GOOD GRIEF AND ALAS
It is a reference to the Dr. Seuss book “Daisy-Head Mayzie” originally published in 1994. It is about a girl that grows a daisy out of her head. Near the end of the book, she starts crying and yells “Nobody loves me!” This is most likely the meaning of the NLM on the A/B/NLM note. Eventually she picks the petals off the flower and realizes they do love her. Unfortunately things did not go the same way for Care.