This is Lizzie since the stroke.  She loves her puppy and she still loves getting out and about.  Now instead of the far reaches of a plane, train, automobile, or bus she gets out and about with us or her caregivers.  Nonverbal and with little communication we have built a life together for her and us.  The focus is happy, full of laughter instead of tears.  The activities centered are age appropriate, relevant to Lizzie’s life and have showed us how to keep on keeping on when the keeping on is hard.