Saturday, June 27, 2009

Bump in the road... Day 227 27JUN09

We had a set back today. Joshua's blood culture came back positive for a bacterial infection. His counts also came back very low. His ANC is under 100 and his platelets were 48. His HGB and reds were low as well so he got another transfusion this morning.

They did another culture to rule out a false positive and started him on vancomycin which is a very strong antibiotic. One of the most common side effects is the child's skin turning bright red, it is called red man's reaction. Of course Joshua had the reaction. His head turned scarlet and his lips looked like he was wearing lipstick. They gave him hydrocortisone to counteract the reaction and it seemed to work. From now on he will get hydrocortisone before he gets the vancomycin dose. He is also getting cephapime according to the fever protocol.

If the second culture comes back positive it is a mandatory 5-7 day stay in the hospital so we are bracing for another long stay. He may have caught what Jarrod and Renee had last week; it is hard to tell. He seemed to be feeling okay this evening, the fever is not all that high. He will get another vancomycin dose at 3 a.m. so he will get visited a bunch of times overnight by the nurses. Renee thinks he will need platelets in the morning, he was bruising very easily tonight. I would not be surprised is she is right. We have lost count of the number of transfusions Joshua has gotten so far.

We have everything crossed that the antibiotics will kick in and quickly crush the bacterial infection. With, for all intensive purposes, no immune system an infection can be very hard to beat. Joshua is strong though and always a fighter.

Jarrod and I have switched into "just the two of us" mode and had a nice dinner we prepared and then took a walk together this evening. Tomorrow we will be back up at the hospital hanging out with Josh. Hopefully this is just another of those bumps in the road that we have dealt with before.


Nonna said...

Hey Snuggle Monkey,

Some good news, some not so good news. I so hope that the first blood culture was wrong that you do not have an infection - time will tell. Hopefully the vancomycin will do battle with whatever might be invading your territory and kick it into oblivion.

You are one mighty warrior and you will conquer.

Tons of Love, Hugs and Kisses,


Miss Laura said...

Hey Josh,

I sure hope that infection gets kicked out by the strong antibiotics! Keep on kickin' butt!

Love, Laura & Frank

Jamie(Sister) said...

Joshua!!!!! =( Whats happening monkey butt..??? =) I dont like this dude and i know the rest of everyone else doesnt either. Hey instead of the blue man group you can be the red man.. ;) Im sorry love bug i hope all of this goes away soon and you and mommy get to get in your comfy beds. =) No infections aloud dude, we gotta kick that thing right in the butt k and hard!!! ;) Well i love you guys and we will be sure to come up and see you k sweet pea. KEEP UP THE AWESOME WORK!! YOU ARE DOING GREAT JOSHY!!