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.

Vickie was more or less the same today.

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.

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.

Vickie’s condition was unchanged today.

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

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.

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

No changes today for Vickie.

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.

Vickie had one more day without any improvement or change.

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.

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

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.

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.

Vickie had another typical day with no apparent changes.

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

Vickie showed no sign of improvement today.

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.

There were no changes in Vickie's condition today.

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.

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.

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.

Vickie showed no signs of improvement today.

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

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.

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

Vickie showed no signs of improvement today.

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