A rough day, Champ. Transitioning from IV pain medicine to oral after such a major surgery is tough. By mid afternoon it was clearly not working. A second NSAID drug was added bringing some relief. When repeatedly queried by the nurses about your pain level you smiled and resorted to your go to response: "Well I'm alive, right?!?" Reading your Facebook messages and looking through pictures of good times with your friends helped take your mind off of the pain.
One of the highlights from yesterday also helped us get through this rough patch. Your nurse, Valerie, exclaimed upon your arrival to 4D, "Forrest, I took care of you as a nursing student two years ago over in Peds after you had a major surgery." She was so excited to see you doing amazingly well now. She shared with us later that at the time she had doubts if she had made the right career choice, but that taking care of you and following your progress convinced her that she had! I hope we get to have Valerie as your nurse again before you are discharged.
Midday the Infectious Diseases doctor stopped by...on a week end, probably not a good sign. Turns out that the surveillance cultures Dr Kumar took during surgery turned up the same bad bacteria you have had before. Even though there were no signs of active infection, this specialist recommends we hit this bacteria fast and hard to protect your new bone grafts. So today you began continuous IV antibiotic therapy and Monday you will have another central IV line surgically placed. That way you can continue these big gun antibiotics through continuous infusion at home...again. Hopefully since Dr Kumar removed all of your old hardware, coupled with this aggressive therapy, we can knock this bacteria out once and for all.
The pain kept you uncomfortably in bed all day today, but Toliver really wanted to take you for a walk this evening. Once up on your feet and out of your room, Toliver proudly escorted you around and around the unit for 10 minutes! Hopefully tomorrow the sun will still be shining and it will be a better day...maybe we can even make it outside to the garden!
Tami is on her way over now to keep watch and to spend some time with you tonight. We are so blessed to have Tami on your Team 44 to keep us all on course.
Rest well tonight, Champ. Tomorrow will be better.