? Zeke - Here we go again! Third day in a row, advice please. +13 50

Discussion in 'Lantus / Levemir / Biosimilars' started by Meridith and Zeke, Nov 3, 2017.

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  1. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Yesterdays thread

    Ok, I can see one day being a fluke, but two days?

    Yesterday he was at 39 when we finally just chose to skip his shot. Surprisingly he didn't even really go that high without the shot with his AMPS being only 350. But he has steadily been dropping through the day and his +9 was 100 with his +10 76! What is going on? I reduced his dose this morning from 2.12u to 2u after his low last night. Zeke has done this once before, but it was only once then everything went back to normal, but 2 days in a row? I am confused.

    @Kris & Teasel @Chris & China @MrWorfMen's Mom
     
  2. Kris & Teasel

    Kris & Teasel Well-Known Member

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    It's possible that his pancreas is sputtering back to life. That's a good thing but it can lead to some stressful ups and downs.
     
  3. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Well, that could be a good thing then.
     
  4. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    +11 57. So looks like another reduction coming. Didn't pick up food since he is dropping the way he is.
     
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  5. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Looks like Zeke and Asia are in cahoots! What's going on here?
     
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  6. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Who knows lol
     
  7. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Zeke's PMPS was 55, possibly food influenced since didn't pick it up tonight. Gave only a partial dose since he was above 50. Will be watching him closely.
     
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  8. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    +1 49 So another reduction earned. I think Zeke is on a mission again. Makes me think of the Hokey Pokey song, how low can ya go! lol
     
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  9. Chubba (GA)

    Chubba (GA) Well-Known Member

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    Apr 30, 2017
    Surf safely, Zeke. You have already earned the reduction and made your point. :D
    Congrats on the reducie!
     
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  10. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    yeah, he needs to surf now lol. Testing again in a few minutes. Gave him a small spoon of MC to give a boost since I did do a small shot. Probably should have skipped it tonight again. :banghead:
     
  11. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    +1.5 49
    He is holding, but with the help of MC. Might end up having to pull out the HC. Will know after his +2. Lately his +2 has been higher, more of a food spike then usual it seems, then he would drop down. Not sure how it will be tonight though.
     
  12. Chubba (GA)

    Chubba (GA) Well-Known Member

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    Yikes. Long night ahead. :bighug: :coffee:
     
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  13. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Yep, +2 49. Guess it is good that he is holding, but I would really like him to be a little higher for holding. :arghh:
     
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  14. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    +2.5 48. Still testing every 30 minutes. Been giving a small spoon of MC. If he doesn't come up some though by the next text will do a small spoon of HC instead.
     
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  15. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Looking at your spreadsheet the past few days, you know what's weird? And I preface this by saying, I have no idea what I'm doing or talking about, this is just an observation of an interesting pattern. But if you look at the past several days and pretend it's one 24 hour cycle, you have a curve where it's high at AMPS and then slowly goes down, the nadir is pretty much PMPS, and then it slowly goes back up. Huh. o_O

    Come up a little, Zeke, you've made your point about wanting the reduction already, wish granted. :cat:
     
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  16. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Yeah, I know what you mean by weird. I really don't post often here since we have been at this dance for awhile now, but Zeke really has thrown me for a loop with the way his numbers have been these last 2 days. Don't think he has ever earned reductions back to back like this ever either.
     
  17. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    +3 49. Went ahead and gave him a small spoon of HC to give him the boost to get into better greens hopefully.
     
  18. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    +3.5 52
    +4 62

    Finally in the better greens. Testing again in an hour then I will leave the testing to my daughter and get some shuteye.
     
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  19. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    +5 86

    Sleep time for me. Time for my daughter to take over testing for the next couple hours now that he is in the clear. :)
     
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  20. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Hi Meredith,

    We normally don't recommend back to back reductions, because of the depot, but I think Zeke made it pretty clear that he wants less insulin, and the previous reduction was a pretty small one. I hope he holds this reduction and starts surfing in the blues a little more.
     
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  21. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    I understand on the back to back reductions, but what should I do if he does the same thing again tonight? His amps is 226 this morning so we are starting out even less then yesterday. He actually spent a very good length of time yesterday in blues and lower and he really didn't do much of a bounce this time which is great.
     
  22. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Looks like he is going for a 3rd night in a row of hitting below 50. What do I do to his dose if he does?
     
  23. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    His SS the last few days looks like he's on Lev, not Lantus. Weird. Let me see if I can get some more eyes on you. I'm headed out for the rest of the day.
     
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  24. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Ok thanks.
     
  25. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    9.5 is 48!

    Yep, already below 50 so doubt we will be shooting tonight. What is going on with this crazy kitty?
     
  26. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    We really need to wait until PMPS.....I doubt if I'd suggest taking another reduction so soon though but let's see where he's at a little closer to shot time

    Zeke sure is playing by his own rules lately, isn't he??
     
  27. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    Yep, Zeke definitely has it own rules lol. His +10 is 62 so got him back out of the limes with a small spoon of HC. Testing again in 10 minutes to see if that is going to hold or if we are going to have to steer early. Could this pen be that much more potent then the last one since this started the day after a new pen?
     
  28. Dyana

    Dyana Well-Known Member

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    Dec 28, 2009
    How old was the last pen?
    I used to think it was time for a new pen and almost always found out the old one did the same as the new one.
    I agree with Chris. Let's see where he is at PMPS time. Maybe you can do a test +11 and we can compare that test to his PMPS test to know whether and how fast he is coming up. I would try to hold off on feeding anymore until +11 and see if he is rising. He should be.
     
  29. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    His last pen was only 1.5 months old and kept in the fridge. Also very careful about never letting air get into it and I don't put insulin back in it either.

    His +10.5 is 72. I wasn't at the house atm but my daughter did give him a small spoon of MC at his +10 test. Not giving him anything this test. Will test again in 30 minutes though since he did drop low earlier tonight then he did the last couple days.
     
  30. Dyana

    Dyana Well-Known Member

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    When did you start the fresh pen? Normally they don't go bad that quickly. Sometimes a pen can last for months.
    I'll be waiting to see what his +11 is.
     
  31. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    The pen we are on now we started on the 1st of this month. The day before he started going all crazy with his numbers.

    His +11 is 54 so went ahead and gave some MC since that was almost a 20 point drop in 30 minutes.
     
  32. Dyana

    Dyana Well-Known Member

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    Okay. I understand giving him some MC because of the drop. How flexible is your shot time? Meaning, if he came up some at +12 and then was up more at +13 without feeding, and you decided to shoot, would your shot time be okay being off by an hour (with the end of DST in consideration)?
     
  33. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    +11.5 67

    Yeah, we could actually do that easily tonight if needed and it wouldn't throw us off.
     
  34. Dyana

    Dyana Well-Known Member

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    Since he's coming up, how about if you don't feed and test again in 1 hour at +12.5 and post his number. Or test again at his regular PMPS if that's what you choose.
    Think about what number and what dose you would be comfortable shooting. Let's say, if he is 99 at +12.5, and he is eating fine, would you feel comfortable shooting 1.75 or 2.00 or 1.50? Think about it. Have you already adjusted your shot schedule for the time change? Because your next shot will be 12 actual hours after you shoot tonight.
     
  35. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    We were just going to figure in the extra hour tonight, but since we got that hour to play with I am perfectly fine with stalling and seeing how he is doing at +13 before making a shot decision. His +12 is 60 so atm looks like he might be trying to hold. I have shot as low as 60's before, so the number itself isn't an issue. Would just rather know that he is actually working on coming back up before shooting so it isn't a struggle to steer because dropping too low. If he does start coming up, will probably go with the 1.75u like I shot this morning.
     
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  36. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    Yeah, that's a good idea.....good thing the time change is working FOR you tonight!! It's usually such a pain!!

    If you've got plenty of supplies and don't need to sleep, I'd probably go with the 1.75 again.....his depot is still draining from the 2.12 and 2U doses
     
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  37. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    While you are waiting the time change delay, could you help me understand your dosing. You are doing SLGS?
    A number in the 30's, like two days ago, means a full 0.25 unit reduction even on TR, much less SLGS. Why the smaller reduction? That can allow the depot to get ahead of you.
     
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  38. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    +12.5 60

    I just restocked supplies and sleep happens when it happens lol. He seems to be trying to hold his number now but still hoping to see it come up a little with the next test which is when I need to shoot so we can stay on schedule.

    I am actually following TR mostly, but we are holding doses longer since Zeke has been showing me that he needs more time on a dose before changing. With the way he did that first night with this drop, wasn't really sure if it was just a fluke since he has been really low at a ps before in the past but then was right back to normal after. Your right in that it probably should have been the full .25u reduction, he just has me so confused right now with the way he is doing. It is almost like he has decided that he wants a 24 hour cycle instead of a 12 hour one and his PMPS is his new nadir.
     
  39. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    @Dyana @Chris & China

    Ok, his +13 is 50, so he has dropped some again. Should I just shoot 1u or skip?
     
  40. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    Can you stall another 20-30 minutes?

    If you'd rather not, I think I'd try the 1U dose.....the last time you skipped he ended up pink by the last part if the cycle, so I don't think skipping is the best idea

    We need to find a dose we can safely give twice a day....whatever is going on with Zeke, besides being frustrating, it's kind of exciting too!
     
  41. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    He is eating good, so I think 1u will be ok.

    Should I try a lower dose in the morning also you think? Maybe 1.5u instead of 1.75u? Or give it some time for the depot to drain a little more?
     
  42. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    Let's see how this cycle goes first
     
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  43. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Okies. Since he has eaten good, will test again at +1 and post it.
     
  44. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    +1.0 54
    +1.5 59

    He seems to be holding for the time being.
     
  45. Tasha & Darwin

    Tasha & Darwin Well-Known Member

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    Goodness, I hope Zeke gives you a bit of sleep and a break soon! I had three of those nights in a row, and it was exhausting!! I definitely feel for you, and I hope things level out soon!
     
  46. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    Thankfully my daughter, Zeke's momma, takes over after a certain time. I do stay up though until he is finally starting to come up. Luckily I have my own business I do from home and Zeke right now is more normal during the morning time so I can catch up then on sleep lol.

    +2 54
     
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  47. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    Yo Zeke!! Dat's some excellent surfing skilz but maybe you can come a little closer to da beach?? You iz awfully close to da sharks out der!! ~ LagoonMeisterin China
     
  48. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    I iz tryn, but them fins look awful funz to play wifs!

    +2.5 61
    Up a little, but did give him a touch of MC last test. None this time. Want him to stay low so trying to now steer too much.
     
  49. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    You know how it shows the little anonymous critters at the top of our ss when people are looking? I see an anonymous rabbit and anonymous python and my first thought is the bunny better watch out so the python don't eat it! lol
     
  50. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    OK - maybe change your signature to say that. The SLGS in there was confusing me.

    Surfs up Zeke!
     
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  51. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    +3 90!

    We are nearing the beach and next test will be in 1 hour instead of 30 minutes lol.
     
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  52. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Okies, will get that updated to better reflect what we are doing.
     
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  53. Chris & China (GA)

    Chris & China (GA) Well-Known Member

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    tuxedo cat surf.jpg

    Way to go, Zeke!!!
     
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  54. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    +4 155

    My daughter will do a +6 and +8 for me but time for me to get some shuteye. Wonder how tomorrow will be. Love seeing Zeke hit greens but would really be nice if he would do it mid cycle around the nadir, you know, like a normal 12 hour cycle? lol
     
  55. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    OK I gave 1.75u this morning. He possibly flew into 400's with as high as his +8 was but at least he came back down a little.

    Question for tonight:
    Since he flew high even with a partial dose last night, should I go ahead and do the full dose or maybe 1.5u (just shy of a full dose) even if he is close to 50 tonight? He was a little higher this morning then he was the morning after skipping a shot.

    Zeke seems to be taking things to the extremes right now. Yep evening cycles tend to be lower but this is nuts! o_O
     
  56. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Don't have any advice for you, but that sure is weird. Work it out, Zeke, this isn't a bouncing contest. :bighug:
     
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  57. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    Yeah he is being really crazy with his numbers right now lol
     
  58. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    It doesn't look like he's going to be super low, so I'd go with the 1.75. You need to find a dose you can shoot consistently so the depot can catch up and we can see what the insulin is really doing. Hopefully that is in process now.
     
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  59. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    Yeah, I am glad he didn't hit PMPS too low tonight. Wasn't liking that we weren't able to shoot consistently every night. Still makes me wonder how much of it could be the food since started a different flavor today. Will know if that is the case after we do this flavor and the next if we drop back down again like that. If that is it, then the carbs have changed for these flavors. We get the poultry lovers pack and they are all 5% except for the poultry platter which is 4%. At least he is finally recovering from bounces quicker now. :)
     
  60. Tricia Cinco(GA) & Harvey

    Tricia Cinco(GA) & Harvey Well-Known Member

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    Whew! You might even get to sleep tonight! :woot:

    Hopefully the depot will be stabilized in a day or two and you'll know if this is the right dose, or if you went past it when you were trying to keep up with Zeke's crazy slides.

    Meredith, could you please start a new thread tomorrow (and link this one in your first post)? This one is getting awfully long. We ask each member to do a new one each day to make it easier to read them. Thanks.
     
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  61. Meridith and Zeke

    Meridith and Zeke Well-Known Member

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    May 22, 2017
    Yep, nice to have a "normal" day for a change lol.

    Yep, will do. I normally do and was planning on for the next wonky day. These last couple days have been just so crazy it was almost like one really really long day lol.
     
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