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Monday, February 18, 2013

02.18.13

Early this morning Hannah was taken down for a picture of her intestines. From what I gather, the picture looks a lot better than it did on Saturday night. However, she's still draining from her stomach and very uncomfortable when the G-tube is clamped shut. 

The doctor in charge of Hannah's team was in this morning to discuss the plan. I asked if these two issues- not processing food and her continued high white count (it is still double what it should be after labs this morning), are related. He thinks that they are directly related, and wants to take another CT of Hannah today. We will inject contrast into Hannah's G-tube so that the CT will show what it needs to. The problem here is that Hannah may not be able to handle that much contrast being poured into her belly. There is a back up option using ultrasound, but it wouldn't not provide a picture quite as accurate as is needed.

Once we can see if there is an abscess hiding somewhere, they may be able to remove it via needle, and not have to perform surgery. Until Hannah can eat though, we are back to inserting a PICC line. Probably tomorrow, we will have that placed and then she can lose the other IV that has been providing her nutrition since Saturday. It is not ideal, but if there is an abscess, if they can remove it, if Hannah can handle feeds over the next few days, and if I can administer IV antibiotics through her PICC line, we may be able to go home later this weekend. I think that it's the week of 'ifs'...

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