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Rita You expressed the NH experience with confusion very well. Mel has always been confused with the slightest med change or environment. I finally gave up on vacations. Since NH placement Nov 13th, he has gradually improved but since his first 100 days are very soon up, he'll be moved off skill care if there is a room. Here we go again with a new room and room mate. Of course he has more confused moments than rational ones but we're managing pretty well now. The staff know him and he knows the routines pretty well. The flu really did him in recently and the chest muscles not doing a real good job with the coughing. He's a trouper tho as most parkies are. One thing his ND has never tried is the Clozaruil (sp??). Since the confusion is worse since last July with the change to mirapex, I plan to ask her on our next telephone conference. Mary CG for Mel 76/12