As we begin the new year, our Monday plans are already being adjusted because of the holiday. Gavin was supposed to get his labs drawn today but I'm not sure if they'll be open because of the holiday. If they aren't, we'll simply have to move things to Tuesday morning. It must happen Monday or Tuesday because he's out of Clozapine for Wednesday. As long as his labs are good by Wednesday, we'll have the script by the end of the day. This makes Gavin a bit nervous but it will all work out.

I wanted to give a general update on how Gavin's doing with the changes to his antipsychotic medication, Clozapine. It's been a couple weeks since the dosage was reduced and I think it's a fair time to evaluate how he's doing since those changes. One of the biggest changes I think we're seeing, was very subtle at first and hard to notice. It's been a couple of weeks now and it's become much more obvious that there are changes taking place. The biggest at this point is that Gavin's spending much more time in his room. What this tells us is that he's spending more time in fantasy, then he is in reality. By fantasy, I'm referring to the Schizophrenic hallucinations he interacts with. Gavin's spending much, much more time…

In the morning, we have an emergency appointment with Dr. Reynolds, Gavin's psychiatrist. This is an emergency appointment to decide on the future of his Schizophrenia management. This is an enormous decision because it can potentially impact the rest of his life. If we take Gavin off the Clozapine, he will never be able to go back on it again. It's very important to understand that at this point in time, there isn't another antipsychotic that he can safely take. Taking him off the Clozapine could very well mean that we set Gavin up to be an unmedicated Schizophrenic for the rest of his life. While we're mauling that over, there's another side to this coin. If the Clozapine is what's causing the issues with the cell lines in his…