That sly smile means either Johanna is feeling better, or she's stoned out of her gourd on pain meds. Either way, it's an improvement.
Rob also sent along some info on the condition affecting Johanna's vision, something called Homonymous hemianopsia. According to Wikipedia, it can be caused by tumors, strokes and even migraines. Johanna's is most likely caused by post surgery swelling. She had the same thing after her 2009 surgery, and it cleared up after a few weeks.
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