An Aging Trans Woman

1. lasarina will be seen in clinic by her surgeon on Tuesday, 9-March. This is the next step toward getting the surgery scheduled. Last time we did that, we had a surgery date within about a week from that visit.
2. She is scheduled to leave the IMU today and be moved to a regular room on the 3rd floor. ETA: Move to 3rd floor occurred at about 4:30pm.

Both of these are to be considered indicative of very significant progress. Keep up the good work, everyone! Thanks.

Originally posted at http://wyldraven.dreamwidth.org/554797.html

Tags: lasarina hospitalization

As of this morning, the infectious diseases doctor is discontinuing all antibiotics. This is a major next step toward getting a surgery date scheduled. We are looking forward to presentation to the surgeon late next week, or early the week after.

Originally posted at http://wyldraven.dreamwidth.org/554700.html

Tags: lasarina hospitalization

New line inserted without incident. Transport was momentarily exciting. EMT fell in the rain slicked lot while unloading her at Methodist. He dropped her foot end of gurney onto his legs, but by doing so, protected her from injury. We’re back at the LTAC, getting her settled in. She’s about to get her bath.

Originally posted at http://wyldraven.dreamwidth.org/554489.html

Tags: lasarina hospitalization

Tonight, that problematic central line just fell out. Never mind that it was sutured in place. Yes, one suture came out a couple of nights ago. But the other one was still in place. No bleeding, no problems. Just came out. So the infection source is gone.

They had to put in a regular IV into each arm to continue the IV antibiotics and meds. For the next 24 hours, there will be no TPN. That’s the biggest negative to this highly unexpected outcome. Barbara will be going to Methodist at 7:15 am on Monday to get a new central line inserted for the long term requirements until we can finally get the surgery she needs.

Originally posted at http://wyldraven.dreamwidth.org/554028.html

Tags: lasarina hospitalization

So far, Barbara has been through a failed attempt at a PICC line placement, and a failed attempt at a central line placement in her neck. She’s got a fever, which means some of the infection from the existing central line is starting to spread. The only solution to that is to pull that line, but they have to successfully place a new line first.

She is going to be sent out to either Hermann or Methodist for Interventional Radiology to do ultra-sound guided insertion of a new line. As to whether it will end up being a PICC, central, or subclavian is, at this point, anyone’s guess.

ETA: Time and place – 7:15 am Monday at Methodist.

Originally posted at http://wyldraven.dreamwidth.org/553799.html

Tags: lasarina hospitalization

Positive culture for staph in the central line. Hasn’t spread to her, yet. Already on antibiotics for it, but it means the line has to be removed, and a new one inserted. Again. Totally have lost count how many times that’s happened. This one was only about three weeks.

Originally posted at http://wyldraven.dreamwidth.org/553590.html

Tags: lasarina hospitalization

Things are going well, all in all. She’s gotten much stronger in the last few days. Her cognition has returned to full normal. Still sleeping a lot, but she did just spend almost two weeks in sepsis, so that’s expected and appropriate. She’s really doing very well.

mundane stuff about the hospital

Tags: lasarina hospitalization

Barbara is now in the IMU, which means a private room. It’s quiet, and I can room in again. Even more significant, the psychosis is already essentially gone. All that is left is to help her sort out what happened, and what was hallucination.

Originally posted at http://wyldraven.dreamwidth.org/552744.html

Tags: lasarina hospitalization

Room is being cleaned now. She’ll move this afternoon sometime. Still monitored unit, but private room. Should be much better environment for her (and me too, for that matter).

She was considerably more lucid this morning. She is sleeping now. Vitals are strong, all indications are that she is winning the current battle. Thanks to everyone for your comments of support. They do help.

Originally posted at http://wyldraven.dreamwidth.org/552549.html

Tags: lasarina hospitalization