Tuesday 09/15/09
Talked to Karen, who took care of Mike all night. She said that he's had an uneventful night. His white count is better, now 9, down from 13-ish. He is on Levaquin (antibiotic) and he has not been febrile (feverish) all night.

Yesterday, before shift change, Mike has a hypotensive event. Evidently, they were changing linens and they might have knocked something loose (some of those nasty bacterial critters having a party under one of his shoulders or head, no doubt) They think he had a bacterial storm and his blood pressure plummeted to a mean of 30-40's. Okay, that's the number that is supposed to be the top blood pressure, usually around 100-ish. Suffice it to say.. not good. Karen said is lasted for about 30 minutes. She also said that Dr. Morris said as long as he didn't have any more events, it was okay. (the sure sign of someone with experience...not getting excited about blood pressure events) Karen stopped Mike's propofol all night, which can contribute to lower blood pressures, and kept him comfortable with fentanyl and benadryl. His blood pressures are keeping stable at around 110 (that's more like it!). Oh yeah, keep Mike in your prayers this morning because he's going back to surgery and it sounds like it's not uncommon for patients to have bacterial storm events when they are messing around with bacteria laden areas. They are going to clean the areas and put homografts on to promote healing. Usually, you can get five to seven days of healing out of a homograft. So that means that he will have to go back to surgery in another 5-7 days.... and so we go again..... up, down, up, down, up.....

More later,
and so we go
JaCee