Still Wide Open

The plan was that Dr. Bryant would close Lynnea's chest up this morning. He had her on his schedule for 10am. She seemed to do OK overnight -- fever down most of the night, blood pressures not fluctuating as much, sat's fine on only 35%oxygen, etc., so there appeared to be no reason not to close her up today. Well, about an hour before he was going to close her, she spiked a fever of 102.7, dropped her sat's enough to require the nurse to turn her oxygen back up to 55%, and raised her heart rate and blood pressure. So, Bryant decided that he wasn't going to take the risk of closing her today. Maybe tomorrow her fever will be down and Dr. St. Louis might be willing to close her. Along with the usual cultures that are sent every time that she spikes a temp (blood, urine, sputum) they also decided to send cultures from her chest tube drainage, and her G-tube drainage.