James had a good day today.  I did range of motion exercises with him when he was in his chair  He opened and closed his hand for me when I asked a few times.  The nurses said that he did it for them too today.  They also feel that his responses are getting stronger and less delayed.  He smiled and gave a little laugh a few times today too.   He is doing a lot of spontaneous movement when he is in bed.  He moves his legs around a lot and lifts his head off the pillow. 

We had a planning meeting today.  The doctors say that James medical needs are at a point where St.  Joseph's hospital could meet his needs.  He is not at a point where he is ready for rehab yet,  and he could transfer back when he is ready.  I am looking foreward to going home but am scared about another change.  It is always difficult figuring out the routine and build the trust with the nurses.  We don't know how long it will be before the transfer though.  It could happen very soon or maybe not for weeks.