Thursday, September 24, 2009

An Unscheduled Trip to the U

Lynnea's blood-oxygen saturations have been running low the past two days (low 60's before a neb treatment, low 70's after; normal for her lately has been 77-82), so our home care nurse called Dr. Gruenstein and Dr. St. Louis yesterday to inform them about it, and to ask what they wanted her to do about it (bring her in? give her oxygen?). They neglected to call her back, so when Lynnea's sat's were low again today, our nurse again called about it. Dr. St. Louis felt that Lynnea should be seen by Dr. Gruenstein today, so we brought her in for a clinic visit. They did an echocardiogram, a chest X-ray, and some lab work. We spoke with both Dr. Gruenstein, and one of the cardiology fellows, Dr. Shepherd and they felt that her echo still looked OK, her chest X-ray was clear, and her labs looked OK, though her hemoglobin is a little bit high, so they sent us home and told us to keep an eye on her sat's and let them know if they continue to run lower than usual. Corey, our nurse who came with us, and I all felt that the doctors weren't entirely convinced that Lynnea is really OK, but there wasn't any obvious reason to admit us to the hospital, so they sent us home and told us to come back for another clinic visit with Gruenstein on Oct. 5. It is frustrating to not have any answers about why her sat's are running so much lower than usual, and we hope that we are not headed towards another long hospital stay in the near future.

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