Prolonged Altered Mental Status - Very Concerned Daughter - Page 3

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Prolonged Altered Mental Status - Very Concerned Daughter - Page 3


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Old 01-22-2014, 00:47   #21
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One of your mom's meds caught my immediate attention. I had an ex-boyfriend/friend that's on Methylphenidate and has a horrible time with visual hallucinations. He refused to deal with the hallucinations and just made them a part of his life. It got so bad that I could no longer even bear to spend time with him. You really need to look at this drug. Hard.

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Old 01-22-2014, 01:11   #22
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As Shanny and Mary0110 pointed out, Methylphenidate could be the issue.
If not, the only other thing I would do is get a second opinion. Your story is similar to my Grandmother’s. Doctors couldn’t tell us much. Also said there were no signs of a stroke. She got dramatically worse, so we saw another doctor - he took another scan and said she had ANOTHER mini-stroke since her last scan. The other doctors didn’t mention this to us.

Edit: If your Mother is acting worse in the evening.. it might be Sundowner’s Syndrome.

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Old 01-22-2014, 01:30   #23
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Many thanks for the added info, Kate!

Definitely time to look at the meds! Another scan would also not be amiss, especially with the countinuing incidence of clots.

This is nothing like any diabetes-related brain-fog I've ever heard of.

The thing with medication side effects is, they're the last thing the docs look at (or, for some, the last thing they want to look at). We've run into various side-effect issues with several relatives, and it always seems to take extra nudging before our concerns are taken seriously.

My Best Thoughts are with you and your family. Please let us know how things are going!

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Old 01-22-2014, 02:03   #24
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Okay - this puts things in a whole new perspective. And why is she taking Ritalin?
That's what I wondered too Shanny. Why Ritalin?

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Old 01-22-2014, 02:34   #25
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I guess it's a stimulant, because last year when I was in the doldrums, doc tried it on me. But I only took it twice because it immediately caused nausea & vomiting. The dosage was twice a day, but I never even got to the second dose on the two days I tried it. Horrible drug - and they give this to children?!




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Old 01-22-2014, 02:48   #26
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Its real rare for someone to hit 900 and then drop down to normal readings. Something had to trigger it, the docs just have not found what did it. To me this is an issue that testing of some sort has to figure out. The medical field fails many times we just have to be persistent.

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Old 01-22-2014, 03:45   #27
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I guess it's a stimulant, because last year when I was in the doldrums, doc tried it on me. But I only took it twice because it immediately caused nausea & vomiting. The dosage was twice a day, but I never even got to the second dose on the two days I tried it. Horrible drug - and they give this to children?!
Well if a child is truly ADHD this will help them. If your not truly ADHD it will make you sick. My daughter was on Concerta (ER ritalin) when she was younger. It helped her immensely, I did a lot of research and had them extensively test her before I let them put her on it though. I didn't want it to be because some teacher said she couldn't sit still.

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Old 01-22-2014, 03:59   #28
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Kinda like me & my antidepressant . . . it's working because I'm depressed/angry and when I take it I'm not mad anymore.




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Old 01-22-2014, 04:01   #29
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Since you stated she has clots, sounds as if she is throwing clots or another way of saying that is she may have some clots traveling through her body. Does she have any side weakness, left or right? You can check her grips, have her squeeze your hand and see if they are the same, if not, that is one way to see if she has had a stroke. Any change in mental status, that is prolonged is neurological. Is she taking any type of blood thinners? Are her pupils the same size or any difference in either one? There are many questions to ask. I would get her to a ER/Neuro dr asap. Sounds more neurological, IMO. I had a mother who had a stroke and had mini strokes/seizures. Consult a MD ASAP

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Old 01-22-2014, 20:21   #30
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I worked for more than 7 years as a social worker in nursing homes that specialized in patients with dementia. I would tend to agree with the Dodie and others earlier who mentioned vascular dementia. With all the blood clots and issues she has it seems likely part of the brain is not receiving enough blood or was damaged from a stroke/clot (I read where you said earlier that they ruled that out... how?). Dementia patients normally begin losing present memories/current events first then move backwards in their confusion (the oldest memories are the last to go).

I can't remember if our patients were ever put on Ritalin, but often I felt they were put on too many meds which sometimes it seems made their confusion worse (as a social worker I was trying to look out for their well being, while the nursing side sometimes just wanted to sedate the patients wondering around and getting into things).

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Last edited by MFriend; 01-22-2014 at 20:31.
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