So, we're on day 11 of phosp stay 3 and here's where we stand: the new pdoc think's M problems are caused by anxiety, so he started M on an SSRI (Celexa) a week ago (last Tuesday). My concern with an SSRI is that he'll go manic, but I've got my fingers crossed that it's really just anxiety like the good Dr thinks. He was supposed to come off of the Strattera, but for some reason, he's still taking it. No idea why?
We've been fighting for psych testing (specifically with a Neuropsych) since admit #1 back in March, but the problem is that the Hospital doesn't do testing because Insurance pays them under one big balloon payment and they don't have anyone on staff that does testing and we can't get M stable and out of the phosp long enough to do any testing outside of the hosp! So, after much complaining, they have asked our Insurance company if they would pay to bring in a Neuropsych while M is inpatient and they said YES! Now, the one thing we are crossing our fingers on is waiting to hear that the Neuropsych has agreed to come in and do the testing.
As far as discharge plans go, we don't have anything set yet because we don't yet have any discharge date in mind. The big battle however, is getting M to school...his new school. So, the tentative discharge plan is that M will be discharged early in the AM to leave directly for school so that staff can assist in prepping him to be physically and mentally ready to go so he's not raging at home. Then, if he loses it, he is to be immediately re-admitted. The downside to this plan is that he is currently admitted under our old insurance plan ($250 co-pay) and will be re-admitted under our new insurance which is a 10% co-pay! YIKES!
Current Meds:
Strattera: 25 mg bid
Celexa: 10 mg at 8 am
Seroquel: 100 mg at 8 am
150 mg at 8 pm
PRN's:
Benadryl: 25 mg for agitation or insomnia
MiraLax: 17 g packet for constipation
Tylenol: 325 mg for headache
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