March 31, 2005

Rolling Through Day Four...

Our patient seems to be doing well. Some concern for temperature. Like so many things, it is a balancing act. Blood pressure can't be too high but can't be too low. Temperature should be low, but if they manage it with ice or a cooling blanket, it induces shivers which drive up her ICP (and sadden her husband, who has to watch...)

As was discussed in the meeting yesterday, this is a time of deterioration, and they are very happy to see her holding stable.

She looks good. Her swelling is down, and she is resting well. I did not speak to Dr. Nelson yet today if any new news develops, I will let you know!

Posted by John Kranz at March 31, 2005 10:03 AM

JK, Do you know why her temperature tends to elevate? Is it a typical post-op development? (They haven't discussed this condition yet on "House" so I'm still in the dark on it.)

In my various experinces with doctors and nurses I've found that they actually enjoy answering questions, presuming they come from a person with intelligence. It sounds like they're taking to you and Riza quite well.

Keep up the good work and don't be afraid to use that call button as often as you think is necessary.

We're here if you need us.

Posted by: johngalt at March 31, 2005 12:54 PM

Thanks, guy, I appreciate it. She does have pneumonia, which I think is the main culprit. The nurses spend 24 hours a day keeping all her "numbers" in range, with everything from medication to Mozart to draining a tube to ice-packs.

Posted by: jk at March 31, 2005 2:08 PM