Yesterday nothing showed up on the CT scan of the pancreas but the spleen had two spots indicating, I think, blood clots.\u00a0 These so called \u201csplenic infracts\u201d are blockages of the veins or arteries for the blood supply to the spleen.\u00a0 Atrial fibrillation and bacterial endocarditis are known contributors to splenic infractions.\u00a0 These are expected to be reabsorbed after awhile.\u00a0 Nancy\u2019s current case of endocarditis has been halted.\u00a0 We also hope something can be done to reduce the incidents of A-fib.\u00a0 In any case, now the infractions are known about and fit into the general situation and are not a big worry.\u00a0 It is also a relief to know that the pancreas is without problems.<\/p>\n
Splenic infarction can occur without symptoms (asymptomatic), which was the case with Nancy until this week.\u00a0 This week the typical symptom — severe pain in the left upper quadrant of the abdomen showed up. \u00a0Sometimes the pain radiates to the left shoulder but that wasn\u2019t the tell-tale sign.\u00a0 Fever and chills develop in some cases and she did have these, but, again, with the other things happening (including the bladder infection) they were not the symptoms that led to the CT scan.<\/p>\n
So, onward.\u00a0 This morning the nurse told Nancy that her colonoscopy was scheduled for one o\u2019clock.\u00a0 The nurse didn\u2019t seem aware that an upper GI endoscopy had been talked about and so went off to check.\u00a0 Sometime later she came back to report that both were to be done \u2013 and so they were.\u00a0 So they looked into her from both ends and found nothing.\u00a0 Good news.<\/p>\n
They refer to the upper GI exam as an \u201cEGD\u201d \u2013 and for good reason.\u00a0 Who wants to say \u201cesophagogastroduodenoscopy\u201d more than once?\u00a0 Rather than me explaining that you can read about it here:<\/p>\n
http:\/\/www.gicare.com\/endoscopy-center\/upper-gi-endoscopy.aspx<\/a><\/p>\n A follow-on regarding the duodenum (the first section of the small intestine) is here:<\/p>\n http:\/\/en.wikipedia.org\/wiki\/Duodenum<\/a><\/p>\n This test ruled out any bleeding within the three structures, and that\u2019s good.<\/p>\n The last procedure for the day is the instillation of a \u201cperipherally inserted central catheter\u201d (PICC or PIC line) for which, in previous reporting, I used the acronym PICC.\u00a0 You can read about it here:<\/p>\n http:\/\/en.wikipedia.org\/wiki\/Peripherally_inserted_central_catheter<\/a><\/p>\n I will add a bit more on this tomorrow.\u00a0 We then may have some indication of a release-from-hospital date because there are no more procedures scheduled and the PICC line can be used at the Ebrg hospital to infuse the antibiotic therapy as was done last July.<\/p>\n So while no plans are yet made, we are anticipating escape<\/span> release soonish.<\/p>\n Cheers, John<\/p>\n","protected":false},"excerpt":{"rendered":" Yesterday nothing showed up on the CT scan of the pancreas but the spleen had two spots indicating, I think, blood clots.\u00a0 These so called \u201csplenic infracts\u201d are blockages of the veins or arteries for the blood supply to the spleen.\u00a0 Atrial fibrillation and bacterial endocarditis are known contributors to splenic infractions.\u00a0 These are expected … Continue reading “MONDAY — Anticipation”<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[4],"tags":[],"class_list":["post-601","post","type-post","status-publish","format-standard","hentry","category-phone-report"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p72iNf-9H","_links":{"self":[{"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=\/wp\/v2\/posts\/601","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=601"}],"version-history":[{"count":3,"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=\/wp\/v2\/posts\/601\/revisions"}],"predecessor-version":[{"id":604,"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=\/wp\/v2\/posts\/601\/revisions\/604"}],"wp:attachment":[{"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=601"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=601"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/rocknponderosa.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=601"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}