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Finally got the X-rays and ultrasound the doc wanted (for me, not Mom). Mom woke with a migraine and rescheduled her appointment with the new therapist. She is resting and groaning in pain and can't seem to wake up today. 

I think I figured out why mom has been so much worse lately. Yesterday during her pain clinic appointment, she said she has been taking neurontin. She told me she stopped three weeks ago. The pain doc said it could mess with cognitive function. He suggested stopping it, and I told mom to stop, but she is so confused I think I have to take the bottle from her room. At least it is a better explanation - easier fix - than rampant HE. Take the good when it comes.