Yep, it's the beginning of the school year. This particular resident will, I'm sure, learn to look at previous records before making a decision, especially in a complex case. But he hasn't yet, or at least he didn't go tell his attending that he'd goofed.
I'm not a radiologist. I'm not a doctor, or even a nurse. (Maybe I shouldn't say "even." I know some pretty incredible nurses.) My medical training consists of a basic EMT course taken seven years ago and Aaron's School of Medicine. That said, I have been there for nearly every one of his 90 inpatient days over the past 15 months. (I hit a wall a couple times and went home for one night during two longer stays.) And I've seen each of his chest x-rays. There's been more than just a couple.
|This is NOT Aaron's lungs, but the
patchiness is similar to what we
always see on his.
Now of course, the fun has continued here at home. He's still not well. It is probably a virus. But I don't think his vent settings were supporting him well enough either. He did pretty well on our trip to Shriner's yesterday, but still needing more oxygen. But by last night, I was getting really antsy again. I even told William that if it were not for our appointment with the trach/vent clinic on Wednesday, I'd be taking him in now. But there we meet with ENT, pulmonology, respiratory, and special needs all at once.
This morning wasn't much better. In fact, just regular suctioning had him desatting to low 80's & high 70's and me going quite high on his oxygen to bring him back up. So I called up to PCMC and got the home vent coordinator up there. Now, I don't think this woman really forgets anything, but if she did, she's the kind of person you'd say had forgotten more about a subject than most others know. She agreed that his trouble probably wasn't pneumonia, but insufficient vent settings and probably the weather changes. Like I said, she doesn't forget and she knows my kid. So we've increased the settings in anticipation of tomorrow's appointment, and guess what! He's doing better already.
Yeah, I think I know my kid. And once that resident learns to listen, he'll make a great doctor. He's just young, and I guess I'm starting to feel old.
Side note: We're on our last set of casts! On the 24th, Aaron gets braces, and they're cute, thin ones, not the big clunky ones of my generation. He's also up to 17 pounds, 14 ounces! How's that for failure to thrive!!