech pathologist Ralph has been working more intensively with Tommy during meals in an effort to help him master the pacing of food and drink intake...i.e., a small bite followed by a small sip; not three giant bites followed by four giant gulps. The speech therapists are concerned about aspiration--i.e., a particle of food or drink going down the wrong pipe into the lungs, which can lead to pneumonia.