Today has been a great day so far. Rachel came up with Grama and Grampa on Saturday and stayed with us last night. I think she did rather well for her first night at David's house. It made for a nice father's day for me to bring her in to see her baby brother. Tyler seemed happy to get another lecture on the importance of Duckies from big sis!
Tyler is again nice and stable. He has been extubated and is on high-flow O2. Feeds are rolling along again at 13ml(2.5 teaspoons) every 3 hours. The updated culture report is back and we now know that his infection is sensitive to an antibiotic called Nafcillin. This means we can remove the other antibiotic and treat with the one that we know will do the most good. We have also pulled the PICC (centeral line), if that really is the source we don't want it in there anymore.
We have made a few tweaks to his meds and O2 and he seems to be doing just fine with it. Tomorrow we have an ultrasound scheduled to see what's going on in his head. We could be looking at installing the external drain, wait another few days and see or Tyler has cleared the clot on his own and we don't need to do anything. The last one is a long-shot but by no means impossible.
We have somewhat of a medical mistery going on at the moment. They pulled 2 blood clutures from Tyler on Thursday. One from his centeral line and a second from a surface vein on his foot. The centeral line culture grew, the foot did not. If the infection was far enough along to cause the symptoms we saw by itself both cultures should have grown. The same symptoms could have come from the preassure in the ventracles in his brain. The Neurosurgen drew off 12 ml of Cerebroalspinal fluid (2.5 teaspoons). At the rate he should be creating the stuff(close to 500ml/day or 2 cups) we should have needed to tap him again by now. So two possible causes of the symptoms and neither cause is clearly the culprit, and yet the symptoms are gone.
As for the "Emerald City" bit. Everything here is painted green EVERYTHING!
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