Day +17

Last night just as I was about to go to bed Raul gagged and proceeded to throw up quite a bit of old blood. A few hours earlier a good amount of blood had come out around his g-tube. We don't know exactly what it was from, so are watching it, but there hasn't been any more since last night! Since then his voice has been a bit hoarse, and from the way he talks it sounds like the vomiting really irritated his throat. 

This morning at rounds I found out that his chest CT actually did have "microscopic nodules". This could be nothing, but could be infection, so he will get a 5 day course of azithromycin. Tonight he sounds a little junky and has been coughing some in his sleep, but I think that is more related to the irritation from throwing up.

Raul got dialysis again today, but they only took off .2kg of fluid this time. He will have it again tomorrow, and then we will skip Sunday to see how he does. His bilirubin was down again today. Only slightly down from yesterday, but still the lowest it has been in 10 days (6.7/5.8). People who haven't seen him in a few days are starting to say he looks less yellow when they come in, so that is good! 

Raul did a bit better with school this morning than he had the past couple days, though was not interested in doing PT today. His school time got bumped up to 1 hour a day, and I think once he is feeling better he will like it more! We are going to try again for PT on Sunday since he will not have dialysis that day, and hope he is more willing to get up! Late this afternoon integrated therapies came by to visit and help him relax, and he is still asleep four hours later! 

WBC: 3.8
ANC: 2.9