Wednesday, December 3, 2008

Wednesday 12/3/08 Medical update

- The new Neurological attending doctor changed Sue's phenobarbital from one large dose per day to three boluses per day. This change seems to make a positive difference. Sue went about 24 hours without a seizure. Though she started to have focal seizures again this evening.

- There is now a chance that Sue may be weaned off the Versed medicine on Thursday and extubated on Friday. So we may not have to go the tracheotomy route.

- Sue reported some vision problems today. She has either double vision or decreased vision in her right eye. I think an ophthalmologist will be consulted.

- I spoke to the Neurological Fellow today about the results of MRI #3. It seems that MRI #2 showed 5-10 lesions. These may have been in five sections of the brain. MRI #3 showed fewer and smaller lesions. Something about 'flairs' - this might be the type of MRI images. Also something about edema, some of the abnormal areas contained water? I will speak to Neuroglogical attending (Dr. Chrisnamurphy) Thursday AM.

- We quizzed the Neurlogist on whether the focal seizures are really seizures or just twitches. They are pretty confident they are seizures. Many do not show up on the EEG because they are coming from very small sections? They do see some of the focal seizures on the EEG.

- Today is Dr. Pillai's (ID doc) last day.

1 comment:

jpb said...

- We have been waiting for lab results from Nashoba for fifths disease tests. BIDMC has been calling daily for the test results. we were just informed that they no longer test for this.

- BIDMC will now perform this test and we must now wait another week or so.