Vickie was very alert and interacting this evening. She filled several notebook pages with her shorthand notes. She is the only one who can decipher what she wrote. Much of it seemed to be repetitive but it’s still better than when she stares at the ceiling and refers to unseen people. She made several comments about the program on television so she was paying attention and trying to understand the subject matter. As she grew tired of the activity she returned to her more obsessive behavior.

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

This afternoon Vickie was slightly more alert and responsive. She even commented about a Mattress World commercial airing on TV. It’s unusual for her to show any signs of awareness about such things.

Vickie doesn’t show any noticeable improvement. At times she seems to be better but the duration is short.

Vickie’s obsessive times might be diminishing somewhat. It’s probably still to soon to say with any certainty. The hope is the new medication could help bring her back to the condition she was in nearly a year and a half ago.

Vickie seemed a little more responsive this evening than in recent evening visits. Whether it’s the result of the new medication or just happenstance is unclear.

Vickie kept her appointment with her Neurologist this afternoon. The results from the tests she took in December were inconclusive but indicated she probably wasn’t experiencing seizures on a regular basis.
Vickie will begin a medication, one she started in the spring of 2005 but was stopped abruptly because it was suspect, and incorrectly in the ongoing nausea problems she was having at that time.

It is difficult to provide an accurate assessment of Vickie’s condition when seeing her for a short period of time. It appears that when she is given a pain relief medication it has a calming effect that helps lessen the somewhat obsessive traits she displays. To observe this situation one needs to be present shortly after the medication is administered.

There have not been any improvements in Vickie's condition this last week. She seems to withdraw more into her imaginary world and pays less attention to what is happening around her.

Vickie seems to have recovered from whatever happened last week. Medication for infection has been restarted, not sure if there’s a connection.
Vickie might have been slightly more lucid this afternoon than she has been for some time.

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.

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

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

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.

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.

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.

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.

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.

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

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

Vickie’s condition has not changed.

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.

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.

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.

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.

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

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

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

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

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

Vickie has not shown any improvement for several weeks.

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

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.

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.

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.

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

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.

Vickie showed no change today.

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

Vickie visited at a sister’s home this afternoon.

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

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.

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.

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.

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.

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

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.

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.

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.

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

No improvements today for Vickie.

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.

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

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

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

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.

No change in Vickie’s condition or behavior today.

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

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.

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

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.

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

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.

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.

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.

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.

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.

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.

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.

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

There still is no change in Vickie’s behavior.

Vickie showed little or no improvement today.

Vickie’s condition was unchanged.

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.

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

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.

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

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

Vickie was very listless today.

Vickie was withdrawn and not very responsive today.

Vickie was quiet today with little appetite.

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.

Vickie’s condition didn’t change today.

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.

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

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

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.