Fever

Update - the anesthesia resident came by and made a half-a$$ed attempt at getting a line in Jack. The first thing he said when he came into the room was "I've had a long day". Good grief, I don't really care how long his day has been. I told him that Jack's had a long day too! The other thing that bugged the heck out of me is that he didn't even wash his hands when he came into the room. Thankfully, he only stuck Jack twice and then gave up. Jack got 3 ... count them ... 3 Rocephin shots at the same time. It was awful. I can't take any more of him being stuck with needles. My mission ... get out of here and fast!

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Jack had another rough day. I woke up to him crying (more like moaning) this morning. His heart rate was sky high and he was hot. He's run a temp of 102-104 throughout the day. They had to get blood for a CBC and cultures, so they called the transport team - who was able to get some blood out of him after 3 sticks. They eventually called the ortho resident who checked his incision and it looks fine. They were thinking the source of the infection was the central line. I was looking at it and noticed it was leaking -- so it came out. Only problem is, he is not tolerating full feeds yet and they are worried with him not having a line in for fluids and antibiotics. They called the transport team to see if they'd come down and try and get a line in --- they said "thanks, but no thanks" -- actually, they said they didn't think they could get one in based on the difficulty they had getting blood. Plan B is to call someone from anesthesia to see if they can get a line in. I'm not optimistic because it's a Sunday evening and we will not get an attending, we'll get a resident and I'm not convinced he/she will have any more experience than anyone else who has tried. Worse case scenario - they take him to the OR tomorrow and do a cut down. If anesthesia can't get a line in tonight, they will give him a shot of antibiotics for tonight.

Let's hope that getting the central line out will resolve the fever, that the cultures don't grow anything and that he starts tolerating his food. I'm still planning on getting out of here by Tuesday. And you all know how well I handle things that don't go as I plan!!