Thanks. I definetly overlooked the need for her to play adjust the amount of air. And we are going to add to the pillow arsenal. In addition to the sea to summit inflatable pillow we are going to make or buy some down pillows or down stuff pillows. So she had good shoulder elevation plus something to put under the arm. Any light weight comfort that we can manage we are going to try. And we are going to make a pillow tip or foam mattress to over the pad. Thanks for all the suggestions.