No changes

Adrienne is doing about the same. Every little thing is an event here in ICU but I'm trying to take it in stride. Her regular oncologist is the physician on the inpatient service for the next 7 days. I thought he was going to cry when he came in this morning (what a nice man). He's been keeping up with what's going on but now he'll be here every day. No, he didn't say no chemo, he just didn't want to give it while her counts were so low and Dr. O agreed. But, there isn't much to do until this infection clears up. She got a new catheter last night and is getting a new PICC line today. I'm glad they aren't talking about removing the port-a-cath but I wouldn't be surprised if that comes up too. Otherwise, things are fairly stable or at least as stable as they can be and she hasn't had any fevers since Friday.

As I've said in previous posts, I'm very happy with Adrienne's care here (except for a-- onc and he didn't make any mistakes, just wasn't helpful). Yes, she's getting antifungals. She was on them while neutropenic but they stopped them as soon as her counts came up to give her liver and kidneys a break. She's been treated at several top, top institutions (Stanford, Seattle Cancer Care Alliance, City of Hope, New York Pres/Columbia) so I know what to expect, what to ask, when to be a pest and when to let everyone just do their jobs. I think her care here is as good as she would get anywhere and, if anything, they're being extra cautious and careful about everything and things definitely happen quicker here than at a larger institution. All of her docs here have come from fine institutions including the pulmonologist who came from Sloan Kettering and has been here almost every day (someone covers when he's not here). The docs here are working from an extreme disadvantage caused by the cancer and they're doing the best they can in an impossible situation. You can't rush this, people react differently to different things, and sometimes things just happen.