Today was an interesting day. First I missed Kathy’s doctor’s conference because I thought it was tomorrow. Just a bad job of reading dates! I talked to Kathy’s case manager and she gave me the following recap. Kathy is still a moderate to maximum assist patient. She has to be assisted in all activities from personal care to therapy sessions. Her team is concerned that over the last two weeks, Kathy has not improved as much as they desired. They acknowledged she’s had a few set-backs (they also admitted they are less experienced with rehabilitating brain abscesses) but they want an outside medical opinion to see if a medical problem is slowing her rehabilitation progress.
Guess who shows up this evening, but none other than Dr. Kureshi himself, her neurosurgeon from Scripps? We had a good talk and he has decided to recommend the following to Kathy’s team; Kathy has slightly inflamed ventricles that have shown up on her recent CT scans. He noted this is not un-normal in someone recovering from Ventricilitus and could have built up over the weeks. He feels reducing pressure either by removing excess fluid from her spine or inserting another brain drain could give the ventricles time to shrink and heal. This would lessen the brain pressure and lower inflammation. I am waiting for the two teams to decide on the best route. Not this again!
Officially Dr. Johan, her MD, is preparing her for the necessary steps for future home care. The inside opinion by staff is that, Kathy is still four to six weeks away from going home. Again, I want to thank the staff of the Sharp Hospital Rehabilitation for a wonderful top drawer job they are doing. I just cannot compliment them enough!
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