Picture
Her birthday week is building to its final event: Her birthday party at Blarney Stone here in Oak Forest on Sunday April 1st.  I really hope to see some of you out there around 3.  Chris will start singing at 3:30 but he will only sing for a short time so be sure not to miss it!  Juliana is really looking forward to it and so am I to see her really enjoy a party she helped plan.  Since she doesn’t usually display her feelings I will be sure to ask her often if she is happy.  When the golden week is over we approach another ending just 2 weeks away: Therapy.  Her time at RIC for physical, occupational, and speech therapy is drawing to a close for another few months and we are coming up with a few good replacements.  The idea is to provide her with things to do that will keep her mind and body healthy and engaged but aim for things she finds enjoyable.  First of all we are going to plant a garden that Juliana will help us tend.  We have a rather deep yard so it will take some time for her to get all the way to the back but if it means picking fresh strawberries and tomatoes I think she will be happy to do it.  We are also looking to add another day of horseback riding.  Those are both great for movement and involvement but I am still seeking what feels like the real pot of gold to me.

So I have this idea and I need your help. 

It’s just a theory but it is an experiment that I am willing to try.  I already discussed this with Juliana (as I might as well do now that I know she reads my blog) and although she isn’t thrilled with the idea she has agreed to go along with it.  The thing is, it’s just an idea but one that I cannot execute alone.  This is where… someone ‘out there’ comes in.

You see, I still maintain that Juliana’s biggest obstacle is her speech.  It really limits the company she keeps and makes conversation a strenuous exercise for all involved.  Her statements are relatively complex and amusing too so navigating what she is saying is a real challenge but very rewarding.  I want more people to enjoy chatting with Juliana as much as I want her to enjoy chatting with them.  You already know how badly I want her to improve her speech, I have moaned about it endlessly.  But here is the thing: I believe she can talk better than she does if only she gets the right kind of practice under her belt.  When reminded/asked/begged to do so, she can speak clearer and louder than she normally does.  This tells me the problem is not completely a lack of capability but lack of practice and more precisely, habit.  She has had lots of speech therapy and it has ranged from interesting to useless but even the best of sessions ends too quickly before the pattern has fully entrenched itself in her brain.  Sure we practice her lessons at home, (there is really no way NOT to) but still, the short bursts of speech therapy, which has changed therapists and methods dozens of times has never really taken root.  Enter my idea…

I want Juliana to go to a “Speech Boot Camp.”

If such a beast exists, I am unaware of it.  We certainly haven’t heard of something like this up until now and perhaps that is because it is a bad idea certain to fail.  But I choose to assume that the attempt is worth a try. It won’t require medicine or surgeries and the greatest harm is the potential for her intense aggravation.  It’s time to pull out the Phil-ism and remind Juli that “it’s nice to be liked but it’s not necessary.”    I have been accused of being too aggressive in my approach of her care but having walked this road for nearly three years now I would challenge anyone’s definition of too fast.  If a burst of hard work has a chance of being successful, I would gladly take the lumps that Juliana’s slow motion will surely try to deliver.

I want her to spend dedicated, quality, and intense time focusing on the skills that are literally at the tip of her tongue.  If what she needs is practice, exercise, and repetition to re-form those pathways in her brain, what better ways than to have her concern herself with nothing else for a period of time?  I have no idea if it will work. It feels like it would. I see her speak better when pushed so I know she can it just has never really stuck.  I really have no suggestion from any professional or even an amateur corroborating my theory.  But I know that Juliana has the ability locked inside of her to articulate and enunciate and she just needs to practice it along with improving her breath control.  Before the accident, Juliana was a chatterbox with a lovely and powerful voice used for speaking and singing.  She must have those skills still dormant somewhere, right? 

Ok, well let’s pretend we all agree this idea is worth a try.  I can tell you this much, it cannot be anyone that already talks to her daily to be the one to execute.  We are too close to her and she already has animosity towards us for all that we make her do, besides, we already understand her (usually). This brings me right back to the great numbers of you out there hoping there is at least one…I am looking for a person, perhaps a team of people that are willing to pull this idea into reality.  I know that recovery from a brain injury takes a long and deliberate amount of time but I have also witnessed incredible leaps in improvement that were started ‘randomly’ and resulted in noticeable improvement.  I am looking to tamper with that randomness and coordinate a program of intense message delivery. 

Specific request time:  I am looking for a few qualified individuals to contact me directly through the contact page of this website to make this process happen.  I would like a 2-3 week program consisting of at least 4 hours a day full of activities centered on specifically articulation, enunciation and breath control. I believe in miracles but I also believe that God helps those who help themselves and in this case, I am really tired of waiting.  Besides, what is the harm in trying?  Assuming I get the right people to come forward, we will talk about terms.  I intend to record this process to evaluate the before, during, and after and who knows…this might be a huge success that others can truly benefit from. 

‘Cutting edge’ or ‘done before and failed’…let’s just see which side of the line we fall on, shall we?

Who’s with me? 


 


Comments

Jeannie Armstrong
03/30/2012 07:17

Hey Janet--you know how much I love Juls and unfortunately I am here in CT buttttttttttttttttt if it helps to involve people working with her on the phone or through Skype you know I am in. You have my number but if you need it again just yell.

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03/05/2013 05:25

I have been accused of being too aggressive in my approach of her care but having walked this road for nearly three years now I would challenge anyone’s definition of too fast. If a burst of hard work has a chance of being successful, I would gladly take the lumps that Juliana’s slow motion will surely try to deliver.

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Adriana
03/30/2012 07:21

What about someone, preferably a writer, who is willing to interview Juliana about writing a book about HER perspective and experience with her TBI? This way it is getting her to express herself and her emotions, as well as having the book published, let's say, from the same people who published your book? This way there will be a specific purpose, goal, and end product... all while she is working hard on being "heard"... in more ways than one!

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Jeni Cantrell
04/18/2012 18:17

I think this is a fantastic idea!!!

I am a published author (under a pen name), and would be more than willing to do this if it's able to be done on Skype (I'm in TX).

I stay at home, so I would be able to dedicate the time needed while my kids are in school (8:30am - 2:30pm CST). And of course it would be pro bono. Therapy for Juli and a memoir 'written' by her would definitely be the only payment needed!.

Please email me if you are interested, Janet - jenicantrell77@gmail.com. And bravo for pushing forward to get help for Juli in anyway you can!

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MARA TRIPI
03/30/2012 07:33

Hi Janet...I think its a wonderful idea!...and it cannot hurt...only help....I dont know if you already tried singing therapy...after watching the video of Gifford...the process used for her recovery...just throwing it out there...you most likely already tried this route...I am in Florida...I would be happy to help with this plan...via video conf.
Good Luck!
Mara

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Stacy
03/30/2012 07:37

Have you tried contacting Gabrielle Giffords (the former U.S. Representative) to find out about her speech therapist or therapies? As I understand it, she went through aggressive speech therapy sessions herself. Perhaps that would be of help to Juliana. I hope you find who or what you are looking for! Happy Birthday, Juliana! :)

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Jean
03/30/2012 07:38

Have you thought about contacting a University to see if they have students that our studying Speech Pathology? Governors State University, Saint Xavier, Moraine Valley etc. They may have students that need to do an internship. Also, maybe contact a speech pathologist to ask how to go about and getting a group to do this. I think it would be a great idea and wish you all the best. I do have a cousin who lives in Aurora who is a Speech Pathologist her name is Tania Pope. You can google her name and get her contact info and ask her is she knows anyone local who would do something like that.

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Kimslp
03/30/2012 14:22

That's a great idea --- speech path undergraduate and graduate students can dedicate lots of time to this cause!

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Suzanne
03/30/2012 07:40

Hello Janet!
I have been following Juliana's story since the American Idol days. I am originally from NW Indiana, but now live in Georgia, and I am a speech pathologist. I understand your struggles and frustrations with Juli's speech, I would feel the same way! I am not sure if anyone has ever mentioned this to you, but graduate schools often offer low(er) cost quality speech therapy services. I attended Marquette University in Milwaukee and even if a patient couldn't pay, they were NEVER turned away. I am pretty sure that you are relatively close to St. Xavier University. I assume that their policies are the same or similar. When a student is in graduate school to become a speech pathologist, they must complete many hours working in a university clinic. The students perform the therapy, but it is all supervised and organized by a licensed speech language pathologist. Often times, universities are a great place to go for services, because students learn the newest techniques. Therapists may change each semester, but the case manager (licensed SLP) would always be the same, so she would always be familiar with the patient's progress/what works/doesn't work. Typically, therapy is 1-2 times a week and goes as long as you'd like really (or as long as they recommend). Because insurance (usually) isn't involved, there isn't any sort of "cap." I don't know exactly how St. Xavier does things, but that is how we did things at Marquette and I think most schools are very similar. Here is a link for their clinic: http://www.sxu.edu/academics/colleges_schools/cas/dept/commsci/ludden_clinic/goals.asp

Other graduate schools that I know of near Chicago include Northwestern and Rush University. I am sorry if this has already been suggested. I enjoy reading your blog and I hope Juli has a great birthday :)

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03/30/2012 08:32

Hey Janet,

You are on exactly the right track. To start something at home, with others is definitely a great goal. Skyping, telephone, interviewer, and in person sessions all good ideas.

There is an intensive speech program at the University of Michigan. They provide 4-5 hours per day for 6 week sessions of speech therapy geared toward that particular individual. Verbalization but also cognitive thought and processing skills too. The cool part is that the sessions all begin and end at the same time. So there is a new group of people that begin the program at the same time and all are in the same building, lunching together and taking breaks between their individual therapies together.
Have you heard of it? UMAP http://aphasiahelp.com/

They are some of the best therapists we have encountered and work diligently in that 6 week session but also teach and direct the family members on how to set up intensive therapies at home as well.

We have taken Samantha there several times, beginning the second year following her accident when she couldn't even move her tongue purposefully or close her lips at will or suck out of a straw, which took about 4 years I think!. Every session she made gains and spoke her first intelligible words while there.

Last year, she was having such fatique issues and finishing up her reconstructive surgeries that we skipped the last two years, but I am planning on going back again likely end of summer/early fall.

Mimi Block there will talk to you on phone, listen to goals, help you sort out whether it'll be right for Juliana. They don't just take everyone.

Glad you all are celebrating life this past week as Juliana's birthday came around. That is the best "therapy" of all!

Love,

Diana - Samantha's Mom

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Lani
03/30/2012 09:17

All of the ideas above sound great! Is Juliana willing to try skyping? I think she would have many people that would be willing to help in that way. In fact, she could write her own speeches and be a great motivator for others. (just an idea) I am not a speech therapist - just a Mom and Grandma who has had alot of experience with kids! I would also suggest yoga for breath control. Yoga is wonderful for breathing and flexibility and I am sure you could find a place there that would work with Juliana. (And it would be wonderful for you too!) It has helped me, my kids and my six year old grandson tremendously.

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Ellyn Blauser
03/30/2012 10:03

Janet, Just a thought, but maybe Juli could Skype with me and we can teach each other how to articulate! Maybe even her and I can talk and she can tell you what I said. I'm planning on coming Sunday so we can meet face to face then! I find I have good days and bad days and sometimes nothing will come outr well until I laugh! I know how frustrating it is for Juli and her friends and family!

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kendra
03/30/2012 12:47

Hi Janet, I truly believe most Of Juliana's progress thus far is because of you, and the amount of time and energy of getting her to different therapies and such. I have worked in quite a few nursing homes and rehabs, and alot of the residents with similar issues and prognosis would be much more successful if only they had the opportunities and people that cared for them as Juliana does. But as wwe all know it usually doesnt work like that- once someone is dropped off in the homes they are given up on- it is the hardest part of my career and wish i had more time with the patients. Juliana will one day be so very thankful to you. I see from comments that people have the same idea as i do- I was thinking of skype or phone calls. Anything you need or think would help I ( as im sure hundreds of others ) would be more than honored to help. your doing wonderful Janet- Ive actually learned alot from you so i thank you ! kendra

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Cindy Mugnani
03/30/2012 12:55

Hi Janet
If you need volunteers to have random conversations with Juliana I would willing to volunteer some hours. I live in your area. Maybe you could schedule certain days of the week to have Juliana get together
at maybe Starbucks or another public place to have a discussion with different people. I know when I am talking to someone I don't know I have to really focus.

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Erin Warrick
03/30/2012 13:05

Hi Janet~ I look forward to the blog's every week! You all are amazing! I am in Pennsylvania... But I would certainly help out any way I can. :) God Bless You guys! you are in my daily thoughts and prayers!!!! Erin

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Katie
03/30/2012 13:30

Hi Janet! This sounds like an awesome idea. I am not the professional you are looking for but if you would need help in ANY way I would love to help. I live close by you (Orland Park) so if there's anything I could do please let me know! Juliana looks wonderful in this picture!

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Jill
03/30/2012 14:24

I LOVE ADRIANNAS IDEA!! Having Juli dictate a book sounds like a wonderful idea. Hearing Julis perspective and hearing about her life, and goals, and her love story with Chris....seriously? Who wouldn't love this book!! We know Juli has a lot to say - so let's hear it Jules!

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margie
03/30/2012 16:47

I am in NH, but if there's a way I can help, I'm in.
I love this picture of Juliana and Chris...it's perfect!
Have a wonderful day Sunday! Happy Birthday to you, Juliana!!
xxxx

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Mildred perez
03/30/2012 21:02

Hi. My name is Millie I live in oak forest and I have down time during the day to help Julia. I am not certified in any speech therapy. I am a mail carrier for the post office and I go to Paul Mitchell cosmetology school at night part time. I have read your blog a few times to see how Julia is doing. I have spoken to Chris a few times when he was my barista about other misc. things. Please respond to me and let me know if I can help in ANY WAY. Thank you..

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Charlene
03/30/2012 21:14

Mrs.Janet xx

Thank you once again for sharing ..... Like always it touches my heart , i feel every word you speak in this blog....
I think for what you want to do is a great idea , its something new...and for not to try it out means that you will never know....I know for every step you take , and every step that Juli takes , and even the family , God will be by your side to carry you through all the ups and downs.....Stay strong and i say GO FOR IT!

I really wish i was clser though...id LOVE TO HELP!!!!....Really...
But as for now , ill be here in my home town . Ill be In south Africa , which im also willing to Skype with her , if it will help ??
Id Love to help where i can...and that is if Juli would love another Skype session with me :) ........

Its all i could do for now......and Pray....that for what ever you decide will be for the better :)

Lots of Love
and MONSTER HUGS
Char :)

ROCK IT JULI!!!! <3 Love you

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Darin
03/30/2012 21:42

You don't know me but I currently work with people who have mental disabilities. One of them I work with daily is only needing service due to a car accident he had while driving. He suffered TBILISI and his speech has gone downhill. It is now getting better but I work with him 5 days a week on improving it. Most people can not understand him without someone repeating it but we are improving. If I could be of ANY assistance please do not hesitate to ask. Either reply to this if possible or you can shoot me a direct email at da3013@gmail.com. Hope to be able to help out!!!

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Darin
03/30/2012 21:44

Correction to previous post. Suffers TBI, not what autocorrect put. Sorry about that

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Wilma
03/31/2012 01:46

You must contact Dr Leaf, she has years of study in the brain field!!!!

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Wilma
03/31/2012 01:49


http://drleaf.com

http://drleaf.com/store/product.php?productid=5&cat=0&page=&featured=Y


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Ashley
03/31/2012 02:58

I would love to be of some assistance, I work as a dental hygienst in a practice that is geared toward children with special needs. Im 26, so someone she could relate too! Im driven and most certain inside she is willing and wanting to be free with her speach, im available throgh phone, or skype, would love to help!





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Maryfran Oskvarek
03/31/2012 05:02

What about contacting some of the local Universities who have SPeech therapy programs. Maybe some of the students would volunteer their time or the clinical instructions could incorporate Julianna into the program for the students as part if their clinical experience. It could be a win-win situation for both the students and Julianna ???
Good Luck ~
Maryfran

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Lisa
03/31/2012 07:07

All great ideas so far, and I hope you find those few people you're looking for, Janet, that will be a perfect fit. Wish I could help, but I'm on the north side, although I come down to O.F. about once a month for various family functions. I was a social worker before becoming a stay at home mom, and I worked with people with developmental disabilities. Not the same as a TBI, but I did some work with trying to help people with their speech. A few thoughts, which you may or may not have tried:
*Do you think Juli would enjoy, just in terms of constant, regular practice, something like kareoke? She seems like a girl who loves to have a good time and even a machine at home for a girls' night once a week might peak her interest. Practicing proper speech is boring. Singing is fun. :-)

*Do you think Juli would have more patience around young kids? I know you say she does things she didn't enjoy, because it was for her younger sisters. I know she was a nanny. I have a 4 year old who will be 5 in July and talks more like a 7 year old. If you'd like to meet us at Brookfield Zoo for the day, we have a family membership with plenty of guest passes. Maybe a day talking to someone younger, whom she doesn't have to "impress" would be easier, and maybe a day in a fun environment talking about animals would be more fun to try than just sitting at home for 4 hours straight practicing. We're game if you are - just let me know.

*Definitely talk to the speech therapy programs around you. Also, check to see if there are any ESL classes - those teachers also work on pronunciation, enunciation, etc.

Best of luck with everything and if I can do anything to help, just holler!

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03/31/2012 08:55

Love this idea. If you need help on the phone, I'm in! Might be good to do that, seeing as sometimes you can't even understand many people on the phone. It will sorta force her to be extra clear when she can!

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Kristyn Thomas
03/31/2012 10:22

I have a daughter with Down syndrome that at 10 has hardly any recognizable speech. I know what she's saying sometimes but it's really hard. I bought her an IPAD and there are some amazing Speech Applicatioins that you can load onto the ipad. One even shows the dynamics of letters and sounds from INSIDE the mouth which no therapist can show her. That particular one is called Speech Tutor and it's a free upload. I also have other programs that if you type in speech on Itunes it will give you even more apps. It's truly an awesome program that I really believe will help her SEE where to put her tongue and basically start from scratch on how to say all her consanants and vowels. After all those are the building blocks of speech in general. WELL worth the investment! God Bless!

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kristyn ryan
03/31/2012 19:39

Good idea ...it has made me think I need to change the direction we have been going with Tonishas hand ,,,,,,see your posting has made another mom with a TBI think something different has to work ....thanks for the post and I read your post for words of understanding because not everyone has gone down this road , thanks

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03/31/2012 20:53

This is just an idea and I am not sure that someone has mentioned it, but I am a Culinary Manager and am constantly coaching and developing people who have never stepped foot in a kitchen and I know that repeating and building a habit is so crucial in thier success.

What if...(just an idea) you set up skype interviews every Monday, Wed and Friday and have 15 minute convos with people from all over that, these interviews would be people that talk to Juliana for 10-15 min, these people would ask the same questions.

So for example Monday, everyone that talked to Juliana would ask questions like When is your Birthday, What is your favorite color and then questions that require a longer answer like, what was something funny chris said last week?, What do you love about your Mom? That a way she is practicing those words and they will stick and the response time will be quicker because of word association. then on Wed have a new set of questions that everyone would ask her. I think that Skype would be the best way to go because it seems like there are a lot of people that would like to help but that do not live very far and the best part is...it would be free :) it is worth a try.

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Lizz
04/01/2012 06:37

This has nothing to do with speech therapy, I just had to comment about the gorgeous picture. Juliana is still stunning. And that picture is amazing beyond words. A close friend of mine was in a similar situation with a TBI. She is not flourishing like your girl. She became a ward of the state here in MO and, if anything, has declined since she was discharged from her live in therapy facility years ago. It's so great to see a family rally around such a beautiful woman. And for a man to stick by his loves side. They really are a gorgeous couple.

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Maggie
04/01/2012 07:18

Hi Janet,
I have written to you before. I have some books on voice training for speech that I have used in college for how to articulate, breathe and extend speech for theater acting. There are great vocal exercises and breathing exercises that could help Juliana learn how to speak more clearly. I would love to help and come by anytime. I live nearby and have three days of the week available to help. Also, I have experience with working with my mom on the exercises because she was losing her speech to the point where she could no longer produce any vocal sound. I believe that working with her speech day to day had helped her prolong her speech further than what would've been possible. Contact me if you are interested!

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Jane
04/01/2012 12:09

Hi Janet. I'm not a speech therapist nor speech pathologist. I am only a mother of a 5 years old boy with Down syndrom. I am from Quebec (Canada), so I don't know if the programs and tutorials I attended are available in other countries. My suggestion is a neuro-sensory reorganization program called "la méthode Padovan", combined with a form a speech therapy called "Dynamique naturelle de la parole". It worked for my son who struggled over years before saying Daddy for the first time.

There must be some bilingual specialist that can help you (at least translate) with these two techniques.

http://www.padovan.ca/francais/

http://www.cis.gouv.fr/spip.php?article288

Good luck. and May God bless you & your family!

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P.M.
04/01/2012 13:57

Do you think there is anyway that acupuncture could help? I've heard it is great for many many things. Just a thought. I hope everyone has a fun time at the party:)

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Marta
04/02/2012 01:10

OMG! i love the picture of Juliana and Chris. she looks so beautiful with her hair up in a pony tail. LOVE IT LOVE IT!!! a must frame that's for sure!!! so encouraging!!! thanks for sharing your blog!!

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Judy Mullins
04/02/2012 21:36

i have read over the suggestions and the university of Michigan sounds so good and what you are looking for. I have a 30 year old son who suffered a TBI at age 14. He can do nothing for himself except for talk, which he does continually. I have other friends whose children struggle with speech and even those who can't speak. We are blessed with great friendships and encouragement through our adult brain injury camps. If you could get to red river, new Mexico in august one of the most knowledgeable speech therapists I have ever met will be volunteering. She will have ideas for you, of course between the dance and other activities. I know she had one person who used Botox on the tongue. Skype is a great idea but from your posts you would need someone there with Juliana to keep her focused. Someday hope to meet as we do drive from Oklahoma to Michigan a couple times a year

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Coco
04/06/2012 22:42

I am not qualified by any medical means (degree-wise), but I do have experience in the medical field, with regards to a 1 year internship and 3 year employment. I have 3 years of schooling in the Genetics department at the University of Georgia, and although I have 3 undergraduate degrees, I opted against completing my medical degree. I am still increasingly passionate about the medical field and truly believe it is my calling. Additionally, I presently volunteer for the trauma unit for a Level 3 trauma center, and have for the past 5 years. I volunteer for several different departments, including but not limited to the Emergency Trauma and Burn Units. I have personally taken Juliana's experience to heart and was motivated to go back to school for my Master's in Occupational Therapy. Each and every one of my former and even present employers would say that I have the ability to coach without being demanding or condescending which garners both viable relationships as well as mutual respect between any parties involved. It would be my pleasure to work with Juliana as she has been an inspiration and a motivator in my life personally. If you would be interested in me potentially working with her, please feel free to contact me, as I would love this opportunity to work with you and your daughter.

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Marni Kyle
08/23/2012 21:26

How about contacting Dr. Phil? I'm sure he would know the answers you are seeking, or if he doesn't...he has the resources to find out!! It's always worth a try :)

Reply



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       Janet Spencer Barnes

    Picture
    Read where it all began, in For Juliana: Almost to the Almost, One Penny at a Time, by Janet Spencer Barnes.

    Message from the Author...

    The blog is about Juliana's recovery from a traumatic brain injury sustained in a car accident on October 2, 2009.  But as her mom (and a mother of 5 other children), sometimes it is a little bit about the rest of my family and what i have learned about life... and what Juliana must re-learn.  Its also just a touch about Juliana's incredibly wonderful fiance, 
    Chris Medina. 
    Oh, you have heard of him?
     

    Blogs gone by...

    February 2013
    January 2013
    March 2012