Had a good 4 days in Vegas (no, didn't win!!!).  I had the facility do the laundry while I was gone because my brother is undependable.  This week there seems to be more things happening with mom.  The right arm and hand are starting to contract and the massage therapist also told me she's holding her head turned to the left most of the time.  I do know she can turn her head because if there's something happening on the other side, she does turn that way. 
Hospice called yesterday about extending her breathing treatments (there's a cold going around) and replacing her Effexor with Celexa (makes no sense to me, usually things are done the other way around, but I don't think she's getting any benefit from the antidepressant anyway) because she seems to have a scared sort of look on her face.  I called back to make sure they are tapering her Effexor off VERY SLOWLY because from personal experience that drug is very hard to come off, I felt horrible when I was withdrawing from it.
I also decided I'd take a ride up there just to make sure she was okay.  I had lunch with her and I did get her to laugh a couple of times.

I casually asked some people at the NH if they'd seen my brother lately and nobody has seen him for a couple of weeks.