Up and Down and Up Up Up We Go

Up - when I arrived today, Alison was in a wheel chair for the first time in 3 weeks (my guess)
Down - she was confused and crying and asking to be put back into bed.  We could not figure out if it was pain.
Up - We turned off all music, shut doors to reduce noise, and tilted her back a bit and she calmed down.  She finally said dizzy!! Ah ha, she needs to work back up to being the chair and vertical!
Down - It turns out she has refused PT for the previous two days.
Up - When I explained, Alison understood that she faces a "three strikes and you're out" situation with PT.  She cannot refuse to do it as she will loose insurance coverage.  And she needs PT to grow strong and get better
Down - will she remember this tomorrow?  We all need to remind her that she has to do PT/OT/Speech each time.
Up - she ate her own lunch
Up - I brought her a SMALL piece of dark chocolate mousse cake from a party.  YUM YUM!!
Up - Alison regained her sense of humor and perspective.  It turned out to be a great visit.