1400 - Just had a long talk with Dr. Cho. He is the Kaiser Internal Medicine Doc.
Here are the highlights:
* Lee still has some serious issues (Kidneys not working properly, heart is weak, infections still being treated, things we all know); however, the new issue needs to be dealt with soon.
* The septic infection from old caused some vegetation on the heart valve. The valve is working with a little less efficiency, but the problem now is the vegetation as it "flakes" off the valve. It is causing mini/micro strokes and this is putting Lee in a precarious position.
Here are the options he presented:
1) Stay here at AVH, keep doing what we are doing, and hope the vegetation dissolve and go away on their own. The problem with this is, each time one flakes off, additional damage is possible. Not a good option in the long run.
2) Transport him to Kaiser Sunset where the Heart Specialists are. They have the personnel and equipment to fix whatever his issues are. AVH is not equipped to handle these specialized treatments. Best option for the long run, even if they decide he does not need the invasive procedures, they can better handle what he needs. Only problem is, there is a greater risk to perform these procedures.
Atfer a few more questions and answers, we decided option 2 is the plan. It is too late in the day to attempt such things, so they will take a look in the morning. Once they determine there is a green light, they will transport him in the ICU Ice Cream truck.
We will keep you posted on this, so you can wave when he goes by....
Vent 35%, peeps 5%
HR 120ish
BP 108/46 MAP69
SpO2 100%
Professor
Eternal Vigilance
שבח יהוה
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