Today was mostly a day of neurology doctors, checking on Lanie’s spine and going over the MRI results. Dr. Rubenstein was here this morning, explaining that the MRI showed and confirmed that fluid is leaking from the lumbar puncture site and causing the headaches and severe upper back pain.
A few minutes later Kevin Lage, a nurse practitioner from neurology, checked on Lanie, repeating what Dr. R stated. He told Lanie she would have to lay completely flat for 3 days straight. He explained that the fluid leaking will continue until the puncture site heals, which is a slow process due to the low platelets. Laying flat allows the fluid to not go up to the brain area. Of course, we have a frustrated Lanie, but she understands.
Dr. Halpin came in to check on Lanie and discussed controlling her pain. She just wants Lanie comfortable until the headaches and back pain are gone and Lanie can get moving around again. They need her moving around so she doesn’t get a clot. She discussed morphine as an option, but Lanie chose to stay on the Dilaudid as needed.
Lanie’s rash has gotten noticeably worse, spreading to her arms and back. Since stopping the vancomycin has not helped the rash, the doctor changed her meropenem to tigecycline. This was after she was given two doses of the meropenem today already. Hopefully, this will calm the rash.
The internal med doctor from yesterday, also checked on Lanie this evening. They just asked the same questions and discussed the same things as the other docs.
Finally, Chad, another nurse practitioner from neurosurgery, came in to check on Lanie, did the same reflex tests and spinal cord tests as Dr. Lage did earlier. He stated that the surgeon, Dr. Wemhoff, will be here in the morning to talk to Lanie about her MRIs in more detail.