A co-owner of CSz Portland, Ruth Jenkins has been improvising for over thirty-five years and has been a speech language pathologist for nearly thirty. She soon learned to combine the two, frequently using improv activities with people who have speech and language disorders connected to Parkinson’s disease or the after effects of strokes and head injuries. Not only do we chronicle the trajectory of Ruth's improv career, but she shares numerous case studies describing how the uniqueness of her practice has changed hundreds of lives for the better.