Since we are at such a loss and have no idea what to think anymore, I thought I would bring this to you such wise women for ideas. My BFs mother come down with a Baker's cyst behind her knee in Feb. They waited for it to go away on its own. She was in pain so they gave her pain medications at that time. Not sure which one. Your basic pain killer, I guess. Within 2 weeks her back was killing her. I mean she was crying out telling us she had never had pain like this. She had a back xray that showed a spinal fracture, but they were not sure if it was a new fracture and therefore were not sure it was causing the pain. Meanwhile, her Primary Care Physician (PCP) continued to prescribe different pain medications in an effort to manage her pain. Fast forward to early June - still in pain. It got so bad she called an ambulance one morning. They pumped her full of DILAUDID (10x stronger than morphone) - I believe it may have been an overdose, but I can not get the family to ask more. She was basically drooling in her chair for the next few days in the hospital. The hospital had an xray from the previous year and could see the spinal fracture was new and in fact a new xray showed yet another new fracture. They were going to do a Kyphoplasty (sp) which would basically put 'cement' in the fractures and patch her up. It would even straighten her spine a bit. The doctor decided that she was too high risk for surgery (Chronic Obstructive Pulmonary Disease (COPD) & Emphysemia) and also that since you could push on her side and have her cry out in pain, that it was unlikely the surgery would be the solution. From the hospital she was sent to a nursing home for physical therapy with a Fentynal pain patch. From there she went home as she had family in town that could help take care of her for 2 weeks. Those 2 weeks were a roller coaster of sleepiness, drowsiness and alertness. Some days good, some bad. She realized she could not stay alone - needed help to dress and use the bathroom. Went to stay with one of her daughters for a few weeks until a bed opened at the assisted living facility she choose to move to. She moved in Mon July 21st. Since then she had a stomach bug, was found sitting on her floor in a daze and then one of the aids saw a bump on her head and they figured she fell. Hospital again - Sunday 27th. Low blood sugar, blood way too thin (supposed to be like 2.5 and it was 13). Sleepy and confused. Monday - the very next day - totally fine. The only medication change was to remove 1200mg of Neurontin (nerve pain medication that can make you sleepy). She was eating her spaghetti dinner and joking with her son about stealing a meatball. Tuesday more confusion and sleepiness, not as bad as Sunday. Weds they wanted to release her, she is crying out in leg and arm pain (this was a new thing) and the family protested the release. She stayed another day and was released on Thursday. Last night she was drowsy, sleepy, confused. Now she is barely even giving us full sentences. Back to the hospital last night when the nurse found her wandering the halls and having trouble breathing. They admitted her for an evaluation - we are planning to get her PCP to give a referral to a geriatric neuropsychologist as that is what the ER doctor recommended after hearing this story. I would like to add that none of us are thrilled with her PCP doctor. She just gives her a new medication everytime she walks in the door or calls her. It has been the other doctors in that practice that were taking away medications when she would go into the hospital. I know it is hard to get a good picture. I do know her gall bladder, liver and kidney function are all good - or at least they were in June. Oh yeah, her back has deteriated so much. She is a hunch back now. In Feb she was driving, now she can not even sit up straight. Thanks for reading!!! Any ideas?