"As our December 9th surgery date approached, Alexander's SLP introduced new PECS that would aid in specific problem solving. PECS like, itchy and nauseous and hurting. These new PECS, and a handful of old standbys, would be his lifeline. A crucial vehicle to voice his fears, needs, and of most importance, his symptoms. If something were to go drastically wrong, laminated construction paper with rudimentary words and pictures would be my best diagnostic tool."