Charlie has spiked another fever of 38.4 C (101.1 F). The nurse gave him Tylenol and is stuffing ice packs all around him. As you can imagine he is very upset about this. His heartrate remains elevated at 184 bpm. He just recieved morphine to help calm him down again. Since he woke up, he has dumped/drained a lot of CSF (28 cc/h20 in less than an hour). I recieved some advice from a visitor tonight that I am too nice and need to be a little more assertive to facilitate Chalie's care. His MRI was completed at 11:30 am this morning and ordered in sort of an emergent basis to assess a possible reason for his seizures. From working at a hospital I know the results are in the computer usually within an hour or two and we still have heard nothing almost 12 hours later. I asked if I could just have the report and the nurse said it is policy to have a Dr. tell the results prior to giving a copy of the report. I requested for the nurse to call any doctor that would be able to just read the report to me. The resident said she can give me results but won't be able to answer many questions about it. So she will be coming in a couple hours after she admits some patients. "I said that's fine, I'll be here." I really do need to work on this assertive stuff.
If anyone wants to check back at 1:00 AM I'll still be waiting