Long doc appointment with Julia this morning.  Finally, an appointment with an orthopedic specialist.  After x-rays and physical exam.  Julia’s turn in when she walks is due to a twisted thigh bone and low muscle tone which is consistent with her PDD diagnosis.   We will do some physical therapy but there will probably not be much change.  Getting her involved with physical activity is the best thing for low muscle tone.  

I am too tired today to figure out what we will do.

Speech therapy today - testing her on W questions.  She did “better”, translated that as more appropriate than she did 2 years ago, but the progress is small and slow.  We will focus more on “when” which is most helpful because that gets to time, calendars, days, seasons, months, years, etc.  She needs memory to work on this.  Her memory is so selective.  Is this a “muscle” to be strengthened?

Being sick, I sleep between appointments, put some of the soup I made yesterday into a pot for our supper, and watch a movie with Julia before her therapist comes over.  Drinking water and tea.  Trying hard not to demand anything of myself.  Even thought.  This is a time when I could plunge into the depths of despair for no other reason but that I don’t feel like doing anything today.  

Listening to Pema Choldron lecturing on “The places that scare you.”  Feeling I could sink into some other place.  Wondering if that is only today, which it might be.  

Ok, enough!  I need a nap.