Despite the ongoing erratic sleep pattern, Vickie was more alert today than she has been for some time. Her appetite seems to be coming back ever so slightly. A change in medication might be responsible, it's to soon to be sure.

Vickie's day was disrupted by more nausea episodes without any known cause. They seem to have gone away this evening, hopefully she can get thru the night peacefully.

Vickie had an uneventful day without any new problems.

Vickie made a trip to Good Sam Hosp. today for an appointment to see the Dr. that performed the initial surgery last June. We needed to be sure there were no problems with the drain tubes he had inserted. After reviewing the latest scans, he believes everything is as it should be.
This is the surgeon we credit with saving Vickie's life June 16th. of last year.

As Vickie begins the twelfth month of recovery her condition continues to deteriorate. She seems to have little energy or enthusiasm.

Vickie continues to be very listless, sleeping much of the day. Since she is not very alert she is unable to eat very much of her meals so she is now being supplied nourishment thru her feeding tube.

Vickie was very lethargic today, she doesn't seem to have any energy. A nausea episode this evening didn't help. Maybe tomorrow she will get back to her regular self.

Vickie was able to spend some time outdoors today to enjoy the nice weather. She also made a short trip out this evening to have a Chinese food dinner. She doesn't seem to have any trouble traveling now, no problems with motion sickness have occurred.

Other than her disorganized sleep schedule Vickie had another good day.

Vickie still has her sleep schedule reversed from day to night. No other problems that are apparent.

Vickie's condition seems to have reached a plateau, in that the improvements are barely perceptible and as long as there are no serious problems she doesn't appear to lose any ground.

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

Vickie had another pleasant day with no extra problems.

Vickie spent a lot of time sleeping today. No other negative issues were apparent.

Vickie continues to have her sleep times reversed from day to night. When she is awake during the day she seems groggy and not so alert. Medication doesn't seem to help.

Vickie had a pleasant day with no serious problems.

The idea that we had a solution to Vickie's nighttime insomnia was premature. She continues to awaken in the middle of the night and finds it difficult to go back to sleep until daytime when she is exhausted.

Vickie was quiet but awake most of the day. She is taking a new medication that hopefully will help her to sleep at night, so far it seems to be working.

A sudden bout of the dreaded nausea early in the morning caused Vickie to spend most of the day in bed. Later this evening she was able to sit in her chair and have a lite dinner before returning to bed.

Vickie continues to sleep more than normal during the day. It's possible her new medication may be the cause, the dosage will be reduced to see if there is a change.