Rotating Doctors

So how do you know you've been in the hospital a long time?  When you outlast their rotations.  Today was Dr. Su's last day with us.  His rotation is over, and we will get a new Hem/Oc Attending starting tomorrow.  The new Attending will be our third since Johnny started re-induction over a month ago.  We also got a new ID Attending today.  I'm starting to lose track of who is who.

The new ID doctor, Dr. Munoz, came with some news about Johnny's new infection.  It was confirmed this morning that he has another Pseudomonas infection.  This time a more drug resistant version than he faced last time.  Apparently this is a pretty smart bug, and adapts pretty quickly.  We will now be using the Mercedes Benz of antibiotic drugs.  The ID doctor actually said we will be using the Cadillac of antibiotics, but when she saw the look on my face she stopped.  "Not a fan of Cadillacs?"  Well, they're really just Chevys with a coat of lipstick.  "OK, what's a really high end car?"  That's how we got to the Mercedes analogy.  We are also keeping a close eye on the lung infection.  The latest CT scan showed that one of the spots may be growing.  Johnny will get another CT scan of his chest after a few days on the new antibiotics to see if there is any improvement.

Johnny also lost his new PIC line today.  Both the ID and Hem/Oc doctors felt that because Pseudomonas is a "sticky" bacteria that the line had to go.  Back to Johnny Needlehands for a while.  That's better than the Human Torch.  I wasn't in the room, but Julie said the PIC line got "stuck" coming out.  A doctor had to come in and give it a good tug to break it free.  Julie's first questions was "Did it break?"  Luckily the end was still attached.  It's a good thing I wasn't there or they probably would have sent me to the ER after I fainted.  

Johnny did a little better today, but he needs to be fever free (or at least less than 101) for 24 hours before we can start thinking about going back up to the 9th floor.  We can't wait.