I thought we were done with this

The last week has been hard, but the past 24 hours have been dreadful. We haven't seen psychotic behavior like this from R. in years. If I didn't know that pretty much all the peds beds in the local hospitals were full with respiratory issues, that is where we would have ended up this afternoon. It was that bad. The only difference is that I knew she needed an IV of ativan, I just had no way to hook it up myself. Instead, we had to make due with a tablet variation which isn't quite as fast or effective. She is now calmer, but is still not fully coherent. I'm afraid it could be another very long night. If we knew what was the trigger for this it would feel more manageable, but this really did seem to come out of the blue and all of our tricks and techniques have done squat. It is so disheartening. 

To think about other things, I'll share the photo of me and J. that was taken at the gala we went to earlier this month. J. finally got a copy of it. You get a bad photograph of a glossy photo.