The bacteria in Mark's blood was cultured, and it matches the bacteria common in the liver. Because bilirubin remains low and he recently had a stent replacement, there is no reason to believe it is from the stent. Even though the tumors in the liver are shrinking, there could be pockets of bile present which could cause infection. There's no large pocket that shows on any scans, so nothing can be done to remove any fluid build-up. Mark was given specific antibiotics targeted at that particular bacteria. So far, it seems to be working since he is feeling much better. He has had no fever or chills for several days, and his vitals look good. Yesterday, his red blood count was down, which was likely the reason for his tiredness, so a liter of blood was given. His blood counts are better this morning.
The infectious disease doctor is concerned, as are we, that if we go home now, without any intervention, he could be back soon with another infection. But, there's no reason to keep him here, otherwise. So, a plan has been implemented for Mark to have Home Health Care manage his IV antibiotic. An HHC nurse will be here this afternoon with the supplies needed and teach us what we need to do. Mark will wear a pump that will allow a continuous flow of the antibiotic until the round is complete,
The biggest concern is that he could have a reoccurrence of C-diff. His labs show negative for the C-diff toxins but positive for colonization. That's a chance we will have to take since he has to have the antibiotics to get rid of the infection. We've been alerted to signs of C-diff, although it is rather hard to tell, especially since the antibiotics can cause diarrhea.
At first, we were concerned about going home and having to return again in an emergency situation. But, after prayerful consideration, we feel inclined to move forward with discharge today. Of course, we would like to be home for Thanksgiving if we can do so safely. It looks like we will be. YEA!!!
Happy Thanksgiving!!! We count our many blessings, including amazing doctors, nurses, and other staff. We are grateful for medications and ongoing research that continues to improve healthcare. Neither of us would be here today without the blessings of modern medicine. We are most thankful for a loving and supportive family who are willing to help us in any way they can. Good friends have blessed our lives in numerous ways, and their support is invaluable. Our blessings are countless and, at times, miraculous. We give thanks especially for the guidance we receive from above that gives us direction to know what to do and peace when we listen and obey. We are most thankful for a loving Father in Heaven and for his son, Jesus Christ, who is our advocate and constant help in times of need.
**a fascinating insight from an infectious disease doctor at St. Vincent Medical Center: He was adamant that Covid is here to stay and that everyone will eventually get it because it is so contagious. Those who have had vaccines and boosters will have milder cases. The severe cases he sees in the hospital now are in unvaccinated patients. He is concerned that Covid will continue to morph and become more dangerous even for children. He highly recommends that all eligible adults and children get the vaccine to protect themselves and keep from spreading it, especially to those who are older or who are immunocompromised. Mark would definitely be in that category. That's certainly food for thought.
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