MEDICAL BULLETIN 3 all the questions i had asked earlier were, once and for all, answered when i was informed that the scheduled CT SCAN IS DEFERRED until further notice from the admitting physician/primary doctor --- my kidney specialist/nephrologist --- who is attending a conference in manila. he is arriving this afternoon and may see either see me tonight or tomorrow morning after he shall have read the result of the urine culture & sensitivity. in the morning, two members of the medical team attending to me came and told me the same thing... a scheduled CT SCAN for the day WAS CANCELLED INDEFINITELY! my brother-in-law, dr. walter, together with a resident doctor in the cardiac team saw and asked how i am. finally, my sister, dr. inday came to my room after she had performed gastro-related procedures. i greeted her a very happy birthday and she left so soon telling me that we will see at the briques for lunch and that she had reserved a special table for me downstairs while the rest of her guests and family members are in the second floor. before we left, another sister had given me the latest hospital statement which included: cardiac unit 766.00 and CT scan 12,206 before it was not even performed as yet! i was out-on-pass from 12noon to 2pm. we had a very sumptuous lunch with family and friends. after the escape from alcatraz, we immediately returned to the hospital and i slept for an hour. just a while ago, the nurse came to check on my glucose. i told him i will not be surprise if the glucometer would show high figures. i could feel my fingers cringing like ants are crawling in my hands. i joked, it must be 300! not too far from what the instrument showed... 270! i think, i am skipping dinner! this morning, i oped the tv set and, lo and behold, channel 9 of cebu sky cable had shown medtalk... and the topic was on healthcare associated infection. in the first place, according to the discussant, infection may either be transmitted airborne, respiratory or through contact. easy targets are the very old and the very young, post-transplanted and immuno-suppressed/compromised patients. of particular and great interest to me was on the segment catheter-associated urinary tract infection (cauti). due to incontinence as a result of the viral attack of what they refer as the human t-cel lymphopath tropical virus (HTLV) during a blood transfusion i had a month prior to my kidney transplantation, i started using diapers. from time to time, during my regular visit to my kidney specialist, found out that i had urinary tract infection. the use of diapers, i was told, is the worst source of infection. i shifted to intermittent catheter or foley catheter. i was using this for a while until i was told i had ACUTE URINARY TRACT INFECTION! during the first three months of the year, i was hospitalized for COMPLICATED URINARY TRACT INFECTION until it was decided that i undergo CYSTOSTOMY or what was recommended by my urologist at new york presbyterian hospital in his last urologic report (cystoscopy). this would be the least of the source of infection. i had no more health problem regarding infection after i underwent this surgical procedure until recently. initial findings to my complaint... CHRONIC/COMPLICATED URINARY TRACT INFECTION! ESBL! i googled what ESBL stands for and what it means! i found on a page... Extended-Spectrum Beta Lactamase-producing bacteria as chemicals made of certain kinds of germs (bacteria). this germs break down several types of antibiotics (medications that fight infections). so when a person gets sick because of ESBL, the infection is harder to treat and may require different antibiotics. infections due to ESBL usually affects the urinary tract or the gut (intestines.) ESBL may be fatal if not treated properly. of the 7 risk factors for ESBL infection, i had 4: having a urinary catheter... older age... having a weakened immune system (such as having an organ transplant)... having a long-term or frequent antibiotics treatment. how it is transmitted: through the hands germs in your hands / touch your mouth as when you eat... the germs are swallowed and stay in the intestine through the urinary tract if you have the germs in your hands already and do not cleanse yourself properly during bowel movement through the urinary tract by way of the catheter you use through a wound symptoms urinary tract: burning and pain during urinating urinating more often/fever intestine: diarrhea, pain in the stomach, stomach cramps, gas loss of appetite blood: high fever, chills, nausea and vomitting shortness of breath and confusion treatment a combination of antibiotics may be tried take note: ESBL develop when antibiotics are taken longer than necessary ... taken when they are not needed at all germs that survive treatment with an antibiotic can go on to reproduce and create more resistant germs the more often antibiotics are used, the more chances resistant germs have to develop. now i know why my kidney specialist is not too east to prescribes antibiotics... he computes... and figures out numbers... before he dispenses a certain kind of antibiotics... and changes them from time to time! this is just a bit of understanding ESBL... but this will help! late this afternoon, my urologist came and when i asked him about the orders for a CT scan, he said it was a mistake! it was intended for a different person not me! problem solved... as of now! i am still waiting for that tests result... patiently... hoping for the better... keeping my fingers crossed! the the strong and the powerful... the almighty is my strength!
Posted on: Sat, 18 Oct 2014 14:08:06 +0000
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