![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiypHEs4K1IDFlvvLvJR2ih21t_odSWvJreoNBpQHohSeA7qXXLA9BOA1X0pLJ1dJjjQqHKzm1cywPNR_vtQOo1nZ_e2KAGRTCqqPcylpcbw8VER_1eTV55d-tqmjyLfXkQwEdhFIRWJWM/s400/goodbye.jpg)
Eating frozen fruit out of feeding bag
Lip closure
Drinking from a cup
Talking using a speaking valve, no speaking valve and covering my trach
Eating from a flat spoon
Eating various textures (purees, crushed crackers, uncrushed crackers)
Signing or speaking to make requests for food or drink
Brushing my teeth
Mommy knew for several months this day was coming. With the budget cuts in California, the requirement was for private insurance to pay for therapy when possible. Still it was difficult to consider having anyone else provide feeding therapy when Karen has been doing such a great job. But today was the day - the last appointment with Karen. We will be sad not to see her each week but I am sure there are other little kids that need her help just as much that she will have more time for now. Thank you Karen!
Peyton Nicole Smith
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