| I spent a long talk yesterday on the phone with Karyn going over the assessment doc she sent me. This is the doc that goes out when the state applies for consideration of placement for Mom. There were a bunch of errors, or missing pieces, in the 28 pages! Karyn and I finally hooked up yesterday after a long bout of telephone tag, and methinks it was way over an hour of chatting! youch! She was very kind and patient (as was I ). She actually has a real clue as to who Gerry is from having spoken to, and visiting with, her in person, and seeing Mom doing her reading what is on a page correctly, then transition into "gerrywords". She's also noted and experienced her charm, sense of humor, her love of guys , and Mom's flirting & teasing etc etc. That is so encouraging! Unfortunately, we discussed again the decertification of WSH and how Mom has to leave this environment and full staff. Crap. Earlier today I got a call from Dr Kaur. After Mom's fall from the 15th, and the low low BP (94/44), and our talk to back off the pain meds because of above plus I didn't like the idea of Mom not feeling ANY "normal" pain after the fall when I saw her, Mom has started to scream and act out and be unhappy in a big way increasing in the past 3 days or so. Since Dr Kaur and I spoke last Friday about backing off on the pain Rx, I'm sure it is related to it getting out of her system and all - but is it the pain that is back? or is it the sedation wearing off? I asked if Dr Kaur would consult with Dr Olsen (psych doc) about maybe adding Atavan as not PRN, but use it to control her fear and mood in case it isn't the "pain" lashing out now. I also asked how soon does Atavan take effect. She said pretty quickly, so she thinks it's worth a shot to try first. So unless I get a call from Olsen, I'll presume it's all systems go. I gave a "blanket" permish that Olsen can increase dose of Atavan is she thinks it's working but needs more, and if that doesn't help after a couple days, that it's ok for Dr Kaur to increase the Fentanyl patch. Toes and fingers are crossed that Atavan will do the trick!!! So that's the latest for GCG right now. xo+ to Mom and send good healthy vibes her way if you will!
xo+
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