Adjustment of another
I updated Dr N via text on the second change of medicine by the public hospital and what happened following that: mum improved daily but still had blank look and slept a lot i.e. 8pm to 9am next day; slept after breakfast and after lunch. It was hard for her to comment without seeing my mum and so I made an appointment for my mum to meet her almost a week later (it was supposed to be a few days later but mum had flu and so it was postponed).
Meanwhile, I got to know that for the first time a proper psychiatric specialist (instead of medical officers) would see my mum at her next appointment at the public hospital. My dad overheard his name, Dr A, and so thought it should be Dr N's friend.
On the appointment date with Dr N:
(1) Mum was unhappy even before her previous appointment. This was news to me. Dad said she pretended to be happy. After the session, I advised her, via my dad, to tell us and the doctor in future of such feelings (as it could matter to the doctor's decision on whether to adjust medication). Dr N had always asked about her feelings.
(2) Mum was unhappy and worried about when she could recover ("get out of this condition").
(3) Mum hadn't been sleeping well, felt restless/agitated.
(4) Dr N said that one possible side effect of Olanzapine is agitation. She also revealed that in future, it's possible to do away with this anti-psychotic medicine and just be on the mood stabiliser medicine, Epilim.
(5) Reduced Olanzapine from 7.5mg to 5mg night. Retain Epilim 200mg twice daily and the increased (by the publich hospital) dosage of Alprazolam (0.5mg day, 1mg night) as it helps with the restless/agitated feeling effect of Olanzapine.
(6) Dr N would see mum again within a week as she wanted to assess the efficacy of this adjustment.
(7) After I assuaged mum's concern about cost of medicine, she stated that she preferred to follow Dr N's prescribed medication until she's stabilised. Meanwhile, we would update the public hospital and then shift back there once she's stabilised.
After the session, Dr N called Dr A and then confirmed with me, via text, that it would be Dr A attending mum at her next appointment at the public hospital. Dr N will write a letter at the next appointment.
Hope mum will recover well.
Meanwhile, I got to know that for the first time a proper psychiatric specialist (instead of medical officers) would see my mum at her next appointment at the public hospital. My dad overheard his name, Dr A, and so thought it should be Dr N's friend.
On the appointment date with Dr N:
(1) Mum was unhappy even before her previous appointment. This was news to me. Dad said she pretended to be happy. After the session, I advised her, via my dad, to tell us and the doctor in future of such feelings (as it could matter to the doctor's decision on whether to adjust medication). Dr N had always asked about her feelings.
(2) Mum was unhappy and worried about when she could recover ("get out of this condition").
(3) Mum hadn't been sleeping well, felt restless/agitated.
(4) Dr N said that one possible side effect of Olanzapine is agitation. She also revealed that in future, it's possible to do away with this anti-psychotic medicine and just be on the mood stabiliser medicine, Epilim.
(5) Reduced Olanzapine from 7.5mg to 5mg night. Retain Epilim 200mg twice daily and the increased (by the publich hospital) dosage of Alprazolam (0.5mg day, 1mg night) as it helps with the restless/agitated feeling effect of Olanzapine.
(6) Dr N would see mum again within a week as she wanted to assess the efficacy of this adjustment.
(7) After I assuaged mum's concern about cost of medicine, she stated that she preferred to follow Dr N's prescribed medication until she's stabilised. Meanwhile, we would update the public hospital and then shift back there once she's stabilised.
After the session, Dr N called Dr A and then confirmed with me, via text, that it would be Dr A attending mum at her next appointment at the public hospital. Dr N will write a letter at the next appointment.
Hope mum will recover well.
Comments
I had to massage my mum's body and feet every night with pure essential oils which made her sleep like a baby. It helped relieve her anxiety worries and stress away too which medication is unable to do naturally. I am not selling any MLM essential oils but they are really very good esp Lavender.