There were no changes in Vickie's situation today.

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.

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.

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.

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

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

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

No changes for Vickie today.

A sister brought Vickie pizza and salad for dinner.

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

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.

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.

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

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

Vickie was a little better today.

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

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

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

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

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

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.

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

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

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

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.

There were no changes in Vickie’s condition today.

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

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.

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

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.

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

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

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

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

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

There were no changes in Vickie’s condition today.

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.

No changes today for Vickie.

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

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

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

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

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

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

Vickie was very quiet today.

Vickie’s condition remains unchanged.

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

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.

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

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

Another typical day for Vickie.

Vickie was quiet today.

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

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

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

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

Vickie was withdrawn today, very quiet.

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.

No changes today for Vickie.

Vickie showed no signs of improvement today.

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.

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.

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

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.

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

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

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.

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

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

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.

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.

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

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.

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

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

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

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

Vickie had another regular day. The different phases continue.

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

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.

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.

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.

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

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

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

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

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

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

The routine Vickie now has still is unchanged.

Vickie showed no signs of improvement today.

Vickie’s condition remains unchanged.

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

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.

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

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

Another quiet day for Vickie.

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.

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.

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