Thank you for responding and caring Dr. Wu. Let me answer your questions as presented.
1. She was diagnosed with severe scoliosis in 1999, when she experienced severe back pain. The condition does not keep her immobile, but does cause constant back and leg (sciatic) pain, which she has learned to live with. She also suffers greatly with tinnitus, which has been present most of her life to some degree (58 y.o.) but in the last two weeks has greatly increased in intensity. She now describes this as a roaring sound, which probably contributes to her sleeplessness. She find herself blaring the tv to drowned out the sound.
2. She has been trying several combinations of OTC pain meds recently to try and diminish the noises in her head. Currently, she is using acetaminophen, but has also tried Naproxin and ibuprofen. The roar in her ears has overshadowed her back pain. My primary reason for taking her to the ER was for fear of stroke or circulatory blockage.
After talking with a counselor yesterday, we have added melatonin to her diet. Because of the roaring in her ears, we have also added the supplements of the "John of Ohio" treatment for Menieres disease, even though this has not been diagnosed by a professional. The supplements were added after the symptoms established themselves. She also had taking Tylenol 3 at times for back pain until the middle of 2008, and has a prescription for Vicodin (5/500) which she has taking on occasion for the back pain, but we have avoided using this since the radical change in sleep pattern and personality in this past week..
3. The mental changes were gradual about, starting about July of 2008. Following her seizures in Feb. of 2008, she was very much "good as new " for about 5 months, then slowly withdrew into a more depressed state....lack of interest in activities, even deciding not to go to Thanksgiving or our Grandsons birthdays (this is unlike her). The obsessive-compulsive behaviors were gradual, and although peculiar, not alarming. She became "addicted" to buying soap had washing and bathing. She also shops for pajamas every time we go out. For awhile, in the summer and fall, she did not want to go outside the house, but until the week did go shopping, if only to but more soap, etc.
However last Friday evening there was the sudden and radical change in mental state. She began humming her sentences in response to a question, rather than saying the words. WHen I insisted, she could say the words. She began talking to herself and arguing with me in the bathroom (even though I was not there). Her personality is more aggressive when in the bathroom. She has accused me of trying to keep our Grandson away from her (totally irrational), and other bizarre things. She then will come out of the bathroom and have no recollection of what has occurred. This may all relate to her sleep deprivation, I don't know. She has not slept for more than 1 hour at a time, and probably gone days without any sleep.
4. The only changes in medicine were those made by the hospital after the problems began, and the addition of OTC pain meds. and supplements, also after the problem arose.
I appreciate your time and consideration. We have begun the process of getting psychological help as an outpatient, but this may take months before evaluation. She spent Tuesday night in the hospital psych unit, and her main complaint was the roaring in hr ears. She was desperate and could not tolerate the pain/sound, and was so uncomfortable in the silence of the room. I am praying for a miracle. We'll see.....in any case, my big thanks for your input.