Thursday, November 16, 2017
Another Hospital Stay
Because Karen has cancer and a weakened immune system, Oncology has told us to call in whenever she gets a fever. They like to monitor any kind of infection very closely, even if it's just a viral infection. On Tuesday Karen was alternating between hot flushes and sweats, and chills. It sounded like a flu so we took her temperature and it came up as 99.9°F. In the past 30 days Karen had been treated for a UTI twice, but with entirely different symptoms. However, because of this history, they wanted us to come in. It was almost 5pm at this point, and the regular hospital entrance would be closed, so they told us the ER would admit us. Since the ER never closes, we opted to wait until rush hour had passed, and it doesn't really calm down until after 7pm. We assumed we'd end up staying a few days and spent some extra time packing.
We didn't arrive until after 9pm. And it only took a few minutes for us to get our own room to wait in while the admission was being processed. It was a busy night so we had to wait a couple hours. But we had our own TV, and they had water, sodas, and juices available. We both had water, and after a while I had some orange juice and Karen had some cranberry juice. We weren't officially admitted until around midnight, but we're night people and found the overall experience quite positive all things considered.
While we originally thought it was probably just a flu, Karen UTI symptoms returned the evening before we left for the hospital. With an unclear diagnosis they ran a bunch of different tests and took a bunch of different cultures. They got a urine sample, blood samples, and an xray to check for pneumonia. They even took blood from two different sites on her body to have a better chance of catching any infection. These cultures typically come back in 24 to 48 hours, so they put her on a broad spectrum antibiotic while we waited, just in case it wasn't the flu.
The results came back early this morning, and it turned out to be another UTI. I'm not sure why this one caused flu like symptoms. Perhaps it was a more aggressive UTI than we've had previously, or perhaps the prior infections hadn't quite gone away and had spread to other parts of the body? This particular bacteria was found to be resistant to all oral antibiotics. This means there wasn't a pill Karen could take to beat this UTI. It was also resistant to the IV antibiotic she had been receiving. They switched over to ertapenem this morning. Writing this out, it actually sounds pretty scary. But it's pretty common to swap out antibiotics after your UTI is cultured, and Karen was already on the new antibiotic and starting to feel better before we had the full story. So finding out the details later in the day wasn't traumatic for us in any way.
As long as things continue to improve we should be home soon. I'm hoping we can get out of here tomorrow, but Saturday seems a bit more realistic. Either way I'm really looking forward to it. It's so hard to sleep in a hospital.
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