Positive

Gram positive cocci. It grew out in her peripheral blood culture that was drawn yesterday. Identification and sensitivity are still unknown, but she is currently being covered for gram positive bacterias with Vancomycin.

What does all this mean? I have no idea. She's never had a gram positive before(at least one that I can remember. In those early post transplant ICU days she had lots of stuff that just kind of became a blur of bad news). How long until she starts feeling better? I have no idea. How long until the fevers stop spiking? I have no idea. How long until Ash is out of the hospital? I have no idea.

The whole bacterial infection, bacterimia, septic, sepsis, whatever you want to label it(they all mean the same thing) is getting old. This will be her third round of it in 8weeks.

Did this come from her line? Don't know. Did it come from the OR last week? Don't know. Did it come from her visits to the dentist's office? The eye doctor? Don't know. Did it come from a pneumonia or something? Don't know. The only thing I do know is that her immune system is compromised intentionally to keep her organs safe and she's likely to get sick from absolutely anything that she comes in contact with. Yep, she's proving that point quite well this year. She's still feeling awful and she's set to leave for the OR close to 12:30 with this fever. They will draw more cultures once she is put to sleep. Thank you God for compassionate physicians who realize when a little girl has endured too much. Thank you for their willingness to make this as easy as possible on her. Thank you.

Biopsy. Scope. Arterial line placement. Lab draws. Cultures drawn. That is what I think is going to happen back there. Then again, I would have never expected her to come out with a 2 inch incision across her neck just last week. I can't be for sure what is going to take place until I am allowed to see her again. Your prayers are appreciated. Trish