Something about having lots of kids and family around causes Vickie to come out of her shell somewhat.
Vickie attended the yearly Christmas eve family get-together at her childhood home.
All went as well as could be expected.

Vickie immediately recognized her nurse when she arrived at the nurse's station at MHMC. She was there to have her Peg tube replaced. The procedure went well as a new and better one took the place of the "temporary" one from last February.

Vickie was unusually alert and talkative this afternoon during her trip to the Dr. for her monthly B-12 injection. She also received a Flu shot just to be safe.

Family hosted a birthday get-together for Vickie Friday evening at a local Pizza house.
She handled the attention well and enjoyed the food. She was tired when she returned to her residence.

Vickie's major dental appointment went well Thursday. Since it was the first one in 6 years, there was much to be done.
She will be on a regular dental schedule from now on.

Several weeks ago Vickie broke a front tooth while eating a hamburger. Because of her behavior problems Dental visits are a problem.
Today Vickie had an appointment with a dental office that specializes in "sleep dentistry". The patient is given IV sedation before the work is performed.
Vickie will have the badly deteriorated tooth removed as soon as her Dr and the dentist consult on her condition.
Vickie was cooperative during the initial visit.

A planned procedure to replace Vickie's feeding tube didn't go quite as proposed. The Dr.was unable to replace the defective tube with an identical one. A less efficient, temporary replacement was used instead.
Vickie was cooperative and alert, recognizing some of the staff from when she was an employee at MT.H.MC.