Wednesday, March 4, 2009

The Plan For Now

Lynnea had a better day today than yesterday. She continued to run a fever all day, but it was lower than yesterday. Her saturations dropped whenever she became upset, but she was able to recover a little bit easier today than yesterday, though she still requires quite a bit of oxygen pretty much all the time. Here is the plan that her doctors came up with for now: This morning they started her on Milrinone to see if that will help improve her heart function some. Tomorrow, if all of the cultures that they ran yesterday are still negative, they will take her off from her antibiotics. They feel that there is a small chance that the fever could be caused by the antibiotics, though it is an unlikely side-effect of the antibiotics that she is on. Either way, they feel that the antibiotics aren't helping, so there shouldn't be any harm in taking her off from them for now. On Friday they are going to go ahead and do another heart catherization. I haven't heard a time yet, but hopefully they will be able to give me a time tomorrow morning when they do rounds. Dr. St. Louis feels that a heart catherization is the best way to get accurate information about Lynnea's heart function, and about the narrowing of her aorta. He is reluctant to believe that the source of her fevers could be an infection in her heart because if this were the case, then there should be signs of it in the blood cultures they have done, so at this point, he is hoping that the heart catherization will be able to answer some questions without actually having to open her up again at this time.

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