Rep. Gabrielle Giffords was moved to a brain rehabilitation hospital today after doctors upgraded her condition from serious to good late Tuesday night.
"She's done remarkably well," said Dr. John Holcombe, Giffords' trauma surgeon.
The fluid accumulation in her brain that concerned doctors over the weekend already has begun to subside, and the drain inserted into her head last week was removed on Monday. Her doctors said there are no signs of infection.
"Since Gabby arrived last Friday, we have noticed daily improvements in her neurological condition," Dr. Dong Kim, a neurologist treating Giffords, said at a press conference this afternoon in Houston. "In terms of recovery for brain issues, this is really at lightning speed."
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Giffords' doctors have expressed confidence that she has passed the most critical period for complications, and she already is undergoing physical, occupational and speech therapy. The therapy sessions that began while Giffords was in the ICU will continue and intensify at her new hospital, TIRR Memorial-Hermann, which specializes in brain injuries.
The congresswoman is awake for most of the day, doctors said, and she's able to interact with others and follow commands. Doctors said that while she has been left weakened by her injury, physical therapy will help to strengthen her body and maintain her range of motion. Doctors have begun the process of removing her tracheotomy, and Giffords now is able to breathe and swallow completely on her own.
Giffords' doctors would not predict whether the congresswoman will be able to speak again, but Dr. Kim said, "Her speech function along with everything else has been improving quite a bit."
Meanwhile, at Tuesday night's State of the Union address, members of both political parties were wearing black and white ribbons in a show of solidarity with Giffords and the people of Tucson. In a special gesture, her friends in Congress left one seat unfilled.
"There is going to be a chair left empty to symbolize what we all know will be a triumphant return to the House of Representatives when she comes back to us full strength," said Giffords' friend and colleague, Rep. Debbie Wasserman Schultz, D-Fla.
In Houston, Giffords' husband, NASA Commander Mark Kelly, watched tonight's State of the Union Address from his wife's bedside at the hospital. While he keeps watch over her care, the clock is ticking on a critical decision. Kelly has said he will decide within two weeks whether he will command the space shuttle Endeavor's final mission in April.
"Obviously, Mark has trained with this crew for over a year, and so he is the ideal person," NASA Chief Astronaut Peggy Whitson said.
Over the weekend, doctors inserted a small drain in Giffords' skull to remove the brain fluid that had delayed her transfer out of ICU. Experts say it is not uncommon for someone suffering a traumatic brain injury to have such fluid accumulation, caused when the brain bleeds or swells.