Thursday, December 18, 2008

Here We Are Again

We're admitted and let me just say that ALL of us have lost our patience for this place. We have a new batch of residents and I've been arguing with them all morning about her med doses, times, blood draw times, bowel flush, etc. They're arrogant and dissmissive and I'm frustrated. The last batch was much more compassionate and eager to learn, not so much with this new crowd. I have no idea how long we'll be here. Dr. M. mentioned a PICC (long term IV) and home antibiotics but not until after the latest culture comes back and that won't be until lunch time on Friday. It typically takes a good 24 hours to get home health set up so.. I just don't know. We're all tired and frustrated.

The good news is the concensus, across general peds and Dr. M is that we are not dealing with rejection at all. The kidney function labs are still stable creatinine this morning was 0.7. We are dealing with a nasty set of urinary bacteria that we have to be aggressive about because of the fact that she is a kidney transplant patient, both becuase she's immunosuppressed and because it's so important to protect that kidney from having to deal with anything other than it's normal functions.

Your thoughts and prayers are appreciated!!

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