Some "down" days

After Thursday's wonderful day, Angela spent Friday and today in a confused mental state.  This morning, she was so out of it that she only drank part of a protein shake for breakfast and I had difficulty getting her Lactulose down her.  She has also developed a urinary tract infection, and one thing caused by that is confusion.  I think that's #5 of things attacking her brain.  Anyway it's being treated and apparently responding.  Her ammonia level was high again.  Her CO2 retention does not appear to be the primary issue at this time, so I'm hoping that with a few more doses of Lactulose her confusion will abate.  We shall soon see.  At any rate, it appears that Lactulose will be a big part of her life from now on.  She had a couple of visits from her friend - Friday night she seemed to be calmed and cheered, but today she didn't pay as much attention and didn't even sing along with her friend much.  She spent most of the day in her wheelchair, using her arms to move herself around the corridors - excellent exercise, I believe.  I hope she sleeps well tonight.  She hasn't been, saying she is afraid to go to sleep.  In her confusion, she thinks someone is swapping her meals with someone else and giving her medicines she shouldn't be taking, so it's been a challenge to get her to eat and take her meds, but God is good, and so far she is doing at least an adequate job of both.