We saw his outpatient doctor today for his first visit after hospitalization.
He was clearly delusional & fairly vocal about it in her office, so she was concerned because he seemed worse than the last visit. I did let him get a real cup of coffee on the way as a treat, so that was probably a mistake.
I wish she could see him at his worst so she could see that he went so far downhill in the past 3 1/2 weeks & is climbing back up, although the smoking does seem to be making the Clozapine less effective.
We got a long discussion about how dangerous the Clozapine is, how careful we need to be about watching for side effects, and how we'll have to give this drug more time and for me not to add anything extra. She seemed even more concerned about weight gain and constipation than the white blood cell problem, although that was talked about too. So, I need to lose some weight too, so I'll use that as an excuse for evening walks.
She did not increase the meds today, but said she'd take him from 150 mg/day to 200 mg/day this Friday after he gets fresh bloodwork, and that he's probably stay there until she sees him again next time - that'll be 5 weeks instead of 4 this time because she'll be on vacation.
I really liked that his old doctor would see him weekly after a med change until he was stable - I don't like this once a month thing at all, and I really don't like 5 weeks. If he would also meet with the case manager, that would work well, but he won't, so we're kind of stuck for now.
He's already told me he wasn't going to take his meds, then he says he'll take them just because they make me happy.
One minute he'll say they do nothing anyway, and the next he'll say they're meant to take away all his emotions, like a chemical lobotomy.
So, I guess I'm in for a fun few months until everything is adjusted right - if it gets adjusted right, fast enough.