We had our pcdoc appointments yesterday for both easy child and difficult child. psychiatrist is going to change up difficult child's medications. He is going to discontinue her Geodon and add in Seroquel. He says the Seroquel should help with her anxiety and sleep issues. I used to take Seroquel a few years ago and the medication was so sedating I had to stop taking it. I would take a small dose at night time, and the next day I would fall asleep behind the wheel while driving to work, and I was falling asleep at my desk. It was too dangerous for me to continue. psychiatrist says he is starting difficult child out at a very small dose, at 25 milligrams, and he is hoping it won't be as sedating for her as it is for most people. difficult child already has an incredibly hard time waking up in the morning, so I am concerned about the Seroquel, but psychiatrist says it should help with the anxiety so I'm willing to give it a go. He also wrote a letter for the school recommending temporary home teaching until we can get difficult child's ulcers under control and get her on the right psychiatric medications to get her stable. He told me to give it the school psychologist so he can get an IEP started ASAP. I contacted the school psychiatric today, and he said I need to give the letter to the nurse. She has to approve it first, and then she sends it to the district and they have to approve it. You all know what a hard time the nurse has been giving us lately. A week ago she told me she would not approve home teaching unless difficult child was diagnosed with cancer or life threatening seizures. She even intimated that difficult child was faking everything since she was fine for most of the summer. difficult child went to her office yesterday to throw up, as stated in her IEP that she is supposed to go there to be monitored for possible blood in her vomit. The nurse is refusing to follow the IEP and is making difficult child go to the public restroom when she gets sick. Now she is the one who has to approve all of this, and if she disagrees I will have a fight on my hands. Not something I want to have to do with a coworker of mine, but my daughter comes first and I will do what I have to. I have to give her the letter later today and I'm nervous. Wish me luck!