On The Merry-Go-Round We Go!..Again.

Well, another appointment has come and gone. Another one minus his Case Manager. THIS time, due to a death in the family.

First of all, we talked about B.'s medications and his eating "habits" of BARELY eating. Especially since again, he has lost weight and is showing the visible signs of it.

So, the doctor and I have decided to cut back some on his Vyvanse by 20 mgs. I will be placing the contents of the entire capsule in to a glass of water, pour out 2 ounces of a 7 oz. glass, then have him drink the other 5 oz. of water to consume 50 mg. of the medicine. I should know in a couple of weeks of doing this if it was the right move.

As for the Seroquel and the Intuniv, they are staying at the same dose of 50 mg. and 2 mg. amounts.

If push comes to shove, I will strongly consider a drug that is used in cancer patients to induce hunger and the wanting to eat. This would hopefully counter the unwillingness to eat and help him gain his weight and proper amount of muscle mass back.

His spinning/walking backwards is apparently a compulsive problem. He does this a lot. Like in Sears and the mall, where he almost knocked some things over and almost hit in to people.

And I found out that the noises and the sniffling (constantly most times) is a couple of tics that he has developed. But I cannot say for certain that it is medication-induced, or brain-induced tics. I think that at the next appointment in April (or was that March?), I will ask about that.

Also, his nose bleeds have been more active.

The highlight to all of this? He hasn't been getting in to AS MUCH trouble in school as of late, with his behavior. Homework and attention? Still not that great. But we are working on it.

PYHO Wednesday With Shell.

It is time again for another harrowing episode of...Oh wait! This isn't a Daytime Drama. Then again, it IS "my" drama". Oh hell! Just know I am about to Pour My Heart Out with Shell over at Things I Can't Say.



*REMEMBER FOLKS!*

This Meme/Blog Carnival for many of us is an outlet. Especially for those of us that need a "safe haven" to vent in, away from those that would more wish to hurt us more, than to lend understanding and support. So, if you CANNOT say anything constructively if you DISAGREE, then I suggest you move on. Because believe you me, if Angel over at A Tall Drink Of Sweet Tea catches that you have been bad on the PYHO posts, it is HER that you will be answering to, via her "Flaming Redhead" Vlog.

Now onward...

Bryce had been "pre-authorized" via his insurance to be "Partially Hospitalized" for attending the Day Treatment Summer program this year. So, after playing the game "I wonder if she is EVER going to call" with the Case Manager (CM), I called HER and got the lovely line about how she was GOING TO call me "today". In other words she got caught with her pants down for dropping the proverbial ball.

We decided that I go over to the office to sign the paperwork on Thursday of last week. Now mind you, I had to be outside in the heat a majority of that day at school for their Field Day activities. Plus my husband worked an odd schedule from the norm, by working that day as well. So yes, to go in to the nice, air conditioned office across town later that day completely slipped my mind..All the way through until Sunday.

Today is Wednesday. And I guess that I will be (once again) the one to call HER about coming in TOMORROW for certain (on my husband's actual day off each week) to sign the papers as to officially let Bryce start on Monday at the camp.

You would think that seeing as the lady who is new to her profession of being a CM. would CALL and ensure that all is okay because we had missed an appointment to sign paperwork. Yes, I should have probably called her on Tuesday (being Monday was a holiday). But the last I heard, she gets PAID to do her job of MAKING CALLS to her various clients to check on them (at least) once a month.

What do you want to bet that when I call in about an hour, that she will use the line (again) about her planning on calling me later today. Whatever, lady!

I hate how my kid and the other kids under the care of these Case Managers get bounced around like a ball from one CM to another. They get used to a certain person. Some of them take a good while to get anywhere close to the person who has become the norm in their lives. Suddenly and most of the time, without warning, that CM is "taken away and replaced" with a new CM that the poor kid has to adjust to.

Personally, I find it sadly mishandled in that area. These kids THRIVE on stability, routine and closeness with those that they deem "fit" to be a part of their world.

I can understand getting promoted (as his last CM did). But to switch them as to "rotate" them with the clients of the agency? C'mon!

Oh, and I have YET to even hear a peep from the dumb woman in regards to trying to get Bryce back in to In-Home Therapy, which then YES, would switch him to a QUALIFIED in-home therapist and behavior specialist. I strongly feel it's time again. Needless to say, I bet you two to one, the bitch never "staffed" it with her boss, yet. Wouldn't surprise me in the least at this point.

He "Graduated"!! (Of Sorts)

Yesterday, Bryce had another medicine check appointment. But with his NEW (again) Case Manager tagging along.

We went through the usual jargon. How do I feel the levels are, how's he doing at home and at school. And how are the mood swings and yadda yadda.

After everything was hashed out like about the Accommodations problems with the school and about more Behavior Modifications at home and at school, and about upcoming Day Treatment Camp for the Summer, it was time to leave.

After I had picked up all THREE months worth of prescriptions (which to me felt funny), I said "so when are we coming back?". Well, my jaw hit the floor and I went bug eyed when I heard...

"Not for another three MONTHS (unless an emergency arises)".

This will be the longest length EVER for Bryce to be in between appointments. And this is a GOOD thing, seeing as it shows significant progress in his behaviors, struggles with his ODD, ADHD and his Mood Disorder. And it's a good sign that means the levels of dosages for his medications are right where they need to be.

So all in all, it was a pretty good appointment. I honestly could not ask for a better Psychiatrist for my son or other patients under his (the doctor's, of course) care. That man GENUINELY cares about the welfare of his pediatric patients AND their family unit (from siblings to the parents). And he NEVER disses an idea you give or gets huffy for saying "no" to a treatment or dosage change. He knows YOU are the parent and that indeed YOU as the parent, know YOUR child best.