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Thursday, April 9, 2009

Update from the hospital- Thursday Night

So I am here at the hospital and Joey and Nicole took a bunch of notes today, so I am going to post them here. We have been taking notes and I am going to go back and enter them in the blog to make sure we do not loose them.
8:30am- Nicole
I talked to Dr. Ganti this morning because her white blood count was up again. He is going to talk to the infectious disease doctor to see if she could have a drug fever and also if some of the meds could be causing higher white blood counts. She reacted very well when the nurse shined the light in her eyes, so that is good. There is a stool sample that is sitting on the counter which is weird because it is from the other night. They also bathed her.
11:04am- Nicole
Nurse said she has been having two bowel movements a day (which is great!) Respiratory therapist said as soon as they get her fever down they are going to test taking her off the respirator and giving her the C-PAP which will basically be letting her breath on her own. They lowered the level of oxygen that she is getting. It is now at 40.
11:49am- Nicole
Nurse said she doe have an infection in her lung.
12:15pm- Nicole
Mom has a fever of 103. The nurse gave her tylenol and put ice packs around her body.
1:23pm- Nicole
Mom has a fever of 102.7. The lung doctor said they presume that there is an infection in her lung, but it is not proven, so the information from before was incorrect.
4:00pm- Joey
Her fever is 101.6. She has ice packs. Dr. Corvella came and examined her. He said that she is still very much a mystery. All cultures keep coming back negative and her heart rate/blood pressure/ oxygen and respiratory levels don't seem like she has a massive infection. Her belly does not feel like there is infection or abscess. They are looking into why she still has such a fever. There could be blood clots in her legs or an abscess in her stomach. They are going to do a CT scan of her chest and abdomen again. I asked if there was a chance that the abscess was missed on a previous CT scan and he said that it is possible, maybe it was too small at the time and now it is bigger. I asked if her lungs are still a problem for taking her off the vent and he said that her lungs are good (well not good but okay) enough for her to come off the vent or to start weaning her off but with the fever they have to hold off. Fever could be caused by one of the medications. If next tests come back negative, or shed no light they will start taking her off medications one by one to see if one of them is causing the fever or white blood count increase
5:45pm- Joey
Dr. Mathers (infectious disease) came by and gave the same story
6:30pm- Joey
Dr. Feltcher (surgeon's partner) came and gave the same information. He added that her blood test shows a small level of pancreatitis. That maybe the CT scan will show it swollen and we might know a bit more about what is going on. I asked if she was being tested for MRSA and VRE and he said that since no cultures show any bacteria that these issues can not be there. He did also mention that since she has been on such strong antibiotics that some blood cultures will be prone to showing no bacteria because they kill everything.
7:50pm- Stacy
Mom's fever was 100.6. Her blood pressure is 95/51. The nurse (Enrico- I think) just told me that Mom will be going for a scan of her head, chest, lungs, pelvis and abdomen tonight. Dr. Feltcher thinks that she may have pancreatitis.

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