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Tuesday, January 31, 2006

The beginning of the end, or the end of the beginning


Linda and her speech therapist discussed ending formal speech therapy. Kellie had looked through Linda's chart. Most of the things Linda would like to work on are sounds that have essentially been classed as succeeded.

No one will argue that she can't stand to improve yet, but from an is-insurance-going-to-pay perspective, she has achieved the goals she has set (at least to some reasonable degree). If they want to continue, she needs some new quantifiable and achievable goals.

Linda has a good home practice routine, and she basically does at home what they do in therapy. So to some extent, a therapist isn't so essential at this point. For next week, Kellie is going to put together a master set of exercises for her. We'll be seeing the physiatrist as well, but I suspect he will be inclined to agree with the recommendation of the therapist.

You might wonder if Linda is disappointed or pleased. She's happy, believe me.