Update

Adrienne's fevers got much higher on Thursday night (above 103F with Tylenol) so we went to the ER at New York-Presbyterian Hospital. We were in the ER for 10 hours but Adrienne had her own room and they took very good care of her.

Since then, the fevers have persisted on and off despite her getting the strongest of antibiotics. The pneumonia looked much more advanced on Thursday than it was on her Tuesday scan and totally surrounds the tumor in her right lung. She has some shortness of breath and coughing when she takes a deep breath but otherwise her breathing is pretty good.

Adrienne has been complaining of a sore throat for about a week now and yesterday her pain was up to 8/10 on the pain scale. After a number of cursory looks the last few days, last night the doctor took a lot of time to see as far down her throat as he could and there's both puss and thrush (yeast) in there. They are now treating the thrush and hoping the antibiotics clear up the puss, but it seems that the throat is getting worse and worse. This morning I asked for more continuous pain meds to make her more comfortable. Hopefully yesterday's throat culture will tell us more about the puss.

Apparently, Adrienne's liver function tests were increased when we came in on Thursday night and were up significantly again on Saturday. She's had an ultrasound and MRI of the liver, but we have no answers as of yet. Her liver is tender when they press on it and she has one area of sharp pain. If they can't figure out what's going on with scans, the next step is an endoscopy to visualize the liver better. This seems to be a problem with the bilary system and could be as simple as backup in the gall bladder or as complex as more tumor. Obviously, we're hoping for the former.

Adrienne has been unable to do any school work for a week and missed two midterms last week. They have been rescheduled for Monday but obviously she isn't going to make that. We'll just have to see where this takes us. We're still hoping to avoid a withdrawal but may have no choice if she doesn't improve soon.

We're all trying to remain calm and not overly worry but we know how difficult these situations can be. Adrienne is getting very good care and they are running every test possible. Hopefully she'll be on the mend soon.