Breaking the Sound Barrier

The scene: Resident teaching rounds, Children's Hospital, on a cold Boston February morning.

The topic: Communication and quality-of-life issues for children with significant developmental disabilities.

The mood: Very, very uncomfortable. But that's the point.

It started out just like any presentation. Guest speakers Diann Sespico, director of education, and Carolyn LaBrack, an early childhood teacher who specializes in intensive special educ

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