Saturday, December 30, 2006

Caregiver thinks Vickie may have had a light seizure this afternoon. No one witnessed it but there are some signs it may have happened. Caregiver suspects it might have been the result of a change in manufacturer of the anti-seizure medication.
A Dr. was contacted; Vickie was given a sedative and appeared to be sleeping normally this evening.

Monday, December 25, 2006

Vickie had Christmas day dinner at a sister’s home this afternoon. Later she returned to her current residence.

Sunday, December 24, 2006

Vickie was able to visit with the extended family on Christmas Eve at sister’s. She will spend the night at home.

Friday, December 15, 2006

Vickie made the trip to GSMC today and had the EEG sensor/recorder removed. It will be several weeks before we receive the findings.
Vickie returned to her residence this evening. In a rare bit of good timing, the foster care residence had been without power for nearly 24 hours due to the severe storm. The power was restored just before she arrived.

Thursday, December 14, 2006

Vickie traveled to GSMC Wednesday afternoon to have the mobile EEG recorder attached. Thursday she returned to GSMC to have the batteries recharged and the sensors resecured.
Having the sensors secured to her head with adhesive was somewhat stressful for Vickie but afterward she seemed to ignore them and the large bundle of wires and the recording device she needs to carry.
She will spend Thursday night at home so her episodes can be closely monitored and timed into the recorder.
Friday, all the paraphernalia will be removed and the responses will be evaluated for possible problems.
Friday evening she will return to her residence.

Tuesday, December 05, 2006

Vickie kept her Dr.s appointments, one Monday with her GP and one Tuesday with her neurologist. She will discontinue one medication that doesn’t appear to be helpful. Another medication for seizure control was increased.
Vickie will soon do a 48-hour EEG test to determine if she is having small seizures often.

Monday, November 27, 2006

Vickie traveled to MHMC today for routine testing. She has a Dr. appointment next week to determine if there are any problems that need to be addressed.

Thursday, November 23, 2006

Vickie went to her home for a visit this morning before going to a sister’s later for Thanksgiving dinner. Although she no longer eats her meals, everyone was happy to see her out and about for the day. She returned to her residence this evening.

Sunday, November 19, 2006

Vickie visited at a sister’s this afternoon before returning to her residence.

Saturday, November 18, 2006

For the first time in over a month, Vickie is spending the evening at her home. She will return to her current residence Sunday.

Tuesday, November 07, 2006

Vickie’s condition has not changed.

Sunday, November 05, 2006

Since Vickie has been at her new residence she receives most of her nourishment via the feeding tube. Last night the tube that was nearly a year old failed and was promptly replaced with a new one of a different type. The new one is a larger diameter and should accommodate better the food that is prepared for Vickie.

Monday, October 30, 2006

Vickie still seems to be preoccupied with endeavors that no one else can see.
She is no longer taking the antibiotic prescribed some time ago. Tests will determine if it was helpful.

Wednesday, October 25, 2006

Readers may have noticed that posts to this site are no longer entered daily. Since Vickie is not living at home it’s difficult to assess correctly how her day has been with just a short visit.
Much of her waking hours, Vickie does imaginary chores and interacts with people apparent only to her.

Tuesday, October 24, 2006

A visit by a couple of friends from work seemed to have a positive effect on Vickie this afternoon. She was more alert and responsive than she has been for some time.

Wednesday, October 18, 2006

There have not been any changes either good or bad in Vickie’s condition.

Sunday, October 15, 2006

This afternoon Vickie visited at a sister’s home before returning to her current residence.

Saturday, October 14, 2006

Vickie entertained family and friends who came to wish her a happy birthday this evening.

Thursday, October 12, 2006

Vickie will return to her home Saturday evening. An informal birthday event with no set time is planned. Everyone is welcome.

Sunday, October 08, 2006

Vickie spent Saturday afternoon visiting at a sister’s home. All went as well as could be expected.

Thursday, October 05, 2006

Vickie has not shown any improvement for several weeks.

Monday, October 02, 2006

The new medication Vickie started on in August was to help her memory. It doesn’t seem to be giving any positive results.

Sunday, October 01, 2006

Vickie visited at a sister’s home this afternoon. She was able to eat a cheeseburger for dinner, something she doesn’t get to do at her current residence.

Saturday, September 30, 2006

Vickie’s condition has not improved noticeably for some time now. Despite new medications she is exhibiting the same behaviors she had several months ago.

Wednesday, September 27, 2006

The operators of the home where Vickie is now staying have installed closed circuit television cameras in the resident’s rooms. The cameras are to monitor the residents and activities in the rooms. Visitors should be aware of the surveillance. For privacy the cameras can be temporarily covered.

Saturday, September 23, 2006

Vickie’s infection will be treated with another anti-biotic. She still seems, as much as can be expected, to be in good spirits.

Thursday, September 21, 2006

We are still waiting for the lab results to see if Vickie has another infection. She doesn’t show any overt signs of distress so it’s hard to tell.

Tuesday, September 19, 2006

Vickie showed no change today.

Monday, September 18, 2006

Vickie was quiet today, she may have another infection. We should know in a few days.

Sunday, September 17, 2006

Vickie visited at a sister’s home this afternoon.

Saturday, September 16, 2006

There have been no changes or improvements in Vickie’s condition during the last few days.

Monday, September 11, 2006

Vickie did well today. There may be a slight improvement in her memory but it’s difficult to be sure.
We are having some problems with her meals and feeding but hopefully they can be resolved.

Sunday, September 10, 2006

This evening Vickie wanted to know what year it was and how long she had been where she is now. She wasn’t able to resolve the difference in the last years in relationship to what she could remember.

Friday, September 08, 2006

Vickie’s foster home caregiver is an ardent believer in organic healthy food. She eschews processed and junk food. Caregiver probably would have disapproved of Vickie eating a Burger King hamburger and French fries this evening while staying at home overnight. Dessert was a chocolate pie brought by Vickie’s brother-in-law.

Thursday, September 07, 2006

Vickie’s behavior has taken a new but somewhat negative turn. At times she believes she hears voices telling her to do non-sensible things. Otherwise there are no significant changes.

Wednesday, September 06, 2006

Vickie had a fairly good day. With some cooperation, menu wise, from the caregiver her appetite was better.

Tuesday, September 05, 2006

Vickie kept her Dr. appointment this afternoon. The Neurologist was impressed with Vickie’s improved demeanor. She will start a new medication for the purpose of increasing her cognitive ability.

Monday, September 04, 2006

This morning Daughter-in-law gave Vickie a spiffy hair trim.
The overnight stay went well. We will probably do more home visits since there were no problems.
Vickie returned to her residence after noon.

Sunday, September 03, 2006

Vickie was able to attend a family gathering at a niece’s this evening. She liked the cake and homemade ice-cream.
After the get-together Vickie returned to her home for the first time in a month. She will stay over night before returning to her foster-care residence in the morning.

Thursday, August 31, 2006

There were no apparent changes in Vickie’s behavior today.

Tuesday, August 29, 2006

No improvements today for Vickie.

Sunday, August 27, 2006

After spending some time at a sister’s this afternoon Vickie returned to her current residence.
This evening she had a visit with a nurse for the purpose of a quick physical check up. Vickie was cooperative and very responsive with appropriate answers to the questions posed by the nurse.

Saturday, August 26, 2006

There were no new developments in Vickie’s condition today.

Wednesday, August 23, 2006

Vickie has a slight fever this evening, possibly an infection returning. Tests tomorrow will help determine the cause.

Sunday, August 20, 2006

Vickie visited at a sister’s this afternoon for the first time since she has been in her new home.

Saturday, August 19, 2006

Although Vickie still exhibits obsessive habits as she has in the past, she will acknowledge anyone in the room and engage in a rudimentary conversation.

Friday, August 18, 2006

No change in Vickie’s condition or behavior today.

Thursday, August 17, 2006

Vickie’s demeanor has become calmer in the last two weeks. She seems more aware and responsive.

Tuesday, August 15, 2006

It appears Vickie is receiving excellent care in the adult foster home. The decision has been made to have her stay there permanently. If her condition or other circumstances change then the situation will be reevaluated.

Monday, August 14, 2006

There were no significant changes in Vickie’s condition today.

Saturday, August 12, 2006

Since Vickie has spent almost all of her time indoors the last two years, her pale complexion was no match for the summer sun. She now has her first sunburn in several years after being outside for a short period of time this afternoon.

Thursday, August 10, 2006

Vickie is still maintaining her new improved condition. She is more alert and will comment on things going on around her.

Wednesday, August 09, 2006

Vickie’s appetite is still very good although the East European style food that is often served is not always to her liking. There also is an emphasis on health food that she is not used to.

Tuesday, August 08, 2006

While Vickie still exhibits some of the negative behaviors from before last week there is definitely a difference. Mostly it’s in her ability to converse while doing the obsessive motions she has displayed so often in the past.

Monday, August 07, 2006

Vickie’s condition seems to have stabilized. She continues to eat her meals and will interact with others on a limited basis.
She appears to be comfortable in her new surroundings and cooperates with her new caregiver.

Sunday, August 06, 2006

Vickie had plenty of visitors today to entertain.
She is maintaining her overall improved condition. Still eating her meals and staying somewhat alert to others.

Saturday, August 05, 2006

Vickie was discharged from the hospital this morning. Instead of returning to her home she went to a private foster care home a short distance away. She will stay there for several weeks.
It’s difficult to determine the reason but Vickie’s demeanor seems to have improved in the last two days. Her appetite has improved along with an increase in her sense of self-awareness. She is talking more and remarking on her own situation.

Friday, August 04, 2006

Vickie remains at LM.H.MC. Friday night. A change in medication seems to already be producing positive results. This evening she was talkative and calmer than she has been for some time. She ate her hospital dinner and would have eaten more if it were available.

Thursday, August 03, 2006

A serious misjudgment by this caregiver concerning Vickie’s medication probably led to the seizure she suffered today. She will stay at L.M.H. MC where she is in stable condition,at least into Friday.

Wednesday, August 02, 2006

The situation with Vickie has not been going well this last week.

Tuesday, August 01, 2006

There still is no change in Vickie’s behavior.

Monday, July 31, 2006

Vickie showed little or no improvement today.

Sunday, July 30, 2006

Vickie’s condition was unchanged.

Saturday, July 29, 2006

Vickie was a little better today. She ate a little in the morning and more later on. She managed to stay alert much of the day.

Friday, July 28, 2006

Another not so good day. Vickie ate some in the afternoon but not later in the evening.

Thursday, July 27, 2006

Vickie was quiet during the day and refused to eat. This evening while attending a family event at a sister’s she regained her appetite.

Wednesday, July 26, 2006

Vickie is again having trouble sleeping at night. She is not active during the day and has no appetite.

Monday, July 24, 2006

Vickie was lethargic again today. The new medication may be responsible.

Sunday, July 23, 2006

Vickie was very listless today.

Saturday, July 22, 2006

Vickie was withdrawn and not very responsive today.

Friday, July 21, 2006

Vickie was quiet today with little appetite.

Thursday, July 20, 2006

There seems to be some subtle improvements in Vickie’s behavior. Some significant changes have been made concerning her medications. It’s probably to soon to be sure if there is a connection.

Wednesday, July 19, 2006

Vickie’s condition didn’t change today.

Tuesday, July 18, 2006

A rather good day for Vickie, ate some late lunch and a little dinner. The frantic episodes have diminished, not as often and less intense.

Sunday, July 16, 2006

Again today Vickie was very listless during most of the day. In the evening she was more alert and able to have some dinner.

Saturday, July 15, 2006

Vickie returned to her regular routine, withdrawn in the early part of the day and more interactive in the evening.

Friday, July 14, 2006

There were no changes in Vickie's situation today.

Thursday, July 13, 2006

Today Vickie reversed course, having a relatively early breakfast and later eating lunch. She turned down a home cooked dinner provided by a sister this evening.

Wednesday, July 12, 2006

Vickie’s condition and behavior continues to evolve. She now sleeps late in the morning, refusing to eat before noon and then making up for it much later in the day.

Tuesday, July 11, 2006

A sister brought Vickie to her house this evening and provided Chinese food. Vickie couldn’t eat much at the time preferring to talk constantly. Later in the evening after returning home, she relaxed and was able to finish eating her meal.

Monday, July 10, 2006

Vickie had a reasonably good day; she is eating more and showing less anxiety.

Sunday, July 09, 2006

Vickie visited at a sister’s this afternoon. She had dinner before returning home in her handicap-adapted van that was recently purchased.

Saturday, July 08, 2006

Vickie enjoyed visiting with relatives during a family gathering at a sister’s this afternoon.

Friday, July 07, 2006

No changes for Vickie today.

Thursday, July 06, 2006

A sister brought Vickie pizza and salad for dinner.

Wednesday, July 05, 2006

The pattern of behavior Vickie has exhibited for several weeks now continues. The coherent periods might be getting better, time will tell.

Tuesday, July 04, 2006

Another typical day for Vickie. Mild anxiety episodes in the morning and more calm as the afternoon progresses. In the evening she will eat all that is provided.

Monday, July 03, 2006

Vickie refuses to eat before the middle of the day now. Six months ago she would almost always have some breakfast.
Later in the day she usually has a good appetite. A sister brought dinner this afternoon and Vickie cleaned her plate and requested more.

Sunday, July 02, 2006

Vickie enjoyed a free dinner while visiting at a sister’s home this afternoon.

Saturday, July 01, 2006

Vickie was quiet most of the day, finally developing an appetite late in the evening.

Friday, June 30, 2006

Vickie was a little better today.

Thursday, June 29, 2006

For reasons unknown Vickie seems to have lost her appetite today.

Wednesday, June 28, 2006

Another relatively good day for Vickie. Quiet, but with only a few of the troubling moods she has had for months.

Tuesday, June 27, 2006

Vickie’s episodes are less frequent and less severe now. With more coherent times her appetite is improving.

Monday, June 26, 2006

Vickie continues to do better. She is eating more meals on her own, so the supplement food by tube procedure is needed less often.

Sunday, June 25, 2006

Vickie visited at a sister’s home this afternoon. She was treated to a nice early dinner, which she ate heartily.

Saturday, June 24, 2006

Vickie accepted an invitation for dinner at a close friend’s this evening. The event was to celebrate the friend’s daughter’s college graduation.
Vickie was in good form, ate well and enjoyed the evening.

Thursday, June 22, 2006

Vickie’s appetite was a little better today. We are seeing a slowly improving situation now.

Wednesday, June 21, 2006

As the intensity of Vickie’s mood changes decrease, her ability to eat is starting to improve.

Tuesday, June 20, 2006

Although Vickie was quiet today she still managed to eat more of her meals than she usually does.

Monday, June 19, 2006

Vickie’s appetite seems to only be active in the evening now. This creates a problem getting her to take her medication in the morning.

Sunday, June 18, 2006

There were no changes in Vickie’s condition today.

Saturday, June 17, 2006

Vickie went back to her regular routine, only eating when she is in a calm and alert time, which is not often.

Friday, June 16, 2006

Today is a bittersweet anniversary. Two years ago today Vickie was stricken with the first of the devastating injuries to her brain. Although she has not recovered as much as we hoped she would, she is still making small increments of progress. Sometimes the improvements are so subtle we don’t notice until we take a look back and compare how things were before.

Thursday, June 15, 2006

Vickie was quiet this morning. She refused her breakfast but later in the day made up for the missed meal and then some.

Wednesday, June 14, 2006

Vickie ate her meals today, including dinner and treats brought to celebrate two of her sisters’ birthday later this week. No ready explanation for the change in behavior.

Tuesday, June 13, 2006

Vickie is refusing to eat during the day but will sometimes have some dinner as she did this evening.

Monday, June 12, 2006

Vickie didn’t have any appetite until the evening when she ate a small portion of her dinner.

Sunday, June 11, 2006

Vickie visited at two of her sister’s homes this afternoon. She finagled dinner before returning home.

Saturday, June 10, 2006

Vickie was the same today as she has been for some time now.

Friday, June 09, 2006

Vickie is still not eating much of her meals. She continues to rely on dietary supplements for nourishment.

Thursday, June 08, 2006

There were no changes in Vickie’s condition today.

Wednesday, June 07, 2006

Vickie has an appetite when she is in a good mood, which happens briefly and only a few times during the day. Consequently she doesn’t eat very much on her own so she receives nourishment by tube.

Tuesday, June 06, 2006

No changes today for Vickie.

Monday, June 05, 2006

Vickie was quiet again today, not much appetite until the evening.

Sunday, June 04, 2006

Vickie was at a sister’s early in the afternoon and then went to another sister’s home for dinner.

Saturday, June 03, 2006

Vickie continues to have good and poor times during the day.

Friday, June 02, 2006

Vickie remains in the pattern of alternating cycles of behavior. There seems to be some regressing despite changes in medications and dosages.

Thursday, June 01, 2006

Today was a repeat of the last few days for Vickie.

Wednesday, May 31, 2006

There was no improvement or change in Vickie’s condition today.

Tuesday, May 30, 2006

Vickie was very quiet today.

Monday, May 29, 2006

Vickie’s condition remains unchanged.

Sunday, May 28, 2006

Vickie had a good afternoon visiting at a sister’s.

Saturday, May 27, 2006

Vickie’s neurosurgeon, after reviewing the results from the scan performed a week ago, determined that there was no abnormality present as far a her shunt was concerned.
Vickie visited at a sister’s home this afternoon and was able to eat a fresh Salmon dinner.

Friday, May 26, 2006

Vickie’s appetite was a little better this evening.
One of her medications has had the dosage increased to see if it will help.

Thursday, May 25, 2006

Vickie was her usual self today, maybe a little more calm.

Wednesday, May 24, 2006

Another typical day for Vickie.

Tuesday, May 23, 2006

Vickie was quiet today.

Monday, May 22, 2006

Other than some intestinal distress Vickie had what has become a normal day.

Sunday, May 21, 2006

Vickie was a little better today but not enough to get overly encouraged.

Saturday, May 20, 2006

Vickie managed to be on her best behavior when friends visited and brought pizza and a delicious pie.

Friday, May 19, 2006

Vickie’s mood changes seem to be getting worse, with less coherent time.

Thursday, May 18, 2006

Vickie was withdrawn today, very quiet.

Wednesday, May 17, 2006

After being informed of Vickie’s regression, her original neurosurgeon decided she should have another scan to insure the new shunt was functioning properly. It has been six months since he checked it last.

Tuesday, May 16, 2006

No changes today for Vickie.

Monday, May 15, 2006

Vickie showed no signs of improvement today.

Sunday, May 14, 2006

Several of Vickie’s relatives have experienced nausea problems this weekend so she probably had the same illness. There were no further episodes so it might be done.

Saturday, May 13, 2006

A bout of nausea this afternoon left Vickie in a very subdued state for the rest of the day. She seemed to recover somewhat in the evening.

Friday, May 12, 2006

Vickie was quiet most of the afternoon. No obvious change in her condition.

Thursday, May 11, 2006

This morning Friends and relatives were able to visit briefly with Vickie while attending the service for her sister.
Vickie kept her appointment with her neurologist this afternoon. A new medication was prescribed to treat the behavior changes.

Wednesday, May 10, 2006

There were no apparent improvements in Vickie’s condition today.

Tuesday, May 09, 2006

Vickie had several relatives visit this evening as part of the preparation for the service for her sister later in the week.

Monday, May 08, 2006

Vickie’s condition was unchanged today.
A tragedy has occurred in Vickie's family. Vickie's next older sister was hospitalized last week for serious medical problems. Over the weekend her condition rapidly deteriorated. Life support was removed Sunday evening. She passed away early Monday morning.

Sunday, May 07, 2006

Vickie slept late this morning and was rather quiet all day.

Saturday, May 06, 2006

There was no improvement or change in Vickie’s condition today.

Friday, May 05, 2006

Vickie’s Dr. was concerned that she may have kidney problems associated with the ongoing infection. The test administered this morning alleviated those fears.
However, Vickie will need additional help daily to drain her bladder, the probable source of the infection.

Thursday, May 04, 2006

A medical exam this afternoon showed what might be responsible for the recurring infection Vickie has been plagued with for many months. Tomorrow a more comprehensive and invasive exam will try to pinpoint the problem.

Wednesday, May 03, 2006

Vickie’s anxiety times are shorter and not as intense as they were previously.
She is quiet for long periods of time.

Monday, May 01, 2006

Vickie appears to be a little more tranquil now. Her moods shifts continue but are less pronounced. Her appetite is much better when she is relaxed.

Friday, April 28, 2006

Today the different episodes that Vickie experiences seemed to be less severe.

Thursday, April 27, 2006

Vickie went to a sister’s home for dinner this evening. She did her best to be a good visitor.

Wednesday, April 26, 2006

There were no changes or improvements in Vickie’s condition today.

Tuesday, April 25, 2006

We still are unable to persuade Vickie to eat all of her meals.

Monday, April 24, 2006

Vickie had another regular day. The different phases continue.

Sunday, April 23, 2006

Vickie stayed overnight at a sister’s home and then spent Sunday afternoon at another sister’s.

Friday, April 21, 2006

The daily roller coaster ride continues for Vickie. The anxiety times seem to be getting shorter and a little less intense, but there’s no indication that they will go away.

Thursday, April 20, 2006

A quiet day for Vickie. She finished her dinner again this evening although she waited until just before her bedtime to get the job done.

Wednesday, April 19, 2006

Vickie ate her dinner tonight, the first time in a while. The trick is having the meal when she is not anxious or excessively down.

Tuesday, April 18, 2006

Vickie was quiet much of the day. While she is in her relaxed time she has a good appetite.

Monday, April 17, 2006

Vickie’s appetite was a little better today. She still experiences the different behavior moods.

Sunday, April 16, 2006

Vickie spent the afternoon with another sister today. There was no significant change in her behavior.

Saturday, April 15, 2006

Vickie had a good visit at a sister’s this afternoon before returning home in the evening.

Friday, April 14, 2006

Although Vickie accepted an dinner invitation from a close friend she was unable to eat much of a very good meal.

Thursday, April 13, 2006

The anxiety episodes Vickie has been experiencing have not diminished in duration but seem to be less severe.

Wednesday, April 12, 2006

The routine Vickie now has still is unchanged.

Tuesday, April 11, 2006

Vickie showed no signs of improvement today.

Monday, April 10, 2006

Vickie’s condition remains unchanged.

Sunday, April 09, 2006

Vickie stayed overnight at a sister’s home. All went well.

Friday, April 07, 2006

Vickie’s condition continues as it has for the last week or so. The intensity of her anxiety periods is not as severe and the duration is shorter. Sometimes the interaction with whoever is with her at the time can have a beneficial effect and alter the situation somewhat.

Thursday, April 06, 2006

No change or improvement today in Vickie's condition today.

Wednesday, April 05, 2006

Vickie’s anxiety episodes appeared to be less pronounced today. Not sure why, possibly the new medication or it just happens.

Tuesday, April 04, 2006

Another quiet day for Vickie.

Monday, April 03, 2006

Vickie seems to be less intense during her stress times. She displays more emotion now than she has before. Maybe things are improving slowly, but it’s to soon to be sure.

Sunday, April 02, 2006

Vickie was very quiet today. Her mood changes don’t seem as severe as they have been previously. She has lost much of her appetite so she is being fed thru her tube again.

Saturday, April 01, 2006

Vickie was her usual self today while visiting a sister during the afternoon.

Friday, March 31, 2006

Vickie was more or less the same today.

Thursday, March 30, 2006

Vickie kept her appointment with the Neurologist this afternoon. The tests from a week ago showed no indication of a cause for her behavior problems.
A change of medication was prescribed.

Wednesday, March 29, 2006

Vickie visited another Dr. today, still trying to find an answer to the recurring infection. A new anti-biotic was prescribed. More tests and exams will be done.

Tuesday, March 28, 2006

Vickie’s condition was unchanged today.

Monday, March 27, 2006

Vickie was very quiet today. She was unable to eat her meals or drink any liquids.

Sunday, March 26, 2006

Vickie stayed with a sister this weekend. Now the three sisters have all had an opportunity to have her overnight. Vickie’s on again–off again behavior pattern hasn’t changed.

Friday, March 24, 2006

Vickie continues to have her up and down times during the day.

Thursday, March 23, 2006

No changes today for Vickie.

Wednesday, March 22, 2006

After examining her x-rays, the Dr. concluded that Vickie’s shoulder injury was not healing properly and might even be worse now. A new method for protecting her shoulder will have to be implemented.

Tuesday, March 21, 2006

Vickie had one more day without any improvement or change.

Monday, March 20, 2006

Another Dr. visit today resulted in more anti-biotic for Vickie. Also a follow up x-ray to determine if the shoulder injury is healing properly.

Sunday, March 19, 2006

Vickie stayed at a sister’s Saturday night. Hopefully the different environment and routine were beneficial.

Friday, March 17, 2006

Vickie traveled to MHMC today for an EEG. Her neurologist is seeking a possible cause for her ongoing anxiety episodes. The test went well and we should know soon if it shows any connection with her problems.

Thursday, March 16, 2006

The off and on behavior continues. Vickie’s anxiety episodes might be not as severe as they were previously or maybe we are adjusting to them.

Wednesday, March 15, 2006

Vickie had another typical day with no apparent changes.

Tuesday, March 14, 2006

A normal day for Vickie. At times she was very alert and aware, in between those times she experiences periods of considerable stress.

Monday, March 13, 2006

Vickie showed no sign of improvement today.

Sunday, March 12, 2006

For the first time in over a year, Vickie was able to spend the night away from home somewhere other than a medical facility. She stayed overnight at a sister’s and all went well, at least as good as could be expected.

Friday, March 10, 2006

There were no changes in Vickie's condition today.

Thursday, March 09, 2006

Another, what has become a typical day with off and on times. Vickie will eat one meal with gusto and then be unable to eat the next.

Wednesday, March 08, 2006

When Vickie is in a more tranquil mood she can be remarkably aware of what’s going on. She has asked some very pointed questions about her medical condition, something she has rarely done before.

Tuesday, March 07, 2006

Vickie seems to be in a coherent state about half of the time, the remainder of time she is very agitated and complains of pain constantly. The pain is not relieved by any pain medication. She often experiences the anxiety episodes in the early evening; consequently she ends up not eating her dinner.

Monday, March 06, 2006

Vickie showed no signs of improvement today.

Sunday, March 05, 2006

Vickie was able to spend time at a sister’s home this afternoon.
There were no changes in her condition.

Saturday, March 04, 2006

Vickie had a pleasant time visiting at a sister’s today.

The ever-present anxiety episodes seem to be a regular part of Vickie’s day now. They last for several hours, come and go without apparent reason. They are almost more stressful for the care givers than they are for her.

Friday, March 03, 2006

Vickie had some good moments today interspersed with times when she complains of pain constantly.

Thursday, March 02, 2006

Vickie showed no signs of improvement today.

Wednesday, March 01, 2006

Vickie’s Dr. decided she will no longer take the prescription blood thinner. She is still taking anti-inflammatory and anti-biotic medication.

Tuesday, February 28, 2006

Another up and down day for Vickie. She ate her meals with little prompting.

Monday, February 27, 2006

Vickie’s status remains unchanged.

Sunday, February 26, 2006

Despite the ongoing periods of distress, Vickie's day was good.

Saturday, February 25, 2006

It was somewhat better today for Vickie. She ate her breakfast and dinner. She still had pain and anxiety episodes during the day.

Friday, February 24, 2006

Vickie was unable to eat her meals so she received nourishment thru the tube today.

Thursday, February 23, 2006

Vickie was a little better today. Her pain episodes are for shorter time periods and are less intense.

Wednesday, February 22, 2006

Vickie’s condition didn’t seem to improve today. The shoulder pain is still apparent when she is moved.

Tuesday, February 21, 2006

Yesterday’s x-rays showed that Vickie has a fracture in her shoulder. To prevent further injury extra care will be needed when moving her.

Monday, February 20, 2006

Because of her repeated complaints of severe pain, Vickie had tests and x-ray work this afternoon. A drastic change will be made concerning her medications until a cause of the pain is determined.

Sunday, February 19, 2006

Vickie's day started well. In the afternoon she lapsed into her anxiety mode and was not a very good guest at her sister's home.

One year ago today, Vickie returned to her home for a single night stay for the purpose of determining if her caregivers would be able to take care of her away from the hospital setting.

Saturday, February 18, 2006

Another typical day for Vickie. Sometimes up and other times no so much.

Friday, February 17, 2006

Vickie was treated to a nice dinner at a friend’s home this evening. She was in a good mood during the meal.

Thursday, February 16, 2006

Vickie had what has become a normal day with some lucid moments and times when things were not so good.

Wednesday, February 15, 2006

Vickie was in fairly good spirits today. On several occasions she lapsed in to her anxious state but not for long periods of time. Sometimes a distraction can bring her back around.

Tuesday, February 14, 2006

Vickie continues in her up and down condition. No noticeable improvement today.

Monday, February 13, 2006

For the last two weeks or so Vickie’s behavior has been, at best erratic. Times of unusual coherency interspersed with episodes of anxiety, in which she refuses to eat or relate appropriately to those around her. This morning followed the regular pattern in that she wasn’t able to eat breakfast. This evening Vickie was talkative, much more than normal, had a good dinner and made remarks that indicated she was beginning to be more aware of her situation.

Sunday, February 12, 2006

Vickie’s appetite increased a little today but not enough to eliminate the tube feeding.
She spent the afternoon of both weekend days at her sisters’ homes.

Saturday, February 11, 2006

Vickie continues to experience repeated agitation episodes. She is unable to feed herself enough to maintain proper nourishment; so she is being fed liquid food thru her gastro tube.

Friday, February 10, 2006

Vickie’s condition remains the same. There were no improvements today.

Thursday, February 09, 2006

There were no significant changes in Vickie’s situation today.

Wednesday, February 08, 2006

Vickie’s condition changed very little today other than the negative episodes were less intense than in previous days.

Tuesday, February 07, 2006

Today Vickie seems to be cycling between an unusually high level of alertness and then to a subdued frenzy where she repeats the some complaints for hours at a time. The change in her behavior happens suddenly and without an apparent reason.

Monday, February 06, 2006

All went well with the tube procedure this afternoon. Vickie probably won’t notice much difference but her caregivers will find the new improved one makes it easier to dress and move her without the tube hanging out and getting in the way.
Vickie is having more times when she is very alert and responsive. She can regress at other times, which can be disheartening for those around her.

Sunday, February 05, 2006

This afternoon Vickie went with one sister to visit another sister who had surgery last week.
In the morning Vickie will travel to MHMC to have her gastro tube replaced.
She has the same one since her original hospitalization in June of 2004. It is suspected to be a possible site of infection.

Saturday, February 04, 2006

After spending the afternoon at a sister’s home Vickie was treated to a nice dinner. She was good company this evening.

Friday, February 03, 2006

This evening, for the first time in a while, Vickie was able to dine out with old friends.
The Dr. believes Vickie has another infection, so a new anti-biotic was prescribed. It never ends.

Thursday, February 02, 2006

A good day for Vickie.

Wednesday, February 01, 2006

A visit from a grandson brightened Vickie’s day. A sister brought dinner this evening.

Tuesday, January 31, 2006

Vickie had another pleasant day. A sister brought her a nice dinner.
It’s been one year since Vickie left the skilled nursing facility for the last time. January 31st of 2005 she went to the R.I.O. for therapy, which was intended to ease the transition of returning home to stay. The therapy, like every other task she attempted, was disrupted by the ever-present nausea episodes. That problem has been entirely absent for six months. Some of the things Vickie did a year ago that we considered remarkable then are now ordinary everyday events not deemed noteworthy.

Monday, January 30, 2006

Vickie had a quiet day with no new or serious problems.

Sunday, January 29, 2006

Spending the afternoon at another sister's home today Vickie hit the trifecta with her third free dinner in a row.

Saturday, January 28, 2006

Vickie scored another free dinner after spending the afternoon with a sister.

Friday, January 27, 2006

Vickie visited a sister’s home this evening, a free dinner was included and all went well.

Thursday, January 26, 2006

There was no noticeable change in Vickie’s situation today.

Tuesday, January 24, 2006

Just a fairly normal day for Vickie.

Monday, January 23, 2006

Vickie’s blood thinner level was back in the acceptable range, tests showed today. A possible reaction with a vitamin supplement might have been the cause of the previous dangerous reading.

Sunday, January 22, 2006

Vickie paid a visit to a sister’s this afternoon, had dinner before returning home.

Saturday, January 21, 2006

Vickie ate well today; she especially enjoyed her Mexican take-out dinner this evening.
No other changes or improvements were apparent.

Friday, January 20, 2006

There was no noticeable improvement in Vickie’s condition today.

Thursday, January 19, 2006

The new medication Vickie started taking this week doesn’t seem to be helping. There also appears to be some minor negative side affects, but it might be coincidence. We will wait a few more days for the desired results to materialize before making a decision whether or not to continue with this drug.

Wednesday, January 18, 2006

Vickie was quiet today, not feeling her best.

Tuesday, January 17, 2006

There were no apparent changes in Vickie’s condition today, which is probably a good thing.

Monday, January 16, 2006

Vickie’s neuro-surgeon determined from scans taken today that the shunt inserted in December is now doing its job properly.
Vickie will begin taking a new medication to alleviate the neck pain she constantly complains of.
The appetite is still good.

Sunday, January 15, 2006

Vickie’s appetite returned today as if nothing had happened. It’s possible the surprisingly elevated blood thinner status could be responsible. We might have a better idea after a few more days when the level drops below the preferred limit. Sometimes fixing one problem creates another.

Saturday, January 14, 2006

Over the last few days, for reasons unknown Vickie’s appetite has gone away. She seems to be withdrawing again as she has in the past.

Friday, January 13, 2006

A routine test showed an unexpected problem. Vickie’s medication will be adjusted and she will be rechecked in a week.

Thursday, January 12, 2006

Vickie’s condition was unchanged today.

Wednesday, January 11, 2006

Vickie seems to be staying at a constant level, without any serious problems.

Tuesday, January 10, 2006

No apparent changes in Vickie's behavior or condition today.

Monday, January 09, 2006

Vickie had a good day, still without any serious problems. The absence of the previous medical issues is starting to be taken for granted.

Sunday, January 08, 2006

A visit from a close friend and then off to spend the afternoon with a sister made a good Sunday for Vickie.

Saturday, January 07, 2006

Vickie spent the afternoon with a sister. Some quality TV watching and dinner before returning home. All is going as well as could be expected for now.

Friday, January 06, 2006

Sleeping, eating and listening to her music makes up Vickie’s day now.

Thursday, January 05, 2006

Vickie is keeping with her regular routine. No serious problems to contend with for now.

Wednesday, January 04, 2006

Another normal day for Vickie.

Tuesday, January 03, 2006

Vickie’s appetite is still very good. The persistent infection is not causing symptoms that seriously hinder her behavior.

Monday, January 02, 2006

Vickie seems to have established a routine of having a good breakfast and snacking thru the afternoon until dinnertime. She spent the afternoon at a sister’s and wangled a free dinner before returning to her own home.

Sunday, January 01, 2006

Vickie spent the afternoon at the home of friends and former neighbors for an annual New Years Day get-together. She ate her share of goodies and visited with friends who hadn’t seen her for quite a while.

comments