A Roller-Coaster Day

The first thing this morning, Angela was being combative to the point of needing restraints.  Her doctor saw that and ordered a psych consult.  She had no interest in breakfast or morning medications.  But by lunch, she was ready to eat some fruit and a protein shake, and by dinnertime she was her old self, mentally, eating a good meal and taking her Lactulose, the only way - to my understanding - that the extra ammonia can be cleared from her system.  She got a shower this evening, even though her mental state had reverted a bit, and with a lot of coaxing took another Lactulose dose.  She was sleeping when I left.  If she will let them, they will draw blood around 4:00 tomorrow morning to check how the ammonia is doing.  It is great that her caregivers are there with her, too.  Overall, I would say that today was a small step in the right direction.  I thank God and pray that this trend will continue, if it is His plan for her.