Now · Timeline

Timeline

Reverse chronological. Concise. Deeper context lives in notes & comms and medications.

2026

  • 2026-06-22 Therapist reassigned: Albin → Pete (TRT moved Dad mid-June; first Pete session ~6/22). BP crisis + fix: BP spiked and tics flared; Dad nearly walked out. TRT leadership's review found his BP meds had been under-dosed; an ER visit stabilized him same-day and it's run 150–160 since. He's now committed to finishing through the July 3 discharge. GeneSight results back + interpreted — CYP2D6 intermediate (duloxetine runs high), CYP2C19 ultrarapid (clopidogrel works). GeneSight →
  • 2026-06-08 NP Alyssa (TRT) med update: losartan 25 mg added for BP 160+; GeneSight pharmacogenomic test drawn; Vistaril discontinued + trazodone stopped; indications clarified (olanzapine → Tourette's, duloxetine → nerve pain + mood, NAC → inflammation). notes →
  • 2026-06-04 Honesty conversation (four points) delivered live — Dad owned the pattern, ended grounded. Expectation gap with Angela surfaced; decouple recovery from reconciliation. notes →
  • 2026-06-03 Transitioned to The Recovery Team (Delray Beach, FL) — Phase 2 residential/PHP begins. ~30–45 day stay, depending on progress. Benzo taper completed at Haven beforehand.
  • 2026-05-30 Call with Dad — work pull (taxes/IRS), device-access boundary at TRT, integrity admission, jail history shared with Stephanie. notes →
  • 2026-05-27 Call with Dad — eager for Phase 2, tics his biggest complaint, requesting Good Samaritan scans (EKG/MRI/CT). notes →
  • 2026-05-27 Rico (TRT Director of Nursing) introduced by Lynn — CC'd on the family thread for Phase 2 continuity.
  • 2026-05-27 Pantoprazole 40 mg AM started (GERD; plausibly GI cover for DAPT). Full doctor's orders received and parsed.
  • 2026-05-26 Cardiovascular block locked in: atorvastatin 40 mg HS + metoprolol 50 mg BID + clonidine PRN 4-day taper (BP/anxiety/tics).
  • 2026-05-25 Clopidogrel 75 mg AM started — post-Watchman DAPT partner with aspirin.
  • 2026-05-23 NAC 300 mg started for tics. Nystatin cream for rash. Vistaril + Flonase added PRN.
  • 2026-05-22 Lynn update — Dad "feeling well, clearly-headed, progressing positively"; TRT (Phase 2) plan locked in (~30–60 days). thread →
  • 2026-05-22 Duloxetine 40 mg BID started (depression). Passion flower + valerian PRN added. Black-box SI window: 5/22 → 6/5.
  • 2026-05-19 Olanzapine 10 mg HS continued. Amlodipine 5 mg AM started. Melatonin 5 mg HS, trazodone PRN, lidocaine patch nightly added.
  • 2026-05-15 Second provider visit at Haven.
  • 2026-05-14 Provider visit at Haven.
  • 2026-05-13 · 4:47 PM ET Lynn Halliday emails: Dad "looked and sounds so great" on return; all prior medication orders continued; will route to Dr. Ignatov for med review; EMDR re-engagement promised. email →
  • 2026-05-13 Voluntary re-entry from NeuroBehavioral Hospital at 45th back to The Haven Detox. Aspirin 81 mg + admit orders began.
  • late Apr – early May Baker Act → admission to NeuroBehavioral Hospital at 45th, 5–14 day hold. Triggered by reported SI at Haven. Olanzapine likely uptitrated here (5 → 10 mg; he was already on 5 mg in Oct 2025 — not a fresh start).
  • ~2026-04-28 Discharged from ER to The Haven Detox.
  • ~2026-04-25 ER admission. EKG likely from this visit — needs confirmation.
  • ~2026-04-09 Cold-turkey stop of Xanax + opioids after ~30y daily Xanax + ~6mo hydrocodone/morphine for back pain. The kindling event.

2025

  • 2025-10-16 Pre-crisis medication baseline compiled (Melissa C. Moyers, ARN, Sun City Center FL). Last documented regimen before the April 2026 cold-turkey — already on olanzapine 5 mg + duloxetine + the full cardiac block + pantoprazole; haloperidol "to treat Tourette's" prescribed but untaken; Xanax ~2–2.5 mg/day the de facto tic suppressant. Also surfaces a ventricular-arrhythmia history (amiodarone), plus ADHD + migraine meds since dropped. baseline + reconciliation →
  • June 2025 Function Health follow-up panels: positive ANA confirmed on retest with all specific antibodies negative; GRAIL Galleri MCED — no cancer signal detected.
  • May 2025 Function Health comprehensive labs (lipid panel, A1c, insulin, hormones, etc.). Pre-crisis baseline. Lab summary →
  • 2025 Mini-stroke (TIA / small infarct) discovered weeks after the event via subtle memory + speech changes. Likely AFib-related embolic. Led to Watchman implant.

2023

  • November 2023 Quadruple coronary artery bypass graft (CABG). Origin point for daily aspirin tolerance — taken without issue from this event onward.