Bad news about Gavin and the tough decisions ahead 

We met with Dr. Pattie tonight, for Tuesday night family therapy. I’m trying to help you out by specifically mentioning Tuesday because if you’re anything like me, after the holiday weekend, you don’t even know what day it is.

The main topic tonight was Gavin.

Even if we had other things to talk about tonight, which we did, it wouldn’t matter because Gavin mission debriefed the shit out of us.… Read More



We have a very serious decision to make

I heard back from Gavin’s psychiatrist today and we have a very, very difficult decision to make, in regards to Gavin’s current psychotic break. 

Dr. Reynolds explained that we can increase Gavin’s Clozapine dose back up to 800mg a day, if we feel he’s that bad or that far gone.  He’s currently on 600mg/day right now because when we had to start over the last time, we stopped when we reached 600mg/day. Read More



Here’s what caused the Clozapine crisis and how it was resolved

I just got off the phone with Dr. Reynolds office.  The nurse explained that she literally spent several hours on the phone this morning with REM’s, the governing body that controls the release of Clozapine. 

REM’s is a new government oversight program that deals with highly controlled substances, such as Clozapine.

The nurse said she was really nervous because Gavin can’t afford to have anything screw this up.… Read More



Clozapine Crisis: A significant problem has come to light

On Monday, Gavin saw his long time psychiatrist Dr. Reynolds. Dr. Reynolds is the prescriber of Gavin’s absolutely necessary, without question or hesitation, antipsychotic Clozapine.
As of Monday night, Gavin was under new orders for the use of the medication. 

image

Rather than requiring bloodwork every two weeks, in order to get two weeks worth of pills,  he’s been bumped up to a 30 day supply. 

This means that he only needs bloodwork once a month, in order to get a 30 day supply of Clozapine. 

I spoke with the pharmacy on Tuesday and they said that because bloodwork is only required every 30 days, we can likely fill the new script without the need of new bloodwork because the current bloodwork is only 14 days old. 
I went to pick up his refill today and it wouldn’t go through.… Read More



GOOD NEWS: I managed to avoid another Clozapine crisis

Due to a change in federal regulations of the medication Clozapine, that went into effect 2 days prior to Gavin’s refill, there was a delay in getting his script refilled. 

The last time something like this happened, it was very, very bad. 

Clozapine is the most tightly controlled medication in the US and it’s banned in many other countries..

image

Anyway, Gavin’s body couldn’t handle anymore mixups or snafus that caused him to miss a scheduled dose.  This latest hiccups had me very concerned. 

Thankfully, Gavin’s doctor and the pharmacy were able to resolve the issue that caused insurance to refuse coverage, as a result of the regulatory changes. 

I can pick up his meds today and the timing couldn’t have been any better. 

Crisis avoided…  ☺



Page 1 of 2
1 2