DateTimeFromToMessage
2020-12-12 10:30:17 PM sarabrophy WE do go on drives and point out things along the way to keep the interested and also go by things we know they are into.
2020-12-12 10:30:21 PM kwammack same here, but on a normal day without a pandemic
2020-12-12 10:30:55 PM sarabrophy have not been in this postion to have had to do that yet, only 5 months now
2020-12-12 10:30:57 PM kwammack Sara that is really nice, I live in Vegas and we drive down the strip at times when it was opened
2020-12-12 10:31:29 PM sarabrophy but have them or help them write a list this way if gives them something to follow if they get off track
2020-12-12 10:31:45 PM sarabrophy that would be soo cool. nerver been
2020-12-12 10:31:49 PM kwammack ok Sara, how about having a person volunteer to help go on the trip, family member and assist in taking the person around the store and meeting you back at a certain point.
2020-12-12 10:32:09 PM sarabrophy good idea that would be good as well.
2020-12-12 10:32:16 PM barbaraabush I guess we are done. Enjoyed talking to eveyone. Have a good evening. It is 10:30 pm here.
2020-12-12 10:32:17 PM kwammack When the strip is active it really keeps the group calm and watching others and talking about what they see.
2020-12-12 10:32:28 PM barbaraabush left the chat room
2020-12-12 10:32:32 PM sarabrophy Yes it is here for me to.
2020-12-12 10:32:40 PM hollyyates So excited to be able to do outings one day again!
2020-12-12 10:32:51 PM kwammack Ok so I will post the names.
2020-12-12 10:32:56 PM sarabrophy that would be something to see im sure they love it and keeps them busy talking
2020-12-12 10:33:12 PM sarabrophy they all really just want to go out to eat haha
2020-12-12 10:33:24 PM sarabrophy all about the food for some of them and I love it LOL
2020-12-12 10:33:26 PM hollyyates Goodnight! Enjoyed visiting.
2020-12-12 10:34:02 PM 021586 Goodnight all.
2020-12-12 10:34:03 PM kwammack eating is an important part of the day.
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2020-12-12 10:34:07 PM kwammack Have agood night everyone
2020-12-12 10:34:09 PM sarabrophy Thank you everyone I really enjoy it and was glad we could make it happen!
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2020-12-14 06:50:53 PM jmcskulin2556 good evening everyone joining the chat today hope everyone is well
2020-12-14 06:54:05 PM jmcskulin2556 i do agree with you kwammack getting paint brushes and help with a painting activity helps with using hand movements also will help with their creativity
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2020-12-14 09:17:50 PM tonyaharris82 enter the chat room
2020-12-14 09:22:06 PM tonyaharris82 Anyone still in here? Is this the live chat for the forum assignment?
2020-12-14 09:25:51 PM tonyaharris82 left the chat room
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2020-12-14 09:27:58 PM kwammack enter the chat room
2020-12-14 09:28:08 PM kwammack welcome
2020-12-14 09:28:21 PM kwammack this is the live chat for tonight at 630pm
2020-12-14 09:28:39 PM kwammack Welcom Jamie, Tony
2020-12-14 09:28:55 PM kwammack just waiting on others
2020-12-14 09:29:19 PM tonyaharris82 left the chat room
2020-12-14 09:29:19 PM tonyaharris82 enter the chat room
2020-12-14 09:30:03 PM tonyaharris82 Ok so I think I'm in the right place.
2020-12-14 09:30:14 PM kwammack you are
2020-12-14 09:30:36 PM kwammack I am looking for tiffany, latonya, lakeisha and joseph
2020-12-14 09:31:17 PM tonyaharris82 left the chat room
2020-12-14 09:31:18 PM tonyaharris82 enter the chat room
2020-12-14 09:31:33 PM kwammack Ok so I think we are going to go ahead and start. Others may join later
2020-12-14 09:31:37 PM josephoh79 enter the chat room
2020-12-14 09:31:44 PM tonyaharris82 Im LaTonya
2020-12-14 09:31:53 PM kwammack Hi Latonya
2020-12-14 09:32:04 PM josephoh79 Hello
2020-12-14 09:32:09 PM tonyaharris82 Hello
2020-12-14 09:32:13 PM kwammack The chat is to discuss the MDS information
2020-12-14 09:32:19 PM kwammack Hello Josephoh
2020-12-14 09:32:20 PM josephoh79 I'm Joseph
2020-12-14 09:32:29 PM kwammack oh.lol
2020-12-14 09:33:03 PM kwammack So starting off the chat, what kind of information can we find on the MDS 3.0?
2020-12-14 09:33:31 PM tonyaharris82 pps assessment
2020-12-14 09:34:02 PM tonyaharris82 type of record
2020-12-14 09:34:17 PM tonyaharris82 facilty provider nembers
2020-12-14 09:34:18 PM kwammack yes the payment system
2020-12-14 09:34:41 PM kwammack information of all the facilities and how they opperate
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2020-12-14 09:35:16 PM kwammack What are some of the questions that the MDS ask that can help for the care planning.
2020-12-14 09:35:18 PM tonyaharris82 Birth dates, ss numbers, race, gender
2020-12-14 09:35:22 PM josephoh79 I have a quick question. I wasn't able to attend the live chats last week because I'm working 2 jobs. Will I still get credit for this chat?
2020-12-14 09:35:37 PM kwammack yes
2020-12-14 09:35:47 PM josephoh79 ok thank you
2020-12-14 09:35:49 PM kwammack this is your forum chat
2020-12-14 09:36:11 PM josephoh79 cool
2020-12-14 09:36:19 PM kwammack ok so what is the primary purpose of the MDS
2020-12-14 09:36:28 PM tonyaharris82 I think mds ask questions concerning levels of care
2020-12-14 09:36:50 PM kwammack yes, how do you like this or that, bath or shower etc right
2020-12-14 09:37:27 PM kwammack So the purpose of it is an assessment tool used to identify resident care problems
2020-12-14 09:37:39 PM kwammack that are addressed in an individualized care plan.
2020-12-14 09:38:12 PM kwammack Data collected from the mds assessments is used for medicare reimbursement system and monitors quality of care provided
2020-12-14 09:38:19 PM kwammack the reimbursement is the PPS
2020-12-14 09:38:55 PM tonyaharris82 so mds person would be the one to get reimbursments backs from the government based off of charting
2020-12-14 09:39:54 PM kwammack The person who is filling out the MDS is usually filling out the "money questions" and should at the end of the MDS help paint a picture of who the resident is and help justify the type of service
2020-12-14 09:40:17 PM tonyaharris82 ok that make sense
2020-12-14 09:40:26 PM kwammack In my facility there is a social worker who will only answer the money questions and not the others, while another will do the whole MDS questions.
2020-12-14 09:40:48 PM kwammack When answering the questions some questions will be deleted based on your answer, for example
2020-12-14 09:41:02 PM kwammack he finds it important to engage in a shower daily
2020-12-14 09:41:33 PM kwammack other quesitons pertaining to will be shaded out and you will move onto the next
2020-12-14 09:42:02 PM kwammack MDS also monitors the quality of care in the nations nursing facilities
2020-12-14 09:42:35 PM kwammack MDS has 24 quality indicator questons that help identify potential care problems in the nursing facilities
2020-12-14 09:42:36 PM tonyaharris82 quality of care as in how the patient is cared for by nursing staff?
2020-12-14 09:42:47 PM kwammack yes
2020-12-14 09:43:46 PM kwammack if a person falls they have to enter it in the care plan and help with preventive measures for future falls. When we work with a dementia person we interview the person for likes and dislikes if possible
2020-12-14 09:44:03 PM kwammack and help create a care plan that adds to the quality of the persons life.
2020-12-14 09:44:16 PM tonyaharris82 so with starting a care plan is the mds portion of it first?
2020-12-14 09:44:32 PM kwammack what other information does the MDS have and how is it beneficial?
2020-12-14 09:45:05 PM tonyaharris82 they have the swallow/nutritional information thats always helpful
2020-12-14 09:45:07 PM kwammack you build on the care plan from the MDS questions
2020-12-14 09:45:28 PM kwammack yes Tony that is correct and that will help us with activities.
2020-12-14 09:46:04 PM kwammack So lets say the dementia person is not responding to cued directives and sits and stares out the window and does not talk
2020-12-14 09:46:18 PM kwammack What kind of care plan could we do based on this information?
2020-12-14 09:46:30 PM tonyaharris82 mds also has information from the restorative program which can also assist in planning activities
2020-12-14 09:46:45 PM kwammack Good explain Tony
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2020-12-14 09:47:50 PM kwammack Joseph how about you any information you can think of that the MDS has
2020-12-14 09:48:19 PM kwammack Jamie are you still there?
2020-12-14 09:48:22 PM tonyaharris82 a lot of times the restorative aide can give us the information reguarding range og motion, weather the patient is an amputee or has prostheses
2020-12-14 09:48:47 PM kwammack awesome and that is very helpful when planning activities and a care plan
2020-12-14 09:49:10 PM kwammack Joseph or Jamie any thoughts?
2020-12-14 09:49:18 PM josephoh79 I'm sorry. I really didn't get a chance to see the MDS form. I literally just made it in on time for this chat.
2020-12-14 09:49:30 PM kwammack ok
2020-12-14 09:49:34 PM tonyaharris82 based of of the things we just talked about that patient would probaly have 1 one 1 activities
2020-12-14 09:50:06 PM kwammack exactly and would we need to adjust the activities or help in some way- offer an example if you can please
2020-12-14 09:50:56 PM kwammack while he is doing that the mds also provides information that a person is blind, need hearing aids
2020-12-14 09:51:18 PM kwammack cognition levels
2020-12-14 09:51:30 PM kwammack how would this be helpful?
2020-12-14 09:51:43 PM tonyaharris82 we could probaly help. if we are doing an activity dealing with music we can go sit next to the and kind of help them move their hands or something
2020-12-14 09:52:16 PM kwammack sing along with the music, provide an upbeat atmospher
2020-12-14 09:52:22 PM tonyaharris82 that would be helpful if we were playing bingo or something that requires vision
2020-12-14 09:52:23 PM kwammack correct Tony
2020-12-14 09:52:29 PM josephoh79 yes
2020-12-14 09:53:02 PM kwammack right Tony bingo a blind person would have difficulties playing and if they want to we would assist them and tell them were they are on the card
2020-12-14 09:53:14 PM kwammack A library has a program for blind individuals
2020-12-14 09:53:19 PM tonyaharris82 absolutely
2020-12-14 09:53:33 PM josephoh79 alot of folks that can't hear well don't play bingo unless they're next to the screen
2020-12-14 09:53:41 PM kwammack they send audio books that a person can listen to and engage in a guided imagery perspective of the book.
2020-12-14 09:54:10 PM kwammack true joseph, what kind of activity could we do with them?
2020-12-14 09:54:30 PM josephoh79 streching, zumba?
2020-12-14 09:54:40 PM kwammack good I like that
2020-12-14 09:54:42 PM josephoh79 if they can that is
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2020-12-14 09:55:10 PM tonyaharris82 chair volleyball
2020-12-14 09:55:21 PM kwammack So if a person is blind or has a hearing loss, we could take them on a stroll outside if they have expressed likeing nature in the past
2020-12-14 09:55:29 PM josephoh79 yes
2020-12-14 09:55:38 PM kwammack chair bolleyball is good
2020-12-14 09:55:41 PM tonyaharris82 yes as long as we are there to guide them
2020-12-14 09:55:45 PM josephoh79 I've done that with many clients
2020-12-14 09:56:25 PM kwammack what is other information the MDS might have?
2020-12-14 09:56:43 PM kwammack cognition, mental illness maybe
2020-12-14 09:56:55 PM kwammack how would we do a care plan for this, any examples?
2020-12-14 09:57:25 PM josephoh79 take them for walks while everyone else is av
2020-12-14 09:57:34 PM josephoh79 able to play bingo
2020-12-14 09:58:06 PM tonyaharris82 mds also have physical therapy information about the patient
2020-12-14 09:58:17 PM kwammack ok, maybe discuss the cognition level with the director of nursing to better understand the persons ability and then plan activities around this level
2020-12-14 09:58:18 PM josephoh79 I'm sorry. My internet is so slow
2020-12-14 09:58:35 PM kwammack it does and how would this benefit us
2020-12-14 09:58:54 PM kwammack no problem, just keep popping in and your doing fine.
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2020-12-14 09:59:50 PM tonyaharris82 it will help us with knowing if the little old lady that insist she can walk can actually walk or not
2020-12-14 09:59:59 PM kwammack example: dementia needing memory card games, picture books and talking about what is in the pictures
2020-12-14 10:00:06 PM josephoh79 thats right
2020-12-14 10:00:20 PM tonyaharris82 thats a great idea
2020-12-14 10:00:43 PM kwammack very true tony
2020-12-14 10:01:27 PM kwammack So any examples for a person who is intellectually challenged
2020-12-14 10:02:10 PM tonyaharris82 I learn differently and having these live chats put everything in perspevtive for me
2020-12-14 10:02:24 PM kwammack Glad to hear that
2020-12-14 10:03:15 PM kwammack When a person comes and family will tell me how the person is intellectually challenged, I will take some of the ideas they have for example, childrens puzzles and engage the person to observe their ability of doing the puzzle
2020-12-14 10:03:18 PM tonyaharris82 maybe doing 1 on 1?
2020-12-14 10:03:35 PM tonyaharris82 or maybe coloring
2020-12-14 10:03:38 PM kwammack I will praise them, and assist them if they need it, but observe how they engage and if they enjoy it.
2020-12-14 10:03:49 PM kwammack coloring is a very good one thank you
2020-12-14 10:04:01 PM josephoh79 yes. we used to do that in my center
2020-12-14 10:04:24 PM josephoh79 they love puzzles
2020-12-14 10:04:26 PM kwammack How about church services with the information from an MDS
2020-12-14 10:04:41 PM kwammack does it tell us that?
2020-12-14 10:05:00 PM josephoh79 its kinda hard. not everyone is the same religion
2020-12-14 10:05:01 PM tonyaharris82 church service are kind of tricky because people have different beliefs
2020-12-14 10:05:08 PM josephoh79 yes
2020-12-14 10:05:31 PM kwammack right and that is the purpose of the MDS to find out if they have a preference and provide all types on the activity calander
2020-12-14 10:05:37 PM josephoh79 some just walk out and go for a stroll because they are not christian
2020-12-14 10:06:05 PM josephoh79 we have church service every week
2020-12-14 10:06:33 PM tonyaharris82 also th mds will tell us if a patient is downsyndrome, autistic or evn eplilepsy
2020-12-14 10:06:40 PM kwammack what about physical excercise for the residents does the MDS tell you if someone would like that?
2020-12-14 10:06:47 PM tonyaharris82 yes
2020-12-14 10:06:50 PM kwammack very good
2020-12-14 10:07:01 PM kwammack how does that information help us elaborae on one please
2020-12-14 10:07:08 PM kwammack elaborate
2020-12-14 10:07:53 PM kwammack ok for example Autistic person
2020-12-14 10:08:01 PM tonyaharris82 the same as everyone I believe. just getting to know them and trying things like the puzzle or coloring and gathering information from families
2020-12-14 10:08:24 PM kwammack when working with them, it is important to take things in baby steps
2020-12-14 10:08:26 PM kwammack example
2020-12-14 10:09:00 PM tonyaharris82 I think an autistic person would do good with coloring. It's baby steps and not to overwhelming
2020-12-14 10:09:00 PM kwammack teaching to tie a shoe, start with lacing and continue to keep the language simple and demonstrate and assist each time you practice to tie a shoe
2020-12-14 10:09:12 PM tonyaharris82 ok that works
2020-12-14 10:09:14 PM kwammack do not do the bowtie yet, just work with lacing
2020-12-14 10:09:48 PM kwammack after they have completed it with no frustrations, and is feeling good about it, then begin and repeat the same process for the bowtie part
2020-12-14 10:10:23 PM tonyaharris82 some autistic people are very smart and can possibly do bigger task depending on the person
2020-12-14 10:10:28 PM kwammack Autustic do well with one on one sessions as too much noise or too much activity around them does not do well
2020-12-14 10:10:43 PM tonyaharris82 that is true
2020-12-14 10:10:52 PM josephoh79 yes. some of them can use smart phones
2020-12-14 10:10:53 PM kwammack correct, that was just an example for a child with autistic
2020-12-14 10:11:19 PM kwammack say 2 years or 3 years old.
2020-12-14 10:11:40 PM tonyaharris82 how would we deal with down syndrome patients?
2020-12-14 10:11:58 PM kwammack Autistic children will be narrow minded in their preferences and only engage in this and have difficulties in expanding their interest.
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2020-12-14 10:12:39 PM kwammack Down syndrome patients are also intellectually challenged
2020-12-14 10:12:55 PM tonyaharris82 so basically the same as we have been discussing?
2020-12-14 10:13:16 PM kwammack I have met some that were fully functional and having an apartment prior to comign to the facility
2020-12-14 10:13:24 PM tonyaharris82 wow
2020-12-14 10:13:39 PM kwammack some, lived with parents and need lots of coaching and encouragement
2020-12-14 10:13:48 PM kwammack This we could find out in the mds
2020-12-14 10:13:56 PM kwammack their level of needs
2020-12-14 10:14:00 PM kwammack and wants
2020-12-14 10:14:27 PM kwammack What else could we find out from the MDS
2020-12-14 10:14:32 PM tonyaharris82 so the mds is going to be my bestfirend in finding important information like this
2020-12-14 10:15:03 PM tonyaharris82 mds tells us where the patient is coming from that can be helpful
2020-12-14 10:15:10 PM kwammack yes, you do an interview and this will help and so does all the other departments and you have the complete findings at your finger tips
2020-12-14 10:15:35 PM kwammack it also can inform you of culture from were they are from - very good
2020-12-14 10:15:40 PM josephoh79 mds can tell us their choice of language
2020-12-14 10:15:52 PM kwammack very good that is very important
2020-12-14 10:15:54 PM josephoh79 some dont speak english
2020-12-14 10:15:57 PM tonyaharris82 marital status
2020-12-14 10:16:14 PM kwammack marital status is very good, how would this help us
2020-12-14 10:16:39 PM kwammack arrange family visits, outings with family, etc maybe
2020-12-14 10:17:06 PM kwammack MDS also tells you if the person preferes to be on outings from the facility.
2020-12-14 10:17:08 PM josephoh79 if they're single and looking, we can hook them up?! Lols
2020-12-14 10:17:23 PM kwammack funny, we are professionals.
2020-12-14 10:17:25 PM tonyaharris82 lol @ joseph
2020-12-14 10:17:42 PM josephoh79 we had two 75 year olds get married
2020-12-14 10:17:51 PM kwammack elaborate on outings
2020-12-14 10:17:58 PM kwammack that was awesome I bet
2020-12-14 10:18:02 PM tonyaharris82 wow that's really nice
2020-12-14 10:18:08 PM josephoh79 yes it was
2020-12-14 10:18:23 PM josephoh79 alot of others were jealos
2020-12-14 10:18:29 PM kwammack what kind of outing has your facility held?
2020-12-14 10:18:35 PM kwammack community resources etc
2020-12-14 10:19:03 PM kwammack wanting to be loved is always a part of human nature
2020-12-14 10:19:04 PM josephoh79 food shoipping, malls, casinos, movies,
2020-12-14 10:19:31 PM kwammack good. what kind of adjustments have you had to make for others?
2020-12-14 10:19:31 PM tonyaharris82 When I was the activity assistant we have taken residents to the state fair, art museum, movies and casinos
2020-12-14 10:19:35 PM josephoh79 they also love the buffets
2020-12-14 10:19:47 PM kwammack love it Tony
2020-12-14 10:20:21 PM josephoh79 the ones in wheel chairs had to stay in and watch movies
2020-12-14 10:20:27 PM tonyaharris82 the art museum was a big hit because one of our residents was a painter and loved art
2020-12-14 10:20:42 PM kwammack Buffets are a hit for sure, what kind of accommodatons do we make for them when taking them
2020-12-14 10:21:18 PM josephoh79 bus
2020-12-14 10:21:22 PM tonyaharris82 I'm a cna as well so I would always go on outings because I dealth with the ones that was difficult but wanted to go
2020-12-14 10:21:31 PM kwammack with those who want to go but show outburst at times, not always may need to have an assistent walk iwth them
2020-12-14 10:21:36 PM tonyaharris82 vans
2020-12-14 10:21:54 PM kwammack very true and thank you
2020-12-14 10:21:59 PM josephoh79 you have to keep an eye on them though
2020-12-14 10:22:10 PM tonyaharris82 yes a close eye
2020-12-14 10:22:24 PM josephoh79 they just flip out sometimes for no reason
2020-12-14 10:22:42 PM kwammack correct, why thought
2020-12-14 10:22:53 PM tonyaharris82 we had one resident every target trip would steal and he got busted and we were so embarrassed
2020-12-14 10:23:03 PM josephoh79 yyes
2020-12-14 10:23:14 PM josephoh79 dementia?
2020-12-14 10:23:15 PM kwammack some are bipolar, others are schizpohrenia
2020-12-14 10:23:21 PM josephoh79 yes
2020-12-14 10:23:24 PM tonyaharris82 had we read the care plan and mds we would have know he had a history of theft
2020-12-14 10:23:41 PM kwammack very good poiint tony
2020-12-14 10:24:07 PM josephoh79 some are very nasty
2020-12-14 10:24:48 PM kwammack the mental health illness is hard to work iwth but it is important that they are treated with kindness and respect like others, they just need extra caution and observations because of the difficulties with mood disorder, perception of reality etc.
2020-12-14 10:25:33 PM tonyaharris82 Alot of time some mental health issues is lack of attention so they act out.
2020-12-14 10:25:37 PM kwammack joseph what is your last name so I can post it in the forum for credit
2020-12-14 10:25:51 PM josephoh79 Oh
2020-12-14 10:26:52 PM kwammack a lack of attention will cause confusion and irritableness
2020-12-14 10:27:07 PM tonyaharris82 Thank you kwammack for doing this chat tonight
2020-12-14 10:27:11 PM kwammack they are easily agitated and only care about what they want, cooperation is hard for them
2020-12-14 10:27:21 PM tonyaharris82 True
2020-12-14 10:27:25 PM kwammack your welcome
2020-12-14 10:27:46 PM kwammack how do you calm someone when having an outburst
2020-12-14 10:28:17 PM tonyaharris82 speeak to them in a calming manner and redirect
2020-12-14 10:28:53 PM kwammack exactly, always allow your self to be at their level meaning dont stand over them as this is an aggressive feel to many
2020-12-14 10:29:21 PM kwammack hearing what their concerns are and calming them within their perspective is very important
2020-12-14 10:29:37 PM tonyaharris82 yes
2020-12-14 10:29:39 PM josephoh79 thats true
2020-12-14 10:30:17 PM kwammack they can cause chaos in an activity and sometimes when this happens we need to help them sit aside and redirect to calm them, taking them out of the group is what I am talking about.
2020-12-14 10:30:47 PM kwammack does anyone want to add anyting before we end the chat?
2020-12-14 10:30:50 PM josephoh79 i have a lady that complains the guy next to her got a better looking apple than hers all the time
2020-12-14 10:31:00 PM kwammack funny
2020-12-14 10:31:06 PM kwammack how do you handle it.
2020-12-14 10:31:13 PM kwammack ?
2020-12-14 10:31:14 PM josephoh79 do we have to write a paper about this chat?
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2020-12-14 10:31:35 PM josephoh79 I go and exchange it
2020-12-14 10:31:44 PM josephoh79 sometimes sneak in 2 apples
2020-12-14 10:31:49 PM kwammack no, I am going to post your names for credit. I dont know why the others have not shown, as they asked to be here and did not stay.
2020-12-14 10:31:56 PM tonyaharris82 I have to write my papers thats due in a couple of hours
2020-12-14 10:32:07 PM josephoh79 ok
2020-12-14 10:32:12 PM josephoh79 me too
2020-12-14 10:32:13 PM kwammack Good luck everyone and thank you for being here.
2020-12-14 10:32:24 PM josephoh79 thank you very much!
2020-12-14 10:32:27 PM tonyaharris82 thank you have a great night
2020-12-14 10:32:33 PM kwammack good night
2020-12-14 10:32:35 PM josephoh79 good night
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2020-12-14 10:44:53 PM kwammack enter the chat room
2020-12-14 10:46:24 PM kwammack I was having difficulties posting your names to the forum wk 2, so I had send the teacher an email. If one of you see this please post your names in the forum. I am sure the teacher will respond to the email. Thank you
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