The news we all dreaded came to us this week: Caroline's lithium blood levels are way too high and we have to reduce her lithium dosage even if it destabilizes her. Great. We are going to try adding 50 to 100 mg more of the Seroquel XR to try to counteract mania but she is already at the max of 800mg. She has been on Lithium for five years and it has been such a great mood stabilizer for her and there is no other drug like it. With all she has gone through this fall already, we were really hoping that a big med change was not going to be added to the mess. But her kidneys are truly at risk now so we can't ignore this.
We took the advice of her IEP team and dropped Spanish for the year, moving her instead into a special ed resource room study hall, which she can skip to sleep in with no consequence. The team has been so amazing and I am so thankful for their kindness and understanding. She will have to make up Spanish possibly in summer school. But this way she can focus more on her core subjects. At the end of this semester, we will be arranging her schedule again so she has no first period class and can start later. Again, amazing accommodation!
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