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Is she really young? That sounds like something I might have done my first year of teaching (minus the "you don't have to write me a letter" thing-- that was just plain awful!)
You were pretty clear in the past what your wishes were, so
if you want to pull down her pants, wipe her, wash her hands for her, and wipe them dry, you'
re her mom and you should decide this. It would be different
if you were sitting at conferences saying "Gosh, Aislinn wants
us to do everything for her and gee I wonder why." I probably would have been so mad I would have cried (after I left of course).