Wednesday, January 7, 2009

Update

An update is long overdue and I'm sorry. I was waiting to have all good news and it's obvious that's not going to happen.

We dropped a urine culture at our local lab on Saturday. We had to go to the hospital on Tuesday for the next Cytogam infusion and we were all anxious about the results of that urine culture. We also discussed her going back to school on Monday and Dr. M agreed with P.E. restrictions. The urine culture came back "no growth" otherwise known as negative. Dr. M wanted to immediately have the PICC pulled in interventional radiology. Katie was freaked about that so we got permission to have home health pull it. Dr. M and I said that was good because that would give us a chance to wait for the urine culture we had given there that same day (yesterday.)

Around noon when I hadn't heard from Nancy I called and left her a voice mail message. She called back around 2 and said that the lab hadn't run a urinalysis only a culture and the preliminary report wasn't back yet but would be back around 3.

Just got off the phone with her... the preliminary report shows 50,000 growth of a different bacteria (a new bacteria thankfully.) So we're keeping the PICC for now. And Dr. M wants Katie to cath 6 times per day. The plan is that Dr. M wants to see the final report tomorrow. If it comes back saying there's no recommendation for treatment then we pull the PICC and she goes to school on Monday. If it needs treated then we will need to keep up the increased cathing, and do antibiotics (hopefully either oral or at home with the PICC) and no going back to school.

The other piece of new information is about another possible surgery. When we were last inpatient Dr. M mentioned the possibility of removing the native kidney because it's a potential area for bacterial growth. Yesterday she said the Dr. V (our surgeon) usually likes to talk about doing that between 3 and 6 months postop from a transplant... sooner if infection has been an issue. So it seems as though we'll be dealing with that soon also.

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