Sunday, February 17, 2008
Dr. Lamb came by at the same time as the ID Dr. They feel that the newest MRI did not show abscesses and that the enhancing areas on the scan were probably necrosis (cell death). I told her I felt like that was worse because abscesses have the possibility of reversing and necrosis sounds permenant. She disagreed because from an infectious disease viewpoint the last thing they want is more infection. Dr. Lamb said they would like to review the scans with a pediatric neuroradiologist. They have set this up for Tues when Dr. Headlan is back at work. They forgot to increase the Baclofen yesterday so they will be trying this today and if he still doesn't calm down they will increase the Clonadine again tomorrow. Dr. Lamb said she still wants to order a visual evoked response test to see if his brain is registering visual stimuli, also she wants to do a swallow test next week sometime. She thinks we may be able to internalize the shunt sometime this week.