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Medication Station… To Transfer Or Not. That Is The Question.

There went that idea. At least for another 2 weeks. I wanted to transfer B.’s meds to the store that my husband works at, seeing as Walgreen’s dropped my girls and their insurance plan.

Although his IS safe, at least for another year, I don’t like the idea of having everyone all over town with their meds. I called the store’s pharmacy (Kroger), and sure enough (like back when he WAS with them), they have NONE of the Vyvanse in his strength requirement (top dose of 70 mg).

So, this means filling again with Walgreen’s, calling Kroger in 2 weeks to ensure that they place the Vyvanse at that dose on order to come in, in time for us to fill it.

You would think though, being it’s one of the MOST WIDELY used drugs for ADHD, in all of the available strengths, that it would ALWAYS be on hand.

I have some thinking to do over the next couple of weeks over this and mull the decision over.

To me, it’s just plain common sense to keep in stock, the drugs that you as a Pharmacist knows are of popularity in prescribing. To do otherwise, could cause you to lose customers or (potential) ones. And what if the person was to have ran out before you can get more in? That COULD have deadly consequences.

On The Merry-Go-Round We Go!..Again.

Well, another appointment has come and gone. Another one minus his Case Manager. THIS time, due to a death in the family.

First of all, we talked about B.’s medications and his eating “habits” of BARELY eating. Especially since again, he has lost weight and is showing the visible signs of it.

So, the doctor and I have decided to cut back some on his Vyvanse by 20 mgs. I will be placing the contents of the entire capsule in to a glass of water, pour out 2 ounces of a 7 oz. glass, then have him drink the other 5 oz. of water to consume 50 mg. of the medicine. I should know in a couple of weeks of doing this if it was the right move.

As for the Seroquel and the Intuniv, they are staying at the same dose of 50 mg. and 2 mg. amounts.

If push comes to shove, I will strongly consider a drug that is used in cancer patients to induce hunger and the wanting to eat. This would hopefully counter the unwillingness to eat and help him gain his weight and proper amount of muscle mass back.

His spinning/walking backwards is apparently a compulsive problem. He does this a lot. Like in Sears and the mall, where he almost knocked some things over and almost hit in to people.

And I found out that the noises and the sniffling (constantly most times) is a couple of tics that he has developed. But I cannot say for certain that it is medication-induced, or brain-induced tics. I think that at the next appointment in April (or was that March?), I will ask about that.

Also, his nose bleeds have been more active.

The highlight to all of this? He hasn’t been getting in to AS MUCH trouble in school as of late, with his behavior. Homework and attention? Still not that great. But we are working on it.

If You Are A Parent Who is Being *Abused* By Your Kids…

First of all, know you aren’t alone with being physically ABUSED… yes, abused, by your child. I have been verbally, emotionally abused, assaulted and my life threatened. All by my child.

It had taken me a long time to accept the fact that I was being abused by my own child. When you are left with marks or scars because of your children’s actions, or you have things pulled out on you (like knives, hammers and scissors), and have your very LIFE IT’S SELF *threatened* and/or in jeopardy, that is constituted by law as ABUSE. Even if it’s by a minor child.

As for medications (no matter the reason for taking them), if you have stopped them, YES, you have to let the doctor know. Tell them exactly why you did it. They have to know for various reasons. That goes for ANY doctors that have taken charge of taking care of your child medically! They base what is being taken as to if they can use other meds for other reasons as to ensure that there isn’t any deadly mixings/cross medicatings.

If your child is getting so out of hand, no matter if just at home, both there and at school, or both of them AND within community settings (restaurants, the store, etc.), that behavior modifications (like a reward system and punishment system) are not working, then it MAY BE time to start thinking about ADD/ADHD (if they have it, too) medications and even Mood Stabilizers (like the Seroquel that B is on).

As for DENIAL that something is truly wrong with our kids, and the fact that they need more help than we can give on our own, we ALL go through it. Especially us moms of children such as ours. But also, you have to look at it from THEIR perspective, too.

Our kids do NOT want to be “bad” kids who are different in that view of them. All in all, they ARE *good* kids, but have brains that are hardwired completely different from their peers and from most other people in general.

Medications for the mentally unstable, for KIDS, has gotten SO many bad “reports”. Mainly from those that have NEVER even tried them, and are unwilling to try them for their children as a part of their overall therapy.

True, not every child NEEDS to be medicated. But, most of the time, the ones that NEED it, don’t get it, and the ones that DON’T need it, are the ones being “doped up”.

In the end, the ONLY ones that can determine for certain that your child needs medications that will help with their mental issues is you, the doctor in charge of your child’s care (Psychiatrist) and the child (more so their overall mental state).

Yes, I know that dealing with the agencies and doctors, and therapists CAN be a pain in the butt, in the end, it makes life SO much easier, when what SHOULD HAVE ALREADY been done IS being done.

Easier for them and their day-to-day life, and for US as their parents as well.

So Far, So Good.. Sort Of

EVERYTHING thus far in school is going well. For the most part. Mornings are a tad bit bumpy here at home. The usual grumpiness, and slight attitude in the voice. He had been non-compliant as of late in regards to getting a move on and ensuring he got everything accomplished, including medicine.

So he went to school without medication for two days last week. That’s on him. I have decided to not fight him. It’s HIS problem, not mine. Let the school call CPS on me for not drugging my kid.

I’m not fighting him in the morning anymore. I have OTHER kids to attend to and ready for school besides him. And I’m not up to having myself kicked, hit, punched and screamed at abusively anymore.

He is now in Fifth Grade. He needs to act like it. That includes making sure that BEFORE he leaves the house, to take his medicine. Or not being passive-aggressive when I mention the fact he needs to take it.

*Wander with me over at FOR THE LOVE OF BLOGS and join in the fun!*

Changes

On Tuesday, I had to work the Volunteer table at registration. After getting there, I registered the two kids that still will be attending (third is going to Middle School).

The School Nurse was seated in the Library and I was in the cafeteria. But this nurse was NOT the same nurse as from the previous school years. And knowing how busy she is, sometimes (due to health) she needs a sub nurse. Which is what I had thought of as I had seen the lady sitting at the desk.

Come to find out, that this woman IS the School Nurse, and is replacing the one that I have come to value as a friend, and whom my son was EXTREMELY attached to.

As I am sitting in my spot at Registration, another friend comes up, who’s child is going to Second grade, and is a Title 1 Reading Aide to say hi. We haven’t talked all summer. Well, then SHE to drops a bombshell. She is leaving at the end of the month to work in a Dentist’s office, in the same building as her twin sister.

Needless to say, telling B was no picnic. And he wasn’t all too happy. But also, where the School Nurse is concerned, I can ALREADY see it coming. That is, unless his Homeroom Teacher (and my oldest’s former teacher, and she also taught my husband in third grade, many moons ago) catches on to the tricks first and thwarts his idea.

B can be highly manipulative. And if you don’t know his subtle ways, his mannerisms and his voice changes, he can EASILY pull a fast one on you. And it usually happens when he doesn’t want to do something, trying to get out of classwork or a test or is in an environment he doesn’t care to be in at the moment.

The former school’s nurse knew ALL of his tricks. She knew when she needed to call me. She knew when she just needed to shoo him off back to class. She even knew when he HONESTLY did not get his Vyvanse that particular morning, and instead of calling, knowing B NEVER, EVER lies about it, just would give him his pill and then send him on his merry little way.

This year, I can see A LOT of phone calls from the nurse in my future. Then again, knowing the teacher, she will be able to catch him in his little cat/mouse game and thwart his ruse. Because she is just that covered and smothered in Awesome Sauce!.. I at least hope.

He "Graduated"!! (Of Sorts)

Yesterday, Bryce had another medicine check appointment. But with his NEW (again) Case Manager tagging along.

We went through the usual jargon. How do I feel the levels are, how’s he doing at home and at school. And how are the mood swings and yadda yadda.

After everything was hashed out like about the Accommodations problems with the school and about more Behavior Modifications at home and at school, and about upcoming Day Treatment Camp for the Summer, it was time to leave.

After I had picked up all THREE months worth of prescriptions (which to me felt funny), I said “so when are we coming back?”. Well, my jaw hit the floor and I went bug eyed when I heard…

“Not for another three MONTHS (unless an emergency arises)”.

This will be the longest length EVER for Bryce to be in between appointments. And this is a GOOD thing, seeing as it shows significant progress in his behaviors, struggles with his ODD, ADHD and his Mood Disorder. And it’s a good sign that means the levels of dosages for his medications are right where they need to be.

So all in all, it was a pretty good appointment. I honestly could not ask for a better Psychiatrist for my son or other patients under his (the doctor’s, of course) care. That man GENUINELY cares about the welfare of his pediatric patients AND their family unit (from siblings to the parents). And he NEVER disses an idea you give or gets huffy for saying “no” to a treatment or dosage change. He knows YOU are the parent and that indeed YOU as the parent, know YOUR child best.

Lesson Learned

You would think that after this already happening LAST Monday, that we would have learned from the mistake..WRONG!

Seems that *I* have now, as of this morning. And thankfully, I was able to squash the problem BEFORE it became a REALLY BIG problem (like last Monday).

Just as we had last Sunday, we took the kids out to breakfast and of course, took Bryce’s Vyvanse (ADHD med) with us to give to him after he ate some food. It CAN be taken with or without food. But I like to have him eat before taking the pill.

And now, just like last weekend, it seems that Scott and I left it where it will do no good. Last week, it was in the van’s glove compartment. This week? In Scott’s jacket pocket.

OOPSIES!!!

But, unlike LAST Monday, this Monday (today) Bryce can get his pill from the School Nurse.

And now, I have thought to myself after realizing the faux pas for the second straight Monday in a row, that from NOW, ON… Bryce will have to just take his Vyvanse without food BEFORE we leave the house to take them anywhere, if it is in the morning hours.

Lesson learned. And hopefully problem avoided in the future.