EFTA Document EFTA01617448

Platform: iMessage Timezone: UTC+0000 • • • • How was Eva's day 11:57:24 pm • 2017/01/30 2017/01/31 Sigh. Is it isolation precaution or is she unstable 12:20:02 am Will you go be with her ? 12:25:33 am Everyone needs Uncle F 12:25:44 am [email protected] lcu 12:19:11 am Do 12:21:31 am Don't know 12:21:36 am EFTA01617448 • • Leaving house now 12:26:00 am can't get a line in for the IV 12:46:33 am Hopefully it's a hydration issue and with some volume they can find a vessel. Worst case they can go a little more aggressive if required since she's going to need it therapy for a while The hardest part about if access when you have infection is that you have to make sure the line doesn't get infected too - especially if bacteremic. So sometimes that means changing lines a lot. Matters how extensive her infection is and also where her implant is/was. Hopefully her implant isn't the source and is already out of it is. Sorry to armchair quarterback. She doesn't probably need more doctors she needs more comfort and friends. If there is anything I can do call or text 01:03:48 am She may be in an isolation room so prepare for them to make you have contact precautions when visiting. 01:04:32 am you mean i will have to wear a condom? 01:08:29 am Something like that. Depends on her infection. Usually Gown, gloves, mask 01:11:41 am • • EFTA01617449 she went home she said they couldn't find a line? 02:23:34 am Sigh 02:23:55 am what does that mean seems odd 02:24:33 am Did they use an ultrasound or send a PICC nurse or go for central access? 02:24:36 am no idea 02:24:42 am Hate when hospital folks just give up. Sad. 02:24:51 am as it is her hospital. , so what is next step 02:25:02 am Oral vanc not absorbed so she needs a line 02:25:49 am • • • • EFTA01617450 1212 5333739 how come they can't find a vein? 02:26:14 am +1 (202) 594-5605 Vanc is toxic to veins so you can only have a few doses in each IV 02:26:16 am She could have bad veins peripherally She could be dehydrated w collapsed veins She could have infection risk sites that limit placement 02:27:08 am so what do they usually do now? 02:27:50 am One option is always to send for radiologic guidance of line placement or get anesthesia to put in central access or call surgery 02:27:52 am Those aren't always done at every hospital overnight sometimes they only do 9-5 Especially if she's already had her doses of vanc for the day 02:28:32 am They may have scheduled line placement for tmr morning somehow 02:28:45 am There are also special nurses called PICC nurses that can put in peripheral longer term catheters 02:29:20 am EFTA01617451 • • In arms 02:29:26 am Yes 02:29:48 am They don't seem so worried? Why would they let her leave the ICU? 02:30:05 am Can you reason wth her? 02:30:30 am Uh oh 02:30:51 am oy 02:29:44 am ama 02:30:10 am she still has ovaries 02:30:40 am V Sent EFTA01617452 Ok well sometimes being rational can help people when they are scared. Hopefully her team is discussing a plan and every single option for vascular access - 02:31:46 am  Read EFTA01617453