good for you!
love
bobby

discontinue lithium, start tegretol 200mg twice a day. lab draw in 10 days see her again in 4 weeks.
I am happy to be getting off lithium..I am hoping that the tegretol dose does not need to be changed after the lab draw.

I looked on good rx and the new med is expensive compared to lithiums $4.
I will have to go to walmart to get the cheaper amount. It is $30 more expensive at my pharmacy. $75. ouch!
I hate going to walmart.
bizi

The east coast is so expensive!
I just booked a flight to rhode Island for my nephews graduation in May.
3 nights at a fairfield inn next to the airport and airfare totals :$1,356. OUCH!
and that is just for me. I will be traveling by myself.
and staying at the same hotel as my family.
So that is good. I guess I need to get him a graduation gift,
money I presume. How much is the going rate??
bizi

I think my pdoc called in tegretol reg instead of xr....
I will call in the morning....they may or may not be open because of the holiday.
bizi
I have not done my billing like I said I was going to do.
sigh

Question Bizi have you tried trileptal .. It's something you might consider if not.

hi donna,
I tried trileptal and ended up having a low sodium so had to quit.




got a better room rate of 486.98 instead of 709.64 so saved $222.66 the hotels are both at the air port. and my sister is staying there as well.
bizi

hi
no side effects from the tegretol. so that is good.
don't even know the right dose. am taking 200mg twice a day.

since monday.
I have been picking at my cuticles more so that is not good....maybe the nac is not working????
I am so behind in billing and charting over a months...sigh I need a good kick in the pants.
help!

have a great day y'all.
bizi

I ended up sending 40 bills out last night so will get paid soon.

Made a nice deposit, we would not have bounced a check

if I had made the deposit sooner. sigh
My avoidance of paper work....charting filing, new charts etc.

I also have been getting home later and later each night because I am spending so much time with my clients.

It is like I am dragging out the visit.
I talk alot and can't really talk and trim at the same time....

so I stop and then look directly at them. They talk too.
Most of my clients are hard of hearing so I speak loudly to them in general to all of them. So the one this morning tells me to quit shouting at her.
(I have been seeing her for years and she has never said that to me before)
I was shocked I did not realize that I was speaking that loudly to Mary.
I accidentally forgot my check she called and said she found it on the floor.
(I don't think that I dropped it, she did)

So I told her that I would stop by around 6 which would have given me plenty of time to see my 2:30pm couple, hubby and wife.

I was still there at 6pm that is 3 1/2 hours for 2 people. I apologized for talking so much.
I went back to Mary's at 6;30 to pick up the check said I was sorry to be late.....she said I was shouting again at her.
sigh
I think I might be running a bit hypo(and have been for some time).

I told Jeff tonight....he doesn't see it.
But I know my body best.
anyway, wanted to check in here....
I was on the computer too much before the mood stabilizer change to tegretol.

I am pretty sure she will raise the dose after I have a blood draw on the 30th.

I will also have my thyroid rechecked tsh t3,t4.
I am to see her in a couple of weeks.
heavy sigh
bizi

Can you hire somebody like a school kid to do your billing. It sounds as if you are on overload. That is short of funny about shouting. I wonder if she has a hearing aide.
Love
bobby

I see Mary at an expensive assisted living retirement home.
Her hearing is excellent in one ear much better than normal for her years and none in the other.
IT is interesting seeing her.
She is 86 years old and has bipolar1 disorder.
I have gotten used to her talking a mile a minute....she is a terrific reader, there are stacks of papers, books etc. they are on her couch but no where else. She really reads and then shares them with other residents. She is not a hoarder. I see her every 6 weeks and have seen her for years.

She has a pdoc that she sees regularly. She broke her lower denture and is having it repaired....is eating in her room and not happy about that. She is pretty social, dresses really nice hair make up etc. Wealthy family in order to live there, although the kids help her out with the rent there.


I guess I shared this in order for us to have hope that we will live to older age even though we have major mental health issues.
much love to all of you
bizi