Tracey is back from radiation. A few transport issues, but nothing major... other then being late. Radiation does a good job of adjusting.

The multi discipline meeting has been postponed until Thursday due to many Scheduling issues. I think that is Okay. it allows everyone the ability to prepare and research. The more information everyone has the better the care plan.

Tracey s pain is managed again now that she is on the PCA. She really thinks that the paralysis is permanent. If she doesn't gain the use back soon, it is going to get really bad.

Here are some quick bullet point of issues - Let me know what I have missed.

Objective

• Set Short and Long Term Goals
• Set Milestones
• Determine Pre-Requisites
• Set Commutation Standards and Responsibilities

Open Issues Tracey:

1. Inability to take Oral Meds due to Regurgitation.
2. Right Side Paralysis.
3. Lack of Cognitive Thinking.
4. Lack of Nutrition
5. Pain Management
6. Non-Treatment of Metastasis other then Brain
7. Unknown effects on the baby
8. Mental Health
9. Bowel Movements and Intestinal Villi
10. DVT
11. Multi Discipline communication
12. Continuity of Care – too many dr.’s rotating out.
13. Physical therapy
14. Increased Edema in the brain