Thursday, February 21, 2008
Same as before :]
Last night was about the same as yesterday. He is still storming about every 3 hours or so. Dr. Such-Niber increased clonadine because that seems to work the best to calm him. She would like to get the storms under control so we don’t need to use Morphine as much. If they continue, we can increase the tranxene tomorrow, but then Dr. Such-Niber will consider taking off the casts to decrease agitation and deal with ankle problems down the road. I inquired about what damage could be done if he storms and we don’t stop it and her concerns were mostly about sustained muscle tension that can lead to muscle breakdown. His heart seems to be handling everything (storms, medication etc.). She does not want to put in a feeding tube until after the storms are under control because the back arching displaces the G-tube or J-tube. Neurosurgery is still planning on Monday for internalizing the shunt. The CSF samples have remained the same since stopping antibiotics. The attending team will be by later this afternoon to check on Charlie. Due to the earthquake in Wells, Nevada (6.3) Rob has been called out of town to check all of the bridges nearby. He should be back by tomorrow but he misses his boy already.