I was working with a patient who is able to read better than she can understand auditory information. I have worked with her several times in the past (actually, same patient as mentioned above) using MLG to build joint communication skills, meaning, building her ability to use text to communicate with other people. She has started to recognize me as the “game” girl, and often looks for my tablet when she sees me. On this date, i was scheduled to see her, and met her sitting in the middle of the diniing room, speaking with the director of nursing and infectious disease nurse. They were trying to get her to take the COVID booster shot, and they were using speech only. They spoke to her as if she were deaf, with no result. I interjected, and used writing to successfuly ask a question and get an appropriate response (unformtunately a no, but with a good reason!). We continued to chat for a few minutes using text, then i offered to play a game. We started a question in “whats bmy job 2” and ere interrupted, needed to move to a table. As i pulled the tablet away to move, she said “wait!” i gestured toward the table to communicate where we were going and she said “oh good, lets walk down memory lane again” We played whats my job, then nursery rhymes, then the recommended game “peter rabbit” it was a student-turns-teacher situation, where she knew answers I did not know, and we engaged in joint conversation about the questions. Again, it reinforced the joint attention and communication using text, in functional and fun ways.