It's been a difficult week but we're ending on a good note.
Alex achieved his five BMs in the toilet to earn his McDonald's ice cream reward. And, to make it better, he even succeeded at doing a BM at school when prompted. This suggests he will be able to generalize his toileting success outside of therapy.
We've been working on this a long time. A few years ago, my pride might have been hurt if someone else succeeded where I'd failed for so long. But now, I'm just happy to have a chance at hope.