Sorry for the gap in posts. A big reason for the delay was a very memorable Saturday evening which will get a post of it’s own shortly.
Here’s the latest on Rudy, who is doing much better, but is continuing his trait of confounding medical personnel. The team was waiting for cultures to come back on Saturday morning and none of those returned anything that would necessitate a course of IV antibiotics (which would keep us in the hospital). One culture showed Clostridium difficile (c.diff) in his GI tract, but that’s a relatively minor bacteria that can be treated with oral antibiotics. The diarrhea that is one of the key symptoms is running its course and he’s been very peaceful. At the peak of his distress the team needed to put him on the vent, but they took him off yesterday. This morning the plan was to observe him one more day and send us off tomorrow. This afternoon a few wrinkles may have surfaced as his sats seem low, even though he doesn’t show any signs of accompanying distress (high heart rate, rapid breathing, bluish skin). Dr. Robert did notice that his hemacrit level was a bit elevated on his labs when he came into the hospital, which may be a sign that the sats have been low for some time and the body worked to create more red blood cells to carry more oxygen. Of course, the other issue that’s been discussed is whether we’re closer to the Glenn than was originally thought. So, that will be the discussion today and tomorrow. Right now, Rudy is resting and his sats are back in the 60s on just 28% oxygen, which everyone is happy with–we’ll keep watching and decide whether it’ll be OK for us to go home and whether we should have some 02 on hand at home.
The one thing that is consistent in all of this is Rudy’s ability to confound. He was brought into the hospital because he was bleeding from his trach. While that could be extremely severe, it turned out to be benign and completely unrelated to the evidence of infection that got him admitted. The suspected infection turned out to be less severe, but now his blood oxygen levels–something totally unrelated to the infection–are of primary concern to the team as far as sending him home. We shouldn’t e surprised. Rudy likes to do things his own way–hope he gets to do it at home soon.