Serena

• She reached a clinician through the Guide. Ask how she is today, and whether she has someone with her tonight.
• 11 of her last 11 check-ins were lost, sad or overwhelmed. A depression screen at the visit would be reasonable.
• 2 of her asks for practical help are still unmet.

Drawn from what she shares. A prompt for the conversation, not an assessment.

1. Today

   Asked the Guide for a person. Maren Olsson, LICSW joined the thread and suggested she call the clinic today.

   Escalation

2. Yesterday

   Checked in as overwhelmed, the fourth day running.

3. 4 days ago

   Posted an ask for school pickup. Not yet claimed.

4. 9 days ago

   Invited her mother and a coworker. Neither has joined yet.

5. 22 days ago

   Joined Rebloom from the discharge code, two days after the loss.

Her Home tells her to call you for:

• ·Bleeding that becomes heavy again after becoming lighter
• ·New or worsening pelvic or abdominal pain
• ·Fever, foul-smelling discharge, or feeling physically unwell
• ·Breast redness, heat, swelling, or pain that concerns you
• ·Persistent sleep disruption, anxiety, or low mood

Reading this week: When Might My Period Return After a Later Pregnancy Loss?. Written to Mayo Clinic and March of Dimes guidance.

2 more invited, not joined yet.

• ✓Daily check-insThe feeling she picks each day, not anything she writes.
• ✓ActivityWhen she last opened Rebloom, and which pieces she read.
• ✓Care networkHow many people are helping, and whether her asks get met.
• ✓EscalationsWhen the Guide hands her to a clinician, and what was suggested.