On the first day of therapy my patient said to me: will Medicare pay for my speech therapy?
On the second day of therapy my patient said to me: I know I need to practice, but, will Medicare pay for my speech therapy?
On the third day of therapy my patient said to me: I think I've stopped choking, I have been practicing, but, will Medicare pay for my speech therapy?
On the fourth day of therapy my patient said to me: I am talking louder, I have stopped choking, but will Medicare pay for my speech therapy?
On the fifth day of therapy my patient said to me: no more thickened liquids, I have stopped choking, and I practice every day, did you get my Medicare EOB?
On the sixth day of therapy, my patient said to me: I am talking better, no more thickened liquids, I have no more choking,every day I practice, but I worry they will not fund my speech therapy?
On the seventh day of therapy my patient said to me: I'm so grateful for speech therapy...I am talking better, and no choking do I see, can you tell me if they paid for my speech therapy?
On the eighth day of therapy my spouse didn't say:"REPEAT".
I am feeling grateful, I am talking better, no more thickened liquids, no choking when I'm eating, can't they see I need this? Please don't take away my speech therapy.
On the ninth day of therapy my patient said to me: Why can't congress understand the need?
I am one of millions who can't talk or swallow with ease, that is why we need our speech therapy.
On the tenth day of therapy my patient said to me: my doctor, friends and family all agree...
I am talking better , eating with less impact of disease, I am living proof in the value of speech therapy.
On the eleventh day of therapy my patient said to me: finally I feel free...
No more tubes or thickeners , I can eat much more safely, note to Congress don't slash my speech therapy.
On the twelfth day of therapy my patient said to me: I will pray for others who are in need...
Medicare assisted me in my efforts to succeed,
Santa don't let Congress ruin this, pretty please.
Happy Holidays, Peace on Earth, and Good Health
Mary Spremulli,MA,CCC-SLP 
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