ns in an order that was appropriate.  He did make a few changes.  With her daily meds, he is dropping the atenolol, changing the quantity of the amitriptyline and is adding in a new drug, cyproheptadine.  He has also changed some of the meds during an episode.  The new IV meds are chlorpromazine, diphenhydrzmine, and ketorolac (toradol).  We also switched her zomig from the oral to the nasal variety, to see if that is any more effective. 

There was a switch to the timing of the intervention process as well.  Instead of giving home intervention 3-4 hours, we give it 1 hour, and then head to the ER or Hospital and start IV intervention.  Ideally IV would be started within 1 to 2 hours of the onset. 

He also had some plans for the "next steps" if these changes don't help.

On the whole, we were very impressed.  Really nice guy.  Very friendly, knowledgeable, and great "bed side manner".  Looking forward to any continued interactions with Dr. Li.  Lily was nervous going into the visit, but seemed to settle down fairly quickly and left in a very good mood.

We were able to take a bit of time after the appointment for a yummy lunch at an old style A&W and then took a tour of the Jelly Belly distribution center just over the border of WI.  Made for a nice relaxing stop and a good memory to help with any 'ill' effects of the day.  We have enjoyed the hospitality of some friends in a north Chicago suburb, and Lily and her brother Kiel have had a wonderful time with their children Xander, Atticus, and Carter.  And even better, from the parent perspective is that Kiel had a wonderful time entertaining Beck today while we were off to the doctor's.

All in all an amazing adventure, and one we look forward to seeing what the results may be.