It is difficult to realize that you have to make so many choices on care. I believed that all rehabs would provide the same type of services. Wrong. There are alot of orthorpedic rehab units. I believe that the therapists really like ortho more. It is actually easier. They just have to sit there and count the number of reps of whatever that a patient does.

Stroke patients have a brain component. This is neuorlogical. Sometimes lack of comprehension, memory, carry over, irritation, confusion. Just to name a few little neuo complications. The therapist has to be patient and know how to work with these complications.

Our first therapists in outpaitent got frustrated and annoyed with the neuro component. She would not hide her emtions. This was quickly picked up by William. He would become irritated and angry and frustrated. We were going nowhere.

I spoke to the director but it did not help. His staff is neuro directed.

Now, I have a unit that does stroke and neuro work. They are so different. Very encouraging, and very willing to try all sorts of techniques to make the muscle work. they are very aware of the brain ---muscle connection. Of course the very obvious thing was the lack of other stroke patients. Now, we see other stroke patients all the time. William is able to say, I do not understand and they don't roll their eyes and say I told you that all ready. That was a learning experience. I hope that others do not have to go through that trial.

I personally just repeat as often as needed. William picks up and eventually doesn't keep asking. I figure that it will happen eventually. Somedays he has a bad day and then he will ask again. But, each day is different.

Today, we were at the pool at 6:30AM. Did alot of walking, leg lifts. planks and had a great shower. Came home and had meds and breakfast. Cereal with grapes and blueberries. William still takes his big pills in yogurt. I have started doing that myself. It works well. This way i get the pills swallowed and breakfast eaten.

Off to find a fed ex drop off to send off the saliva samples for the clincial trial on stress.