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"This is Arizona. This is hand-to-hand combat from this point forward," he said. "Once you're in the fight, you cannot step out." Giffords has made remarkable progress in the last five months, with neurosurgeon Dr. Dong Kim describing it as "almost miraculous." Still, she remains a shadow of her former self. Pia Carusone, her chief of staff, told the Arizona Republic last week that Giffords can express her basic wants and needs, but has difficulty stringing together sentences to verbalize more complex thoughts and feelings. Giffords, she said, relies heavily on hand gestures and facial expressions to communicate. "She is borrowing upon other ways of communicating. Her words are back more and more now, but she's still using facial expressions as a way to express. Pointing. Gesturing," Carusone said. The description matches what experts expect from someone who has suffered a traumatic brain injury. Often, they can be easily disoriented, have trouble prioritizing, suffer from some memory loss and could have difficulty recognizing people. Some have difficulty doing several tasks at the same time. Most cognitive recovery occurs in the first six months to a year after an injury, though it becomes less noticeable as time progresses. In the second year, progress sharply drops. Carusone said it is too early to say whether she will resume her position in Congress. She says they have until May 2012 to decide. The staff also released photographs of Giffords on Sunday. The photos show her with shorter, darker hair but few signs she suffered a gunshot wound to the head. The timing coincides with plans to release Giffords from the hospital later this month or in early July.
[Associated
Press;
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