Let me first report that Mary did become more alert and awake Wednesday afternoon and evening. She ate a nice salad with steak dinner and stayed awake watching a netflix DVD so that is considerable progress.
I did reach the Ombudsman type person at the Cancer Center and that triggered a call from the oncology PA, Margareet. I explained what has transpired in the past several days and she was very concerned. Basically, we have a plan for Mary to be seen at the Cancer Center either Thursday or Friday depending on her progress today and tomorrow.
It appears that the unspoken assumption underlying the Oncologist blessing and sending Mary on her way at the end of Feb was that she would continue to get better. As that is not happening, we are now invited to contact the Oncologist's team to work the problem and instructed that is the default for Mary's care as a 'former' cancer patient. So now we have a plan to move forward working through the Oncology staff.
Margareet also explained that there is a way for our primary care physician to be more plugged in. I will work that issue as well.
Finally, Margareet is an RN, PA, et al and she said that pregabalin would likely put Mary in a sleepy state for the first 12 to 36 hours. Given that Mary became alert and stayed awake from mid-afternoon to late this evening, it appears Magareet is correct and we'll know more tomorrow.
Thursday, March 25, 2010
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