--Apple-Mail-65A739B9-199F-420C-B903-15DA0ACD4A5E Content-Type: text/html; charset=utf-8 Content-Transfer-Encoding: quoted-printable Also now that her fecal blockage appears to= be out, Fatima was successful this morning at changing her diaper on her ow= n. Hopefully that keeps up. But I told Fatima to let us know if she does nee= d an extra hand because 2 Ativan (if needed) and proper pain management just= not enough. Paul Teitelbaum 917 747-6806 On Jul 28, 2023, at 10:43 AM,= Maria Licoudis <mlicoudis@thekey.com> wrote: =EF=BB=BF Hello Paul, I will review all the medication i= nstructions with the caregivers. Thank you. Best, Maria M= aria Licoudis RN Client Success Manager 514-907-5065 TheKey.ca On Jul 27, 2023, at 10:16 P= M, Paul Teitelbaum <pt@alumni.upenn.edu> wrote: =EF=BB=BF Maria, Sorry. The last email got messed up. = ; Trying again here with the full message . . . . I need to update you on the proper administration o= f my mother=E2=80=99s medications based on discussions I had this week with D= r. Piche and with the pharmacist a couple of weeks ago. Basically, if this is followed properly and a= s my mother stabilizes at home and her body becomes accustomed to the new pa= in medications, eating and drinking more (which is good) and her body increa= singly tolerates the side effects, her constipation (and diarrhea from the l= axatives that over time should be needed less) should subside. This is exact= ly what happened to her the last 2 times she was hospitalized (in October fo= r kidney blockage and in November or December for Sepsis): hospitalization a= nd change of medications and food -> weakness, constipation, side effects= at home -> adaptation to medications and stabilization And if the regimen below is followed= , she should not need any subcutaneous medications until she=E2=80=99s reall= y at the end, and that is the time when we would get an LPN involved. The hospital was not expecting t= hat my mother would need subcutaneous administration of medications at this t= ime. The only reason they put in the butterfly and sent the bag of infusers h= ome was as a precaution and just to have another way to give meds if oral co= uldn=E2=80=99t be given. But my mother is taking orals meds. Also, it was explained to us on Tuesday b= y Dr. Piche that the only benefit the butterfly provides is somewhat faster a= ction - 45-50 minutes for th