Ethan was up in the night with more stomach upset. This time he was nauseous and feeling like he was going to vomit. I sent a communication to the transplant team and tentatively scheduled an urgent care appointment. Ethan chose to call out sick which he has never done. Not even with his pneumonia’s. Yesterday he said “NO URGENT CARE” today he is waving the white flag. I am proud of him for recognizing that he needs a break. I have to be careful and make sure he knows that HE is calling the shots and I am just here for guidance. We talk through all the options and the pros and cons of each. Then HE chooses the next step. I started moving some of my appointments to this evening. It hit 9:00 am and I called the Transplant team. I received a call right back directing to go to the lab to rule out some bacteria overgrowth as well as assess hydration, electrolytes and rejection medications. We had to collect a-hem….a sample….to be tested. We went to the lab. And waited and waited for ab...
I figured Ethan would be run down a little bit today because of his long drive yesterday. He kinda threw a curve ball. He was planning on going over to my Mom and Step Dad’s house. It was a little bit before and he told me he felt “weird”. He had mentioned earlier that his stomach was a little off. He had off and on cramping. “What does weird mean?” I asked him. “Like I am chilled today and I don’t know if I should go to Mema and Beba’s because I don’t want to get anyone sick. I almost think I have a fever.” I checked his temperature and he was 99.7. Not bad but in true Ethan fashion, not normal. I needed more information and began my “subjective”. We use SOAP notes in veterinary medicine. S-Subjective - you collect information on the owners/patient’s (in human medicine it would be the patient) perspective of their ailment. O- take actual measurements and factual data. Temperature, pulse, blood pressure, weight. A-Assessment- the doctors reviews the subject...