Dylan Keene was born on May 15, 1986. Shortly after delivery he experienced respiratory distress, septic shock, and seizures. Subsequent neurological examinations revealed severe brain damage. It was later determined that Dylan contracted meningitis that caused profound mental retardation associated with spastic quadriplegia, poor vision, chronic seizures, thermoregulatory instability, chronic respiratory congestion, gastro-esophageal reflux, and scoliosis. Dylan is incontinent and suffers from chronic constipation. He is unable to care for himself, and his participation in leisure activities is limited.

Despite his multiple disabilities, Dylan is able to communicate with facial expressions and vocalizations. He experiences both emotional pain and pleasure. Dylan responds to physical sensations and situations around him. The Keene family provides Dylan extraordinary loving home care and includes him in family activities. The Keenes are Dylan's constant careproviders and advocates. Medicaid pays the high costs of his medical services. Since 1992, he...

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