Wednesday, March 31, 2010
Lamotrigine 300 mg
Effexor XR 150 mg
Xanax --
taken 9:30
We didn't notice any activity in his sleep last night, but I was asleep waaaaaaayyyyy before he was this time. Wake up was fine -- the pain in his legs was much less than yesterday. Tolerable even. He was chatty today, no space-outs this morning, and the little technophobe actually email conversed with me at work this morning -- he must be doing a-okay. It appears the increase in lamotrigine may be doing him some good.
Also -- he told me that yesterday when he woke up, he had apparently bitten his cheek badly in his sleep. I need to remember to add that to his tuesday diary entry for the docs.
So the day was busier than he initially led me to believe. He had confusion from 9:30-11 -- described as forgetfulness... for example, he wanted his coffee but it wasn't on the coffee table, it was in the microwave for heating, but then he remembers going to the microwave to get the coffee, and he's staring into the open microwave, and the coffee is on the table. It was most intense at 9:30, then lessened over the course of the next hour and a half.
Throught out both the morning and afternoon he experienced pain in his right shoulder, and he would tilt and turn his head to his right shoulder, slowly at first then it ended with a little shiver, despite not being cold (tam bam -- I know you're familiar with this one).
From 3-5 his moods dipped with exhaustion, pain, and mild depression.
Forgetfulness ALL evening. I would tell him something, then have to tell him again five minutes later, then again five minutes later.
No headache though. yay! And leg pain was much, much less, which may also have contributed to his good mood.
Side note -- the last week or so, he's been dropping things alot. Several times a day every day. At the moment it's usually from his right hand. Also, he has bruising on his shin, scratches on his feet and legs, and a cut on his hand, and he has no idea what from. He says of all things, he'd remember the hand cut, because it's pretty deep, but can't seem to recall how he got it.
!0-15 minutes into sleep, he rubbed his nose with his right hand, and raised his left arm straight up into the air. I gently put it back down, but he didn't fully wake up when I did. About two minutes later, He raised his left arm and placed his hand, palm down onto his forhead, and rubbed his nose again with his right hand. I put his arm back down by his side. About two minutes later again, he placed his arm back on his forehead and rubbed his cheek with his right hand. I just left his arm there, because I figured if it suddenly falls, it's not going hurt in the way it would if it suddenly fell from being straight up (he's punched himself in the face before from that). It was still there when I fell asleep. I was just demonstrating to partner what he did in his sleep last night -- it was total "shoulda had a V8" move lol