-----Original Message-----
From: Charles T. Meyer, M.D. <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: Tuesday, July 13, 1999 8:30 AM
Subject: Re: TED

Carole,

Best of luck and you and Ted hang in there. We're all routing for you. Has Ted had any previous episodes of high activity, talkativeness,  unusual humorousness,  punning or anger (all over a period of days to weeks.  One possibility I forgot to mention is a Manic episode-  usually it has happened before (for someone in their 50's or 60's). It can happen spontaneously or sometimes stress or at times meds can set it off.  Mellaril might be helpful even with its negative side effects for PWP but other meds would be more specific and better especially in a PWP.

I would in if I were in your place, have the evaluation lined up at UC-SF prior to discharge at Peoria and a psychiatric evaluation at the same time (by a person recommended by the movement disorders clinic). If possible set it up for on the way home rather than going home and returning to SF at a later date.
 
Again good luck

"Carole K. Menser" wrote:

 Hello -- I talked to Ted this morning and he is sounding so much better.  Thank God.  And I talked to his sister who arrived last night and was at the hospital.  She said he seems fine -- just sleeping a lot.  Probably from the Mellaril???   Hopefully, we will both be able to fly back home on Friday as planned.  I'm hopeful his neuro here will take him off the Melliril when we get back.  I think so as he reacted negatively to hearing that they had put him on that medication.  We hope to go to the Parkinson's center of excellence at UC San Francisco as soon as possible for an evaluation.  Ted is totally oriented as he has been all along.  He always knew where he was and could answer questions in a totally coherent and rational manner.  I talked to him for over an hour on the phone when he was in the middle of the crisis.  He responded and did what I asked him to do.  He wasn't suicidal or threatening to harm anyone.  In fact, he was the one saying that he needed to get some help.  He just simply could not control the hyperactivity (I'm thinking that perhaps this is a better term than "agitation") from the overmedication or combo of meds, it seems to me -- along with the severe dyskinesia that he has never before experienced.  I'm hopeful that once his meds get straightened out, things will settle down a bit. Thanks again to everyone for all your help, information and support.  Keep us in your thoughts and prayers over the next few weeks especially.  We'll do the same for you.  :-)  I'll be leaving in a couple of hours. Carole Menser

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Charles T. Meyer,  M.D.
Middleton (Madison), Wisconsin
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